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Sample records for hanoi dispensando corticoides

  1. 21 CFR 862.1195 - Corticoids test system.

    Science.gov (United States)

    2010-04-01

    ... measure the levels of corticoids (hormones of the adrenal cortex) in serum and p lasma. Measurements of corticoids are used in the diagnosis and treatment of disorders of the cortex of the adrenal glands...

  2. Atmospheric muons in Hanoi

    International Nuclear Information System (INIS)

    Pham Ngoc Diep; Pham thi Tuyet Nhung; Pierre Darriulat; Nguyen Thi Thao; Dang Quang Thieu; Vo Van Thuan

    2006-01-01

    Recent measurements of the atmospheric muon flux in Hanoi were reviewed. As the measurements were carried out in a region of maximal geomagnetic rigidity cutoff, they provided a sensitive test of air shower models used in the interpretation of neutrino oscillation experiments. The measured data were found to be in a very good agreement with the prediction from the model of M. Honda. (author)

  3. Role and physiological actions of the mineralo-corticoids; Role et actions physiologiques des mineralo-corticoides

    Energy Technology Data Exchange (ETDEWEB)

    Morel, F [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1958-07-01

    This review recalls first of all the history of the discovery of aldosterone; it then defines the concept of mineralo-corticoid on the biological level; the physiological effects of aldosterone are compared with those of desoxycorticosterone, which have been known for a long time. The part played by the mineralo-corticoids in maintaining the hydro-mineral balance is then discussed, particularly in the light of information provided by acute deficiency or primitive hyperaldosteronism; the importance of the correlations linking the post-hypophysis and suprarenal is underlined. The possible mechanisms of the action of mineralo-corticoids on the kidney are discussed in greater detail and a general plan of action is proposed. The physiological regulation of the secretion of mineralo-corticoids is then described, and the respective roles played in this secretion by different factors are discussed (ante-hypophysis, corticoids, plasmatic concentration of electrolytes, volume of extracellular liquids, etc...). Finally, the whole problem investigated is placed within the field of homeostasis (377 bibliographical references). (author) [French] Cette revue de la question rappelle d'abord l'historique de la decouverte de l'aldosterone; elle definit ensuite le concept de mineralo-corticoide sur le plan biologique; les effets physiologiques de l'aldosterone sont compares a ceux connus depuis longtemps de la desoxycorticosterone. Le role joue par les mineralo-corticoides dans le maintien de la balance hydrominerale est ensuite discute, notamment a la lumiere des informations fournies par l'insuffisance aigue ou l'hyperaldosteronisme primitif; l'importance des correlations liant posthypophyse et surrenale est soulignee. Les mecanismes possibles de l'action des mineralo-corticoides sur le rein sont discutes avec davantage de details et un schema general d'action est propose. La regulation physiologique de la secretion des mineralo-corticoides est ensuite exposee et les roles

  4. Role and physiological actions of the mineralo-corticoids; Role et actions physiologiques des mineralo-corticoides

    Energy Technology Data Exchange (ETDEWEB)

    Morel, F. [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1958-07-01

    This review recalls first of all the history of the discovery of aldosterone; it then defines the concept of mineralo-corticoid on the biological level; the physiological effects of aldosterone are compared with those of desoxycorticosterone, which have been known for a long time. The part played by the mineralo-corticoids in maintaining the hydro-mineral balance is then discussed, particularly in the light of information provided by acute deficiency or primitive hyperaldosteronism; the importance of the correlations linking the post-hypophysis and suprarenal is underlined. The possible mechanisms of the action of mineralo-corticoids on the kidney are discussed in greater detail and a general plan of action is proposed. The physiological regulation of the secretion of mineralo-corticoids is then described, and the respective roles played in this secretion by different factors are discussed (ante-hypophysis, corticoids, plasmatic concentration of electrolytes, volume of extracellular liquids, etc...). Finally, the whole problem investigated is placed within the field of homeostasis (377 bibliographical references). (author) [French] Cette revue de la question rappelle d'abord l'historique de la decouverte de l'aldosterone; elle definit ensuite le concept de mineralo-corticoide sur le plan biologique; les effets physiologiques de l'aldosterone sont compares a ceux connus depuis longtemps de la desoxycorticosterone. Le role joue par les mineralo-corticoides dans le maintien de la balance hydrominerale est ensuite discute, notamment a la lumiere des informations fournies par l'insuffisance aigue ou l'hyperaldosteronisme primitif; l'importance des correlations liant posthypophyse et surrenale est soulignee. Les mecanismes possibles de l'action des mineralo-corticoides sur le rein sont discutes avec davantage de details et un schema general d'action est propose. La regulation physiologique de la secretion des mineralo-corticoides

  5. Role and physiological actions of the mineralo-corticoids

    International Nuclear Information System (INIS)

    Morel, F.

    1958-01-01

    This review recalls first of all the history of the discovery of aldosterone; it then defines the concept of mineralo-corticoid on the biological level; the physiological effects of aldosterone are compared with those of desoxycorticosterone, which have been known for a long time. The part played by the mineralo-corticoids in maintaining the hydro-mineral balance is then discussed, particularly in the light of information provided by acute deficiency or primitive hyperaldosteronism; the importance of the correlations linking the post-hypophysis and suprarenal is underlined. The possible mechanisms of the action of mineralo-corticoids on the kidney are discussed in greater detail and a general plan of action is proposed. The physiological regulation of the secretion of mineralo-corticoids is then described, and the respective roles played in this secretion by different factors are discussed (ante-hypophysis, corticoids, plasmatic concentration of electrolytes, volume of extracellular liquids, etc...). Finally, the whole problem investigated is placed within the field of homeostasis (377 bibliographical references). (author) [fr

  6. Tulemusteta koosistumine Hanois / Tõnis Erilaid

    Index Scriptorium Estoniae

    Erilaid, Tõnis, 1943-

    2006-01-01

    Aasia ja Vaikse ookeani riikide majandusühenduse APEC tippkohtumisel Hanois ei saanud põhisündmuseks Põhja-Koread puudutava karmi resolutsiooni vastuvõtmine, vaid hoopis USA ja Venemaa vahelise lepingu allkirjastamine, mis annab võimaluse Venemaale liituda WTO-ga

  7. Hormone and enzyme determination as influenced by corticoids and tocolytics in the final stage of pregnancy

    International Nuclear Information System (INIS)

    Kaminsky, G.; Kayser, I.B.

    1981-01-01

    In order to prevent membrane syndrome, the synthetic corticoids betamethasone, dexamethasone and 16-methylene prednisolone combined with tokolytic substances. The hormones ACTH, cortisol, oestriol, and the enzyme renine have been investigated by RIA in order to find out whether the various corticoids cause different changes in the endocrinous parameters of mother and foetus. A suppression of the four measured parameters was found in the presence of corticoids. (orig./MG) [de

  8. The Tower of Hanoi and Inductive Logic

    Science.gov (United States)

    Merrotsy, Peter

    2015-01-01

    In the "Australian Curriculum," the concept of mathematical induction is first met in the senior secondary subject Specialist Mathematics. This article details an example, the Tower of Hanoi problem, which provides an enactive introduction to the inductive process before moving to more abstract and cognitively demanding representations.…

  9. Prematuridad extrema y uso materno de corticoides antenatal

    Directory of Open Access Journals (Sweden)

    Ramón Acosta Díaz

    2000-12-01

    Full Text Available Con el objetivo de evaluar el uso de corticoides antenatal en las madres con amenaza de parto pretérmino y el efecto sobre los recién nacidos prematuros extremos, se realizó un estudio prospectivo, longitudinal, y analítico entre todos los niños nacidos vivos con edad gestacional menor de 31 semanas y peso inferior a 1 500 g, ocurridos en el Hospital Ginecoobstétrico Provincial Docente "Justo Legón Padilla" de Pinar del Río, desde enero de 1997 hasta julio de 1998. Se estudiaron los 53 niños con estas características. Los datos que se obtuvieron se depositaron en base de datos; para el procesamiento estadístico, se aplicó la prueba de chi cuadrado, con un nivel de significación de p In order to evaluate the antenatal use of adrenal cortex hormones in mothers with preterm delivery threat and its effect on extreme premature infants, it was conducted a prospective, longitudinal and analytical study among the live births with gestational age under 31 weeks and a weight lower than 1 500 g registered at "Justo Legón Padilla" Provincial Gynecoobstetric Teaching Hospital, in Pinar del Río, from January, 1997, to July, 1998. 53 children with these characteristics were studied. The collected data were entered in databases. The chi square test with a level of significance of p<0.05 was used for the statistical processing. Steroids were administered to 32 mothers. A statistically significant reduction of the hyaline membrane disease, the use of ventilation, the complications and mortality was observed with the antenatal use of maternal adrenal cortex hormones. There were no statistically significant differences between the study and the control group as regards sex, mean gestational age (29.0/28.9 weeks and weights (1207.9/1180.0 g.

  10. Corticoides intralesionales en lesiones a células gigantes

    Directory of Open Access Journals (Sweden)

    J.P. Crestanello Nese

    2003-12-01

    Full Text Available Desde su descripción original, las lesiones de células gigantes (LCG han sido entidades controvertidas, desde el punto de vista de su origen, de su comportamiento clínico, de sus características radiográficas e histológicas, así como de su tratamiento. Para su tratamiento se han considerado alternativas quirúrgicas y no quirúrgicas. En este trabajo, se presentan tres nuevos casos de LCG, en los cuales se realizó infiltración intralesional con corticoides como una maniobra previa y complementaria a la quirúrgica. Luego de la infiltración, se observó una disminución del tamaño de las lesiones y un cambio en sus características macroscópicas, se trato por enucleación un caso y por remodelación quirúrgica los dos restantes.Giant cell lesions (GCL have been controversial entities since its original description. Its origin, clinical behavior, radiographic and histological features and also its treatment are polemical. The therapeutic possibilities are surgical or non surgical. In this paper, the intralesional infiltration with steroids is presented like a previous and complementary therapy to surgery alone. Three new cases of GCL are presented. All of them were first treated with intralesional infiltration with steroids. After that,a partial remission and a change of the macroscopic characteristics were observed and one of the lesion was then enucleated while for the others two surgical remodelation were necessary to do.

  11. The tower of Hanoi myths and maths

    CERN Document Server

    Hinz, Andreas M; Petr, Ciril

    2018-01-01

    The solitaire game “The Tower of Hanoi" was invented in the 19th century by the French number theorist Édouard Lucas. The book presents its mathematical theory and offers a survey of the historical development from predecessors up to recent research. In addition to long-standing myths, it provides a detailed overview of the essential mathematical facts with complete proofs, and also includes unpublished material, e.g., on some captivating integer sequences. The main objects of research today are the so-called Hanoi graphs and the related Sierpiński graphs. Acknowledging the great popularity of the topic in computer science, algorithms, together with their correctness proofs, form an essential part of the book. In view of the most important practical applications, namely in physics, network theory and cognitive (neuro)psychology, the book also addresses other structures related to the Tower of Hanoi and its variants. The updated second edition includes, for the first time in English, the breakthrough reach...

  12. Influence of corticoids on healing of the rotator cuff of rats – biomechanical study

    Directory of Open Access Journals (Sweden)

    Leonardo Dau

    2014-08-01

    Full Text Available Objective:To compare healing strength of the infraspinatus tendon of rats with corticoid inoculation, regarding maximum tension, maximum force and rupture force, after injury and experimental repair.Methods:A total of 60 Wistar rats were subjected to tenotomy of the infraspinatus tendon, which was then sutured. Before the surgery, they were divided into a control group (C inoculated with serum and a study group (S inoculated with corticoids over the tendon. After repair, the rats were sacrificed in groups of 10 individuals in the control group and 10 in the study group at the times of one week (C1 and S1, three weeks (C3 and S3 and five weeks (C5 and S5. The rats were dissected, separating out the infraspinatus tendon with the humerus. The study specimens were subjected to a traction test, with evaluation of the maximum tension (kgf/cm2, maximum force (kgf and rupture force (kgf, comparing the study group with the respective control groups.Results:Among the rats sacrificed one week after the procedure, we observed greater maximum tension in group C1 than in group S1. The variables of maximum force (kgf and rupture force did not differ statistically between the groups investigated. In the same way, among the rats sacrificed three weeks after the procedure, group C3 only showed greater maximum tension than group S3 (p = 0.007, and the other variables did not present differences. Among the rats sacrificed five weeks after the procedure (C5 and S5, none of the parameters studied presented statistical differences.Conclusion:We concluded that corticoid diminished the resistance to maximum tension in the groups sacrificed one and three weeks after the procedure, in comparison with the respective control groups. The other parameters did not show differences between the study and control groups.

  13. The transformation of agriculture and rural life downstream of Hanoi

    NARCIS (Netherlands)

    Berg, van den L.M.; Wijk, van M.S.; Pham Van Hoi,

    2003-01-01

    This paper discusses the impacts of urbanization and of recent economic reforms on the livelihoods of farmers in Hanoi¿s peri-urban areas. Although the proportion of land used for agriculture is declining, agricultural production is intensifying ¿ for instance, with pork, vegetables and fish

  14. Fragmented landscapes of water supply in suburban Hanoi

    NARCIS (Netherlands)

    Wright-Contreras, Lucia; March, Hug; Schramm, S.

    2017-01-01

    Facing the challenges of city planning in the frame of rapid urbanization in the Global South, this study addresses the relationship between the urban development of Hanoi, Vietnam, and water supply including users’ perception of water accessibility and satisfaction of coverage, quality, and cost.

  15. Efecto "in vitro" de los corticoides sobre la replicación del virus C. Efecto "in vivo" de los corticoides a dosis bajas y prolongadas sobre la hepatopatía crónica por virus C

    OpenAIRE

    Romero Gutiérrez, Marta

    2012-01-01

    En la práctica clínica hay numerosas patologías que precisan tratamiento con dosis bajas y prolongadas de corticoides con o sin azatioprina. La elevada prevalencia de la hepatopatía crónica por virus C hace que no sea infrecuente que pacientes con esta enfermedad requieran este tratamiento por otra patología concomitante. Sin embargo, no hay suficiente información para determinar si los corticoides influyen en la historia natural de la hepatitis crónica C. Objetivos: 1) Estudiar in vitro, en ...

  16. Trauma center accessibility for road traffic injuries in Hanoi, Vietnam.

    Science.gov (United States)

    Nagata, Takashi; Takamori, Ayako; Kimura, Yoshinari; Kimura, Akio; Hashizume, Makoto; Nakahara, Shinji

    2011-09-30

    Rapid economic growth in Vietnam over the last decade has led to an increased frequency of road traffic injury (RTI), which now represents one of the leading causes of death in the nation. Various efforts toward injury prevention have not produced a significant decline in the incidence of RTIs. Our study sought to describe the geographic distribution of RTIs in Hanoi, Vietnam and to evaluate the accessibility of trauma centers to those injured in the city. We performed a cross-sectional study using Hanoi city police reports from 2006 to describe the epidemiology of RTIs occurring in Hanoi city. Additionally, we identified geographic patterns and determined the direct distance from injury sites to trauma centers by applying geographical information system (GIS) software. Factors associated with the accessibility of trauma centers were evaluated by multivariate regression analysis. We mapped 1,271 RTIs in Hanoi city. About 40% of RTIs occurred among people 20-29 years of age. Additionally, 63% of RTIs were motorcycle-associated incidents. Two peak times of injury occurrence were observed: 12 am-4 pm and 8 pm-0 am. "Hot spots" of road traffic injuries/fatalities were identified in the city area and on main highways using Kernel density estimation. Interestingly, RTIs occurring along the two north-south main roads were not within easy access of trauma centers. Further, fatal cases, gender and injury mechanism were significantly associated with the distance between injury location and trauma centers. Geographical patterns of RTIs in Hanoi city differed by gender, time, and injury mechanism; such information may be useful for injury prevention. Specifically, RTIs occurring along the two north-south main roads have lower accessibility to trauma centers, thus an emergency medical service system should be established.

  17. Adrenaline, terlipressin, and corticoids versus adrenaline in the treatment of experimental pediatric asphyxial cardiac arrest.

    Science.gov (United States)

    González, Rafael; Urbano, Javier; Botrán, Marta; López, Jorge; Solana, Maria J; García, Ana; Fernández, Sarah; López-Herce, Jesús

    2014-07-01

    To analyze if treatment with adrenaline (epinephrine) plus terlipressin plus corticoids achieves higher return of spontaneous circulation than adrenaline in an experimental infant animal model of asphyxial cardiac arrest. Prospective randomized animal study. Experimental department in a University Hospital. Forty-nine piglets were studied. Cardiac arrest was induced by at least 10 minutes of removal of mechanical ventilation and was followed by manual external chest compressions and mechanical ventilation. After 3 minutes of resuscitation, piglets that did not achieve return of spontaneous circulation were randomized to two groups: adrenaline 0.02 mg kg every 3 minutes (20 animals) and adrenaline 0.02 mg kg every 3 minutes plus terlipressin 20 μg kg every 6 minutes plus hydrocortisone 30 mg kg one dose (22 animals). Resuscitation was discontinued when return of spontaneous circulation was achieved or after 24 minutes. Return of spontaneous circulation was achieved in 14 piglets (28.5%), 14.2% with only cardiac massage and ventilation. Return of spontaneous circulation was achieved in 25% of piglets treated with adrenaline and in 9.1% of those treated with adrenaline plus terlipressin plus hydrocortisone (p = 0.167). Return of spontaneous circulation was achieved in 45.4% of animals with pulseless electric activity, 20% with asystole, and 0% with ventricular fibrillation (p = 0.037). Shorter duration of cardiac arrest, higher mean blood pressure and EtCO2 and lower PaCO2 before resuscitation, and higher mean blood pressure during resuscitation were associated with higher return of spontaneous circulation. Treatment with adrenaline plus terlipressin plus corticoids does not achieve higher return of spontaneous circulation than that with adrenaline in an infant animal model of asphyxial cardiac arrest.

  18. Radioactive contamination of the environmental samples in Hanoi in 1989

    International Nuclear Information System (INIS)

    Dang Huy Uyen; Bui Van Loat; Dang Phuong Nam; Cao Anh Duc; Pham Quang Dien; Nguyen Hao Quang

    1990-01-01

    More than 30 environmental samples from soil, paddy, rice, fruits, vegetables and beans, sesame, tea, bananas, fishes at Hanoi markets in 1989 were analysed by gamma ray spectrometry with the low background system for studying natural and artificial radioactive elements. Among several samples from Hanoi in such kind as cultivated soils, tea, dried bamboo shoots, isotope Cs 137 that used be generated from nuclear explosives was found with contents (30 - 1000) x 10 -5 Bq/g; Cs 137 contents in Japanese rice (0.4 - 3) x 10 -5 Bq/g. Cs 137 is radioactive so Cs 137 contents in Vietnamese rice are 300 times higher than Cs 137 contents in Japanese rice but they are hundred times lower than international standard. Among vegetables, fruits, shrimps, fishes in Hanoi markets, artificial isotopes were not found and natural isotopes were few. Even radioactive daughter and granddaughter in uranium series in potatoes were not found. In some samples K 40 was also appeared, for example in cultivated soils (0.78 Bq/g), in dried bamboo shoots (0.73 Bq/g). (author). 2 refs., 3 figs

  19. The Dynamics of Urban Agriculture in Hanoi, Vietnam

    Directory of Open Access Journals (Sweden)

    Brody Lee

    2010-06-01

    Full Text Available In many developing countries, urban agriculture makes a significant contribution to the livelihoods of urban populations, in providing food security and income generation. In Hanoi, Vietnam’s capital city, urban agriculture is a longstanding feature, but rapid urban growth is leading to greater competition over land use, such that this practice is being increasingly threatened by conversion to non-agricultural urban uses.  The quality and safety of foodstuffs grown in urban areas is of growing concern to both consumers and producers in developing country cities such as Hanoi, where a large share of the city’s food supply is grown within the urban area. Government support has encouraged urban producers to modernize and invest in safer growing practices. However, in Hanoi, as indeed elsewhere, there is an urgent need to recognise the significance of urban agriculture in future planning strategies. Drawing upon recent field-based research in Hanoi, which examined local actors’ knowledge and perceptions of changes in urban agriculture within the city, the paper identifies key trends and underlying environmental and socio-economic factors, and considers the future sustainability of the practice.Dans de nombreux pays en voie de développement, l’agriculture urbaine représente une contribution significative à la subsistance des populations urbaines, en assurant leur sécurité alimentaire et en générant des revenus. À Hanoi, la capitale du Vietnam, l’agriculture urbaine n'est pas une nouveauté, mais la rapidité de la croissance urbaine intensifie la concurrence pour l'utilisation du sol, et la réaffectation du sol à des fins non agricoles fait peser une menace de plus en plus lourde sur cette pratique. La qualité et la sécurité des produits alimentaires cultivés dans les zones urbaines préoccupent de plus en plus les consommateurs et les producteurs dans les villes des pays en voie de développement telles que Hanoi, où une

  20. Upper estimates of complexity of algorithms for multi-peg Tower of Hanoi problem

    Directory of Open Access Journals (Sweden)

    Sergey Novikov

    2007-06-01

    Full Text Available There are proved upper explicit estimates of complexity of lgorithms: for multi-peg Tower of Hanoi problem with the limited number of disks, for Reve's puzzle and for $5$-peg Tower of Hanoi problem with the free number of disks.

  1. Study Of Isotopic Technical Application To Estimate Origin Of Nitrogen Composition Of Groundwater In Hanoi Area

    International Nuclear Information System (INIS)

    Trinh Van Giap; Dinh Bich Lieu; Dang Anh Minh; Vo Thi Anh; Bui Dac Dung; Nguyen Thi Hong Thinh; Nguyen Manh Hung; Nguyen Van Hoan; Nguyen Van Hai

    2007-01-01

    Groundwater in Hanoi area as well as some other areas in Bac-Bo Delta is being contaminated by heavy metals and nitrogen compounds, especially arsenic and ammonium. The origin of nitrogen compounds in groundwater in Hanoi area is estimated in order to exploit and manage sustainable groundwater served for production and live. (author)

  2. Tower of Hanoi disk-transfer task: Influences of strategy knowledge and learning on performance

    NARCIS (Netherlands)

    Welsh, M.C.; Huizinga, M.

    2005-01-01

    Tower of Hanoi has become a popular tool in cognitive and neuropsychology to assess a set of behaviors collectively referred to as executive functions. Substantial variability in performance on the Tower of Hanoi (TOH) disk-transfer task among normally functioning young adults, and potential

  3. ¿Afecta el tratamiento con corticoides en los periodos prenatal y posnatal el neurodesarrollo del recién nacido prematuro?

    Directory of Open Access Journals (Sweden)

    Marita Lardón

    2017-04-01

    Conclusión. Los resultados de este estudio no pudieron demostrar que el tratamiento perinatal con corticoides se asociara con peores resultados en el neurodesarrollo en recién nacidos de muy bajo peso.

  4. Delayed effect of chronic administration of corticoids on the taste aversion learning.

    Science.gov (United States)

    Zach, Petr; Mrzilkova, Jana; Stuchlik, Ales; Vales, Karel; Rezacova, Lenka

    2011-01-01

    Long term permanent changes of eating behavior and concomitant structural changes in the CNS are matter of debade in literature. Often there is not enough distinction beween acute and chronic exposure to corticoids in evaluating its effect on behavior and/or brain structural changes. For behavioral evaluation we used well established conditioned taste aversion (CTA) paradigm and coronal Nissl-stained brain sections for evaluation of neuroanatomical changes. The CTA is part of complex adaptive behavioral processes controling food intake. It is well established methodological tool for study of biological substrates of learning and memory. Our hypothesis was that long term changes in laboratory rat behavior induced by exogenous corticosterone are not accompanyied by neurohistological changes in the rat brain, previously described in literature. Firstly, our results support CTA paradigm as promising tool for testing chronic influence of stress hormones on eating behavior and memory. The results support fact that previous long term elevated corticosterone levels disrupt normal eating behavior and it could also lead to structural changes, which could be biological substrates of behavioral changes. The fact we have not found significant morphological changes in brain strengthen the notion of possible subcellular impairment taking place instead of simple neuronal loss.

  5. Proteomics unveil corticoid-induced S100A11 shuttling in keratinocyte differentiation

    International Nuclear Information System (INIS)

    Dezitter, Xavier; Hammoudi, Fatma; Belverge, Nicolas; Deloulme, Jean-Christophe; Drobecq, Herve; Masselot, Bernadette; Formstecher, Pierre; Mendy, Denise; Idziorek, Thierry

    2007-01-01

    Unlike classical protein extraction techniques, proteomic mapping using a selective subcellular extraction kit revealed S100A11 as a new member of the S100 protein family modulated by glucocorticoids in keratinocytes. Glucocorticoids (GC)-induced S100A11 redistribution in the 'organelles and membranes' compartment. Microscopic examination indicated that glucocorticoids specifically routed cytoplasmic S100A11 toward perinuclear compartment. Calcium, a key component of skin terminal differentiation, directed S100A11 to the plasma membrane as previously reported. When calcium was added to glucocorticoids, minor change was observed at the proteomic level while confocal microscopy revealed a rapid and dramatic translocation of S100A11 toward plasma membrane. This effect was accompanied by strong nuclear condensation, loss of mitochondrial potential and DNA content, and increased high molecular weight S100A11 immunoreactivity, suggesting corticoids accelerate calcium-induced terminal differentiation. Finally, our results suggest GC-induced S100A11 relocalization could be a key step in both keratinocyte homeostasis and glucocorticoids side effects in human epidermis

  6. SEMICENTRALISED WATER SUPPLY AND TREATMENT: OPTIONS FOR THE DYNAMIC URBAN AREA OF HANOI, VIETNAM

    OpenAIRE

    SOPHIE SCHRAMM

    2011-01-01

    Hanoi, the capital of Vietnam, is experiencing rapid urbanisation coupled with high economic growth rates. This situation is both a challenge and an opportunity for the upgrading of existing technical infrastructures. Regarding wastewater treatment, the situation in Hanoi today is characterised by a lack of wastewater treatment plants, processing only a small fraction of the accumulating wastewater. Prevalent means of sanitation are septic tanks installed under buildings for the collection of...

  7. Hot spot detection and spatio-temporal dispersion of dengue fever in Hanoi, Vietnam

    Directory of Open Access Journals (Sweden)

    Do Thi Thanh Toan

    2013-01-01

    Full Text Available Introduction: Dengue fever (DF in Vietnam remains a serious emerging arboviral disease, which generates significant concerns among international health authorities. Incidence rates of DF have increased significantly during the last few years in many provinces and cities, especially Hanoi. The purpose of this study was to detect DF hot spots and identify the disease dynamics dispersion of DF over the period between 2004 and 2009 in Hanoi, Vietnam. Methods: Daily data on DF cases and population data for each postcode area of Hanoi between January 1998 and December 2009 were obtained from the Hanoi Center for Preventive Health and the General Statistic Office of Vietnam. Moran's I statistic was used to assess the spatial autocorrelation of reported DF. Spatial scan statistics and logistic regression were used to identify space–time clusters and dispersion of DF. Results: The study revealed a clear trend of geographic expansion of DF transmission in Hanoi through the study periods (OR 1.17, 95% CI 1.02–1.34. The spatial scan statistics showed that 6/14 (42.9% districts in Hanoi had significant cluster patterns, which lasted 29 days and were limited to a radius of 1,000 m. The study also demonstrated that most DF cases occurred between June and November, during which the rainfall and temperatures are highest. Conclusions: There is evidence for the existence of statistically significant clusters of DF in Hanoi, and that the geographical distribution of DF has expanded over recent years. This finding provides a foundation for further investigation into the social and environmental factors responsible for changing disease patterns, and provides data to inform program planning for DF control.

  8. Hot spot detection and spatio-temporal dispersion of dengue fever in Hanoi, Vietnam.

    Science.gov (United States)

    Toan, Do Thi Thanh; Hu, Wenbiao; Quang Thai, Pham; Hoat, Luu Ngoc; Wright, Pamela; Martens, Pim

    2013-01-24

    Dengue fever (DF) in Vietnam remains a serious emerging arboviral disease, which generates significant concerns among international health authorities. Incidence rates of DF have increased significantly during the last few years in many provinces and cities, especially Hanoi. The purpose of this study was to detect DF hot spots and identify the disease dynamics dispersion of DF over the period between 2004 and 2009 in Hanoi, Vietnam. Daily data on DF cases and population data for each postcode area of Hanoi between January 1998 and December 2009 were obtained from the Hanoi Center for Preventive Health and the General Statistic Office of Vietnam. Moran's I statistic was used to assess the spatial autocorrelation of reported DF. Spatial scan statistics and logistic regression were used to identify space-time clusters and dispersion of DF. The study revealed a clear trend of geographic expansion of DF transmission in Hanoi through the study periods (OR 1.17, 95% CI 1.02-1.34). The spatial scan statistics showed that 6/14 (42.9%) districts in Hanoi had significant cluster patterns, which lasted 29 days and were limited to a radius of 1,000 m. The study also demonstrated that most DF cases occurred between June and November, during which the rainfall and temperatures are highest. There is evidence for the existence of statistically significant clusters of DF in Hanoi, and that the geographical distribution of DF has expanded over recent years. This finding provides a foundation for further investigation into the social and environmental factors responsible for changing disease patterns, and provides data to inform program planning for DF control.

  9. Using the Tower of Hanoi Puzzle to Infuse Your Mathematics Classroom with Computer Science Concepts

    Science.gov (United States)

    Marzocchi, Alison S.

    2016-01-01

    This article suggests that logic puzzles, such as the well-known Tower of Hanoi puzzle, can be used to introduce computer science concepts to mathematics students of all ages. Mathematics teachers introduce their students to computer science concepts that are enacted spontaneously and subconsciously throughout the solution to the Tower of Hanoi…

  10. Quantifying urban growth patterns in Hanoi using landscape expansion modes and time series spatial metrics.

    Science.gov (United States)

    Nong, Duong H; Lepczyk, Christopher A; Miura, Tomoaki; Fox, Jefferson M

    2018-01-01

    Urbanization has been driven by various social, economic, and political factors around the world for centuries. Because urbanization continues unabated in many places, it is crucial to understand patterns of urbanization and their potential ecological and environmental impacts. Given this need, the objectives of our study were to quantify urban growth rates, growth modes, and resultant changes in the landscape pattern of urbanization in Hanoi, Vietnam from 1993 to 2010 and to evaluate the extent to which the process of urban growth in Hanoi conformed to the diffusion-coalescence theory. We analyzed the spatiotemporal patterns and dynamics of the built-up land in Hanoi using landscape expansion modes, spatial metrics, and a gradient approach. Urbanization was most pronounced in the periods of 2001-2006 and 2006-2010 at a distance of 10 to 35 km around the urban center. Over the 17 year period urban expansion in Hanoi was dominated by infilling and edge expansion growth modes. Our findings support the diffusion-coalescence theory of urbanization. The shift of the urban growth areas over time and the dynamic nature of the spatial metrics revealed important information about our understanding of the urban growth process and cycle. Furthermore, our findings can be used to evaluate urban planning policies and aid in urbanization issues in rapidly urbanizing countries.

  11. Quantifying urban growth patterns in Hanoi using landscape expansion modes and time series spatial metrics

    Science.gov (United States)

    Lepczyk, Christopher A.; Miura, Tomoaki; Fox, Jefferson M.

    2018-01-01

    Urbanization has been driven by various social, economic, and political factors around the world for centuries. Because urbanization continues unabated in many places, it is crucial to understand patterns of urbanization and their potential ecological and environmental impacts. Given this need, the objectives of our study were to quantify urban growth rates, growth modes, and resultant changes in the landscape pattern of urbanization in Hanoi, Vietnam from 1993 to 2010 and to evaluate the extent to which the process of urban growth in Hanoi conformed to the diffusion-coalescence theory. We analyzed the spatiotemporal patterns and dynamics of the built-up land in Hanoi using landscape expansion modes, spatial metrics, and a gradient approach. Urbanization was most pronounced in the periods of 2001–2006 and 2006–2010 at a distance of 10 to 35 km around the urban center. Over the 17 year period urban expansion in Hanoi was dominated by infilling and edge expansion growth modes. Our findings support the diffusion-coalescence theory of urbanization. The shift of the urban growth areas over time and the dynamic nature of the spatial metrics revealed important information about our understanding of the urban growth process and cycle. Furthermore, our findings can be used to evaluate urban planning policies and aid in urbanization issues in rapidly urbanizing countries. PMID:29734346

  12. The spectrum of central nervous system infections in an adult referral hospital in hanoi, Vietnam

    NARCIS (Netherlands)

    Taylor, Walter R.; Nguyen, Kinh; Nguyen, Duc; Nguyen, Huyen; Horby, Peter; Nguyen, Ha L.; Lien, Trinh; Tran, Giang; Tran, Ninh; Nguyen, Ha M.; Nguyen, Thai; Nguyen, Ha H.; Nguyen, Thanh; Tran, Giap; Farrar, Jeremy; de Jong, Menno; Schultsz, Constance; Tran, Huong; Nguyen, Diep; Vu, Bich; Le, Hoa; Dao, Trinh; Nguyen, Trung; Wertheim, Heiman

    2012-01-01

    To determine prospectively the causative pathogens of central nervous system (CNS) infections in patients admitted to a tertiary referral hospital in Hanoi, Vietnam. From May 2007 to December 2008, cerebrospinal fluid (CSF) samples from 352 adults with suspected meningitis or encephalitis underwent

  13. Shifting configurations of shopping practices and food safety dynamics in Hanoi, Vietnam

    NARCIS (Netherlands)

    Wertheim-Heck, S.C.O.; Spaargaren, Gert

    2016-01-01

    This paper offers a historical analysis of contemporary practices of shopping for vegetables in the highly dynamic context of urban Hanoi during the period from 1975 to 2014. Focusing on everyday shopping practices from a food safety perspective, we assess the extent to which the policy-enforced

  14. Availability and accessibility of HIV counseling and testing services for pregnant women in Hanoi, Vietnam

    NARCIS (Netherlands)

    Nguyen, T.A.; Oosterhoff, P.; Hardon, A.; Ngoc, Y.P.; Tran, H.N.; Coutinho, R.A.; Wright, P.

    2009-01-01

    In Hanoi, Vietnam, HIV counseling and testing is available but apparently still many HIV-positive women were either not detected or were identified too late for optimal PMTCT intervention. The study looked at how easily pregnant women could find out about and use HIV counseling and testing and

  15. Quantifying the Emergence of Dengue in Hanoi, Vietnam: 1998-2009

    NARCIS (Netherlands)

    Cuong, H.Q.; Hien, N.T.; Duong, T.N.; Phong, T.V.; Cam, N.N.; Farrar, J.; Nam, V.S.; Thai, K.T.D.; Horby, P.

    2011-01-01

    Background: An estimated 2.4 billion people live in areas at risk of dengue transmission, therefore the factors determining the establishment of endemic dengue in areas where transmission suitability is marginal is of considerable importance. Hanoi, Vietnam is such an area, and following a large

  16. Institutional aspects of integrating irrigation into urban wastewater management: the case of Hanoi, Vietnam

    NARCIS (Netherlands)

    Evers, J.G.; Huibers, F.P.; Vliet, van B.J.M.

    2010-01-01

    Wastewater flows of metropolitan cities and their downstream use for irrigation are often associated with technical systems. However, an engineering approach on its own will leave questions unanswered at the socio-technical and institutional level. Research was carried out in Hanoi, Vietnam, on the

  17. Institutional aspects of integrating irrigation into urban wastewater management: the case of Hanoi, Vietnam

    NARCIS (Netherlands)

    Evers, J.G.; Huibers, Frans P.; van Vliet, Bas J.M.

    2008-01-01

    Wastewater flows of metropolitan cities and their downstream use for irrigation are often associated with technical systems. However, an engineering approach on its own will leave questions unanswered at the socio-technical and institutional level. Research was carried out in Hanoi, Vietnam, on the

  18. Sexual relationships among men who have sex with men in Hanoi, Vietnam: a qualitative interview study.

    Science.gov (United States)

    Bengtsson, Linus; Thorson, Anna; Thanh, Vu Pham Nguyen; Allebeck, Peter; Popenoe, Rebecca

    2013-02-05

    The prevalence of HIV among men who have sex with men (MSM) in Vietnam's two largest cities, Hanoi and Ho Chi Minh City, may be above 10%. The aim of this study was to explore sexual relationship patterns and experiences among MSM in Hanoi, to inform HIV preventive efforts. Using purposive sampling we recruited 17 MSM in Hanoi, Vietnam, for in-depth interviews. Participants were aged between 19 and 48 years and came from diverse socio-economic backgrounds. Interviews were tape-recorded, transcribed verbatim, and translated into English. Content analysis was used. Almost all men in the study saw their same-sex attraction as part of their "nature". Many informants had secret but rich social lives within the MSM social circles in Hanoi. However, poor men had difficulties connecting to these networks. Lifetime sexual partner numbers ranged from one to 200. Seven participants had at some point in their lives been in relationships lasting from one to four years. For several men, relationships were not primarily centered on romantic feelings but instead intimately connected to economic and practical dependence. Sexual relationships varied greatly in terms of emotional attachment, commitment, trust, relationship ideals, sexual satisfaction and exchange of money or gifts. Faithfulness was highly valued but largely seen as unobtainable. Several informants felt strong family pressure to marry a woman and have children. This study contextualizes sexual relationships among MSM in Hanoi and highlights the extent to which HIV prevention activities need to not only consider HIV prevention in the context of casual sexual encounters but also how to adequately target preventive efforts that can reach MSM in relationships.

  19. Analysis of air pollution over Hanoi, Vietnam using multi-satellite and MERRA reanalysis datasets.

    Directory of Open Access Journals (Sweden)

    Kristofer Lasko

    Full Text Available Air pollution is one of the major environmental concerns in Vietnam. In this study, we assess the current status of air pollution over Hanoi, Vietnam using multiple different satellite datasets and weather information, and assess the potential to capture rice residue burning emissions with satellite data in a cloud-covered region. We used a timeseries of Ozone Monitoring Instrument (OMI Ultraviolet Aerosol Index (UVAI satellite data to characterize absorbing aerosols related to biomass burning. We also tested a timeseries of 3-hourly MERRA-2 reanalysis Black Carbon (BC concentration data for 5 years from 2012-2016 and explored pollution trends over time. We then used MODIS active fires, and synoptic wind patterns to attribute variability in Hanoi pollution to different sources. Because Hanoi is within the Red River Delta where rice residue burning is prominent, we explored trends to see if the residue burning signal is evident in the UVAI or BC data. Further, as the region experiences monsoon-influenced rainfall patterns, we adjusted the BC data based on daily rainfall amounts. Results indicated forest biomass burning from Northwest Vietnam and Laos impacts Hanoi air quality during the peak UVAI months of March and April. Whereas, during local rice residue burning months of June and October, no increase in UVAI is observed, with slight BC increase in October only. During the peak BC months of December and January, wind patterns indicated pollutant transport from southern China megacity areas. Results also indicated severe pollution episodes during December 2013 and January 2014. We observed significantly higher BC concentrations during nighttime than daytime with peaks generally between 2130 and 0030 local time. Our results highlight the need for better air pollution monitoring systems to capture episodic pollution events and their surface-level impacts, such as rice residue burning in cloud-prone regions in general and Hanoi, Vietnam in

  20. Construction of Urban 3-D Model of Hanoi, Vietnam Using FOSS Tools

    Science.gov (United States)

    Yonezawa, G.; Mitamura, M.; Sakurai, K.; Luan, T. X.; Raghavan, V.; Masumoto, S.; Nemoto, T.; Nonogaki, S.

    2013-12-01

    In this study, we investigate an urban transformation of Hanoi City, Vietnam from topographic changes in the 19-20 centuries. To analyze the relief of terrain and micro-topography for such an urban transfiguration, we need to generate the DEM (Digital Elevation Model) using the elevation survey data. DEM is a digital representation of ground surface topography and the most important element of topographic analysis for urban transfiguration. And, the three dimensional (3-D) mode of buildings which we generated from house map in Hanoi City can be also expressed apparently. It must be useful for an urban transformation because it is difficult to estimate how so many lakes and ponds disappeared by using two dimensional (2-D) spatial analysis only. We generated the DEM (8km x 8km) of Hanoi City from approximately 24,000 points data collected in 2005. This survey data was provided by Hanoi University of Mining and Geology (HUMG). Based on the surface estimation method using Cubic B-Spline Function, we generated this DEM at 2 meters resolution (Nonogaki et al., 2008). The very subtle elevation gaps which can not be distinguished on the satellite image are significantly recognizable on it. The example of the visualization of 3-D DEM is shown in Figure 1 using the NVIZ of visualization tool in GRASS GIS software. It is overlaid the Hanoi road map on the generated DEM. We generated the vector map of each block of houses in the Pho Co district in Hanoi City by using the house maps in 2005 which are provided by HUMG. It is consisted of 12,000 polygon data. These are converted the 3-D data (features) using the GIS software. This 3-D model is not only visualized the landscape in the Pho Co district accurately, but also reflected the elevation in this area. Thus, the 3-D features are built on DEM which is shown in Chapter 3. Therefore, we can create an overview of how the current urbanization is advancing in the area where the lakes and ponds existed in the past. Example of the

  1. Research to connect the ozone monitor into irradiation system at Hanoi Irradiation Centre

    International Nuclear Information System (INIS)

    Le Van Huy; Pham Duy Duong; Nguyen Dinh Hung; Vu Quoc Dat

    2013-01-01

    Since 2006, in order to develop radiation technology, Vietnam Atomic Energy Institute has supported Hanoi Irradiation Centre a Project titled: Upgrading the irradiation facility. According to the Project, equipment have been replaced by a new one so that the facility could be suitable for treatment of products. The facility was designed and produced by the former Russia experts. Under normal operating conditions, we are protected by shielding, detection systems, and safety procedures. A system of interlocks prevents unauthorized entry into the radiation chamber when the source is exposed. However, interlocks system have not been warning and preventing ozone gas that can affect human health. So we are having an upgrade as connecting the ozone monitor into irradiation system at Hanoi Irradiation Centre. (author)

  2. The impact of 4Ps on Purchase Decision: A case of Apple in Hanoi, Vietnam

    OpenAIRE

    Bui Trung Thieu

    2016-01-01

    By using quantitative research methods and deductive reasoning, this research paper aims to address the importance of four marketing mix components (4Ps) on purchase decisions of customers of Apple Inc., by launching a survey in Hanoi, Vietnam, to generate primary data. The chosen sampling technique is quota sampling and several “quotas” were built. Descriptive analysis and hypothetical analysis (t-test, one-way ANOVA and Regression) using SPSS 20.0 are applied. Other implications of the rese...

  3. Cosmic ray research in Hanoi: The Auger experiment and measurements made at home

    International Nuclear Information System (INIS)

    Pham Ngoc Dinh; Nguyen Tien Dung; Bui Duc Hieu; Nguyen Phuc; Pham Trung Phuong; Darriulat, Pierre; Dang Quang Thieu; Thuan Vo Van

    2003-01-01

    The VATLY is a new laboratory in Hanoi dedicated to research in the field of comic ray physics. Its various activities are briefly reviewed. The vertical cosmic muon flux has been measured using a segmented scintillator hodoscope and the results have been published in Ref. [1]. An orientable scintillation telescope has been constructed for measurement of the zenith angle dependence of the muon flux, of which preliminary results are reported here. They are in good agreement with the predictions of air shower model

  4. Cosmic ray research in Hanoi: The Auger experiment and measurements made at home

    Energy Technology Data Exchange (ETDEWEB)

    Pham Ngoc Dinh; Nguyen Tien Dung; Bui Duc Hieu; Nguyen Phuc; Pham Trung Phuong; Darriulat, Pierre; Dang Quang Thieu; Thuan Vo Van

    2003-07-14

    The VATLY is a new laboratory in Hanoi dedicated to research in the field of comic ray physics. Its various activities are briefly reviewed. The vertical cosmic muon flux has been measured using a segmented scintillator hodoscope and the results have been published in Ref. [1]. An orientable scintillation telescope has been constructed for measurement of the zenith angle dependence of the muon flux, of which preliminary results are reported here. They are in good agreement with the predictions of air shower model.

  5. Diversification and epidemic risks of poultry production systems in Hanoi suburb

    OpenAIRE

    Phan Dang, Thang; Duquesne, Brigitte; Lebailly, Philippe; Vu Dinh, Ton

    2010-01-01

    This research aims to address this question and to improve the income of small poultry producers through identification of poultry production systems and the supply chains with their various constraints, including the diseases and to analyze the explicative factors of the poultry development at local level. The research was conducted by interviewing and production record keeping system at the household farms which have poultry production at different scales in Hanoi suburb from...

  6. Epidemiology of dengue fever in Hanoi from 2002 to 2010 and its meteorological determinants

    Directory of Open Access Journals (Sweden)

    Dao Thi Minh An

    2014-12-01

    Full Text Available Background: Dengue fever (DF is a growing public health problem in Vietnam. The disease burden in Vietnam has been increasing for decades. In Hanoi, in contrast to many other regions, extrinsic drivers such as weather have not been proved to be predictive of disease frequency, which limits the usefulness of such factors in an early warning system. Aims: The purpose of this research was to review the epidemiology of DF transmission and investigate the role of weather factors contributing to occurrence of DF cases. Methods: Monthly data from Hanoi (2002–2010 were used to test the proposed model. Descriptive time-series analysis was conducted. Stepwise multivariate linear regression analysis assuming a negative binomial distribution was established through several models. The predictors used were lags of 1–3 months previous observations of mean rainfall, mean temperature, DF cases, and their interactions. Results: Descriptive analysis showed that DF occurred annually and seasonally with an increasing time trend in Hanoi. The annual low occurred from December to March followed by a gradual increase from April to July with a peak in September, October. The amplitude of the annual peak varied between years. Statistically significant relationships were estimated at lag 1–3 with rainfall, autocorrelation, and their interaction while temperature was estimated as influential at lag 3 only. For these relationships, the final model determined a correlation of 92% between predicted number of dengue cases and the observed dengue disease frequencies. Conclusions: Although the model performance was good, the findings suggest that other forces related to urbanization, density of population, globalization with increasing transport of people and goods, herd immunity, government vector control capacity, and changes in serotypes are also likely influencing the transmission of DF. Additional research taking into account all of these factors besides climatic

  7. Efectividad de una pauta de corticoides vía general para disminuir las recaídas del crup laríngeo

    OpenAIRE

    Ortiz Leal, F. J.; Palma Suárez, Mª A.; Belmonte Rodríguez, A. J.; Moreno García, M. A.

    2002-01-01

    La utilización de monodosis de corticoides orales en el tratamiento al alta del crup leve-moderado en niños es una práctica frecuente en nuestro medio. Nos hemos preguntado si dicha actuación disminuye las recaidas del cuadro. Esta cuestión no se resuelve con la consulta de los textos básicos de pediatría, por lo que decidimos utilizar la metodología de la medicina basada en las pruebas con la que seleccionamos y criticamos un ensayo clínico donde se valora la administración de una única dosi...

  8. Desarrollo de métodos cromatográficos para la determinación de esteroides (corticoides y anabolizantes) en piensos y aguas de consumo animal

    OpenAIRE

    Muñiz Valencia, Roberto

    2011-01-01

    El objetivo principal de esta memoria es el desarrollo de procedimientos cromatográficos, mediante HPLC y GC-MS para el análisis de mezclas complejas de esteroides (corticoides y anabolizantes). Debido a la dificultad intrínseca en la separación de estos compuestos (gran similitud estructural) y dentro de este contexto, se estudian aquellas variables que pueden afectar a la separación cromatográfica. Con posterioridad, se aplicarán las separaciones obtenidas a la determinación de estos compue...

  9. Involvement of noradrenergic and corticoid receptors in the consolidation of the lasting anxiogenic effects of predator stress.

    Science.gov (United States)

    Adamec, R; Muir, C; Grimes, M; Pearcey, K

    2007-05-16

    The roles of beta-NER (beta-noradrenergic receptor), GR (glucocorticoid) and mineral corticoid receptors (MR) in the consolidation of anxiogenic effects of predator stress were studied. One minute after predator stress, different groups of rats were injected (ip) with vehicle, propranolol (beta-NER blocker, 5 and 10 mg/kg), mifepristone (RU486, GR blocker, 20 mg/kg), spironolactone (MR blocker, 50 mg/kg), propranolol (5 mg/kg) plus RU486 (20 mg/kg) or the anxiolytic, chloradiazepoxide (CPZ, 10 mg/kg). One week later, rodent anxiety was assessed in elevated plus maze, hole board, light/dark box, social interaction and acoustic startle. Considering all tests except startle, propranolol dose dependently blocked consolidation of lasting anxiogenic effects of predator stress in all tests. GR receptor block alone was ineffective. However, GR block in combination with an ineffective dose of propranolol did blocked consolidation of predator stress effects in all tests, suggesting a synergism between beta-NER and GR. Surprisingly, MR block prevented consolidation of anxiogenic effects in all tests except the light/dark box. CPZ post stress was ineffective against the anxiogenic impact of predator stress. Study of startle was complicated by the fact that anxiogenic effects of stress on startle amplitude manifested as both an increase and a decrease in startle amplitude. Suppression of startle occurred in stressed plus vehicle injected groups handled three times prior to predator stress. In contrast, stressed plus vehicle rats handled five times prior to predator stress showed increases in startle, as did all predator stressed only groups. Mechanisms of consolidation of the different startle responses appear to differ. CPZ post stress blocked startle suppression but not enhancement of startle. Propranolol post stress had no effect on either suppression or enhancement of startle. GR block alone post stress prevented suppression of startle, but not enhancement. In contrast

  10. Comparação do corticoide inalatório e oral no tratamento da disfonia aguda Use of inhaled versus oral steroids for acute dysphonia

    Directory of Open Access Journals (Sweden)

    Andréa Moreira Veiga de Souza

    2013-04-01

    Full Text Available A disfonia aguda é um quadro comum na prática clínica. Seu tratamento, principalmente em adultos, não é bem definido na literatura. O corticoide é o tratamento medicamentoso mais recomendado. Os estudos existentes, entretanto, não são suficientes para a determinação da superioridade entre diferentes corticoides e a melhor forma de administração. OBJETIVO: Este estudo clínico prospectivo teve como objetivo comparar o efeito do corticoide inalatório na forma de pó seco com o efeito do corticoide oral, no tratamento da disfonia aguda. MÉTODO: Foram avaliados 32 pacientes adultos, divididos em dois grupos de 16 pacientes para cada um dos tratamentos, antes e após sete dias do uso da medicação. Os pacientes foram submetidos à videolaringosocpia e avaliação perceptiva e acústica da voz. RESULTADOS: O tratamento inalatório e oral reduziram significativamente a hiperemia, o edema e melhorou o movimento muco-ondulatório; entretanto, a redução do edema foi estatisticamente mais significativa (p = 0,012 nos pacientes tratados com a forma inalatória. A comparação dos valores da análise perceptiva auditiva e das medidas acústicas após tratamento entre os grupos, entretanto, não apresentou significância estatística. CONCLUSÃO: Houve melhora significativa da laringite aguda nas avaliações realizadas, em todos os pacientes estudados, com os dois tratamentos. O tratamento com corticoide inalatório foi significativamente mais efetivo na redução do edema.Acute dysphonia is a frequent condition in clinical practice. Its treatment, especially in adults, is not well established in the literature. Steroids are the most recommended drug treatment. However, the existing studies are not enough to establish superiority among the different steroids and the best route of administration. OBJECTIVE: This prospective clinical study aimed at comparing the effect of inhaling steroids as a dry powder with the effect of oral steroids to

  11. Transfer method of conducting in the symphony orchestra of the Hanoi National Conservatory of Music, Vietnam

    Directory of Open Access Journals (Sweden)

    Parichat Wiang-in

    2015-11-01

    Full Text Available This is a qualitative designed and conducted with two primary research aims, which were: 1 To study the life and experiences of symphonic orchestra conductors in Hanoi, Vietnam; 2 To study the inheritance process for conductors of the symphonic orchestra in Hanoi, Vietnam. The research area for this investigation was purposively selected as the Vietnam National Academy of Music in Hanoi. The investigation began in October 2012 and was concluded in January 2014. The two key informants for this investigation were expert conductors and teachers at the academy, Dr. Nguyễn Phúc Linh and Dr. Nguyễn Thiếu Hoa. Data was collected from a combination of document analysis and field research. Tools used for data collection included interviews, participant and non-participant observation and focus group discussions. Results show that both of the key informants for this investigation were born into families of artists and had a particularly close relationship with traditional folk art. Scholarships to study abroad at the Tchaikovsky University, Russia enabled them to learn from Russian conductors and they developed the skills that have now led them to be recognized as being among the most accomplished conductors in Vietnam. The process of instruction preferred by these two academics is taught in three steps: the preparation stage, the teaching stage and the assessment and evaluation stage. The benefits of studying with Dr. Nguyễn Phúc Linh and Dr. Nguyễn Thiếu Hoa are the cumulative experiences of international conducting practices and the high standards that the two academics possess and demand.

  12. Evaluation of mobile digital light-emitting diode fluorescence microscopy in Hanoi, Viet Nam.

    Science.gov (United States)

    Chaisson, L H; Reber, C; Phan, H; Switz, N; Nilsson, L M; Myers, F; Nhung, N V; Luu, L; Pham, T; Vu, C; Nguyen, H; Nguyen, A; Dinh, T; Nahid, P; Fletcher, D A; Cattamanchi, A

    2015-09-01

    Hanoi Lung Hospital, Hanoi, Viet Nam. To compare the accuracy of CellScopeTB, a manually operated mobile digital fluorescence microscope, with conventional microscopy techniques. Patients referred for sputum smear microscopy to the Hanoi Lung Hospital from May to September 2013 were included. Ziehl-Neelsen (ZN) smear microscopy, conventional light-emitting diode (LED) fluorescence microscopy (FM), CellScopeTB-based LED FM and Xpert(®) MTB/RIF were performed on sputum samples. The sensitivity and specificity of microscopy techniques were determined in reference to Xpert results, and differences were compared using McNemar's paired test of proportions. Of 326 patients enrolled, 93 (28.5%) were Xpert-positive for TB. The sensitivity of ZN microscopy, conventional LED FM, and CellScopeTB-based LED FM was respectively 37.6% (95%CI 27.8-48.3), 41.9% (95%CI 31.8-52.6), and 35.5% (95%CI 25.8-46.1). The sensitivity of CellScopeTB was similar to that of conventional LED FM (difference -6.5%, 95%CI -18.2 to 5.3, P = 0.33) and ZN microscopy (difference -2.2%, 95%CI -9.2 to 4.9, P = 0.73). The specificity was >99% for all three techniques. CellScopeTB performed similarly to conventional microscopy techniques in the hands of experienced TB microscopists. However, the sensitivity of all sputum microscopy techniques was low. Options enabled by digital microscopy, such as automated imaging with real-time computerized analysis, should be explored to increase sensitivity.

  13. The impact of 4Ps on Purchase Decision: A case of Apple in Hanoi, Vietnam

    Directory of Open Access Journals (Sweden)

    Bui Trung Thieu

    2016-01-01

    Full Text Available By using quantitative research methods and deductive reasoning, this research paper aims to address the importance of four marketing mix components (4Ps on purchase decisions of customers of Apple Inc., by launching a survey in Hanoi, Vietnam, to generate primary data. The chosen sampling technique is quota sampling and several “quotas” were built. Descriptive analysis and hypothetical analysis (t-test, one-way ANOVA and Regression using SPSS 20.0 are applied. Other implications of the research and limitations were also discussed below.

  14. Essay: Hanoi – The City that is continuously ‘Becoming’

    Directory of Open Access Journals (Sweden)

    Gross, Monique

    2015-09-01

    Full Text Available Hanoi is an incredibly visually stimulating city. Street after street is crammed with more details than a pair of human eyes is capable of registering at one time. Laser printed banners screen the facades of buildings, trees are hung with all sorts of objects, sidewalks are covered to the centimeter with food options and vehicles... Everywhere you turn your gaze it is immediately filled. And all the forms, colors, graphics, shift on a daily basis, from the array on the footpath, to the window displays, to the signs advertising merchandise and services.

  15. Content, distribution and fate of 33 elements in sediments of rivers receiving wastewater in Hanoi, Vietnam

    International Nuclear Information System (INIS)

    Marcussen, Helle; Dalsgaard, Anders; Holm, Peter E.

    2008-01-01

    Untreated industrial and domestic wastewater from Hanoi city is discharged into rivers that supply water for various agricultural and aquacultural food production systems. The aim of this study was to assess the content, distribution and fate of 33 elements in the sediment and pore water of the main wastewater receiving rivers. The sediment was polluted with potentially toxic elements (PTEs) with maximum concentrations of 73 As, 427 Cd, 281 Cr, 240 Cu, 218 Ni, 363 Pb, 12.5 Sb and 1240 Zn mg kg -1 d.w. Observed distribution coefficients (log 10 K d,obs ) were calculated as the ratio between sediment (mg kg -1 d.w.) and pore water (mg L -1 ) concentrations. Maxima log 10 K d,obs were >4.26 Cd, >6.60 Cu, 4.78 Ni, 7.01 Pb and 6.62 Zn. The high values show a strong PTE retention and indicate the importance of both sorption and precipitation as retention mechanisms. Sulphide precipitation was a likely mechanism due to highly reduced conditions. - Sorption and precipitation processes are important in retention of potentially toxic elements in Hanoi river sediment and prevent elements entering food production systems

  16. Simulation of the impact of managed aquifer recharge on the groundwater system in Hanoi, Vietnam

    Science.gov (United States)

    Glass, Jana; Via Rico, Daniela A.; Stefan, Catalin; Nga, Tran Thi Viet

    2018-05-01

    A transient numerical groundwater flow model using MODFLOW-NWT was set up and calibrated for Hanoi city, Vietnam, to understand the local groundwater flow system and to suggest solutions for sustainable water resource management. Urban development in Hanoi has caused a severe decline of groundwater levels. The present study evaluates the actual situation and investigates the suitability of managed aquifer recharge (MAR) to stop further depletion of groundwater resources. The results suggest that groundwater is being overexploited, as vast cones of depression exist in parts of the study area. Suitable locations to implement two MAR techniques—riverbank filtration and injection wells—were identified using multi-criteria decision analysis based on geographic information system (GIS). Three predictive scenarios were simulated. The relocation of pumping wells towards the Red River to induce riverbank filtration (first scenario) demonstrates that groundwater levels can be increased, especially in the depression cones. Groundwater levels can also be improved locally by the infiltration of surplus water into the upper aquifer (Holocene) via injection wells during the rainy season (second scenario), but this is not effective to raise the water table in the depression cones. Compared to the first scenario, the combination of riverbank filtration and injection wells (third scenario) shows a slightly raised overall water table. Groundwater flow modeling suggests that local overexploitation can be stopped by a smart relocation of wells from the main depression cones and the expansion of riverbank filtration. This could also avoid further land subsidence while the city's water demand is met.

  17. Holocene estuarine sediments as a source of arsenic in Pleistocene groundwater in suburbs of Hanoi, Vietnam

    Science.gov (United States)

    Kuroda, Keisuke; Hayashi, Takeshi; Funabiki, Ayako; Do, An Thuan; Canh, Vu Duc; Nga, Tran Thi Viet; Takizawa, Satoshi

    2017-06-01

    Groundwater pollution by arsenic is a major health threat in suburban areas of Hanoi, Vietnam. The present study evaluates the effect of the sedimentary environments of the Pleistocene and Holocene deposits, and the recharge systems, on the groundwater arsenic pollution in Hanoi suburbs distant from the Red River. At two study sites (Linh Dam and Tai Mo communes), undisturbed soil cores identified a Pleistocene confined aquifer (PCA) and Holocene unconfined aquifer (HUA) as major aquifers, and Holocene estuarine and deltaic sediments as an aquitard layer between the two aquifers. The Holocene estuarine sediments (approximately 25-40 m depth, 9.6-4.8 cal ka BP) contained notably high concentrations of arsenic and organic matter, both likely to have been accumulated by mangroves during the Holocene sea-level highstand. The pore waters in these particular sediments exhibited elevated levels of arsenic and dissolved organic carbon. Arsenic in groundwater was higher in the PCA (25-94 μg/L) than in the HUA (5.2-42 μg/L), in both the monitoring wells and neighboring household tubewells. Elevated arsenic concentration in the PCA groundwater was likely due to vertical infiltration through the arsenic-rich and organic-matter-rich overlying Holocene estuarine sediments, caused by massive groundwater abstraction from the PCA. Countermeasures to prevent arsenic pollution of the PCA groundwater may include seeking alternative water resources, reducing water consumption, and/or appropriate choice of aquifers for groundwater supply.

  18. Nutrient management and institutional cooperation as conditions for environmentally safe wastewater irrigation: the case of Hanoi, Vietnam

    NARCIS (Netherlands)

    Evers, J.G.; Huibers, F.P.; van Vliet, Bas J.M.; Dung, N.V.; Van, D.T.H.; Ragab, Ragab; Koo-Oshima, Sasha

    2006-01-01

    Hanoi is rapidly growing in population and in economic activities. Increasing volumes of domestic and industrial wastewater flows are discharged mostly untreated into the drainage system. At downstream level, these polluted, nutrient rich waters are used for irrigation. Nutrient concentrations in

  19. Long range transport of fine particle windblown soils and coal fired power station emissions into Hanoi between 2001 to 2008

    Energy Technology Data Exchange (ETDEWEB)

    Cohen, D.D.; Crawford, J.; Stelcer, E.; Vuong, T.B. [Australian Nuclear Science & Technology Organisation, Kirrawee DC, NSW (Australia)

    2010-10-15

    Fine particulate matter (PM2.5), source fingerprints and their contributions have been measured and reported previously at Hanoi, Vietnam, from 25 April 2001 to 31 December 2008. In this study back trajectories are used to identify long range transport into Hanoi for two of these sources, namely, windblown dust (Soil) from 12 major deserts in China and emissions from 33 coal fired power plants (Coal) in Vietnam and China. There were 28 days of extreme Soil events with concentrations greater than 6 {mu} g m{sup -3} and 25 days of extreme Coal with concentrations greater than 30 {mu} g m{sup -3} from a total of 748 sampling days during the study period. Through the use of back trajectories it was found that long range transport of soil from the Taklamakan and Gobi desert regions (more than 3000 km to the north west) accounted for 76% of the extreme events for Soil. The three local Vietnamese power stations contributed to 15% of the extreme Coal events, while four Chinese power stations between 300 km and 1700 km to the north-east of Hanoi contributed 50% of the total extreme Coal events measured at the Hanoi sampling site.

  20. Hot spot detection and spatio-temporal dispersion of dengue fever in Hanoi, Vietnam. (Special Issue: Public health in Vietnam: here's the data, where's the action?)

    NARCIS (Netherlands)

    Do Thi Thanh, Toan; Hu, WenBiao; Pham Quang, Thai; Luu Ngoc, Hoat; Wright, P; Martens, P

    2013-01-01

    Introduction: Dengue fever (DF) in Vietnam remains a serious emerging arboviral disease, which generates significant concerns among international health authorities. Incidence rates of DF have increased significantly during the last few years in many provinces and cities, especially Hanoi. The

  1. Roles of surface water areas for water and solute cycle in Hanoi city, Viet Nam

    Science.gov (United States)

    Hayashi, Takeshi; Kuroda, Keisuke; Do Thuan, An; Tran Thi Viet, Nga; Takizawa, Satoshi

    2013-04-01

    Hanoi city, the capital of Viet Nam, has developed beside the Red river. Recent rapid urbanization of this city has reduced a large number of natural water areas such as lakes, ponds and canals not only in the central area but the suburban area. Contrary, the urbanization has increased artificial water areas such as pond for fish cultivation and landscaping. On the other hand, the urbanization has induced the inflow of waste water from households and various kinds of factories to these water areas because of delay of sewerage system development. Inflow of the waste water has induced eutrophication and pollution of these water areas. Also, there is a possibility of groundwater pollution by infiltration of polluted surface water. However, the role of these water areas for water cycle and solute transport is not clarified. Therefore, this study focuses on the interaction between surface water areas and groundwater in Hanoi city to evaluate appropriate land development and groundwater resource management. We are carrying out three approaches: a) understanding of geochemical characteristics of surface water and groundwater, b) monitoring of water levels of pond and groundwater, c) sampling of soil and pond sediment. Correlation between d18O and dD of precipitation (after GNIP), the Red River (after GNIR) and the water samples of this study showed that the groundwater is composed of precipitation, the Red River and surface water that has evaporation process. Contribution of the surface water with evaporation process was widely found in the study area. As for groundwater monitoring, the Holocene aquifers at two sites were in unconfined condition in dry season and the groundwater levels in the aquifer continued to increase through rainy season. The results of isotopic analysis and groundwater level monitoring showed that the surface water areas are one of the major groundwater sources. On the other hand, concentrations of dissolved Arsenic (filtered by 0.45um) in the pore

  2. Dietary exposure to essential and potentially toxic elements for the population of Hanoi, Vietnam

    DEFF Research Database (Denmark)

    Marcussen, H.; Jensen, Bodil Hamborg; Petersen, Annette

    2013-01-01

    Knowledge of the dietary intake of essential and toxic elements in fast-developing Southeast Asian countries such as Vietnam is limited. Iron and Zn deficiency in Asia is a well-known problem and is partly due to rice constituting a major part of the diet. Dietary habits are changing...... and there is a need to build more knowledge so that authorities can give dietary recommendations. The aim of this study was to determine the total dietary intake of essential and potentially toxic elements and to assess the nutritional quality and food safety risks of the average Hanoi diet. 22 foods or food groups...... were identified and 14 samples of each food group were collected from markets and/or supermarkets in the period 2007-2009. Water spinach, water dropwort, watercress, water mimosa and pond fish are typically produced in wastewater-fed systems. Therefore, these samples were collected both at markets...

  3. Seasonality in mortality and its relationship to temperature among the older population in Hanoi, Vietnam

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    Le Thi Thanh Xuan

    2014-12-01

    Full Text Available Background: Several studies have established a relationship between temperature and mortality. In particular, older populations have been shown to be vulnerable to temperature effects. However, little information exists on the temperature–mortality relationship in Vietnam. Objectives: This article aims to examine the monthly temperature–mortality relationship among older people in Hanoi, Vietnam, over the period between 2005 and 2010, and estimate seasonal patterns in mortality. Methods: We employed Generalized Additive Models, including smooth functions, to model the temperature–mortality relationships. A quasi-Poisson distribution was used to model overdispersion of death counts. Temporal trends, seasonality, and population size were adjusted for while estimating changes in monthly mortality over the study period. A cold month was defined as a month with a mean temperature below 19°C. Results: This study found that the high peak of mortality coincided with low temperatures in the month of February 2008, during which the mean temperature was the lowest in the whole study period. There was a significant relationship between mean monthly temperature and mortality among the older people (p<0.01. Overall, there was a significant decrease in the number of deaths in the year 2009 during the study period. There was a 21% increase in the number of deaths during the cold season compared to the warm season. The increase in mortality during the cold period was higher among females compared to males (female: IRR [incidence relative risk] =1.23; male: IRR=1.18. Conclusions: Cold temperatures substantially increased mortality among the older population in Hanoi, Vietnam, and there were gender differences. Necessary preventive measures are required to mitigate temperature effects with greater attention to vulnerable groups.

  4. Study variation of PM-10 air pollution at Lang Meteorological Station, Hanoi Coded: CS/02/04-06

    International Nuclear Information System (INIS)

    Vuong Thu Bac; Dinh Thien Lam; Ngyen Thi Hong Thinh; Dang Duc Nhan; Nguyen Hao Quang; Pham Duy Hien

    2003-01-01

    577 air dust samples have been collected with two kinds of air samplers (2-SFU, 1-ASP) on every Wednesday and Sunday for 24 hours at both of monitoring stations (Lang - Hanoi and Lucnam - Bacgiang). PM(2.5), PM(2.5-10), PM(10) and BC concentrations in 452 air dust samples have been determined. 9032 data have been analyzed with many of different multi-elements analytical techniques (IC: 264 samples x 9 ions, PIXE: 388 samples x 15 elements, XRF: 48 samples x 8 elements, LR: 452 samples x 1 element). Over 6000 of meteorological parameters (T, Rain, WS, WD, RH...) have been collected and processed.Variations and levels of air dust concentrations and BC in Hanoi from 1998 to 2002 have been studied. PM(2.5), PM(2.5-10), PM(10) and BC concentrations and BC obviously periodically vary. They reach maximum in the winter season, especially in December and January, sometimes they reached 300-400 μg.m -3 , They reach minimum in the summer season, sometimes they went down 10 μg.m -3 on rainy days. These variations were affected by meteorological parameters. PM(2.5), PM(10) daily average concentrations in Hanoi are greater than the American air standards (PM(2.5): 65 μg.m -3 , PM(10): 150 μg.m -3 ) in many days and their yearly average concentrations are also far exceeded. Air dust pollution levels in Hanoi are higher than in developed countries and even countries in the region. BC (5.9 μg.m -3 ) concentration and Pb (0.11 μg.m -3 ) are also higher than in many countries. (VTB)

  5. Primary drug-resistant tuberculosis in Hanoi, Viet Nam: present status and risk factors.

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    Nguyen Thi Le Hang

    Full Text Available INTRODUCTION: Resistance of Mycobacterium tuberculosis (MTB to anti-tuberculosis (TB drugs presents a serious challenge to TB control worldwide. We investigated the status of drug resistance, including multidrug-resistant (MDR TB, and possible risk factors among newly diagnosed TB patients in Hanoi, the capital of Viet Nam. METHODS: Clinical and epidemiological information was collected from 506 newly diagnosed patients with sputum smear- and culture-positive TB, and 489 (96.6% MTB isolates were subjected to conventional drug susceptibility testing, spoligotyping, and 15-locus variable numbers of tandem repeats typing. Adjusted odds ratios (aORs were calculated to analyze the risk factors for primary drug resistance. RESULTS: Of 489 isolates, 298 (60.9% were sensitive to all drugs tested. Resistance to isoniazid, rifampicin, streptomycin, ethambutol, and MDR accounted for 28.2%, 4.9%, 28.2%, 2.9%, and 4.5%, respectively. Of 24 isolates with rifampicin resistance, 22 (91.7% were MDR and also resistant to streptomycin, except one case. Factors associated with isoniazid resistance included living in old urban areas, presence of the Beijing genotype, and clustered strains [aOR = 2.23, 95% confidence interval (CI 1.15-4.35; 1.91, 1.18-3.10; and 1.69, 1.06-2.69, respectively. The Beijing genotype was also associated with streptomycin resistance (aOR = 2.10, 95% CI 1.29-3.40. Human immunodeficiency virus (HIV coinfection was associated with rifampicin resistance and MDR (aOR = 5.42, 95% CI 2.07-14.14; 6.23, 2.34-16.58, respectively. CONCLUSION: Isoniazid and streptomycin resistance was observed in more than a quarter of TB patients without treatment history in Hanoi. Transmission of isoniazid-resistant TB among younger people should be carefully monitored in urban areas, where Beijing strains and HIV coinfection are prevalent. Choosing an optimal treatment regimen on the basis of the results of drug susceptibility tests and monitoring of treatment

  6. Fate of Arsenic during Red River Water Infiltration into Aquifers beneath Hanoi, Vietnam.

    Science.gov (United States)

    Postma, Dieke; Mai, Nguyen Thi Hoa; Lan, Vi Mai; Trang, Pham Thi Kim; Sø, Helle Ugilt; Nhan, Pham Quy; Larsen, Flemming; Viet, Pham Hung; Jakobsen, Rasmus

    2017-01-17

    Recharge of Red River water into arsenic-contaminated aquifers below Hanoi was investigated. The groundwater age at 40 m depth in the aquifer underlying the river was 1.3 ± 0.8 years, determined by tritium-helium dating. This corresponds to a vertical flow rate into the aquifer of 19 m/year. Electrical conductivity and partial pressure of CO 2 (P CO 2 ) indicate that water recharged from the river is present in both the sandy Holocene and gravelly Pleistocene aquifers and is also abstracted by the pumping station. Infiltrating river water becomes anoxic in the uppermost aquifer due to the oxidation of dissolved organic carbon. Further downward, sedimentary carbon oxidation causes the reduction of As-containing Fe-oxides. Because the release of arsenic by reduction of Fe-oxides is controlled by the reaction rate, arsenic entering the solution becomes highly diluted in the high water flux and contributes little to the groundwater arsenic concentration. Instead, the As concentration in the groundwater of up to 1 μM is due to equilibrium-controlled desorption of arsenic, adsorbed to the sediment before river water started to infiltrate due to municipal pumping. Calculations indicate that it will take several decades of river water infiltration to leach arsenic from the Holocene aquifer to below the World Health Organization limit of 10 μg/L.

  7. Consumer Preference and Attitude Regarding Online Food Products in Hanoi, Vietnam.

    Science.gov (United States)

    Kim Dang, Anh; Xuan Tran, Bach; Tat Nguyen, Cuong; Thi Le, Huong; Thi Do, Hoa; Duc Nguyen, Hinh; Hoang Nguyen, Long; Huu Nguyen, Tu; Thi Mai, Hue; Dinh Tran, Tho; Ngo, Chau; Thi Minh Vu, Thuc; Latkin, Carl A; Zhang, Melvyn W B; Ho, Roger C M

    2018-05-14

    This study aimed to examine: (1) how the Internet has changed consumers food-buying behavior and identify its associated factors; (2) consumers' concern about food safety information of online food products. A cross-sectional study was performed from October to December 2015 in Hanoi-a Vietnamese epicenter of food service. One thousand seven hundred and thirty six (1736) customers were randomly chosen from food establishments of 176 communes. Data were collected through face-to-face interviews using structured questionnaires. The majority of participants reported using the Internet to search for food products (81.3%). The most crucial factors influencing food purchases through the Internet were convenience (69.1%) and price (59.3%). Only one-third of participants selected products based on accurate evidence about food safety certification or food origin. The majority of participants were concerned about the expiration date (51.6%), while brand (9.8%) and food licensing information (11.3%) were often neglected. People who were:(1) female, (2) highly influenced by online relationships, and (3) having difficulty in doing usual activities were more likely to look for online food products. These findings produce practical advice to consumers when purchasing their desired food products on the Internet, to online food retailers and to the Government of Vietnam to implement appropriate legislation regarding trading online food products.

  8. "Totenkranz" Who would have thought Hanoi could be such a good setting for a film noir?

    Directory of Open Access Journals (Sweden)

    Britta Schmitz

    2017-02-01

    Full Text Available End of January in Hanoi: the Tet-festival – Vietnam’s New Year’s celebration – has brought a pause to the usual hustle and bustle in the city. People have left the capital and returned to their home villages. Even the police headquarters is deserted. This is the only reason why political commissar Hung calls criminal detective Pham Van Ly, who had been suspended from duty 10 months before. An old woman was found dead on a construction site. Only a few hours later a Chinese real estate investor dies from what looks like food poisoning. What first seem to be unrelated incidents turn out to be a series of murders with the killer leaving a track of mysterious funeral wreaths. Ly jumps at the chance for this case as he sees it as the only way to get his suspension lifted. His investigations lead quickly into the corruption and nepotism related to Vietnam’s real estate market. And while the grumpy detective with a taste for Thang Long cigarettes and beer is solving the case, the reader travels into the dark side of Vietnamese society with its corrupt officials, poor farmers and ruthless property sharks from China.

  9. Avian Influenza H5N1 and the Wild Bird Trade in Hanoi, Vietnam

    Directory of Open Access Journals (Sweden)

    F. Brooks-Moizer

    2009-06-01

    Full Text Available Wildlife trade and emerging infectious diseases pose significant threats to human and animal health and global biodiversity. Legal and illegal trade in domestic and wild birds has played a significant role in the global spread of highly pathogenic avian influenza H5N1, which has killed more than 240 people, many millions of poultry, and an unknown number of wild birds and mammals, including endangered species, since 2003. This 2007 study provides evidence for a significant decline in the scale of the wild bird trade in Hanoi since previous surveys in 2000 (39.7% decline and 2003 (74.1% decline. We attribute this to the enforcement of Vietnam's Law 169/2005/QD UBND, introduced in 2005, which prohibits the movement and sale of wild and ornamental birds in cities. Nevertheless, 91.3% (21/23 of bird vendors perceived no risk of H5N1 infection from their birds, and the trade continues, albeit at reduced levels, in open market shops. These findings highlight the importance of continued law enforcement to maintain this trade reduction and the associated benefits to human and animal health and biodiversity conservation.

  10. Fate of Arsenic during Red River Water Infiltration into Aquifers beneath Hanoi, Vietnam

    Science.gov (United States)

    2016-01-01

    Recharge of Red River water into arsenic-contaminated aquifers below Hanoi was investigated. The groundwater age at 40 m depth in the aquifer underlying the river was 1.3 ± 0.8 years, determined by tritium–helium dating. This corresponds to a vertical flow rate into the aquifer of 19 m/year. Electrical conductivity and partial pressure of CO2 (PCO2) indicate that water recharged from the river is present in both the sandy Holocene and gravelly Pleistocene aquifers and is also abstracted by the pumping station. Infiltrating river water becomes anoxic in the uppermost aquifer due to the oxidation of dissolved organic carbon. Further downward, sedimentary carbon oxidation causes the reduction of As-containing Fe-oxides. Because the release of arsenic by reduction of Fe-oxides is controlled by the reaction rate, arsenic entering the solution becomes highly diluted in the high water flux and contributes little to the groundwater arsenic concentration. Instead, the As concentration in the groundwater of up to 1 μM is due to equilibrium-controlled desorption of arsenic, adsorbed to the sediment before river water started to infiltrate due to municipal pumping. Calculations indicate that it will take several decades of river water infiltration to leach arsenic from the Holocene aquifer to below the World Health Organization limit of 10 μg/L. PMID:27958705

  11. Prevalence and factors associated with road traffic crash among taxi drivers in Hanoi, Vietnam.

    Science.gov (United States)

    La, Quang Ngoc; Lee, Andy H; Meuleners, Lynn B; Van Duong, Dat

    2013-01-01

    Injury due to road traffic crash is a major cause of ill health and premature deaths in developing countries. Taxis provide a main mode of public transport in Vietnam but there has been little research on the risk of crash for taxi drivers. This retrospective study collected information on taxi crashes for the period 2006-2009 by interviewing drivers from five taxi companies in Hanoi, Vietnam, using a structured questionnaire. Of the total 1214 participants recruited, 276 drivers reported at least one crash, giving an overall crash prevalence of 22.7%. Among the crashed group, 50 drivers (18.1%) were involved in two to four crashes. Logistic regression analysis further identified age of driver, type of driving licence, employment status, perceived sufficiency of income, seat-belt usage, and traffic infringement history to be significantly associated with the crash risk. Further prospective and qualitative studies are recommended to provide detailed crash characteristics as well as behaviour and perception of taxi drivers, so that an effective intervention can be developed to improve road safety and to prevent injury of these commercial drivers. Copyright © 2012 Elsevier Ltd. All rights reserved.

  12. Finding Sex Partners Through Social Media Among Men Who Have Sex with Men in Hanoi, Vietnam.

    Science.gov (United States)

    Krishnan, Aparna; Nguyen, Minh; Giang, Le Minh; Ha, Tran Viet; Bhadra, Madhura; Nguyen, Sang Minh; Vu, Viet Duc; Nguyen, Quynh T; Miller, William C; Go, Vivian F

    2018-02-01

    Many men who have sex with men (MSM) in low and middle income countries search for male sexual partners via social media in part due to societal stigma and discrimination, yet little is known about the sexual risk profiles of MSM social media users. This cross-sectional study investigates the prevalence of social media use to find male sex partners in Hanoi, Vietnam and examines associations between social media use and sociodemographic and behavioral characteristics, including levels of internalized, perceived and enacted stigma, high-risk sexual behaviors, and HIV testing. 205 MSM were recruited from public venues where MSM congregate as well as through snowball sampling and completed an anonymous survey. MSM who found their male sexual partners using social media in the last year were more likely to have completed a university or higher degree (aOR 2.6; 95% CI 1.2-5.7), experience high levels of MSM-related perceived stigma (aOR 3.0; 95% CI 1.1-8.0), and have more than ten lifetime male sexual partners (aOR 3.2; 95% CI 1.3-7.6) compared to those who did not use social media. A niche for social media-based interventions integrating health and stigma-reduction strategies exists in HIV prevention programs for MSM.

  13. Impact of Urban Heat Island under the Hanoi Master Plan 2030 on Cooling Loads in Residential Buildings

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    Tran Hoang Hai Nam

    2015-01-01

    Full Text Available This study aims to evaluate the influence of urban heat island (UHI under the Hanoi Master Plan 2030 on the energy consumption for space cooling in residential buildings. The weather conditions under the current and future status (master plan condition simulated in the previous study (Trihamdani et al., 2014 were used and cooling loads in all the residential buildings in Hanoi over the hottest month were estimated under the simulated current and future conditions by using the building simulation program, TRNSYS (v17. Three most typical housing types in the city were selected for the simulation. The cooling loads of respective housing types were obtained in each of the districts in Hanoi. The results show that the total cooling loads over June 2010 is approximately 683 Terajoule (TJ under the current status, but it is predicted to increase to 903 TJ under the master plan condition. The increment is largely due to the increase in number of households (203 TJ or 92%, but partially due to the increase in urban temperature, i.e. UHI effect (17 TJ or 8%. The increments in new built-up areas were found to be larger than those in existing built-up areas. The cooling load in apartment is approximately half of that in detached house, which is approximately half of that in row house. Moreover, it was seen that although sensible cooling loads increased with the increase in outdoor temperature, the latent cooling loads decreased due to the decrease in absolute humidity and the increase in air temperature.

  14. Seroprevalence of antibodies to avian influenza A (H5 and A (H9 viruses among market poultry workers, Hanoi, Vietnam, 2001.

    Directory of Open Access Journals (Sweden)

    Timothy M Uyeki

    Full Text Available BACKGROUND: The frequency of avian influenza A virus infections among poultry workers is not well understood. METHODS: A seroprevalence study of market poultry workers and persons without occupational poultry exposure was conducted during 2001 in Hanoi, Vietnam. Sera were tested for avian influenza H5 and H9 antibodies by microneutralization and Western blot assays. RESULTS: Seroprevalence of H5 and H9 antibodies was 4% and 3% in poultry workers and 1% and 3.5% in non-poultry workers, respectively. CONCLUSIONS: Seroprevalence of H5 and H9 antibodies was low among Hanoi market poultry workers in 2001, but can serve as a baseline for additional studies.

  15. Seroprevalence of Antibodies to Avian Influenza A (H5) and A (H9) Viruses among Market Poultry Workers, Hanoi, Vietnam, 2001

    Science.gov (United States)

    Rowe, Thomas; Lu, Xiuhua; Hu-Primmer, Jean; Huynh, Lien P.; Hang, Nguyen L. K.; Katz, Jacqueline M.

    2012-01-01

    Background The frequency of avian influenza A virus infections among poultry workers is not well understood. Methods A seroprevalence study of market poultry workers and persons without occupational poultry exposure was conducted during 2001 in Hanoi, Vietnam. Sera were tested for avian influenza H5 and H9 antibodies by microneutralization and Western blot assays. Results Seroprevalence of H5 and H9 antibodies was 4% and 3% in poultry workers and 1% and 3.5% in non-poultry workers, respectively. Conclusions Seroprevalence of H5 and H9 antibodies was low among Hanoi market poultry workers in 2001, but can serve as a baseline for additional studies. PMID:22928049

  16. Interaction between surface water areas and groundwater in Hanoi city, Viet Nam

    Science.gov (United States)

    Hayashi, T.; Kuroda, K.; Do Thuan, A.; Tran Thi Viet, N.; Takizawa, S.

    2012-12-01

    Hanoi is the capital of Viet Nam and the second largest city in this country (population: 6.45 million in 2009). Hanoi city has developed along the Red River and has many lakes, ponds and canals. However, recent rapid urbanization of this city has reduced number of natural water areas such as ponds and lakes by reclamation not only in the central area but the suburban area. Canals also have been reclaimed or cut into pieces. Contrary, number of artificial water areas such as fish cultivation pond has rapidly increased. On the other hand, various kind of waste water flows into these natural and artificial water areas and induces pollution and eutrophication. These waste waters also have possibility of pollution of groundwater that is one of major water resources in this city. In addition, groundwater in this area has high concentrations of Arsenic, Fe and NH4. Thus, groundwater use may causes re-circulation of Arsenic. However, studies on the interaction between surface water areas and groundwater and on the role of surface water areas for solute transport with water cycle are a few. Therefore, we focused on these points and took water samples of river, pond and groundwater from four communities in suburban areas: two communities are located near the Red River and other two are far from the River. Also, columnar sediment samples of these ponds were taken and pore water was abstracted. Major dissolved ions, metals and stable isotopes of oxygen and hydrogen of water samples were analyzed. As for water cycle, from the correlation between δ18O and δD, the Red River water (after GNIR) were distributed along the LMWL (δD=8.2δ18O+14.1, calculated from precipitation (after GNIP)). On the other hand, although the pond waters in rainy season were distributed along the LMWL, that in dry season were distributed along the local evaporation line (LEL, slope=5.6). The LEL crossed with the LMWL at around the point of weighted mean values of precipitation in rainy season and of

  17. Atmospheric heavy metal deposition in Northern Vietnam: Hanoi and Thainguyen case study using the moss biomonitoring technique, INAA and AAS.

    Science.gov (United States)

    Viet, Hung Nguyen; Frontasyeva, Marina Vladimirovna; Thi, Thu My Trinh; Gilbert, Daniel; Bernard, Nadine

    2010-06-01

    The moss technique is widely used to monitor atmospheric deposition of heavy metals in many countries in Europe, whereas this technique is scarcely used in Asia. To implement this international reliable and cheap methodology in the Asian countries, it is necessary to find proper moss types typical for the Asian environment and suitable for the biomonitoring purposes. Such a case study was undertaken in Vietnam for assessing the environmental situation in strongly contaminated areas using local species of moss Barbula indica. The study is focused on two areas characterized by different pollution sources: the Hanoi urban area and the Thainguyen metallurgical zone. Fifty-four moss samples were collected there according to standard sampling procedure adopted in Europe. Two complementary analytical techniques, atomic absorption spectrometry (AAS) and instrumental neutron activation analysis (INAA), were used for determination of elemental concentrations in moss samples. To characterize the pollution sources, multivariate statistical analysis was applied. A total of 38 metal elements were determined in the moss by the two analytical techniques. The results of descriptive statistics of metal concentration in moss from the city center and periphery of Hanoi determined by AAS are presented. The similar results for moss from Thainguyen province determined by INAA and AAS are given also. A comparison of mean elemental concentrations in moss of this work with those in different environmental conditions of other authors provides reasonable information on heavy metal atmospheric deposition levels. Factor loadings and factor scores were used to identify and apportion contamination sources at the sampling sites. The values of percentage of total of factors show two highly different types of pollution in the two examined areas-the Hanoi pollution composition with high portion of urban-traffic activity and soil dust (62%), and the one of Thainguyen with factors related to industrial

  18. Prevalence and risk factors for tuberculosis infection among hospital workers in Hanoi, Viet Nam.

    Science.gov (United States)

    Lien, Luu Thi; Hang, Nguyen Thi Le; Kobayashi, Nobuyuki; Yanai, Hideki; Toyota, Emiko; Sakurada, Shinsaku; Thuong, Pham Huu; Cuong, Vu Cao; Nanri, Akiko; Mizoue, Tetsuya; Matsushita, Ikumi; Harada, Nobuyuki; Higuchi, Kazue; Tuan, Le Anh; Keicho, Naoto

    2009-08-27

    Transmission of tuberculosis (TB) to health care workers (HCWs) is a global issue. Although effective infection control measures are expected to reduce nosocomial TB, HCWs' infection has not been assessed enough in TB high burden countries. We conducted a cross-sectional study to determine the prevalence of TB infection and its risk factors among HCWs in Hanoi, Viet Nam. A total of 300 HCWs including all staff members in a municipal TB referral hospital received an interferon-gamma release assay (IGRA), QuantiFERON-TB Gold In-Tube(TM), followed by one- and two-step tuberculin skin test (TST) and a questionnaire-based interview. Agreement between the tests was evaluated by kappa statistics. Risk factors for TB infection were analyzed using a logistic regression model. Among the participants aged from 20 to 58 years (median = 40), prevalence of TB infection estimated by IGRA, one- and two-step TST was 47.3%, 61.1% and 66.3% respectively. Although the levels of overall agreement between IGRA and TST were moderate, the degree of agreement was low in the group with BCG history (kappa = 0.29). Working in TB hospital was associated with twofold increase in odds of TB infection estimated by IGRA. Increased age, low educational level and the high body mass index also demonstrated high odds ratios of IGRA positivity. Prevalence of TB infection estimated by either IGRA or TST is high among HCWs in the hospital environment for TB care in Viet Nam and an infection control program should be reinforced. In communities with heterogeneous history of BCG vaccination, IGRA seems to estimate TB infection more accurately than any other criteria using TST.

  19. Monitoring cirrus cloud and tropopause height over Hanoi using a compact lidar system

    International Nuclear Information System (INIS)

    Bui Van Hai; Dinh Van Trung; Nguyen Xuan Tuan; Dao Duy Thang; Nguyen Thanh Binh

    2012-01-01

    Cirrus clouds in the upper troposphere and the lower stratosphere have attracted great attention due to their important role and impact on the atmospheric radioactive balance. Because cirrus clouds are located high in the atmosphere, their study requires a high resolution remote sensing technique not only for detection but also for the characterization of their properties. The lidar technique with its inherent high sensitivity and resolution has become an indispensable tool for studying and improving our understanding of cirrus cloud. Using lidar technique we can simultaneously measure the cloud height, thickness and follow its temporal evolution. In this paper we describe the development of a compact and highly sensitive lidar system with the aim to remotely monitor for the first time the cirrus clouds over Hanoi (2101:42 N, 10551:12 W). From the lidar data collected during the year 2011. We derive the mean cloud height, location of cloud top, the cloud mean thickness and their temporal evolution. We then compare the location of the cloud top with the position of the tropopause determined the radiosonde data and found good that the distance between cloud top and tropopause remains fairly stable, indicating that generally the top of cirrus clouds is the good tracer of the tropopause. We found that the cirrus clouds are generally located at height between 11.2 to 15 km with average height of 13.4 km. Their thickness is between 0.3 and 3.8 km with average value of 1.7 km. We also compare the properties of cirrus cloud with that observed at other locations around the world based on lidar technique. (author)

  20. The costs of traumatic brain injury due to motorcycle accidents in Hanoi, Vietnam

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    Vo Thuy TN

    2008-08-01

    Full Text Available Abstract Background Road traffic accidents are the leading cause of fatal and non-fatal injuries in Vietnam. The purpose of this study is to estimate the costs, in the first year post-injury, of non-fatal traumatic brain injury (TBI in motorcycle users not wearing helmets in Hanoi, Vietnam. The costs are calculated from the perspective of the injured patients and their families, and include quantification of direct, indirect and intangible costs, using years lost due to disability as a proxy. Methods The study was a retrospective cross-sectional study. Data on treatment and rehabilitation costs, employment and support were obtained from patients and their families using a structured questionnaire and The European Quality of Life instrument (EQ6D. Results Thirty-five patients and their families were interviewed. On average, patients with severe, moderate and minor TBI incurred direct costs at USD 2,365, USD 1,390 and USD 849, with time lost for normal activities averaging 54 weeks, 26 weeks and 17 weeks and years lived with disability (YLD of 0.46, 0.25 and 0.15 year, respectively. Conclusion All three component costs of TBI were high; the direct cost accounted for the largest proportion, with costs rising with the severity of TBI. The results suggest that the burden of TBI can be catastrophic for families because of high direct costs, significant time off work for patients and caregivers, and impact on health-related quality of life. Further research is warranted to explore the actual social and economic benefits of mandatory helmet use.

  1. Mental health literacy: knowledge of depression among undergraduate students in Hanoi, Vietnam.

    Science.gov (United States)

    Nguyen Thai, Quynh Chi; Nguyen, Thanh Huong

    2018-01-01

    Mental health literacy (MHL) refers to an individuals' knowledge and beliefs about mental disorders that aid their recognition, management, and prevention. This study aims to investigate the MHL of depression among public health and sociology undergraduate students in Hanoi, Vietnam. A cross-sectional survey was carried out from May to September 2015. Data was collected using an anonymous, self-administered questionnaire distributed to 350 undergraduate students (213 public health majors; 137 sociology majors). Questions about MHL of depression were adapted from the Australian National Survey of Mental Health Literacy and Stigma. Question topics included recognition of depression, help-seeking intentions, first-aid support, and knowledge about interventions to help people with depression. Chi squared tests were conducted to compare proportional statistics across groups for multiple measures. With regard to recognition of mental disorders, 32.0% of the respondents used the accurate label "depression" for the vignette. Among those who correctly identified depression, 82.1% would seek help. The corresponding statistic was 81.1% from those who did not recognize depression. Both groups would seek help from counselor, psychologist, family members, and close friends. First-aid support suggested by the respondents in both groups were informal sources ( to listen to her problem in an understanding way, to encourage her to be more physically active , etc.). The interventions considered most helpful by the respondents were self-help strategies such as learning how to relax , getting physically active , doing exercise early in the morning , and reading a self - help book . Joining a group of individuals with similar problems was chosen to be a helpful intervention among those who did not recognize depression (p depression believed that people with depression should be admitted to hospital for psychiatric treatment (p depression among undergraduate students in Vietnam. The

  2. Life time suicidal thoughts in an urban community in Hanoi, Vietnam

    Directory of Open Access Journals (Sweden)

    Leenaars Antoon

    2006-03-01

    Full Text Available Abstract Background Suicidal thought is a risk factor and a stage in the suicidal process from planning to attempting and dying by suicide. To date, studies on suicidal thought in the general population, especially in Asian communities, have been limited. Method The WHO SUPRE-MISS (the multisite intervention study on suicidal behaviours community survey questionnaire was filled in for 2,280 randomly selected residents of the DongDa district of Hanoi, Vietnam by means of face-to-face interviews. This multi-factor questionnaire includes such variables as sociodemographic information, suicidal thought and history of suicide attempts, physical health, alcohol consumption and medication. Results Prevalence rates for life time suicidal thoughts, suicide plans and suicide attempts were 8.9%, 1.1% and 0.4% respectively. Suicidal thoughts are associated with multiple characteristics, such as female gender, single/widowed/separated/divorced marital status, low income, lifestyle (use of alcohol, sedatives and pain relief medication, but not with low education or employment status. Having no religion and being a Buddhist appear to be protective factors for suicidal thought. The ratio of suicidal thoughts, suicide plans and suicide attempts on a lifetime basis is 22.3:2.8:1. Conclusion In Vietnam, as in Western and other Asian countries, suicidal thoughts are associated with similar negative psychosocial risk factors, lifestyle and emotional problems, which implies that suicide preventive measure developed elsewhere can be adjusted to Vietnamese condition. Understanding the unique and common risks in a culture may assist in prediction and control.

  3. Prevalence and risk factors for tuberculosis infection among hospital workers in Hanoi, Viet Nam.

    Directory of Open Access Journals (Sweden)

    Luu Thi Lien

    Full Text Available BACKGROUND: Transmission of tuberculosis (TB to health care workers (HCWs is a global issue. Although effective infection control measures are expected to reduce nosocomial TB, HCWs' infection has not been assessed enough in TB high burden countries. We conducted a cross-sectional study to determine the prevalence of TB infection and its risk factors among HCWs in Hanoi, Viet Nam. METHODOLOGY/PRINCIPAL FINDINGS: A total of 300 HCWs including all staff members in a municipal TB referral hospital received an interferon-gamma release assay (IGRA, QuantiFERON-TB Gold In-Tube(TM, followed by one- and two-step tuberculin skin test (TST and a questionnaire-based interview. Agreement between the tests was evaluated by kappa statistics. Risk factors for TB infection were analyzed using a logistic regression model. Among the participants aged from 20 to 58 years (median = 40, prevalence of TB infection estimated by IGRA, one- and two-step TST was 47.3%, 61.1% and 66.3% respectively. Although the levels of overall agreement between IGRA and TST were moderate, the degree of agreement was low in the group with BCG history (kappa = 0.29. Working in TB hospital was associated with twofold increase in odds of TB infection estimated by IGRA. Increased age, low educational level and the high body mass index also demonstrated high odds ratios of IGRA positivity. CONCLUSIONS/SIGNIFICANCE: Prevalence of TB infection estimated by either IGRA or TST is high among HCWs in the hospital environment for TB care in Viet Nam and an infection control program should be reinforced. In communities with heterogeneous history of BCG vaccination, IGRA seems to estimate TB infection more accurately than any other criteria using TST.

  4. Mobile phone use among motorcyclists and electric bike riders: A case study of Hanoi, Vietnam.

    Science.gov (United States)

    Truong, Long T; Nguyen, Hang T T; De Gruyter, Chris

    2016-06-01

    Motorcyclist injuries and fatalities are a major concern of many developing countries. In Vietnam, motorcycles are involved in more than 70% of all road traffic crashes. This paper aims to explore the prevalence and factors associated with mobile phone use among motorcyclists and electric bike riders, using a case study of Hanoi, Vietnam. A cross-sectional observation survey was undertaken at 12 sites, in which each site was surveyed during a two-hour peak period from 16:30 to 18:30 for two weekdays and one weekend day. A total of 26,360 riders were observed, consisting of 24,759 motorcyclists and 1601 electric bike riders. The overall prevalence of mobile phone use while riding was 8.4% (95% CI: 8.06-8.74%) with calling having higher prevalence than screen operation: 4.64% (95% CI: 4.39-4.90%) vs. 3.76% (95% CI: 3.52-3.99%) respectively. Moreover, the prevalence of mobile phone use was higher among motorcyclists than electric bike riders: 8.66% (95%CI: 8.30-9.01%) vs. 4.43% (95% CI: 3.40-5.47%) respectively. Logistic regression analyses revealed that mobile phone use while riding was associated with vehicle type, age, gender, riding alone, weather, day of week, proximity to city centre, number of lanes, separate car lanes, red traffic light duration, and police presence. Combining greater enforcement of existing legislations with extensive education and publicity programs is recommended to reduce potential deaths and injuries related to the use of mobile phones while riding. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. Left-handers look before they leap: Handedness influences reactivity to novel Tower of Hanoi Tasks

    Directory of Open Access Journals (Sweden)

    Lynn eWright

    2015-02-01

    Full Text Available A sample of 203 task naïve left- and right-handed participants were asked to complete a combination of the three and four disk Towers of Hanoi (ToH, manipulating novelty and complexity. Self-reported state anxiety and latency to respond (initiation time were recorded before each ToH.Novelty had a major effect on initiation time, particularly for left-handers. Left-handers had a longer latency to start and this was significantly longer on the first trial. Irrespective of hand-preference, initiation time reduced on the second trial, however this was greatest for left-handers. Condition of task did not systematically influence initiation time for right handers, but did for left-handers. State anxiety was influenced by task novelty and complexity in a more complicated way. During the first trial, there was a significant handedness x number of disks interaction with left-handers having significantly higher state anxiety levels before the three-disk ToH. This suggests that the initial reaction to this task for left-handers was not simply due to perceived difficulty. On their second trial, participants completing a novel ToH had higher state anxiety scores than those completing a repeated version. Overall, left-handers had a larger reduction in their state anxiety across trials. Relating to this, the expected strong positive correlation between state and trait anxiety was absent for left-handed females in their first tower presentation, but appeared on their second. This was driven by low trait anxiety individuals showing a higher state anxiety response in the first (novel trial, supporting the idea that left-handed females respond to novelty in a way that is not directly a consequence of their trait anxiety. A possible explanation may be stereotype threat influencing the behaviour of left-handed females.

  6. Tratamiento con altas dosis de corticoides de Púrpura Trombocitopénica Inmune en paciente con Diabetes Mellitus y Obesidad Mórbida, un desafio metabólico

    OpenAIRE

    Juan Pedro Andreu Cuello; Juan Pablo Gatica Araneda; Patricio Alfaro-Toloza; Romina Olmos-de-Aguilera

    2012-01-01

    El manejo de la púrpura trombocitopénica inmune con altas dosis de corticoides en pacientes con diabetes mellitus y obesidad mórbida no está definido. Mujer de 64 años con obesidad mórbida, diabetes mellitus 2 y púrpura trombocitopénico inmune presenta trombocitopenia severa de 2 000 plaquetas asociada a equimosis extensas en ambas extremidades inferiores y glicemia descompensada. Se inició tratamiento con Metilprednisolona 500mg por tres días y luego Prednisona 60mg/día, al quinto día se aum...

  7. Establishing a green-and-blue network within an existing settlement in central Hanoi towards urban ecologicalisation

    Science.gov (United States)

    Nguyen, Quang Minh

    2018-04-01

    As a mega city, Hanoi must solve huge problems in its urban development of which landscape is among the greatest and most urgent issues to deal with. Locally, within one settlement, landscape is often simply regarded by many city residents as a small park that helps improve environmental quality, especially in summer, and provides an open space for the local community to have a walk a few times a day. But actually, landscape plays a much more important role in one settlement as a complete unit and also as a miniature of a large city. Internationally, landscape is a complex concept as well as an integral part of urban ecology, and sustainability has been set at a much higher level and the final goal to reach. In central Hanoi, where the population and construction density is so high that the green area per capita is among the lowest in Asia, it is high time to rethink about the enhancement of living quality in a difficult situation. The academic article will focus on landscape ecology, rather than on landscape only, in central districts and propose an ecologicalisation for a typical settlement here towards a more liveable city concept.

  8. Recent levels of organochlorine pesticides and polychlorinated biphenyls in sediments of the sewer system in Hanoi, Vietnam

    International Nuclear Information System (INIS)

    Pham Manh Hoai; Nguyen Thuy Ngoc; Nguyen Hung Minh; Pham Hung Viet; Berg, Michael; Alder, Alfredo C.; Giger, Walter

    2010-01-01

    The occurrence, temporal trend, sources and toxicity of PCBs and organochlorine pesticides were investigated in sediment samples from the sewer system of Hanoi City, including the rivers Nhue, To Lich, Lu, Set, Kim Nguu and the Yen So Lake. In general, the concentrations of the pollutants followed the order DDTs > PCBs > HCHs (β-HCH) > HCB. However, the pollution pattern was different for the DDTs and PCBs when the sampling locations were individually evaluated. The concentrations of the DDTs, PCBs, HCHs, and HCB ranged from 4.4 to 1100, 1.3 to 384, <0.2 to 36 and <0.2 to 22 ng/g d.w., respectively. These levels are higher than at any other location in Vietnam. Compared to measurements from 1997, the DDTs, PCBs, β-HCH and HCB levels show an increasing trend with DDT/DDE ratios, indicating very recent inputs into the environment although these persistent compounds are banned in Vietnam since 1995. - Organochlorine pesticides and PCBs were studied in sediments of the sewer system in Hanoi.

  9. TerraSAR-X time-series interferometry detects human-induce subsidence in the Historical Centre of Hanoi, Vietnam

    Science.gov (United States)

    Le, Tuan; Chang, Chung-Pai; Nguyen, Xuan

    2016-04-01

    Hanoi was the capital of 12 Vietnamese dynasties, where the most historical relics, archaeological ruins and ancient monuments are located over Vietnam. However, those heritage assets are threatened by the land subsidence process occurred in recent decades, which mainly triggered by massive groundwater exploitation and construction activities. In this work, we use a set of high resolution TerraSAR-X images to map small-scale land subsidence patterns in the Historical Centre of Hanoi from April 2012 to November 2013. Images oversampling is integrated into the Small Baseline InSAR processing chain in order to enlarge the monitoring coverage by increasing the point-wise measurements, maintaining the monitoring scale of single building and monument. We analyzed over 2.4 million radar targets on 13.9 km2 area of interest based on 2 main sites: The Citadel, the Old Quarter and French Quarter. The highest subsidence rate recorded is -14.2 mm/year. Most of the heritage assets are considered as stable except the Roman Catholic Archdiocese and the Ceramic Mosaic Mural with the subsidence rates are -14.2 and -13.7 mm/year, respectively. Eventually, optical image and soil properties map are used to determine the causes of subsidence patterns. The result shows the strong relationships between the existing construction sites, the component of sediments and land subsidence processes that occurred in the study site.

  10. [Implementation of a continuum of care for people living with HIV/AIDS in Hanoi (Vietnam)].

    Science.gov (United States)

    de Loenzien, Myriam

    2009-01-01

    Caring for people living with HIV/AIDS (PLWHA) encompasses various tasks, from prevention to palliative care. It involves a set of consistent and coordinated actions. This article presents the first free-of-charge management programme including antiretroviral treatment in Vietnam (as opposed to research and evaluation programmes). It was launched in 2004 in Hanoi. Our study was conducted in 2003-2004 as part of a collaborative research programme led by IRD (Research Institute for Development) and the National Economic University in Hanoi and was funded by ESTHER (Together for a Therapeutic Solidarity in Hospital Network) group. Data collection included 68 qualitative interviews with patients, members of their families and members of the hospital staff, observations of outpatient consultations, and analysis of inpatient files. The results show that patients, their families and hospital staff members all perceive a comprehensive care and treatment programme as very important and consider that it should include social and psychological care as well as an integrated set of actions involving various types of participants. Outpatient and inpatient care are closely linked: they take place in the same hospital department, they involve patients with similar social and demographic characteristics marked by multiple risk behaviours and recourse to several kinds of healthcare services. The observation of outpatient consultations showed the limitations of strictly biomedical care to which social and psychological care were added only lately. One of the principal difficulties is patients' difficulties in keeping their outpatient appointments. Overall, patients consider themselves lucky to able to receive care and treatment with antiretroviral drugs. They nevertheless complain about the lack of social and psychological support, which they expect should help them to tolerate and adapt to their biomedical treatment and to include counselling and information about this treatment and

  11. Commodification and Politicization of Heritage: Implications for Heritage Tourism at the Imperial Citadel of Thang Long, Hanoi (Vietnam

    Directory of Open Access Journals (Sweden)

    Huong T. Bui

    2015-12-01

    Full Text Available The current study deconstructs the process of turning heritage resources into tourism products. A case study of the Central Sector of the Imperial Citadel of Thang Long, a UNESCO World Heritage site located in the capital city of Vietnam, Hanoi, provides an in-depth understanding of the plural use of heritage. Findings from the study reveal issues of heritage dissonance inherent in the process of resource selection, interpretation, and targeting for different audiences. It is apparent that commodification cannot be separated from the politicization of heritage. In the case of heritage of national importance and international significance, politicization has been prioritized and results in diminishing the utilization of heritage for commercial purposes such as tourism.

  12. Air Pollution Modeling at Road Sides Using the Operational Street Pollution Model-A Case Study in Hanoi, Vietnam

    DEFF Research Database (Denmark)

    Hung, Ngo Tho; Ketzel, Matthias; Jensen, Steen Solvang

    2010-01-01

    In many metropolitan areas, traffic is the main source of air pollution. The high concentrations of pollutants in streets have the potential to affect human health. Therefore, estimation of air pollution at the street level is required for health impact assessment. This task has been carried out...... in many developed countries by a combination of air quality measurements and modeling. This study focuses on how to apply a dispersion model to cities in the developing world, where model input data and data from air quality monitoring stations are limited or of varying quality. This research uses...... the operational street pollution model (OSPM) developed by the National Environmental Research Institute in Denmark for a case study in Hanoi, the capital of Vietnam. OSPM predictions from five streets were evaluated against air pollution measurements of nitrogen oxides (NO), sulfur dioxide (SO2), carbon monoxide...

  13. Evaluating Food Safety Knowledge and Practices of Food Processors and Sellers Working in Food Facilities in Hanoi, Vietnam.

    Science.gov (United States)

    Tran, Bach Xuan; DO, Hoa Thi; Nguyen, Luong Thanh; Boggiano, Victoria; LE, Huong Thi; LE, Xuan Thanh Thi; Trinh, Ngoc Bao; DO, Khanh Nam; Nguyen, Cuong Tat; Nguyen, Thanh Trung; Dang, Anh Kim; Mai, Hue Thi; Nguyen, Long Hoang; Than, Selena; Latkin, Carl A

    2018-04-01

    Consumption of fast food and street food is increasingly common among Vietnamese, particularly in large cities. The high daily demand for these convenient food services, together with a poor management system, has raised concerns about food hygiene and safety (FHS). This study aimed to examine the FHS knowledge and practices of food processors and sellers in food facilities in Hanoi, Vietnam, and to identify their associated factors. A cross-sectional study was conducted with 1,760 food processors and sellers in restaurants, fast food stores, food stalls, and street vendors in Hanoi in 2015. We assessed each participant's FHS knowledge using a self-report questionnaire and their FHS practices using a checklist. Tobit regression was used to determine potential factors associated with FHS knowledge and practices, including demographics, training experience, and frequency of health examination. Overall, we observed a lack of FHS knowledge among respondents across three domains, including standard requirements for food facilities (18%), food processing procedures (29%), and food poisoning prevention (11%). Only 25.9 and 38.1% of participants used caps and masks, respectively, and 12.8% of food processors reported direct hand contact with food. After adjusting for socioeconomic characteristics, these factors significantly predicted increased FHS knowledge and practice scores: (i) working at restaurants and food stalls, (ii) having FHS training, (iii) having had a physical examination, and (iv) having taken a stool test within the last year. These findings highlight the need of continuous training to improve FHS knowledge and practices among food processors and food sellers. Moreover, regular monitoring of food facilities, combined with medical examination of their staff, should be performed to ensure food safety.

  14. Acute effects of ambient air pollution on lower respiratory infections in Hanoi children: An eight-year time series study.

    Science.gov (United States)

    Nhung, Nguyen Thi Trang; Schindler, Christian; Dien, Tran Minh; Probst-Hensch, Nicole; Perez, Laura; Künzli, Nino

    2018-01-01

    Lower respiratory diseases are the most frequent causes of hospital admission in children worldwide, particularly in developing countries. Daily levels of air pollution are associated with lower respiratory diseases, as documented in many time-series studies. However, investigations in low-and-middle-income countries, such as Vietnam, remain sparse. This study investigated the short-term association of ambient air pollution with daily counts of hospital admissions due to pneumonia, bronchitis and asthma among children aged 0-17 in Hanoi, Vietnam. We explored the impact of age, gender and season on these associations. Daily ambient air pollution concentrations and hospital admission counts were extracted from electronic databases received from authorities in Hanoi for the years 2007-2014. The associations between outdoor air pollution levels and hospital admissions were estimated for time lags of zero up to seven days using Quasi-Poisson regression models, adjusted for seasonal variations, meteorological variables, holidays, influenza epidemics and day of week. All ambient air pollutants were positively associated with pneumonia hospitalizations. Significant associations were found for most pollutants except for ozone and sulfur dioxide in children aged 0-17. Increments of an interquartile range (21.9μg/m 3 ) in the 7-day-average level of NO 2 were associated with a 6.1% (95%CI 2.5% to 9.8%) increase in pneumonia hospitalizations. These associations remained stable in two-pollutant models. All pollutants other than CO were positively associated with hospitalizations for bronchitis and asthma. Associations were stronger in infants than in children aged 1-5. Strong associations between hospital admissions for lower respiratory infections and daily levels of air pollution confirm the need to adopt sustainable clean air policies in Vietnam to protect children's health. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  15. Groundwater recharge in suburban areas of Hanoi, Vietnam: effect of decreasing surface-water bodies and land-use change

    Science.gov (United States)

    Kuroda, Keisuke; Hayashi, Takeshi; Do, An Thuan; Canh, Vu Duc; Nga, Tran Thi Viet; Funabiki, Ayako; Takizawa, Satoshi

    2017-05-01

    Over-exploited groundwater is expected to remain the predominant source of domestic water in suburban areas of Hanoi, Vietnam. In order to evaluate the effect on groundwater recharge, of decreasing surface-water bodies and land-use change caused by urbanization, the relevant groundwater systems and recharge pathways must be characterized in detail. To this end, water levels and water quality were monitored for 3 years regarding groundwater and adjacent surface-water bodies, at two typical suburban sites in Hanoi. Stable isotope (δ18O, δD of water) analysis and hydrochemical analysis showed that the water from both aquifers and aquitards, including the groundwater obtained from both the monitoring wells and the neighboring household tubewells, was largely derived from evaporation-affected surface-water bodies (e.g., ponds, irrigated farmlands) rather than from rivers. The water-level monitoring results suggested distinct local-scale flow systems for both a Holocene unconfined aquifer (HUA) and Pleistocene confined aquifer (PCA). That is, in the case of the HUA, lateral recharge through the aquifer from neighboring ponds and/or irrigated farmlands appeared to be dominant, rather than recharge by vertical rainwater infiltration. In the case of the PCA, recharge by the above-lying HUA, through areas where the aquitard separating the two aquifers was relatively thin or nonexistent, was suggested. As the decrease in the local surface-water bodies will likely reduce the groundwater recharge, maintaining and enhancing this recharge (through preservation of the surface-water bodies) is considered as essential for the sustainable use of groundwater in the area.

  16. Láser de dióxido de carbono fraccionado asociado a corticoide tópico para el tratamiento del prurito en las secuelas cicatriciales del paciente quemado

    Directory of Open Access Journals (Sweden)

    Sara A. González-Porto

    Full Text Available El prurito en los pacientes quemados supone una secuela frecuente que puede ser incapacitante y difícilmente controlable mediante tratamiento médico. Presentamos el caso de un paciente con prurito grave resistente a tratamiento médico y los resultados tras el tratamiento con láser ablativo y liberación de corticoide local asistida por láser. Se trata de un paciente con quemaduras graves en el 70% de superficie corporal, con prurito refractario a tratamiento médico y lesiones por rascado que precisaron de sedorrelajación e intubación orotraqueal, y en el que realizamos una sola sesión de tratamiento con láser CO² fraccionado tras la que se aplicó cura oclusiva con triamcinolona acetónido disuelta en suero (20 mg/ml. La evaluación del resultado se realizó mediante valoración del prurito (escala Burn Itch Questionnaire y del resultado clínico y estético de la cicatriz (escalas Vancouver Scar Scale y Patient and Observer Scar Assessment Scale. Logramos un buen control del prurito y de las lesiones por rascado sin complicaciones asociadas. La liberación de fármacos asistida por láser fue la base del nuestro tratamiento, en el que el láser ablativo crea canales de comunicación transepidérmicos que favorecen la entrada del corticoide a la dermis y el efecto inmediato del mismo. Esta modalidad de tratamiento y este nuevo concepto clínico se presentan como una alternativa terapéutica importante en el tratamiento del prurito refractario en el paciente quemado.

  17. Seroprevalence of Antibodies to Avian Influenza A (H5) and A (H9) Viruses among Market Poultry Workers, Hanoi, Vietnam, 2001

    OpenAIRE

    Uyeki, Timothy M.; Nguyen, Doan C.; Rowe, Thomas; Lu, Xiuhua; Hu-Primmer, Jean; Huynh, Lien P.; Hang, Nguyen L. K.; Katz, Jacqueline M.

    2012-01-01

    BACKGROUND: The frequency of avian influenza A virus infections among poultry workers is not well understood. METHODS: A seroprevalence study of market poultry workers and persons without occupational poultry exposure was conducted during 2001 in Hanoi, Vietnam. Sera were tested for avian influenza H5 and H9 antibodies by microneutralization and Western blot assays. RESULTS: Seroprevalence of H5 and H9 antibodies was 4% and 3% in poultry workers and 1% and 3.5% in non-poultry workers, respect...

  18. Analysis of motorcycle fleet in Hanoi for estimation of air pollution emission and climate mitigation co-benefit of technology implementation

    Science.gov (United States)

    Kim Oanh, Nguyen Thi; Thuy Phuong, Mai Thi; Permadi, Didin Agustian

    2012-11-01

    A fleet of over two million motorcycles (MC) in Hanoi is believed to contribute a substantial emission of air pollutants and climate forcers but has not been thoroughly characterized. This study conducted a survey of the MC technologies and activities in Hanoi using questionnaires, GPS monitoring, and video camera in 2008. The data were collected for three typical road types (highways, arterials, residential streets) in 3 zones of the city. Majority of MC in Hanoi were relatively new (3.6 years), had 4-stroke engine, but only 6% was equipped with catalyst exhaust control devices. About 35% of the fleet did not comply with any EURO standards. The MC daily driving was 20 km, mostly done on arterial streets. The main driving features in Hanoi arterials and residential streets were of low speeds with frequent starts/stops and idling. International Vehicle Emissions (IVE) model produced adjusted emission factors (EFs) that were compared with the limited available measurement data. The fleet emission was estimated for 2008 as a base case and for two “what-if” faster technology implementation scenarios: scenario 1 assumed that the entire fleet in 2008 conformed at least EURO2 and scenario 2 assumed 100% MC met the EURO3 standard. Total emissions from the fleet in 2008 of CO, VOC, NOx, SO2, PM10, and CH4 were 158, 51.5, 9.5, 0.17, 2.4 and 9.5 kt, respectively. Emissions of 1,3-butadiene, acetaldehydes, formaldehydes and benzene were 0.26, 1.2, 4.9 and 2.1 kt, respectively. Faster EURO3 technology intrusion in scenario 2 would significantly reduce the emission of pollutants (by 53-94%) and climate forcers in CO2-equivalent (53% for 20-year and 38% for 100-year horizon), which tripled the reductions obtained under scenario 1. Substantial co-benefits for air quality and climate forcer mitigation could be achieved by the faster technology implementation.

  19. Transfer of nuclear engineering knowledge at Hanoi University of Technology: Lessons learned and challenges

    International Nuclear Information System (INIS)

    Duan, P. van; Anh, P.V.

    2007-01-01

    Full text: Hanoi University of Technology (HUT) has been being the most important polytechnic education centre of the country for half a century. Nuclear Engineering Education Programme (NEEP) was started at HUT since the year 1970, right after establishment of Department of Nuclear Engineering at the University according to the initiative of the first Minister of Ministry of Higher Education of the country. Since the year 2000 the Department changed its education programme to adapt it to the actual circumstances in the country and renamed as Department of Nuclear Engineering and Environmental Physics (DONEEP). The objectives of the HUT's NEEP are as follows: 1. To train up nuclear technical manpower for development of peaceful uses of atomic energy in Vietnam. 2. To prepare initial nuclear technical human resources for introduction of Nuclear Power into the country. Aiming at these objectives, the Programme achieved remarkable results such as inestimable contributions to introducing and then developing the NDT radiography method in Vietnam, to improving and developing the atomic energy applications in the country, to providing important parts of technical human resources for strengthening the nuclear community of the country. The duration of 37 years of implementation of the Programme may be divided by 3 periods: from 1970 to 1989, 1990-2000 and from the year 2001 up to now. During the first period, the Programme was fully supported by the leadership of the University and the Ministry of Higher Education. The second period was full of difficulties. This was the period of searching the ways for preserving and adapting the Programme to the new circumstances in the country. The present period is the one of searching the ways for developing the NEEP at HUT. The lessons learned from 37-year implementation of the HUT's NEEP are as follows: 1. To establish proper objectives aiming to satisfy the urgent short term and/or long term demands of the country is the most

  20. Iron Isotope Variations in Reduced Groundwater and in Drinking Water Supplies: A Case Study of Hanoi, Vietnam

    Science.gov (United States)

    Teutsch, N.; Berg, M.; von Gunten, U.; Halliday, A.

    2004-12-01

    In reduced groundwater iron is involved in biotic and abiotic transformation processes, both of which could lead to iron isotope fractionation. The reduced groundwater aquifers in the area of the Vietnamese capital of Hanoi are the main drinking water sources for the city. These groundwaters contain arsenic, which imposes a serious health threat to millions of people. Dissolved arsenic is related to the reducing conditions prevalent in the groundwater, and iron and arsenic contents are correlated in the sediments. We are employing iron isotope composition as a tool to better understand the processes leading to the transformation of iron in the groundwater and its role in various biogeochemical processes in reduced environments. Drinking water is supplied to the city of Hanoi from several water treatment plants (WTP) which pump the raw groundwater from a lower aquifer, while the rural surroundings pump untreated groundwater from an upper aquifer by private tubewells. Surface water from the Red River delta is the main source of recharge to these two aquifers. Due to high content of particulate natural organic matter (NOM) in the sediment leading to extensive microbial activity, the groundwaters are anoxic and rich in dissolved iron(II). The iron(II) removal in the WTPs is carried by a multi-step treatment including aeration, settling, filtration, and chlorination. We have collected natural groundwater samples for isotopic analysis from two aquifers at several locations, a groundwater depth profile and its corresponding sediment phases from the upper aquifer and the underlying aquitard, raw and treated water from several WTPs, as well as the corresponding iron(III) precipitates. The iron concentrations of groundwaters analysed in this study range from 3 to 28 mg/L and δ 57Fe (57/54 deviation from IRMM 014) values vary between -1.2 and +1.5 ‰ . The sediment depth profile has a δ 57Fe around +0.3 ‰ , which implies that the high values obtained in the groundwater

  1. Source discrimination of heavy metals in sediment and water of To Lich River in Hanoi City using multivariate statistical approaches.

    Science.gov (United States)

    Thuong, Nguyen Thi; Yoneda, Minoru; Ikegami, Maiko; Takakura, Masato

    2013-10-01

    The concentrations of Mn, Fe, Ni, Cr, Cu, Pb, Zn, As, and Cd were determined to evaluate the level of contamination of To Lich River in Hanoi City. All metal concentrations in 0-10-cm water samples, except Mn, were lower than the maximum permitted concentration for irrigation water standard. Meanwhile, concentrations of As, Cd, and Zn in 0-30-cm sediments were likely to have adverse effects on agriculture and aquatic life. Sediment pollution assessment was undertaken using enrichment factor and geoaccumulation index (I geo). The I geo results indicated that the sediment was not polluted with Cr, Mn, Fe, and Ni, and the pollution level increased in the order of Cu < Pb < Zn < As < Cd. Meanwhile, significant enrichment was shown for Cd, As, Zn, and Pb. Cluster and principal component analyses suggest that As and Mn in sediment were derived from both lithogenic and anthropogenic sources, while Cu, Pb, Zn, Cr, Cd, and Ni originated from anthropogenic sources such as vehicular fumes for Pb and metallic discharge from industrial sources and fertilizer application for other metals.

  2. Element contents and food safety of water spinach (Ipomoea aquatica Forssk.) cultivated with wastewater in Hanoi, Vietnam

    DEFF Research Database (Denmark)

    Marcussen, Helle; Jørgensen, Karin; Holm, Peter E.

    2008-01-01

    Extensive aquatic or semi-aquatic production of water spinach (Ipomoea aquatica Forssk.) for human consumption takes place in Southeast Asia. The aim of this study was to assess the concentrations of 38 elements in soil and water spinach cultivated under different degrees of wastewater exposure...... in Hanoi, Vietnam. The results showed no effect of wastewater use on the overall element concentrations in soil and water spinach. Mean soil concentrations for selected potentially toxic elements at the studied field sites had the following ranges 9.11-18.7 As, 0.333-0.667 Cd, 10.8-14.5 Co, 68-122 Cr, 34...... concentrations in water spinach were 0.139 As, 0.032 Cd, 0.135 Cr, 2.01 Cu, 39.1 Fe, 57.3 Mn, 0.16 Ni, 0.189 Pb and 6.01 Zn mg kg(-1) fresh weight (f.w.). The site and soil content of organic carbon were found to have high influence on the water spinach element concentrations whereas soil pH and the total soil...

  3. The economic burden of pneumonia and meningitis among children less than five years old in Hanoi, Vietnam.

    Science.gov (United States)

    Le, Phuc; Griffiths, Ulla K; Anh, Dang D; Franzini, Luisa; Chan, Wenyaw; Pham, Ha; Swint, John M

    2014-11-01

    To estimate the average treatment costs of pneumonia and meningitis among children under five years of age in a tertiary hospital in Hanoi, Vietnam from societal, health sector and household perspectives. We used a cost-of-illness approach to identify cost categories to be included for different perspectives. A prospective survey was conducted among eligible patients to get detailed personal costing items. From the perspective of the health sector, the mean costs for treating a case of pneumonia and meningitis were USD 180 and USD 300, respectively. From the household's perspective, the average treatment costs were USD 272 for pneumonia and USD 534 for meningitis. When also including indirect costs, the average total treatment costs from the societal perspective were USD 318 for pneumonia and USD 727 for meningitis. The study contributed to limited evidence on the high treatment costs of pneumonia and meningitis to the Vietnamese society, which is useful for a cost-effectiveness analysis of Haemophilus influenzae type b vaccine or other relevant disease preventions. It also indicated a need to re-evaluate the health insurance policy for children under 6 years old, so that the unnecessarily high out-of-pocket costs of these diseases are reduced. © 2014 John Wiley & Sons Ltd.

  4. Homosexuality-related stigma and sexual risk behaviors among men who have sex with men in Hanoi, Vietnam.

    Science.gov (United States)

    Ha, Huy; Risser, Jan M H; Ross, Michael W; Huynh, Nhung T; Nguyen, Huong T M

    2015-02-01

    This article examined the associations between three forms of homosexuality-related stigma (enacted, perceived, and internalized homosexual stigmas) with risky sexual behaviors, and to describe the mechanisms of these associations, among men who have sex with men (MSM) in Hanoi, Vietnam. We used respondent-driven sampling (RDS) to recruit 451 MSM into a cross-sectional study conducted from August 2010 to January 2011. Data were adjusted for recruitment patterns due to the RDS approach; logistic regression and path analyses were performed. Participants were young and single; most had attended at least some college. Nine out of ten participants engaged in sexual behaviors at moderate to high risk levels. Compared to those who had no enacted homosexual stigma, men having low and high levels of enacted homosexual stigma, respectively, were 2.23 times (95 % CI 1.35-3.69) and 2.20 times (95 % CI 1.04-4.76) more likely to engage in high levels of sexual risk behaviors. In addition, there was an indirect effect of perceived homosexual stigma and internalized homosexual stigma on sexual risk behaviors through depression and drug and alcohol use. Our study provides valuable information to our understanding of homosexual stigma in Vietnam, highlighting the need for provision of coping skills against stigma to the gay community and addressing drinking and drug use among MSM, to improve the current HIV prevention interventions in Vietnam.

  5. Enhancing students’ cognitive skill in Nguyen Tat Thanh high school Hanoi Vietnam through scientific learning material of static electricity

    Science.gov (United States)

    Priyanto, A.; Linuwih, S.; Aji, M. P.; Bich, D. D.

    2018-03-01

    Scientific learning material is still needed by students at Nguyen Tat Thanh High School (NTT), Hanoi Vietnam in order to enhance the students’ cognitive skill. Cognitive skill represents the level of students’ understanding to the particular material. Students’ cognitive skill can be improved by applying the learning material based on scientific approach as a treatment. The enhancement of students’ cognitive skill can be measured by analyzing the students’ test result collected before and after treatment. The analysis is focused to measure the enhancement or the sifted of cognitive aspects including remembering aspect (C1), understanding aspect (C2), applying aspect (C3), analyzing aspect (C4), and evaluating aspect (C5). According to the analysis the enhancement of cognitive aspects are 8.26% of remembering, 3.26% of understanding, 32.94% of applying, 21.74% of analyzing, and 21.74% of evaluating. The major enhancements are occured at applying, analyzing, and evaluating aspects. Therefore it can be concluded that students’ cognitive skill is enhanced by applying scientific learning material of static electricity.

  6. The use of technology to find sexual health information online among men who have sex with men in Hanoi, Vietnam, 2016.

    Science.gov (United States)

    Nguyen, Minh X; Krishnan, Aparna; Le, Giang M; Nguyen, Quynh T; Bhadra, Nia M; Nguyen, Sang M; Miller, William C; Go, Vivian F

    2018-04-01

    In an era where mobile phones and computers are ubiquitous, technology-based interventions to reduce HIV and other sexually transmitted infections (STIs) have great potential to reach high-risk groups, including men who have sex with men (MSM). This study aimed to examine technology usage to find sexual health information online among MSM in Hanoi, Vietnam. A cross-sectional study of 205 MSM in Hanoi was conducted from February to May 2016. Overall, 50.7% of participants reported having used a smartphone, computer, or tablet to find HIV/STI testing locations in the past year, and 75.1% reported having used such devices to find other HIV/STI information online. Unemployment (adjusted prevalence ratio [aPR]: 1.13, 95%CI: 1.00-1.28) and having been tested for HIV (aPR: 1.27, 95%CI: 1.07-1.51) were significantly associated with using technology to find online sexual health information. MSM who had ever exchanged sex for money or drugs (aPR: 0.80; 95%CI: 0.68-0.94) were less likely to use technology to find sexual health information online. Technology is a promising platform for HIV/STI prevention programs among MSM, with the potential to reach different subgroups. Further efforts to develop technology-based interventions tailored to the needs of the MSM communities in Hanoi and to encourage MSM who were not currently seeking sexual health information and testing services online to do so are necessary.

  7. Preference and willingness to pay for nutritional counseling services in urban Hanoi [version 1; referees: 2 approved, 1 approved with reservations

    Directory of Open Access Journals (Sweden)

    Hai Viet Nguyen

    2017-03-01

    Full Text Available Background: Despite substantial achievement in reducing malnutrition rates in Vietnam, there has been an increasing rate of overweight individuals in urban areas, which may result in a high burden of non-communicable diseases. Nutritional counseling clinics have been introduced in several settings; however, little is known about the preference for this service among urban clients. This study aimed to assess the preference and willingness to pay (WTP for nutritional counseling services among urban clients. Methods: We interviewed 429 clients who attended Hanoi Medical University Nutritional Counseling Clinic (Hanoi, Vietnam. WTP was determined using double-bounded dichotomous-choice questions and open-ended questions. Results: In total, 78.6% respondents were willing to use nutritional counseling services. The mean amount of WTP for one-time service and one-year package was 96,100VND (~$4.3 and 946,400VND (~$41.9, respectively. Clients’ willingness to use the service was higher among females, those seeking counseling for elderly people and those who preferred face-to-face counseling services (p<0.05. WTP was higher among those who were over 35 years old, those seeking services for the elderly people, those having poor nutritional status, and those having under-6 year old children (p<0.05. Conclusions: The preference and WTP for nutritional counseling services in urban Hanoi were relatively high. Scaling up this service is necessary to actively prevent and control the spread of non-communicable diseases.

  8. Social Support as a Key Protective Factor against Depression in HIV-Infected Patients: Report from large HIV clinics in Hanoi, Vietnam

    OpenAIRE

    Matsumoto, Shoko; Yamaoka, Kazue; Takahashi, Kenzo; Tanuma, Junko; Mizushima, Daisuke; Do, Cuong Duy; Nguyen, Dung Thi; Nguyen, Hoai Dung Thi; Nguyen, Kinh Van; Oka, Shinichi

    2017-01-01

    Depression is the most common mental health issue among people living with HIV/AIDS (PLWHA). This study explored how different types and sources of social support are associated with depression among HIV-infected patients in Vietnam. We carried out a cross-sectional survey on 1,503 HIV-infected patients receiving antiretroviral therapy at two HIV clinics in Hanoi in 2016. Depression was prevalent in 26.2% of participants. Higher score of social support, especially emotional/informational supp...

  9. Problem Solving as Probabilistic Inference with Subgoaling: Explaining Human Successes and Pitfalls in the Tower of Hanoi.

    Science.gov (United States)

    Donnarumma, Francesco; Maisto, Domenico; Pezzulo, Giovanni

    2016-04-01

    How do humans and other animals face novel problems for which predefined solutions are not available? Human problem solving links to flexible reasoning and inference rather than to slow trial-and-error learning. It has received considerable attention since the early days of cognitive science, giving rise to well known cognitive architectures such as SOAR and ACT-R, but its computational and brain mechanisms remain incompletely known. Furthermore, it is still unclear whether problem solving is a "specialized" domain or module of cognition, in the sense that it requires computations that are fundamentally different from those supporting perception and action systems. Here we advance a novel view of human problem solving as probabilistic inference with subgoaling. In this perspective, key insights from cognitive architectures are retained such as the importance of using subgoals to split problems into subproblems. However, here the underlying computations use probabilistic inference methods analogous to those that are increasingly popular in the study of perception and action systems. To test our model we focus on the widely used Tower of Hanoi (ToH) task, and show that our proposed method can reproduce characteristic idiosyncrasies of human problem solvers: their sensitivity to the "community structure" of the ToH and their difficulties in executing so-called "counterintuitive" movements. Our analysis reveals that subgoals have two key roles in probabilistic inference and problem solving. First, prior beliefs on (likely) useful subgoals carve the problem space and define an implicit metric for the problem at hand-a metric to which humans are sensitive. Second, subgoals are used as waypoints in the probabilistic problem solving inference and permit to find effective solutions that, when unavailable, lead to problem solving deficits. Our study thus suggests that a probabilistic inference scheme enhanced with subgoals provides a comprehensive framework to study problem

  10. Helminth infections among people using wastewater and human excreta in peri-urban agriculture and aquaculture in Hanoi, Vietnam.

    Science.gov (United States)

    Do, Thuy Trang; Mølbak, Kåre; Phung, Dac Cam; Dalsgaard, Anders

    2007-12-01

    To assess the prevalence of helminth infections and their associated risks in a community using both wastewater and human excreta in agriculture and aquaculture. A cross-sectional study was conducted in a peri-urban area in Hanoi, Vietnam. Data on the demography, socioeconomics and sanitation were collected from a survey of 400 agricultural households. Parasitological examination for the eggs of Ascaris sp., Trichuris sp. and hookworm was performed on single stool specimens obtained from study household members' 15-70 years and 0-72 months of age. Of 807 stool samples collected from 620 adults and 187 children, 39% were infected with helminths. The prevalence of infections with Ascaris sp., Trichuris sp. and hookworm was 21.6%, 9.8% and 21.8%, respectively. Univariate and multivariate analyses showed that being an adult, female gender, living in a household without a latrine, excreta composted for less than 1 month and use of fresh human excreta were significantly associated with co-infection with all three helminths. Being an adult was an independent determinant for infections with individual helminths. The absence of a latrine and use of stored urine for irrigation were associated with an increased risk of Ascaris infection. Risk factors for Trichuris infection were inadequately composted excreta and year-round wastewater contact; risk factors for hookworm infection were female gender, household without a latrine and use of fresh human excreta. Wastewater exposure did not pose a major risk for helminth infection in this community. Instead, lack of sanitation facilities and use of fresh or inadequately composted human excreta in agriculture were important risk factors.

  11. Assessment of injection safety in Ha Dong General Hospital, Hanoi, in 2012 [version 4; referees: 2 approved

    Directory of Open Access Journals (Sweden)

    Phan Van Tuong

    2017-11-01

    Full Text Available Background: Injection is one of the most frequently used medical methods to introduce drugs or other substances into the body for purposes of treatment or prevention. Unsafe injection can cause adverse outcomes, such as abscess and anaphylactic shock, and increases the risk of blood-borne transmission of viruses to patients and health care workers, as well as the community. Recognizing the importance of injection safety, in 2000 the Vietnamese Ministry of Health (MOH collaborated with the Vietnam Nurses Association to launch the “Safe injection” program throughout the country, including Hanoi. Methods: This cross-sectional study, combining quantitative and qualitative analysis, was conducted from February to August 2012 in Ha Dong General Hospital using a structured questionnaire and observation checklist. The target population of the study was 109 nurses working in clinical departments and 436 injections were observed. Results: The percentage of nurses who are familiar with injection safety standards was found to be 82.6%. The proportion of practical injections that met the 23 standards of injection safety set by the MOH amounted to 22.2%. The factors related to safe injection practice of nurses who were younger age group (OR=3.1; p<0.05 and fewer number of years working as a nurse (OR=2.8; p<0.05. Conclusions: While nurses have high level of knowledge about safe injections but a small proportion actually practiced. Experience may not always guarantee safe practices.  Injection safety training should be regularly imparted upon all categories of nurses.

  12. Assessment of injection safety in Ha Dong General Hospital, Hanoi, in 2012 [version 3; referees: 2 approved

    Directory of Open Access Journals (Sweden)

    Phan Van Tuong

    2017-09-01

    Full Text Available Background: Injection is one of the most frequently used medical methods to introduce drugs or other substances into the body for purposes of treatment or prevention. Unsafe injection can cause adverse outcomes, such as abscess and anaphylactic shock, and increases the risk of blood-borne transmission of viruses to patients and health care workers, as well as the community. Recognizing the importance of injection safety, in 2000 the Vietnamese Ministry of Health (MOH collaborated with the Vietnam Nurses Association to launch the “Safe injection” program throughout the country, including Hanoi. Methods: This cross-sectional study, combining quantitative and qualitative analysis, was conducted from February to August 2012 in Ha Dong General Hospital using a structured questionnaire and observation checklist. The target population of the study was 109 nurses working in clinical departments and 436 injections were observed. Results: The percentage of nurses who are familiar with injection safety standards was found to be 82.6%. The proportion of practical injections that met the 23 standards of injection safety set by the MOH amounted to 22.2%. The factors related to safe injection practice of nurses who are younger age group (OR=3.1; p<0.05 and lower amount of working years (OR=2.8; p<0.05. Conclusions: Despite the high level of knowledge about safety injection, a low proportion of nurses performed correct safety injection practice. Moreover, the results demonstrated that experience might not always guarantee better practice. The findings raise the need for further training about this issue, especially among older nurses.

  13. Knowledge, Attitude, Frequency and Level of Consumption Regarding Non-alcoholic Carbonated Soft Drinks among Students from Two High Schools in Hanoi, Vietnam in 2015

    Directory of Open Access Journals (Sweden)

    Nguyen Thanh Ha

    2017-02-01

    Full Text Available Objective: This article aims to describe the knowledge, attitude, frequency and level of consumption regarding non-alcoholic carbonated soft drinks (NCSD among students from two high schools in Hanoi. Materials and Methods: A cross-sectional survey including a semi-quantitative food frequency were conducted with 620 students from two high schools, one in the urban area and the other in the rural area of Hanoi city. Results: Data on knowledge of health risk associated with the consumption of NCSD showed neagtive results (only 11.9% of the students were able to identify all the contents of NCSD correctly, and 2.7% knew all eight health risks due to consumption of NCSD. Besides, 31.4% of all students did not have the intention to quit NCSD despite being aware of health risks associated with the consumption of NCSD. Students who reported consuming NCSD within one month prior to the study constituted 83.1%, and those who consumed NCSD 1–2 times/week accounted for the highest proportion, being 21.3%. On average, each student consumed 2,094 ml NCSD within one month prior to the study. Suburban students and male students consumed more than urban and female ones, respectively (p < 0.01. Recommendations: Students should be equipped with information about NCSD related health risks and encouraged to consume less NCSD.

  14. When you have to climb downhill to reach the top: The effect of action versus state orientation on solving a goal-subgoal conflict in the Tower of Hanoi task

    NARCIS (Netherlands)

    Jostmann, N.B.; Gieselmann, A.

    2014-01-01

    Complex problems often include a response conflict between a subgoal and a final goal. The present experiment investigated the roles of situational demands and individual differences in self-regulation on solving goal-subgoal conflicts in a computerized Tower of Hanoi task. Action-oriented versus

  15. Baja frecuencia de prescripción de profilaxis para osteoporosis en pacientes en tratamiento crónico con corticoides en Colombia Low frequency of prophylaxis prescription for osteoporosis in patients receiving chronic treatment with corticosteroids in Colombia

    Directory of Open Access Journals (Sweden)

    Jorge Machado-Alba

    2013-03-01

    Full Text Available Objetivos. Identificar la frecuencia de uso de medicamentos para prevención de osteoporosis inducida por corticoides (OIC en pacientes que reciben corticoides por un periodo mayor a tres meses y que son afiliados al Sistema General de Seguridad Social en Salud de Colombia. Materiales y métodos. Estudio de tipo transversal. Se utilizó información sobre, las personas afiliadas al Sistema General de Seguridad Social en Salud de Colombia (3,7 millones. Se incluyeron en el trabajo los usuarios de todas las edades y sexos a los cuales se les indicó algún glucocorticoide entre el 1 de agosto y 30 de noviembre de 2011.Se identificaron variables sociodemográficas y las características de prescripción de glucocorticoides y medicamentos para profilaxis de OIC con dosis expresadas en dosis diarias definidas (DDD. Resultados. Se obtuvo una base de datos de 255 568 prescripciones de glucocorticoides, de los cuales 1837 pacientes recibían algún glucocorticoide de manera crónica. Predominaron pacientes de sexo femenino (60,2%, edad promedio de 55,2± 16,9 años distribuidos en 65 ciudades del país. El glucocorticoide más utilizado fue prednisolona en 1546 (84,1%, mientras que el medicamento para profilaxis más prescrito fue calcitriol (67,1%. Se encontraron 994 casos (54,2% que no estaban recibiendo profilaxis para osteoporosis a pesar de requerirlo. Conclusiones. Existe un bajo empleo de profilaxis para OIC. Se recomienda implementar acciones de farmacovigilancia que permitan identificar problemas relacionados con medicamentos para prevenir eventos adversos y optimizar recursos, anticipándose a la aparición de complicaciones para el pacienteObjective. To identify the frequency of drug use for the prevention of corticosteroid induced osteoporosis (CIO among patients using corticosteroids for more than three months affiliated to the General Social Health Security System of Colombia. Materials and methods. Cross-sectional study. Information about

  16. Leishmaniosis laríngea recidivante: un caso inusual en un paciente inmunocompetente tratado con corticoides Recidivant laryngeal leishmaniosis: an unusual case in an immunocompetent patient treated with corticosteroids

    Directory of Open Access Journals (Sweden)

    R. Casero

    2010-06-01

    Full Text Available La leishmaniosis es una parasitosis de evolución crónica; en Argentina, sus agentes etiológicos principales pertenecen al complejo Leishmania (Viannia braziliensis, habitualmente asociado a lesiones cutáneas y mucocutáneas. Informamos en este trabajo un caso de leishmaniosis laríngea en un hombre de 29 años procedente de Jujuy, quien a raíz de múltiples subdiagnósticos portaba esta parasitosis desde hacía 20 años. En el año 2008 este paciente consulta por disfonía crónica y trastornos en las vías aéreas superiores, refiere que fue sometido a terapias con tuberculostáticos, antifúngicos y corticoides desde 2002. Diferentes biopsias y fibroscopías revelaron los siguientes diagnósticos: laringitis granulomatosa inespecífica, laringitis compatible con tuberculosis, laringitis compatible con histoplasmosis, linfoma Natural Killer extraganglionar a células pequeñas. Finalmente, estudios realizados en nuestro hospital demostraron la presencia de una laringe granulomatosa en toda su extensión, amastigotes intra y extracelulares de Leishmania spp., ausencia de formas compatibles con Micobacterias e Histoplasma, y laringitis crónica vinculable a Leishmania spp. El paciente realizó tratamiento con antimoniato de N-metil-glucamina y demostró una muy buena evolución clínica tras ser examinado 2 meses después. Si bien la leishmaniosis laríngea como lesión única no es la presentación prevalente de esta zoonosis, su estudio amerita especial atención en pacientes tratados con corticoides, pues esto evitará un diagnóstico tardío y las mayores consecuencias asociadas a la morbimortalidad propia de esta parasitosis.Leishmaniosis is a chronic parasitic disease, which in Argentina is mainly caused by protozoa belonging to the Leishmania (Viannia braziliensis complex, leading to cutaneous and mucosal pathologies. We report a rare case of laryngeal leishmaniosis in a 29 year-old man from Jujuy province, Argentina, who had been

  17. Influência do corticóide na cicatrização da anastomose traqueal sob tensão em cães Effect of corticoid on the healing of tracheal under tension anastomosis in dogs

    Directory of Open Access Journals (Sweden)

    Carlos Alberto Almeida de Araújo

    2003-01-01

    Full Text Available OBJETIVO: Trabalho com o objetivo de analisar a freqüência e intensidade de estenose traqueal após ressecção e anastomose sob tensão; ação da metilprednisolona como agente profilático da estenose traqueal e a caracterização dos fenômenos da cicatrização com e sem o uso de corticóide. MÉTODOS: Foram utilidados 20 cães mestiços pesando 13± 5 Kg divididos aleatoriamente em dois grupos. No grupo A(n=10 não foi usado corticóide (controle. No grupo B foi usada a metilprednisolona IM na dose 10mg/Kg. Sob anestesia geral com intubação orotraqueal foram ressecados 3 anéis traqueais de todos animais, de modo que a força para aproximação das extremidades da traquéia foi uniformemente de 300gf. Após 30 dias de observação os animais foram tratados com dose letal de anestésico e KCl, quando foi ressecada a traquéia para medida dos diâmetros internos da anastomose e da traquéia normal, com auxílio de paquímetro digital. Na análise histopatológica com as colorações HE e tricrômico de Masson utilizou-se sistema digitalizado para quantificar as estruturas dos tecidos em cicatrização. RESULTADOS: Foi observado maior índice de estenose da traquéia no grupo A que não utilizou corticóide, do que no grupo B, com diferença significante (pOBJECTIVE: The aim of this study is to analyze the incidence and intensity of stenosis in the anastomotic area, after tracheal resection and under tension anastomosis, with the use of methyl-prednisolone as a prophylactic agent of the tracheal stenosis. The wound healing with and without the use of corticoid was analyzed as well. METHODS: The experimental study was done in 20 mongrel dogs weighing 13± 5 Kg randomly separated into two groups. In group A (n=10 corticoid was not used and in the group B (n=10 it was used methyl-prednisolone IM 10mg/Kg. Under general anesthesia with orotracheal intubation, three tracheal rings were ressected from each animal. The force for approach the

  18. High HIV Prevalence and Risk Among Male Clients of Female Sex Workers in Hanoi and Ho Chi Minh City, Vietnam.

    Science.gov (United States)

    Nadol, Patrick; Hoang, Tran Vu; Le, Linh-Vi; Nguyen, Tuan Anh; Kaldor, John; Law, Matthew

    2017-08-01

    In Vietnam's concentrated HIV epidemic, female sex workers (FSWs) are at increased risk for acquiring and transmitting HIV, largely through their male clients. A high proportion of males in Vietnam report being clients of FSWs. Studying HIV-related risk factors and prevalence among male clients is important, particularly given the potential for male clients to be a 'bridge' of HIV transmission to the more general population or to sex workers. Time-location sampling was used to identify FSW in Hanoi and Ho Chi Minh City, Vietnam's largest cities, in 2013-2014. Recruited FSWs were asked to refer one male client to the study. Demographic and risk behavior data were collected from FSWs and male clients by administered questionnaires. Biologic specimens collected from male clients were tested for HIV and opiates. Sampling weights, calculated based on the FSWs probability of being selected for enrolment, were applied to prevalence estimates for both FSWs and male clients. Logistic regression models were developed to obtain odds ratios for HIV infection among male clients. A total of 804 male clients were enrolled. Overall, HIV prevalence among male clients was 10.2%; HIV prevalence was 20.7% (95% confidence interval (CI) 15.0-27.9%) among those reporting a history of illegal drug use and 32.4% (95% CI 20.2-47.7%) among those with opioids detected in urine. HIV prevalence among male clients did not differ across 'bridging' categories defined by condom use with FSWs and regular partners over the previous 6 months. HIV among male clients was associated with a reported history of illegal drug use (OR 3.76; 95% CI 1.87-7.56), current opioid use (OR 2.55; 95% CI 1.02-6.36), and being referred by an FSW who self-reported as HIV-positive (OR 5.37; 95% CI 1.46-19.75). Self-reported HIV prevalence among enrolled FSWs was 2.8%. Based on HIV test results of male clients and self-reported status from FSWs, an estimated 12.1% of male client-FSW pairs were sero-discordant. These

  19. Microbial contamination along the main open wastewater and storm water channel of Hanoi, Vietnam, and potential health risks for urban farmers

    International Nuclear Information System (INIS)

    Fuhrimann, Samuel; Pham-Duc, Phuc; Cissé, Guéladio; Tram, Nguyen Thuy; Thu Ha, Hoang; Dung, Do Trung; Ngoc, Pham; Nguyen-Viet, Hung; Anh Vuong, Tuan; Utzinger, Jürg; Schindler, Christian; Winkler, Mirko S.

    2016-01-01

    The use of wastewater in agriculture and aquaculture has a long tradition throughout Asia. For example, in Hanoi, it creates important livelihood opportunities for > 500,000 farmers in peri-urban communities. Discharge of domestic effluents pollute the water streams with potential pathogenic organisms posing a public health threat to farmers and consumers of wastewater-fed foodstuff. We determined the effectiveness of Hanoi's wastewater conveyance system, placing particular emphasis on the quality of wastewater used in agriculture and aquaculture. Between April and June 2014, a total of 216 water samples were obtained from 24 sampling points and the concentrations of total coliforms (TC), Escherichia coli, Salmonella spp. and helminth eggs determined. Despite applied wastewater treatment, agricultural field irrigation water was heavily contaminated with TC (1.3 × 10"7 colony forming unit (CFU)/100 mL), E. coli (1.1 × 10"6 CFU/100 mL) and Salmonella spp. (108 most probable number (MPN)/100 mL). These values are 110-fold above Vietnamese discharge limits for restricted agriculture and 260-fold above the World Health Organization (WHO)'s tolerable safety limits for unrestricted agriculture. Mean helminth egg concentrations were below WHO tolerable levels in all study systems (< 1 egg/L). Hence, elevated levels of bacterial contamination, but not helminth infections, pose a major health risk for farmers and consumers of wastewater fed-products. We propose a set of control measures that might protect the health of exposed population groups without compromising current urban farming activities. This study presents an important example for sanitation safety planning in a rapidly expanding Asian city and can guide public and private entities working towards Sustainable Development Goal target 6.3, that is to improve water quality by reducing pollution, halving the proportion of untreated wastewater and increasing recycling and safe reuse globally. - Highlights: • We

  20. Studying the effectiveness of activated carbon R95 respirators in reducing the inhalation of combustion by-products in Hanoi, Vietnam: a demonstration study

    Directory of Open Access Journals (Sweden)

    Wertheim Heiman FL

    2012-09-01

    Full Text Available Abstract Background Urban air pollution is an increasing health problem, particularly in Asia, where the combustion of fossil fuels has increased rapidly as a result of industrialization and socio-economic development. The adverse health impacts of urban air pollution are well established, but less is known about effective intervention strategies. In this demonstration study we set out to establish methods to assess whether wearing an R95 activated carbon respirator could reduce intake of polycyclic aromatic hydrocarbons (PAH in street workers in Hanoi, Vietnam. Methods In this demonstration study we performed a cross-over study in which non-smoking participants that worked at least 4 hours per day on the street in Hanoi were randomly allocated to specific respirator wearing sequences for a duration of 2 weeks. Urines were collected after each period, i.e. twice per week, at the end of the working day to measure hydroxy PAHs (OH-PAH using gas chromatography/high resolution mass spectrometry. The primary endpoint was the urinary concentration of 1-hydroxypyrene (1-OHP. Results Forty-four participants (54.5% male, median age 40 years were enrolled with the majority being motorbike taxi drivers (38.6% or street vendors (34.1%. The baseline creatinine corrected urinary level for 1-OHP was much higher than other international comparisons: 1020 ng/g creatinine (IQR: 604–1551. Wearing a R95 mask had no significant effect on 1-OHP levels: estimated multiplicative effect 1.0 (95% CI: 0.92-1.09 or other OH-PAHs, except 1-hydroxynaphthalene (1-OHN: 0.86 (95% CI: 0.11-0.96. Conclusions High levels of urine OH-PAHs were found in Hanoi street workers. No effect was seen on urine OH-PAH levels by wearing R95 particulate respirators in an area of high urban air pollution, except for 1-OHN. A lack of effect may be de to gaseous phase PAHs that were not filtered efficiently by the respirator. The high levels of urinary OH-PAHs found, urges for effective

  1. Microbial contamination along the main open wastewater and storm water channel of Hanoi, Vietnam, and potential health risks for urban farmers

    Energy Technology Data Exchange (ETDEWEB)

    Fuhrimann, Samuel, E-mail: samuel.fuhrimann@unibas.ch [Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel (Switzerland); University of Basel, Basel (Switzerland); Pham-Duc, Phuc [Center for Public Health and Ecosystem Research, Hanoi School of Public Health, Hanoi (Viet Nam); Cissé, Guéladio [Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel (Switzerland); University of Basel, Basel (Switzerland); Tram, Nguyen Thuy; Thu Ha, Hoang [Department of Microbiology, National Institute of Hygiene and Epidemiology, Hanoi (Viet Nam); Dung, Do Trung [Department of Parasitology, National Institute of Malaria, Parasitology, and Entomology, Hanoi (Viet Nam); Ngoc, Pham [Department of Animal Hygiene, National Institute for Veterinary Research, Hanoi (Viet Nam); Nguyen-Viet, Hung [Center for Public Health and Ecosystem Research, Hanoi School of Public Health, Hanoi (Viet Nam); International Livestock Research Institute, Hanoi (Viet Nam); Anh Vuong, Tuan [Department of Microbiology, National Institute of Hygiene and Epidemiology, Hanoi (Viet Nam); Utzinger, Jürg; Schindler, Christian; Winkler, Mirko S. [Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel (Switzerland); University of Basel, Basel (Switzerland)

    2016-10-01

    The use of wastewater in agriculture and aquaculture has a long tradition throughout Asia. For example, in Hanoi, it creates important livelihood opportunities for > 500,000 farmers in peri-urban communities. Discharge of domestic effluents pollute the water streams with potential pathogenic organisms posing a public health threat to farmers and consumers of wastewater-fed foodstuff. We determined the effectiveness of Hanoi's wastewater conveyance system, placing particular emphasis on the quality of wastewater used in agriculture and aquaculture. Between April and June 2014, a total of 216 water samples were obtained from 24 sampling points and the concentrations of total coliforms (TC), Escherichia coli, Salmonella spp. and helminth eggs determined. Despite applied wastewater treatment, agricultural field irrigation water was heavily contaminated with TC (1.3 × 10{sup 7} colony forming unit (CFU)/100 mL), E. coli (1.1 × 10{sup 6} CFU/100 mL) and Salmonella spp. (108 most probable number (MPN)/100 mL). These values are 110-fold above Vietnamese discharge limits for restricted agriculture and 260-fold above the World Health Organization (WHO)'s tolerable safety limits for unrestricted agriculture. Mean helminth egg concentrations were below WHO tolerable levels in all study systems (< 1 egg/L). Hence, elevated levels of bacterial contamination, but not helminth infections, pose a major health risk for farmers and consumers of wastewater fed-products. We propose a set of control measures that might protect the health of exposed population groups without compromising current urban farming activities. This study presents an important example for sanitation safety planning in a rapidly expanding Asian city and can guide public and private entities working towards Sustainable Development Goal target 6.3, that is to improve water quality by reducing pollution, halving the proportion of untreated wastewater and increasing recycling and safe reuse globally

  2. Genotype X/C recombinant (putative genotype I) of hepatitis B virus is rare in Hanoi, Vietnam--genotypes B4 and C1 predominate.

    Science.gov (United States)

    Phung, Thi Bich Thuy; Alestig, Erik; Nguyen, Thanh Liem; Hannoun, Charles; Lindh, Magnus

    2010-08-01

    There are eight known genotypes of hepatitis B virus, A-H, and several subgenotypes, with rather well-defined geographic distributions. HBV genotypes were evaluated in 153 serum samples from Hanoi, Vietnam. Of the 87 samples that could be genotyped, genotype B was found in 67 (77%) and genotype C in 19 (22%). All genotype C strains were of subgenotype C1, and the majority of genotype B strains were B4, while a few were B2. The genotype X/C recombinant strain, identified previously in Swedish patients of indigenous Vietnamese origin, was found in one sample. This variant, proposed to be classified as genotype I, has been found recently also by others in Vietnam and Laos. The current study indicates that the genotype X/C recombinant may represent approximately 1% of the HBV strains circulating in Vietnam. (c) 2010 Wiley-Liss, Inc.

  3. Social Support as a Key Protective Factor against Depression in HIV-Infected Patients: Report from large HIV clinics in Hanoi, Vietnam.

    Science.gov (United States)

    Matsumoto, Shoko; Yamaoka, Kazue; Takahashi, Kenzo; Tanuma, Junko; Mizushima, Daisuke; Do, Cuong Duy; Nguyen, Dung Thi; Nguyen, Hoai Dung Thi; Nguyen, Kinh Van; Oka, Shinichi

    2017-11-14

    Depression is the most common mental health issue among people living with HIV/AIDS (PLWHA). This study explored how different types and sources of social support are associated with depression among HIV-infected patients in Vietnam. We carried out a cross-sectional survey on 1,503 HIV-infected patients receiving antiretroviral therapy at two HIV clinics in Hanoi in 2016. Depression was prevalent in 26.2% of participants. Higher score of social support, especially emotional/informational support and positive social interaction, showed significant association with lower depression rate. Although family was primary source of all types of social support, receiving emotional/informational support not only from family but also from outside of family correlated with a lower proportion of depression. In countries with constrained social resources and/or with family-oriented social structures, as in Vietnam, expanding social networks between HIV populations and society is a potentially important option for reducing depression.

  4. Contamination by arsenic and other trace elements in tube-well water and its risk assessment to humans in Hanoi, Vietnam

    International Nuclear Information System (INIS)

    Agusa, Tetsuro; Kunito, Takashi; Fujihara, Junko; Kubota, Reiji; Minh, Tu Binh; Kim Trang, Pham Thi; Iwata, Hisato; Subramanian, Annamalai; Viet, Pham Hung; Tanabe, Shinsuke

    2006-01-01

    Concentrations of As and other trace elements and their association were examined in groundwater (n=25) and human hair (n=59) collected at Gia Lam District and Thanh Tri District, suburban areas of Hanoi, Vietnam, in September 2001. Concentrations of As in the groundwater ranged from <0.10 to 330 μg/l, with about 40% of these exceeding WHO drinking water guideline of 10 μg/l. Also, 76% and 12% of groundwater samples had higher concentrations of Mn and Ba than WHO drinking water guidelines, respectively. Arsenic concentrations in hair of residents in Gia Lam and Thanh Tri Districts (range 0.088-2.77 μg/g dry wt.) were lower than those in other As-contaminated areas of the world, but were higher than those of people in non-contaminated areas. Concentrations of As and Mn in hair of some individuals from the Gia Lam and Thanh Tri Districts exceeded the level associated with their toxicity and, therefore, a potential health risk of As and Mn is a concern for the people consuming the contaminated water in this area. Cumulative As exposure was estimated to be lower than the threshold levels at the present, which might explain the absence of manifestations of chronic As poisoning and arsenicosis in the residents of Gia Lam and Thanh Tri Districts. To our knowledge, this study revealed for the first time that the residents are exposed not only to As but also Mn and Ba from groundwater in the Red River Delta, Vietnam. - High concentrations of arsenic, manganese and barium were found in tube-well water and human hair in suburban areas of Hanoi, Vietnam

  5. Knowledge, attitude, and practice on and willingness to pay for human papillomavirus vaccine: a cross-sectional study in Hanoi, Vietnam.

    Science.gov (United States)

    Tran, Bach Xuan; Than, Phung Tat Quoc; Doan, Tien Thuy Ngoc; Nguyen, Huong Lan Thi; Thi Mai, Hue; Nguyen, Trang Huyen Thi; Le, Huong Thi; Latkin, Carl A; Zhang, Melvyn Wb; Ho, Roger Cm

    2018-01-01

    Despite its effectiveness in preventing human papillomavirus (HPV) infection, the rate of uptake of the HPV vaccine is low in Vietnam. This study aimed to investigate barriers related to knowledge-attitude-practice (KAP) about the HPV vaccine and willingness to pay (WTP) for the vaccine among those using services in an urban vaccination clinic in Hanoi, Vietnam. A cross-sectional study was conducted in a vaccination clinic of the Institute for Preventive Medicine and Public Health in Hanoi, Vietnam, from March to April 2016. KAP on the HPV vaccine was collected using a structured questionnaire. Double-bounded dichotomous-choice questions with open-ended questions were used to examine the WTP of respondents. Interval regression and stepwise logistic models were used to identify factors associated with WTP and the average amount that people would be willing to pay for the vaccine. Of 492 vaccination service users, 67.9%, 94.6%, and 12.3% of respondents were aware of the best age for HPV vaccination, its benefits, and the target group for vaccination, respectively. While the majority believed that the HPV vaccine was safe (92.8%) and effective (90.8%), and desired to be vaccinated (71.1%), only 31.8% of users were vaccinated. Most of the respondents were willing to pay for the HPV vaccine (86.6%), and willing to pay an average amount of US$49.3. Those aged 20-29 years and earning more than 22 million VND/month (very rich) were more likely to pay for the HPV vaccine than people aged pay for the vaccine at a lower price than individuals with below secondary-level education and who had not heard about the vaccine from these health professionals. Sexual health education and financial assistance should be imparted alongside the HPV vaccination program.

  6. Study to master "1"8F-FDG radiopharmaceutical production process by Korean Cyclotron KOTRONS 13 MeV at Hanoi Irradiation Center

    International Nuclear Information System (INIS)

    Nguyen Quang Anh; Tran Manh Thang; Dam Thi Tam; Mai Van Vinh

    2016-01-01

    A PET Cyclotron center is built in Hanoi Irradiation Center (HIC), VINATOM and expectation put in operation in the middle of 2016. Three main processes in "1"8F-FDG synthesis general process of Samyoung Unitech synthesizer module were studied as: effect of time to water removal process, effect of time to nucleophilic substitution reaction, and effect of temperature and time to hydrolysis process. The optimum parameters are collected and re-installed for "1"8F-FDG synthesizer module to achieve highest yield. The human resource was trained basic to advanced theoretical and practical training programs of 18F-FDG Radiopharmaceutical Production by Vietnamese and Korean senior experts in HICs facility for this project. After training courses, the human resource is able to produce and quality control "1"8F-FDG Radiopharmaceutical in different modules and quality control systems such as GE-MX (GE), Synthera (IBA), and Samyoung Unitech (SYU). "1"8F-FDG Radiopharmaceutical was produced in HIC achieves British Pharmacopeia (BP) standards and tested in animals. Animal PET/CT scanner images show clearly distribution of FDG according to physiological characters. Besides, this project were establishing "1"8F-FDG Radiopharmaceutical Production Process by cyclotron KOTRONS13 and Samyoung Unitech synthesizer module and Quality Assurance, Quality Control Process attain BP standards at Hanoi Irradiation Center; and establishing the training documents for practical production human resource training, "1"8F-FDG radiopharmaceutical Quality Assurance Process, Quality Control Process which attain BP standards. (author)

  7. Overnight metyrapone test by plasma corticoid radioassay

    International Nuclear Information System (INIS)

    Kato, Tatsuo; Tanaka, Takashi; Araki, Yoshitaka; Kashima, Masaaki.

    1975-01-01

    The measurement of total corticosteroid (cs) and 11-deoxycorticosteroid (deoxy cs) in serum by radioassay after overnight metyrapone test was discussed. 750 mg. (15 mg./kg. weight) of metyrapone was administered at 8 and 12 p.m. and at 4 a.m., and blood was taken at 9 a.m. on the second day to determine the total cs, and the deoxy cs by radioassay. The total cs level in normal human serum is 11.3 to 29.5 μg/dl and the deoxy cs level is 10.4 to 23.0 μg/dl. Determination of the total cs level in serum revealed that cases with less than 6 μg/dl total cs showed apparent reduction of ACTH secretion ability in the pituitary, cases of 6 to 10 μg/dl of total cs required more study of the clinical symptoms and examinations for diagnosis. Gases of less than 8 μg/dl total cs suggested that the pituitary and the adrenal cortical system might be inhibited. In patients with Cushing syndrome, cases of tumor revealed no increase of the total cs level while cases of bilateral proliferation showed remarkable increase of the level. Since metyrapone was administered during the sleeping time, side effects such as vertigo, nausea, depression of the blood pressure and so on were relieved. (Kanao, N.)

  8. A description of teaching methods using an on-site instructor versus a distant site instructor to train laryngoscopy to medical students in Hanoi, Vietnam, from Omaha, Nebraska, by video communication.

    Science.gov (United States)

    Zeger, Wesley G; Branecki, Chad E; Nguyen, Thang T; Hall, Todd; Boedeker, Ben; Boedeker, David; Wadman, Michael C

    2015-12-01

    This study demonstrated a method to train medical students at Hanoi Medical School in airway management from Omaha, Nebraska, using tele-mentoring techniques. Correct placement of the endotracheal tube was documented by tele-broncoscopy following intubation. This technology may increase medical training capabilities in remote or developing areas of the world. Medical care delivery could be performed using this technology by tele-mentoring a lesser trained medical provider at a distant site enabling them to accomplish complex medical tasks.

  9. Social marketing of low dead space syringes in Vietnam: findings from a 1-year pilot program in Hanoi, Thai Nguyen, and Ho Chi Minh City.

    Science.gov (United States)

    Huong, Ngo Thi Thanh; Mundy, Gary; Neukom, Josselyn; Zule, William; Tuan, Nguyen Minh; Tam, Nguyen Minh

    2015-05-30

    Although a growing body of evidence suggests that low dead space syringes may reduce the risk of human immunodeficiency virus (HIV) and Hepatitis C virus infection associated with sharing syringes among people who inject drugs, there is little evidence of effective approaches to motivate people who inject drugs (PWID) to shift from high to low dead space syringes. Using a mix of consumer and trade marketing approaches, informed by rapid assessments of both the syringe market and PWID preferences, practices, and behaviors in Hanoi and Ho Chi Minh City, Population Services International (PSI) Vietnam piloted an intervention to increase the use of low dead space syringes (LDSS) in the three provinces of Hanoi, Ho Chi Minh City, and Thai Nguyen, where an estimated 31% of PWID are HIV positive and 58% are living with hepatitis C virus (HCV). This paper provides a summary of the social marketing activities implemented and results achieved by PSI Vietnam during an initial 1-year pilot period from December 2012 to December 2013 in these three provinces to explore their effectiveness in motivating PWID to use low dead space syringes. We found major increases in sales of LDSS accompanied by increases in reported use and consistent use of LDSS among PWID in the three provinces included in the pilot program and a positive and independent association (odds ratio (OR) 21.08; 95% confidence interval (CI) 10.6-27.3) between LDSS use and exposure to social marketing activities. We also found that LDSS use had a stronger association with perceptions of LDSS product quality than with perceptions regarding LDSS potential to reduce HIV transmission risk and use. We conclude that social marketing interventions have an important role to play in widening access to and the use of LDSS for PWID, as they address the need for PWID to find LDSS when and where they need them and also promote the benefits of LDSS use to PWID. High coverage of these activities among PWID appears to be the key in

  10. Persistent organochlorine residues in human breast milk from Hanoi and Hochiminh City, Vietnam contamination, accumulation kinetics and risk assessment for infants

    International Nuclear Information System (INIS)

    Minh, Nguyen Hung; Someya, Masayuki; Minh, Tu Binh; Kunisue, Tatsuya; Iwata, Hisato; Watanabe, Mafumi; Tanabe, Shinsuke; Viet, Pham Hung; Tuyen, Bui Cach

    2004-01-01

    Despite the ban on persistent organochlorines (OCs) in most of the developed nations, their usage continued until recently in many Asian developing countries including Vietnam, for agricultural purposes and vector-borne disease eradication programs. In this study, we collected human breast milk samples from the two big cities in Vietnam: Hanoi (n=42) and Hochiminh (n=44) and determined the concentrations of persistent OCs such as PCBs, DDT and its metabolites (DDTs), hexachlorocyclohexanes (HCHs), hexachlorobenzene (HCB), chlordane compounds (CHLs) and tris-4-chlorophenyl-methane (TCPMe). The contamination pattern of OCs was in the order of DDTs > PCBs > HCHs > CHLs∼HCB∼TCPMe. Compilation of available data indicated that DDT residue levels in human breast milk from Vietnam were among the highest values reported for Asian developing countries as well as developed nations. This result suggests recent usage of DDTs in both north and south Vietnam. Interestingly, in both cities, the p,p'-DDT portion was higher in multiparas than those in primiparas. Considering the fact that the interval between the first and the second child of a mother in Vietnam is usually short, this result probably indicates continuous intake of DDTs in the population. Analysis of infant exposure to DDTs via breast milk suggested that the daily intake rates for number of individuals are close to or above the threshold for adverse effects which may raise concern on children health. - It is suggested that daily intake rates of persistent organochlorines in mothers in Vietnam may result in health risk for nursing children

  11. Correlates of HIV-1 viral suppression in a cohort of HIV-positive drug users receiving antiretroviral therapy in Hanoi, Vietnam

    Science.gov (United States)

    Jordan, Michael R; La, Hanh; Nguyen, Hien Duc; Sheehan, Heidi; Lien, Trinh Thi Minh; Van Dang, Duong; Hellinger, James; Wanke, Christine; Tang, Alice M

    2009-01-01

    Summary Injection drug users bear the burden of HIV in Vietnam and are a focus of national treatment programs. To date, determinants of successful therapy in this population are unknown. Substance use and clinical correlates of viral suppression were studied in 100 HIV-1 infected drug users receiving antiretroviral therapy (ART) for at least 6 months in Hanoi, Vietnam. Mean age of the cohort was 29.9 + 4.9 years; all were men. A majority of patients (73%) achieved viral suppression (HIV-RNA 95% adherence (p<0.01) and current use of trimethoprim/sulfamethoxazole (p<0.01); current or ever diagnosed with tuberculosis was associated with viral non-suppression (p=0.006). Tobacco use was prevalent (84%), and surprisingly 48% of patients reported active drug use; neither was associated with viral non-suppression. This is the first study to document successful ART treatment in a population of Vietnamese drug users; rates of viral suppression are comparable to other international populations. The 28% of patients without HIV-1 suppression highlights the need for adherence promotion, risk reduction programs, and population based surveillance strategies for assessing the emergence of HIV drug resistance in settings where access to viral load and drug resistance testing is limited. PMID:19451329

  12. Van Quan new town in Hanoi and its socio-economic impacts on the four surrounding villages - towards a more sustainable urban development

    Science.gov (United States)

    Nguyen, Quang Minh; Doan, The Trung; Tran, Minh Tung; Nguyen, Manh Tri; Hoa Ta, Quynh

    2018-04-01

    Developed by Housing and Urban Development Corporation (HUD) over a decade ago as one of the pioneering and modelling urban housing projects in Hanoi, Van Quan new town can be regarded as a fairly successful scheme, because it provides people with a better living quality than most of the other new residential quarters planned and built at the same time, and even afterwards. However, the success would be greater, if the project developer paid due attention to some socio-economic aspects of mass housing construction - such as income, education, healthcare and social interaction as well as communication - in one of the city’s fastest-growing and most typical areas characterised with the presence of traditional old villages where a rich rural culture can still be found and should be conserved in the rapid urbanisation and modernisation. Van Quan makes an even more remarkable case study, because there are four villages connected to the site with both similar and different features, rather than the other new towns with only one or two villages nearby. The research results drawn and the lessons learnt from Van Quan will be useful for other projects, as far as a harmony and a sustainable development between the old and the new factors are concerned.

  13. Corticoide sistêmico como tratamento de primeira linha da hipertensão pulmonar secundária a síndrome POEMS Systemic corticosteroids as first-line treatment in pulmonary hypertension associated with POEMS syndrome

    Directory of Open Access Journals (Sweden)

    Samia Rached

    2009-08-01

    Full Text Available A síndrome POEMS é uma rara doença de plasmócitos. A ocorrência de hipertensão pulmonar como complicação respiratória da síndrome é pouco frequente e pode estar ligada ao aumento de várias citocinas, quimiocinas e fatores de crescimento como parte dos fenômenos inflamatórios que cercam a fisiopatologia da síndrome POEMS. Descrevemos o caso de uma mulher de 54 anos com síndrome POEMS e hipertensão pulmonar, que foi tratada com corticoide como terapia de primeira linha. Tratava-se de uma paciente com clássicos sintomas dessa síndrome: polineuropatia (confirmada por eletroneuromiografia, organomegalia, hipotireoidismo subclínico, gamopatia monoclonal em dosagem urinária e alterações cutâneas. A cateterização cardíaca direita revelou pressão arterial pulmonar média de 48 mmHg, débito cardíaco de 4,1 L/min e resistência vascular pulmonar de 8,05 Woods. O nível sérico de brain natriuretic peptide (BNP foi de 150 pg/mL. Nenhuma outra doença foi encontrada durante investigação. Prednisona (1 mg/kg por três meses foi iniciada, com dramática melhora clínica e funcional, além de normalização dos níveis dos hormônios tireoidianos e de proteína em urina por eletroforese. A pressão arterial pulmonar média caiu para 26 mmHg, o débito cardíaco para 3,8 L/min e a resistência vascular pulmonar para 2,89 Woods. O nível sérico de BNP caiu para 8pg/mL. Nossos achados indicam o potencial papel da corticoterapia como primeira linha de tratamento na hipertensão pulmonar associada à síndrome POEMS. Diante da raridade dessa apresentação, um registro multicêntrico deveria ser desenvolvido para permitir a aquisição de mais dados que suportem essa conduta.The POEMS syndrome is a rare plasma cell disease. Pulmonary hypertension is an infrequent respiratory complication of this syndrome and might be associated with increased levels of various cytokines, chemokines and growth factors as part of the inflammatory

  14. Protocol for hospital based-surveillance of cerebral palsy (CP) in Hanoi using the Paediatric Active Enhanced Disease Surveillance mechanism (PAEDS-Vietnam): a study towards developing hospital-based disease surveillance in Vietnam.

    Science.gov (United States)

    Khandaker, Gulam; Van Bang, Nguyen; Dũng, Trịnh Quang; Giang, Nguyen Thi Huong; Chau, Cao Minh; Van Anh, Nguyen Thi; Van Thuong, Nguyen; Badawi, Nadia; Elliott, Elizabeth J

    2017-11-09

    The epidemiology, pathogenesis, management and outcomes of cerebral palsy (CP) in low-income and middle-income countries including Vietnam are unknown because of the lack of mechanisms for standardised collection of data. In this paper, we outline the protocol for developing a hospital-based surveillance system modelled on the Paediatric Active Enhanced Disease Surveillance (PAEDS) system in Australia. Using PAEDS-Vietnam we will define the aetiology, motor function and its severity, associated impairments, and nutritional and rehabilitation status of children with CP in Hanoi, Vietnam. These essential baseline data will inform future health service planning, health professional education and training, and family support. This is a hospital-based prospective surveillance of children with CP presenting to the rehabilitation, neurology and general paediatric services at the National Children's Hospital and St Paul Hospital in Hanoi. We will use active, prospective daily case-finding for all children with CP aged CP, known risk factors for CP, and nutrition, immunisation, education and rehabilitation status. This study was approved by the Hanoi Medical University Institutional Review Board (decision no 1722) and The University of Sydney Human Research Ethics Committee (approval no 2016/456). Establishment of PAEDS-Vietnam will enable hospital-based surveillance of CP for the first time in Vietnam. It will identify preventable causes of CP, patient needs and service gaps, and facilitate early diagnosis and intervention. Study findings will be disseminated through local and international conferences and peer-reviewed publications. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  15. Incidence of AIDS-Defining Opportunistic Infections and Mortality during Antiretroviral Therapy in a Cohort of Adult HIV-Infected Individuals in Hanoi, 2007-2014.

    Directory of Open Access Journals (Sweden)

    Junko Tanuma

    Full Text Available Although the prognosis for HIV-infected individuals has improved after antiretroviral therapy (ART scale-up, limited data exist on the incidence of AIDS-defining opportunistic infections (ADIs and mortality during ART in resource-limited settings.HIV-infected adults in two large hospitals in urban Hanoi were enrolled to the prospective cohort, from October 2007 through December 2013. Those who started ART less than one year before enrollment were assigned to the survival analysis. Data on ART history and ADIs were collected retrospectively at enrollment and followed-up prospectively until April 2014.Of 2,070 cohort participants, 1,197 were eligible for analysis and provided 3,446 person-years (PYs of being on ART. Overall, 161 ADIs episodes were noted at a median of 3.20 months after ART initiation (range 0.03-75.8 with an incidence 46.7/1,000 PYs (95% confidence interval [CI] 39.8-54.5. The most common ADI was tuberculosis with an incidence of 29.9/1,000 PYs. Mortality after ART initiation was 8.68/1,000 PYs and 45% (19/45 died of AIDS-related illnesses. Age over 50 years at ART initiation was significantly associated with shorter survival after controlling for baseline CD4 count, but neither having injection drug use (IDU history nor previous ADIs were associated with poor survival. Semi-competing risks analysis in 951 patients without ADIs history prior to ART showed those who developed ADIs after starting ART were at higher risk of death in the first six months than after six months.ADIs were not rare in spite of being on effective ART. Age over 50 years, but not IDU history, was associated with shorter survival in the cohort. This study provides in-depth data on the prognosis of patients on ART in Vietnam during the first decade of ART scale-up.

  16. Isolation and Characterization of Avian Influenza Viruses, Including Highly Pathogenic H5N1, from Poultry in Live Bird Markets in Hanoi, Vietnam, in 2001

    Science.gov (United States)

    Nguyen, Doan C.; Uyeki, Timothy M.; Jadhao, Samadhan; Maines, Taronna; Shaw, Michael; Matsuoka, Yumiko; Smith, Catherine; Rowe, Thomas; Lu, Xiuhua; Hall, Henrietta; Xu, Xiyan; Balish, Amanda; Klimov, Alexander; Tumpey, Terrence M.; Swayne, David E.; Huynh, Lien P. T.; Nghiem, Ha K.; Nguyen, Hanh H. T.; Hoang, Long T.; Cox, Nancy J.; Katz, Jacqueline M.

    2005-01-01

    Since 1997, outbreaks of highly pathogenic (HP) H5N1 and circulation of H9N2 viruses among domestic poultry in Asia have posed a threat to public health. To better understand the extent of transmission of avian influenza viruses (AIV) to humans in Asia, we conducted a cross-sectional virologic study in live bird markets (LBM) in Hanoi, Vietnam, in October 2001. Specimens from 189 birds and 18 environmental samples were collected at 10 LBM. Four influenza A viruses of the H4N6 (n = 1), H5N2 (n = 1), and H9N3 (n = 2) subtypes were isolated from healthy ducks for an isolation frequency of over 30% from this species. Two H5N1 viruses were isolated from healthy geese. The hemagglutinin (HA) genes of these H5N1 viruses possessed multiple basic amino acid motifs at the cleavage site, were HP for experimentally infected chickens, and were thus characterized as HP AIV. These HA genes shared high amino acid identities with genes of other H5N1 viruses isolated in Asia during this period, but they were genetically distinct from those of H5N1 viruses isolated from poultry and humans in Vietnam during the early 2004 outbreaks. These viruses were not highly virulent for experimentally infected ducks, mice, or ferrets. These results establish that HP H5N1 viruses with properties similar to viruses isolated in Hong Kong and mainland China circulated in Vietnam as early as 2001, suggest a common source for H5N1 viruses circulating in these Asian countries, and provide a framework to better understand the recent widespread emergence of HP H5N1 viruses in Asia. PMID:15767421

  17. Parent-youth communication and concordance between parents and adolescents on reported engagement in social relationships and sexually intimate behaviors in Hanoi and Khanh Hoa Province, Vietnam.

    Science.gov (United States)

    Kaljee, Linda M; Green, Mackenzie; Lerdboon, Porntip; Riel, Rosemary; Pham, Van; Tho, Le Huu; Ha, Nguyen T; Minh, Truong Tan; Li, Xiaoming; Chen, Xinguang; Stanton, Bonita

    2011-03-01

    Parent-child communication is associated with positive outcomes for youths' engagement in sexual behaviors. Limited data are available regarding parent-child communication in transitional countries. We present data from Vietnamese parent-youth dyads on parent reproductive health (RH) knowledge, comfort of communication, frequency of talk, and discordancy between youths' reported and parents' perceptions for engagement in relationships and sexually intimate behaviors. The cohort included 185 randomly selected parent-youth dyads in four communes in Hanoi and Khanh Hoa Province. Descriptive and comparative analysis included chi-squared tests, independent samples t-tests, and ANOVA. Linear regression analysis was used to assess relationships between parental knowledge, level of comfort, frequency of talk, and discordancy. Seventy-six percent of parents and 44% of youth were female. The mean age of youth was 17.2 years. The mean score for parental "RH knowledge" was 24.74 (SD, 3.84; range, 15-34). Lower parental RH knowledge was positively associated with lower levels of education (F = 2.983; df, 184; p = .014). Data indicate a linear model in which knowledge is related to "comfort" (β = .17; p = .048), and "comfort" to frequency of "talk" (β = .6; p sexual touching (β = .57; p = .60). Parent and youth in Vietnam are engaged in limited communication about RH. There is a need for more data to assess the effect of these communication patterns on youths' engagement in sexual behaviors and for development of family-centered interventions to increase parental knowledge and skills for positive communication. Copyright © 2011 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  18. Assessment of Tangible Direct Flood Damage Using a Spatial Analysis Approach under the Effects of Climate Change: Case Study in an Urban Watershed in Hanoi, Vietnam

    Directory of Open Access Journals (Sweden)

    Mohamed Kefi

    2018-01-01

    Full Text Available Due to climate change, the frequency and intensity of Hydro-Meteorological disasters, such as floods, are increasing. Therefore, the main purpose of this work is to assess tangible future flood damage in the urban watershed of the To Lich River in Hanoi, Vietnam. An approach based on spatial analysis, which requires the integration of several types of data related to flood characteristics that include depth, in particular, land-use classes, property values, and damage rates, is applied for the analysis. To simulate the future scenarios of flooding, the effects of climate change and land-use changes are estimated for 2030. Additionally, two scenarios based on the implementation of flood control measures are analyzed to demonstrate the effect of adaptation strategies. The findings show that climate change combined with the expansion of built-up areas increases the vulnerability of urban areas to flooding and economic damage. The results also reveal that the impacts of climate change will increase the total damage from floods by 26%. However, appropriate flood mitigation will be helpful in reducing the impacts of losses from floods by approximately 8% with the restoration of lakes and by approximately 29% with the implementation of water-sensitive urban design (WSUD. This study will be useful in helping to identify and map flood-prone areas at local and regional scales, which can lead to the detection and prioritization of exposed areas for appropriate countermeasures in a timely manner. In addition, the quantification of flood damage can be an important indicator to enhance the awareness of local decision-makers on improving the efficiency of regional flood risk reduction strategies.

  19. UTILIZATION OF HEALTH CARE SERVICES AMONG INTERNAL MIGRANTS IN HANOI AND ITS CORRELATION WITH HEALTH INSURANCE: A CROSS-SECTIONAL STUDY.

    Science.gov (United States)

    Le, Anh Thi Kim; Vu, Lan Hoang; Schelling, Esther

    2015-12-01

    Economic transition ( DoiMoi ) in the 1980s in Viet Nam has led to internal migration, particularly rural-to-urban migration. Many studies suggested that there is a difference between non-migrants and migrants in using health care services. Current studies have mostly focused on migrants working in industrial zones (IZs) but migrants working in private small enterprises (PSEs) and seasonal migrants seem to be ignored. However, these two groups of migrants are more vulnerable in health care access than others because they usually work without labor contracts and have no health insurance. The study aims to compare the utilization of health care services and explore its correlated factors among these three groups. This cross-sectional study included 1800 non-migrants and migrants aged 18-55 who were selected through stratified sampling in Long Bien and Ba Dinh districts, Hanoi. These study sites consist of large industrial zones and many slums where most seasonal migrants live in. A structured questionnaire was used to collect information on health service utilization in the last 6 months before the study. Utilization of heath care services was identified as "an ill person who goes to health care centers to seek any treatment (i.e. both private and public health care centers)". 644 of 1800 participants reported having a health problem in the last 6 months before the study. Among these 644 people, 335 people used health care services. The percentage of non-migrants using health care service was the highest (67.6%), followed by migrants working in IZ (53.7%), migrants working in PSE (44%), and seasonal migrants (42%). Multivariate logistic regression showed migrants, especially seasonal migrants and migrants working in PSE, were less likely to use health care services (OR=0.35, p=0.016 and 0.38, p= 0.004, respectively), compared to non-migrants. The study also found that having no health insurance was a risk factor of the utilization (OR=0.29, pincome were not related

  20. Experimental investigation and modelling approach of the impact of urban wastewater on a tropical river; a case study of the Nhue River, Hanoi, Viet Nam

    Science.gov (United States)

    Duc, Trinh Anh; Vachaud, Georges; Bonnet, Marie Paule; Prieur, Nicolas; Loi, Vu Duc; Anh, Le Lan

    2007-02-01

    SummaryAnalyses of water quality and flow regime in combination with laboratory studies and ecological modelling were used to assess the water quality impact of pollution from to To Lich River that drains through Hanoi City and greatly contaminates the Nhue River. With an average discharge of 26.2 m 3/s, the Nhue River receives about 5.8 m 3/s of untreated domestic water from the city's main open-air-sewer - the To Lich River. The studies during 2002-2003 showed high concentrations of BOD (70 mg O 2/l), DOC (15 mg C/l), coliform (2.4e 6 MNP/100 ml), total phosphorus (3.5 mg P/l), and total nitrogen (31.6 mg N/l) in the To Lich, while DO level was less than 1 mg O 2/l. Such high loads of untreated wastewater impacted water quality in the Nhue River where DO decreased at times to as low as 1 mg O 2/l. The accumulation of particulate organic matter and micro-organisms in the sediments of the Nhue represented substantial sources of nutrients and sinks for DO. They are also considerable production of dissolved carbon dioxide at concentrations up to two orders of magnitude higher than pressure. Such pressures ( EpCO 2) are expected in polluted environments, but the results presented here are new for Vietnam and much of developing countries. A number of factors linked to field monitoring and laboratory measurements clearly indicate the importance of autotrophic over heterotrophic biological processes and sediments. An ecological model for management purposes has been developed that reliably estimates of the pollutant loads. An opportunity was taken to examine the changing impacts and processes when the To Lich was diverted from the Nhue. The monitoring and modelling of this opportunity showed low dissolved oxygen levels even if the impact from the To Lich was lessened. Alternatives are proposed to alleviate problems of water quality in the Nhue. It is concluded that the treatment of the To Lich River's water is highly recommended; otherwise a reduction to one third of

  1. When you have to climb downhill to reach the top: the effect of action versus state orientation on solvinga goal-subgoal conflict in the Tower of Hanoi task.

    Science.gov (United States)

    Jostmann, Nils B; Gieselmann, Annika

    2014-01-01

    Complex problems often include a response conflict between a subgoal and a final goal. The present experiment investigated the roles of situational demands and individual differences in self-regulation on solving goal-subgoal conflicts in a computerized Tower of Hanoi task. Action-oriented versus state-oriented individuals were randomly assigned to a demanding condition in which they deliberated about a personal decision problem, or to a nondemanding control condition. In line with expectations state-oriented individuals had greater difficulties to solve goal-subgoal conflicts in the demanding compared to the nondemanding condition. Action-oriented individuals performed well in both conditions. In line with Personality Systems Interactions theory (Kuhl, 2000) the findings show that complex problem solving depends on how well people are able to deal with situational demands.

  2. A deficit in optimizing task solution but robust and well-retained speed and accuracy gains in complex skill acquisition in Parkinson׳s disease: multi-session training on the Tower of Hanoi Puzzle.

    Science.gov (United States)

    Vakil, Eli; Hassin-Baer, Sharon; Karni, Avi

    2014-05-01

    There are inconsistent results in the research literature relating to whether a procedural memory dysfunction exists as a core deficit in Parkinson׳s disease (PD). To address this issue, we examined the acquisition and long-term retention of a cognitive skill in patients with moderately severe PD. To this end, we used a computerized version of the Tower of Hanoi Puzzle. Sixteen patients with PD (11 males, age 60.9±10.26 years, education 13.8±3.5 years, disease duration 8.6±4.7 years, UPDRS III "On" score 16±5.3) were compared with 20 healthy individuals matched for age, gender, education and MMSE scores. The patients were assessed while taking their anti-Parkinsonian medication. All participants underwent three consecutive practice sessions, 24-48h apart, and a retention-test session six months later. A computerized version of the Tower of Hanoi Puzzle, with four disks, was used for training. Participants completed the task 18 times in each session. Number of moves (Nom) to solution, and time per move (Tpm), were used as measures of acquisition and retention of the learned skill. Robust learning, a significant reduction in Nom and a concurrent decrease in Tpm, were found across all three training sessions, in both groups. Moreover, both patients and controls showed significant savings for both measures at six months post-training. However, while their Tpm was no slower than that of controls, patients with PD required more Nom (in 3rd and 4th sessions) and tended to stabilize on less-than-optimal solutions. The results do not support the notion of a core deficit in gaining speed (fluency) or generating procedural memory in PD. However, PD patients settled on less-than-optimal solutions of the task, i.e., less efficient task solving process. The results are consistent with animal studies of the effects of dopamine depletion on task exploration. Thus, patients with PD may have a problem in exploring for optimal task solution rather than in skill acquisition and

  3. Beijing, Hanoi, and the Struggle for Indochina.

    Science.gov (United States)

    1986-01-01

    secretary Truong Chinh visited Moscow, where the two sides reported "total unanimity" on issues relating 40 to domestic and foreign affairs. At the...the United States led Party leaders to seek and proclaim a direct relationship with the heroic figures of the past, from the Trung cisters to Tran ...spokesmen such as General Le Duc Anh who contend that history, geography, and the Marxist "iron law"of history have created a "revolutionary law" that

  4. Opportunities for farmers: 'Safe' vegetables for Hanoi

    NARCIS (Netherlands)

    Wijk, van M.S.; Huu Cuong, T.; Nguyen Anh Tru,; Pham Van Hoi,

    2005-01-01

    Vietnamese boeren gebruiken voor de intensieve groententeelt veel verschillende pesticiden, waaronder zeer gevaarlijke. Nieuwe, winstgevende markten zijn een stimulans om over te gaan op meer duurzame productie. Het huidige marketing systeem maakt het moeilijk een 100 procent waterdichte "veilige"

  5. Towards integrated urban and horticultural planning in Hanoi and Nanjing

    NARCIS (Netherlands)

    Berg, van den L.; Xiaoping, S.; Kamphuis, B.M.

    2006-01-01

    In an international and interdisciplinary research project, partly funded by the European Union, the possibilities were explored of having specialized horticultural production around East Asian cities benefit from urban growth. Anywhere in the world, farmers around cities have to cope with two

  6. On ANENT WEB portal: A quick view from Hanoi

    International Nuclear Information System (INIS)

    Phung Van Duan

    2005-01-01

    To set up a WEB-portal is one of the contents of an important activity of the Asian Network for Education in Nuclear Technology (ANENT). The web portal is directly connected with the other activities of ANENT. The first version of the web portal was prepared in time. It reflects the activities of ANENT as well as the important events and activities of IAEA. The NET DB can already serve as an official source for starting and developing many ANENT activities. Nevertheless, the compilation would be more valuable if it is enriched with additional information on material for Nuclear Technology Education, on activities of the ANENT member-institutions in field of Nuclear Education and so on. It would be desirable to intensify linkage for the purpose of effective exploration of the available information of the ANENT member-institutions as well as exploration of the other related web sites such as the one of ENEN and so on. To upgrade the web-portal and to diversify it might be one of the essential tasks for development of the web-portal. Developing the web-portal might simultaneously mean equipping it with the reference curricula and appropriate contents of the necessary courses for all forms of learning in nuclear fields which are commonly acceptable in ANENT. So, for development of the web-portal for ANENT, it would be also necessary to accelerate implementation of the other ANENT Activities, especially Activity 4 establishment of reference curricula and facilitating credit transfer and mutual recognition of degrees

  7. Hanoi and the American War: Two International Histories

    Directory of Open Access Journals (Sweden)

    Geoffrey C. Stewart

    2014-03-01

    Full Text Available Pierre Asselin, Hanoi’s Road to the Vietnam War, 1954-1965. Berkeley: University of California Press, 2013. 319 pp. $55 (cloth Lien-Hang T. Nguyen, Hanoi’s War: An International History of the War for Peace in Vietnam. Chapel Hill: The University of North Carolina Press, 2012. 444 pp. $34.95 (cloth.

  8. Robotic Teaching Assistance for the "Tower of Hanoi" Problem

    Science.gov (United States)

    Thien, Nguyen Duc; Terracina, Annalisa; Iocchi, Luca; Mecella, Massimo

    2016-01-01

    In this work the authors investigate the effectiveness of robotics in education. Rather than creating excitement for children when playing with robots in games, they are examining the overall learning environment where a robot acts as a teaching assistant. They designed a suitable lesson plan when groups of teenagers participate in activities…

  9. Radioprotective Effects of Dihydroneopine-sterone Sulfate (Dash) Against ?-ray-Induction of Kidney and Adrenal Corticoids Disorders

    International Nuclear Information System (INIS)

    Abou-Safi, H.M.

    2006-01-01

    The study was designed to evaluate the possible protective impact of DHEAS oral administration (20 mg/100 g b. wt) against gamma-irradiation (7 Gy, at a dose rate 0.7 Gy/min) hazard on plasma level of adrenal steroids [corticosterone (CS) and aldosterone (ALD)], total cholesterol (CH), sodium (Na + ), potassium (K + ) and Calcium (Ca 2+ ), kidney indices (plasma urea, creatinine, uric acid, total proteins, urine urea and creatinine and clearance % of urea and creatinine) and both of reduced glutathione (GSH) and thiobarbituric acid-reactive substances (TBARS) content in adrenal and kidney tissues of female rats. Animals were divided into 4 groups: control (untreated), whole body gamma-irradiated, administered with DHEAS and orally administered with DHEAS 2 h prior to irradiation. Blood, urine and tissue samples of adrenal and kidney were taken at 3 time intervals: after 1 day, 1 week, and 2 weeks from irradiation (in groups 2 and 4) or DHEAS administration (in group 3). While, samples of urine were collected during the 24 h prior to animals anesthesia. Obtained results showed that DHEAS administration improved the disturbances induced in tested parameters after irradiation (i.e., the decrease in ALD, CS, K + , GSH, total proteins and clearance % of urea and creatinine, and the increase in total cholesterol, Na + , urea, uric acid, creatinine and TBARS. Taking into consideration the clinical aspects of the present findings, a prophylactic role of DHEAS against induction of renal and adrenal injury should be taken into account in radiotherapy

  10. Habitat et environnement urbain au Viet-Nam: Hanoi et Hô Chi Minh ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    With an annual income of approximately $200 US per capita, the Socialist Republic of Viet Nam is one of the world's poorest countries. It has been repetitively devastated by armed conflicts and frequent large-scale natural disasters for over 50 years. Viet Nam's population is estimated to approximately 70 million, 80% of ...

  11. Habitat et environnement urbain au Viet-Nam : Hanoi et Hô Chi ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Carrières · Communiquez avec nous · Plan du site. Abonnez-vous à notre bulletin pour recevoir les nouvelles du CRDI chaque mois. Abonnez-vous · Droits d'auteur · Éthique de la recherche · Politique de libre accès · Politique de confidentialité · Transparence · Utilisation du site Web. Suivez-nous; Facebook · Twitter ...

  12. Torre de Hanoi: datos normativos y desarrollo evolutivo de la planificación

    Directory of Open Access Journals (Sweden)

    Alicia Díaz

    2012-06-01

    Full Text Available El objetivo de este trabajo ha sido evaluar el desarrollo evolutivo de la planificación y obtener datos normativos de la prueba de planificación “Torre de Hanoi” en escolares de Educación Primaria (EP. Con este propósito se ha seleccionado una muestra de 1.032 alumnos/as escolarizados desde primero hasta sexto curso de EP en la Comunidad Autónoma de Canarias, con edades comprendidas entre los 6 años y 3 meses y los 12 años y 4 meses. Se analizó el número de diseños correctamente realizados por los escolares en los diferentes cursos. Los resultados encontrados ponen de manifiesto la existencia de tres momentos diferenciados en el desarrollo de la planificación, observándose un rendimiento inferior del alumnado de primer curso frente al resto de los cursos y un rendimiento más similar entre, por un lado, el alumnado de segundo, tercero y cuarto, y, por otro lado, entre el de quinto y sexto curso. Asimismo, se observa una mejora progresiva en la planificación -en función de la edad. Por último, se presenta el baremo para EP de la prueba “Torre de Hanoi”

  13. "Never Forget the Sacrifice:" A Visit to Chu Van An High School in Hanoi, Vietnam.

    Science.gov (United States)

    Berman, David M.

    1995-01-01

    Reports on a 1993 study tour of Vietnam by educators. Discusses the role of a secondary school during the struggle against French colonialism and the U.S.-Vietnam War. Argues that educators must acknowledge the humanity of the Vietnamese as the first step in designing Vietnam-related social studies curriculum. (CFR)

  14. Financial analysis of poultry commodity chains in Hanoi Suburb, North of Vietnam

    OpenAIRE

    Phan Dang, Thang; Vu Dinh, Ton; Dogot, Thomas; Lebailly, Philippe

    2013-01-01

    Poultry production plays an important role in the structure of familial incomes in Vietnam but this activity is currently met with difficulties caused by the great influence of inputs/outputs on the markets and the risks of epidemic diseases. This research was conducted for interviews and records according to book keeping among 280 poultry smallholders; 100 intermediary agents of poultry meat supply chains at the various scales of poultry supply chains and the diversification o...

  15. The effects of innovation on firm performance of supporting industries in Hanoi, Vietnam

    Energy Technology Data Exchange (ETDEWEB)

    Tuan, N.; Nhan, N.; Giang, P.; Ngoc, N.

    2016-07-01

    Innovation, including product, process, marketing, and organizational innovation within a firm, is considered as one of essential component for surviving and growing. These innovation activities create value and competitive advantages for successful organizations; therefore, understanding the organization’s overall innovation is the first and foremost to understand the role of innovation on firm performance. The objective of this research is to explore two parts: the impacts of innovation on the different aspect of innovation performance, then their effects to firm performance (production, market, and financial performance). This study uses primary data from questionnaire survey. The questionnaire involves 4 parts including general information, innovation activities; innovative performance, and firm performance. This research focuses on firms in supporting industries of mechanics, electronics, motorbike and automobile. These firms are in a list of companies (known as The Excellent Vietnamese Companies in Northern and Central Vietnam) established by JETRO and VCCI. There are 150 firms in this list. The questionnaire survey was administered to directors, CEO of those firms during April and May, 2014. Out of the 150 questionnaires sent out, 118 were valid, accounting for 78.7% of the true response rate. Analysis methodologies of reliability, factor analysis and regression are utilized in this paper. The result demonstrated there are positive effects of process, marketing, and organizational innovations on firm performance in supporting firms. More specifically, the higher the level of innovation activities is, the greater the innovative performance is, which means the larger level of Process, organization and marketing innovation activities are, the higher level of innovative performance are likely to be. Secondly, the higher level of Process, organization and marketing innovative performance, the better level of firm performances is likely to be. To sum up, in order to improve the innovative and firm performance, those firms in supporting industry should highly concentrate on process, marketing, and organizational innovation activities, rather than product innovation activities. Initially, this study applies successfully the model which supposing innovation is a process, then clarifying innovation definition through the impact of innovation activities on innovative performances. Secondly, this research confirmed the positive impact of innovative performances on firm performances. It provided one more empirical evidence of the relationship between innovation and firm performance. For practitioners, organizational innovation and process innovation are more important factors affecting innovative performance and firm performance than product and marketing innovation. Therefore, enterprises should focus and mobilize resources to create improvement in organizational structure and manufacturing processes. (Author)

  16. Flooding the sanitary city : Planning discourse and the materiality of urban sanitation in Hanoi

    OpenAIRE

    Schramm, S.

    2016-01-01

    Urban water flows are constitutive elements of Hanoi’s morphology. Regular floods across the city illustrate that Hanoi’s amphibious character is a central impediment to the installa- tion of a ‘dry and sanitary city’, the global modernist ideal of a separation of urban waste- water flows from public space through their redirection into large underground networks. Currently, the first attempt by the city government to construct a citywide sewerage network since the colonial period is taking p...

  17. Flooding the sanitary city : Planning discourse and the materiality of urban sanitation in Hanoi

    NARCIS (Netherlands)

    Schramm, S.

    2016-01-01

    Urban water flows are constitutive elements of Hanoi’s morphology. Regular floods across the city illustrate that Hanoi’s amphibious character is a central impediment to the installa- tion of a ‘dry and sanitary city’, the global modernist ideal of a separation of urban waste- water flows from

  18. Hair mercury levels in relation to fish consumption among Vietnamese in Hanoi.

    Science.gov (United States)

    Hoang, Van Anh Thi; Do, Hien Thu Thi; Agusa, Tetsuro; Koriyama, Chihaya; Akiba, Suminori; Ishibashi, Yasuhiro; Sakamoto, Mineshi; Yamamoto, Megumi

    2017-01-01

    People are exposed to methylmercury (MeHg) mainly through fish consumption, which is increasing in Vietnam. However, little information is available on estimating the health risk of MeHg exposure through fish consumption in Vietnam. The present study examined the association between mercury (Hg) levels in hair and selenium (Se) levels in toenails of 196 Vietnamese people and their fish consumption, using a dietary questionnaire to obtain information pertinent for assessing health risk owing to MeHg exposure. The geometric mean of Hg levels in the hair of males and females was 617 ng/g and 575 ng/g, respectively. We found that Hg levels in the hair of 98% of the Vietnamese study subjects were lower than the provisional tolerable weekly intake for MeHg (1.6 µg Hg/kg body weight; which is equivalent to a hair Hg concentration of approximately 2,300 ng/g, with an uncertainty factor of 6.4). There were significant differences in the age-adjusted geometric mean of Hg levels found in hair from females related to their frequency of freshwater fish consumption. The levels of Hg in hair and Se in toenails increased with an increased frequency of marine fish consumption, and both showed a significant positive correlation in subjects who consumed marine fish ≥ once/week. This is the first cross-sectional study to investigate the association between hair Hg levels and fish consumption in Vietnam. These findings provide valuable information for future assessments of the health risk of MeHg exposure through fish consumption in Vietnam.

  19. The effects of innovation on firm performance of supporting industries in Hanoi, Vietnam

    Directory of Open Access Journals (Sweden)

    Nham Tuan

    2016-04-01

    Full Text Available Purpose: Innovation, including product, process, marketing, and organizational innovation within a firm, is considered as one of essential component for surviving and growing. These innovation activities create value and competitive advantages for successful organizations; therefore, understanding the organization’s overall innovation is the first and foremost to understand the role of innovation on firm performance. The objective of this research is to explore two parts: the impacts of innovation on the different aspect of innovation performance, then their effects to firm performance (production, market, and financial performance. Design/methodology/approach: This study uses primary data from questionnaire survey. The questionnaire involves 4 parts including general information, innovation activities; innovative performance, and firm performance. This research focuses on firms in supporting industries of mechanics, electronics, motorbike and automobile. These firms are in a list of companies (known as The Excellent Vietnamese Companies in Northern and Central Vietnam established by JETRO and VCCI. There are 150 firms in this list. The questionnaire survey was administered to directors, CEO of those firms during April and May, 2014. Out of the 150 questionnaires sent out, 118 were valid, accounting for 78.7% of the true response rate. Analysis methodologies of reliability, factor analysis and regression are utilized in this paper. Findings: The result demonstrated there are positive effects of process, marketing, and organizational innovations on firm performance in supporting firms. More specifically, the higher the level of innovation activities is, the greater the innovative performance is, which means the larger level of Process, organization and marketing innovation activities are, the higher level of innovative performance are likely to be. Secondly, the higher level of Process, organization and marketing innovative performance, the better level of firm performances is likely to be. To sum up, in order to improve the innovative and firm performance, those firms in supporting industry should highly concentrate on process, marketing, and organizational innovation activities, rather than product innovation activities. Originality/value: Initially, this study applies successfully the model which supposing innovation is a process, then clarifying innovation definition through the impact of innovation activities on innovative performances. Secondly, this research confirmed the positive impact of innovative performances on firm performances. It provided one more empirical evidence of the relationship between innovation and firm performance. For practitioners, organizational innovation and process innovation are more important factors affecting innovative performance and firm performance than product and marketing innovation. Therefore, enterprises should focus and mobilize resources to create improvement in organizational structure and manufacturing processes.

  20. "Can You Hear Me, Hanoi?" Compensatory Mechanisms Employed in Synchronous Net-Based English Language Learning

    Science.gov (United States)

    Cunningham, Una; Fagersten, Kristy Beers; Holmsten, Elin

    2010-01-01

    At Dalarna University, Sweden, modes of communication are offered at many points of Kenning's continuum with a web-based learning platform, including asynchronous document exchange and collaborative writing tools, e-mail, recorded lectures in various formats, live streamed lectures with the possibility of text questions to the lecturer in real…

  1. Drug loading optimization and extended drug delivery of corticoids from pHEMA based soft contact lenses hydrogels via chemical and microstructural modifications.

    Science.gov (United States)

    García-Millán, Eva; Koprivnik, Sandra; Otero-Espinar, Francisco Javier

    2015-06-20

    This paper proposes an approach to improve drug loading capacity and release properties of poly(2-hydroxyethyl methacrylate) (p(HEMA)) soft contact lenses based on the optimization of the hydrogel composition and microstructural modifications using water during the polymerization process. P(HEMA) based soft contact lenses were prepared by thermal or photopolymerization of 2-hydroxyethyl methacrylate (HEMA) solutions containing ethylene glycol di-methacrylate as crosslinker and different proportions of N-vinyl-2-pyrrolidone (NVP) or methacrylic acid (MA) as co-monomers. Transmittance, water uptake, swelling, microstructure, drug absorption isotherms and in vitro release were characterized using triamcinolone acetonide (TA) as model drug. Best drug loading ratios were obtained with lenses containing the highest amount (200 mM) of MA. Incorporation of 40% V/V of water during the polymerization increases the hydrogel porosity giving a better drug loading capacity. In vitro TA release kinetics shows that MA hydrogels released the drug significantly faster than NVP-hydrogels. Drug release was found to be diffusion controlled and kinetics was shown to be reproducible after consecutive drug loading/release processes. Results of p(HEMA) based soft contact lenses copolymerized with ethylene glycol dimethacrylate (EGDMA) and different co-monomers could be a good alternative to optimize the loading and ocular drug delivery of this corticosteroid drug. Copyright © 2015. Published by Elsevier B.V.

  2. Síndrome de Distrés Respiratorio Agudo: Utilidad de los Corticoides Acute respiratory distress syndrome: Role of steroids

    Directory of Open Access Journals (Sweden)

    Célica L. Irrazábal

    2004-06-01

    Full Text Available En Argentina, el síndrome de distrés respiratorio agudo (SDRA representa el 7.7% de las admisiones en terapia intensiva y está asociado con una alta morbilidad y mortalidad (58%. Con frecuencia la muerte puede ser atribuida a más de una causa. La hipoxemia refractaria es una causa de muerte poco frecuente (15% y en muchos casos puede coexistir con disfunción multiorgánica, sepsis o shock séptico. La utilidad de los esteroides como parte del tratamiento es aún motivo de debate a pesar de las múltiples series de casos y estudios clínicos publicados. En el artículo se evalúa la utilidad de los esteroides en el SDRA a través de la revisión de la bibliografía disponible. Se concluye que los esteroides estarían indicados en un pequeño subgrupo de pacientes con SDRA no resuelto o tardío, después de descartar o controlar una infección activa.The acute respiratory distress syndrome (ARDS represents 7.7% of the intensive care population, and is associated with great morbidity and mortality (58%. Frequently, the mortality can be attributed to more than one cause. Refractory hypoxemia is uncommon (15% and most of the patients also have multiple organic dysfunction, sepsis or septic shock. Although there are many publications concerning series of cases and clinical trials using steroids as a part of the treatment of ARDS, this issue remains controversial. In this article the role of steroids in the ARDS is evaluated by analysis of the available literature. We conclude that steroids are useful in a subgroup of patients with unresolving ARDS, after ruling out an active infection or after treatment with antibiotics.

  3. Comparative efficacy of intra-articular hyaluronic acid and corticoid injections in osteoarthritis of the first carpometacarpal joint: results of a 6-month single-masked randomized study.

    Science.gov (United States)

    Monfort, Jordi; Rotés-Sala, Delfin; Segalés, Nuria; Montañes, Francisco-Jose; Orellana, Cristobal; Llorente-Onaindia, Jone; Mojal, Sergi; Padró, Isabel; Benito, Pere

    2015-03-01

    The study aim was to compare the efficacy and safety of ultrasound-guided intra-articular injections of hyaluronic acid and betamethasone in the management of patients with osteoarthritis of the thumb. Eighty-eight evaluable patients diagnosed with osteoarthritis of the thumb (Kellgren-Lawrence grade II-III) received ultrasound-guided intra-articular treatment with hyaluronic acid (48) or betamethasone (40). In total, 3 local injections were scheduled at 7-day intervals. Assessments were performed at baseline and at 7, 14, 30, 90, and 180 days. In both study groups, the pain Visual Analogue Scale and Functional Index for Hand Osteoarthritis scores decreased significantly during follow-up compared to baseline. There were no significant differences between the groups. However, at 90 days, the functional score showed a trend towards greater clinical improvement in the hyaluronic acid group (P 0.071). A subanalysis of patients with Functional Index score≥5 and Visual Analogue Scale score≥3 at baseline showed a significantly higher median functionality score in the hyaluronic acid group (P 0.005 at 90 days and P 0.020 at 180 days). Further limiting analysis to a baseline pain score≥5 showed significantly greater improvement in functionality score (P 0.004 at 180 days), which was already apparent after the second intra-articular injection at 14 days (P 0.028). In this patient subset, the mean pain score also improved significantly at 180 days (P 0.02). Both hyaluronic acid and betamethasone were effective and well-tolerated for the management of rhizarthrosis. Hyaluronic acid was more effective over time and more efficiently improved functionality and pain in patients with more severe symptoms. Copyright © 2014 Société française de rhumatologie. Published by Elsevier SAS. All rights reserved.

  4. Corticotropin-releasing hormone-mediated metamorphosis in the neotenic axolotl Ambystoma mexicanum: synergistic involvement of thyroxine and corticoids on brain type II deiodinase.

    Science.gov (United States)

    Kühn, Eduard R; De Groef, Bert; Van der Geyten, Serge; Darras, Veerle M

    2005-08-01

    In the present study, morphological changes leading to complete metamorphosis have been induced in the neotenic axolotl Ambystoma mexicanum using a submetamorphic dose of T(4) together with an injection of corticotropin-releasing hormone (CRH). An injection of CRH alone is ineffective in this regard presumably due to a lack of thyrotropic stimulation. Using this low hormone profile for induction of metamorphosis, the deiodinating enzymes D2 and D3 known to be present in amphibians were measured in liver and brain 24h following an intraperitoneal injection. An injection of T(4) alone did not influence liver nor brain D2 and D3, but dexamethasone (DEX) or CRH alone or in combination with T(4) decreased liver D2 and D3. Brain D2 activity was slightly increased with a higher dose of DEX, though CRH did not have this effect. A profound synergistic effect occurred when T(4) and DEX or CRH were injected together, in the dose range leading to metamorphosis, increasing brain D2 activity more than fivefold. This synergistic effect was not found in the liver. It is concluded that brain T(3) availability may play an important role for the onset of metamorphosis in the neotenic axolotl.

  5. Reproducibility of O-(2-{sup 18}F-fluoroethyl)-L-tyrosine uptake kinetics in brain tumors and influence of corticoid therapy: an experimental study in rat gliomas

    Energy Technology Data Exchange (ETDEWEB)

    Stegmayr, Carina; Schoeneck, Michael; Oliveira, Dennis; Willuweit, Antje [Institute of Neuroscience and Medicine, Research Center Juelich, Juelich (Germany); Filss, Christian; Coenen, Heinz H.; Langen, Karl-Josef [Institute of Neuroscience and Medicine, Research Center Juelich, Juelich (Germany); University of Aachen, Department of Nuclear Medicine and Neurology, Aachen (Germany); Galldiks, Norbert [Institute of Neuroscience and Medicine, Research Center Juelich, Juelich (Germany); University of Cologne, Department of Neurology, Cologne (Germany); Shah, N. Jon [Institute of Neuroscience and Medicine, Research Center Juelich, Juelich (Germany); University of Aachen, Department of Nuclear Medicine and Neurology, Aachen (Germany); Juelich-Aachen Research Alliance (JARA) - Section JARA-Brain, Juelich (Germany)

    2016-06-15

    Positron emission tomography (PET) using O-(2-{sup 18}F-fluoroethyl)-L-tyrosine ({sup 18}F-FET) is a well-established method for the diagnostics of brain tumors. This study investigates reproducibility of {sup 18}F-FET uptake kinetics in rat gliomas and the influence of the frequently used dexamethasone (Dex) therapy. F98 glioma or 9L gliosarcoma cells were implanted into the striatum of 31 Fischer rats. After 10-11 days of tumor growth, the animals underwent dynamic PET after injection of {sup 18}F-FET (baseline). Thereafter, animals were divided into a control group and a group receiving Dex injections, and all animals were reinvestigated 2 days later. Tumor-to-brain ratios (TBR) of {sup 18}F-FET uptake (18-61 min p.i.) and the slope of the time-activity-curves (TAC) (18-61 min p.i.) were evaluated using a Volume-of-Interest (VOI) analysis. Data were analyzed by two-way repeated measures ANOVA and reproducibility by the intraclass correlation coefficient (ICC). The slope of the tumor TACs showed high reproducibility with an ICC of 0.93. A systematic increase of the TBR in the repeated scans was noted (3.7 ± 2.8 %; p < 0.01), and appeared to be related to tumor growth as indicated by a significant correlation of TBR and tumor volume (r = 0.77; p < 0.0001). After correction for tumor growth TBR showed high longitudinal stability with an ICC of 0.84. Dex treatment induced a significant decrease of the TBR (-8.2 ± 6.1 %; p < 0.03), but did not influence the slope of the tumor TAC. TBR of {sup 18}F-FET uptake and tracer kinetics in brain tumors showed high longitudinal stability. Dex therapy may induce a minor decrease of the TBR; this needs further investigation. (orig.)

  6. Game Production and Role of Game Producer : Case study: Research on demographic of gamers in Hanoi, Vietnam

    OpenAIRE

    Nguyen, Tuan

    2014-01-01

    This thesis was intended to serve as a guideline on how to manage a video game development process as a producer. The study includes basic knowledge of game production process, focusing more on managing the project as a whole, rather than reaching specific technical aspects. The production methodology described here is a combination of several methods used by most studios in the game industry. Additionally, understanding of game producer’s roles and characteristics was also studied to g...

  7. How Planful Is Routine Behavior? A Selective-Attention Model of Performance in the Tower of Hanoi

    Science.gov (United States)

    Patsenko, Elena G.; Altmann, Erik M.

    2010-01-01

    Routine human behavior has often been attributed to plans--mental representations of sequences goals and actions--but can also be attributed to more opportunistic interactions of mind and a structured environment. This study asks whether performance on a task traditionally analyzed in terms of plans can be better understood from a "situated" (or…

  8. Better vaccines for healthier life. Part II. Conference report of the DCVMN International 14th Annual General Meeting Hanoi, Vietnam.

    Science.gov (United States)

    Pagliusi, Sonia; Tippoo, Patrick; Sivaramakrishnan, Venkatraman; Nguyen, Thuvan

    2014-11-12

    New vaccines are required to meet the public health challenges of the next generation and many unmet global health needs can be addressed by developing countries vaccine manufacturers such as lower-cost vaccines based on single-dose, thermostable formulations, efficacious in children with compromised gastrointestinal tracts. GMP compliance is also a challenge, as sometimes innovation and clinical development focus is not accompanied by command of scale-up and quality assurance for large volume manufacturing and supply. Identifying and addressing such challenges, beyond cost and cold-chain space, including safety considerations and health worker behavior, regulatory alliances and harmonization to foster access to vaccines, will help countries to ensure sustainable immunization. There needs to be continuous and close management of the global vaccine supply both at national and international levels, requiring careful risk management, coordination and cooperation with manufacturers. Successful partnership models based on sharing a common goal, mutual respect and good communication were discussed among stakeholders. Copyright © 2014. Published by Elsevier Ltd.. All rights reserved.

  9. Disease burden due to gastrointestinal infections among people living along the major wastewater system in Hanoi, Vietnam

    DEFF Research Database (Denmark)

    Fuhrimann, Samuel; Nauta, Maarten; Pham-Duc, Phuc

    2017-01-01

    and aquaculture. The QMRA was developed on the basis of measured concentration of . Escherichia coli and . Salmonella spp. and . Ascaris spp. eggs in water samples. Published ratios between measured organisms and pathogenic strains of norovirus, rotavirus, . Campylobacter spp. ., pathogenic . E. . . coli...

  10. Doença de lesões mínimas e glomeruloesclerose segmentar e focal em adultos: resposta a corticoide e risco de insuficiência renal

    Directory of Open Access Journals (Sweden)

    Lúcio R. R. Moura

    2015-12-01

    Full Text Available Resumo Introdução: O perfil clínico de pacientes brasileiros adultos com síndrome nefrótica por doença de lesões mínimas (LM e glomeruloesclerose segmentar e focal (GESF é pouco conhecido. Objetivo: Avaliamos as características clínico-laboratoriais e resposta a tratamento em pacientes adultos com síndrome nefrótica e diagnósticos histológicos de LM ou GESF. Métodos: Fez-se a análise retrospectiva de 50 pacientes adultos com LM e 120 com GESF. Todos os pacientes foram inicialmente tratados com corticosteroide. Os desfechos do estudo foram: resposta a corticosteroide, prevalência de remissão total, progressão para doença renal crônica estágio 5 (DRC5 e necessidade de terapia de substituição renal por DRC5. Resultados: Níveis iniciais de creatinina sérica foram 24% mais elevados entre pacientes com GESF (p = 0,02 e os de proteinúria foram 36% mais altos em LM (p < 0,001. Pacientes com LM foram córtico-sensíveis em 80% dos casos, com remissão total em 74%, e os pacientes com GESF em 58% (p = 0,01, com remissão total em 30% (p = 0,002. A prevalência de insuficiência renal aguda em pacientes com GESF foi de 39% (vs. 12%, p = 0,013 e DRC5 de 10% (vs. 0%, p < 0,001. Remissão completa ou parcial com o uso de corticosteroide reduziu em 83% o risco de DRC5 (p < 0,001 e remissão total associou-se a redução no risco de DRC5 de 89% (p < 0,001. Conclusão: A resposta positiva à corticoterapia foi o fator mais importante relacionado à preservação da função renal ao longo de mais de uma década de seguimento, e GESF relacionou-se a menor índice de resposta a corticosteroide.

  11. [Results of a regional survey on the treatment of rhizomelic pseudopolyarthritis and temporal arteritis. Apropos of 242 cases treated by various modalities with synthetic antimalarials, corticoids and non-steroidal anti-inflammatory agents].

    Science.gov (United States)

    David-Chaussé, J; Dehais, J; Leman, A

    1983-01-01

    The authors report the results of a retrospective therapeutic survey concerning 176 cases of rhizomelic pseudopolyarthritis (RPP) and 66 cases of temporal arteritis (TA). Of 128 cases of RPP treated initially by synthetic anti-malarials (SAM) and non-steroidal anti-inflammatory agents (NSAI), 66 were followed up until cure which was obtained after a mean of 23 months and 3 subsequently received brief steroid therapy. 45 cases of RPP were treated initially with corticosteroids. They were generally associated with SAM which enabled early weaning of the steroids, towards the 8 th month, or at least reducing the dose. Cure was obtained within 24 months. Three patients were treated by NSAI and gold therapy. After cure, 5 cases of recurrence and 1 case of TA were observed. 40 cases of TA were initially treated with SAM and NSAI. Twenty cures were obtained within a mean of 28 months. 4 patients later received brief corticosteroid therapy because of an extension of the signs, including two cases of ocular manifestations with a resolving course. Of 25 cases of TA initially treated with steroids, 20 received SAM in combination, or in relay which enabled either steroids, weaning towards the 14th month or a reduction in the dose of steroids. Cure was obtained in an average of 35 months. One case of impaired visual acuity occurred during corticosteroid treatment. Immunosuppressants were used in one patient. No cases of recurrence were observed. Iatrogenic complications with SAM were rare, generally benign and reversible, in contrast to those associated with corticosteroid therapy.(ABSTRACT TRUNCATED AT 250 WORDS)

  12. Bulletin of Materials Science | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Author Affiliations. N D Sang1 P H Quang2 L T Tu2 D T B Hop2. National University of Civil Engineering, 55 Giai Phong Street, Hai Ba Trung, Hanoi, Vietnam; Hanoi University of Science, Vietnam National University, Hanoi, 334 Nguyen Trai, Thanh Xuan, Hanoi, Vietnam ...

  13. Twenty year results on application of induced mutation in soybean (Glycine max (L.) Merr.) breeding at Agricultural Genetics Institute (AGI), Hanoi, Vietnam

    International Nuclear Information System (INIS)

    Mai Quang Vinh; Phan Phai; Ngo Phuong Thinh; Tran Dinh Dong; Tran Thuy Oanh

    2001-01-01

    Research on application of the induced mutation method combined with crossing in soybean breeding for 20 years (1980-2000) plays an important role in research work at AGI, (Ministry of Agriculture and Rural Development of Vietnam). 23 soybean varieties and hybrid lines (including 6 local cultivars, 14 selected and introduced varieties, 3 hybrid lines) were treated with Roentgen ray irradiation, Gamma Ray 60 Co with doses 7, 10, 12, 15, 18, 20 krad, and with chemical mutagens: EI, NMU, DNMU, DES, EMS, DEU with various concentrations 0.008, 0.02, 0.04, 0.06, 0.08%. As the results, we obtained the important conclusions about the rule of induced mutation process in soybean in the natural conditions of Vietnam. 8 mutant varieties [1 National varieties (DT84) and 6 regional production varieties (DT83, DT90, DT94, DT95, DT99, AK06 (DT-55). Several promising varieties were selected and released for farmers to produce in the large areas that occupied 50-90% percentage of soybean cultivated areas in Vietnam. These varieties have high-yield 1.5-3.5 tons/ha, short growth duration 75-100 days, tolerance to cold and hot temperature and can be planted in 3 crops per year (Winter, Spring and Summer season) over 35-40 thousands ha/year. At present, the mutagens are being used for defect- orientated repair of some promising hybrid lines, in order to contribute new good varieties to soybean production in Vietnam. (author)

  14. The Prevalence and Correlates of HIV and Undiagnosed Infection among Men Who Have Sex with Men in Hanoi, Vietnam : Findings from a Cross-sectional, Biobehavioral Study

    NARCIS (Netherlands)

    Vu, Nga Thi Thu; Holt, Martin; Phan, Huong Thi Thu; La, Lan Thi; Tran, Gioi Minh; Doan, Tung Thanh; de Wit, John

    2016-01-01

    INTRODUCTION: Men who have sex with men (MSM) are a key population for HIV infection in Vietnam, and the use of amphetamine type substances (ATS) is prevalent and possibly increasing in this population. The reported analysis examines the association between ATS use before or during sex and HIV

  15. Pollution and potential mobility of Cd, Ni and Pb in the sediments of a wastewater-receiving river in Hanoi, Vietnam

    DEFF Research Database (Denmark)

    Ingvertsen, Simon T.; Marcussen, Helle; Holm, Peter E.

    2013-01-01

    with the redox-sensitive fractions and could thus be mobilised following measures such as resuspension or dredging. To assess the potential mobilisation of heavy metals from the anoxic sediment due to oxidation, the samples were exposed to different oxidants (i.e. atmospheric air and hydrogen peroxide......) and afterwards submitted to a leaching test. These experiments showed that although oxidation may increase the equilibrium pore water concentrations of heavy metals in the sediments, other sediment mineral fractions seem to effectively immobilise heavy metals potentially released from the oxidisable fraction....

  16. Re-Framing Resilient Urbanism. A Smart Alternative to Generic New Towns Development in South-East Asia : The Case of Hanoi (Vietnam)

    NARCIS (Netherlands)

    Calabrese, L.M.; Qu, L.; Van Faassen, W.

    2015-01-01

    Resilient Urbanism is a broad concept that seeks to explore a wide spectrum of topics related to what makes resilience in urban contexts unique: spatial challenges, social and economic equity, climate change, density, mobility, governance, and other characteristics related to the unpredictable and

  17. Twenty year results on application of induced mutation in soybean (Glycine max (L.) Merr.) breeding at Agricultural Genetics Institute (AGI), Hanoi, Vietnam

    Energy Technology Data Exchange (ETDEWEB)

    Mai Quang Vinh; Phan Phai; Ngo Phuong Thinh; Tran Dinh Dong; Tran Thuy Oanh [Agricultural Genetics Institute (AGI), Hanoi (Viet Nam)

    2001-03-01

    Research on application of the induced mutation method combined with crossing in soybean breeding for 20 years (1980-2000) plays an important role in research work at AGI, (Ministry of Agriculture and Rural Development of Vietnam). 23 soybean varieties and hybrid lines (including 6 local cultivars, 14 selected and introduced varieties, 3 hybrid lines) were treated with Roentgen ray irradiation, Gamma Ray {sup 60}Co with doses 7, 10, 12, 15, 18, 20 krad, and with chemical mutagens: EI, NMU, DNMU, DES, EMS, DEU with various concentrations 0.008, 0.02, 0.04, 0.06, 0.08%. As the results, we obtained the important conclusions about the rule of induced mutation process in soybean in the natural conditions of Vietnam. 8 mutant varieties [1 National varieties (DT84) and 6 regional production varieties (DT83, DT90, DT94, DT95, DT99, AK06 (DT-55))]. Several promising varieties were selected and released for farmers to produce in the large areas that occupied 50-90% percentage of soybean cultivated areas in Vietnam. These varieties have high-yield 1.5-3.5 tons/ha, short growth duration 75-100 days, tolerance to cold and hot temperature and can be planted in 3 crops per year (Winter, Spring and Summer season) over 35-40 thousands ha/year. At present, the mutagens are being used for defect-orientated repair of some promising hybrid lines, in order to contribute new good varieties to soybean production in Vietnam. (author)

  18. Built-up Area Change Analysis in Hanoi Using Support Vector Machine Classification of Landsat Multi-Temporal Image Stacks and Population Data

    Directory of Open Access Journals (Sweden)

    Duong H. Nong

    2015-12-01

    Full Text Available In 1986, the Government of Vietnam implemented free market reforms known as Doi Moi (renovation that provided private ownership of farms and companies, and encouraged deregulation and foreign investment. Since then, the economy of Vietnam has achieved rapid growth in agricultural and industrial production, construction and housing, and exports and foreign investments, each of which have resulted in momentous landscape transformations. One of the most evident changes is urbanization and an accompanying loss of agricultural lands and open spaces. These rapid changes pose enormous challenges for local populations as well as planning authorities. Accurate and timely data on changes in built-up urban environments are essential for supporting sound urban development. In this study, we applied the Support Vector Machine classification (SVM to multi-temporal stacks of Landsat Thematic Mapper (TM and Enhanced Thematic Mapper Plus (ETM+ images from 1993 to 2010 to quantify changes in built-up areas. The SVM classification algorithm produced a highly accurate map of land cover change with an overall accuracy of 95%. The study showed that most urban expansion occurred in the periods 2001–2006 and 2006–2010. The analysis was strengthened by the incorporation of population and other socio-economic data. This study provides state authorities a means to examine correlations between urban growth, spatial expansion, and other socio-economic factors in order to not only assess patterns of urban growth but also become aware of potential environmental, social, and economic problems.

  19. Therapeutic usage of omeprazole and corticoid in a dog with hydrocephalus unresponsive to conventional therapyUso terapêutico da associação do omeprazol com corticóide em um cão com hidrocefalia não-responsiva ao tratamento convencional

    Directory of Open Access Journals (Sweden)

    Alexandre Mendes Amude

    2013-05-01

    Full Text Available Medical therapy for hydrocephalus includes the administration of medications to limit the production of the cerebrospinal fluid (CSF resulting in reduced intracranial pressure (ICP. This report describes the clinical findings in one dog with congenital hydrocephalus that was unresponsive to conventional medical treatment with steroids, but demonstrated good response to omeprazole when this drug was added to the steroid. Omeprazole might decrease the CSF production by about 26% according to experimental studies with healthy dogs, but the usage of the omeprazole in clinical trials with affected dogs such as hydrocephalic animals is lacking. The results of this report might suggest that omeprazole can be used added to steroids to ameliorate the neurological status in dogs with increased ICP by hydrocephalus.O tratamento médico para a hidrocefalia inclui a administração de medicamentos para limitar a produção do fluido cerebroespinhal (FCE, resultando em redução da pressão intracraniana (PIC. Este trabalho descreve os achados clínicos em um cão com hidrocefalia congênita não responsiva ao tratamento médico convencional com esteróides mas que apresentou boa resposta à associação omeprazolesteróides. O omeprazol pode diminuir a produção de FCE em cerca de 26% de acordo com estudos experimentais realizados com cães saudáveis. Porém, o uso do omeprazol em ensaios clínicos com cães enfermos, como os animais hidrocefálicos, não é descrito. Os resultados deste trabalho sugerem que o omeprazol pode ser empregado em associação ao corticóide para melhorar o estado neurológico em cães com aumento da PIC devido à hidrocefalia.

  20. Value of the radioimmunological ACTH-determination in plasma for the diagnosis and therapy control of Addison's disease

    International Nuclear Information System (INIS)

    Wagner, H.; Degenhardt, G.; Wenning, N.

    1974-01-01

    The findings obtained before suggest that plasma ACTH determination is another valuable parameter supplementing the determination of plasma corticoids in the diagnosis of Addison's disease. In the assessment of the success of the treatment, plasma ACTH measurement is superior to the determination of plasma corticoids. (orig./AK) [de

  1. Characteristics of the Vietnamese Rural Economy

    DEFF Research Database (Denmark)

    Tarp, Finn

    Research report prepared under Component 5 of the Business Sector Development Programme (BSPS), Hanoi, Vietnam and the Agricultural Sector Programme Support (ASPS), 2011......Research report prepared under Component 5 of the Business Sector Development Programme (BSPS), Hanoi, Vietnam and the Agricultural Sector Programme Support (ASPS), 2011...

  2. Marketing channel choice and marketing timing of peri-urban vegetable growers in Vietnam

    NARCIS (Netherlands)

    Wiersinga, R.C.; Wijk, van M.S.; Luyen, C.H.; Hoi, P.V.

    2007-01-01

    Agriculture is an important sector in the peri-urban area of Hanoi. It supplies 62 to 80% of vegetable consumption, of which 28% comes from Dong Anh district, which borders Hanoi City. Growing vegetables is an important income source for the farmers in Dong Anh as it contributes about 30% to their

  3. 1 RESEARCH ARTICLE

    Indian Academy of Sciences (India)

    Navya

    2017-03-13

    Mar 13, 2017 ... Center for Gene-Protein Research, Hanoi Medical University, Hanoi, Vietnam. 2 ... disease include low serum concentrations of ceruloplasmin (<20 g/l) and .... Ser105Ter mutation on exon 2 was most common in our cohort, ...

  4. Southeast Asia Report.

    Science.gov (United States)

    1985-09-30

    tennis, volleyball, wrestling, shooting and gymnastics . [Text] [Hanoi VNA in English 1529 GMT 12 Sept 85 OW] LE DUAN ATTENDS ANNIVERSARY—Hanoi...VNA 11 September—More than 200 cultural and artistic activists and cadres of cultural and information service have gathered here recently to mark the

  5. Adubação nitrogenada em genótipos de soja associada à inoculação em semeadura direta no cerrado

    OpenAIRE

    Parente, Tiago de Lisboa [UNESP

    2014-01-01

    A inoculação de sementes na cultura da soja, com bactérias do gênero Bradyrhizobium, que fixam o nitrogênio atmosférico, é amplamente utilizada pelos produtores agrícolas por conta de fornecer o aporte necessário deste nutriente à planta, dispensando assim a adubação mineral nitrogenada. No entanto, ainda há questionamentos sobre sua eficiência em suprir a demanda do nutriente para as cultivares atuais, cada vez mais produtivos, e consequentemente, mais exigentes nutricionalmente. Isso leva a...

  6. 「ハノイ農業大学強化計画」短期専門家派遣の記 (特別紀行)

    OpenAIRE

    江頭, 和彦

    2004-01-01

    During September 29 and October 26, 2002, I was dispatched as a short-term expect of soil science to Hanoi Agticultural Univercity, Ha Noi, Viet Nam, where the JICA project-type technical cooperation of "Education and Research Capability Building Project of Hanoi Agricultural University" was exected. In the present article, activities as an expert in the field of soil science were summarised. In addition, daily life in and around Hanoi, sight-seeing to the Ha Long Bay, and excursion to Sa Pa,...

  7. Contents and risks of potentially toxic elements in wastewater-fed food production systems in Southeast Asia

    DEFF Research Database (Denmark)

    Marcussen, Helle

    , fish, soil and sediment from wastewater-fed production systems in Hanoi and Phnom Penh. Another aim was to assess the food safety risks of water spinach and fish with respect to PTEs. The third aim was to assess PTE retention capacity of river sediment in Hanoi and the governing retention mechanisms...... the concentration range observed for water spinach grown at agricultural soil not exposed to wastewater in Malaysia. Water spinach grown at sites of high and low wastewater exposure did not show a significantly higher accumulation of PTEs compared to sites without wastewater exposure. In Phnom Penh, water spinach...... than 11% of the tolerable intake for each element. The PTE content of water spinach in Hanoi and Cheung Ek Lake in Phnom Penh constituted low food safety risks for consumers. Arsenic, Cd and Pb concentrations in muscle, skin and liver of fish grown in wastewater-fed systems in Hanoi and Phnom were low...

  8. Memory for Goals: An Activation-Based Model

    National Research Council Canada - National Science Library

    Altmann, Erik M; Trafton, J. G

    2002-01-01

    .... These constraints are formulated algebraically and tested through simulation of latency and error data from the Tower of Hanoi, a means-ends puzzle that depends heavily on suspension and resumption of goals...

  9. Adsorptive Cathodic Stripping Voltammetric Determination of ...

    African Journals Online (AJOL)

    Department of Analytical Chemistry and Toxicology, Hanoi University of Pharmacy, 13-15 Le .... factors, the optimizer function of Modde software ... implementing this experiment design, other ... influence of the interaction of buffer pH with.

  10. Making Polluter Pay Legislation Work - A Study of Vietnam's Decree ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Impacts Of Environmental Regulations On The Food Processing Industry In. Vietnam' by Le ... Natural. Resources and Urban Economics & Management, Hanoi National Economics. University ... fast and is recognised as one of the country's ...

  11. Leadership, Training, and Gender Influences on Team Decision Making

    National Research Council Canada - National Science Library

    Bird, Megan

    1997-01-01

    This study explored the effects of gender of the leader, gender of the non-leader, and whether the leader or non-leader was trained on team decision making while solving a computerized Tower of Hanoi puzzle...

  12. Interview de l'astrophysicien Trinh Xuan Thuan: du Big Bang à la naissance de la vie

    CERN Multimedia

    Lorens, Sachat

    2006-01-01

    Born in Hanoi, the astrophysicist is Professor of astronomy at Virginia University, and wrote many books of scientific popularization. His last book "Origines" makes the family treee of the world, from the Big Bang to the birth of alive beings

  13. All the Missiles Work Technological Dislocations and Military Innovation: A Case Study in US Air Force Air-to-Air Armament, Post-World War II through Operation Rolling Thunder

    Science.gov (United States)

    2010-06-01

    summary within the AFHRA folder. 3 aerial refueling in the skies over Thailand and began their trek north towards Hanoi, they were alerted to the...the missile for the long trek from Hanoi south to friendly airspace. Craig and Talley in SPEEDO 3 also had success with the new SUU-16 20-mm gun...for a manned presence in space independent from that of the newly formed National Aeronautics and Space Administration ( NASA ). 15 The Air Force‘s

  14. Viet Nam National Atomic Energy Commission

    International Nuclear Information System (INIS)

    1992-01-01

    Vietnam National Atomic Energy Commission (VINATOM) is a governmental body in charge of organizing and coordinating activities related to use of nuclear energy for peaceful purpose. VINATOM in structure consists of the Nuclear Research Institute (Dalat), the Institute of Nuclear Science and Technology (Hanoi), the Institute for Technology of Radioactive and Rare Elements (Hanoi), and the Centre for Nuclear Technique Application (Ho Chi Minh City). This catalogue introduces profiles of nuclear R and D activities under management by VINATOM. (N.H.A)

  15. Episodic nature of the delta 4-ene and delta 5-ene steroidogenic pathways and their relationship to the adreno-gonadal axis in stallions.

    Science.gov (United States)

    Ganjam, V K

    1979-01-01

    Changes in the daily secretory patterns of testosterone and other 17 beta-hydroxyandrogen, total oestrogens and total corticoids were investigated in 7 stallions. Pulsatile fluctuations in plasma hormone levels were found in the serial blood samples collected hourly for 24 h in all animals. The plasma profiles indicated that corticoids, oestrogens and androgens were secreted episodically at all times in stallions. A significant correlation was observed between the precursor and products of delta 4-ene and delta 5-ene pathways and in inverse correlation (r = -0.68; P less than 0.01) was observed between total androgens and total corticoids. The significance of these episodic fluctuations of the major steroid hormones are discussed.

  16. Avances en el tratamiento de la aspergilosis broncopulmonar alérgica

    Directory of Open Access Journals (Sweden)

    Peña Durán A

    2018-03-01

    Full Text Available Los objetivos del tratamiento de la aspergilosis broncopulmonar alérgica (ABPA son la reducción de la inflamación pulmonar, el control del asma, el tratamiento del estadio agudo de ABPA, prevenir las exacerbaciones, evitar la apari- ción o progresión a la bronquiectasia y la aspergilosis pulmonar crónica. El tratamiento utilizado hasta la actualidad han sido corticoides a largo plazo, azoles y LABA/CI. En pacientes graves sin respuesta al tratamiento con corticoides ora- les y antifúngico recientemente se han utilizado otros tratamientos como omalizumab y antiIL5 (mepolizumab.

  17. Food irradiation process control and acceptance. Regional UNDP project for Asia and the Pacific, mission undertaken in Vietnam. Food irradiation programme planning facility operation and pilot scale studies RPFI-Phase 3

    International Nuclear Information System (INIS)

    Giddings, G.G.

    1992-01-01

    At the request of the Government of Vietnam, the FAO/IAEA expert undertook a one-week mission to Vietnam between 16 and 23 March 1991, to the Hanoi Irradiation Center of the Vietnam Atomic Energy Commission. This mission included the following: The expert inspected the new Soviet automated, dry storage pilot plant gamma irradiator in the final stages of construction on the outskirts of Hanoi, and met with senior staff of the Hanoi Irradiation Center plus the Center specialized groups to hear and take note of their progress, problems and materials and manpower training expectations, etc. A tour of a large rice and vegetable growing cooperative outside Hanoi was made, followed by a meeting with members of the Cooperative's governing body. This cooperative will participate in pilot scale food irradiation feasibility studies once the new irradiator is operational. The expert provided a technical seminar to the Hanoi Irradiation Center staff, plus a general seminar to members of the Consumers Union of Vietnam plus invited guests, on radiation processing in general and food irradiation in particular, during the week. The expert accompanied Irradiation Center staff to Haiphong to visit the National Institute for Marine Products Research plus two Government-run fishery products processing plants in connection with the marine products side of the national food irradiation programme. He was accompanied to a meeting at the Ministry of Agriculture and Food Industry to meet with the Vice-Minister and staff plus food and allied industry representatives. (author)

  18. Validation of clinical case definition of acute intussusception in infants in Viet Nam and Australia.

    Science.gov (United States)

    Bines, Julie E; Liem, Nguyen Thanh; Justice, Frances; Son, Tran Ngoc; Carlin, John B; de Campo, Margaret; Jamsen, Kris; Mulholland, Kim; Barnett, Peter; Barnes, Graeme L

    2006-07-01

    To test the sensitivity and specificity of a clinical case definition of acute intussusception in infants to assist health-care workers in settings where diagnostic facilities are not available. Prospective studies were conducted at a major paediatric hospital in Viet Nam (the National Hospital of Pediatrics, Hanoi) from November 2002 to December 2003 and in Australia (the Royal Children's Hospital, Melbourne) from March 2002 to March 2004 using a clinical case definition of intussusception. Diagnosis of intussusception was confirmed by air enema or surgery and validated in a subset of participants by an independent clinician who was blinded to the participant's status. Sensitivity of the definition was evaluated in 584 infants agedclinical features consistent with intussusception but for whom another diagnosis was established (234 infants in Hanoi; 404 in Melbourne). In both locations the definition used was sensitive (96% sensitivity in Hanoi; 98% in Melbourne) and specific (95% specificity in Hanoi; 87% in Melbourne) for intussusception among infants with sufficient data to allow classification (449/533 in Hanoi; 50/51 in Melbourne). Reanalysis of patients with missing data suggests that modifying minor criteria would increase the applicability of the definition while maintaining good sensitivity (96-97%) and specificity (83-89%). The clinical case definition was sensitive and specific for the diagnosis of acute intussusception in infants in both a developing country and a developed country but minor modifications would enable it to be used more widely.

  19. Late cutaneous effects of a local potent steroid during adjuvant radiotherapy for breast cancer

    DEFF Research Database (Denmark)

    Ulff, Eva; Maroti, Marianne; Serup, Jörgen

    2017-01-01

    Purpose: The aim of this study was to evaluate whether treatment with a local potent corticosteroid during adjuvant external radiotherapy (ERT) of breast cancer is associated with late skin toxicity. Material and methods: Sixty patients (32 treated with potent corticoid cream versus 28 controls t...

  20. Prise en charge d'un cas de paralysie faciale périphérique du ...

    African Journals Online (AJOL)

    Treatment consists of a corticoids-based therapy involving the administration of high dosage of the latter, ocular protection, intense facial physiotherapy without electrical stimulation, coupled with cryotherapy and thermotherapy, which often result in the patient's complete recovery. Keywords: Facial peripheric paralysis, ...

  1. Comparative potency of formulations of mometasone furoate in terms of inhibition of ′PIRHR′ in the forearm skin of normal human subjects measured with laser doppler velocimetry

    Directory of Open Access Journals (Sweden)

    Kulhalli Prabhakar

    2005-01-01

    Full Text Available BACKGROUND AND AIMS: Topical glucocorticoid formulations are widely used for effective treatment and control of a variety of dermatoses. Mometasone furoate is a newer corticoid that has high potency but low systemic toxicity. Pharmaceutical factors are known to significantly influence potency and systemic absorption of topically applied glucocorticoids. We studied the potency of "Elocon", a topical formulation of mometasone furoate, compared with two other branded formulations of the same corticoid. METHODS: Corticoid potency was measured by employing a pharmacodynamic parameter of an inhibitory effect of the corticoid on post-ischemic-reactive-hyperemic-response (PIRHR in human forearm skin under occlusive dressing. The PIRHR was expressed in terms of % increase in the skin blood flow (SBF as measured with laser doppler velocimetry (LDV. RESULTS : All three active branded formulations of mometasone furoate produced significant inhibition of PIRHR. The AUC(0-2min of PIRHR was ( Mean ± SEM , Control = 213.52 ± 11.80, Placebo = 209.77 ± 19.31, Formulation A = 119.83 ± 13.71, Formulation C = 53.67 ± 4.85 and Formulation D = 111.46 ± 22.87. Formulation "C" exhibited significantly higher topical anti-inflammatory potency than formulations "A" or "D". CONCLUSIONS: Thus, branded formulations of the same glucocorticoid, mometasone furoate significantly differed in their topical anti-inflammatory potency. "Elocon" was significantly more potent than the two other branded formulations studied.

  2. Repeated blockade of mineralocorticoid receptors, but not of glucocorticoid receptors impairs food rewarded spatial learning

    NARCIS (Netherlands)

    Douma, B. R.; Korte, S. M.; Buwalda, B.; La Fleur, S. E.; Bohus, B.; Luiten, P. G.

    1998-01-01

    Corticosteroids from the adrenal cortex influence a variety of behaviours including cognition, learning and memory. These hormones act via two intracellular receptors, the mineralo-corticoid receptor (MR) and the glucocorticoid receptor (GR). These two receptor types display a high concentration and

  3. Repeated blockade of mineralocorticoid receptors, but not of glucocorticoid receptors impairs food rewarded spatial learning

    NARCIS (Netherlands)

    Douma, BRK; Korte, SM; Buwalda, B; la Fleur, SE; Bohus, B; Luiten, PGM

    Corticosteroids from the adrenal cortex influence a variety of behaviours including cognition, learning and memory. These hormones act via two intracellular receptors, the mineralo-corticoid receptor (MR) and the glucocorticoid receptor (GR). These two receptor types display a high concentration and

  4. Linfoma angioinmunoblástico de células T

    Directory of Open Access Journals (Sweden)

    Gargantilla P

    2016-09-01

    Full Text Available Se trata de un linfoma muy agresivo, con una mediana de supervivencia en torno a los 3 años. En cuanto al tratamiento, se han ensayado varias modalidades terapéuticas entre las cuales se encuentran los corticoides, los fármacos citotóxicos (vorinostat, romidepsin, panbinostat y belinostat y los inmunomoduladores (rituximab, lenalidomide.

  5. Medical Treatment of Tattoo Complications.

    Science.gov (United States)

    Serup, Jørgen

    2017-01-01

    Tattooing is a skin trauma and involves a special vulnus punctatum (with inserted tattoo ink, a vulnus venenatum), which should heal with no infection and no local complication. Local treatment in the healing phase ideally builds on the 'moist wound' principle using plastic film, hydrocolloids, silver dressing, and compression. Bacterial infections during healing are treated with oral antibiotics, and a list of first-line antibiotics is proposed. Notice is given to severe infections with affected general condition, and it is emphasized that intravenous antibiotic treatment must be instituted as early as possible to prevent septic shock and death. Hydrophilic antibiotics shall be given in high load and maintenance dose due to increased renal clearance of such antibiotics. Chronic allergic reactions of red tattoos respond little to local corticoids and are best treated with dermatome shaving. Laser removal is contraindicated due to the risk of photochemical activation of the allergy with anaphylaxis or worsening. Chronic reactions in black tattoos can be treated with local corticoids, dermatome shaving, and lasers as well. Systemic corticoid is used in allergic reactions in red tattoos and in cross-allergic reactions of other red tattoos as well as in black tattoo reactions associated with sarcoidosis and with cutaneous 'rush phenomenon' affecting any black tattoo. Systemic corticoid is also indicated in generalized eczema due to nickel allergy or another allergy challenged through tattooing or introduced by tattooing as a primary sensitization. The use of intralesional corticoid, antihistamines, and immunosuppressive medicines is discussed. A warning against the use of lactic acid and other caustic chemicals for tattoo removal is given, since such chemicals and commercial products cannot be dosed properly and very often result in disfiguring scarring. © 2017 S. Karger AG, Basel.

  6. Hygienic aspects of livestock manure management and biogas systems operated by small-scale pig farmers in Vietnam

    DEFF Research Database (Denmark)

    Luu, Huong Quynh; Madsen, Henry; Anh, Le Xuan

    2014-01-01

    Biogas digesters are widely promoted and increasingly used to treat and generate gas from pig slurry worldwide. The objective of this study was to describe manure management practices with focus on biogas digestion among small scale pig farmers in Hue (50 farmers) and Hanoi (96 farmers) and to as......Biogas digesters are widely promoted and increasingly used to treat and generate gas from pig slurry worldwide. The objective of this study was to describe manure management practices with focus on biogas digestion among small scale pig farmers in Hue (50 farmers) and Hanoi (96 farmers......) and to assess fecal contamination levels in biogas effluent. Results showed that 84% of the farmers in Hanoi and 42% in Hue used both pig slurry and human excreta for biogas production. Biogas digestion only reduced E. coli concentrations by 1 to 2 log units to 3.70±0.84 Escherichia coli (log) cfu/ml on average...

  7. Effects of Cross-Border Engineer Exchange on Innovation

    DEFF Research Database (Denmark)

    Machikita, Tomohiro

    2012-01-01

    Using data from a survey to manufacturing firms, this paper attempts to detect sources of new technologies transferred to a well-established industrial district in Calabarzon, the Philippines, and a rapidly growing agglomeration in Hanoi, Vietnam. We find significant effects of exchange of engine...... engineers between the two industrial districts indicates difference in the stages of industrial development.......Using data from a survey to manufacturing firms, this paper attempts to detect sources of new technologies transferred to a well-established industrial district in Calabarzon, the Philippines, and a rapidly growing agglomeration in Hanoi, Vietnam. We find significant effects of exchange...... of engineers with customer or supplier on improvements in fundamental processes by firms in Hanoi. On the other hand, exchange of engineers significantly affects improvements in production and quality control of products newly introduced by firms in Calabarzon. The difference in the effects of exchanging...

  8. Executive Functions: Influence of Sex, Age and Its Relationship With Intelligence

    Directory of Open Access Journals (Sweden)

    Larissa de Oliveira e Ferreira

    2015-12-01

    Full Text Available AbstractThe Tower of Hanoi is a tool used to evaluate executive functions. However, few studies describe what functions are evaluated in this test. This study investigates the executive functions, evaluated by the Tower of Hanoi (ToH, and the influence of gender, age and its relationship with intelligence. We evaluated 55 children and adolescents, between the ages of ten and 16, without diagnosed neuropsychiatric disorders. The results showed that the performance and time in to complete the Tower of Hanoi have no discriminative power when comparing age groups and sex; there was also no significant correlation found between the ToH and the execution quotient of the Wechsler Intelligence Scale for Children - Third Edition (WISC III, perceptual organization and the speed of processing. Only the subtest coding were positively related to the ToH, demonstrating that these instruments may be measuring related aspects of intelligence and executive functions, namely intelligence and working memory.

  9. Overnight improvements in two REM sleep-sensitive tasks are associated with both REM and NREM sleep changes, sleep spindle features, and awakenings for dream recall.

    Science.gov (United States)

    Nielsen, T; O'Reilly, C; Carr, M; Dumel, G; Godin, I; Solomonova, E; Lara-Carrasco, J; Blanchette-Carrière, C; Paquette, T

    2015-07-01

    Memory consolidation is associated with sleep physiology but the contribution of specific sleep stages remains controversial. To clarify the contribution of REM sleep, participants were administered two REM sleep-sensitive tasks to determine if associated changes occurred only in REM sleep. Twenty-two participants (7 men) were administered the Corsi Block Tapping and Tower of Hanoi tasks prior to and again after a night of sleep. Task improvers and non-improvers were compared for sleep structure, sleep spindles, and dream recall. Control participants (N = 15) completed the tasks twice during the day without intervening sleep. Overnight Corsi Block improvement was associated with more REM sleep whereas Tower of Hanoi improvement was associated with more N2 sleep. Corsi Block improvement correlated positively with %REM sleep and Tower of Hanoi improvement with %N2 sleep. Post-hoc analyses suggest Tower of Hanoi effects-but not Corsi Block effects-are due to trait differences. Sleep spindle density was associated with Tower of Hanoi improvement whereas spindle amplitude correlated with Corsi Block improvement. Number of REM awakenings for dream reporting (but not dream recall per se) was associated with Corsi Block, but not Tower of Hanoi, improvement but was confounded with REM sleep time. This non-replication of one of 2 REM-sensitive task effects challenges both 'dual-process' and 'sequential' or 'sleep organization' models of sleep-dependent learning and points rather to capacity limitations on REM sleep. Experimental awakenings for sampling dream mentation may not perturb sleep-dependent learning effects; they may even enhance them. Copyright © 2014 Elsevier Inc. All rights reserved.

  10. Health issues in nursing in Vietnam.

    Science.gov (United States)

    Kristy, S J

    1995-01-01

    Major health concerns are not currently addressed in Vietnam as the country strives to upgrade its economic status. The current standard of medical care is rudimentary at best, as is the education and practice of Vietnamese nurses. The Ministry of Health in Vietnam has directed the Medical College of Hanoi to commence a 4-year degree in nursing in 1994. Historical, practical, political, economic, social, and cultural issues affect the development of nursing as a profession. Assistance from the West is sought by the Medical College in Hanoi.

  11. Beyond passive consumption : Dis/ordering water supply and sanitation at Hanoi’s urban edge

    NARCIS (Netherlands)

    Schramm, S.; Wright-Contreras, Lucía

    2017-01-01

    In Hanoi people access, expand and create water and sanitation infrastructures in multiple ways that include, but are not restricted to, external provision of networked services. Urban master planning and the construction of large technological networks aim at integrating the urban region based on

  12. JPRS Report East Asia Southeast Asia

    Science.gov (United States)

    1987-06-30

    uti - lization of natural resources." "The, Stale shall from lime.1.6 lime, review to upgrade pensions and other benefits due to retirees of both the...VIETNAM RATIONAL, INTENSIVE EXPORT OF PHARMACEUTICALS PROPOSED Hanoi NHAN DAN in Vietnamese 14 Apr 87 p 3 [Article by pharmacist Nguyen Duy Cuong

  13. Developing the Profession of School Psychology in Vietnam

    Science.gov (United States)

    Terjesen, Mark D.; Kassay, Kimberly S.; Bolger, Maria

    2008-01-01

    Building upon a successful prior initial trip to Vietnam in January 2008, students and faculty from St. John's University (STJ) School Psychology program returned to work with the faculty from Hanoi National University of Education (HNUE) in developing the profession of school psychology in that country. The purpose of this trip was twofold: (1)…

  14. Radiation Technology

    International Nuclear Information System (INIS)

    1990-01-01

    The conference was organized to evaluate the application directions of radiation technology in Vietnam and to utilize the Irradiation Centre in Hanoi with the Co-60 source of 110 kCi. The investigation and study of technico-economic feasibility for technology development to various items of food and non-food objects was reported. (N.H.A)

  15. 40th Anniversary of the First Proton-Proton Collisions in the CERN Intersecting Storage Rings (ISR)

    CERN Multimedia

    CERN. Geneva

    2011-01-01

    Welcome, Luigi di Lella and Rolf HeuerDesign and Construction of the ISR, Kurt HubnerPhysics at small angles, Ugo Amaldi (TERA Foundation)The Impact of the ISR on Accelerator Physics and Technology, Philip J. BryantPhysics at high transverse momentum, Pierre Darriulat (VATLY-Hanoi)Concluding remarks, Rolf Heuer

  16. Bridging the Learning Gap: Cross-Cultural Learning and Teaching through Distance

    Science.gov (United States)

    Mullings, Delores V.

    2015-01-01

    This project engaged students, practitioners, and educators from University of Labor and Social Affairs, Cau Giay District, Hanoi and Newfoundland and Labrador, Canada, in a cross-cultural distance learning and teaching collaboration. Two groups met simultaneously through Skype videoconferencing to discuss and learn about field supervision and…

  17. Possibility of analysis using RBS, PIXE and nuclear reaction on the electrostatic Pelletron accelerator 5SDH-2

    International Nuclear Information System (INIS)

    Nguyen The Nghia; Bui Van Loat; Le Hong Khiem

    2011-01-01

    The electrostatic Pelletron accelerator 5SDH-2 is installing at Hanoi University of Sciences. This accelerator will be the first tandem electrostatic accelerator installed in Vietnam. The schematic structure, principle of operation of the machine and its application for analysis using Rutherford Back Scattering (RBS), Particle-Induced X-ray Emission (PIXE) and Nuclear Reaction Analysis (NRA) will be presented. (author)

  18. A new green approach for the reduction of graphene oxide ...

    Indian Academy of Sciences (India)

    Author Affiliations. Thu Ha Thi Vu1 Thanh Thuy Thi Tran1 Hong Ngan Thi Le1 Phuong Hoa Thi Nguyen1 Ngoc Quynh Bui2 Nadine Essayem2. Key Laboratory for Petrochemical and Refinery Technologies, Hanoi, Vietnam; Institute of Researches on Catalysis and Environment in Lyon, CNRS, Lyon 1, 69626 Villeurbanne, ...

  19. Correlations between genetic variance and adiposity measures, and ...

    Indian Academy of Sciences (India)

    justed and adjusted for the covariates (P = 0.006 in adjusted model). In multiple logistic regression .... of the World Health Organization (WHO Expert Consul- tation 2004) and the ...... sity in urban Hanoi, Vietnam. Asia. Pac. J. Clin. Nutr. 18, 234 ...

  20. Southeast Asia Report

    Science.gov (United States)

    1984-10-10

    Pfc. Alberto Entrera and Pfc. Dixon Nolasco. Those who died later in the hospital were S/ Sgt. Fructu8o Esteban, Pfc. Talib Mohamud and a...English 0750 GMT 24 Sep 84 [Text] Hanoi, 23 Sep (VNA)—President of the State Council Truong Chinh today sent his warm greetings to Joao Bernardo

  1. Genetic analysis of 55 northern Vietnamese patients with Wilson ...

    Indian Academy of Sciences (India)

    Le Anh Tuan Pham

    2017-12-19

    Dec 19, 2017 ... et al. 1993). The ATP7B gene consists of 21 exons and 20 introns. It is ∼7.5 kb in size and ... tal in Hanoi from 2010 to 2015. Diagnosis of WD ..... 6, 616–623. Figus A., Angius A., Loudianos G., Bertini C., Dessi V., Loi. A. et al ...

  2. Asia Pacific Economic Cooperation (APEC) and the 2008 Meetings in Lima, Peru

    Science.gov (United States)

    2009-03-31

    imminent bombing of Iraq. Economic recession continues for several APEC members, with varying levels of hardship. Malaysian Prime Minister Mahathir...incidences of avian flu in both birds and humans. 2006 - Hanoi, Vietnam APEC initiates a study of regional economic integration to include

  3. Quantification of sediment-water interactions in a polluted tropical river through biogeochemical modeling

    NARCIS (Netherlands)

    Trinh, A.D.; Meysman, F.; Rochelle-Newall, E.; Bonnet, M.P.

    2012-01-01

    Diagenetic modeling presents an interesting and robust way to understand sediment-water column processes. Here we present the application of such a model to the Day River in Northern Vietnam, a system that is subject to high levels of domestic wastewater inputs from the Hanoi metropolitan area.

  4. The Prosea Programme (Plant Resources of South-East Asia)

    NARCIS (Netherlands)

    Jansen, P.C.M.

    1998-01-01

    At the 9th Country Officers Meeting in Hanoi, Vietnam (9-11 September 1997) it was decided to start with PHOTPHILE. PHOTPHILE is a database of illustrations (photographs, slides, and drawings) of species covered by the PROSEA Handbook which are intended to be published on the Commodity Group

  5. Math Around the World: Grades 5-8. Teachers' Guide. Great Explorations in Math and Science (GEMS).

    Science.gov (United States)

    Braxton, Beverly; And Others

    This document is a collection of eight games from four continents. Students use mathematics that is directly relevant to them as they take part in the games. The first five games (NIM, Kalah, Tower of Hanoi, Shongo Networks, and Magic Squares) feature presentation instructions that describe multiple-session classroom activities for grades 5-8.…

  6. Dealing with a positive result: routine HIV testing of pregnant women in Vietnam

    NARCIS (Netherlands)

    Oosterhoff, P.; Hardon, A.P.; Nguyen, T.A.; Pham, N.Y.; Wright, P.

    2008-01-01

    HIV testing is an essential component of PMTCT. It can be offered to pregnant women through different testing models, ranging from voluntary counseling and testing (VCT) to routine and mandatory testing. This study was conducted in Hanoi, Vietnam, where HIV-prevalence is low among the general

  7. Special issue on "Frontiers in Materials Science: Condensed matters"

    Science.gov (United States)

    Hoang, Nam-Nhat; Yamamoto, Tomoyuki; Pham, Duc-Thang

    2018-03-01

    This special issue includes the editor-invited and selected papers from 3rd International Symposium on Frontiers in Materials Science (FMS2016), held in Hanoi, Vietnam, from the 28th to 30th of September 2016, which coincided with the 65th anniversary of the Faculty of Physics, Hanoi University of Education. The FMS2016 is a continuation of a series of meetings starting from 2010. A first event was a bilateral Vietnamese-German meeting in Hanoi, Vietnam, in 2010, and the second one was held in Frankfurt, Germany, in 2011. The idea at that time was to initiate interactions between scientists from both countries and to further develop the field of materials science in Southeast Asia. After these successful bilateral meetings, a next step was taken by advancing the format of the symposium into an international event. In 2013, the 1st International Symposium on Frontiers in Materials Science (FMS2013) was successfully organized in Hanoi, which followed 2nd symposium, FMS2015, in Tokyo, in 2015. The FMS2016 continues this idea of providing an international forum for physicists, material scientists and chemists for discussing their latest results and the recent developments in the important field of materials science.

  8. Bullying the Meek: A Conceptualisation of Vietnamese School Bullying

    Science.gov (United States)

    Horton, Paul; Kvist Lindholm, Sofia; Nguyen, Thu Hang

    2015-01-01

    Drawing on ethnographic research conducted at three lower secondary schools in the northern Vietnamese cities of Hanoi and Haiphong, this article provides a contextually nuanced conceptualisation of Vietnamese school bullying. In doing so, the article not only addresses the lack of knowledge about Vietnamese school bullying, but also poses a…

  9. Utilizing the Active and Collaborative Learning Model in the Introductory Physics Course

    Science.gov (United States)

    Nam, Nguyen Hoai

    2014-01-01

    Model of active and collaborative learning (ACLM) applied in training specific subject makes clear advantage due to the goals of knowledge, skills that students got to develop successful future job. The author exploits the learning management system (LMS) of Hanoi National University of Education (HNUE) to establish a learning environment in the…

  10. Civil society organizations' roles in health development in Vietnam: HIV as a case study

    NARCIS (Netherlands)

    Hoang, T.A.

    2013-01-01

    Civil society in contemporary Vietnam has been recognised as an important force in public health. Based on qualitative interviews and observations of 30 organisations and networks in Hanoi and Ho Chi Minh City, this paper argues that civil society organisations (CSOs) focus almost exclusively on

  11. Chapter 6: Accidents; Capitulo 6: Acidentes

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2014-06-01

    The chapter 6 talks about the accidents with radiators all over the world, specifically, the Stimos, in Italy, 1975, San Salvador, in El Salvador, 1989, Soreq, in Israel, 1990, Nesvizh, in Byelorussian, 1991, in Illinois, US, 1965, in Maryland, US, 1991, Hanoi, Vietnam, 1992, Fleurus, in Belgium, 2006. Comments on the accidents and mainly the learned lessons.

  12. Chapter 6: Accidents

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2018-04-01

    Th chapter 6 presents the accidents of: 1) Stimos (Italy - May, 1975); 2) San Salvador (El Salvador - February 5, 1989); 3) Soreq (Israel - June 21, 1990); 4) Nesvizh (Belarus - October 26, 1991); 5) Illinois (USA - February, 1965); 6)Maryland (EUA - December 11, 1991); 7)Hanoi (Vietnam -November 17, 1992); 8)Fleurus (Belgium - March 11, 2006) and final remarks on accidents.

  13. Urinary steroid hormone patterns: III. Effect of continuous daily administration of low dose megestrol acetate.

    Science.gov (United States)

    Kumari, G L; Roy, S; Allag, I S; Ghosal, J

    1975-12-01

    The effect of megestrol acetate, administered in daily doses of .5 mg, on urinary steroid levels was studied before, during, and after therapy in 4 women volunteers. In each case, pregnanediol levels were reduced, though ovulatory biphasic patterns, as reflected in basal body temperature patterns, were apparent in the majority of the cycles, which suggests that corpus luteum function, but not ovulation, was impaired. 17-ketosteroid levels were significantly (p less than .001) increased either during or after treatment, while 17-hydroxycorticoid levels were reduced in 3 of the women. 2 subjects showed a marked reduction in levels of 17-ketogenic steroids and corticoid levels. Total estrogen levels seemed to correlate with the levels of corticoid excretion.

  14. Inmunogenicidad de la vacuna frente al virus de la hepatitis B en pacientes con enfermedad inflamatoria intestinal

    OpenAIRE

    Olsen Rodríguez, Renée

    2017-01-01

    La colitis ulcerosa (CU) y la enfermedad de Crohn (EC) son patologías que se denominan conjuntamente enfermedad inflamatoria intestinal (EII). Su patogenia es poco conocida, pero si se sabe que hay una respuesta inmune frente a estructuras del tubo digestivo. El tratamiento se basa es disminuir esta inmunogenicidad administrando corticoides, inmunosupresores o terapias biológicas. Todas estas circunstancias favorecen las infecciones y reactivaciones por el virus de la hepatitis B (VHB). La pr...

  15. Lumbar spine joint synovial cysts of intraspinal development. CT scan imaging

    Energy Technology Data Exchange (ETDEWEB)

    Vallee, C.; Chevrot, A.; Benhamouda, M. and others

    CT scan imaging findings are described in 22 patients with lumbar spine joint synovial cysts, of intraspinal development, provoking sciatica or lumbosciatica from nerve compression in spinal canal. Diagnosis was suggested by a mass at the posterior joint level, of variable density, sometimes with peripheral calcification, presenting a vacuum appearance on occasions, and with enhanced image with contrast. Differential diagnosis is from excluded hernia and postoperative fibrosis. Posterior intra-articular arthrography can confirm diagnosis and allow treatment with prolonged action corticoid infiltrations.

  16. Síndrome de DRESS asociado a Levetiracetam

    Directory of Open Access Journals (Sweden)

    Moreno Díaz J

    2016-09-01

    Full Text Available El síndrome de DRESS es una toxicodermia asociada a eosinofilia con síntomas sistémicos. Presentamos un caso de dicho síndrome tras inicio de Levetiracetam con buena evolución tras inicio de corticoides y retirada del fármaco. Este síndrome, poco conocido y probablemente infradiagnosticado, puede ser potencialmente letal si no se trata de forma precoz.

  17. Radioimmunological determination of plasma cortisol following application of a stomatic paste containing prednisolone (DontisolonR)

    International Nuclear Information System (INIS)

    Stehn, H.

    1985-01-01

    A radioimmunological method was used to determine the cortisol plasma levels of 69 patients, treated with a stomatic paste containing prednisolone. Significant changes in plasma cortisol were only established in connection with a dose regimen of 3 times 1.25 mg daily. In isolated cases, however, there were major decreases in response to exposure to prednisolone. Therefore, the anamnestic data of any one patient being prescribed corticoids must be examined with care. (TRV) [de

  18. PALLIATIVE CARE ELDERLY PATIENTS WITH SLEEPING DISORDERS ARE POORLY TREATED

    OpenAIRE

    Bellido-Estevez, Inmaculada

    2015-01-01

    Background: Sleep disorders are frequent in patients with advanced cancer receiving palliative-care, especially in elderly patients (1). Sleep disorders during palliative-care may be related with anxiety, opioids related central-sleep apnoea or corticoids therapy between others (2). Our aim was to quantify the effectiveness of hypnotic medication in the sleep quality in advanced cancer receiving palliative-care elderly patients. Material and methods: A descriptive cross-sectional study was...

  19. Radioimmunological determination of. cap alpha. -MSH and ACTH in the rat

    Energy Technology Data Exchange (ETDEWEB)

    Usategui Echeverria, R; Oliver, C; Vaudry, H; Lombardi, G; Rozenberg, I; Vague, J [Centre Hospitalier Universitaire de la Timone, 13 - Marseille (France)

    1975-09-01

    Specific and sensitive radioimmunoassay methods for ..cap alpha..-MSH and ACTH are reported. They make possible specific measurements of each hormone in rat plasma or pituitary extracts. Endogenous ..cap alpha..-MSH and ACTH extracted from plasma or pituitary show the same immunoreactivity than synthetic ..cap alpha..-MSH and ACTH. ..cap alpha..-MSH and ACTH levels vary independently from each other in the following conditions: circadian rythm, corticoid treatment, adrenalectomy, ether stress, haloperidol injection.

  20. Ocular toxocariasis: radiological findings - a case report and review of the literature

    International Nuclear Information System (INIS)

    Abbehusen, Cristiane; Jesus, Paulo Eduardo Marinho de; Rodrigues, Waldinei Merces; Wolosker, Angela Maria Borri; Lederman, Henrique Manoel; Yamashita, Helio Kiitiro

    1998-01-01

    The authors report a case of a 4-year-old girl patient complaining of leukokoria on the right eye 15 days ago. The ophthalmologic exam was not possible to do because of catarata. So, a magnetic resonance imaging (MRI) examination was performed, which revealed hyperintense vitreous camera and enhancing intraocular mass. Diagnosis of ocular toxocariasis was based on MRI findings and laboratorial examinations. The corticoids treatment was performed and the child had a good evolution. (author)

  1. Experimental study of possible therapy of the acute radiation syndrome

    International Nuclear Information System (INIS)

    Willborn, M.

    1981-01-01

    These experimental studies showed that the survival time of rats, irradiated in a whole-body irradiation with 3000 rad 60 Co-gamma, can be positively influenced by the administration of an antibiotic and also by glucocorticoids. Contrary to our expectations, the combined application of the glucocorticoid and the antibiotic did not increase the survival time of the animals with gastrointestinal syndromes compared with the exclusive administration of the antibiotic. The mineral corticoid aldosterone resulted to be ineffective. (orig.) [de

  2. Are intratympanic corticosteroids effective for Ménière’s disease?

    Directory of Open Access Journals (Sweden)

    Ángela Chuang-Chuang

    2017-03-01

    Full Text Available Resumen La enfermedad de Ménière afecta al oído interno y tiene como principales síntomas el vértigo, la pérdida auditiva y los síntomas aurales fluctuantes. Actualmente existen varias alternativas terapéuticas. El uso de corticoides intratimpánicos es una de las que se ha popularizado, sin embargo, no está clara su real utilidad clínica. Para contestar esta pregunta utilizamos la base de datos Epistemonikos, la cual es mantenida mediante búsquedas en múltiples bases de datos. Identificamos cuatro revisiones sistemáticas que incluyen 15 estudios primarios que responden la pregunta, entre ellos siete estudios controlados aleatorizados. Extrajimos los datos y preparamos tablas de resumen de los resultados utilizando el método GRADE. Concluimos que los corticoides intratimpánicos probablemente no disminuyen el tinitus, y podrían no disminuir el vértigo, la pérdida auditiva ni la sensación de plenitud aural en la enfermedad de Ménière. Los corticoides intratimpánicos probablemente no tienen efectos adversos importantes.

  3. On the influence of dexamethason-21-iso-nicotinate on histamine blood level in horses with reference to the facultative occurrence of laminitis

    International Nuclear Information System (INIS)

    Rautschka, R.

    1987-10-01

    In some cases laminitis may result as a consequence of corticoid therapy in horses. It was the aim of this investigation to prove, if there is a connection between therapeutic doses of a corticoid (dexamethasone-21-iso-nicotinate) and the liberation of histamine into the equine plasma. 40 veterinarians reported 23 cases of laminitis after treating the horses with various corticoids. To determine histamine levels in equine plasma, a method used in human medicine (Faraj, 1984) was adapted accordingly. The principle of this method consists of enzymatic coupling of a tritium-labelled methyl group to the histamine contained in plasma. From the investigation the conclusion could be drawn, that it was not possible to induce liberation of histamine into equine plasma by therapeutic doses of dexamethasone-21-iso-nicotinate. Finally, plasma levels of three horses, suffering from chronical obstructive pulmonary disease (COPD) treated therapeutically with dexamethasone-21-iso-nicotinate, were determined. Conclusively a connection between the i.m. application of dexamethasone-21-iso-nicotinate and an inducement of histamine liberation into equine plasma could not be proven. 226 refs., 11 figs., 12 tabs. (G.Q.)

  4. Tinea incognito due to Trichophyton mentagrophytes: case report

    Directory of Open Access Journals (Sweden)

    Walter Gubelin

    2016-11-01

    Full Text Available Resumen Las tiñas son infecciones frecuentes causadas por dermatofitos, capaces de invadir tejido queratinizado, produciendo placas anulares, eritematosas y descamativas. Sin embargo, en la tiña incógnita esta clínica es modificada por el uso inapropiado de corticoides o inhibidores de calcineurina tópicos, dificultando su diagnóstico. Presentamos el caso de un paciente masculino de 12 años, con lesiones eritematosas localizadas en la región ciliar derecha. Se interpretó como una dermatitis de contacto y se indicaron corticoides tópicos, pero evolucionó con lesiones más inflamatorias. Se obtuvo un cultivo de hongos positivo para Tricophyton mentagrophytes. De este reporte se concluye que las tiñas pueden imitar otras condiciones dermatológicas. Por ende, se debe tener precaución al indicar corticoides o inhibidores de calcineurina tópicos sin una certeza diagnóstica. Ello, debido a que en el caso de corresponder a una tiña, se alteran las características clínicas, dificultando el diagnóstico y manejo.

  5. Evidence for chronic stress in captive but not free-ranging cheetahs (Acinonyx jubatus) based on adrenal morphology and function.

    Science.gov (United States)

    Terio, Karen A; Marker, Laurie; Munson, Linda

    2004-04-01

    The cheetah (Acinonyx jubatus) is highly endangered because of loss of habitat in the wild and failure to thrive in captivity. Cheetahs in zoos reproduce poorly and have high prevalences of unusual diseases that cause morbidity and mortality. These diseases are rarely observed in free-ranging cheetahs but have been documented in cheetahs that have been captured and held in captive settings either temporarily or permanently. Because captivity may be stressful for this species and stress is suspected as contributing to poor health and reproduction, this study aimed to measure chronic stress by comparing baseline concentrations of fecal corticoid metabolites and adrenal gland morphology between captive and free-ranging cheetahs. Additionally, concentrations of estradiol and testosterone metabolites were quantified to determine whether concentrations of gonadal steroids correlated with corticoid concentration and to assure that corticosteroids in the free-ranging samples were not altered by environmental conditions. Concetntrations of fecal corticoids, estradiol, and testosterone were quantified by radioimmunoassay in 20 free-ranging and 20 captive cheetahs from samples collected between 1994 and 1999. Concentrations of baseline fecal corticoids were significantly higher (p = 0.005) in captive cheetahs (196.08 +/- 36.20 ng/g dry feces) than free-ranging cheetahs (71.40 +/- 14.35 ng/g dry feces). Testosterone concentrations were lower in captive male cheetahs (9.09 +/- 2.84 ng/g dry feces) than in free-ranging cheetahs (34.52 +/- 12.11 ng/g dry feces), which suggests suppression by elevated corticoids in the captive males. Evidence for similar sulppression of estradiol concentrations in females was not present. Adrenal corticomedullary ratios were determined on midsagittal sections of adrenal glands from 13 free-ranging and 13 captive cheetahs obtained between 1991 and 2002. The degree of vacuolation of cortical cells in the zona fasciculata was graded for each animal

  6. A DISSECAÇÃO HORIZONTAL COMO PARÂMETRO MORFOMÉTRICO PARA AVALIAÇÃO DO RELEVO: PROPOSTA DE TÉCNICA DIGITAL AUTOMÁTICA

    Directory of Open Access Journals (Sweden)

    Mateus Vidotti Ferreira

    2014-12-01

    Full Text Available A morfometria do relevo constitui-se em parâmetro importante para a avaliação da potencialidade morfogenética dos terrenos. Dentre as diversas variáveis passíveis de mensuração, a dissecação horizontal ganha relevância ao permitir avaliar os processos morfogenéticos relacionados com a intensidade da dinâmica fluvial. Com o desenvolvimento das técnicas cartográficas digitais, a obtenção desse tipo de dado, que tradicionalmente envolvia um trabalho moroso, tem evoluído bastante. O objetivo desse artigo é apresentar e discutir uma nova técnica automática desenvolvida em meio digital para a aquisição de dados da dissecação horizontal do relevo. Apresenta-se ainda uma análise comparativa de mapeamentos realizados de forma semiautomática e automática da bacia hidrográfica do Córrego do Cavalheiro (Analândia - SP, na escala de 1:10.000. Os resultados obtidos demonstram que a técnica digital permite maior precisão e demanda menor tempo para ser executada. Além disso, a replicabilidade é garantida em razão do uso de algoritmos computacionais, dispensando a subjetividade inerente aos processos analógicos.

  7. El austracismo en el reino de Mallorca

    Directory of Open Access Journals (Sweden)

    Josep JUAN VIDAL

    2015-05-01

    Full Text Available Mallorca e Ibiza permanecieron bajo dominio austracista nueve años entre 1706 y 1715. Pero durante todo ese período la posesión del reino no fue pacífica, ya que persistieron sospechas de desafección hacia una serie de conspiradores proborbónicos. El régimen para mantenerse tuvo que adoptar medidas de fuerza, como deportaciones de presos, exilios de filipistas y un control más estricto de los sorteos para proveer los cargos de la Universitat cesando individuos extraídos a suerte para ejercer un cargo por mandato del virrey y dispensando a otros para acceder a ellos. La fidelidad a la causa era preferida a la estricta observancia a la ley. Las noticias recibidas de la península eran enmasacaradas cuando estas se referían a derrotas militares. En Menorca los austracistas quedaron decepcionados. Algunos habían perdido su vida, su cargo y su hacienda por convertirse en súbditos de la Casa de Austria y después quedaron como súbditos de una monarquía no católica.

  8. Penetrógrafo eletrônico automático Automatic electronic recording penetrometer

    Directory of Open Access Journals (Sweden)

    Aloísio Bianchini

    2002-01-01

    Full Text Available O presente trabalho relata o desenvolvimento de um penetrógrafo, construído para operar de forma automática, executando um ensaio de penetração com um simples toque no botão de partida. Ele possui incorporado, um sistema dedicado de aquisição de dados, que pode armazenar até 187 ensaios e uma interface de comunicação, dispensando a conexão ao microcomputador ou "datalogger". As condições do ensaio como, por exemplo, data, localização (latitude e longitude e profundidade, podem ser atualizadas, assim como a aferição da célula de carga, via teclado com mostrador de duas linhas. Verificou-se variação de velocidade This paper presents the development of an automatic recording penetrometer, which operates at the touch of a button. It incorporates a data acquisition system, which can store data of 187 tests and has a serial PC interface. The test characterization such as dates, location (latitude and longitude can be recorded as well. The maximum working depth may be set and the load cell calibration can be verified through a keyboard with 2 lines display. A speed variation error of < 5% compared to ASAE standard was verified for cone indices between 500 and 5,684 kPa. The equipment is compact, easy to handle and can realize one test every minute.

  9. Determinação analítica da performance da irrigação por sulcos abertos e em declive

    Directory of Open Access Journals (Sweden)

    Aristides Fraga Lima Filho

    2015-06-01

    Full Text Available Uma solução analítica foi desenvolvida, para avaliar sulcos abertos e em declive, com base na teoria de Balanço de Volume de Walker e Skogerboe (1987. Essa metodologia é capaz de obter, matematicamente, a performance de um sistema, dispensando a construção de gráficos que definem os parâmetros de avaliação. A solução matemática é baseada no ajuste de equações ao modelo potencial, no cálculo das áreas sob as curvas definidas no ajuste e na intercessão de curvas, obtendo-se, assim, a performance de sistemas de irrigação por sulcos abertos e em declive. Para validação da metodologia, foi realizado um experimento de campo, na Fazenda Experimental da Universidade Federal do Ceará, situada no município de Pentecoste, pertencente ao Centro de Ciências Agrárias. Os dados de campo foram submetidos à análise pelas duas metodologias. Os resultados mostraram que a metodologia analítica pode ser usada para avaliar a irrigação por sulcos abertos e em declive.

  10. 3rd International Conference on High Performance Scientific Computing

    CERN Document Server

    Kostina, Ekaterina; Phu, Hoang; Rannacher, Rolf

    2008-01-01

    This proceedings volume contains a selection of papers presented at the Third International Conference on High Performance Scientific Computing held at the Hanoi Institute of Mathematics, Vietnamese Academy of Science and Technology (VAST), March 6-10, 2006. The conference has been organized by the Hanoi Institute of Mathematics, Interdisciplinary Center for Scientific Computing (IWR), Heidelberg, and its International PhD Program ``Complex Processes: Modeling, Simulation and Optimization'', and Ho Chi Minh City University of Technology. The contributions cover the broad interdisciplinary spectrum of scientific computing and present recent advances in theory, development of methods, and applications in practice. Subjects covered are mathematical modelling, numerical simulation, methods for optimization and control, parallel computing, software development, applications of scientific computing in physics, chemistry, biology and mechanics, environmental and hydrology problems, transport, logistics and site loca...

  11. 6th International Conference on Knowledge and Systems Engineering

    CERN Document Server

    Le, Anh-Cuong; Huynh, Van-Nam

    2015-01-01

    This volume contains papers presented at the Sixth International Conference on Knowledge and Systems Engineering (KSE 2014), which was held in Hanoi, Vietnam, during 9–11 October, 2014. The conference was organized by the University of Engineering and Technology, Vietnam National University, Hanoi. Besides the main track of contributed papers, this proceedings  feature the results of four special sessions focusing on specific topics of interest and three invited keynote speeches. The book gathers a total of 51 carefully reviewed papers describing recent advances and development on various topics including knowledge discovery and data mining, natural language processing, expert systems, intelligent decision making, computational biology, computational modeling, optimization algorithms, and industrial applications.

  12. Air Power and the Ground War in Vietnam, Ideas and Actions

    Science.gov (United States)

    1988-01-01

    In 1986, Air University Review also published his essay "In Search of the Unicorn ," a discussion of the broad development of military reform...internal considerations in North Vietnam affected the Hanoi government’s behavior ; and a single-causal explanation of the peace agreement falters . Beyond...Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour

  13. Images of Inherited War: Three American Presidents in Vietnam

    Science.gov (United States)

    2014-02-01

    from his notorious Tuesday Lunches to his un- dulating bombing campaign to what he did and did not permit the military to do—reveals his deep-rooted...Americans voted—with television replacing the old-fashioned hand-shaking and convention format. Moreover, Nixon staffer and biographer Roger Morris ...as a personal challenge from Hanoi, Moscow, Beijing, the Cambodian rebels, the Vietcong, and his critics at home. Roger Morris said Nixon be- lieved

  14. Evaluation of spectral zeta-functions with the renormalization group

    International Nuclear Information System (INIS)

    Boettcher, Stefan; Li, Shanshan

    2017-01-01

    We evaluate spectral zeta-functions of certain network Laplacians that can be treated exactly with the renormalization group. As specific examples we consider a class of Hanoi networks and those hierarchical networks obtained by the Migdal–Kadanoff bond moving scheme from regular lattices. As possible applications of these results we mention quantum search algorithms as well as synchronization, which we discuss in more detail. (paper)

  15. Radiation accident in Viet Nam

    International Nuclear Information System (INIS)

    Wheatley, J.

    1998-01-01

    In November 1992 a Vietnamese research physicist was working with a microtron accelerator when he received a radiation overexposure that required the subsequent amputation of his right hand. A team from the International Atomic Energy Agency visited Hanoi in March 1993 to carry out an investigation. It was concluded that the accident occurred primarily due to a lack of safety systems although the lack of both written procedures and training in basic radiation safety were also major contributors. (author)

  16. Perspectives of Nuclear Physics in the Late Nineties

    International Nuclear Information System (INIS)

    Nguyen Dinh Dang; Da Hsuan Feng; Nguyen Van Giai

    1995-01-01

    This book is a collection of 44 papers presented at the International Conference on Nuclear Physics and Related Topics held in Hanoi (Vietnam), 1994. Content of the book contains subjects as follows: 1-Recent development of nuclear theory and related topics including conventional picture of nuclei, relativistic mean field theory, quark picture of nuclei, chaos; 2-Recent developments of experiments relating to radioactive beams, ultrarelativistic heavy-ion collisions; and 3-Applications in astrophysics and metal clusters. (N.H.A)

  17. Exploring the Concept of Learner Autonomy in Cross-Cultural Research

    OpenAIRE

    Nga Thanh Nguyen; Donna Tangen; Denise Beutel

    2014-01-01

    This research explores how the concept of learner autonomy is understood and used in Vietnamese higher educational settings. Data were collected through interviews in Vietnamese with four university lecturers in Hanoi, Vietnam and then reported in an English language thesis. The problems confronted by the lecturers were in understanding the concept of learner autonomy, the complexities of translation equivalence for the concept from one language to another, and the impact of culture in interp...

  18. Area Handbook Series: Vietnam: A Country Study

    Science.gov (United States)

    1987-12-01

    cough, measles, poliomyelitis, chicken pox , typhoid fever, acute encepha- litis, and acute meningitis. Hanoi claimed in 1970 that alcoholic cirrhosis...Country Study the people of Van Lang grew other grains and beans and raised stock, mainly buffaloes, chickens , and pigs. Pottery-making and bamboo...152 Cuba 550-45 Malaysia 550-22 Cyprus 550-161 Mauritania 550-158 Czechoslovakia 550-79 Mexico 550-36 Dominican Republic/Haiti 550-76 Mongolia 550-52

  19. Helicobacter pylori infection and gastroduodenal diseases in Vietnam: a cross-sectional, hospital-based study

    Directory of Open Access Journals (Sweden)

    Okimoto Tadayoshi

    2010-09-01

    Full Text Available Abstract Background The rate of H. pylori infection in Vietnam is reportedly high, but the spectrum of H. pylori-associated gastroduodenal diseases has not been systematically investigated. Moreover, despite the similarities of ethnicity and diet, the age-standardized incidence rate of gastric cancer in the northern city of Hanoi is higher than that in the southern city of Ho Chi Minh, but the reason for this phenomenon is unknown. The virulence of Vietnamese H. pylori has also not been investigated in detail. Methods Individuals undergoing esophagogastroduodenoscopy were randomly recruited. H. pylori infection status was determined based on the combined results of culture, histology, immunohistochemistry, rapid urine test and serum ELISA. Peptic ulcer (PU and gastroesophageal reflux disease was diagnosed by endoscopy, and chronic gastritis was determined histologically. H. pylori virulence factors were investigated by PCR and sequencing. Results Among the examined patients, 65.6% were infected with H. pylori. The prevalence of infection was significantly higher in those over 40 years of age than in those aged ≤40. Chronic gastritis was present in all H. pylori-infected individuals, 83.1% of whom had active gastritis, and 85.3% and 14.7% had atrophy and intestinal metaplasia, respectively. PU was present in 21% of infected patients, whereas its incidence was very low in non-infected individuals. The prevalence of PU was significantly higher in Hanoi than in Ho Chi Minh. The prevalence of vacA m1, which has been identified as an independent risk factor for PU in Vietnam, was significantly higher among H. pylori isolates from Hanoi than among those from Ho Chi Minh. Conclusions H. pylori infection is common in Vietnam and is strongly associated with PU, active gastritis, atrophy and intestinal metaplasia. vacA m1 is associated with an increased risk for PU and might contribute to the difference in the prevalence of PU and gastric cancer between

  20. Validation of clinical case definition of acute intussusception in infants in Viet Nam and Australia.

    OpenAIRE

    Bines, JE; Liem, NT; Justice, F; Son, TN; Carlin, JB; de Campo, M; Jamsen, K; Mulholland, K; Barnett, P; Barnes, GL

    2006-01-01

    OBJECTIVE: To test the sensitivity and specificity of a clinical case definition of acute intussusception in infants to assist health-care workers in settings where diagnostic facilities are not available. METHODS: Prospective studies were conducted at a major paediatric hospital in Viet Nam (the National Hospital of Pediatrics, Hanoi) from November 2002 to December 2003 and in Australia (the Royal Children's Hospital, Melbourne) from March 2002 to March 2004 using a clinical case definition ...

  1. The United States Air Force in Southeast Asia: Tactical Airlift

    Science.gov (United States)

    1983-01-01

    absent, but on balance the airlift effort was managed and executed intelligently. Probably the most serious failing was the Air Force’s tardiness in...Clark Air Base, Philippines receives a red cross; Maj. James E. Marrott at the controls of the first C-141 flown into Hanoi; a jubilant ex-POW deplanes...parachutes and rigging for airdrops.t Surface and air shipments from the United States similarly converged at the Philippines . * The unit was first

  2. Collaborative work between the West and Asia.

    Science.gov (United States)

    Hser, Yih-Ing; Bart, Gavin; Li, Li; Giang, Le Minh

    2013-12-01

    The "Collaborative Work between the West and Asia" session was chaired by Dr. Yih-Ing Hser and had three speakers. The speakers (and their topics) were: Dr. Gavin Bart (Collaborative Addiction Research in Asian Populations Home and Abroad), Dr. Li Li (Implementing Intervention Research Projects in Asia), and Dr. Le Minh Giang (Building Research Infrastructure for International Collaborative Studies on Substance Use Disorder and HIV: The Case of Hanoi Medical University/Vietnam).

  3. JPRS Report East Asia Southeast Asia.

    Science.gov (United States)

    1987-07-07

    ni Kristo came out with its own list. It did not concern me a0 lot because INK never ■• supported me even before. But I won in the previous...1,000 kilometers of central coastline. Director Nguyen Chuoc talked about marine products now preferred by the foreign market. Besides shrimp, squid ...has been extracted from Vietnamese-language sources published in Hanoi, unless otherwise indicated. Asterisked job title indicates that this is the

  4. Thailand as an Alternative to the Philippine Bases Problem: New Wine in an Old Bottle.

    Science.gov (United States)

    1986-06-01

    voted for overt assistance to anti-communist groups fighting 1hanoi even indirectly . . . . An interesting pointer to the prevailing mood of machismo ...and P Streets, SW Washington, District of Colombia 20319 7. Director of National Security Studies The National War College Fort Lesley J. McNair...Fourth and P Streets, SW I Washington, District of Colombia 20319 8. Director of National Security Studies Armed Forces Staff College Norfolk, Virginia

  5. The U.S.-China Military Scorecard: Forces, Geography, and the Evolving Balance of Power, 1996-2017

    Science.gov (United States)

    2015-01-01

    the Philippines and Vietnam, efforts should also be made with the states of Southeast Asia’s “southern tier,” including Indonesia and Malaysia . This...Hanoi THAILAND CAMBODIA VIETNAM LAOS MALAYSIA MALAYSIA BRUNEI PHILIPPINES TAIWAN INDONESIA South China Sea PhilippineSea Sulu Sea Palawan uzon Hainan...blocked pages hosted on U.S. cloud computing services, and simple proxy serv- ers, to circumvent censorship .83 Recently, however, China has become more

  6. Maritime Territorial and Exclusive Economic Zone (EEZ) Disputes Involving China: Issues for Congress

    Science.gov (United States)

    2015-09-18

    coast are [the following 27]: Bangladesh, Brazil , Burma, Cambodia, Cape Verde, China, Egypt, Haiti, India, Iran, Kenya, Malaysia, Maldives...other nations’ views?” (slide 30 of 47). The slide also notes that there have been “isolated diplomatic protests from Pakistan, India, and Brazil over...122 Remarks on U.S.-Vietnam: Looking to the Future, John Kerry, Secretary of State, Daewoo Hotel , Hanoi, Vietnam, August 7, 2015

  7. JPRS Report, East Asia Southeast Asia

    Science.gov (United States)

    1987-06-22

    4 million rubles-dollars for products made from corn husks and coconut fibers, 7 million rubles-dollars for such artistic goods as laquerware...project, the Hanoi machinery enterprise, the Vung Tau oil -and-gas project, the Thang Long bridge, the Lao Cai apatite project, the Cao Bang tin...machines to wind sheet iron 93 20-milliroeter thick, and even drilling platform base caps to support oil and gas extraction at Vung Tau. The customers

  8. Quality of Water used at pig farms in the Red River delta

    OpenAIRE

    Nguyen Van Duy; Vu Dinh, Ton; Lai Thi, Cuc; Dang Vu, Binh

    2008-01-01

    A research was carried out to evaluate water quality using at 12 different pig farms in Bac Ninh, Hung Yen and Hai Duong provinces. Water samples were taken in two periods from October to December 2006 and from March to April 2007. Physical and chemical parameters were analysed at the laboratory of the Department of Veterinary Parasitology-Inspection and Hygiene - Hanoi University of Agriculture. The results showed that, all water sources using the pig farms came from underground and a half o...

  9. Hungry for success: Urban consumer demand for wild animal products in Vietnam

    OpenAIRE

    Rebecca Drury

    2011-01-01

    Rising urban prosperity is escalating demand for wild animal products in Vietnam. Conservation interventions seek to influence consumer demand, but are based on a limited understanding of consumers and consumption behaviour. This report presents key findings of a structured survey (n=915) and semi-structured interviews (n=78) to investigate the social context of consumption of wild animal-derived products among the population of central Hanoi. Wildmeat is the product most commonly reported co...

  10. JPRS Report East Asia Southeast Asia

    Science.gov (United States)

    1987-06-03

    Article by Jim Shrimpton] [Text] ON May 14,1879, a ship arrived in Fiji bring- ing 489 Indians to labour in the British-run sugar cane fields... Labour Coalition Government elected in April has a Fijian leader, Dr Timoci Bavadra, but 19 of its 28 members are Indians. The House of...overseas Vietnamese residing in the FRG: "Feelings of an Absentee "] [Text] Human memory is a wonderful faculty. When leaving Hanoi, I was only 6

  11. Radiation accident in Vietnam

    International Nuclear Information System (INIS)

    Wheatley, J.

    1994-01-01

    In November 1992 a Vietnamese research physicist was working with a microtron accelerator when he received a radiation overexposure that required the subsequent amputation of his right hand. A team from the International Atomic Energy Agency visited Hanoi in March 1993 to carry out an investigation. It was concluded that the accident occurred primarily because of a lack of safety systems, although the lack of both written procedures and training in basic radiation safety were also major contributors. (author)

  12. Massively multiplayer online role-playing games (MMORPG): association between its addiction, self-control and mental disorders among young people in Vietnam.

    Science.gov (United States)

    Son, Dinh Thai; Yasuoka, Junko; Poudel, Krishna C; Otsuka, Keiko; Jimba, Masamine

    2013-09-01

    To explore the association between MMORPG addiction and mental health status, and between self-control ability and mental health status among young male MMORPG players in Hanoi, Vietnam. In this cross-sectional study, 10 computer game rooms were randomly selected out of 77 in five communes in Hanoi. From these game rooms, 350 MMORPG players were purposively recruited as a study group, of whom 344 completed the questionnaire. In the same five communes, 344 non-players were selected as a control group. An online game addiction scale, a self-control scale and the Vietnamese SRQ-20 were used to measure the degree of MMORPG addiction, self-control ability and level of mental disorders. MMORPG players had significantly higher mental disorders scale scores than non-players (p MMORPG addiction scale scores and mental disorders scale scores (r = 0.730, p MMORPG addiction scale score and self-control scale score were considered the best predictors of a higher mental disorders scale score. Young, male MMORPG players with higher addiction scores were more likely to have higher mental disorders scale scores, and such mental status was negatively associated with the level of self-control in Hanoi, Vietnam. Closer attention should be paid to prevent mental disorders among MMORPG players.

  13. Seroprevalence survey of avian influenza A(H5N1) among live poultry market workers in northern Viet Nam, 2011.

    Science.gov (United States)

    Dung, Tham Chi; Dinh, Pham Ngoc; Nam, Vu Sinh; Tan, Luong Minh; Hang, Nguyen Le Khanh; Thanh, Le Thi; Mai, Le Quynh

    2014-01-01

    Highly pathogenic avian influenza A(H5N1) is endemic in poultry in Viet Nam. The country has experienced the third highest number of human infections with influenza A(H5N1) in the world. A study in Hanoi in 2001, before the epizootic that was identified in 2003, found influenza A(H5N1) specific antibodies in 4% of poultry market workers (PMWs). We conducted a seroprevalence survey to determine the seroprevalence of antibodies to influenza A(H5N1) among PMWs in Hanoi, Thaibinh and Thanhhoa provinces. We selected PMWs from five markets, interviewed them and collected blood samples. These were then tested using a horse haemagglutination inhibition assay and a microneutralization assay with all three clades of influenza A(H5N1) viruses that have circulated in Viet Nam since 2004. The overall seroprevalence was 6.1% (95% confidence interval: 4.6-8.3). The highest proportion (7.2%) was found in PMWs in Hanoi, and the majority of seropositive subjects (70.3%) were slaughterers or sellers of poultry. The continued circulation and evolution of influenza A(H5N1) requires comprehensive surveillance of both human and animal sites throughout the country with follow-up studies on PMWs to estimate the risk of avian-human transmission of influenza A(H5N1) in Viet Nam.

  14. Seroprevalence survey of avian influenza A(H5N1 among live poultry market workers in northern Viet Nam, 2011

    Directory of Open Access Journals (Sweden)

    Tham Chi Dung

    2014-11-01

    Full Text Available Objective: Highly pathogenic avian influenza A(H5N1 is endemic in poultry in Viet Nam. The country has experienced the third highest number of human infections with influenza A(H5N1 in the world. A study in Hanoi in 2001, before the epizootic that was identified in 2003, found influenza A(H5N1 specific antibodies in 4% of poultry market workers (PMWs. We conducted a seroprevalence survey to determine the seroprevalence of antibodies to influenza A(H5N1 among PMWs in Hanoi, Thaibinh and Thanhhoa provinces. Methods: We selected PMWs from five markets, interviewed them and collected blood samples. These were then tested using a horse haemagglutination inhibition assay and a microneutralization assay with all three clades of influenza A(H5N1 viruses that have circulated in Viet Nam since 2004. Results: The overall seroprevalence was 6.1% (95% confidence interval: 4.6–8.3. The highest proportion (7.2% was found in PMWs in Hanoi, and the majority of seropositive subjects (70.3% were slaughterers or sellers of poultry. Discussion: The continued circulation and evolution of influenza A(H5N1 requires comprehensive surveillance of both human and animal sites throughout the country with follow-up studies on PMWs to estimate the risk of avian–human transmission of influenza A(H5N1 in Viet Nam.

  15. Topical corticosteroids or vitamin D analogues for plaque psoriasis?

    Directory of Open Access Journals (Sweden)

    Soledad Venegas-Iribarren

    2017-06-01

    Full Text Available Resumen La psoriasis es una enfermedad inflamatoria crónica frecuente, siendo la variante en placa su forma de presentación más común. Si bien aún no existe una cura, se dispone de medicamentos que inducen remisión y disminuyen las lesiones. Las terapias tópicas, en particular los corticoides y los análogos de vitamina D, se consideran efectivos, pero no está claro cuál de ellos constituiría la mejor alternativa. Para responder esta pregunta utilizamos Epistemonikos, la mayor base de datos de revisiones sistemáticas en salud, la cual es mantenida mediante búsquedas en múltiples fuentes de información, incluyendo MEDLINE, EMBASE, Cochrane, entre otras. Identificamos ocho revisiones sistemáticas que en conjunto incluyen 26 estudios pertinentes a esta pregunta, entre ellos 22 ensayos aleatorizados. Extrajimos los datos desde las revisiones identificadas, reanalizamos los datos de los estudios primarios, realizamos un metanálisis y preparamos tablas de resumen de los resultados utilizando el método GRADE. Concluimos que podría existir poca o nula diferencia en la respuesta clínica entre corticoides tópicos y análogos de vitamina D tópicos. Por otra parte, los corticoides tópicos producen menos irritación en el sitio de aplicación, pero no se encontraron estudios evaluando sus efectos adversos a largo plazo.

  16. Effects of arginine vasotocin and mesotocin on the activation and development of amiloride-blockable short-circuit current across larval, adult, and cultured larval bullfrog skins.

    Science.gov (United States)

    Takada, Makoto; Fujimaki-Aoba, Kayo; Hokari, Shigeru

    2010-03-01

    Amphibian skin has osmoregulatory functions, with Na(+) crossing from outside to inside. Na(+) transport can be measured as the short-circuit current (SCC). We investigated the short-term and long-term effects of arginine vasotocin (AVT) and mesotocin (MT) (which modulate Na(+) transport) on the activation and development of an amiloride-blockable SCC (adult-type feature) in larval, adult, and corticoid-cultured larval bullfrog skins. We found: (1) AVT-receptor (AVT-R) and MT-receptor (MT-R) mRNAs could be detected in both larval and adult skins, (2) in the short term (within 60 min), the larval SCC (amiloride-stimulated SCC) was increased by AVT, forskolin, and MT, suggesting that AVT and MT did not activate the inactive ENaC (epithelial sodium channel) protein thought to be expressed in larval skin, (3) in the short term (within 90 min), AVT, forskolin, and MT stimulated the adult SCC (amiloride-blockable SCC), (4) AVT and MT increased both the larval and adult SCC via receptors insensitive to OPC-21268 (an antagonist of the V(1)-type receptor), OPC-31260 (an antagonist of the V(2)-type receptor), and ([d(CH(2))(5),Tyr(Me)(2),Thr(4),Orn(8),des-Gly-NH (2) (9) ]VT) (an antagonist of the oxytocin receptor), (5) culturing EDTA-treated larval skin with corticoids supplemented with AVT (1 microM) or MT (1 microM) for 2 weeks (long-term effects of AVT and MT) did not alter the corticoid-induced development of an amiloride-blockable SCC (adult-type feature). AVT and MT thus have the potential to stimulate SCC though channels that are already expressed, but they may not influence the development of the amiloride-blockable SCC (an adult-type feature) in larval skin.

  17. El forage descompresivo en la necrosis isquémica de la cabeza femoral : experiencia clínica en 34 casos

    OpenAIRE

    Moro Barrero, Luis Alfonso; Barthe, C.; Gotero Sanmillan, E.; Vallina García, V.; Acebal Cortina, Gonzalo; Murcia Mazón, Antonio

    1995-01-01

    Se analizan los resultados obtenidos mediante el forage descompresivo de caderas afectas de necrosis isquémica de la cabeza femoral. Se efectuaron 34 forages en 27 pacientes, siendo la edad media de 44 años. Veintitrés caderas se clasificaron como estadio I de Ficat y 11 como estadio II. En cuanto a su etiología 17 caderas se consideraron idiopáticas, en 15 había antecedentes de ingesta elevada de alcohol, 1 presentaba antecedentes de ingesta de corticoides y otra había sufrido...

  18. Applications of radioimmunoassay techniques in endocrine studies. Part of a coordinated programme on in vitro assay techniques

    International Nuclear Information System (INIS)

    Marusic, E.T.

    1977-04-01

    The final report consists of a description of the research done, a reference to where the abstract of the results obtained was published, and a list of the corresponding publications and of those in preparation. Work has been done on radioimmunoassay techniques for measuring plasma corticoid values, plasma renin activity (with own reagents), and clinical and research studies measuring aldosterone, corticosterone, and cortisol in control and hypophysectomized patients. Diagnosis of primary aldosteronism has been initiated by radioimmunoassay techniques. Another study concerned the mechanism of K ions on aldosterone production

  19. Biomarcadores metabólicos y de inflamación en la obesidad canina y felina en enfermedades asociadas

    OpenAIRE

    Tvarijonaviciute, Asta

    2012-01-01

    En esta Tesis los principales 5 avances que se aportan sobre obesidad en perros y gatos son: 1) Los ensayos comercialmente disponibles para la adiponectina y la IGF-1 funcionan para estas especies. 2) La adiponectina y IGF-1 no están influenciadas por los ciclos de alimentación/ayuno o por corticoides. La adiponectina no se afecta por orquidectomia, mientras que la IGF-1 baja. La inflamación disminuye la adiponectina y la IGF-1. 3) La adiponectina baja en la obesidad, aunque no se aprecia un ...

  20. Topical corticosteroids or vitamin D analogues for plaque psoriasis?

    OpenAIRE

    Soledad Venegas-Iribarren; Romina Andino

    2017-01-01

    Resumen La psoriasis es una enfermedad inflamatoria crónica frecuente, siendo la variante en placa su forma de presentación más común. Si bien aún no existe una cura, se dispone de medicamentos que inducen remisión y disminuyen las lesiones. Las terapias tópicas, en particular los corticoides y los análogos de vitamina D, se consideran efectivos, pero no está claro cuál de ellos constituiría la mejor alternativa. Para responder esta pregunta utilizamos Epistemonikos, la mayor base de datos...

  1. Desorientación y cirrosis. No siempre encefalopatía hepática

    OpenAIRE

    Sergio Vázquez Rodríguez; Verónica Lázaro González

    2012-01-01

    Mujer de 49 años de edad, con antecedente de hepatopatía crónica de origen alcohólico e ingreso reciente en nuestro servicio por cuadro clínico compatible con hepatitis alcohólica aguda con criterios de gravedad según índice de Maddrey. Una vez descartada infección concomitante, insuficiencia renal y hemorragia digestiva activa, se inició tratamiento con corticoides a dosis habituales, manteniendo posteriormente dicho tratamiento por mejoría analítica según criterios de Lille.

  2. Desorientación y cirrosis. No siempre encefalopatía hepática

    Directory of Open Access Journals (Sweden)

    Sergio Vázquez Rodríguez

    2012-09-01

    Full Text Available Mujer de 49 años de edad, con antecedente de hepatopatía crónica de origen alcohólico e ingreso reciente en nuestro servicio por cuadro clínico compatible con hepatitis alcohólica aguda con criterios de gravedad según índice de Maddrey. Una vez descartada infección concomitante, insuficiencia renal y hemorragia digestiva activa, se inició tratamiento con corticoides a dosis habituales, manteniendo posteriormente dicho tratamiento por mejoría analítica según criterios de Lille.

  3. Guide to Treatment of Tattoo Complications and Tattoo Removal

    DEFF Research Database (Denmark)

    Serup, Jørgen; Bäumler, Wolfgang

    2017-01-01

    Clinicians in the fields of general medicine, dermatology, and plastic surgery are in their work now and then confronted with tattoo complications. Recognizing the rather few important diagnostic groups and urgencies, the medical 'decision tree' of treatment becomes quite simple. Acute conditions...... to topical corticoid and best treated with dermatome shaving with complete removal of the hapten concentrated in the outer dermis. Laser treatment of allergic reactions can boost the allergy with worsening and a potential risk of anaphylaxis and is thus not recommended in tattoo allergy. Chronic...

  4. Sarcoidosis aguda: Variante de Síndrome de Löfgren sin eritema nodoso

    OpenAIRE

    Pérez, Gerardo; Facal, Jorge

    2014-01-01

    El síndrome de Löfgren, es una variante aguda de la sarcoidosis, que se caracteriza por fiebre, eritema nodoso, adenomegalias hiliares pulmonares y artritis. En general, tiene un curso benigno y autolimitado, que contrasta con las formas crónicas que requieren uso de corticoides y tienen tendencia a la recidiva. Se describe aquí el caso clínico de un paciente joven, de sexo masculino, con artritis pero sin eritema nodoso, lo que dificultó el planteo diagnóstico de síndrome de Löfgren. Se real...

  5. Asthma of difficult handling, not all that hiss is asthma

    International Nuclear Information System (INIS)

    Pedraza, AM; Taffur, A; Larrota, M

    2000-01-01

    The paper tries about a patient of masculine sex 13 years old who consults initially for square that begins in February of 1999, consistent in cough, breathlessness and difficulty to breathe, he consults to one hospital where it is managed with beta two micronebulized, corticoids endovenous and oxygen being obtained improvement, reason why they give exit. Three days later he consults again for similar square; receiving the same treatment; a week later he presents cough and severe breathing difficulty, for that again consult and he is remitted to the Hospital San Rafael (Bogota) for no-improvement of the square. The paper includes the antecedents, exams, clinical evolution and paraclinics

  6. Tinea granulomatosa de Majocchi Majocchi's granuloma

    Directory of Open Access Journals (Sweden)

    Aline Lopes Bressan

    2011-08-01

    Full Text Available Relata-se o caso de um homem de 45 anos com dermatofitose superficial de longa data, tratado, inadvertidamente, com corticoide e antibiótico, com progressão subsequente para a forma profunda, conhecida como granuloma de Majocchi. O tratamento com terbinafina VO foi curativoWe report the case of a man of 45 with superficial dermatophytosis longtime inadvertently treated with antibiotics and corticosteroids with subsequent progression to the deep form, known as granuloma Majocchi. Treatment with orally terbinafine was successful

  7. Multiple myeloma with extramedullary disease.

    Science.gov (United States)

    Oriol, Albert

    2011-11-01

    Plasmacytoma is a tumor mass consisting of atypical plasma cells. Incidence of plasmacytomas associated with multiple myeloma range from 7% to 17% at diagnosis and from 6% to 20% during the course of the disease. In both situations, occurrence of extramedullary disease has been consistently associated with a poorer prognosis of myeloma. Extramedullary relapse or progression occurs in a variety of clinical circumstances and settings, and therefore requires individualization of treatment. Alkylating agents, bortezomib, and immunomodulatory drugs, along with corticoids, have been used to treat extramedullary relapse but, because of the relatively low frequency or detection rate of extramedullary relapse, no efficacy data are available from controlled studies in this setting.

  8. Evaluación de un modelo experimental de inmunosupresión química en ratones N: NIH-Swiss

    OpenAIRE

    Córdoba, María Alejandra; Del Coco, V.; Sparo, Mónica; Basualdo Farjat, Juan Ángel

    2010-01-01

    La evaluación de infecciones oportunistas de etiología microbiana o parasitaria en animales de laboratorio en calidad de huésped alternativo, exige que éstos se encuentren en condición de inmunosupresión genética o química. Entre los distintos modelos murinos de inmunosupresión química, existen aquellos que utilizan glucocorticoides inoculados oral o intragástricamente. Los corticoides tienen la capacidad de reducir la proliferación y aumentar la apoptosis de células T mediante mecanismos que...

  9. Dispositivos inhaladores en la EPOC: ¿Cuál utilizar?

    Directory of Open Access Journals (Sweden)

    2015-06-01

    Full Text Available El tratamiento de la EPOC ha experimentado un avance muy notable en los últimos años debido a la aparición de nuevos broncodilatadores. Actualmente se dispone de broncodilatadores y corticoides inhalados que se pueden administrar una sola vez al día y cada 12 horas, con lo que las combinaciones pueden ser múltiples (Tabla 1. Por tanto, somos capaces de individualizar el tratamiento de los pacientes con EPOC de la misma forma que se hace en otras enfermedades crónicas, como la hipertensión arterial o la diabetes mellitus

  10. Mouse Models Applied to the Research of Pharmacological Treatments in Asthma.

    Science.gov (United States)

    Marqués-García, Fernando; Marcos-Vadillo, Elena

    2016-01-01

    Models developed for the study of asthma mechanisms can be used to investigate new compounds with pharmacological activity against this disease. The increasing number of compounds requires a preclinical evaluation before starting the application in humans. Preclinical evaluation in animal models reduces the number of clinical trials positively impacting in the cost and in safety. In this chapter, three protocols for the study of drugs are shown: a model to investigate corticoids as a classical treatment of asthma; a protocol to test the effects of retinoic acid (RA) on asthma; and a mouse model to test new therapies in asthma as monoclonal antibodies.

  11. Terapia médica actual en reumatología

    Directory of Open Access Journals (Sweden)

    N. María Ángela Carreño, Dra.

    2012-07-01

    Full Text Available El tratamiento médico de las enfermedades reumatológicas ha cambiado en forma importante en las últimas décadas. La aparición de los corticoides en 1948, la incorporación del metotrexato en la década del 90 y últimamente la utilización de medicamentos biológicos, han marcado los hitos más importantes en la historia de la especialidad. En este artículo se revisan los fármacos que actualmente se usan de manera regular en la práctica diaria.

  12. Ventana a la Farmacología

    OpenAIRE

    María Luisa Cárdenas Muñoz; Hernán Pérez; Ramiro Prada Reyes

    1996-01-01

    Terfenadina: no debe usarse con eritromicina: La terfenadina es un antihistamínico de segunda generación, cuyo uso se ha generalizado por producir menos sedación que los antihistamínicos de primera generación.  / Uso y abuso de corticoides tópicos oculares: A finales de la década de los cuarenta Kench y Kendall introdujeron la cortisona en la terapéutica humana, simultáneamente comenzó a ser utilizada con éxito en las inflamaciones oculares. /  Trastornos de pánico: pato fisiología y tratamie...

  13. Contribution of Phadebas IgE test to typification of allergic patients

    International Nuclear Information System (INIS)

    Cap, J.; Spanar, E.; Holan, J.; Zahradny, V.

    1976-01-01

    Experience is reported with the examination of serum immunoglobulin E in a control group (n=22), in a group of asthmatics with bacterial allergy (n=25) and in a group of asthmatics with antibody allergy (n=33). In the examination by radioimmunosorbent method (Phadebas IgE Test) the levels of IgE over 500 mU/ml were considered as proof of allergy of the antibody type where other etiological factors could be excluded. A marked immunosuppressive effect of corticoids on the level of IgE is pointed out. The method mentioned is considered as suitable for the objective typification of allergic patients. (author)

  14. Granulomatous lobular mastitis: a rare chronic inflammatory disease of the breast which can mimic breast carcinoma.

    Science.gov (United States)

    Verfaillie, G; Breucq, C; Sacre, R; Bourgain, C; Lamote, J

    2006-01-01

    Granulomatous lobular mastitis is a rare chronic inflammatory disease of the breast. The differential diagnosis with malign breast disease is often not easy. In most cases a surgical biopsy is needed for correct diagnosis. Idiopathic granulomatous mastitis is an exclusion diagnosis, based on the demonstration of a characteristic histological pattern, combined with the exclusion of other possible causes of granulomatous breast lesions. There is still no generally accepted optimal treatment. If surgery forms part of the treatment, a conservative approach seems to be adequate in most cases. Another option is a long-term steroid treatment. It is mandatory to exclude infectious causes of granulomatous mastitis before corticoid therapy is started.

  15. Anti-TNF: Novel treatment in ocular sarcoidosis

    OpenAIRE

    Escudero Bodenlle, Laura; Olea Vallejo, José Luis; Pons Crespí, Mateu; Aragón Roca, Juan Antonio; Costa-Jordao, Cátia; Tarragó Pérez, Ramón

    2017-01-01

    Obejtivo: Se pretende demostrar la utilidad de la angiografía con fluoresceína y verde de indocianina en el diagnóstico y manejo de la sarcoidosis ocular, así como la utilidad de los fármacos biológicos en esta patología. Métodos: Para ello, se presenta un caso clínico de sarcoidosis sistémica y ocular tratada durante años con corticoides e inmunomoduladores, con mal control de la enfermedad. La principal afectación era la del segmento posterior del ojo, con numerosos signos en coroides y ret...

  16. Novo tipo de evaporímetro terrestre A new type of evaporimeter

    Directory of Open Access Journals (Sweden)

    Rino N. Tosello

    1960-01-01

    Full Text Available No presente trabalho descreve-se um novo tipo de evaporímetro, cujo princípio de funcionamento está baseado em leis físicas que regem o fenômeno de tensão superficial. Neste tipo de evaporímetro a medida da evaporação é feita por processo volumétrieo, dispensando o emprego de mecanismos de precisão e dispendiosos. Foi feita uma análise matemática do princípio de funcionamento do novo evaporímetro, demonstrando-se oferecer exatidão plenamente satisfatória para propósitos práticos. São dados suficientes detalhes construtivos, de instalação e operação, a fim de permitir que pessoas e entidades interessadas possam reproduzi-lo e comprovar as vantagens de seu emprêgo.In this paper is described a new type of evaporimeter, the principle of operation of which is based on physical laws governing the surface tension phenomenon. The measurement of evaporation in, the new evaporimeter, described as Evaporimeter IA-58, is made by simple volumetric procedure, thus avoiding the use of precise and expensive mechanisms. A mathematical analysis of the principle of operation is made, and proves that the new evaporimeter can offer satisfactory xeaults for practical use. The operation of the new evaporimeter is very simple, since only volumetric measurements are made, with a graduated cylinder of 1000 ml, both of the added water to restore the water level to the same initial level and the outflown or excess water. It is believed that enough details are given to allow the understanding of the construction, installation and operation of the new evaporimeter, bo that interested persons or organizations could have the model reproduced and verify the advantage of its use.

  17. Gestão Ambiental Urbana: o caso da Prefeitura Municipal de Ipiranga-PR

    Directory of Open Access Journals (Sweden)

    Arquimedes Szezerbicki

    2005-06-01

    Full Text Available O presente estudo, dentro da área da Gestão Ambiental da  Engenharia de Produção, está situado na subárea Políticas Ambientais. O objetivo é discutir como o poder público da cidade de Ipiranga–PR vem executando um projeto de Aterro Controlado e como as condições de vida da população urbanas do município são alteradas. Para a consecução do objetivo proposto, além de pesquisa bibliográfica e  documental, foram realizadas observações sistemáticas para a composição do corpus documental da pesquisa. O método empregado foi o indutivo. Verificou-se que o município de Ipiranga adotou um modelo de aterro controlado, reduzindo seu custo operacional. As pesquisas realizadas indicaram que a vida útil projetada dos aterros é de 26,5 anos. Houve uma economia  considerável na construção do sistema, dispensando a construção de sistemas mais complexos. Conclui-se que a idealização do projeto de construção dos aterros controlados do tipo trincheiras de pequenas dimensões, beneficia tanto a população quanto o meio ambiente, visando à economia do município.

  18. Zoneamento agroclimático da palma forrageira (Opuntia sp. para o estado da Paraíba

    Directory of Open Access Journals (Sweden)

    Bergson G. Bezerra

    2014-07-01

    Full Text Available A palma forrageira tornou-se, ao longo dos anos, uma importante alternativa forrageira no semiárido brasileiro (SAB principalmente em longos períodos de estiagens. Apesar de sua magnitude para a agropecuária, seu cultivo tem dispensando tratos culturais básicos e embasamento técnico-científico quanto às suas exigências climáticas. Assim, o principal objetivo deste estudo foi elaborar o zoneamento agroclimático da cultura da palma forrageira (Opuntia sp. para o estado da Paraíba. O zoneamento agroclimático da palma forrageira foi elaborado com base nos indicadores climáticos delineados na literatura e nos dados climatológicos de precipitação e temperatura (média, máxima e mínima de 97 localidades do estado da Paraíba. De acordo com os resultados obtidos, a mesorregião da Borborema é a que apresenta as condições climáticas mais favoráveis para o cultivo da palma forrageira. As mesorregiões do Agreste, Sertão e a parte do Litoral, são aptas porém com restrições. No entanto, recomenda-se o cultivo da palma forrageira em todo o território do estado da Paraíba, exceto para a parte costeira da mesorregião do Litoral e região em torno de Areia. Em ambos os casos a inaptidão ocorre em função do excesso de precipitação.

  19. Microlitíase alveolar pulmonar: achados na tomografia computadorizada de alta resolução do tórax em 10 pacientes Pulmonary alveolar microlithiasis: high-resolution computed tomography findings in 10 patients

    Directory of Open Access Journals (Sweden)

    Edson Marchiori

    2007-10-01

    Full Text Available OBJETIVO: Apresentar os achados na tomografia computadorizada de alta resolução (TCAR do tórax da microlitíase alveolar pulmonar. MÉTODOS: Foram estudadas, retrospectivamente, as tomografias de dez pacientes adultos, sete mulheres e três homens, com idade média de 38,7 anos. Os exames foram analisados por dois radiologistas, de forma independente, e as decisões finais foram obtidas por consenso. RESULTADOS: Os achados mais freqüentes foram as opacidades em vidro fosco e as calcificações subpleurais, ambas presentes em 90% dos pacientes estudados. Os outros achados de maior relevância foram pequenos nódulos parenquimatosos, calcificação ao longo dos septos interlobulares, cissuras nodulares, nódulos subpleurais, cistos subpleurais, consolidações densas e padrão de pavimentação em mosaico. CONCLUSÕES: A microlitíase alveolar pulmonar apresenta aspectos na TCAR que são altamente sugestivos da doença, na maior parte dos casos dispensando a realização de biópsias pulmonares.OBJECTIVE: To present the high-resolution computed tomography (HRCT findings of pulmonary alveolar microlithiasis. METHODS: The HRCT scans of 10 adult patients (seven females and three males; mean age, 38.7 years were retrospectively analyzed. The films were studied independently by two radiologists. RESULTS: The most common tomographic findings were ground-glass attenuation and linear subpleural calcifications, which were seen in 90% of the patients. Other relevant findings were small parenchymal nodules, calcification along the interlobular septa, nodular cissures, subpleural nodules, subpleural cysts, dense consolidations, and a mosaic pattern of attenuation. CONCLUSIONS: The HRCT findings presented by individuals with pulmonary alveolar microlithiasis are distinct. In most cases, such findings can form the basis of the diagnosis, eliminating the need to perform a lung biopsy.

  20. Is there benefit adding antivirals to corticosteroids for Bell’s palsy in adults?

    Directory of Open Access Journals (Sweden)

    Benjamín Walbaum

    2015-08-01

    Full Text Available La parálisis de Bell es la primera causa de parálisis facial unilateral. El mecanismo etiológico más probable es una inflamación del nervio facial, probablemente por reactivación viral de la familia herpes simplex y varicela zóster. Los corticoides se consideran el pilar del tratamiento, sin embargo no está claro si la adición de antivirales ofrecería un beneficio adicional. Utilizando la base de datos Epistemonikos, la cual es mantenida mediante búsquedas en 30 bases de datos, identificamos 10 revisiones sistemáticas que en conjunto incluyen 16 estudios controlados aleatorizados. Realizamos un metanálisis y tablas de resumen de los resultados utilizando el método GRADE. Concluimos que la adición de antivirales al tratamiento con corticoides probablemente reduce el riesgo de recuperación incompleta en pacientes con parálisis de Bell.

  1. Tratamiento actual de la exacerbación aguda de la enfermedad pulmonar obstructiva crónica Present treatment of acute exacerbation of chronic obstructive pulmonary disease

    Directory of Open Access Journals (Sweden)

    Nancy Guinart Zayas

    2006-06-01

    Full Text Available La enfermedad pulmonar obstructiva crónica es una entidad altamente prevalente en nuestro país a consecuencia del aumento del hábito de fumar y de la expectativa de vida. En los países de nuestro entorno ocupa el cuarto lugar como causa de muerte y su incidencia va en aumento. Su exacerbación aguda puede deberse a muy diferentes motivos, y supone una consulta frecuente tanto en el ámbito de la atención primaria como hospitalaria. En el presente trabajo se revisa el tratamiento actual de la exacerbación aguda, en la que hay que considerar obligatorios, el oxígeno en concentración adecuada, los broncodilatadores, los corticoides y los antibióticos.In our country, chronic obstructive pulmonary disease is a highly prevalent entity as a result of the increase of smoking and of life expectancy. In our geographical area, it is the fourth cause of death and its incidence is growing. Its acute exacerbation may be caused by very different reasons, and it should be frequently consulted, both at the primary care and hospital level. In this paper, the current treatment of acute exacerbation is reviewed. A proper oxygen concentration, bronchodilators, corticoids, and antibiotics should be considered as compulsory for this condition.

  2. Are systemic corticosteroids useful for the management of acute pharyngitis?

    Directory of Open Access Journals (Sweden)

    Gonzalo Alarcón-Andrade

    2018-12-01

    Full Text Available Resumen INTRODUCCIÓN La faringitis aguda constituye un motivo de consulta frecuente, en especial por el dolor asociado a ésta. El manejo habitual incluye antiinflamatorios no esteroidales y antibióticos en casos seleccionados, pero el alivio del dolor no siempre se consigue de manera rápida. Se ha planteado el uso de corticoides como alternativa terapéutica, pero existe controversia al respecto. MÉTODOS Utilizamos Epistemonikos, la mayor base de datos de revisiones sistemáticas en salud, la cual es mantenida mediante búsquedas en múltiples fuentes de información, incluyendo MEDLINE, EMBASE, Cochrane, entre otras. Extrajimos los datos desde las revisiones identificadas, reanalizamos los datos de los estudios primarios, realizamos un metanálisis y preparamos tablas de resumen de los resultados utilizando el método GRADE. RESULTADOS Y CONCLUSIONES Identificamos ocho revisiones sistemáticas que en conjunto incluyen 11 estudios primarios, entre ellos 10 ensayos aleatorizados. Concluimos que el uso de corticoides sistémicos en cursos cortos reduce el dolor asociado a la faringitis aguda, sin aumentar el riesgo de efectos adversos.

  3. UTILIZACIÓN DE OXITETRACICLINA E HIDROCORTISONA PARA EVITAR ADHERENCIAS EN DISPOSITIVOS INTRAVAGINALES EN OVINOS

    Directory of Open Access Journals (Sweden)

    J. L. SOSA

    2017-06-01

    Full Text Available Los dispositivos intravaginales son utilizados para la inducción y sincronización de celos. Los mismos pueden producir adherencia en las paredes de la vagina. El objetivo del presente trabajo fue probar la efi ciencia de la aplicación de antibióticos y corticoide conjuntamente con los dispositivos para evitar adherencias. La experiencia se realizó con 45 ovejas distribuidas en tres grupos: GC dispositivo sin tratamiento, T1 dispositivo más tetraciclina y T2 dispositivo más tetraciclina y corticoide. Siguiendo el protocolo se procedió al retiro de los mismos a los 12 días. Se realizó un test χ2 para evaluar la efectividad del tratamiento. Las ovejas del T2 no presentaron adherencias. En cambio, se observaron distintos grados de adherencias: en el T1 (53 % y en el GC (46 %. Se puede inferir que la utilización de Tetracicilina más hidrocortisona es efi ciente para evitar la vaginitis y por ende la adherencia de los dispositivos y pérdida por disminución de preñeces posteriores al retiro de los dispositivos.

  4. Osteoporosis grave con aplastamientos vertebrales en dermatomiositis juvenil: Efecto del tratamiento con alendronato oral Severe osteoporosis with vertebral crushes in juvenile dermatomyositis: Effect of oral alendronate therapy

    Directory of Open Access Journals (Sweden)

    Cristina Tau

    2007-02-01

    Full Text Available Los glucocorticoides son usados comúnmente para el tratamiento de enfermedades inflamatorias, autoinmunes, enfermedades malignas, y en la prevención de rechazo de órganos trasplantados. Un efecto secundario frecuente del tratamiento prolongado es la pérdida de masa ósea que se produce por varios mecanismos y es causa de osteoporosis y fracturas vertebrales. El tratamiento con disfosfonatos ha sido propuesto para esta situación. Presentamos un caso clínico de osteoporosis grave en una niña con dermatomiositis juvenil, que respondió favorablemente al tratamiento con disfosfonatos orales.Glucocorticoids are used for the treatment of inflammatory and autoimmune diseases, cancer, and in prevention of organ rejects. A frequent secondary effect of longterm treatment with corticoids is the loss of bone mass, caused by several mechanisms: decrease in the intestinal calcium absorption, increase of the renal calcium excretion at the distal renal tubule, suppressive effect on the osteoblast and also in apoptosis of osteoclasts, inhibition in local production of IGF I (Insulin-like growth factor and IGFBPs (binding IGF I proteins necessary for bone metabolism, and decrease on osteocalcin production. Longterm treatment with corticoids is associated with osteoporosis and vertebral fractures. To improve this condition, treatment with bisphosphonates has been proposed. We present here a clinical case of a girl with dermatomyositis and severe osteoporosis with vertebral crushes, who responded well to oral bisphophonate treatment.

  5. Are steroids effective in toxic epidermal necrolysis and Stevens-Johnson syndrome?

    Directory of Open Access Journals (Sweden)

    Rodrigo Meza

    2017-06-01

    Full Text Available Resumen La necrólisis epidérmica tóxica y el síndrome de Stevens-Johnson son reacciones cutáneas adversas graves a medicamentos e infecciones. Los corticoides se describen como una alternativa terapéutica, sin embargo, su uso es aún controvertido. Utilizando la base de datos Epistemonikos, la cual es mantenida mediante búsquedas en múltiples bases de datos, identificamos cuatro revisiones sistemáticas que en conjunto incluyen once estudios primarios que responden la pregunta de interés. Extrajimos los datos y preparamos una tabla de resumen de los resultados utilizando el método GRADE. Concluimos que no está claro si los corticoides disminuyen la mortalidad o la estadía hospitalaria en la necrólisis epidérmica tóxica y el síndrome de Stevens-Johnson porque la certeza de la evidencia es muy baja.

  6. Are intraarticular steroids effective for knee osteoarthritis?

    Directory of Open Access Journals (Sweden)

    Jorge Faúndez

    2016-12-01

    Full Text Available Resumen La artrosis de rodilla es una enfermedad crónica, invalidante, de evolución progresiva e irreversible. Los corticoides intraarticulares han sido comúnmente utilizados con el fin de disminuir sus síntomas y retrasar la resolución quirúrgica. Sin embargo, hasta el día de hoy, existe debate sobre su eficacia y seguridad. Utilizando la base de datos Epistemonikos, la cual es mantenida mediante búsquedas en 30 bases de datos, se identificaron 12 revisiones sistemáticas que en conjunto incluyen 41 estudios que contestan la pregunta de interés, entre los cuales se cuentan 40 estudios aleatorizados. Realizamos un metanálisis y tablas de resumen de los resultados utilizando el método GRADE. Concluimos que los corticoides intraarticulares probablemente llevan a una leve disminución del dolor a corto plazo, hacen poca o ninguna diferencia a mediano plazo y podrían no tener ningún efecto a largo plazo.

  7. [Comparative study of intestinal anastomosis with manual suture and biofragmentable ring in dogs under corticosteroid administration].

    Science.gov (United States)

    Fernandes, L C; Matos, D; Novelli, M D; Kim, S B

    2000-01-01

    This study analyzed intestinal anastomoses by manual suture and by compression with biofragmentable ring under delay of cicatrization administering parenteral corticoids. Twenty dogs were divided into two groups: control and test, the latter submitted to intramuscular administration of hydrocortisone hemisuccinate, 25 to 33 mg/kg/day, on the 30th preoperative and 7th postoperative days. During surgery, each animal underwent two colon sections with anastomosis by manual suture in a single extramucous plane and compression with biofragmentable ring. The animals were sacrificed 7 days after the procedure to evaluate the anastomoses. In the postoperative period, one death occurred in the test group and two in the control group, caused by nonblocked fistula in the anastomoses by ring compression. Statistically, there was a similar incidence of adherences, fistulas, afferent dilatation and obstruction using comparison methods. On microscopy, deficiency in mucous regeneration of the anastomoses by compression was observed. Computerized histological analysis evidenced in the anastomoses by compression, a greater inflammatory reaction, greater edema of the submucous membrane and enlarged scars. It was concluded that, with the biofragmentable ring, in colonic anastomosis under delay of cicatrization induced by corticoids, similar results to manual suture regarding to postoperative complications incidence were obtained; ring, however, determined worse mucous regeneration and greater cicatricial inflammatory reaction.

  8. Testicular adrenal rest tumor in infertile man with congenital adrenal hyperplasia: case report and literature review

    Directory of Open Access Journals (Sweden)

    Giovanni Scala Marchini

    Full Text Available CONTEXT: Synthesis of cortisol and aldosterone is impaired in patients with congenital adrenal hyperplasia (CAH because of 21-hydroxylase deficiency. Men with CAH have low fertility rates compared with the normal population, and this is related to testicular adrenal rest tumors. Findings of azoospermia in combination with a testicular tumor on ultrasound are likely to have a mechanical cause, especially when in the testicular mediastinum. The preferred treatment method consists of intensive corticoid therapy. However, when the tumor is unresponsive to steroid therapy, surgical treatment should be considered. CASE REPORT: We present the case of a male patient with CAH due to 21-hydroxylase deficiency who presented a testicular tumor and azoospermia. Treatment with low daily corticoid doses had previously been started by an endocrinologist, but after 12 months, no significant change in sperm count was found. Although the adrenocorticotrophic hormone and 17-hydroxyprogesterone levels returned to normal values, the follicle-stimulating hormone (FSH, luteinizing hormone and testosterone levels remained unchanged. Ultrasound examination confirmed that the testicles were small and heterogenous bilaterally, and revealed a mosaic area at the projection of the testis network bilaterally. Magnetic resonance imaging confirmed the finding. Testicular biopsy revealed the presence of preserved spermatogenesis and spermiogenesis in 20% of the seminiferous tubules in the right testicle. The patient underwent testis-sparing tumor resection. After 12 months of follow-up, there was no tumor recurrence but the patient still presented azoospermia and joined an intracytoplasmic sperm injection program.

  9. Implementation of anaphylaxis management guidelines: a register-based study.

    Directory of Open Access Journals (Sweden)

    Linus Grabenhenrich

    Full Text Available BACKGROUND: Anaphylaxis management guidelines recommend the use of intramuscular adrenaline in severe reactions, complemented by antihistamines and corticoids; secondary prevention includes allergen avoidance and provision of self-applicable first aid drugs. Gaps between recommendations and their implementation have been reported, but only in confined settings. Hence, we analysed nation-wide data on the management of anaphylaxis, evaluating the implementation of guidelines. METHODS: Within the anaphylaxis registry, allergy referral centres across Germany, Austria and Switzerland provided data on severe anaphylaxis cases. Based on patient records, details on reaction circumstances, diagnostic workup and treatment were collected via online questionnaire. Report of anaphylaxis through emergency physicians allowed for validation of registry data. RESULTS: 2114 severe anaphylaxis patients from 58 centres were included. 8% received adrenaline intravenously, 4% intramuscularly; 50% antihistamines, and 51% corticoids. Validation data indicated moderate underreporting of first aid drugs in the Registry. 20% received specific instructions at the time of the reaction; 81% were provided with prophylactic first aid drugs at any time. CONCLUSION: There is a distinct discrepancy between current anaphylaxis management guidelines and their implementation. To improve patient care, a revised approach for medical education and training on the management of severe anaphylaxis is warranted.

  10. Sleep enhances memory consolidation in children.

    Science.gov (United States)

    Ashworth, Anna; Hill, Catherine M; Karmiloff-Smith, Annette; Dimitriou, Dagmara

    2014-06-01

    Sleep is an active state that plays an important role in the consolidation of memory. It has been found to enhance explicit memories in both adults and children. However, in contrast to adults, children do not always show a sleep-related improvement in implicit learning. The majority of research on sleep-dependent memory consolidation focuses on adults; hence, the current study examined sleep-related effects on two tasks in children. Thirty-three typically developing children aged 6-12 years took part in the study. Actigraphy was used to monitor sleep. Sleep-dependent memory consolidation was assessed using a novel non-word learning task and the Tower of Hanoi cognitive puzzle, which involves discovering an underlying rule to aid completion. Children were trained on the two tasks and retested following approximately equal retention intervals of both wake and sleep. After sleep, children showed significant improvements in performance of 14% on the non-word learning task and 25% on the Tower of Hanoi task, but no significant change in score following the wake retention interval. Improved performance on the Tower of Hanoi may have been due to children consolidating explicit aspects of the task, for example rule-learning or memory of previous sequences; thus, we propose that sleep is necessary for consolidation of explicit memory in children. Sleep quality and duration were not related to children's task performance. If such experimental sleep-related learning enhancement is generalizable to everyday life, then it is clear that sleep plays a vital role in children's educational attainment. © 2013 European Sleep Research Society.

  11. Use of oral cholera vaccines in an outbreak in Vietnam: a case control study.

    Directory of Open Access Journals (Sweden)

    Dang Duc Anh

    Full Text Available BACKGROUND: Killed oral cholera vaccines (OCVs are available but not used routinely for cholera control except in Vietnam, which produces its own vaccine. In 2007-2008, unprecedented cholera outbreaks occurred in the capital, Hanoi, prompting immunization in two districts. In an outbreak investigation, we assessed the effectiveness of killed OCV use after a cholera outbreak began. METHODOLOGY/PRINCIPAL FINDINGS: From 16 to 28 January 2008, vaccination campaigns with the Vietnamese killed OCV were held in two districts of Hanoi. No cholera cases were detected from 5 February to 4 March 2008, after which cases were again identified. Beginning 8 April 2008, residents of four districts of Hanoi admitted to one of five hospitals for acute diarrhea with onset after 5 March 2008 were recruited for a matched, hospital-based, case-control outbreak investigation. Cases were matched by hospital, admission date, district, gender, and age to controls admitted for non-diarrheal conditions. Subjects from the two vaccinated districts were evaluated to determine vaccine effectiveness. 54 case-control pairs from the vaccinated districts were included in the analysis. There were 8 (15% and 16 (30% vaccine recipients among cases and controls, respectively. The vaccine was 76% protective against cholera in this setting (95% CI 5% to 94%, P = 0.042 after adjusting for intake of dog meat or raw vegetables and not drinking boiled or bottled water most of the time. CONCLUSIONS/SIGNIFICANCE: This is the first study to explore the effectiveness of the reactive use of killed OCVs during a cholera outbreak. Our findings suggest that killed OCVs may have a role in controlling cholera outbreaks.

  12. Changes in the prevalence of child maltreatment in Vietnam over 10 years.

    Science.gov (United States)

    Tran, Nhu K; van Berkel, Sheila R; Nguyen, Huong T; van IJzendoorn, Marinus H; Alink, Lenneke R A

    2018-06-01

    In the context of the shortage of studies on child maltreatment changes over time in limited resource settings, this paper explored the changes in the prevalence of multiple types of child maltreatment over a period of 10 years in Vietnam and tested the moderating role of some demographic characteristics in these changes. We used data from two prevalence studies conducted in 2004 and in 2014 using similar methodologies. Both studies used self-report questionnaires which were completed by randomly selected students aged 12-17 years from different provinces in Vietnam. We also compared Hanoi subgroups to examine the trend using the most equivalent samples. While the prevalence estimates of sexual abuse and neglect were unchanged over 10 years, the prevalence of physical abuse and emotional abuse declined. The decrease in the prevalence of physical abuse was larger for younger adolescents and boys than for their counterparts. For sexual abuse, older adolescents reported an increase in the prevalence of sexual abuse. In the Hanoi sample comparison, only the prevalence of emotional abuse declined and this reduction was smaller for younger adolescents than for the older group. Despite the reduction of emotional and physical abuse in the whole sample and emotional abuse in the Hanoi sample, all types of child maltreatment were still highly prevalent in Vietnam. We argue that interventions on all types of child maltreatment should be further implemented. Similar studies could be conducted to evaluate the effect of child protection policies on the prevalence of child maltreatment. Copyright © 2018 Elsevier Ltd. All rights reserved.

  13. Upon Further Review: V. An Examination of Previous Lightcurve Analysis from the Palmer Divide Observatory

    Science.gov (United States)

    Warner, Brian D.

    2011-01-01

    Updated results are given for nine asteroids previously reported from the Palmer Divide Observatory (PDO). The original images were re-measured to obtain new data sets using the latest version of MPO Canopus photometry software, analysis tools, and revised techniques for linking multiple observing runs covering several days to several weeks. Results that were previously not reported or were moderately different were found for 1659 Punkajarju, 1719 Jens, 1987 Kaplan, 2105 Gudy, 2961 Katsurahama, 3285 Ruth Wolfe, 3447 Burckhalter, 7816 Hanoi, and (34817) 2000 SE116. This is one in a series of papers that will examine results obtained during the initial years of the asteroid lightcurve program at PDO.

  14. JPRS Report, East Asia, Vietnam: TAP CHI CONG SAN, No. 10, October 1987

    Science.gov (United States)

    1988-02-09

    Followers in the Countries of Latin America [ Tran Anh] 48 JPRS-ATC-88-002 9 February 1988 VIETNAM: TAP CHI CONG SAN No 10, October 1987 [Except...character is not simply an ideological-political category applied in literature. Our party, as Truong Chinh said at the Third National Literature and Art...Hanoi TAP CHI CONG SAN in Vietnamese No 10, Oct 87pp 39-42 [Article by Nguyen Dang Quang, assistant editor-in-chief of GIAO DUC LY LUAN Journal

  15. The Joint Chiefs of Staff and National Policy, 1969-1972

    Science.gov (United States)

    2013-01-01

    Laos during March-April 1971, US units no longer played any offensive role in ground combat operations. For the Army, at least, the Vietnam War was...Joint Staff, that "we can give the Israelis all the arms and money they need yet we cannot seem to save Laos ... that is really politics.ඍ On 2...perception of Hanoi as a willing agent of Chinese expansionism. The violence and anarchy stemming from Mao Tse -tung’s "Cultural Revolution" cast doubt

  16. China and the Splitting of Alliances: Historic Cases and Implications for North Korea

    Science.gov (United States)

    2014-03-01

    life. Stalin was exposed and condemned at the Congress for having had hundreds of thousands of people shot and for his abuse of power. Mao Tse -tung...countries, to put the Mongolian people under the influence of Mao Tse -tung’s ideas, and to compel Mongolia to pursue a pro-Maoist policy.185 Additionally...needed Soviet support to do so. In mid-1975, Hanoi took control of Laos and then began prosecuting a war against the Chinese-backed Khmer Rouge.295

  17. Arsenic in groundwater of the Red River Floodplain, Vietnam

    DEFF Research Database (Denmark)

    Postma, Diederik Jan; Larsen, Flemming; Jessen, Søren

    2007-01-01

    The mobilization of arsenic (As) to the groundwater was studied in a shallow Holocene aquifer on the Red River flood plain near Hanoi, Vietnam. Results show an anoxic aquifer featuring organic carbon decomposition with redox zonation dominated by the reduction of Fe-oxides and methanogenesis....... The concentration of As increases over depth to a concentration of up to 550 μg/L. Most As is present as As(III) but some As(V) is always found. Arsenic correlates well with NH4, relating its release to organic matter decomposition and the source of As appears to be the Fe-oxides being reduced....

  18. Proposed Training Plan to Improve Building Energy Efficiency in Vietnam

    Energy Technology Data Exchange (ETDEWEB)

    Yu, Sha; Evans, Meredydd

    2013-01-01

    Vietnam has experienced fast growth in energy consumption in the past decade, with annual growth rate of over 12 percent. This is accompanied by the fast increase in commercial energy use, driven by rapid industrialization, expansion of motorized transport, and increasing energy use in residential and commercial buildings. Meanwhile, Vietnam is experiencing rapid urbanization at a rate of 3.4 percent per year; and the majority of the growth centered in and near major cities such as Hanoi and Ho Chi Minh City. This has resulted in a construction boom in Vietnam.

  19. Allele frequency data for 16 STR loci in the Vietnamese population.

    Science.gov (United States)

    Shimada, I; Brinkmann, B; Tuyen, N Q; Hohoff, C

    2002-08-01

    The short tandem repeat systems ACTBP2, D3S1358, TH01, D21S11, D18S51, Penta E, D5S818, D13S317, D7S820, D16S539, CSF1PO, Penta D, VWA, D8S1179, TPOX and FGA were studied in a population sample from Vietnam (178 individuals, mainly from the Hanoi area). The 16 loci met Hardy-Weinberg expectations and possess a combined power of discrimination greater than 0.9999999999999999998 and a combined power of exclusion greater than 0.99999994 in this Vietnamese population.

  20. Exploring the Concept of Learner Autonomy in Cross-Cultural Research

    Directory of Open Access Journals (Sweden)

    Nga Thanh Nguyen

    2014-09-01

    Full Text Available This research explores how the concept of learner autonomy is understood and used in Vietnamese higher educational settings. Data were collected through interviews in Vietnamese with four university lecturers in Hanoi, Vietnam and then reported in an English language thesis. The problems confronted by the lecturers were in understanding the concept of learner autonomy, the complexities of translation equivalence for the concept from one language to another, and the impact of culture in interpreting the concept of learner autonomy. The paper concludes with recommendations for educators to be sensitive to cultural and linguistic considerations when transferring concepts from one culture to another.

  1. Detecting Energy Spectrum Of The Products Of Reaction 6Li(n,alpha)3H By The Home-Made Gaseous Detectors In Vietnam

    International Nuclear Information System (INIS)

    Luong Huu Phuoc; Phung Van Duan; Le Van Mien; Nguyen Tat Thang; Tran Hoai Nam

    2008-01-01

    There are shown some of results of study in designing and making first gaseous detectors of big sizes in Vietnam. The detectors were used for test measurement of detecting energy spectrum of the products of reaction 6 Li(n,alpha) 3 H caused by thermal neutrons. On the spectrum there were observed two energy peaks of tritons and alpha particles separately. In the test measurement there were used two neutron isotopic sources with total output 2x1.1x10 7 n/s. The study was implemented at Hanoi University of Technology. (author)

  2. Toward Eduscapes

    DEFF Research Database (Denmark)

    Madsen, Ulla Ambrosius

    2008-01-01

    This article presents the output from the cross cutting component on education in the research project entitled Youth and the City: Skills, Knowledge and Social Reproduction. The article presents ethnographic data collected in secondary schools in Recife/Brazil, Lusaka/Zambia and Hanoi/Vietnam an....../Vietnam and discusses methodological challenges in ethnographic and comparative education. Particular focus is on the interaction between education policy reform, classroom practices and young people's negotiation of self and future in a changing world....

  3. Factors associated with drug use among male motorbike taxi drivers in urban Vietnam.

    Science.gov (United States)

    Nguyen, Huy Van; Vu, Thinh Toan; Pham, Ha Nguyen

    2014-08-01

    A cross-sectional study was conducted on a sample of 291 male motorbike taxi drivers (MMTDs) recruited through social mapping technique in Hanoi, Vietnam, for face-to-face interviews to examine factors associated with drug use among MMTDs using Information-Motivation-Behavioral skills (IMB) model. Among 291 MMTDs, 17.18% reported drug use sometime in their lives, 96% of whom were drug injectors. Being depressed, being originally borne in urban cities, currently residing in rural areas, having a longer time living apart from their wives/lovers, using alcohol, following Buddhism, and reporting lower motivation of HIV prevention predict significantly higher odds of uptaking drugs.

  4. 'Let's talk about sex, baby': sexual communication in marriage in contemporary Vietnam.

    Science.gov (United States)

    Huong, Bui Thu

    2010-08-01

    Sexual communication within marriage has been a long-neglected topic in Vietnam. The research described in this paper explored how educated husbands and wives communicate about sexuality in urban settings in contemporary Vietnam. Twenty married individuals living in Hanoi were recruited to participate through snowball sampling. Data were collected through unstructured interviews. Thematic analysis showed that respondents were able to talk with each other relatively openly about sexuality. While the issues raised were various, sexual communication decreased in quantity and quality with the length of marriage. The ambiguity of discourses of sexuality was reportedly both the main catalyst and barrier to conversation.

  5. How does traditional Confucian culture influence adolescents' sexual behavior in three Asian cities?

    Science.gov (United States)

    Gao, Ersheng; Zuo, Xiayun; Wang, Li; Lou, Chaohua; Cheng, Yan; Zabin, Laurie S

    2012-03-01

    To investigate whether and how the presence of Confucian cultural norms influences the sexual behaviors of adolescents and young adults in three Asian cities experiencing different levels of economic development. Data for this article were drawn from the international cross-sectional survey on sexual and reproductive health of adolescents and young adults aged 15-24 years in three Asian cities (Hanoi, Shanghai, and Taipei), conducted in 2006. The original sample consisted of a representative group of 17,016 adolescents; while in this study, 16,554 never-married adolescents were included in the analysis. Both face-to-face interview and computer-assisted self-interview approaches were adopted in the survey. Exposure to family concepts, self-cultivation values, gender role concepts, and sexual values were the main measures of traditional Confucian cultural influence. Sexual and intimate behaviors were the main outcome measures, and multi-Cox regression models were used to assess the association between traditional cultural concepts and values and sexual behavior after adjusting for potentially confounding factors. Data were analyzed with SAS software 9.1. The traditional Confucian cultural norms were not weakening evenly, with more entrenchment in Hanoi than in Shanghai and Taipei. Prevalence of sexual coitus among adolescent and young adults was lowest in Hanoi and highest in Taipei, while similar profiles of other intimate behaviors were displayed in the three cities. Associations between respondents' sexual behavior and their cultural concepts and values differed by city. In Hanoi, for all four cultural measures, respondents with more traditional views were less likely to engage in sexual activity. This was also true in Shanghai and Taipei with respect to traditional sexual values and self-cultivation values. However, there was an inverse relationship between sexual behavior and traditional family concepts and gender roles in Shanghai and Taipei; those with more

  6. Perceptions of climate change and its impact on human health: an integrated quantitative and qualitative approach.

    Science.gov (United States)

    Toan, Do Thi Thanh; Kien, Vu Duy; Bao Giang, Kim; Van Minh, Hoang; Wright, Pamela

    2014-01-01

    The World Health Organization emphasized that climate change is a significant and emerging threat to public health, especially in lower income populations and tropical/subtropical countries. However, people in Asia and Africa were the least likely to perceive global warming as a threat. In Vietnam, little research has been conducted concerning the perceptions of effects of climate change on human health. The aim of this study was to explore the perceptions on climate change and its impact on human health among people in Hanoi. We applied a combined quantitative and qualitative approach to study perceptions on climate change among people in Hanoi. A total of 1,444 people were recruited, including 754 people living in non-slum areas and 690 people living in slum areas of Hanoi. A structured questionnaire was used to collect quantitative data on their perceptions. In a parallel qualitative study, two focus group discussions and 12 in-depth interviews (IDs) were carried out involving 24 people from both slum and non-slum areas. The majority of the respondents in the study had heard about climate change and its impact on human health (79.3 and 70.1% in non-slum and slum areas, respectively). About one third of the respondents reported that members of their family had experienced illness in the recent summer and winter compared to the same seasons 5 years ago. The most common symptoms reported during hot weather were headaches, fatigue, and dizziness; hypertension and other cardiovascular diseases were also reported. During cold weather, people reported experiencing cough, fever, and influenza, as well as pneumonia and emerging infectious diseases such as dengue and Japanese encephalitis. The observed high level of awareness on the links between climate change and human health may help to increase the success of the National Prevention Program on Climate Change. Moreover, understanding the concerns of the people may help policy makers to develop and implement effective

  7. Arquitectura, urbanismo y sostenibilidad. Experiencias de una red universitaria

    OpenAIRE

    Ramos Galino, Fernando Juan; Mrkonjic, Katarina

    2007-01-01

    "University Network for Sustainable Architectural Design and Urban Planning" es un proyecto europeo de duración de tres años, que comenzó en Noviembre de 2004. La red está parcialmente financiada por el programa Asia Link de la Comisión Europea y está formada por tres universidades: Universitat Politècnica de Catalunya (coordinadora del programa), Hanoi Architectural University (Vietnam) y Politecnico di Milano (Italia). Los objetivos principales de la red son: introducción de los parámetr...

  8. Air pollution episodes associated with East Asian winter monsoons

    Energy Technology Data Exchange (ETDEWEB)

    Hien, P.D., E-mail: pdhien@gmail.com [Vietnam Atomic Energy Agency, 59 Ly Thuong Kiet str. Hanoi (Viet Nam); Loc, P.D.; Dao, N.V. [National Hydro-Meteorological Center, 62-A2 Nguyen Chi Thanh str. Hanoi (Viet Nam)

    2011-11-01

    A dozen multi-day pollution episodes occur from October to February in Hanoi, Vietnam due to prolonged anticyclonic conditions established after the northeast monsoon surges (cold surges). These winter pollution episodes (WPEs) account for most of the 24-h PM{sub 10} exceedances and the highest concentrations of gaseous pollutants in Hanoi. In this study, WPEs were investigated using continuous air quality monitoring data and information on upper-air soundings and air mass trajectories. The 24-h pollutant concentrations are lowest during cold surges; concurrently rise thereafter reaching the highest levels toward the middle of a monsoon cycle, then decline ahead of the next cold surge. Each monsoon cycle usually proceeds through a dry phase and a humid phase as Asiatic continental cold air arrives in Hanoi through inland China then via the East China Sea. WPEs are associated with nighttime radiation temperature inversions (NRTIs) in the dry phase and subsidence temperature inversions (STIs) in the humid phase. In NRTI periods, the rush hour pollution peak is more pronounced in the evening than in the morning and the pollution level is about two times higher at night than in daytime. In STI periods, broad morning and evening traffic peaks are observed and pollution is as high at night as in daytime. The close association between pollution and winter monsoon meteorology found in this study for the winter 2003-04 may serve as a basis for advance warning of WPEs and for forecasting the 24-h pollutant concentrations. - Highlights: {yields} Dozen pollution episodes from Oct. to Feb in Hanoi associated with anticyclones after monsoon surges. {yields} 24-h concentrations of PM{sub 10}, SO{sub 2}, NO{sub 2}, CO rise after surge and decline ahead of the next. {yields} Episodes caused by nighttime radiation and subsidence inversions in dry and humid monsoon phases. {yields} Distinct diurnal variations of pollutant concentrations observed in the two periods. {yields} Close

  9. Perceptions of climate change and its impact on human health: an integrated quantitative and qualitative approach

    Directory of Open Access Journals (Sweden)

    Do Thi Thanh Toan

    2014-12-01

    Full Text Available Background: The World Health Organization emphasized that climate change is a significant and emerging threat to public health, especially in lower income populations and tropical/subtropical countries. However, people in Asia and Africa were the least likely to perceive global warming as a threat. In Vietnam, little research has been conducted concerning the perceptions of effects of climate change on human health. Objective: The aim of this study was to explore the perceptions on climate change and its impact on human health among people in Hanoi. Design: We applied a combined quantitative and qualitative approach to study perceptions on climate change among people in Hanoi. A total of 1,444 people were recruited, including 754 people living in non-slum areas and 690 people living in slum areas of Hanoi. A structured questionnaire was used to collect quantitative data on their perceptions. In a parallel qualitative study, two focus group discussions and 12 in-depth interviews (IDs were carried out involving 24 people from both slum and non-slum areas. Results: The majority of the respondents in the study had heard about climate change and its impact on human health (79.3 and 70.1% in non-slum and slum areas, respectively. About one third of the respondents reported that members of their family had experienced illness in the recent summer and winter compared to the same seasons 5 years ago. The most common symptoms reported during hot weather were headaches, fatigue, and dizziness; hypertension and other cardiovascular diseases were also reported. During cold weather, people reported experiencing cough, fever, and influenza, as well as pneumonia and emerging infectious diseases such as dengue and Japanese encephalitis. Conclusions: The observed high level of awareness on the links between climate change and human health may help to increase the success of the National Prevention Program on Climate Change. Moreover, understanding the concerns of

  10. Operation of Small Radio Telescope (SRT) recorded 21 cm spectral line of Hydrogen at VATLY Laboratory

    International Nuclear Information System (INIS)

    Pham Ngoc Dong; Pham Tuan Anh; Pham Ngoc Diep; Pham Thi Tuyet Nhung; Nguyen Van Hiep

    2013-01-01

    A small radio telescope (SRT) has been installed on the roof of the Hanoi astrophysics laboratory VATLY. It is equipped with a 2.6 m diameter mobile parabolic dish remotely controlled in elevation and azimuth and with super-heterodyne detection around the 21 cm hydrogen line. They demonstrate the high quality of the telescope performance and are used to evaluate lobe size, signal to noise ratios, anthropogenic interferences and measurement accuracies. Particular attention is given to the measurement of the pointing accuracy. First results of observations of the Sun and of the centre of the Milky Way are presented. (author)

  11. The cost of antiretroviral treatment service for patients with HIV/AIDS in a central outpatient clinic in Vietnam

    Directory of Open Access Journals (Sweden)

    Nguyen LT

    2014-02-01

    Full Text Available Long Thanh Nguyen,1 Bach Xuan Tran,2 Cuong Tuan Tran,1 Huong Thi Le,1 Son Van Tran1 1Authority of HIV/AIDS Control, Ministry of Health, Hanoi, Vietnam; 2Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam Introduction: Antiretroviral treatment (ART services are estimated to account for 30% of the total resources needed for human immunodeficiency virus (HIV/acquired immunodeficiency syndrome (AIDS control and prevention in Vietnam during the 2011–2020 timeframe. With international funding decreasing, determining the total cost of HIV/AIDS treatment is necessary in order to develop a master plan for the transition of ART services delivery and management. We analyzed the costs of HIV/AIDS treatment paid by both HIV programs and patients in a central outpatient clinic, and we explored factors associated with the capacity of patients to pay for this service. Methods: Patients (n=315 receiving ART in the Department of Infectious Diseases at Bach Mai Hospital, Hanoi, Vietnam, were interviewed. Patient records and expenses were reviewed. Results: The total cost of ART per patient was US$611 (75% from health care providers, 25% from patients or their families. The cost of a second-line regimen was found to be 2.7 times higher than the first-line regimen cost. Most outpatients (73.3% were able to completely pay for all of their ART expenses. Capacity to pay for ART was influenced by five factors, including marital status, distance from house to clinic, patient's monthly income, household economic condition, and health insurance status. Most of the patients (84.8% would have been willing to pay for health insurance if a copayment scheme for ART were to be introduced. Conclusion: This study provides evidence on payment capacity of HIV/AIDS patients in Vietnam and supplies information on ART costs from both provider and patient perspectives. In particular, results from this study suggest that earlier access to ART

  12. Study To Build Method For Analyzing Some Component Of Airborne Which Cause Respiratory Disease

    International Nuclear Information System (INIS)

    Vo Thi Anh; Nguyen Thuy Binh; Vuong Thu Bac; Ha Lan Anh; Nguyen Hong Thinh; Duong Van Thang; Nguyen Mai Anh; Vo Tuong Hanh

    2013-01-01

    Aerosol sampler is located at the top of the three floors building of INST. The amount of PM particle and components such as black carbon; chemical elements; violated organic compounds and microorganisms are analyzed by appropriate methods. Using the method of regression and analysis of variance ANOVA to find out correlation between there pollution components and patients treated at the Department of Respiratory in Hanoi E-Hospital. It shown that microorganisms, benzene, toluene, element sulfur and element silica have effects on monthly number of patients treated respiratory diseases at the E-Hospital. (author)

  13. PCR detection and genetic diversity of bovine hemoprotozoan parasites in Vietnam.

    Science.gov (United States)

    Sivakumar, Thillaiampalam; Lan, Dinh Thi Bich; Long, Phung Thang; Yoshinari, Takeshi; Tattiyapong, Muncharee; Guswanto, Azirwan; Okubo, Kazuhiro; Igarashi, Ikuo; Inoue, Noboru; Xuan, Xuenan; Yokoyama, Naoaki

    2013-11-01

    Hemoprotozoan infections often cause serious production losses in livestock. In the present study, we conducted a PCR-based survey of Babesia bovis, Babesia bigemina, Theileria annulata, Theileria orientalis, Trypanosoma evansi and Trypanosoma theileri, using 423 DNA samples extracted from blood samples of cattle (n=202), water buffaloes (n=43), sheep (n=51) and goats (n=127) bred in the Hue and Hanoi provinces of Vietnam. With the exception of T. annulata and T. evansi, all other parasite species (B. bovis, B. bigemina, T. orientalis and T. theileri) were detected in the cattle populations with B. bovis being the most common among them. Additionally, four water buffaloes and a single goat were infected with B. bovis and B. bigemina, respectively. The Hue province had more hemoprotozoan-positive animals than those from the Hanoi region. In the phylogenetic analyses, B. bovis-MSA-2b, B. bigemina-AMA-1 and T. theileri-CATL gene sequences were dispersed across four, one and three different clades in the respective phylograms. This is the first study in which the presence of Babesia, Theileria and Trypanosoma parasites was simultaneously investigated by PCR in Vietnam. The findings suggest that hemoprotozoan parasites, some of which are genetically diverse, continue to be a threat to the livestock industry in this country.

  14. Clinical and Epidemiological Characteristics of Scrub Typhus and Murine Typhus among Hospitalized Patients with Acute Undifferentiated Fever in Northern Vietnam

    Science.gov (United States)

    Hamaguchi, Sugihiro; Cuong, Ngo Chi; Tra, Doan Thu; Doan, Yen Hai; Shimizu, Kenta; Tuan, Nguyen Quang; Yoshida, Lay-Myint; Mai, Le Quynh; Duc-Anh, Dang; Ando, Shuji; Arikawa, Jiro; Parry, Christopher M.; Ariyoshi, Koya; Thuy, Pham Thanh

    2015-01-01

    A descriptive study on rickettsiosis was conducted at the largest referral hospital in Hanoi, Vietnam, to identify epidemiological and clinical characteristics of specific rickettsiosis. Between March 2001 and February 2003, we enrolled 579 patients with acute undifferentiated fever (AUF), excluding patients with malaria, dengue fever, and typhoid fever, and serologically tested for Orientia tsutsugamushi and Rickettsia typhi. Of the patients, 237 (40.9%) and 193 (33.3%) had scrub and murine typhus, respectively, and 149 (25.7%) had neither of them (non–scrub and murine typhus [non-ST/MT]). The proportion of murine typhus was highest among patients living in Hanoi whereas that of scrub typhus was highest in national or regional border areas. The presence of an eschar, dyspnea, hypotension, and lymphadenopathy was significantly associated with a diagnosis of scrub typhus (OR = 46.56, 10.90, 9.01, and 7.92, respectively). Patients with murine typhus were less likely to have these findings but more likely to have myalgia, rash, and relative bradycardia (OR = 1.60, 1.56, and 1.45, respectively). Scrub typhus and murine typhus were shown to be common causes of AUF in northern Vietnam although the occurrence of spotted fever group rickettsiae was not determined. Clinical and epidemiological information may help local clinicians make clinical diagnosis of specific rickettsioses in a resource-limited setting. PMID:25778504

  15. Hygienic aspects of livestock manure management and biogas systems operated by small-scale pig farmers in Vietnam.

    Science.gov (United States)

    Huong, Luu Quynh; Madsen, Henry; Anh, Le Xuan; Ngoc, Pham Thi; Dalsgaard, Anders

    2014-02-01

    Biogas digesters are widely promoted and increasingly used to treat and generate gas from pig slurry worldwide. The objective of this study was to describe manure management practices with focus on biogas digestion among small scale pig farmers in Hue (50 farmers) and Hanoi (96 farmers) and to assess fecal contamination levels in biogas effluent. Results showed that 84% of the farmers in Hanoi and 42% in Hue used both pig slurry and human excreta for biogas production. Biogas digestion only reduced E. coli concentrations by 1 to 2 log units to 3.70 ± 0.84 Escherichia coli (log10) cfu/ml on average in effluent as compared with raw slurry. Biogas effluent was commonly used to fertilize vegetables or discharged directly into the garden or aquatic recipients. Reduced problems with bad smells and flies were reported as main reasons for establishing a biogas digester. Further studies are needed to assess human and animal health hazards associated with the discharge and use of biogas effluent from small-scale biogas systems. © 2013.

  16. Influence of allelic variations in relation to norepinephrine and mineralocorticoid receptors on psychopathic traits: a pilot study

    Directory of Open Access Journals (Sweden)

    Guillaume Durand

    2018-03-01

    Full Text Available Background Past findings support a relationship between abnormalities in the amygdala and the presence of psychopathic traits. Among other genes and biomarkers relevant to the amygdala, norepinephrine and mineralocorticoid receptors might both play a role in psychopathy due to their association with traits peripheral to psychopathy. The purpose is to examine if allelic variations in single nucleotide polymorphisms related to norepinephrine and mineralocorticoid receptors play a role in the display of psychopathic traits and executive functions. Methods Fifty-seven healthy participants from the community provided a saliva sample for SNP sampling of rs5522 and rs5569. Participants then completed the Psychopathic Personality Inventory–Short Form (PPI-SF and the Tower of Hanoi. Results Allelic variations of both rs5522 and rs5569 were significant when compared to PPI-SF total score and the fearless dominance component of the PPI-SF. A significant result was also obtained between rs5522 and the number of moves needed to complete the 5-disk Tower of Hanoi. Conclusion This pilot study offers preliminary results regarding the effect of allelic variations in SNPs related to norepinephrine and mineralocorticoid receptors on the presence of psychopathic traits. Suggestions are provided to enhance the reliability and validity of a larger-scale study.

  17. Executive function in cancer patients with posttraumatic stress disorder.

    Science.gov (United States)

    Yang, Juan; Guo, Juncheng; Jiang, Xiangling

    2017-03-01

    Background Cancer patients with posttraumatic stress disorder can lead to their noncompliant behaviors. However, less is known about the neurocognitive functioning of posttraumatic stress disorder in general cancer types or patient populations. The current study attempted to examine the prevalence of posttraumatic stress disorder and their relationships with executive function in individuals with cancer. Methods A total of 285 cancer patients with posttraumatic stress disorder and 150 healthy individuals were recruited for the present study. The Clinician Administered PTSD Scale, Tower of Hanoi, Wisconsin Card Sorting Test, and Wechsler Adult Intelligence Scale-Revised Chinese revision were administered to all participants. Results Significant differences in the score of Tower of Hanoi, Wisconsin Card Sorting Test, and Wechsler Adult Intelligence Scale-Revised Chinese revision were observed between the posttraumatic stress disorder group and the healthy control group ( p posttraumatic stress disorder symptoms and executive function. Conclusions These findings suggest that individuals with cancer-related posttraumatic stress disorder exhibit more severe impairment in executive function than healthy controls do.

  18. Atmospheric radionuclides from the Fukushima Dai-ichi nuclear reactor accident observed in Vietnam

    International Nuclear Information System (INIS)

    Long, N.Q.; Giap, T.V.; Phan, N.T.; Truong, Y.; Binh, N.T; Sieu, L.N.; Hien, P.D.

    2012-01-01

    Radionuclides from the reactor accident at the Fukushima Dai-ichi Nuclear Power Plant were observed in the surface air at stations in Hanoi, Dalat and Ho Chi Minh City (HCMC) in Vietnam, about 4500 km southwest of Japan, during the period from March 27 to April 22, 2011. The maximum activity concentrations in the air measured at those three sites were 193, 33 and 37 μBq m -3 for 131 I, 134 Cs and 137 Cs, respectively. Peaks of radionuclide concentrations in the air corresponded to arrival of the air mass from Fukushima to Vietnam after traveling for 8 days over the Pacific Ocean. Cesium-134 was detected with the 134 Cs/ 137 Cs activity ratio of about 0.85 in line with observations made elsewhere. The 131 I/ 137 Cs activity ratio was observed to decrease exponentially with time as expected from radioactive decay. The ratio at Dalat, where is 1500 m high, was higher than those at Hanoi and HCMC in low lands, indicating the relative enrichment of the iodine in comparison to cesium at high altitudes. The time-integrated surface air concentrations of the Fukushima-derived radionuclides in the Southeast Asia showed exponential decrease with distance from Fukushima. (author)

  19. Socio-emotional intervention in attention deficit hyperactive disorder

    Directory of Open Access Journals (Sweden)

    María Jesús Cardoso-Moreno

    2015-06-01

    Full Text Available Attention-deficit-hyperactivity disorder (ADHD is a common neuro-behavioural disorder with onset in childhood. These children have impaired emotional self-control, self-regulation of drive and motivation. Numerous studies have reported cognitive disabilities in memory, executive functions, spatial abilities and language skills. The main objective of this work is to determine whether a socio-emotional intervention programme could improve executive functions in children with Attention Deficit Hyperactivity Disorder. The sample of this study consisted of 25 children (8 female and 17 male aged between 8 and 12 years, diagnosed with ADHD and who were not taking any psychopharmacological treatment at the time of the study, and had not taken medication previously. Executive functioning was assessed through the Zoo Map test and Tower of Hanoi puzzle in pre-/post-test design. A socio-emotional intervention programme was implemented. The training consisted of 8 one-hour weekly sessions, on an individual basis. Results indicate that such a programme does lead to improved performance in the execution of tasks that evaluate executive functions. After the intervention, the children took less time to resolve the Zoo Map test. Results for the Hanoi Tower puzzle were also improved after intervention. The children needed a lower number of movements to complete the task.

  20. Socio-emotional intervention in attention deficit hyperactive disorder

    Directory of Open Access Journals (Sweden)

    María Jesús Cardoso-Moreno

    2015-12-01

    Full Text Available Attention-deficit-hyperactivity disorder (ADHD is a common neuro-behavioural disorder with onset in childhood. These children have impaired emotional self-control, self-regulation of drive and motivation. Numerous studies have reported cognitive disabilities in memory, executive functions, spatial abilities and language skills. The main objective of this work is to determine whether a socio-emotional intervention programme could improve executive functions in children with Attention Deficit Hyperactivity Disorder. The sample of this study consisted of 25 children (8 female and 17 male aged between 8 and 12 years, diagnosed with ADHD and who were not taking any psychopharmacological treatment at the time of the study, and had not taken medication previously. Executive functioning was assessed through the Zoo Map test and Tower of Hanoi puzzle in pre-/post-test design. A socio-emotional intervention programme was implemented. The training consisted of 8 one-hour weekly sessions, on an individual basis. Results indicate that such a programme does lead to improved performance in the execution of tasks that evaluate executive functions. After the intervention, the children took less time to resolve the Zoo Map test. Results for the Hanoi Tower puzzle were also improved after intervention. The children needed a lower number of movements to complete the task.

  1. A measure for provisional-and-urgent sanitary improvement in developing countries: septic-tank performance improvement.

    Science.gov (United States)

    Harada, H; Dong, N T; Matsui, S

    2008-01-01

    Although many cities have planed to develop sewerages in developing countries, sewerage establishment still requires huge investment and engineering efforts. Improvement of existing sanitation facilities may contribute the betterment of urban sanitation before sewerage establishment. The purpose of this study is to propose a measure to improve urban sanitation in areas where a sewerage development plan is proposed but has not been yet established, based on a case study in Hanoi, Vietnam. We found that 90.5% of human excreta flowed into septic tanks. However, 89.6% of septic tanks have never been desludged in the past and their performance was observed to be at a low level. The study also showed that if they introduce regular desludging with a frequency of once a year, they can eliminate 72.8% of COD loads from septic tanks. It was indicated that the performance can be dramatically recovered by regular desludging, which could contribute urban sanitation improvement in Hanoi. In conclusion, the performance recovery of septic tanks by regular desludging was proposed as a provisional-and-urgent measure for urban sanitation improvement, together with the septage treatment in sewage sludge treatment facilities, which should be established earlier than other facilities of sewage treatment systems. IWA Publishing 2008.

  2. A Matched Case-Control Study of Risk Factors for Breast Cancer Risk in Vietnam

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    J. Nguyen

    2016-01-01

    Full Text Available Background. Vietnam has a low age-standardized incidence of breast cancer, but the incidence is rising rapidly with economic development. We report data from a matched case-control study of risk factors for breast cancer in the largest cancer hospital in Vietnam. Methods. 492 incident breast cancer cases unselected for family history or age at diagnosis and 1306 control women age 25–75 were recruited from the National Cancer Hospital (BVK, Hanoi. Structured interviews were conducted and pathology data was centrally reported at the National Cancer Hospital of Vietnam, in Hanoi. Results. Our analysis included 294 matched pairs. Mean age at diagnosis was 46.7 years. Lower mean parity, older age at first parity, increasing weight and BMI at age 18, and increasing BMI at diagnosis were positively correlated with breast cancer cases compared to controls. Age at first menarche and duration of breastfeeding were not statistically different between cases and controls. Conclusions. In this study we demonstrate that breast cancer in Vietnam is associated with some but not all of the published risk factors from Western populations. Our data is consistent with other studies of breast cancer in Asian populations.

  3. Decreasing In-home Smoking of Adults-Results from a School-based Intervention Program in Viet Nam.

    Science.gov (United States)

    Huong, Le Thi Thanh; Long, Tran Khanh; Anh, Le Vu; Cook, Margaret; Capra, Mike

    2016-01-01

    It is indicated that children are involuntarily exposed to secondhand smoke from adults, mainly at their home environment. This study aimed at describing the effectiveness of the school-based intervention to decrease the in-home smoking situation of adults so as to decrease children's exposure to secondhand smoke at home during the year 2011-2012 in a rural district in Hanoi, Viet Nam. This school-based intervention program (intervention and control group) involved 804 children aged 8 to 11 years from August 2011 to May 2012 in a rural district of Hanoi, Viet Nam. Children were taught in class about the harmful effects of secondhand smoke and about how to negotiate with fathers not to smoke in-home. Then children applied what they learnt, including staying away from secondhand smoke and persuading fathers not to smoke in-home in order to decrease children's exposure to secondhand smoke. Chi square test, t-test and multinominal logistic regression were applied in data analysis. The results showed that children's reported their father's in-home smoking decreased from 83.0% pre-intervention to 59.8% post-intervention ( p Viet Nam to increase children's awareness on the adverse health effects of secondhand smoke and to help them to be able to avoid their exposure to secondhand smoke at their home environment.

  4. Viet Nam steps up offshore E and D push

    International Nuclear Information System (INIS)

    Anon.

    1992-01-01

    This paper reports on Viet Nam's offshore exploration and development. Hanoi tentatively awarded three of five remaining blocks of prime offshore South China Sea acreage to companies from Europe and the Far East, with a fourth such award reported imminent. And state owned Petrovietnam signed a production sharing contract (PSC) covering acreage in the same area to a combine of British Petroleum Co. plc and Norway's Den norske stats oljeselskap AS. Retention of one block in the area covered by Viet Nam's second bidding round fueled speculation Hanoi is holding it in reserve for U.S. companies to enter bidding, pending easing of U.S. trade sanctions against Viet Nam, Agence France France (AFP) reported. Second round blocks have been carved from a concession held by Vietsovpetro, a joint venture of Petrovietnam and the former Soviet Union. All are in the southern Con Sun basin of the South China Sea off the port of Vung Tao and on trend with Viet Nam's only producing oil fields

  5. Neuropsychological dysfunction in adults with early-onset obsessive-compulsive disorder: the search for a cognitive endophenotype

    Directory of Open Access Journals (Sweden)

    Jie Zhang

    2015-06-01

    Full Text Available Objective:Evidence suggests that early-onset obsessive-compulsive disorder (OCD is an etiologically distinct subtype of OCD. The objective of the present work was to search for neurocognitive endophenotypes of early-onset OCD based on assessments of attention, memory, and executive function in patients with the disorder and their unaffected siblings.Methods:We compared the performance of 40 adult patients with early-onset OCD, 40 of their unaffected siblings, and 40 unrelated healthy controls on a neuropsychological battery designed for this study. We searched for associations among test performance, demographic variables (age, sex and years of education and clinical symptoms of early-onset OCD.Results:Patients performed significantly worse than healthy controls on the Tower of Hanoi, and the Stroop and Wisconsin tests, indicating impairments in planning, mental flexibility and inhibitory control. The performance of the unaffected first-degree siblings of patients with early-onset OCD on the Stroop and Wisconsin tests also differed from that of healthy controls. Symptom severity in early-onset OCD was strongly correlated with performance on the Tower of Hanoi.Conclusions:Our findings support the existence of specific executive function deficits in patients with early-onset OCD. Relatives presented an intermediate phenotype between patients and controls, suggesting that executive functions such as mental flexibility and response inhibition may be considered candidate endophenotypes of early-onset OCD.

  6. International Conference on Finite or Infinite Dimensional Complex Analysis and Applications

    CERN Document Server

    Tutschke, W; Yang, C

    2004-01-01

    There is almost no field in Mathematics which does not use Mathe­ matical Analysis. Computer methods in Applied Mathematics, too, are often based on statements and procedures of Mathematical Analysis. An important part of Mathematical Analysis is Complex Analysis because it has many applications in various branches of Mathematics. Since the field of Complex Analysis and its applications is a focal point in the Vietnamese research programme, the Hanoi University of Technology organized an International Conference on Finite or Infinite Dimensional Complex Analysis and Applications which took place in Hanoi from August 8 - 12, 2001. This conference th was the 9 one in a series of conferences which take place alternately in China, Japan, Korea and Vietnam each year. The first one took place th at Pusan University in Korea in 1993. The preceding 8 conference was th held in Shandong in China in August 2000. The 9 conference of the was the first one which took place above mentioned series of conferences in Vietnam....

  7. FY 2000 research cooperation project on the comprehensive research cooperation for environmental technology. Research cooperation for technology for prevention of the water pollution caused by plant waste water in Vietnam; 2000 nendo kenkyu kyoryoku jigyo. Kankyo gijutsu sogo kenkyu kyoryoku (Betonamu koku kojo haisui ni yoru suishitsu osen boshi taisaku gijutsu ni kansuru kenkyu hokoku)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-03-01

    For the purpose of increasing the research capability of the Center for Consultancy, Training and Technology Transfer in Vietnam, research cooperation for prevention of water pollution was given for plants of the local industry located in the suburbs of Hanoi city. In the survey of the actual state of the water pollution in the industrial area in the suburbs of Hanoi city, the following was found out: In the area, approximately 110 companies of the production industry such as livestock feed, papermaking, dyeing, brewing, construction materials, etc. are in operation and are discharging the untreated waste water into rivers and waterways because waste water treatment facilities are not prepared yet. In this research cooperation, the following were carried out: detailed survey of specified plants and proposal for improvement, training of Vietnamese researchers/engineers in charge of water pollution prevention technology, invitation to/training at Japan of Vietnamese managers/researchers, seminar to be held on the site, equipment to be given that is needed to measure water quality. The equipment to be given is a portable multi-item water quality meter and analytical equipment such as spectrometer, atomic absorption spectrophotometer and gas chromatograph. (NEDO)

  8. Current status of taeniasis and cysticercosis in Vietnam.

    Science.gov (United States)

    Van De, Nguyen; Le, Thanh Hoa; Lien, Phan Thi Huong; Eom, Keeseon S

    2014-04-01

    Several reports on taeniasis and cysticercosis in Vietnam show that they are distributed in over 50 of 63 provinces. In some endemic areas, the prevalence of taeniasis was 0.2-12.0% and that of cysticercosis was 1.0-7.2%. The major symptoms of taeniasis included fidgeted anus, proglottids moving out of the anus, and proglottids in the feces. Clinical manifestations of cysticercosis in humans included subcutaneous nodules, epileptic seizures, severe headach, impaired vision, and memory loss. The species identification of Taenia in Vietnam included Taenia asiatica, Taenia saginata, and Taenia solium based on combined morphology and molecular methods. Only T. solium caused cysticercosis in humans. Praziquantel was chosen for treatment of taeniasis and albendazole for treatment of cysticercosis. The infection rate of cysticercus cellulosae in pigs was 0.04% at Hanoi slaughterhouses, 0.03-0.31% at provincial slaughterhouses in the north, and 0.9% in provincial slaughterhouses in the southern region of Vietnam. The infection rate of cysticercus bovis in cattle was 0.03-2.17% at Hanoi slaughterhouses. Risk factors investigated with regard to transmission of Taenia suggested that consumption of raw meat (eating raw meat 4.5-74.3%), inadequate or absent meat inspection and control, poor sanitation in some endemic areas, and use of untreated human waste as a fertilizer for crops may play important roles in Vietnam, although this remains to be validated.

  9. Trasplante cardíaco en pacientes con enfermedad de Chagas. Experiencia de un único centro

    Directory of Open Access Journals (Sweden)

    Alfredo Inácio Fiorelli

    2011-07-01

    Conclusiones: El trasplante cardíaco es el único tratamiento actual eficaz de tratamiento de la enfermedad de Chagas en fase terminal. La reactivación de la enfermedad es un problema real que es fácilmente revertido con la introducción de la terapéutica farmacológica específica, restaurando los padrones histológicos del miocardio sin dejar secuelas. La inmunosupresión, en especial los corticoides, predisponen al desarrollo de neoplasias y a la reactivación de la enfermedad, exigiendo una atención especial su interrupción o reducción precoz.

  10. [Acute pulmonary edema in adult caused by tonsillar hypertrophy following removal of laryngeal mask airway].

    Science.gov (United States)

    Iizuka, Toru; Shimoyama, Naohito; Notoya, Atsuko

    2010-12-01

    Negative pressure pulmonary edema (NPPE) has been described after acute airway obstruction. In the following case, we observed a rare occurrence of pulmonary edema caused by chronic tonsillar hypertrophy in a woman following removal of laryngeal mask airway (LMA). A 38-year-old woman with breast cancer underwent mastectomy under general anesthesia using the LMA. With the patient fully awake, the LMA was removed. Abruptly 7 minutes afterward, she showed signs of intense dyspnea, generalized rhonchus and progressive desaturation, and obstructive tonsillar hypertrophy was noticed. Acute lung edema was suspected and treatment started with oxygen therapy, bronchodilators, intravenous corticoids and loop diuretics. She was then intubated to secure airway and provide adequate ventilation with PEEP. Fortunately, the symptoms progressively remitted satisfactorily, and she was subsequently extubated 18 hours later with no complications. NPPE is an infrequent medical emergency and its early diagnosis and recognition are likely to lead to successful management of this potentially serious complication.

  11. Expression, purification and crystallization of the ancestral androgen receptor-DHT complex.

    Science.gov (United States)

    Colucci, Jennifer K; Ortlund, Eric A

    2013-09-01

    Steroid receptors (SRs) are a closely related family of ligand-dependent nuclear receptors that mediate the transcription of genes critical for development, reproduction and immunity. SR dysregulation has been implicated in cancer, inflammatory diseases and metabolic disorders. SRs bind their cognate hormone ligand with exquisite specificity, offering a unique system to study the evolution of molecular recognition. The SR family evolved from an estrogen-sensitive ancestor and diverged to become sensitive to progestagens, corticoids and, most recently, androgens. To understand the structural mechanisms driving the evolution of androgen responsiveness, the ancestral androgen receptor (ancAR1) was crystallized in complex with 5α-dihydrotestosterone (DHT) and a fragment of the transcriptional mediator/intermediary factor 2 (Tif2). Crystals diffracted to 2.1 Å resolution and the resulting structure will permit a direct comparison with its progestagen-sensitive ancestor, ancestral steroid receptor 2 (AncSR2).

  12. New Immunosuppressive Therapies in Uveitis Treatment

    Directory of Open Access Journals (Sweden)

    Salvador Mérida

    2015-08-01

    Full Text Available Uveitis is an inflammatory process that initially starts in the uvea, but can also affect other adjacent eye structures, and is currently the fourth cause of blindness in developed countries. Corticoids are probably the most widespread treatment, but resorting to other immunosuppressive treatments is a frequent practice. Since the implication of different cytokines in uveitis has been well demonstrated, the majority of recent treatments for this disease include inhibitors or antibodies against these. Nevertheless, adequate treatment for each uveitis type entails a difficult therapeutic decision as no clear recommendations are found in the literature, despite the few protocolized clinical assays and many case-control studies done. This review aims to present, in order, the mechanisms and main indications of the most modern immunosuppressive drugs against cytokines.

  13. Reduction in (/sup 3/H)-corticosterone binding to cytoplasmic receptors in the brain of diabetic rats

    Energy Technology Data Exchange (ETDEWEB)

    Fridman, O; Foglia, V G; de Nicola, A F [Instituto de Biologia y Medicina Experimental, Buenos Aires (Argentina). Lab. de Esteroides

    1978-07-01

    The binding of (1,2,6,7-/sup 3/H)-corticosterone was studied in brain cytosol from normal and streptozotocin-diabetic male rats. The experiments were performed under conditions of incubation time (4h), temperature (0-4/sup 0/C), time after adrenalectomy (6 days) and corticosterone concentrations (1.2 x 10/sup -8/ and 1.15 x 10/sup -9/M) previously established for determining binding activity in the brain of normal rats. The binding of (/sup 3/H)-corticosterone was found invariably lower in cytosol of the brain from diabetic rats, studied under three different conditions in non-adrenalectomized animals, in adrenalectomized using a non-saturating corticosterone concentration, and in adrenalectomized plus a saturating steroid concentration. These results support previous contentions that the diminished sensitivity to the negative feedback for steroids which is present in diabetics, may be related to a reduction in binding capacity for corticoids in the central nervous system.

  14. Postoperative interstitial radiotherapy of keloids. Curietherapie postoperatoire des cicatrices cheloides

    Energy Technology Data Exchange (ETDEWEB)

    Clavere, P; Bonnafoux-Clavere, A; Roullet, B; Morzel, A; Rhein, B; Bonnetblanc, J M; Olivier, J P [Centre Hospitalier Universitaire, 87 - Limoges (France)

    1993-01-01

    During an 8-year period, 21 patients with keloids (27 keloids) were treated with keloidectomy and post-operative interstitial radiotherapy by an iridium 192 wire. Only one patient had been previously treated by corticoids, without results. A dose of 12 Gy (three patients) to 15 Gy (18 patients) was delivered at a point 2.5 mm from the axis of the wire. The follow-up time was from 2 - 104 months. The success rate, at 7 months, was close to 88%. Ao recurrence occurred in three patients without relation to the method used, the lesion-age or the localization of the lesions. There were no side-effects. This method represents an effective, non-constraining and safe treatment for keloids if the contra-indications are respected.

  15. Postoperative interstitial radiotherapy of keloids

    International Nuclear Information System (INIS)

    Clavere, P.; Bonnafoux-Clavere, A.; Roullet, B.; Morzel, A.; Rhein, B.; Bonnetblanc, J.M.; Olivier, J.P.

    1993-01-01

    During an 8-year period, 21 patients with keloids (27 keloids) were treated with keloidectomy and post-operative interstitial radiotherapy by an iridium 192 wire. Only one patient had been previously treated by corticoids, without results. A dose of 12 Gy (three patients) to 15 Gy (18 patients) was delivered at a point 2.5 mm from the axis of the wire. The follow-up time was from 2 - 104 months. The success rate, at 7 months, was close to 88%. Ao recurrence occurred in three patients without relation to the method used, the lesion-age or the localization of the lesions. There were no side-effects. This method represents an effective, non-constraining and safe treatment for keloids if the contra-indications are respected

  16. Corticoterapia profiláctica transquirúrgica de la hiperplasia cicatricial: estudio clínico-estadístico prospectivo

    Directory of Open Access Journals (Sweden)

    César-Kelly Villafuerte-Vélez

    Full Text Available Antecedentes y Objetivo: La hiperplasia cicatricial, denominación que reúne la cicatriz hipertrofica y el queloide, representa un gran desafio en la práctica quirúrgica. Estas patologías que solo acometen a los seres humanos, y en especial el queloide, se han asociado a las razas negra y amarilla, hecho corroborado en el estado de Bahía - Brasil, donde la afro-descendencia es muy significativa y donde gran número de mamoplastias de reducción se acompañan de hiperplasia cicatricial. Son anomalías que generan mucha insatisfacción en los pacientes y en los cirujanos. El objetivo del presente estudio es demostrar que se pueden prevenir este tipo de cicatrices antes de la incisión cutánea y antes del disparo de la cascada de reparación, moldeando las fases iniciales de la cicatrización con el uso de un corticoide especifico. Material y método. Planteamos un estudio prospectivo de prevalencia longitudinal y autocontrolado, en 60 mamas de 30 mujeres con diagnóstico de gigantomastia, a las que se les practicó mamoplastia de reducción en T invertida e injerto de placa areola-papilar (Thorek-Pitanguy, comparando 2 grupos: el primero con 30 mamas derechas infiltradas con solución de corticoide antiquimiotáxico en dermis y subcutáneo, por debajo de la tinta del diseño de la marcación prequirúrgica y antes de las incisiones; y el segundo con 30 mamas izquierdas sin infiltración (grupo control, para determinar estadísticamente, después de un periodo de seguimiento, la eficacia profiláctica del acetato de dexametasona en la prevención de la hiperplasia cicatricial. Tras un seguimiento postoperatorio de 6 a 15 meses, clasificamos el tipo de cicatrización obtenido según la escala de Vancouver, con documentación fotográfica. Realizamos los estudios estadísticos con test de Chi-cuadrado y prueba de Kruskal-Wallis para análisis experimental. Resultados. Comprobamos una disminución estadísticamente significativa al comparar la

  17. EPA protects against muscle damage in the mdx mouse model of Duchenne muscular dystrophy by promoting a shift from the M1 to M2 macrophage phenotype.

    Science.gov (United States)

    Carvalho, Samara Camaçari de; Apolinário, Leticia Montanholi; Matheus, Selma Maria Michelin; Santo Neto, Humberto; Marques, Maria Julia

    2013-11-15

    In dystrophic mdx mice and in Duchenne muscular dystrophy, inflammation contributes to myonecrosis. Previously, we demonstrated that eicosapentaenoic acid (EPA) decreased inflammation and necrosis in dystrophic muscle. In the present study, we examined the effects of EPA and the corticoid deflazacort (DFZ) as modulators of M1 (iNOS-expressing cells) and M2 (CD206-expressing cells) macrophages. Mdx mice (14 days old) received EPA or DFZ for 16 days. The diaphragm, biceps brachii and quadriceps muscles were studied. Immunofluorescence, immunoblotting and ELISA assays showed that EPA increased interleucin-10, reduced interferon-γ and was more effective than DFZ in promoting a shift from M1 to M2. © 2013.

  18. New Immunosuppressive Therapies in Uveitis Treatment

    Science.gov (United States)

    Mérida, Salvador; Palacios, Elena; Navea, Amparo; Bosch-Morell, Francisco

    2015-01-01

    Uveitis is an inflammatory process that initially starts in the uvea, but can also affect other adjacent eye structures, and is currently the fourth cause of blindness in developed countries. Corticoids are probably the most widespread treatment, but resorting to other immunosuppressive treatments is a frequent practice. Since the implication of different cytokines in uveitis has been well demonstrated, the majority of recent treatments for this disease include inhibitors or antibodies against these. Nevertheless, adequate treatment for each uveitis type entails a difficult therapeutic decision as no clear recommendations are found in the literature, despite the few protocolized clinical assays and many case-control studies done. This review aims to present, in order, the mechanisms and main indications of the most modern immunosuppressive drugs against cytokines. PMID:26270662

  19. Sepsis por shigella flexneri

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    César Cabrera C

    2005-04-01

    Full Text Available Se presenta un caso raro de sepsis por Shigella flexneri en una paciente de 45 años de edad quien estando hospitalizada para el estudio de un tumor cerebral, requirió el uso de manitol y dosis altas de corticoides; luego de ello presenta deposiciones líquidas con moco y sangre, desarrolla síndrome de respuesta inflamatoria sistémica, luego se aísla Shigella flexneri en el hemocultivo; recibió tratamiento antibiótico con ciprofloxacina. Se describen las características del caso y se comenta de acuerdo con la revisión de literatura.

  20. 'Femoral head necrosis' in metabolic and hormonal osteopathies

    International Nuclear Information System (INIS)

    Heuck, F.H.W.; Treugut, H.

    1984-01-01

    The pathogenesis of bone necrosis is discussed with special attention and with respect to metabolic, hormonal, and vascular factors. The influence of statics and dynamics of the hip joint bones for the development of aseptic necrosis are discussed. 45 patients with ''idiopathic femoral head necroses'' were observed, including 6 cases of renal osteopathy following renal transplantation and immune suppression therapy, 14 cases of long term corticoid therapy, and 11 cases of liver diseases of different genesis. The femoral head necrosis understood as complication of an osteopathy. In our patients there were 31 males and 14 females - which means higher involvement of males. Plain radiological findings and CT-findings of changes of the femoral heat structure in different stages of the disease are described. Early diagnosis of metabolic and hormonal osteopathies is demanded for a joint keeping therapy of the beginning femoral head necrosis. (orig.) [de

  1. 'Femoral head necrosis' in metabolic and hormonal osteopathies

    Energy Technology Data Exchange (ETDEWEB)

    Heuck, F.H.W.; Treugut, H.

    1984-07-01

    The pathogenesis of bone necrosis is discussed with special attention and with respect to metabolic, hormonal, and vascular factors. The influence of statics and dynamics of the hip joint bones for the development of aseptic necrosis are discussed. 45 patients with ''idiopathic femoral head necroses'' were observed, including 6 cases of renal osteopathy following renal transplantation and immune suppression therapy, 14 cases of long term corticoid therapy, and 11 cases of liver diseases of different genesis. The femoral head necrosis understood as complication of an osteopathy. In our patients there were 31 males and 14 females - which means higher involvement of males. Plain radiological findings and CT-findings of changes of the femoral heat structure in different stages of the disease are described. Early diagnosis of metabolic and hormonal osteopathies is demanded for a joint keeping therapy of the beginning femoral head necrosis. 90 refs.

  2. Tocilizumab-Induced Acute Liver Injury in Adult Onset Still’s Disease

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    Michael Drepper

    2013-01-01

    Full Text Available Background. Tocilizumab, a monoclonal humanized anti-IL-6 receptor antibody, is used in treatment of refractory adult onset Still’s disease (AOSD. Mild to moderate liver enzyme elevation is a well-known side effect, but severe liver injury has only been reported in 3 cases in the literature. Case. A young female suffering from corticoid and methotrexate refractory AOSD was treated by tocilizumab. After 19 months of consecutive treatment, she developed acute severe liver injury. Liver biopsy showed extensive hepatocellular necrosis with ballooned hepatocytes, highly suggestive of drug-induced liver injury. No other relevant drug exposure beside tocilizumab was recorded. She recovered totally after treatment discontinuation and an initial 3-day course of intravenous N-acetylcysteine with normalization of liver function tests after 6 weeks. Conclusion. Acute severe hepatitis can be associated with tocilizumab as documented in this case. Careful monitoring of liver function tests is warranted during tocilizumab treatment.

  3. Late onset of a persistent, deep stromal scarring after PRK and corneal cross-linking in a patient with forme fruste keratoconus.

    Science.gov (United States)

    Güell, Jose L; Verdaguer, Paula; Elies, Daniel; Gris, Oscar; Manero, Felicidad

    2014-04-01

    To present a case of a late, deep stromal scar in a 22-year-old patient with forme fruste keratoconus who underwent combined corneal cross-linking and photorefractive keratectomy (PRK). Topography-guided corneal cross-linking combined with corneal PRK (without complications) was performed in both eyes with a delay of 2 weeks between each eye. At the 5-month postoperative examination of the right eye, a localized corneal haze was circumscribed to the posterior deep stroma, signifying a decrease of visual acuity. However, this improved partially and temporarily when treated with topical corticoids during 2 years of follow-up and then reoccurred, affecting the corrected distance visual acuity. To the authors' knowledge, this is the first documented, clinical case presenting a deep stromal affectation without endothelial decompensation and visual acuity affectation as a postoperative complication following topography-guided PRK and corneal cross-linking. Copyright 2014, SLACK Incorporated.

  4. [Treatment and results of therapy in autoimmune hemolytic anemia].

    Science.gov (United States)

    Tasić, J; Macukanović, L; Pavlović, M; Koraćević, S; Govedarević, N; Kitić, Lj; Tijanić, I; Bakić, M

    1994-01-01

    Basic principles in the therapy of idiopathic autoimmune hemolytic anemia induced by warm antibody were glucocorticoides and splenectomy. Immunosupresive drugs, plasmaferesis and intravenous high doses gamma globulin therapy are also useful. In secundary autoimmune hemolytic anemia induced by warm antibody we treated basic illness. During the period of 1990-1992 we treated 21 patients with primary autoimmune hemolytic anemia and 6 patients with secondary /4 CLL and 2 Non-Hodgkin's lymphoma/. Complete remission we found as a normalisation of reticulocites and hemoglobin level respectively. Complete remission by corticoides we got in 14/21 patients, partial response in 2/21 respectively. Complete response by splenectomy we got in 2/3 splenoctomized patients (idiopathic type). For successful treatment secondary hemolytic anemias we treated primary diseases (CLL and malignant lymphoma) and we got in 4/6 patients complete remission. Our results were standard in both type of autoimmune hemolytic anaemias induced by warm antibody.

  5. Endocrine control of active sodium transport across frog skin

    International Nuclear Information System (INIS)

    Maetz, J.

    1959-01-01

    I. Action of the neurohypophyseal peptides on sodium transport. 1) On Rana Esculenta, oxytocin alone is active on the sodium transport (not vaso pressin). 2) The post hypophysis of R.e. contains an hormonal factor even more specific on Na transport (12 times more active than oxytocin). 3) This new factor must be closely related to oxytocin. II. Action of the adrenal corticoids. 1) The skin of frogs adapted to a salt-rich external medium, shows a considerable diminution in sodium uptake. 2) This decreased sodium uptake is brought back to normal by the injections of aldosterone. 3) This suggests that salt loading of amphibians (as well as mammals) inhibits the mineralocorticoid activity of the adrenals. (author) [fr

  6. Collagenous gastritis in the pediatric age

    Directory of Open Access Journals (Sweden)

    Antonio Rosell-Camps

    2015-05-01

    Full Text Available Collagenous gastritis (CG is an uncommon condition known in the pediatric age. It is characterized by the presence of subepithelial collagen bands (> 10 μm associated with lymphoplasmacytic infiltration of the stomach's lamina propria. Symptoms manifested by patients with CG may be common with many other disorders. It typically manifests with epigastralgia, vomiting, and iron deficiency during pre-adolescence. This condition's pathophysiology remains unclear. In contrast to adults, where association with collagenous colitis and other autoimmune conditions is more common, pediatric involvement is usually confined to the stomach. Drugs of choice include proton pump inhibitors and corticoids. A case is reported of a 12-year-old girl with abdominal pain and ferritin deficiency who was diagnosed with CG based on gastric biopsy and experienced a favorable outcome.

  7. [Parotid involvement in Churg-Strauss syndrome].

    Science.gov (United States)

    Bonnet, R; Bertin, H; Delemazure, A S; Clairand, R; Mercier, J; Corre, P

    2014-06-01

    Churg-Strauss syndrome is a rare systemic vascularitis. This disease causes eosinophilic tissue infiltration. The most frequent manifestations are cortico-dependent asthma, mono- or polyneuropathy, paranasal sinus polyposis, and digestive and renal dysfunction. Salivary glands are very rarely involved. We describe a case of CSS in a patient presenting with bilateral parotid swelling. The morphological study of salivary glands revealed an unusual thickening of the salivary duct walls. Salivary gland involvement in Churg and Strauss syndrome can be difficult to demonstrate histologically; it does not usually present in the clinical foreground of the disease, and can be a source of misdiagnosis. The biopsy should be performed in the symptomatic gland, away from any previous corticoid treatment. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  8. Artrosis de muñeca, estudio y opciones de tratamiento

    Directory of Open Access Journals (Sweden)

    Dr. G. Francisco Andrade

    2014-09-01

    Full Text Available La artrosis de muñeca es una patología que se origina generalmente tras una lesión ligamentosa intraósea del carpo, debido a una no unión de fractura de escafoides o después de una fractura articular del radio. Se sabe que la artrosis no mejora ni retrocede, por lo que se debe tener el tratamiento ideal para cada paciente según sus propias necesidades, que van desde el manejo médico (cambios de actividad, inmovilización, AINES o infiltración con corticoides. Cuando falla el tratamiento médico, se pueden realizar procedimientos poco invasivos como la denervación, carpectomía proximal o una artrodesis de cuatro esquinas. En estadios avanzados, sólo se puede proponer una artroplastia o artrodesis total de la muñeca.

  9. Neutrophilic dermatoses in a patient with collagenous colitis

    Directory of Open Access Journals (Sweden)

    Didac Barco

    2010-01-01

    Full Text Available We report the case of a 75-year old woman with collagenous colitis who presented with erythematous and edematous plaques on the periorbital and eyelid regions, accompanied by oral ulcers. Histopathology showed a dermal neutrophilic infiltrate plus mild septal and lobular panniculitis with lymphocytes, neutrophils and eosinophils. Five years earlier she had presented a flare of papules and vesicles on the trunk, together with oral ulcers; a skin biopsy revealed a neutrophilic dermal infiltrate and Sweet’s syndrome was diagnosed. Both the neutrophilic panniculitis and the Sweet’s syndrome were accompanied by fever, malaise and diarrhea. Cutaneous and intestinal symptoms disappeared with corticoid therapy. The two types of neutrophilic dermatoses that appeared in periods of colitis activity suggest that intestinal and cutaneous manifestations may be related.

  10. Different presentations of pulmonary criptococosis

    International Nuclear Information System (INIS)

    Londono Palacio, Natalia; Ojeda Paulina; Ortiz, Guillermo; Alwers Rolf C; Munive, Abraham Ali

    1998-01-01

    We presented 4 cases studies of criptococosis, all of them with pulmonary compromise, diagnosed at Hospital Santa Clara in a period of 5 years. It's important to note that none of the patients were HIV positive. In the first case studied the cellular immune compromise has, a multifactorial origin: rheumatoid arthritis and the administration of corticoids. In the second case studied, SLE can explain its origin. In the third case studied, because of the short hospital stay, the investigation with respect to the etiology of the immune-compromise was limited. In the fourth case studied, because of a low CD4 count Elisa immunoassay for HIV was repeated without its confirmation. Spontaneous recuperation was obtained, being free of infection for a period of five years

  11. OSTEOPOROSIS IN SYSTEMIC LUPUS ERYTHEMATOSUS

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    N V Seredavkina

    2009-01-01

    Full Text Available Patients with systemic lupus erythematosus (SLE form a high risk group osteoporosis (OP. Its main causes are autoimmune inflammation, concomitant pathology, and their treatment. When OP occurs in SLE, bone mass loss is shown to occur early and is associated with the use of glucocorticosteroids (GC. To prevent OP, all patients with SLE should modify their lifestyle. To verify bone changes, densitometry is performed in patients who have risk factors of OP and/or a menopause. Calcium preparations and vitamin D are used to prevent OP; bisphosphonates that significantly reduce the risk of fractures of the vertebral column and femoral neck are employed for therapy of OP. A SLE patient with gluco-corticoid-induced OP and a good effect of bisphophonate treatment is described.

  12. Experiencia con rituximab en miopatía inflamatoria idiopática refractaria

    Directory of Open Access Journals (Sweden)

    Elmer R. García-Salazar

    2013-10-01

    Full Text Available Se describe las características clínicas y de laboratorio de dos pacientes que recibieron rituximab por miopatía inflamatoria idiopática (MII. Ellas eran refractarias a tratamiento convencional con DARMES, por lo que recibieron rituximab 1 gramo cada 14 días, en dos infusiones en ciclo semestral. En las historias clínicas se obtuvo los datos clínicos de fuerza muscular proximal, lesiones cutáneas patognomónicas, elevación de CPK, TGO, DHL y VSG, resultados de electromiografía, biopsia muscular y de piel. Ninguno de los dos casos presentó reacción medicamentosa ni infecciones durante y posterior a las infusiones. Rituximab mostró efectividad en la respuesta clínica y enzimática en estas pacientes con dermatomiositis refractarias a corticoides y DARMES tradicionales.

  13. [Retrobulbar optic nevritis and chicken pox: a case report in a child].

    Science.gov (United States)

    Roelandt, V; Fayol, L; Hugonenq, C; Mancini, J; Chabrol, B

    2005-03-01

    We report here the case of a three-year-old boy presenting with an optic neuritis during the invasive phase of a chicken pox. This clinical, infrequent picture, can be directly due to the virus or be secondary to an auto-immune mechanism. The examination of the ocular fundus, the profile of the spinal fluid, the MRI and the measure of visual evoked potential allow to reach diagnosis and to identify the type of lesion. There is no consensus on the treatment of this optic neuritis and the current attitude is therapeutic abstention because of a rapid spontaneous improvement. Cerebellitis, meningitis can also be seen during chicken pox. Their evolution is quickly favorable, not requiring additional exam. Encephalitis can result from an auto-immune lesion of the white matter and require then the use of corticoids with antiviral drugs.

  14. Carpal tunnel syndrome - Part II (treatment,

    Directory of Open Access Journals (Sweden)

    Michel Chammas

    2014-10-01

    Full Text Available The treatments for non-deficit forms of carpal tunnel syndrome (CTS are corticoid infiltration and/or a nighttime immobilization brace. Surgical treatment, which includes sectioning the retinaculum of the flexors (retinaculotomy, is indicated in cases of resistance to conservative treatment in deficit forms or, more frequently, in acute forms. In minimally invasive techniques (endoscopy and mini-open, and even though the learning curve is longer, it seems that functional recovery occurs earlier than in the classical surgery, but with identical long-term results. The choice depends on the surgeon, patient, severity, etiology and availability of material. The results are satisfactory in close to 90% of the cases. Recovery of strength requires four to six months after regression of the pain of pillar pain type. This surgery has the reputation of being benign and has a complication rate of 0.2–0.5%.

  15. Miliary tuberculosis in the XXI century - a case report

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    Liliana Pinho

    2016-03-01

    Full Text Available Introduction: Tuberculosis is still a serious public health problem. Young age and HIV infection are important risk factors for severe or disseminated disease. Case report: We report the case of a three-year-old girl who presented a prolonged fever without a source on physical examination. Initial laboratory fi ndings were suggestive of urinary tract infection and empirical antibiotic therapy was started. Urine culture confi rmed that diagnosis, but fever had persisted. On complementary investigation, chest X-ray revealed an< infiltrate with a miliary pattern. Mycobacterium tuberculosis was isolated on gastric aspirate, cerebrospinal fluid and urine. Antituberculous therapy and corticoid were initiated with signifi cant clinical improvement. Conclusions: Even in this era of advanced medical technology, tuberculosis is still a diagnostic challenge, especially when the presentation is atypical and extra-pulmonary. A high index of suspicion by the physician is required because prompt institution of adequate treatment is decisive for fi nal outcome.

  16. A strange case of Evans syndrome

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    Manuel Monti

    2013-12-01

    Full Text Available Evans syndrome is a rare autoimmune disease presenting hemolytic anemia, thrombocytopenia and/or neutropenia. It may be associated with other autoimmune or lymphoproliferative diseases. It can have an extremely serious disease course and, in rare cases, this can even be life-threatening. First-line treatment consists of steroids and/or immunoglobulin. Further therapy with rituximab, vincristine, cyclophosphamide and other immunosuppressive drugs can be considered in unresponsive patients. We report a case of Evans syndrome in a 54-year old woman admitted to the Emergency Department (ED for asthenia. Etiopathogenic, clinical, therapeutic and evolutive aspects are discussed. In contrast to many cases described in the literature, our patient had a satisfactory response to corticoids. We also discuss how to make a specific diagnosis, even in a suburban ED with limited resources, in order to admit patients to the appropriate hospital department and allow the correct therapy to be started as early as possible.

  17. Experimental and clinical stuties on microcirculation disturbance in the hormonal avascular necrosis of femoral head

    International Nuclear Information System (INIS)

    Shen Xiaowen

    2007-01-01

    Objective: To find the correlation factors with microcirculation disturbance by animal and clinic exprements; making clear of the pathogenetic mechanism; and providing theoritical evidence for prevention and treatment of the disease. Methods: The rabbits femoral head avascular necrosis models were induced and created by corticoid steroids. The microcirculation including capillary blood flow rate, blood viscosity, blood ingredients and histopathologic change were studied comparatively between the experimental and the control groups in order to explore the correlative factors of the incidence and proper clinical treatment. Results: The expremental group showed intracappillary blood cells aggregation, obviously slow down of blood flow, increase of serum cholesterol and protein, together with decrease of femoral head capillary vasculation. The effective rate for hormone induced femoral head avaseular necrosis through anticoagulation and promotion of microvascular circulation reached 93.75%. Conclusion: Hormone induced femoral head avascular necrosis is a kind of microcirculation disturbance disease. (authors)

  18. Diagnosis of moderate acute radiation sickness

    International Nuclear Information System (INIS)

    Yu Shoucheng; Chen Zhijian; Chen Youxin

    1989-01-01

    Forty patients with malignant lymphoma were given 60 Co TLI. 21 cases received 6 Gy and 19 received 8 Gy. It was estimated that a single TLI of 6 and 8 Gy would correspond to TBI of 3.55 Gy and 4.25 Gy (average values) by analysing peripheral blood cell chromosome aberrations and 1.85-2.37 Gy by measuring red bone marrow stem cells clinically. Moderate acute radiation sickness with digestive tract reaction and hemopoietic and immunologic depression was observed. WBC and platelets decreased rapidly. Lymphocytes showed quantitative and qualitative changes even at early stage. All these indexes are significant for diagnosis. Besides, the degree of labial stimulation response, levels of C-reactive protein, corticoid, and urinal nucleoside and alkaloid base presented great changes both pre-and post-irradiation. Early diagnosis of moderate acute radiation sickness could be made in cancer patients subjected to 6-8 Gy TLI

  19. Generalidades de Queratitis Micótica

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    Manuel Fernando Buitrago Torrado

    2013-12-01

    Full Text Available La queratitis micótica es una importante causa de discapacidad visual en los países desarrollados. En los últimos años ha aumentado su incidencia en países de regiones tropicales, relacionado con el aumento de las conductas de riesgo como el uso indiscriminado de antifúngicos y corticoides oftálmicos en la práctica médica. La confirmación del diagnóstico es necesaria, no sólo en caso de queratitis micótica, sino también en otras enfermedades oculares infecciosas para así iniciar la terapia oportuna y exacta, y evitar el uso innecesario de antimicrobianos. El pronóstico visual de los pacientes dependerá del diagnóstico temprano y el tratamiento médico oportuno

  20. Radiological abnormalities of the skeleton in patients with sickle-cell anemia

    International Nuclear Information System (INIS)

    Ben Dridi, M.F.; Oumaya, A.; Gastli, H.; Doggaz, C.; Bousnina, S.; Fattoum, S.; Ben Osman, R.; Gharbi, H.A.

    1987-01-01

    The way in which bones are affected in cases of sickle-cell anemia is well known. Nevertheless, advances in treatment and in methods of transfusion mean that we are increasingly seeing cases of older patients with this disease. A retrospective analysis of 222 cases of sickle-cell anemia demonstrates the radiological appearance of the skeleton in the disease and reveals the various bone segments which are particularly vulnerable at certain periods of life. Correlation of X-rays permits the discovery of lesions which are not clinically apparent. The frequency and characteristics of epiphyseal osteonecrosis and osteitis are studied. Aggravation of the bone lesions when corticoids are administered poses the problem of differential diagnosis of the disease, especially in comparison with rheumatic fever. (orig.)

  1. Endurance exercise after orange ingestion anaphylaxis

    Directory of Open Access Journals (Sweden)

    Manu Gupta

    2016-01-01

    Full Text Available Endurance exercise after orange ingestion cause anaphylaxis which is food-dependent exercise-induced anaphylaxis (FDEIA which is a form of exercise-induced anaphylaxis. In this article, an individual develops symptoms such as flushing, itching, urticaria, angioedema, and wheezing after eating a food allergen and proceeds to exercise. Neither the food alone nor exercise alone is sufficient to induce a reaction. This case report describes a 36-year-old asthmatic male athlete who experienced nausea, vomiting, flushing, urticaria, and facial swelling while exercising in a gymnasium after eating oranges. Neither oranges alone nor exercise alone induced the reaction. Total avoidance of suspected food allergens would be ideal. Persons with FDEIA should keep at hand an emergency kit with antihistamines, injectable rapid action corticoids, and adrenaline.

  2. Loxoscelismo en Chile: estudios epidemiológicos, clínicos y experimentales Loxoscelism in Chile: epidemiological, clinical and experimental studies

    Directory of Open Access Journals (Sweden)

    Hugo Schenone

    1989-12-01

    Full Text Available Se presenta un enfoque panorámico de estudios epidemiológicos, clínicos y experimentales referentes a Loxosceles laeta y loxoscelismo efectuados en 1955-1988 en Santiago, Chile. Se estudiaron 216 casos de loxoscelismo. Los hechos más relevantes fueron: 52,8% correspondió a mujeres; edad entre 7 meses y 78 años; 84,3% fué loxoscelismo cutáneo (LO y 15,7% loxoscelismo cutáneo-visceral (LCV; 73,6% sucedió en época calurosa; en 86,6% el accidente ocurrió en la vivienda, especialmente en dormitorios, mientras la persona dormía o se vestía. La araña fué vista en 60,2% de los casos e identificada en laboratorio como L. laeta en 17,7% (10,6% de los 216 casos. Los sitios más frecuen temente afectados fueron las extremidades con 67,6%, lancetazo urente fué el síntoma inicial más frecuente. Dolor, edema y placa livedoide, la cual posteriormente se transformaría en escara necrótica, fueron las manifestaciones locales predominantes. En LCV hematuria y hemoglobinuria fueron constantes, ictericia, fiebre y compromiso de conciencia se presentaron en la mayoría de los casos. Tratamiento: LC con antihistamínicos o corticoides inyectables, LCV con corti-coides inyectables. La condición de los pacientes en el último control fué: curación completa en 75,5%, curación con secuela cicatrizal en 8,3%, muerte en 3,7% (todos con LCV y abandono en 12,5%. Adicionalmente, se ha efectuado una serie de estudios experimentales, tanto in vivo como in vitro para esclarecer aspectos básicos sobre el veneno de L. laeta y el tratamiento del loxoscelismo.A panoramic sight of epidemiological, clinical and experimental studies, referring to Loxosceles laeta and loxoscelism, carried out in 1955-1988, in Santiago, Chile is presented. Two-hundred and sixteen cases of loxosce lism were studied. The most relevant features were: 84.3% corresponded to cutaneous loxosce lism (CD and 15.7% to viscerocutaneous loxos celism (VCD; 73.6% ocurred in hot season; in 86

  3. Resposta da alface à adubação nitrogenada com diferentes compostos orgânicos em dois ciclos sucessivos = Response of lettuce to nitrogen fertilization with different organic composts in two successive cycles

    Directory of Open Access Journals (Sweden)

    Francisca Alcivania de Melo Silva

    2010-01-01

    Full Text Available Os objetivos deste trabalho foram avaliar a produção de alface em ambiente protegido, utilizando diferentes compostos orgânicos como fonte de nitrogênio, e seu efeito residual em dois ciclos sucessivos. O experimento foi conduzido entre os meses de fevereiro e maio de 2005, em casa-de-vegetação com ventilação e temperatura controlados, utilizando vasos de 3,5 L e solo classificado como Latossolo Vermelho Escuro. Foram utilizados compostos orgânicos produzidos a partir da mistura de resíduos do processamento de quatro plantas medicinais e esterco bovino. Os compostos C1, C2, C3 e C4 nas doses 30, 60, 90 e 120 t ha-1 constituíram os tratamentos dispostos em delineamento inteiramente casualizado, com quatro repetições e uma testemunha (adicional. Foram determinados: matéria fresca da parte aérea (MFPA; massa de matéria seca da parte aérea (MSPA. Os compostos aplicados supriram satisfatoriamente as necessidades de nitrogênio da cultura, no primeiro ciclo, dispensando o uso de fertilizante mineral. A composição dos materiais aplicados influenciou significativamente a produção de alface no primeiro ciclo, promovendo efeito residual no segundo ciclo, porém em menores proporções.The objectives of this work were to evaluate the production of lettuce in a protected environment, using different organic composts as nitrogen source and its residual effect in two successive cycles. The experiment was conducted between February and May of 2005, at a greenhouse with controlled ventilation and temperature, using 3.5 L vases and ground classified as Dark Red Latossol. Organic composts produced from the mixture of residues of the processing of four medicinal plants and cattle manure were used. The composts C1, C2, C3 and C4 in doses 30, 60, 90 and 120 t ha-1 composed the treatments, set in an entirely randomized design, with four repetitions and one control (additional treatment. The following were determined: freshmatter of aerial part

  4. Fisica a escala de Planck usando o principio de incerteza generalizado: efeitos nas flutuações primordiais e buracos negros

    Science.gov (United States)

    Horvath, J. E.; Custódio, P. S.

    2003-08-01

    Em escalas proximas à escala de Planck todas as teorias perturbativas de cordas produzem essenciamente a mesma relação de conmutação entre as coordenadas e impulsos (a chamada "álgebra deformada"), permitindo assim estudar a física resultante independentemente dos detalhes da teoria de cordas que seja considerada correta. Este resultado completamente geral, que inclui as interações gravitacionais junto com o resto dos campos pode ser considerada uma versão generalizada (GUP) do Princípio de Incerteza de Heisenberg. Aplicamos neste trabalho essas relações de conmutação para dois sistemas físicos bem definidos: buracos negros de massas próximas à massa de Planck, e flutuações quânticas em pequenas escalas antes do universo sofrer inflação. Obtemos dois resultados concretos dos efeitos do GUP : o primeiro é que o GUP impede a evaporação completa de buracos negros microscópicos na extensão do formalismo semiclássico, deixando assim remanescentes de pequena massa que já foram postulados como candidatos a matéria escura. O segundo resultado é o 'smoothing' das flutuações primordiais em pequenas escalas que levariam à produção de buracos negros primordiais após a inflação, impedindo assim a produção abundante destes últimos e predizendo abundancias atuais bem menores do que os limites disponíveis. Concluimos que, analogamente a utilização do Princípio de Incerteza de Heisenberg para estudar e determinar propriedades fundamentais das interações sem gravitação, o GUP e uma ferramenta poderosa para estudar uma ampla variedade de sistemas trans-Planckianos e predizer seu comportamento dispensando cálculos mais detalhados proprios da teoria quântica da gravitação.

  5. Endocrine control of active sodium transport across frog skin; Le controle endocrinien du transport actif de sodium a travers la peau de grenouille

    Energy Technology Data Exchange (ETDEWEB)

    Maetz, J. [Commissariat a l' Energie Atomique, Saclay (France).Centre d' Etudes Nucleaires

    1959-07-01

    I. Action of the neurohypophyseal peptides on sodium transport. 1) On Rana Esculenta, oxytocin alone is active on the sodium transport (not vaso pressin). 2) The post hypophysis of R.e. contains an hormonal factor even more specific on Na transport (12 times more active than oxytocin). 3) This new factor must be closely related to oxytocin. II. Action of the adrenal corticoids. 1) The skin of frogs adapted to a salt-rich external medium, shows a considerable diminution in sodium uptake. 2) This decreased sodium uptake is brought back to normal by the injections of aldosterone. 3) This suggests that salt loading of amphibians (as well as mammals) inhibits the mineralocorticoid activity of the adrenals. (author) [French] I. Action des peptides neurohypophysaires chez Rana esculenta. 1) Le transport actif de Na est sensible a l'action de l'ocytocine mais non a l'hormone antidiuretique. 2) La posthypophyse de ces grenouilles contient un facteur plus specifique encore, puisque 12 fois plus actif que l'ocytocine. 3) Ce facteur est cependant tres voisin de l'ocytocine au point de vue chimique. lI. Action des corticoides surrenaliens chez Rana Esculenta. 1) L'adaptation des grenouilles a un milieu riche en sel a pour effet une diminution considerable du transport actif de sodium, visible in vivo et in vitro. 2) L'injection d'aldosterone a des grenouilles adaptees dans ces conditions restaure le transport actif a un niveau comparable a celui que l'on observe chez les animaux conserves dans de l'eau courante. 3) Ces faits suggerent que la surcharge en NaCI produirait chez les amphibiens, comme chez les mammiferes, une mise au repos de la fonction mineralotrope de la surrenale. (auteur)

  6. Guide to Treatment of Tattoo Complications and Tattoo Removal.

    Science.gov (United States)

    Serup, Jørgen; Bäumler, Wolfgang

    2017-01-01

    Clinicians in the fields of general medicine, dermatology, and plastic surgery are in their work now and then confronted with tattoo complications. Recognizing the rather few important diagnostic groups and urgencies, the medical 'decision tree' of treatment becomes quite simple. Acute conditions are dominated by bacterial infections needing antibiotic treatment. Systemic infection is a matter of urgency and requires intravenous treatment in a hospital without delay to prevent septic shock. Inflammatory reactions are a real challenge. Chronic allergic reactions in red tattoos are mostly nonresponsive to topical corticoid and best treated with dermatome shaving with complete removal of the hapten concentrated in the outer dermis. Laser treatment of allergic reactions can boost the allergy with worsening and a potential risk of anaphylaxis and is thus not recommended in tattoo allergy. Chronic papulonodular reactions in black tattoos with pigment agglomeration can respond to local corticoid or be treated with dermatome shaving or lasers depending on availability. It is important to recognize sarcoidosis, which is strongly associated with reactions in black tattoos. Tattoo complications also include many rare but specific entities, which require individual treatment depending on the case and the disease mechanism. Removal of tattoos in individuals regretting their tattoo is performed using Q-switched nanosecond lasers and the recently introduced picosecond lasers. In view of the various tattoo pigments with different absorption spectra and the limited number of laser wavelengths, it is difficult to predict treatment outcome, and it is recommended to pretreat small test spots. Black and red colors are removed best, while other colors are difficult. Removal of large tattoos, especially when multicolored, is hardly achievable and not recommended. Clients often have unrealistic expectations, and informed consent and dialogue between the client and the laser surgeon before

  7. [Pharmaceutical care of patients with rheumatoid and psoriatic arthritis receiving etanercept].

    Science.gov (United States)

    Romero Crespo, I; Antón Torres, R; Borrás Blasco, J; Navarro Ruiz, A

    2005-01-01

    To evaluate a pharmaceutical care protocol for patients with rheumatoid arthritis (RA) or psoriatic arthritis who begin treatment with etanercept with the objective of identifying potential medication-related problems and implementing therapeutic measures to improve the way this drug is used. An observational, prospective, 3-month study of patients with RA receiving etanercept therapy from March to December 2003 was conducted and a pharmaceutical care protocol was set up. During the first visit, a pharmacotherapeutic record was initiated for each patient, including socio-demographic data, personal history, diagnosis, DMARDs (disease-modifying anti-rheumatic drugs) previously received, and concomitant therapies for other underlying conditions. Patients were briefed on dosage, administration route, and potential adverse events both orally and in writing. Correct drug administration and preservation were verified during the second visit, where potential adverse effects were identified, treatment adherence was confirmed, and, if needed, potential drug interactions with other ongoing medications were disclosed. During the third visit, adherence was assessed, adverse events were recorded, and patients evaluated their response to treatment. Fifty patients were included, 40 with a diagnosis of rheumatoid arthritis (80%) and 10 diagnosed with psoriatic arthritis (20%). In all, 72% had received previous treatment with methotrexate (MTX), 40% with leflunomide, 20% with infliximab, 56% with corticoids, 2% with analgesics, 56% with NSAIDs, and 30% with other DMARDs. No significant drug interactions were found. Regarding adherence to treatment, 7.7% of patients skipped one or more doses, with travelling being the most common reason. Adverse events reported included: injection site reaction (27%), headache (7.7%) and nausea (7.7%). At 3 months after treatment onset, a reduction of MTX doses was seen in 18% of patients, of leflunomide dosage in 8%, of corticoids in 18%, of

  8. [Predictors of mean blood glucose control and its variability in diabetic hospitalized patients].

    Science.gov (United States)

    Sáenz-Abad, Daniel; Gimeno-Orna, José Antonio; Sierra-Bergua, Beatriz; Pérez-Calvo, Juan Ignacio

    2015-01-01

    This study was intended to assess the effectiveness and predictors factors of inpatient blood glucose control in diabetic patients admitted to medical departments. A retrospective, analytical cohort study was conducted on patients discharged from internal medicine with a diagnosis related to diabetes. Variables collected included demographic characteristics, clinical data and laboratory parameters related to blood glucose control (HbA1c, basal plasma glucose, point-of-care capillary glucose). The cumulative probability of receiving scheduled insulin regimens was evaluated using Kaplan-Meier analysis. Multivariate regression models were used to select predictors of mean inpatient glucose (MHG) and glucose variability (standard deviation [GV]). The study sample consisted of 228 patients (mean age 78.4 (SD 10.1) years, 51% women). Of these, 96 patients (42.1%) were treated with sliding-scale regular insulin only. Median time to start of scheduled insulin therapy was 4 (95% CI, 2-6) days. Blood glucose control measures were: MIG 181.4 (SD 41.7) mg/dL, GV 56.3 (SD 22.6). The best model to predict MIG (R(2): .376; P<.0001) included HbA1c (b=4.96; P=.011), baseline plasma glucose (b=.056; P=.084), mean capillary blood glucose in the first 24hours (b=.154; P<.0001), home treatment (versus oral agents) with basal insulin only (b=13.1; P=.016) or more complex (pre-mixed insulin or basal-bolus) regimens (b=19.1; P=.004), corticoid therapy (b=14.9; P=.002), and fasting on admission (b=10.4; P=.098). Predictors of inpatient blood glucose control which should be considered in the design of DM management protocols include home treatment, HbA1c, basal plasma glucose, mean blood glucose in the first 24hours, fasting, and corticoid therapy. Copyright © 2014 SEEN. Published by Elsevier España, S.L.U. All rights reserved.

  9. Cure of Psoriasis and Arthritis when Addison's Disease Was Detected.

    Science.gov (United States)

    Lind, Marcus

    2010-06-01

    INTRODUCTION: Corticoid therapy is well-known to improve the symptoms of psoriasis. Addison's disease is an autoimmune disease which leads to a loss of cortisol production in the adrenal glands. This case report describes a patient with wide-spread psoriasis for 34 years who was cured when Addison's disease was detected and substitution to reach normal biological cortisol levels was introduced. CASE REPORT: A 59-year-old man was diagnosed with Addison's disease. He had been tired for several years and had had difficulties in continuing his work. His brother had Addison's disease and recommended him to make a screen for the disease. Synacthen test diagnosed Addison's disease with a clear deficiency of cortisol production. After substitution with hydrocortisone the patient's constitution improved rapidly and he felt no longer tired during work. At the same time, all skin lesions of psoriasis disappeared as well as aches in several joints, both symptoms having been present for a couple of decades. Previously, salves of cortisol had been used to reduce the symptoms of psoriasis, but now, 1-2 years later, after the treatment of Addison's disease, no symptoms in the skin or joints have reoccurred. CONCLUSIONS: This report illustrates that Addison's disease, although a rare condition, should be kept in mind before treatment of psoriasis is started. Especially if other symptoms such as fatigue are present, a screening test of serum cortisol in the morning should be liberally made. The report also illustrates a need of examining corticoid levels in patients with psoriasis compared to the general population.

  10. Alveolitis: Revisión de la literatura y actualización

    Directory of Open Access Journals (Sweden)

    Odalys Martín Reyes

    2001-12-01

    Full Text Available La alveolitis es la complicación más frecuente de la extracción dentaria. Su frecuencia varía del 1 al 4 % y puede llegar del 20 al 30 % en extracciones de terceros molares mandibulares. Se describen algunos factores de riesgo que aumentan su incidencia, aunque se habla de un origen multifactorial. La clínica y los síntomas subjetivos nos permiten su diagnóstico y clasificación. Para tratar las alveolitis se han utilizado localmente distintos productos para inducir la formación del coágulo: antibióticos, anestésicos, analgésicos y antiinflamatorios, asociados o no con corticoides, analgésicos y antibióticos sistémicos. También la medicina natural y tradicional ocupa un lugar importante en el tratamiento de esta urgencia estomatológica, y se destacan terapéuticas como: la apiterapia, la acupuntura y la ozonoterapia, además tecnologías de avanzada como los soft láser.Alveolitis is the most frequent complication of tooth extraction. Its frequency varies from 1 to 4 % and may reach 20 to 30 % in extractions of mandibular third molars. Some risk factors increasing its incidence are described, although reference is made to a multifactorial origin. The clinic and the subjective symptoms allow us to make its diagnosis and to classify it. Different products have been used in the treatment of alveolitis to induce clot formation: antibiotics, anesthesics, analgesics and anti-inflammatories associated or not with corticoids, analgesics and systemic antibiotics. Natural and traditional medicine also play an important role in the treatment of this stomatological emergency and therepeutics such as the apiotherapy, the acupuncture, the ozone therapy and state-of-the art technologies as the soft laser are stressed.

  11. Seguimiento multidisciplinario en el control del penfigoide de membranas mucosas

    Directory of Open Access Journals (Sweden)

    Fabiano Jeremias

    2011-06-01

    Full Text Available El término penfigoide de membranas mucosas designa un grupo de enfermedades vesículo-bulosas autoinmunes crónicas, que afectan predominantemente mucosas. El presente artículo describe dos casos clínicos de penfigoide de membranas mucosas con compromiso gingival y tuvo como objetivo resaltar la importancia de un correcto diagnóstico de la lesión y discutir la conducta terapéutica. Fueron realizados diversos exámenes complementares como, examen de Nikolsky, biopsia incisional, investigación de células LE y de anticuerpos antinucleares, además de la evaluación de médicos especializados en dermatología y oftalmología. Fue fundamental la substitución de dentífricos, la orientación nutricional y psicológica, el cuidado con la higiene, además del uso de corticoides tópicos. Hubo periodos de remisión y exacerbación del cuadro clínico durante el seguimiento, fue necesario el ajuste en la terapéutica y refuerzo en los cuidados con la higiene bucal. Es muy importante la interacción multidisciplinaria en la atención de estos casos para el control del tratamiento y seguimiento, además de reforzar todas las orientaciones y cuidados en lo que se refiere a la salud bucal y cautela en el uso de corticoides.

  12. Bases biológicas do transtorno de estresse pós-traumático Biological basis of posttraumatic stress disorder

    Directory of Open Access Journals (Sweden)

    Frederico G Graeff

    2003-06-01

    Full Text Available A pesquisa neuroendocrinológica dos sistemas fisiológicos envolvidos no estresse evidencia hiper função do eixo simpato-adrenal em conjunto com uma redução da atividade do eixo hipotálamo-hipófise-adrenal (HHA em pacientes com estresse pós-traumático (TEPT. Uma resposta prejudicada do cortisol aos estressores parece estar associada com um aumento da vulnerabilidade ao desenvolvimento do TEPT. O excesso de catecolaminas, sem o pareamento do aumento dos corticóides promoveria uma consolidação excessiva das memórias traumáticas e a indevida generalização para outras situações estressantes. Sintomas como o entorpecimento e flashbacks têm sido relacionados com o aumento de opióides endógenos. Estudos de neuroimagem evidenciam uma redução do volume hipocampal no TEPT, que tem sido relacionada a alterações cognitivas e anormalidades do eixo HHA encontrados no TEPT.Neuroendocrinological research on the physiological systems involved in stress evidenced hyper functioning of the sympatho-adrenal axis together with reduced activity of the hypothalamic-pituitary-adrenal axis in patients with posttraumatic stress disorder (PTSD. An impaired corticoid response to stressors seems to be associated with enhanced vulnerability to PTSD. Excess catecholamines, unchecked by corticoids would promote over consolidation of traumatic memories and undue generalization to other stressful situations. Symptoms such as numbing and flashbacks have been related to endogenous opioids. Neuroimaging studies evidenced a reduction of hippocampal volume in PTSD patients, which has been related to both cognitive changes and abnormalities of the HPA axis that are found in PTSD.

  13. Mortalidad en recién nacidos de extremo bajo peso al nacer en la unidad de neonatología del Hospital Nacional Cayetano Heredia entre enero 2000 y diciembre 2004.: January 2000 to December 2004

    Directory of Open Access Journals (Sweden)

    Pablo Lohmann Gandini-Billinghurst

    2006-07-01

    Full Text Available Objetivos: Identificar los factores demográficos y clínicos más frecuentes en recién nacidos con peso menor a 1 000g al nacimiento (extremo bajo peso fallecidos en la unidad de neonatología del Hospital Nacional Cayetano Heredia. Material y métodos: El estudio diseñado es una serie de casos. Se evaluaron las epicrisis y la base de datos NEOCOSUR de los pacientes con estas características, fallecidos durante la hospitalización, de enero 2000 a diciembre 2004. Resultados: Se encontraron 99 pacientes, con registros completos en 87 de ellos (88% de la muestra. La mortalidad en esta población fluctuó entre 70 y 85%, siendo las siguientes condiciones clínicas más frecuentes: control prenatal inadecuado, edad gestacional menor a 27 semanas, uso de corticoides prenatales, empleo de surfactante, enfermedad de membrana hialina-síndrome de distrés respiratorio y hemorragia intraventricular. Conclusiones: Los cuidados prenatales, el uso de corticoides prenatales y surfactante son factores modificables que tendrían impacto en la mortalidad. Síndrome de Distrés Respiratorio-membrana hialina, sepsis y hemorragia intraventricular, constituyen las entidades de morbilidad más frecuentes. El alcance de este estudio permite formular estas hipótesis. La evaluación de las mismas requiere estudios tipo observacionales y analíticos posteriores. (Rev Med Hered 2006;17:141-147.

  14. Factores de riesgo asociados a osteopenia del prematuro en una terapia intensiva neonatal de referencia

    Directory of Open Access Journals (Sweden)

    MP Ríos-Moreno

    2016-03-01

    Full Text Available INTRODUCCIÓN: la enfermedad ósea metabólica del prematuro resulta de la desmineralización ósea. Existen factores que deben vigilarse con la finalidad de realizar diagnóstico y tratamiento temprano. OBJETIVO: determinar los factores de riesgo asociados a osteopenia en prematuros. MATERIALES Y MÉTODOS: estudio transversal comparativo de octubre del 2011 a octubre del 2013. Se incluyeron 120 prematuros 900 UI/L. Factores de riesgo determinados con razón de momios (OR. Estadística inferencial con c2 y t de Student. RESULTADOS: se diagnosticó enfermedad ósea metabólica en 58 prematuros (48%, peso 1067 ± 216 gramos, edad gestacional 28 ± 1.6 semanas, edad postnatal 41 ± 15.5 días. Género masculino 32 (55%. Factores de riesgo: peso < 1,000 gramos OR 4.64, (2.13-10.10, displasia broncopulmonar moderada o severa OR 3.13 (1.44-6.81, tres o más eventos de sepsis OR 3.43 (1.62 7.28, sedación prolongada OR 4.09 (1.06-15.73 y corticoide prolongado OR 9.54 (2.06-44.16.  CONCLUSIONES: nuestros resultados muestran que los factores de riesgo para enfermedad ósea metabólica del prematuro fueron peso al nacer menor de 1,000 gramos, displasia broncopulmonar moderada o severa, tres o más eventos de sepsis, sedación y corticoides durante tiempo prolongado.

  15. Endocrine control of active sodium transport across frog skin; Le controle endocrinien du transport actif de sodium a travers la peau de grenouille

    Energy Technology Data Exchange (ETDEWEB)

    Maetz, J [Commissariat a l' Energie Atomique, Saclay (France).Centre d' Etudes Nucleaires

    1959-07-01

    I. Action of the neurohypophyseal peptides on sodium transport. 1) On Rana Esculenta, oxytocin alone is active on the sodium transport (not vaso pressin). 2) The post hypophysis of R.e. contains an hormonal factor even more specific on Na transport (12 times more active than oxytocin). 3) This new factor must be closely related to oxytocin. II. Action of the adrenal corticoids. 1) The skin of frogs adapted to a salt-rich external medium, shows a considerable diminution in sodium uptake. 2) This decreased sodium uptake is brought back to normal by the injections of aldosterone. 3) This suggests that salt loading of amphibians (as well as mammals) inhibits the mineralocorticoid activity of the adrenals. (author) [French] I. Action des peptides neurohypophysaires chez Rana esculenta. 1) Le transport actif de Na est sensible a l'action de l'ocytocine mais non a l'hormone antidiuretique. 2) La posthypophyse de ces grenouilles contient un facteur plus specifique encore, puisque 12 fois plus actif que l'ocytocine. 3) Ce facteur est cependant tres voisin de l'ocytocine au point de vue chimique. lI. Action des corticoides surrenaliens chez Rana Esculenta. 1) L'adaptation des grenouilles a un milieu riche en sel a pour effet une diminution considerable du transport actif de sodium, visible in vivo et in vitro. 2) L'injection d'aldosterone a des grenouilles adaptees dans ces conditions restaure le transport actif a un niveau comparable a celui que l'on observe chez les animaux conserves dans de l'eau courante. 3) Ces faits suggerent que la surcharge en NaCI produirait chez les amphibiens, comme chez les mammiferes, une mise au repos de la fonction mineralotrope de la surrenale. (auteur)

  16. Cure of Psoriasis and Arthritis when Addison’s Disease Was Detected

    Directory of Open Access Journals (Sweden)

    Marcus Lind

    2010-06-01

    Full Text Available Introduction: Corticoid therapy is well-known to improve the symptoms of psoriasis. Addison’s disease is an autoimmune disease which leads to a loss of cortisol production in the adrenal glands. This case report describes a patient with wide-spread psoriasis for 34 years who was cured when Addison’s disease was detected and substitution to reach normal biological cortisol levels was introduced. Case Report: A 59-year-old man was diagnosed with Addison’s disease. He had been tired for several years and had had difficulties in continuing his work. His brother had Addison’s disease and recommended him to make a screen for the disease. Synacthen test diagnosed Addison’s disease with a clear deficiency of cortisol production. After substitution with hydrocortisone the patient’s constitution improved rapidly and he felt no longer tired during work. At the same time, all skin lesions of psoriasis disappeared as well as aches in several joints, both symptoms having been present for a couple of decades. Previously, salves of cortisol had been used to reduce the symptoms of psoriasis, but now, 1–2 years later, after the treatment of Addison’s disease, no symptoms in the skin or joints have reoccurred. Conclusions: This report illustrates that Addison’s disease, although a rare condition, should be kept in mind before treatment of psoriasis is started. Especially if other symptoms such as fatigue are present, a screening test of serum cortisol in the morning should be liberally made. The report also illustrates a need of examining corticoid levels in patients with psoriasis compared to the general population.

  17. Noninvasive monitoring of adrenocortical function in captive jaguars (Panthera onca).

    Science.gov (United States)

    Conforti, Valéria A; Morato, Ronaldo G; Augusto, Anderson M; de Oliveira e Sousa, Lúcio; de Avila, David M; Brown, Janine L; Reeves, Jerry J

    2012-01-01

    Jaguars are threatened with extinction throughout their range. A sustainable captive population can serve as a hedge against extinction, but only if they are healthy and reproduce. Understanding how jaguars respond to stressors may help improve the captive environment and enhance their wellbeing. Thus, our objectives were to: (1) conduct an adrenocorticotrophic hormone (ACTH) challenge to validate a cortisol radioimmunoassay (RIA) for noninvasive monitoring of adrenocortical function in jaguars; (2) investigate the relationship between fecal corticoid (FCM) and androgen metabolite (FAM) concentrations in males during the ACTH challenge; and (3) establish a range of physiological concentrations of FCMs for the proposed protocol. Seven jaguars (3 M, 4 F) received 500 IU/animal of ACTH. Pre- and post-ACTH fecal samples were assayed for corticoid (M and F) and androgen metabolites (M) by RIA. Concentrations of FCMs increased (P80.01) after ACTH injection (pre-ACTH: 0.90 ± 0.12 µg/g dry feces; post-ACTH: 2.55 ± 0.25 µg/g). Considering pre- and post-ACTH samples, FCM concentrations were higher (P80.01) in males (2.15 ± 0.20 µg/g) than in females (1.30 ± 0.20 µg/g), but the magnitude of the response to ACTH was comparable (P>0.05) between genders. After ACTH injection, FAMs increased in two (of 3) males; in one male, FCMs and FAMs were positively correlated (0.60; P80.01). Excretion of FCMs was assessed in 16 jaguars (7 M, 9 F) and found to be highly variable (range, 80.11-1.56 µg/g). In conclusion, this study presents a cortisol RIA for monitoring adrenocortical function in jaguars noninvasively. © 2011 Wiley Periodicals, Inc.

  18. Adolescents' and young adults' perception of homosexuality and related factors in three Asian cities.

    Science.gov (United States)

    Feng, Yongliang; Lou, Chaohua; Gao, Ersheng; Tu, Xiaowen; Cheng, Yan; Emerson, Mark R; Zabin, Laurie S

    2012-03-01

    Adolescents' and young adults' perception of homosexuality plays an important role in the marginalization and stigmatization of the homosexual, thereby influencing his or her health. This article aims to study that perception and to examine its predictors in three Asian cities that are culturally dominated by Confucianism. From May 2006 to January 2007, a cross-sectional survey of 17,016 adolescents and young adults, aged 15-24 years old, in both urban and rural sites of three Asian cities (Hanoi in Vietnam, Shanghai in the mainland of China, and Taipei in Taiwan) was conducted through interview and computer-assisted self-interview for sensitive questions. Chi-square tests and multivariate logistic regression were performed to identify the predictors for their perception of homosexuality. The percentage of adolescents and young adults who hold a positive view of homosexuality (i.e., thought it was normal and/or acceptable) was low, especially in Hanoi and Shanghai; these figures increased from Hanoi to Shanghai to Taipei for both males and females. Overall, those factors significantly associated with adolescents' and young adults' perception of homosexuality included individuals' demographic characteristics (urban/rural, age, economic status, student status, and educational level), preferred origin of movies/videos, self-identified sexual orientation, sexual and reproductive health knowledge, family values, gender role values, and attitudes toward premarital sex. In these three Asian cities composed of populations whose views are largely influenced by Confucianism, adolescents and young adults mainly hold a negative perception of homosexuality. The most common and important predictors for a respondent's perception of homosexuality were his or her knowledge of sexual and reproductive health and how traditional his/her values may be. Greater attention needs to be paid to the popularization of knowledge about sexual and reproductive health including homosexuality

  19. Adolescents’ and Young Adults’ Perception of Homosexuality and Related Factors in Three Asian Cities

    Science.gov (United States)

    Feng, Yongliang; Lou, Chaohua; Gao, Ersheng; Tu, Xiaowen; Cheng, Yan; Emerson, Mark R.; Zabin, Laurie S.

    2014-01-01

    Purpose Adolescents’ and young adults’ perception of homosexuality plays an important role in the marginalization and stigmatization of the homosexual, thereby influencing his or her health. This article aims to study that perception and to examine its predictors in three Asian cities that are culturally dominated by Confucianism. Methods From May 2006 to January 2007, a cross-sectional survey of 17,016 adolescents and young adults, aged 15–24 years old, in both urban and rural sites of three Asian cities (Hanoi in Vietnam, Shanghai in the mainland of China, and Taipei in Taiwan) was conducted through interview and computer-assisted self-interview for sensitive questions. Chi-square tests and multivariate logistic regression were performed to identify the predictors for their perception of homosexuality. Results The percentage of adolescents and young adults who hold a positive view of homosexuality (i.e., thought it was normal and/or acceptable) was low, especially in Hanoi and Shanghai; these figures increased from Hanoi to Shanghai to Taipei for both males and females. Overall, those factors significantly associated with adolescents’ and young adults’ perception of homosexuality included individuals’ demographic characteristics (urban/rural, age, economic status, student status, and educational level), preferred origin of movies/videos, self-identified sexual orientation, sexual and reproductive health knowledge, family values, gender role values, and attitudes toward premarital sex. Conclusions In these three Asian cities composed of populations whose views are largely influenced by Confucianism, adolescents and young adults mainly hold a negative perception of homosexuality. The most common and important predictors for a respondent's perception of homosexuality were his or her knowledge of sexual and reproductive health and how traditional his/her values may be. Greater attention needs to be paid to the popularization of knowledge about sexual and

  20. Potential for the development of a marketing option for the specialty local Ban pork of a Thai ethnic smallholder cooperative group in Northwest Vietnam.

    Science.gov (United States)

    Le, Thi Thanh Huyen; Muth, Philipp C; Markemann, André; Schöll, Kerstin; Zárate, Anne Valle

    2016-02-01

    Based on 12 years of research (SFB 564 "The Uplands Program"), a community-based breeding and marketing cooperative group was transferred to an ethnic farmer group. This study analyses the potential for developing a marketing channel for specialty local Ban pork as an alternative to supplying the local markets to ensure long-term sustainability of the communal local pig breeding and production system. Data on pig-keeping were investigated from 378 farmers who wanted to enroll in the cooperative group in 10 villages (near town, intermediate, and remote zones) in Son La province. The data on Ban pig marketing activities of the cooperative group were investigated for all of its 180 members. Information on the market demand for Ban pigs were collected by interviewing 57 traders in Hanoi city and Son La province. The results show a dominance of local Ban in remote areas, and a preference for crossbreds with exotics in closer-to-town areas. Before farmers joined the cooperative group, the commercialization of pigs in remote villages accounted for only 3.0 pigs/farm/year compared to 9.3 pigs/farm/year in the intermediate zone and 11.2 pigs/farm/year near town. Potential markets have been identified for each product category of the cooperative group. Pure Ban pigs with a weight of 10-15 kg were preferred most by customers in Hanoi city. The regular feedback of information on niche markets for different products has increased the awareness of farmers about the competitiveness of the local pig products, and the power of collective action in the market. Selected pure Ban pigs were increasingly sold to food stores in Hanoi with high prices. Farmers received an average of 9000 VND more compared to the local market price for each kg of live weight. The respective added value for the cooperative group amounted to 11,300 VND/kg live weight. The added value from selling specialty Ban pigs regularly to markets, encouraged farmers toward a market in local pig production and

  1. Study of the correlations between fractional exhaled nitric oxide in exhaled breath and atopic status, blood eosinophils, FCER2 mutation, and asthma control in Vietnamese children

    Directory of Open Access Journals (Sweden)

    Nguyen-Thi-Bich H

    2016-09-01

    Full Text Available Hanh Nguyen-Thi-Bich,1 Huong Duong-Thi-Ly,2 Vu Thi Thom,2 Nhung Pham-Thi-Hong,2 Long Doan Dinh,2 Huong Le-Thi-Minh,1 Timothy John Craig,3 Sy Duong-Quy3,4 1Department of Immunology, Allergology, and Rheumatology, National Hospital of Pediatrics, Hanoi, Vietnam; 2School of Medicine and Pharmacy, Vietnam National University Hanoi, Vietnam; 3Department of Medicine, Penn State University, Hershey, PA, USA; 4Department of Respiratory Diseases, Lam Dong Medical College, Dalat, Vietnam Introduction: Fractional exhaled nitric oxide (FENO is a biomarker of airway inflammation in asthma. The measurement of FENO is utilized to assist in the diagnosis and treatment of children with asthma, especially for those treated with inhaled corticosteroids. Objectives: The aims of this study were to evaluate the correlations between FENO and atopic status, blood eosinophil levels, FCER2 mutation, and asthma control in Vietnamese children. Subjects and methods: This was a prospective and descriptive study approved by the local Ethical Board. All children with uncontrolled asthma, seen in the National Hospital of Pediatrics (Hanoi, Vietnam, were included. Exhaled breath FENO, blood eosinophils, skin prick test, total IgE, asthma control test (ACT, and FCER2 gene polymorphism were performed at inclusion. They were followed up at 3 months to evaluate clinical status, FENO levels, and ACT. Results: Forty-two children with uncontrolled asthma with a mean age of 10±3 years (6–16 years were included. The male/female ratio was 2.5/1. The mean FENO levels were 26±25 ppb. FENO was significantly higher in patients with a positive skin prick test for respiratory allergens (P<0.05. FENO was significantly correlated with blood eosinophil levels (r=0.5217; P=0.0004. Five of the 32 subjects (15.6% had a mutation of FCER2 gene (rs28364072 SNP. In this group, the levels of FENO were highest (37±10 ppb; P<0.05. The levels of FENO were significantly decreased after 3 months of

  2. Zone 1 retinopathy of prematurity in a transitional economy: a cautionary note.

    Science.gov (United States)

    Carden, Susan M; Lan, Luu Ngoc; Huynh, Tess

    2006-06-01

    To describe three low risk infants in whom severe retinopathy of prematurity developed. A prospective, observational case series. setting: National Hospital of Pediatrics, Hanoi, Vietnam. study population: Premature infants in the neonatal ward. observation procedure: Eye examinations. Severe retinopathy of prematurity occurred in three infants. All had zone 1 disease and other unusually severe findings, such as neovascularization of the disk. These infants would not be at risk for the development of such severe retinopathy of prematurity in countries with a developed economy. Unusual characteristics of retinopathy of prematurity may be occurring in countries with transitional economies. Screening programs should be implemented and should take into consideration the possibility that retinopathy of prematurity may occur in infants who fall outside the screening guidelines that are used in the developed world.

  3. Risks of Coastal Storm Surge and the Effect of Sea Level Rise in the Red River Delta, Vietnam

    Directory of Open Access Journals (Sweden)

    James E. Neumann

    2015-05-01

    Full Text Available This paper considers the impact of sea level rise and storm surge on the Red River delta region of Vietnam. Permanently inundated lands and temporary flood zones are analyzed by combining sea level rise scenarios for 2050 with simulated storm surge levels for the 100-year event. Our analysis finds that sea level rise through 2050 could increase the effective frequency of the current 100-year storm surge, which is associated with a storm surge of roughly five meters, to once every 49 years. Approximately 10% of the Hanoi region’s GDP is vulnerable to permanent inundation due to sea level rise, and more than 40% is vulnerable to periodic storm surge damage consistent with the current 100-year storm. We conclude that coastal adaptation measures, such as a planned retreat from the sea, and construction of a more substantial seawall and dike system, are needed to respond to these threats.

  4. Procedure of trace element analysis in oyster tissues by using X-ray fluorescence

    International Nuclear Information System (INIS)

    Vo Thi Tuong Hanh; Dinh Thi Bich Lieu; Dinh Thien Lam and Nguyen Manh Hung

    2004-01-01

    The procedure of trace element analysis such as Ca, Mn, Fe, Zn, Cu, Pb in molluscs (oyster tissues) was established by using X-ray fluorescence techniques. The procedure was investigated from the sample collection, drying, ashing ratio to the analytical techniques by using Cd-109, detector Si (Li) and the peak processing MCAPLUS program was applied for this study. The procedure is based on direct comparison with certified concentrations of international standard reference SRM 1566b Oyster Tissue of National Institute of Standards and Technology, Department of commerce, United States of America for Ca, Mn, Fe, Zn, Cu and the Standard Addition Methods for Pb. The accuracy of the Standard Addition Methods was estimated by CRM281 Rye Grass of Community Bureau of Reference-BCR, European Commission. The results of 10 samples which were collected from several markets in Hanoi are shown. (author)

  5. Pierre Darriulat is awarded the André Lagarrigue Prize

    CERN Multimedia

    2009-01-01

    Pierre Darriulat at the VATLY Laboratory in Hanoï. Former CERN Research Director, Pierre Darriulat, who is now Professor of Physics at VATLY in Hanoi (Vietnam), has won the 2008 André Lagarrigue Prize. This prize, instituted by the Linear Accelerator Laboratory (LAL) at Orsay under the aegis of the French Physical Society, is awarded to front-line researchers who have had responsibility for machine/detector construction and derived maximum scientific benefit from such projects, performed in a French laboratory or in close collaboration with French groups. Pierre Darriulat has received the award in recognition of his outstanding career at the CEA, at LBL (Berkeley) and at CERN from 1964 onwards. At CERN he managed the experiments at the Intersecting Storage Rings (ISR) before taking charge of the UA2 collaboration from 1980 to 1986, which participated in decisive discoveries at the ppbar collider. In particular, in 1982, the UA2 experiment began observing high trans...

  6. 'I thought I was the only one': the misrecognition of LGBT youth in contemporary Vietnam.

    Science.gov (United States)

    Horton, Paul

    2014-01-01

    While recent LGBT rights demonstrations and discussions about same-sex marriage have thrust the issue of homosexuality into the spotlight, it was not long ago that the issue of homosexuality was notable by its absence in Vietnam. Drawing on semi-structured interviews with young gay, lesbian and bisexual people in Vietnam's capital city Hanoi, this paper considers the increasing visibility of homosexuality through the theoretical lens of recognition, and illustrates the heterosexist misrecognition that LGBT young people have been subjected to in legislation, the media, their families, and through the education system. Drawing on the narratives of LGBT young people, the paper highlights the potentially negative impact such misrecognition may have on psychological and social wellbeing.

  7. Arsenic in groundwater of the Red River floodplain, Vietnam: Controlling geochemical processes and reactive transport modeling

    DEFF Research Database (Denmark)

    Postma, Diederik Jan; Larsen, Flemming; Hue, N.T.M.

    2007-01-01

    The mobilization of arsenic (As) to the groundwater was studied in a shallow Holocene aquifer on the Red River flood plain near Hanoi, Vietnam. The groundwater chemistry was investigated in a transect of 100 piezometers. Results show an anoxic aquifer featuring organic carbon decomposition......(III) but some As(V) is always found. Arsenic correlates well with NH4, relating its release to organic matter decomposition and the source of As appears to be the Fe-oxides being reduced. Part of the produced Fe(II) is apparently reprecipitated as siderite containing less As. Results from sediment extraction...... chemistry over depth is homogeneous and a reactive transport model was constructed to quantify the geochemical processes along the vertical groundwater flow component. A redox zonation model was constructed using the partial equilibrium approach with organic carbon degradation in the sediment as the only...

  8. Current situation of radiation protection in Vietnam

    International Nuclear Information System (INIS)

    Tran, Toan Ngoc

    2008-01-01

    Vietnam was one of the earliest countries, who applied ionizing radiation in medicine, since 1923, Dr. Marie Curie had supplied radium sources to Hanoi cancer hospital for radiotherapy. However, we did not give sufficient attention to radiation protection involving, e.g. technology, legislation, until 1980s. Recently with the strong support from International Atomic Energy Agency (IAEA) and Vietnam government nuclear technology has been strongly and widely developed in different branches and radiation protection situation in Vietnam has been improved step by step. Strategy for Peaceful Utilization of Atomic Energy up to 2020 approved by the prime minister on January 3th, 2006 confirms that nuclear power plant will be put in operation by 2020. To ensure the implementation of the strategy, the first priority should be given to radiation protection and nuclear safety. This paper presents shortly some activities of radiation safety in Vietnam. The requirements for developing this field in Vietnam are also discussed. (author)

  9. Geopolitics of Natural and Energetic Resources in Vietnam: an Economically Viable Anchor?

    International Nuclear Information System (INIS)

    Mottet, Eric; Lasserre, Frederic

    2015-01-01

    Since the 1990's, Vietnam has been mutating into an economic dragon together with an unprecedented demographic boom. The high growth expresses itself through an increased demand for energy and raw materials. Though Vietnam is endowed with quite a number of resources, most of them are available in limited amounts. Medium-term estimates reckon the country's fossil resources will not meet the domestic demand. Consequently, Hanoi is planning the development of a national energy policy focused on three sectors: hydroelectricity, renewable energies, and civilian nuclear programme. For lack of strict work plans and adequate financing, the Vietnam energy development plan does not sound technically and financially feasible without the help of foreign players whose presence on the national territory exacerbates the local, national and regional geopolitical stakes

  10. Fifth International Conference KSE 2013

    CERN Document Server

    Denoeux, Thierry; Tran, Dang; Le, Anh; Pham, Son; Knowledge and Systems Engineering

    2014-01-01

    The field of Knowledge and Systems Engineering (KSE) has experienced rapid development and inspired many applications in the world of information technology during the last decade. The KSE conference aims at providing an open international forum for presentation, discussion and exchange of the latest advances and challenges in research of the field. These proceedings contain papers presented at the Fifth International Conference on Knowledge and Systems Engineering (KSE 2013), which was held in Hanoi, Vietnam, during 17–19 October, 2013. Besides the main track of contributed papers, which are compiled into the first volume, the conference also featured several special sessions focusing on specific topics of interest as well as included one workshop, of which the papers form the second volume of these proceedings. The book gathers a total of 68 papers describing recent advances and development on various topics including knowledge discovery and data mining, natural language processing, expert systems, intell...

  11. Physics in Vietnam

    International Nuclear Information System (INIS)

    Altarelli, Monica Pepe

    1994-01-01

    Vietnam is a country in rapid evolution, opening up communications with the rest of world and encouraging foreign investors. Although there is more ground to make up, the heady mixture of communism and free market they are aiming for is along the same lines as China. Jean Tran Thanh Van , who left Vietnam about forty years ago, judged that it was the right time to bring together Western and Vietnamese physicists. He promoted and organized the ''Rencontres du Vietnam'' on high energy physics and cosmology, which from December 13-18 brought together about one hundred physicists, half from Vietnam and half from abroad, in Hanoi for an intense programme to review the status of particle physics and its deep implications for cosmology

  12. Message about the « severe acute respiratory disease syndrome »

    CERN Multimedia

    2003-01-01

    If you are back from a journey in one of the zones pointed out by WHO concerned by the severe acute respiratory disease syndrome (SARS), it is necessary to monitor your health for at least ten days. This syndrome shows a high fever accompanied by cough or difficulty in breathing. If you become ill, you have to contact as quickly as possible the CERN medical service by dialling 73802 - 73186 during work hours or the Fire Brigade 74444 outside work hours. Tell this service about your recent travel to one of the regions where WHO has reported cases*. * For instant, the areas identified are the cities of Hanoi, Hong Kong, Singapore and the Province of Guangdong (South of China) and Toronto. The medical service recommends to avoid any trip in these world areas until further instruction. CERN Medical Service

  13. The Impact of Critical Thinking on Clinical Judgment During Simulation With Senior Nursing Students.

    Science.gov (United States)

    Cazzell, Mary; Anderson, Mindi

    2016-01-01

    The study examined the impact of critical thinking (CT) on clinical judgment (CJ) during a pediatric Objective Structured Clinical Evaluation (OSCE) with 160 pre-licensure nursing students. Educators are called to transform teaching strategies to develop CJ but confusion exists over definitions. A descriptive correlational design was used to examine demographics and Tower of Hanoi (TOH) and Health Science Reasoning Test (HSRT) scores. CJ was measured by scores on the Lasater Clinical Judgment Rubric (LCJR) from videotaped OSCEs. Participants were: 86 percent female, 42 percent Caucasian, median 23 years, with 49 percent having health care experience. Students averaged seven moves over minimum on the TOH. Average scores were: HSRT 25/38 and LCJR 31/44. Statistically significant predictors of CJ were gender, ethnicity, HSRT deduction, and analysis; 11 CT variables accounted for 17 percent of LCJR scores. Educators need to utilize/develop innovative teaching strategies addressing CJ predictors.

  14. On topological properties of sierpinski networks

    International Nuclear Information System (INIS)

    Imran, Muhammad; Sabeel-e-Hafi; Gao, Wei; Reza Farahani, Mohammad

    2017-01-01

    Sierpinski graphs constitute an extensively studied class of graphs of fractal nature applicable in topology, mathematics of Tower of Hanoi, computer science, and elsewhere. A large number of properties like physico-chemical properties, thermodynamic properties, chemical activity, biological activity, etc. are determined by the chemical applications of graph theory. These properties can be characterized by certain graph invariants referred to as topological indices. In QRAR/QSPR study these graph invariants has played a vital role. In this paper, we study the molecular topological properties of Sierpinski networks and derive the analytical closed formulas for the atom-bond connectivity (ABC) index, geometric-arithmetic (GA) index, and fourth and fifth version of these topological indices for Sierpinski networks denoted by S(n, k).

  15. Performance of Single Friction Pendulum bearing for isolated buildings subjected to seismic actions in Vietnam

    Science.gov (United States)

    Nguyen, N. V.; Nguyen, C. H.; Hoang, H. P.; Huong, K. T.

    2018-04-01

    Using structural control technology in earthquake resistant design of buildings in Vietnam is very limited. In this paper, a performance evaluation of using Single Friction Pendulum (SFP) bearing for seismically isolated buildings with earthquake conditions in Vietnam is presented. A two-dimensional (2-D) model of the 5-storey building subjected to earthquakes is analyzed in time domain. Accordingly, the model is analyzed for 2 cases: with and without SFP bearing. The ground acceleration data is selected and scaled to suit the design acceleration in Hanoi followed by the Standard TCVN 9386:2012. It is shown that the seismically isolated buildings gets the performance objectives while achieving an 91% reduction in the base shear, a significant decrease in the inter-story drift and absolute acceleration of each story.

  16. The insoluble question of electric power in Vietnam

    International Nuclear Information System (INIS)

    Mottet, Eric; Lasserre, Frederic

    2016-01-01

    An economic dragon for the last twenty years or so, Vietnam is faced with a strongly growing demand for electric energy. Though the country is rich of many different resources necessary to producing electricity, most of them are available in limited quantities. According to forecasts for the 2030-2050 period, Vietnam's coal and natural gas resources will not be able to meet the national demand. Consequently, Hanoi's main goals are to develop and invest in hydroelectricity, renewable energies and a civil nuclear programme. For lack of rigorous planning, adequate financing and given the tensions in the South China Sea, Vietnam's electric energy production growth plan seems technically, financially and geo-politically unfeasible without the help of foreign actors, ultimately weakening the Party-State

  17. British firms mark progress off Viet Nam

    International Nuclear Information System (INIS)

    Anon.

    1992-01-01

    British companies are making more inroads in exploring for oil and gas off Viet Nam. British Gas plc won a 25 year production sharing contract for a license off southern Viet Nam in the South China Sea. Meantime, London independent Lasmo plc started seismic surveys on the block adjoining the British Gas block. Separately, Thailand and Viet Nam have reached agreement to jointly explore for and develop oil and gas found in waters claimed by both countries. Plans call for the two countries to draw up joint development plans covering oil and gas resources in the southeastern fringe of the Gulf of Thailand. Bangkok officials say they would have preferred to delineate maritime boundaries with Hanoi, but opted for the joint development accord, noting that Thailand and Malaysia had taken 12 years to resolve a similar dispute

  18. Rethinking knowledge provision for the marginalized

    DEFF Research Database (Denmark)

    Schad, Iven; Thai Thi, Minh; Hoffmann, Volker

    2013-01-01

    The Agricultural Knowledge and Information System (AKIS) in Vietnam has undergone massive changes over the last decades. Initially triggered by an economic reform process (Doi Moi) initiated in 1986, the system was formalized by the first decree on agricultural extension in 1993 (GSRV (Government...... of the Socialist Republic of Vietnam) (1993) Nghị Định 13/CP Về Công Tác Khuyến Nông (Decree 13/CP (2 March 1993) on the establishment and function the national agricultural extension system). Hanoi) and gradually liberalized over the following years. Along with this liberalization, new spaces opened that allowed...... a growing plurification of knowledge system actors. However, the traditional orientation towards technology transfer was maintained. In the era of rapid growth since that time, an unprecedented experimentation with different approaches to extension has been set-up, with the government’s willingness to allow...

  19. Problem-based learning (PBL) and public health: an initial exploration of perceptions of PBL in Vietnam.

    Science.gov (United States)

    Grisham, John W; Martiniuk, Alexandra L C; Negin, Joel; Wright, E P

    2015-03-01

    Worldwide interest in problem-based learning (PBL) has grown in past decades. This article aims to evaluate the perceived effectiveness, appropriateness, benefits, and challenges attributed to the use of PBL in public health education in Vietnam with a view to providing recommendations for curricular design and future policy. Teachers at 2 universities in Hanoi participated in group interviews, and students from these 2 universities completed Likert-style questionnaires. Students and teachers regarded PBL positively. However, there was consensus that hybrid models that used PBL alongside other methods are probably the most beneficial for public health education in Vietnam. Teachers discussed the educational and systematic advantages and difficulties associated with PBL. Themes arising from this analysis may be helpful in guiding future research-namely, regarding the application of PBL in low- and middle-income countries and in public health. Further exploration of the use of PBL hybrid models is discussed. © 2012 APJPH.

  20. The mathematics of various entertaining subjects

    CERN Document Server

    Rosenhouse, Jason

    Volume 1 : The history of mathematics is filled with major breakthroughs resulting from solutions to recreational problems. Problems of interest to gamblers led to the modern theory of probability, for example, and surreal numbers were inspired by the game of Go. Yet even with such groundbreaking findings and a wealth of popular-level books exploring puzzles and brainteasers, research in recreational mathematics has often been neglected. The Mathematics of Various Entertaining Subjects brings together authors from a variety of specialties to present fascinating problems and solutions in recreational mathematics. Contributors to the book show how sophisticated mathematics can help construct mazes that look like famous people, how the analysis of crossword puzzles has much in common with understanding epidemics, and how the theory of electrical circuits is useful in understanding the classic Towers of Hanoi puzzle. The card game SET is related to the theory of error-correcting codes, and simple tic-tac-toe tak...

  1. Workplaces as Transformative Learning Spaces

    DEFF Research Database (Denmark)

    Maslo, Elina

    2010-01-01

    some other examples on “successful learning” from the formal, informal and non-formal learning environments, trying to prove those criteria. This presentation provides a view on to new examples on transformative learning spaces we discovered doing research on Workplace Learning in Latvia as a part......Abstract to the Vietnam Forum on Lifelong Learning: Building a Learning Society Hanoi, 7-8 December 2010 Network 2: Competence development as Workplace Learning Title of proposal: Workplaces as Transformative Learning Spaces Author: Elina Maslo, dr. paed., University of Latvia, elina@latnet.lv Key...... words: learning, lifelong learning, adult learning, workplace learning, transformative learning spaces During many years of research on lifelong foreign language learning with very different groups of learners, we found some criteria, which make learning process successful. Since then we tried to find...

  2. Market testing of irradiated food

    International Nuclear Information System (INIS)

    Duc, Ho Minh

    2001-01-01

    Viet Nam has emerged as one of the three top producers and exporters of rice in the world. Tropical climate and poor infrastructure of preservation and storage lead to huge losses of food grains, onions, dried fish and fishery products. Based on demonstration irradiation facility pilot scale studies and marketing of irradiated rice, onions, mushrooms and litchi were successfully undertaken in Viet Nam during 1992-1998. Irradiation technology is being used commercially in Viet Nam since 1991 for insect control of imported tobacco and mould control of national traditional medicinal herbs by both government and private sectors. About 30 tons of tobacco and 25 tons of herbs are irradiated annually. Hanoi Irradiation Centre has been continuing open house practices for visitors from school, universities and various different organizations and thus contributed in improved public education. Consumers were found to prefer irradiated rice, onions, litchi and mushrooms over those nonirradiated. (author)

  3. 5th International Conference on High Performance Scientific Computing

    CERN Document Server

    Hoang, Xuan; Rannacher, Rolf; Schlöder, Johannes

    2014-01-01

    This proceedings volume gathers a selection of papers presented at the Fifth International Conference on High Performance Scientific Computing, which took place in Hanoi on March 5-9, 2012. The conference was organized by the Institute of Mathematics of the Vietnam Academy of Science and Technology (VAST), the Interdisciplinary Center for Scientific Computing (IWR) of Heidelberg University, Ho Chi Minh City University of Technology, and the Vietnam Institute for Advanced Study in Mathematics. The contributions cover the broad interdisciplinary spectrum of scientific computing and present recent advances in theory, development of methods, and practical applications. Subjects covered include mathematical modeling; numerical simulation; methods for optimization and control; parallel computing; software development; and applications of scientific computing in physics, mechanics and biomechanics, material science, hydrology, chemistry, biology, biotechnology, medicine, sports, psychology, transport, logistics, com...

  4. Physics in Vietnam

    Energy Technology Data Exchange (ETDEWEB)

    Altarelli, Monica Pepe

    1994-03-15

    Vietnam is a country in rapid evolution, opening up communications with the rest of world and encouraging foreign investors. Although there is more ground to make up, the heady mixture of communism and free market they are aiming for is along the same lines as China. Jean Tran Thanh Van , who left Vietnam about forty years ago, judged that it was the right time to bring together Western and Vietnamese physicists. He promoted and organized the ''Rencontres du Vietnam'' on high energy physics and cosmology, which from December 13-18 brought together about one hundred physicists, half from Vietnam and half from abroad, in Hanoi for an intense programme to review the status of particle physics and its deep implications for cosmology.

  5. Manure management practices on biogas and non-biogas pig farms in developing countries - using livestock farms in Vietnam as an example

    DEFF Research Database (Denmark)

    Cu, T. T. T.; Cuong, P. H.; Hang, L. T.

    2012-01-01

    This survey was carried out to study animal manure management on livestock farms with biogas technology (biogas farms) and without (non-biogas farms) in the areas surrounding the Vietnamese cities Hanoi and Hue. The objective of the study was to assess the contribution of biogas production...... to a better environment as well as to recognize the problems with livestock manure management on small-scale farms. On all the farms included in the study more than one manure management technology was used, i.e. composting, separation of manure, biogas production and discharge of liquid manure to recipients...... such as public sewers or ponds. On biogas farms, most of the manure collected was used for bio-digestion. The farmers used the fermented manure (digestate) as a source of nutrients for crops, but on more than 50% of the interviewed biogas farms digestate was discharged to the environment. On non-biogas farms...

  6. The fear of awful smell: risk perceptions among farmers in Vietnam using wastewater and human excreta in agriculture

    DEFF Research Database (Denmark)

    Knudsen, Line G; Phuc, Pham D; Hiep, Nguyen T

    2008-01-01

    Vietnamese farmers' health-risk awareness, knowledge, and practices related to their use of wastewater and human excreta was investigated in an anthropological study by a multidisciplinary team in peri-urban Hanoi and Nghe An Province. Farmers identified health risks associated with their use...... of excreta and wastewater, but they viewed these as unavoidable risks related to production. They perceived the health risks as different for the use of wastewater and human feces. They perceived health risks from wastewater as non-serious because it remained on the skin and only caused skin problems......, but they considered health risks from non-composted smelly feces serious because it entered the body through 'polluted' air. Most farmers were more aware of threats to health from 'dirt' entering the domestic environment than of the health risks during their work. The concept of 'dirt' should be separated from...

  7. Globalisering, skole og ungdom - i Syd

    DEFF Research Database (Denmark)

    Madsen, Ulla Ambrosius

    2012-01-01

    Med udgangspunkt i etnografiske studier af samspillet mellem skole og ungdom i overbygningsskoler i Hanoi, Lusaka og Recife, diskuterer artiklen spørgsmål om hvordan unge forhandler og positionerer sig i forhold til det moderne uddannelsesprojekt sådan som det manifesterer sig i forskellige socio......-kulturelle i Vietnam, Zambia og Brasilien. Artiklen introducerer kort til den generelle historiske baggrund for uddannelse i dette internationale perspektiv og diskuterer forestillingen om moderne progressiv pædagogik som dannelsesideal i en ikke-vestlig sammenhæng. Med reference til globaliseringsteorier til...... belysning af forholdet mellem unge og skole diskuteres forestillingen om transnationale ’uddannelseslandskaber’ som analyse-kategori til studiet af unges deltagelse i - moderne - skole og uddannelse....

  8. Study, analysis, assess and compare the nuclear engineering systems of nuclear power plant with different reactor types VVER-1000, namely AES-91, AES-92 and AES-2006

    International Nuclear Information System (INIS)

    Le Van Hong; Tran Chi Thanh; Hoang Minh Giang; Le Dai Dien; Nguyen Nhi Dien; Nguyen Minh Tuan

    2015-01-01

    On November 25, 2009, in Hanoi, the National Assembly had been approved the resolution about policy for investment of nuclear power project in Ninh Thuan province which include two sites, each site has two units with power around 1000 MWe. For the nuclear power project at Ninh Thuan 1, Vietnam Government signed the Joint-Governmental Agreement with Russian Government for building the nuclear power plant with reactor type VVER. At present time, the Russian Consultant proposed four reactor technologies can be used for Ninh Thuan 1 project, namely: AES-91, AES-92, AES-2006/V491 and AES-2006/V392M. This report presents the main reactor engineering systems of nuclear power plants with VVER-1000/1200. The results from analysis, comparison and assessment between the designs of AES-91, AES-92 and AES-2006 are also presented. The obtained results show that the type AES-2006 is appropriate selection for Vietnam. (author)

  9. Collect, analyze and data base for building up the investment reports of Center for Nuclear Science and Technology construction project

    International Nuclear Information System (INIS)

    Pham Quang Minh; Tran Chi Thanh; Cao Dinh Thanh; Mai Dinh Trung; Hoang Sy Than; Nguyen Nhi Dien; Trinh Van Giap; Le Ba Thuan; Vu Tien Ha

    2014-01-01

    Following the Contract No.19/HD/NVCB dated July 10, 2013 signed by the President of Vietnam Atomic Energy Institute (VINATOM), an additional ministerial Project was approval by the Decision No. 526/QD-VNLNT dated July 8, 2013 by the VINATOM President in order to implement an important task for VINATOM. This project was implemented by the Institute for Nuclear Science and Technology (INST) in Hanoi as management organization and VINATOM as the owner of project results. Main objectives of this Project are to support national budget for implementing to collected the general report from previous projects which are relevant to CNEST and new research reactor, IAEA guidance documents, documents provided by ROSATOM in seminars in 2010, 2012 and 2013, report from expert visits of Ministry of Science and Technology and completed the general report about the construction project of CNEST. (author)

  10. The patient dose survey and dose reduction in diagnostic radiology

    International Nuclear Information System (INIS)

    Dang Thanh Luong; Duong Van Vinh; Ha Ngoc Thach

    2000-01-01

    This paper presented the results of the patient dose survey in some hospitals in Hanoi from 1995 to 1997. The main investigated types of the X-ray examination were: Chest PA, LAT; Skull PA/AP, LAT; Lumbar spine AP, LAT; and Pelvis AP. The fluctuation of the entrance surface doses (ESD) was too large, even in the same type of X-ray examination and X-ray facility. It was found that the ratio of maximum and minimum ESD were ranged from 1.5 to 18. The mean values of ESD for chest and skull were higher than CEC recommended values, while the mean values of lumbar spine and pelvis were smaller than that of CEC recommended values. The result of dose intercomparison was also reported. Some methods of dose reduction were applied for improving the patient dose in X-ray departments such as a high kV technique, high sensitive screen-film combination. (author)

  11. Study in Vietnam on ingestion and organ content of trace elements of importance in radiological protection (Cs, I, Sr, U, Th etc.)

    International Nuclear Information System (INIS)

    Nguyen Mong Sinh

    2000-01-01

    This report presents results of our investigation work carried out from November 1996 to April 1998 in the field of 'Study in Vietnam on ingestion and organ content of trace elements of importance in Radiological Protection'. This work related to the Co-ordinated Research Programme for Reference Asian Man Project, Phase 2. The data reported are the daily individual intake of the elements of interest for some different socio-economic groups of Vietnamese population living in Hanoi, Hochiminh city Vinh Phu and Dalat areas. The obtained results showed that the average content for four elements (Cs, I, U, Th) in Vietnamese dietary intakes slightly changes from area to area in dependence on geographical, natural and socio-economical conditions, on type and composition of foods. (author)

  12. Experimental nuclear physics in Vietnam - recent status

    International Nuclear Information System (INIS)

    Tran Thanh Minh

    1995-01-01

    It is really difficult to determine the exact date for the starting of nuclear physics research in Vietnam. Serious research on experimental nuclear physics began only since 1972 with the installation of such nuclear instrument like microtron accelerator, neutron generator, etc. During the past 20 years, hundred of research works have been published in local and foreign scientific journals. In the 5th national conference in Physics held in Hanoi in October 1993, at the Nuclear Physics section, 62 reports were presented reflecting the situation of nuclear physics research in the recent years, especially in the past five years. This review introduces its main results and formulates some perspectives of development in the late nineties in Vietnam. (K.A.). 27 refs., 4 figs., 6 tabs

  13. 6th International Conference on High Performance Scientific Computing

    CERN Document Server

    Phu, Hoang; Rannacher, Rolf; Schlöder, Johannes

    2017-01-01

    This proceedings volume highlights a selection of papers presented at the Sixth International Conference on High Performance Scientific Computing, which took place in Hanoi, Vietnam on March 16-20, 2015. The conference was jointly organized by the Heidelberg Institute of Theoretical Studies (HITS), the Institute of Mathematics of the Vietnam Academy of Science and Technology (VAST), the Interdisciplinary Center for Scientific Computing (IWR) at Heidelberg University, and the Vietnam Institute for Advanced Study in Mathematics, Ministry of Education The contributions cover a broad, interdisciplinary spectrum of scientific computing and showcase recent advances in theory, methods, and practical applications. Subjects covered numerical simulation, methods for optimization and control, parallel computing, and software development, as well as the applications of scientific computing in physics, mechanics, biomechanics and robotics, material science, hydrology, biotechnology, medicine, transport, scheduling, and in...

  14. Tainted commons, public health: the politico-moral significance of cholera in Vietnam.

    Science.gov (United States)

    Lincoln, Martha L

    2014-09-01

    In October 2007, a series of cholera epidemics broke out in Hanoi, interrupting a moment of economic triumphalism in post-transition Vietnam. In seeking the source of a refractory disease associated with poverty and underdevelopment, officials, media, and citizens not only identified scapegoats and proposed solutions, they also endorsed particular visions of moral conduct, social order, and public health. Controversy over cholera, a potent politico-moral symbol, expressed an imaginary of "tainted commons" (i.e., an emergent space of civil society and small-scale entrepreneurship from which the state has partially withdrawn, while still exercising some measure of scrutiny and control). The ambiguities of this situation permitted the state to assume moral postures, evade responsibility, and deflect criticism to convenient targets. Prevalent outbreak narratives thus played on anxieties regarding specifically classed and gendered social groups, whose behavior was imagined to contravene ideals of public health and order. © 2014 by the American Anthropological Association.

  15. Cost and effectiveness comparison of two methods for screening potential blood donors for anaemia in Vietnam.

    Science.gov (United States)

    Tyrrell, A; Worrall, E; Que, T N; Bates, I

    2011-06-01

    To compare the cost and effectiveness of Copper Sulphate (CS) and HemoCue (HC) methods for screening blood donors for anaemia. Robust information from developing countries about cost and effectiveness of anaemia screening methods for blood donors is scarce. In such countries there are widespread shortages of blood, so the most cost-effective method should maximise blood supply without compromising donor safety. Economic data (e.g. staff time, equipment and buildings) were collected from direct observation of procedures and purchase data from Hanoi's Central Blood Bank administrative department. A framework for comparing the cost and effectiveness of anaemia screening methods was developed and a cost per effective (i.e. usable and accurate) test was generated for each method. Samples from 100 potential donors from the Hanoi Central Blood Bank (static) and 198 from two mobile units were tested. The mean probability of an ineffective anaemia test was 0·1 (0·05-0·2). The average cost of an HC test was $0·75 (static $0·61 and mobile $0·89) and a CS test was $0·31 (static $0·17 and mobile $0·45). The difference between static and mobile units was predominantly due to transport costs; the difference between the two methods was predominantly due to the HC microcuvettes. In this setting the CS yields greater value for money than the HC method for screening blood donors. The relative cost and effectiveness of CS and HC may be different in places with higher staff turnover, lower test accuracy, higher anaemia prevalence or lower workload than in Vietnam. © 2010 Liverpool School of Tropical Medicine. Transfusion Medicine © 2010 British Blood Transfusion Society.

  16. Gamma radiation sterilization of municipal waste for reuse as a carrier for inoculant

    International Nuclear Information System (INIS)

    Hung, N.M.; Nhan, D.D.; Quynh, T.M.; Thuan, V.V.; Toan, P.V.

    1998-01-01

    This study aims at: i) analytical evaluation for heavy metals, phenols and microorganism as well as fungus contamination of municipal waste from Hanoi City (Vietnam); ii) application gamma radiation technology to disinfect the material for re-using it as a carrier for microbial inoculant. The study was conducted with the municipal waste which was primarily processed at a waste treatment station and it contains main components such as total organic carbon, nitrogen, phosphorus, potassium, silica of 36.8%, 0.45%, 0.81%, 0.65% and 25.4%, respectively. The content of heavy metals such as Pb, Hg, As, Ni, Cu, Zn, Cr etc. of the waste was quantified by the XRF technique and it was found to be 169.4, 0.2, 18.6, 40.8, 149.4, 365.1 and 101.4 mg/kg dry weight, respectively. The phenolic contamination content of the waste was evaluated by GC-FPD technique and it is lower than the detection limit (0.1 mg/kg) of the FPD. Total aerobic microorganisms and fungus populations in the waste were found to be 1.4.10 8 cell.g -1 and 0.54.10 6 CFU.g -1 , respectively, while pathogen was not found. Irradiation technology was applied to disinfect the material and experimental results show that the effective dose (D eff ) in this case should be as high as 50-55 kGy. It appeared that the municipal waste from Hanoi city with its high organic matter content followed by irradiation disinfection is quite suitable for the re-use as a carrier in biofertilizers. The irradiation disinfected municipal waste based inoculant are expected to be able to store for a long period of time before the contaminating microorganisms and fungus could recover

  17. Arsenic contamination of groundwater and drinking water in Vietnam: a human health threat.

    Science.gov (United States)

    Berg, M; Tran, H C; Nguyen, T C; Pham, H V; Schertenleib, R; Giger, W

    2001-07-01

    This is the first publication on arsenic contamination of the Red River alluvial tract in the city of Hanoi and in the surrounding rural districts. Due to naturally occurring organic matter in the sediments, the groundwaters are anoxic and rich in iron. With an average arsenic concentration of 159 micrograms/L, the contamination levels varied from 1 to 3050 micrograms/L in rural groundwater samples from private small-scale tubewells. In a highly affected rural area, the groundwater used directly as drinking water had an average concentration of 430 micrograms/L. Analysis of raw groundwater pumped from the lower aquifer for the Hanoi water supply yielded arsenic levels of 240-320 micrograms/L in three of eight treatment plants and 37-82 micrograms/L in another five plants. Aeration and sand filtration that are applied in the treatment plants for iron removal lowered the arsenic concentrations to levels of 25-91 micrograms/L, but 50% remained above the Vietnamese Standard of 50 micrograms/L. Extracts of sediment samples from five bore cores showed a correlation of arsenic and iron contents (r2 = 0.700, n = 64). The arsenic in the sediments may be associated with iron oxyhydroxides and released to the groundwater by reductive dissolution of iron. Oxidation of sulfide phases could also release arsenic to the groundwater, but sulfur concentrations in sediments were below 1 mg/g. The high arsenic concentrations found in the tubewells (48% above 50 micrograms/L and 20% above 150 micrograms/L) indicate that several million people consuming untreated groundwater might be at a considerable risk of chronic arsenic poisoning.

  18. Prevalence and incidence of overweight and obesity among Vietnamese preschool children: a longitudinal cohort study.

    Science.gov (United States)

    Do, Loan Minh; Tran, Toan Khanh; Eriksson, Bo; Petzold, Max; Ascher, Henry

    2017-06-19

    A plateau in childhood overweight and obesity has been reported in some developed countries while in almost all developing countries this problem is on the rise. The aim of this paper is to describe the changes in prevalence of overweight and obesity within a cohort of preschool children followed for 3 years, and to estimate and compare the incidences in urban and rural children of Hanoi, Vietnam. A longitudinal study of a cohort of 2677 children aged 3 to 6 years old at the beginning of the study was conducted in urban DodaLab and rural FilaBavi, Hanoi, Vietnam. Overall, 2602 children, 1311 urban and 1291 rural, were followed for 3 years with identical measurements of weight and height in 2013, 2014 and 2016. Standard methods were used to estimate prevalence and incidence as well as confidence intervals. During the three-year follow-up, the overall estimated prevalence of overweight increased from 9.1% to 16.7%. For the urban children, the increase was considerably higher. The overall prevalence of obesity decreased from 6.4% to 4.5% with less decrease in the urban children. In the group of children who were overweight and obese at the start of the study, 41.4% and 30.7%, respectively, remained in the same state three years later. The incidence of overweight and obesity during the three years were 12.4% and 2.7%, respectively. Boys were more likely to develop obesity than girls. Already in preschool age, the prevalence of overweight is high and it continues to increase with age, especially in the urban area. Prevention and intervention programs need to start at early preschool age and actions in urban areas deserve priority.

  19. A dengue outbreak on a floating village at Cat Ba Island in Vietnam.

    Science.gov (United States)

    Le Viet, Thanh; Choisy, Marc; Bryant, Juliet E; Vu Trong, Duoc; Pham Quang, Thai; Horby, Peter; Nguyen Tran, Hien; Tran Thi Kieu, Huong; Nguyen Vu, Trung; Nguyen Van, Kinh; Le Quynh, Mai; Wertheim, Heiman F L

    2015-09-22

    A dengue outbreak in an ecotourism destination spot in Vietnam, from September to November 2013, impacted a floating village of fishermen on the coastal island of Cat Ba. The outbreak raises questions about how tourism may impact disease spread in rural areas. Epidemiological data were obtained from the Hai Phong Preventive Medical Center (PMC), including case histories and residential location from all notified dengue cases from this outbreak. All household addresses were geo-located. Knox test, a spatio-temporal analysis that enables inference dengue clustering constrained by space and time, was performed on the geocoded locations. From the plasma available from two patients, positive for Dengue serotype 3 virus (DENV3), the Envelope (E) gene was sequenced, and their genetic relationships compared to other E sequences in the region. Of 192 dengue cases, the odds ratio of contracting dengue infections for people living in the floating villages compared to those living on the island was 4.9 (95 % CI: 3.6-6.7). The space-time analyses on 111 geocoded dengue residences found the risk of dengue infection to be the highest within 4 days and a radius of 20 m of a given case. Of the total of ten detected clusters with an excess risk greater than 2, the cluster with the highest number of cases was in the floating village area (24 patients for a total duration of 31 days). Phylogenetic analysis revealed a high homology of the two DENV3 strains (genotype III) from Cat Ba with DENV3 viruses circulating in Hanoi in the same year (99.1 %). Our study showed that dengue transmission is unlikely to be sustained on Cat Ba Island and that the 2013 epidemic likely originated through introduction of viruses from the mainland, potentially Hanoi. These findings suggest that prevention efforts should be focused on mainland rather than on the island.

  20. Hydrological and Mineralogical Factors Influencing Paradoxical Groundwater Arsenic Release in the Red River Delta, Vietnam

    Science.gov (United States)

    Nghiem, A.; Bostick, B. C.

    2017-12-01

    In South and Southeast Asia, the widespread contamination of groundwater arsenic (As) via microbial reduction of As-bearing iron (Fe) minerals in the subsurface results in toxic levels of arsenic above the World Health Organization (WHO) drinking water standard of 10 ug/L. High groundwater arsenic levels are generally found in gray Holocene aquifers whereas orange-sanded Pleistocene aquifers are typically a safer, lower As alternative. In the Red River Delta of Vietnam and elsewhere, Pleistocene aquifers can also have elevated arsenic levels, often due to increased groundwater pumping from the growing Hanoi area drawing high As water from Holocene aquifers, or from reduction induced by advected groundwater and organic carbon from the Red River. To determine which factors threaten the Pleistocene aquifers, we critically examine the hydrological and geochemical factors that could influence arsenic levels in the area. Exploiting an asymmetry in the region just south of Hanoi, yearlong spatiotemporal measurements of dissolved arsenic levels reveals a paradox between a Pleistocene aquifer site in Yen My (west bank) with higher As concentrations than a Holocene site in Van Duc (east bank). We monitor the influence of local and regional hydrology via water table measurements, stable water isotopes and conservative anion concentrations linked to the release of aqueous As. Preliminary x-ray absorption spectroscopy (XAS) data point to As(V)/arsenic sulfide minerals in Yen My versus As(III) minerals in Van Duc. Coupled to hydrology, downcore Fe Extended X-Ray Absorption Fine Structure (EXAFS) and As X-ray Absorption Near Edge Structure (XANES) stratigraphy and spatiotemporal dissolved organic carbon data serve to narrow down the possible sources of carbon and reductive processes that affect As speciation and transport. Overall, understanding sources that endanger the Pleistocene aquifers may elucidate important As cycling mechanisms at play that threatens water quality for

  1. Intelligent System Design Using Hyper-Heuristics

    Directory of Open Access Journals (Sweden)

    Nelishia Pillay

    2015-07-01

    Full Text Available Determining the most appropriate search method or artificial intelligence technique to solve a problem is not always evident and usually requires implementation of the different approaches to ascertain this. In some instances a single approach may not be sufficient and hybridization of methods may be needed to find a solution. This process can be time consuming. The paper proposes the use of hyper-heuristics as a means of identifying which method or combination of approaches is needed to solve a problem. The research presented forms part of a larger initiative aimed at using hyper-heuristics to develop intelligent hybrid systems. As an initial step in this direction, this paper investigates this for classical artificial intelligence uninformed and informed search methods, namely depth first search, breadth first search, best first search, hill-climbing and the A* algorithm. The hyper-heuristic determines the search or combination of searches to use to solve the problem. An evolutionary algorithm hyper-heuristic is implemented for this purpose and its performance is evaluated in solving the 8-Puzzle, Towers of Hanoi and Blocks World problems. The hyper-heuristic employs a generational evolutionary algorithm which iteratively refines an initial population using tournament selection to select parents, which the mutation and crossover operators are applied to for regeneration. The hyper-heuristic was able to identify a search or combination of searches to produce solutions for the twenty 8-Puzzle, five Towers of Hanoi and five Blocks World problems. Furthermore, admissible solutions were produced for all problem instances.

  2. Antibiotics in Wastewater of a Rural and an Urban Hospital before and after Wastewater Treatment, and the Relationship with Antibiotic Use—A One Year Study from Vietnam

    Directory of Open Access Journals (Sweden)

    La Thi Quynh Lien

    2016-06-01

    Full Text Available Hospital effluents represent an important source for the release of antibiotics and antibiotic resistant bacteria into the environment. This study aims to determine concentrations of various antibiotics in wastewater before and after wastewater treatment in a rural hospital (60 km from the center of Hanoi and in an urban hospital (in the center of Hanoi in Vietnam, and it aims to explore the relationship between antibiotic concentrations in wastewater before wastewater treatment and quantities of antibiotics used in the rural hospital, over a period of one year in 2013. Water samples were collected using continuous sampling for 24 h in the last week of every month. The data on quantities of antibiotics delivered to all inpatient wards were collected from the Pharmacy department in the rural hospital. Solid-phase extraction and high performance liquid chromatography-tandem mass spectrometry were used for chemical analysis. Significant concentrations of antibiotics were present in the wastewater both before and after wastewater treatment of both the rural and the urban hospital. Ciprofloxacin was detected at the highest concentrations in the rural hospital’s wastewater (before treatment: mean = 42.8 µg/L; after treatment: mean = 21.5 µg/L. Metronidazole was detected at the highest concentrations in the urban hospital’s wastewater (before treatment: mean = 36.5 µg/L; after treatment: mean = 14.8 µg/L. A significant correlation between antibiotic concentrations in wastewater before treatment and quantities of antibiotics used in the rural hospital was found for ciprofloxacin (r = 0.78; p = 0.01 and metronidazole (r = 0.99; p < 0.001.

  3. Evaluation of urban flood damages in climate and land use changes: Case Studies from Southeast Asia

    Science.gov (United States)

    Kefi, M.; Binaya, M. K.; Kumar, P.; Fukushi, K.

    2017-12-01

    Urbanization, changes in land use and global warming increase the threat of natural disasters such as flooding. In recent decades, it was observed a rise of intensity and frequency of flood events. The exposure both of people and the national economy to flood hazards is amplified and can induce serious economic and social damages. For this reason, local governments adopted several strategies to cope with flood risk in urban areas in particular, but a better comprehension of the flood hazard factors may enhance the efficiency of mitigating measures overall. For this research, a spatial analysis is applied to estimate future direct flood damage for 2030 in three Southeast Asian megacities: Jakarta (Indonesia), Metro-Manila (Philippines) and Hanoi (Vietnam). This comprehensive method combined flood characteristics (flood depth) obtained from flood simulation using FLO-2D, land use generated from supervised classification and remote sensing products, property value of affected buildings and flood damage rate derived from flood depth function. This function is established based on field surveys with local people affected by past flood events. Additionally, two scenarios were analyzed to simulate the future conditions. The first one is related to climate change and it is based on several General Circulation Models (GCMs). However, the second one is establish to point out the effect of adaptation strategies. The findings shows that the climate change combined with the expansion of built-up areas increase the vulnerability of urban areas to flooding and the economic damage. About 16%, 8% and 19% of flood inundation areas are expected to increase respectively in Metro-Manila, Jakarta and Hanoi. However, appropriate flood control measures can be helpful to reduce the impact of natural disaster. Furthermore, flood damage maps are generated at a large scale, which can be helpful to local stakeholders when prioritizing their mitigation strategies on urban disaster resilience.

  4. Barriers to access prevention of mother-to-child transmission for HIV positive women in a well-resourced setting in Vietnam

    Directory of Open Access Journals (Sweden)

    Wright Pamela

    2008-04-01

    Full Text Available Abstract Background According to Vietnamese policy, HIV-infected women should have access at least to HIV testing and Nevirapine prophylaxis, or where available, to adequate counselling, HIV infection staging, ARV prophylaxis, and infant formula. Many studies in high HIV prevalence settings have reported low coverage of PMTCT services, but there have been few reports from low HIV prevalence settings, such as Asian countries. We investigated the access of HIV-infected pregnant women to PMTCT services in the well-resourced setting of the capital city, Hanoi. Methods Fifty-two HIV positive women enrolled in a self-help group in Hanoi were consulted, through in-depth interviews and bi-weekly meetings, about their experiences in accessing PMTCT services. Results Only 44% and 20% of the women had received minimal and comprehensive PMTCT services, respectively. Nine women did not receive any services. Twenty-two women received no counselling. The women reported being limited by lack of knowledge and information due to poor counselling, gaps in PMTCT services, and fear of stigma and discrimination. HIV testing was done too late for optimal interventions and poor quality of care by health staff was frequently mentioned. Conclusion In a setting where PMTCT is available, HIV-infected women and children did not receive adequate care because of barriers to accessing those services. The results suggest key improvements would be improving quality of counselling and making PMTCT guidelines available to health services. Women should receive early HIV testing with adequate counselling, safe care and prophylaxis in a positive atmosphere towards HIV-infected women.

  5. Antibiotics in Wastewater of a Rural and an Urban Hospital before and after Wastewater Treatment, and the Relationship with Antibiotic Use—A One Year Study from Vietnam

    Science.gov (United States)

    Lien, La Thi Quynh; Hoa, Nguyen Quynh; Chuc, Nguyen Thi Kim; Thoa, Nguyen Thi Minh; Phuc, Ho Dang; Diwan, Vishal; Dat, Nguyen Thanh; Tamhankar, Ashok J.; Lundborg, Cecilia Stålsby

    2016-01-01

    Hospital effluents represent an important source for the release of antibiotics and antibiotic resistant bacteria into the environment. This study aims to determine concentrations of various antibiotics in wastewater before and after wastewater treatment in a rural hospital (60 km from the center of Hanoi) and in an urban hospital (in the center of Hanoi) in Vietnam, and it aims to explore the relationship between antibiotic concentrations in wastewater before wastewater treatment and quantities of antibiotics used in the rural hospital, over a period of one year in 2013. Water samples were collected using continuous sampling for 24 h in the last week of every month. The data on quantities of antibiotics delivered to all inpatient wards were collected from the Pharmacy department in the rural hospital. Solid-phase extraction and high performance liquid chromatography-tandem mass spectrometry were used for chemical analysis. Significant concentrations of antibiotics were present in the wastewater both before and after wastewater treatment of both the rural and the urban hospital. Ciprofloxacin was detected at the highest concentrations in the rural hospital’s wastewater (before treatment: mean = 42.8 µg/L; after treatment: mean = 21.5 µg/L). Metronidazole was detected at the highest concentrations in the urban hospital’s wastewater (before treatment: mean = 36.5 µg/L; after treatment: mean = 14.8 µg/L). A significant correlation between antibiotic concentrations in wastewater before treatment and quantities of antibiotics used in the rural hospital was found for ciprofloxacin (r = 0.78; p = 0.01) and metronidazole (r = 0.99; p < 0.001). PMID:27314366

  6. Desarrollo endógeno y globalización

    Directory of Open Access Journals (Sweden)

    Antonio Vázquez-Barquero

    2000-12-01

    Full Text Available El desarrollo endógeno es una interpretación que permite explicar la mecánica de la acumulación de capital en un entorno de fuerte competencia como el que caracteriza a la globalización. El artículo argumenta que la difusión del conocimiento, la organización flexible de la producción, las economías de urbanización y la densidad del tejido institucional son los procesos que determinan el aumento de la productividad y que gracias al efecto Hanoi es posible generar la sinergia necesaria entre estos procesos, lo que facilita la aparición de rendimientos crecientes. El desarrollo endógeno es una interpretación para la acción, y la política de desarrollo local incide sobre estos procesos, lo que permite a las ciudades y regiones responder a los desafíos de la globalizaciónEndogenous development is a notion that explains the mechanics of capital accumulation under the conditions of increasing competition, such as those that characterize the globalization process. The paper argues that the productivity determinants are the difussion of innovation, the flexible organization of production, the agglomeration economies and institutional thickness. The Hanoi effect would propel the necessary sinergy between these processes and determine the rise of increasing returns. Endogenous development is an approach for action and local development policiy tools focus on these processes and help the cities and regions answer the challenges of globalization.

  7. Stress faced by gifted Vietnamese students: what might contribute to it?

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    Minh Hang Thi Nguyen

    2015-11-01

    Full Text Available Background Gifted students might have to face an abundance of stress. Nevertheless, very little evidence in Vietnam indicates how much stress those students are experiencing and what might predict it. This study aims to examine the stress level in students of the High School for Gifted Students in Hanoi and factors that might contribute to the stress. Participants and procedure This is a cross sectional study with the participation of 150 students from the High School for Gifted Students, Hanoi. Data were collected from March to April 2015. The first measure was the “Stress Level Test”, which was adapted to the Vietnamese culture to measure academic stress in students. The second measure examined factors contributing to stress: 1 social life, 2 family, 3 school work, 4 personal relationships, 5 well-being, 6 adapting skills. Results The results showed that 74% of students were experiencing mild to medium stress, which was found to be higher in girls and in students who lived away from home. The six predicting factors significantly contribute 17.30% to students’ stress experience, of which school work (p = .001 and students’ well-being (p = .011 can individually predict stress. These outcomes suggested that more attention should be focused on this specific population and more actions need to be taken to help them perform better at school. Conclusions Students of the High School for Gifted Students definitely experienced a considerable amount of stress which was related to school pressure and their well-being. For them to have a better high school life, more recreational and leisure time activities outside the classroom need to take place. In addition, more approachable and functional advisors and counseling personnel would be an ideal solution to this problem.

  8. Response of first attack of inflammatory bowel disease requiring hospital admission to steroid therapy Respuesta al tratamiento esteroideo del primer brote de enfermedad inflamatoria intestinal que requiere ingreso hospitalario

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    M. Abu-Suboh Abadía

    2004-08-01

    Full Text Available Introduction: corticoid administration is the usual treatment of Crohn' disease (CD and ulcerative colitis (UC attacks. How-ever, information available on response rates and their predictive factors is scarce. Objective: to establish response to steroidal treatment in an homogeneous group of patients with CD or UC during their first admission to hospital. Methods: restrospective analysis of 86 patients who received systemic steroidal treatment for a severe flare-up during their first hospital admission between 1995 and 2000. Patients were treated per protocol with fluid therapy, absolute diet, IV 6-methyl-prednisolone 1 mg/kg/day, and enoxaparin at prophylactic doses. Clinical response at 30 days was considered good in case of complete remission, and poor in case of partial or absent remission. Univariate and multivariate analyses according to non-parametric statistics were performed for sociodemographic and biologic variables. Results: 45 patients with CD and 41 with UC were included. Good response rates were 64.4% for CD and 60.9% for UC. The univariate analysis showed that patients with good response have shorter evolution times and fewer previous flare-ups (p Introducción: la administración de corticoides constituye el tratamiento habitual de los brotes de enfermedad de Crohn (EC y colitis ulcerosa (CU. Sin embargo, existe poca información sobre las tasas de respuesta y los factores que puedan predecirla. Objetivo: determinar la respuesta al tratamiento esteroideo en un grupo homogéneo de pacientes de EC y CU que ingresan por primera vez en el hospital. Métodos: análisis retrospectivo de 86 pacientes que en su primer ingreso hospitalario recibieron tratamiento esteroideo sistémico por brote grave de EC o CU entre 1995 y 2000. Fueron tratados de forma protocolizada con sueroterapia, dieta absoluta, 6-metil-prednisolona 1 mg/kg/día IV y enoxaparina a dosis profilácticas. Se ha considerado la respuesta clínica a los 30 días como

  9. Análisis retrospectivo de 23 años de necrólisis epidérmica tóxica en la Unidad de Quemados de Alicante, España

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    F.I. Castillo-Muñoz

    2014-09-01

    Full Text Available El Síndrome de Lyell o Necrólisis Epidérmica Tóxica (NET se encuadra dentro del espectro de reacciones cutáneas adversas graves y se caracteriza por presentar una baja incidencia pero una elevada mortalidad. La mayoría de los casos de NET se relacionan con una reacción medicamentosa idiosincrática. El objetivo de este trabajo es reflejar la experiencia clínica con esta entidad en la Unidad de Quemados del Hospital General Universitario de Alicante, España, durante los últimos 23 años. Realizamos un estudio retrospectivo recogiendo los datos epidemiológicos, agentes causales probables, pruebas complementarias, patologías concomitantes, tratamiento y evolución clínica. En total recogimos 16 pacientes con una media de edad de 53,19 años, 68,75% mujeres y 31,25% varones. Los antibióticos fueron los fármacos más comúnmente implicados (31,25%, seguidos de los AINES (25%. Durante el ingreso hospitalario, el 43,75% de los pacientes recibió corticoides sistémicos, el 37,5% exclusivamente tratamiento de soporte y el 25% inmunoglobulinas intravenosas. El 56,25% sufrió algún tipo de secuela, siendo la afectación ocular la más frecuente (18,75%. Calculamos el SCORTEN (Severity of illness score for toxic epidermal necrolisys para todos los pacientes en las primeras 24 horas de ingreso, siendo la suma de las probabilidades predichas de morir por NET de un 32%, cifra superior a los datos reales (mortalidad del 25%. La utilización de corticoides sistémicos sigue siendo controvertida, apareciendo en nuestro estudio un mayor número de infecciones y una mayor mortalidad asociada a dicho tratamiento. La retirada inmediata del fármaco sospechoso, el ingreso precoz en una Unidad de Quemados o de Cuidados Intensivos, el tratamiento de soporte y la reposición hidroelectrolítica, siguen siendo medidas cruciales y de primera línea en el tratamiento de estos pacientes. A pesar de que están descritos diferentes tipos de tratamiento

  10. Prevalencia de los factores de riesgo de fractura por fragilidad en varones de 40 a 90 años de una zona básica de salud rural

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    Rafael Gómez Navarro

    2011-01-01

    Full Text Available Fundamento: La osteoporosis, y como consecuencia de ella las fracturas por fragilidad, se han convertido en los últimos años en un importante problema de salud pública en los países desarrollados. Aunque es bien conocida su epidemiología y factores de riesgo en la mujer postmenopáusica son escasos los trabajos centrados en analizar esta patología en los hombres. El objetivo es determinar la prevalencia de los factores de riesgo de fractura por fragilidad en los varones y calcular su riesgo absoluto de fractura osteoporótica mayor y de fractura de cadera. Métodos: Estudio descriptivo transversal realizado en una zona de salud rural. La población de estudio fueron los varones de entre 40 y 90 años. No se contemplaron causas de exclusión. Se realizó entrevista personal recogiendo los siguientes datos: edad, peso, talla, índice de masa corporal (IMC, antecedente de fractura previa, antecedente de fractura de cadera en progenitores, habito tabáquico, consumo de corticoides, antecedente de artritis reumatoide, osteoporosis secundaria, consumo de alcohol y densidad mineral ósea (DMO. Con estos datos se calculó el riesgo absoluto de fractura y el riesgo de fractura de cadera mediante la aplicación de la herramienta FRAX®. Resultados: Se estudió a 431 hombres. Media de edad 65,8 ± 13,9 años e IMC de 28,4 ± 4,3 Kg/m². A ninguno se le había determinado DMO. Prevalencia de los factores de riesgo: fractura previa 3,7%; progenitores con fractura de cadera 10,4%; fumadores 21,1%; corticoides 2,8%; artritis reumatoide 0,9%; osteoporosis secundaria 2,3%; alcohol 30,9%. Riesgo absoluto de fractura del 3,7 ± 3,1 IC al 95% (3,43-4,02 y riesgo de fractura de cadera del 1,7 ± 2,5 IC al 95% (1,51-1,98. Conclusiones: Especialmente importante en el varón sería supresión del alcohol y del tabaco.

  11. Estrategia de atención de niños hospitalizados por infecciones respiratorias agudas bajas

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    Ana M Ferrari

    2002-06-01

    Full Text Available OBJETIVO: Mejorar la calidad de la atención hospitalaria de los niños con infecciones respiratorias agudas bajas, aumentar los conocimientos sobre esa patología y mejorar la eficiencia en el uso de los recursos asistenciales, por medio de una estrategia que se denominó Plan de Invierno.MÉTODOS: La estrategia se basó en la utilización de protocolos de diagnóstico y tratamiento, internación por cuidados progresivos y por enfermedad, adecuación de los recursos asistenciales y creación de un sistema de registro permanente, informatizado. Se incorporó la investigación sistemática de la etiología viral para racionalizar el uso de la medicación y reducir las infecciones intrahospitalarias. RESULTADOS: Durante la aplicación del Plan (19/V-19/IX/99 ingresaron 3.317 niños; 1.347 (40.61% presentaban infecciones respiratorias agudas bajas. Se captaron 1.096 (81%, de los cuales 71% eran menores de un año. Predominaron las infecciones respiratorias virales (68%. Los criterios de ingreso fueron saturación de oxígeno <95%, polipnea, tiraje o derrame pleural en el 92.4% de los niños. La magnitud de la demanda impidió que las pautas de aislamiento individual o en grupo se cumplieran en todos los casos. El uso de la medicación se ajustó a lo recomendado en un elevado porcentaje: no recibieron antibióticos 73% de las bronquiolitis ni 72% de las neumonías virales, y 96% de las neumonias bacterianas los recibieron según pauta; se redujo el uso de broncodilatadores y de corticoides. El gasto en medicamentos disminuyó fundamentalmente en el grupo de los corticoides y tuvo el mayor impacto en el costo por día/cama de antibióticos. CONCLUSIONES: Disminuir la morbimortalidad por infecciones respiratorias agudas bajas requiere continuar mejorando la calidad de la atención hospitalaria y fortalecer los programas de promoción de salud y de control de las enfermedades prevalentes, en el primer nivel de atención.

  12. Estrategia de atención de niños hospitalizados por infecciones respiratorias agudas bajas

    Directory of Open Access Journals (Sweden)

    Ferrari Ana M

    2002-01-01

    Full Text Available OBJETIVO: Mejorar la calidad de la atención hospitalaria de los niños con infecciones respiratorias agudas bajas, aumentar los conocimientos sobre esa patología y mejorar la eficiencia en el uso de los recursos asistenciales, por medio de una estrategia que se denominó Plan de Invierno.MÉTODOS: La estrategia se basó en la utilización de protocolos de diagnóstico y tratamiento, internación por cuidados progresivos y por enfermedad, adecuación de los recursos asistenciales y creación de un sistema de registro permanente, informatizado. Se incorporó la investigación sistemática de la etiología viral para racionalizar el uso de la medicación y reducir las infecciones intrahospitalarias. RESULTADOS: Durante la aplicación del Plan (19/V-19/IX/99 ingresaron 3.317 niños; 1.347 (40.61% presentaban infecciones respiratorias agudas bajas. Se captaron 1.096 (81%, de los cuales 71% eran menores de un año. Predominaron las infecciones respiratorias virales (68%. Los criterios de ingreso fueron saturación de oxígeno <95%, polipnea, tiraje o derrame pleural en el 92.4% de los niños. La magnitud de la demanda impidió que las pautas de aislamiento individual o en grupo se cumplieran en todos los casos. El uso de la medicación se ajustó a lo recomendado en un elevado porcentaje: no recibieron antibióticos 73% de las bronquiolitis ni 72% de las neumonías virales, y 96% de las neumonias bacterianas los recibieron según pauta; se redujo el uso de broncodilatadores y de corticoides. El gasto en medicamentos disminuyó fundamentalmente en el grupo de los corticoides y tuvo el mayor impacto en el costo por día/cama de antibióticos. CONCLUSIONES: Disminuir la morbimortalidad por infecciones respiratorias agudas bajas requiere continuar mejorando la calidad de la atención hospitalaria y fortalecer los programas de promoción de salud y de control de las enfermedades prevalentes, en el primer nivel de atención.

  13. Notalgia parestésica: relato de caso

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    José Otávio Alquezar Gozzano

    2016-10-01

    Full Text Available Introdução: Notalgia parestésica (NP é uma condição neurocutânea, caracterizada por crises pruriginosas, hiperpigmentação e neuropatia sensorial. Apesar de pouco descrita em literatura, a doença é mais frequente do que se imagina, sendo subdiagnosticada em muitos casos. NP pode afetar qualquer idade e sexo, mas acomete principalmente pessoas de média idade e mulheres. Sua etiologia inclui alterações degenerativas vertebrais, trauma vertebral e predisposição genética. NP envolve o trajeto anatômico dos nervos espinhais e está relacionada com o comprometimento de neuropeptídios, dando origem a marcapassos neurais ectópicos, responsáveis pela clínica da NP. O diagnóstico é clínico, a partir da identificação de máculas hiperpigmentadas unilaterais em zona escapular, sem eritema ou descamação, com piora ao estresse. Deve-se diferenciar de líquen simples, amiloidose macular e hanseníase. Na anatomopatologia observa-se acantose focal e queratinócitos necróticos; a derme papilar mostra depósito de substância amiloide. Com sintomas leves o tratamento medicamentoso nem sempre é necessário, se mais severa utiliza-se capsaicina tópica, gabapentina, oxicarba-mazepina, corticoides e toxina botulínica. Objetivo: Relatar caso de NP. Material e métodos: Paciente atendida ambulatorialmente com revisão de literatura. Relato de Caso: Feminina, 50 anos, com queixa de mancha em dorso há 2 anos; refere dor na coluna torácica. Ao exame: presença de mácula hipercrômica. Hipótese diagnóstica: NP. Foi prescrito corticoide tópico para alívio de sintomas. Conclusão: Por tratar-se de uma doença subdiagnosticada, o conhecimento médico da clínica de NP é fundamental para o diagnóstico precoce, permitindo a escolha do tratamento específico, o que melhora a evolução dos pacientes e evita o uso de fármacos ineficazes.

  14. Nefropatía por Inmunoglobulina A: Guía de práctica clínica

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    Alicia Fayad

    2011-05-01

    Full Text Available La nefropatía por Inmunoglobulina A (N.IgA es la causa más frecuente de enfermedad glomerular a nivel mundial, 15-50% de los pacientes presentan pérdida progresiva de la función renal en 10-20 años; el resto remisión clínica o hematuria/ proteinuria persistente. Su tratamiento óptimo es incierto. Nuestro objetivo fue desarrollar recomendaciones basadas en la evidencia a través de búsqueda en bases de datos Medline, Embase, Lilacs, Cochrane Trials Register. Los investigadores analizaron la calidad de los estudios independientemente, usando la Cochrane Renal Group checklist: aleatorización, carácter ciego, intención de tratar y pérdidas en el seguimiento. La evidencia se clasificó en niveles y la recomendación en grados, según el Centre for Evidence-Based Medicine, Oxford, con dos enfoques principales: Terapia inmunosupresora (corticoides, citostáticos, ciclosporina A y micofenolato mofetilo: Nivel I a, grado A. Terapia combinada con inmunosupresores en adultos: Nivel II b, grado B. Corticoides más ciclofosfamida o azatioprina en niños: Nivel II b, grado C. Ciclosporina y micofenolato-mofetilo: Nivel II b, grado B. Terapia no inmunosupresora: inhibidores del sistema renina-angiotensina (IEAC y/o bloqueantes del receptor de angiotensina II (BRAII, aceite de pescado, estatinas, antiplaquetarios y tonsilectomía: Nivel I a, grado A. Niños: IECA y BRAII con monitoreo de función renal y de nivel sérico de potasio: Nivel I b, grado B. En nefropatía progresiva, antiplaquetarios como tratamiento coadyuvante: Nivel I, grado C. Aceite de pescado como soporte adicionado de BRAII e IECA en pacientes con lesiones histológicas leves y baja reducción de la filtración glomerular: Nivel II b, grado B (no en niños. No hay evidencias para recomendar estatinas en niños; en mayores de 5 años con síndrome nefrótico e hipercolesterolemia usar sólo con monitoreo de fosfocreatin-kinasa sérica. No hay evidencias para recomendar la

  15. Health, treatment and health care resources consumption profile among Spanish adults with diabetes and chronic obstructive pulmonary disease.

    Science.gov (United States)

    Jimenez-Garcia, Rodrigo; de Miguel-Díez, Javier; Rejas-Gutierrez, Javier; Martín-Centeno, Antonio; Gobartt-Vázquez, Elena; Hernandez-Barrera, Valentin; Gil de Miguel, Angel; Carrasco-Garrido, Pilar

    2009-08-01

    To describe the health, treatment and health care resources consumption profile among Spanish adults with diabetes and chronic obstructive pulmonary disease (COPD), and compare it with that of non-diabetic COPD patients. An observational and descriptive epidemiological study (EPIDEPOC study). The study included patients with stable COPD and aged > or =40 years, evaluated in primary care. Data were collected relating to sociodemographic variables, health profile, quality of life (SF-12), treatment and health care resources consumption. The results corresponding to diabetic and non-diabetic patients were compared. A total of 10,711 patients (75.6% males) with COPD were evaluated. The prevalence of diabetes was 16.9%. The diabetic patients were significantly older, with a larger percentage of women, and a lesser educational level compared with the non-diabetic patients. In addition, the diabetics were more sedentary, smoked less, and presented a higher percentage of obesity (33.6% versus 19.7%) than the non-diabetic patients. The severity of airways obstruction was greater among the diabetics than in the non-diabetic patients (54.57+/-13.37% versus 57.92+/-13.39%, respectively, pconsumption of drugs for COPD. In addition, they consumed significantly more health care (and thus economical) resources than the non-diabetic patients. The results of the multivariate logistic regression analysis showed that the variables that were independently associated to COPD among diabetic patients were: higher age, higher BMI, concomitant chronic heart disease, use of inhaled corticoids, SF-12 mental component, SF-12 physical component and total cost of COPD. The presence of diabetes in patients with COPD shows in the bivariate analysis a more severe lung disease, greater co-morbidity, poorer quality of life, and a greater consumption of resources, as well as a less favorable course in the previous year. However, the multivariate logistic regression shows that the variables that are

  16. [Fundamentals of hospital treatment in exacerbations of chronic obstructive lung disease].

    Science.gov (United States)

    Musil, J; Vondra, V

    1996-10-01

    Treatment of Acute Exacerbations of Chronic Obstructive Lung Disease Involves Administration of O2, beta 2 adrenergic, anticholinergic drugs, corticoids, theophylline, antibiotics, mucolytics and supported ventilation. The objective of oxygen treatment is to increase the oxygen saturation to a minimum of 90%, PaO2 = 8 kPa, without an increase of PaCO2 by more than 1.33 kPa or a reduction of the pH below 7.25. Beta 2 adrenergic substances are the most potent bronchodilatating agents. Inhalation of the preparation in solution is optimal. Neither the interval of administration nor the dosage are uniform. In Europe most frequently the following solutions are recommended: salbutamol (Ventolin) 0.5%-2.5 mg. This dose can be repeated, depending on tolerance, after 30-60 minutes, fenoterol (Berotec) 0.1%, most frequently an initial dose of 0.5-1.25 mg is used. In chronic obstructive lung disease inhalation of ipratropium in solution is preferred (Atrovent) 0.025%. American authors agreed on 0.5 mg after 4-8 hour intervals. A combination of adrenergic and cholinergic agents is useful as each drug acts by a different mechanism. The effect can potentiate while no undesirable effects develop. Views on corticoid administration in chronic obstructive lung disease differ. Some investigations did not prove a positive effect while others did. In the authors' department preference is given to the intravenous administration of 160 mg methylprednisolone divided into two doses per day. Intravenous administration of aminophylline is indicated if inhalation treatment is not effective enough or if inhalation treatment cannot be administered. Aminophylline is administered continually or intermittently in infusion, the dose for adults being 0.5-0.9 mg/kg/hour. Opinions on antibiotics differ. Some authors recommend them, others do not. The objective of antibiotic treatment is to shorten the duration of the exacerbation and to prevent deterioration in a patient with a minimal respiratory

  17. Recomendaciones para la prevención, diagnóstico y tratamiento de LA EPOC en la Argentina

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    Juan Carlos Figueroa Casas

    2012-08-01

    Full Text Available La enfermedad pulmonar obstructiva crónica (EPOC está aumentando marcadamente su morbimortalidad, costos e indicadores epidemiológicos. Por ello la Asociación Argentina de Medicina Respiratoria (AAMR convocó a un grupo de especialistas para actualizar conocimientos básicos y efectuar recomendaciones para su diagnóstico, prevención y tratamiento. Se revisan definición, avances en fisiopatología, presentación clínica, diagnóstico por imágenes y evaluación funcional. Se enfatiza su diagnóstico temprano mediante exploración funcional -esencialmente espirometría- y la prevención a través de la cesación del tabaquismo. Se describen estrategias para dejar de fumar, tratamiento farmacológico y no farmacológico. La administración de broncodilatadores, preferentemente de acción prolongada, es la primera opción de tratamiento farmacológico. Los corticoides inhalados se indican en combinación con los broncodilatadores en pacientes con obstrucción al flujo aéreo persistente asociada con exacerbaciones frecuentes, si bien se requieren estudios que confirmen su relación costo/beneficio. La vacuna antigripal es recomendada en todos los pacientes. Con respecto a las intervenciones no farmacológicas, la cirugía del enfisema solo se recomienda en circunstancias especiales. La rehabilitación respiratoria es una herramienta útil en pacientes con limitación en la actividad física habitual. La oxígenoterapia crónica domiciliaria mejora la supervivencia en pacientes con hipoxemia crónica grave. La ventilación no invasiva domiciliaria fuera de las exacerbaciones, tiene indicaciones en pacientes seleccionados. Las exacerbaciones agudas deben tratarse con broncodilatadores, oxígeno, corticoides, antibióticos y, bajo ciertas circunstancias, asistencia respiratoria mecánica tanto no invasiva como invasiva. El papel de la educación pública, del paciente y su familia, es considerada esencial en la prevención y tratamiento.

  18. Unicameral bone cyst: radiographic assessment of venous outflow by cystography as a prognostic index.

    Science.gov (United States)

    Ramirez, Ana; Abril, Juan Carlos; Touza, Alberto

    2012-11-01

    The aim of this study was to determine the benefits of cystography in the management of a simple bone cyst, its implication in the final result of the treatment after corticoid intracystic injections, and the presence of secondary effects. We retrospectively reviewed 42 patients diagnosed with a simple bone cyst. Cystography was performed before the corticoid injection. The presence or absence of loculation intracyst and the existence and number of venous outflows were determined. According to the venous drainage, cysts were classified as type 0 when a venous outflow did not exist and as type 1 when there was a rapid venous outflow (unicameral bone cyst with absent loculation in 16 cases (37.3%), whereas the lesion showed multiloculation in 26 cases (62.7%). There was no statistical difference between loculation intracyst (present or absent) and the final outcomes of the 42 cysts treated with a steroid injection (P=0.9). Cystography showed a negative venogram in 10 cases (23.8%), whereas the cysts showed a rapid venous outflow in 32 cases (76.2%). On the basis of Neer's classification, all patients with a negative venogram achieved complete healing of the cyst. Patients with a rapid venous outflow achieved complete healing in 14 cases (Neer I). In two patients, the healing was incomplete at the end of the follow-up period (Neer IV). In most cases (21 cysts), healing was partial (Neer II). Five patients showed a recurrence after initial healing of the cyst (Neer III) (P<0.05). The number or the size of veins did not affect healing of a bone cyst (P=0.6). Two patients with a rapid venous outflow showed a generalized hypertrichosis after the first injection of corticosteroids. Sex and age at the initiation of the first injection were not significant factors of healing (P=0.4). The average follow-up time was 59 months (24-60 months). Cystography provides morphological and functional information of simple bone cyst. It is a useful test before the administration of

  19. Ofidismo en la provincia de Chanchamayo, Junín: revisión de 170 casos consecutivos en el Hospital de Apoyo de La Merced

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    Miguel Villanueva Forero

    2004-04-01

    Full Text Available Objetivo: Describir las características clínico-epidemiológicas del ofidismo en la provincia de Chanchamayo, Junín, Perú. Materiales y métodos: Se revisaron todas las historias clínicas de pacientes con diagnóstico de ofidismo en el "Hospital de Apoyo de La Merced" (HALM, Junín, Perú entre enero de 1998 y diciembre del 2000. Se recogieron datos de demográficos y clínico-epidemiológicos. Resultados: Las historias clínicas revisadas fueron 195, de estas, 170 fueron incluidas en el análisis. La media edad fue 26.2 años (rango: 1-76 años. La mayoría (62.4% era de sexo masculino. El 43.5% provenía del distrito de La Merced. Los casos de ofidismo ocurrieron con mayor frecuencia (67% durante los meses de lluvia (de diciembre a mayo. La localización más frecuente de la mordedura fue en los miembros inferiores (67.7%. El tiempo entre el accidente y la atención médica fue en promedio de 5 hrs. 43 min. (± 5 hrs. 56 min.. El animal agresor se identificó en 37.6% de las veces, siendo el más frecuente el Bothrops atrox (36.5%. Los síntomas más comunes que acompañaron el cuadro clínico fueron dolor, edema, eritema (80%. La mayoría (78.3% recibió suero antiofídico, de estos, 18.8% presentaron reacciones anafilactoides o urticariformes luego de la administración. La complicación más frecuente fue celulitis, presentándose mas comúnmente en pacientes que recibieron corticoides por más de 5 días (p=0.024. Ningún paciente falleció. Conclusiones: La mayoría de accidentes ofídicos en esta región ocurren en el ámbito rural. La utilización de corticoides por más de 5 días se asoció con una mayor frecuencia de celulitis. Las reacciones de hipersensibilidad hacia el suero antiofídico no son raras, siendo recomendable realizar la prueba intradérmica antes de su administración. (Rev Med Hered 2004; 15: 82-87.

  20. Eritema multiforme mayor desencadenado por antimicrobianos Big multiform erythema triggered by antimicrobials

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    Ronaldo de Carvalho Raimundo

    2010-03-01

    Full Text Available El eritema multiforme, aparece como una enfermedad sistémica con la participación de la piel y las membranas mucosas en relación con varios factores como las infecciones bacterianas o virales, y en particular la administración de drogas, analgésicos y antibióticos en general. Se presenta un paciente masculino de 29 años de edad con eritema multiforme mayor desencadenado por antimicrobianos con la aparición de lesiones vesiculares-bulloso-ulcerosas en las regiones de los labios, encías, la lengua y la mucosa genital en tratamiento de una infección del tracto urinario con norfloxacino 400 mg por una semana. Fue realizado un tratamiento de soporte con el uso de colutorios para la higienización bucal y pomada a base de corticoide para protección de las úlceras, antihistamínicos y orientación nutricional de dieta líquida hipercalórica e hiperproteica. Este síndrome está caracterizado como un proceso eruptivo buloso agudo que compromete la calidad de vida del paciente y no hay pruebas de laboratorio específicas por lo que su diagnóstico debe estar basado en la revisión minuciosa de la anamnesis y en los hallazgos clínicos.The multiform erythema appears as a systemic disease where skin and the mucous membranes have participation in relation to some factors such as bacterial or viral infections and in particular the drugs administration, analgesics and antibiotics in general. The aim of present paper was the presentation of case of big multiform erythema triggering by antimicrobials. Authors present the case of a male patient aged 29 with appearance of ulcerous bullous-vesicular lesions in lips, gums, tongue and genital mucosa under treatment with 400 mg norfloxacin due to urinary tract infection for a week. We made support treatment using mouthwashes for oral hygiene and corticoids ointment for ulcer protection, antihistaminics and nutritional guiding of a hypercaloric and hyperprotein liquid diet. This syndrome is characterized

  1. Análise inelástica de segunda ordem em pórticos planos de aço

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    Alex Sander Clemente de Souza

    2016-08-01

    Full Text Available RESUMO: Na análise estrutural de edifícios é necessária e exigida em códigos de projeto a consideração do comportamento não-linear do material e da estrutura para determinação de esforços e deslocamentos. O desenvolvimento de novos softwares permite a realização de análises mais rigorosas, como a análise avançada, em que é possível avaliar a capacidade resistente e a estabilidade da estrutura dispensando a verificação dos elementos isolados e ainda considerando os efeitos não-lineares, sejam eles físicos e/ou geométricos. Por outro lado, os códigos normativos ainda permitem procedimentos simplificados para a análise estrutural, embora seja relativamente comum o uso de métodos mais avançados de análise, como por exemplo, o Método dos Elementos Finitos. Pretende-se, com este estudo, fornecer subsídios para a compreensão dos códigos normativos e a importância da escolha do modelo de análise estrutural na fase de projeto. Neste contexto, a fim de exemplificar, os efeitos das não-linearidades geométrica e física sobre o comportamento da estrutura foram avaliados pórticos planos em aço por meio de modelagem avançada. Além disso, uma modelagem com elementos finitos de barra / mola foi desenvolvida e os resultados obtidos se mostraram compatíveis com aqueles dos modelos tridimensionais onde os perfis foram modelados com elementos de chapa. Desta forma contribui-se para ampliar o estado da arte sobre análise estrutural de forma integrada com o dimensionamento de estruturas metálicas. ABSTRACT: In structural analysis of buildings it is necessary and required in design codes include non -linear effects on the material and structure for determining forces and displacements. The development of new software allows more rigorous analyzes, such as the advanced analysis; it is possible to assess the strength and stability of a structure excusing the verification of separate structural elements and considering the

  2. Tratamento cirúrgico da ginecomastia com pedículos lateral e medial

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    Miguel Modolin

    ginecomastia, com média etária de 23,3 anos; sendo seis pacientes da raça negra. O bom posicionamento do complexo aréolo-mamilar e uma cicatriz periareolar resultante, bem como a retirada de conteúdo suficiente, foram as principais vantagens observadas. Como complicações, tivemos assimetria das placas aréolo-mamilares em dois casos, nos quais havia acentuada diferença entre os dois lados na avaliação pré-operatória; cicatrização hipertrófica em um paciente da raça negra, cuja cicatriz foi atenuada com injeções intracicatriciais de triancinolona; necrose parcial de aréola em um caso, cuja ferida cicatrizou por segunda intenção, dispensando qualquer tratamento local posterior; deiscência de sutura periareolar em um caso, no qual foi feita a ressutura, com bom resultado, e quatro pacientes apresentaram coleção sero-hemática subcutânea, que foram drenadas e não apresentaram recidiva.

  3. Gastrostomia de incisão única como alternativa para o procedimento endoscópico

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    Ricardo Zorrón

    fístula ou peritonite. CONCLUSÕES: Os resultados desta casuística inicial sugerem que a abordagem é efetiva em propiciar um acesso rápido e seguro para gastrostomia, com ferida única, dispensando o uso de suporte endoscópico e anestesia geral. Pode ser utilizado como opção ao método endoscópico em pacientes com obstrução neoplásica faríngea ou esofageana. Uma casuística mais expressiva, acompanhamento mais longo dos casos, e estudos prospectivos randomizados são necessários para estabelecer o papel desta nova técnica na rotina cirúrgica.

  4. O diagnóstico citológico de células escamosas atípicas: uma avaliação crítica das recomendações diagnósticas Cytological diagnosis of atypical squamous cells: a critical evaluation of diagnostic guidelines

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    Fábio Russomano

    2008-11-01

    Full Text Available OBJETIVO: identificar recomendações válidas para abordagem de mulheres com diagnóstico citopatológico de atipias de significado indeterminado em células escamosas (ASC, discutindo sua aplicabilidade ao cenário brasileiro. MÉTODOS: foi realizada uma busca eletrônica de publicações no PubMed, National Guidelines Clearinghouse e Google Acadêmico, além de busca manual das referências dos documentos encontrados. As diretrizes identificadas e especificamente relacionadas ao tema foram avaliadas segundo sua validade e suas recomendações, criticadas e sumarizadas. RESULTADOS: as diretrizes consideradas válidas foram aquelas elaboradas para o Reino Unido, França, Austrália, EUA e Nova Zelândia. Esses documentos recomendam que a citologia seja repetida seis ou doze meses antes de encaminhar para colposcopia nas ASC de significado indeterminado (ASC-US e encaminhamento imediato para colposcopia em ASC nas quais não é possível afastar lesão de alto grau (ASC-H. Também foram encontradas recomendações válidas de colposcopia para mulheres com ASC-US em situações especiais (imunocomprometidas e que demandem asseguramento por especialista e uso de testes para HPV oncogênico que, quando presente em mulheres com mais de 20 anos, deve motivar encaminhamento para colposcopia. CONCLUSÕES: as condutas clínicas preconizadas para o Programa Nacional de Controle do Câncer do Colo do Útero no Brasil podem ser aperfeiçoadas, acrescentando-se o encaminhamento para colposcopia em situações especiais (imunocomprometidas e que demandem asseguramento por especialista, o uso do teste para detecção de HPV oncogênico em mulheres com mais de 20 anos (quando presente, deve-se encaminhar para colposcopia, a investigação de lesões vaginais e o uso de preparo estrogênico prévio à colposcopia em mulheres na pós-menopausa, dispensando a biópsia quando presentes alterações menores.PURPOSE: to identify valid guidelines for the approach of

  5. Avaliação Clínica e Laboratorial de Crianças e Adolescentes com Queixas Vulvovaginais Clinical and Laboratorial Evaluation of Children and Teenagers with Vulvovaginal Complaints

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    Miriam da Silva Wanderley

    2000-04-01

    Full Text Available Objetivo: analisar as queixas vulvovaginais mais freqüentemente observadas no Ambulatório de Ginecologia Infanto-puberal (AGIP do Hospital Universitário de Brasília (HUB. Métodos: foram avaliados retrospectivamente 210 prontuários de meninas, até 18 anos de idade, que procuraram o AGIP/HUB com queixas vulvovaginais. Analisaram-se as queixas mais freqüentes e os agentes etiológicos mais observados à secreção vaginal. Resultados: a idade média das 210 pacientes estudadas, até dezoito anos, foi de 12 ± 2,3 anos e as queixas mais comuns foram o corrimento vaginal e o prurido vulvar. Alterações inflamatórias inespecíficas foram observadas em 147 destas pacientes (70% as quais foram tratadas com orientação a respeito de vestuário, de atividades diárias e de higiene. As outras 63 pacientes, nas quais foi observado um agente etiológico específico, necessitaram de tratamento medicamentoso apropriado. Somente em pacientes com vida sexual ativa foram observados infecções por Gardnerella vaginalis, Trichomoma vaginalis, HPV, assim como sífilis. Para estas pacientes a idade da sexarca foi de 14,1 ± 1,6 anos. Vinte pacientes apresentaram queixas vulvares concomitantemente, de fácil manuseio e orientação. Conclusão: higiene, vestuário e orientação adequada às pacientes e seus familiares são fundamentais para o controle e tratamento das queixas vulvovaginais, quase sempre dispensando o uso de antimicrobianos.Purpose: to assess the commonest vulvovaginal complaints and vaginal discharge etiology in the Child and Teenager Gynecologic Outpatient Clinic of the University Hospital of Brasília (AGIP/HUB. Methods: we evaluated retrospectively 210 charts of patients, younger than 19 years old, who attended AGIP/HUB with vulvovaginal complaints. Results: the average age of the 210 patients was 12 ± 2.3 years, and the vaginal discharge and vulvar pruritus were the commonest complaints. Unspecific inflammatory conditions were

  6. Uso de fungos micorrízicos arbusculares (FMA na promoção do crescimento de mudas de pinheira (Annona squamosa L., Annonaceae Use of arbuscular mycorrhizal fungi (AMF to promote the growth of sugar apple seedlings (Annona squamosa L. Annonaceae

    Directory of Open Access Journals (Sweden)

    Ieda Ribeiro Coelho

    2012-12-01

    Full Text Available Os fungos micorrízicos arbusculares (FMA podem ser usados na formação de mudas frutíferas, porém o seu efeito na pinheira não é conhecido. Foi investigado o papel de dois isolados de FMA (Acaulospora longula e Gigaspora albida na promoção do crescimento de mudas de pinheira. O delineamento experimental foi tipo inteiramente casualizado em seis tratamentos: 1 Controle não inoculado em solo; 2 Controle não inoculado em solo adubado; 3 Inoculado com A. longula em solo; 4 Inoculado com A. longula em solo adubado; 5 Inoculado com G. albida em solo; 6 Inoculado com G. albida em solo adubado, em quatro repetições, totalizando 24 unidades. Plântulas com duas folhas foram inoculadas na região das raízes com solo-inóculo fornecendo 200 esporos de G. albida ou de A. longula. Após 140 dias em casa de vegetação avaliou-se: altura, número de folhas, diâmetro do caule, área foliar, massa fresca e seca da parte aérea e radicular, colonização micorrízica e produção de esporos de FMA. Em solo não adubado, os benefícios da micorrização foram evidenciados nas mudas formando simbiose com G. albida. Em solo com vermicomposto, a micorrização não incrementou o crescimento da mudas. A micorrização com G. albida pode ser alternativa para produção de mudas de pinheira, dispensando a fertilização.Arbuscular mycorrhizal fungi (AMF can be used to promote seedling growth of fruit trees, but their effect on sugar apple is not known. We investigated the role of two isolates of AMF (Acaulospora longula and Gigaspora albida in promoting the growth of sugar apple seedlings. The experimental design was completely randomized with six treatments and four replicates (totaling 24 units: 1 uninoculated control; 2 uninoculated control in fertilized soil; 3 inoculated with A. longula in soil, 4 inoculated with A. longula in fertilized soil, 5 inoculated with G. albida in soil; 6 inoculated with G. albida in fertilized soil. Seedlings with two

  7. The good pharmacy practice on Einstein Program at Paraisópolis Community.

    Science.gov (United States)

    Oliveira, Lara Tânia de Assumpção Domingues Gonçalves de; Silva, Camila Pontes da; Guedes, Maria das Vitorias; Sousa, Ana Célia de Oliveira; Sarno, Flávio

    2016-01-01

    To describe indicators and processes developed and implemented for pharmaceutical assistance at the Einstein Program at Paraisópolis Community pharmacy. This was a descriptive study of retrospective data from January 2012 to December 2015. Data were obtained from spreadsheets developed for monitoring the productivity and care quality provided at the pharmacy. The evaluated variables were pharmaceutical assistance to prescription, pharmaceutical intervention, orientation (standard and pharmaceutical) and pharmaceutical orientation rate. The pharmacy assisted, on average, 2,308 prescriptions monthly, dispensing 4,871 items, including medications, materials and food supplements. Since March 2015, virtually, the pharmacist analyzed all prescriptions, prior to dispensing. In the analyzed period, there was an increase in monthly pharmaceutical interventions from 7 to 32 on average, and, although there was a decrease in the number of standard orientation, the pharmaceutical orientation had an increase, causing a rise of pharmaceutical orientation rate from 4 to 11%. The processes developed and implemented at the program pharmacy sought to follow the good pharmacy practice, and help patients to make the best use of their medications. Descrever os indicadores e os processos desenvolvidos e implantados para assistência farmacêutica na farmácia do Programa Einstein na Comunidade de Paraisópolis. Tratase de um estudo descritivo de dados retrospectivos de janeiro de 2012 a dezembro de 2015. Os dados foram obtidos de planilhas desenvolvidas para acompanhamento da produtividade e da qualidade de assistência prestada na farmácia. As variáveis avaliadas foram: atenção farmacêutica à prescrição, intervenção farmacêutica, orientação (padrão e farmacêutica) e taxa de orientação farmacêutica. A farmácia atendeu, em média, 2.308 prescrições ao mês, dispensando 4.871 itens, incluindo medicamentos, materiais e suplementos alimentares. Desde março de 2015

  8. Síndrome de Hughes-Stovin

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    Sonia Pankl

    2015-04-01

    Full Text Available El síndrome de Hughes-Stovin es una entidad infrecuente caracterizada por trombosis venosa profunda y aneurismas de la arteria pulmonar, siendo su etiología y patogenia desconocida. Algunos autores la consideran una variante de la enfermedad de Behcet. Su curso natural es generalmente fatal. Se presenta con tos, disnea, hemoptisis, dolor torácico y fiebre. El tratamiento es con esteroides y agentes citotóxicos hasta la cirugía. Presentamos el caso de un hombre de 41 años que consultó por disnea, hemoptisis y dolor torácico, llegándose al diagnóstico de trombosis venosa profunda de miembro inferior derecho, trombo-embolismo de pulmón y aneurismas de arterias pulmonares. Recibió tratamiento con corticoides en altas dosis y 6 pulsos de ciclofosfamida de 1 gramo durante 6 meses, con regresión completa de los aneurismas y de la sintomatología.

  9. Hipertensión arterial mineralocorticoidea

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    Carlos E. Fardella B., Dr.

    2013-09-01

    Full Text Available La hipertensión arterial (HTA dependiente de mineralocorticoides representa actualmente una de las formas secundarias de hipertensión más prevalentes. Entre las causas más conocidas está el hiperaldosteronismo primario (HAP. A nivel renal, la aldosterona reabsorbe sodio y agua aumentando el volumen intravascular y la presión arterial. Actualmente la prevalencia de HAP, detectada por la razón aldosterona/actividad renina plasmática (ARR que es considerado el mejor test de screening, es cercana al 10% en población hipertensa. Por otra parte, defectos congénitos o adquiridos en la enzima 11β-Hidroxiesteroide deshidrogenasa tipo 2 (11β-HSD2 resultan en una ineficiente inactivación de cortisol a cortisona favoreciendo la aparición de hipertensión por activación del receptor mineralocorticoideo. La actividad de esta enzima se evalúa midiendo la razón cortisol/cortisona en suero o en orina de 24 horas. Recientemente, hemos observado déficit parciales de la actividad de la enzima 11β-HSD-2 en alrededor del 15% de los pacientes hipertensos esenciales los que podrían ser tratados con bloqueadores específicos del receptor mineralocorticoide y/o con corticoides de acción prolongada sin actividad mineralocorticoide como dexametasona o betametasona.

  10. Adrenal activity in maned wolves is higher on farmlands and park boundaries than within protected areas.

    Science.gov (United States)

    Spercoski, Katherinne M; Morais, Rosana N; Morato, Ronaldo G; de Paula, Rogério C; Azevedo, Fernanda C; May-Júnior, Joares A; Santos, Jean P; Reghelin, Angela L; Wildt, David E; Songsasen, Nucharin

    2012-11-01

    In this study we measured excreted fecal corticoid metabolites (FCM) in maned wolves (Chrysocyon brachyurus) living within a protected reserve, on farmlands or in a boundary zone between the two habitats, and determined the impacts of season and reproductive status on adrenal activity. Feces were collected within a national park (n=191 samples), a park boundary zone (n=39) and on nearby farmlands (n=27), processed and analyzed by enzyme immunoassay. FCM amounts from samples collected on farmlands were higher (Pwolf pairs were raising young. We then divided the samples collected during breeding season (March-August) into cycling females and male/non-cycling females based on fecal progesterone: fecal testosterone ratio. FCM concentrations of the former collected inside the park were higher than (P<0.05) than the latter group. However, there were no differences in FCM levels between the two groups for samples collected in the boundary zone and on farmlands. Furthermore, FCM concentrations of male/non-cycling females samples collected on farmlands were 2- to 5-fold higher (P<0.05) than in counterparts collected inside the park. The consistently high FCM concentrations in samples collected on farmlands indicate that, in addition to seasonality, gender and reproductive status, anthropogenic pressures also contribute to elevating adrenal steroid for individuals living in altered habitat. Copyright © 2012 Elsevier Inc. All rights reserved.

  11. Behavioral and physiologic responses to environmental enrichment in the maned wolf (Chrysocyon brachyurus).

    Science.gov (United States)

    Cummings, Dawn; Brown, Janine L; Rodden, Melissa D; Songsasen, Nucharin

    2007-09-01

    The ex situ population of maned wolves is not self-sustaining due to poor reproduction, caused primarily by parental incompetence. Studies have shown that environmental enrichment can promote natural parental behaviors in zoo animals. The objective of this study was to determine the effects of environmental enrichment on behavioral and physiological responses of maned wolves. During an 8-week experimental period, daily behavior observations and fecal sample collection were conducted on four adult wolves (2.2) individually housed in environments without enrichment. After 2 weeks, the wolves were chronologically provided with 2-week intervals of hiding dead mice around the exhibit, no enrichment, and introduction of boomer balls. Responses of the wolves to enrichment were assessed based on activity levels and exploratory rates, as well as the level of corticoid metabolites in fecal samples collected daily throughout the study period. Providing wolves with environmental enrichment significantly increased exploratory behaviors (Pmaned wolves. There is evidence suggesting that providing animals with ability to forage for food is a more effective enrichment strategy than introducing objects. There is need for a longer term study to determine the impact of environmental enrichment in this species. Zoo Biol 26:331-343, 2007. (c) 2007 Wiley-Liss, Inc.

  12. The infiltration of the AC joint performed by one specialist: Ultrasound versus palpation a prospective randomized pilot study

    Energy Technology Data Exchange (ETDEWEB)

    Sabeti-Aschraf, M., E-mail: manuel.sabeti-aschraf@meduniwien.ac.a [Vienna Medical School, Department for Orthopaedics and Orthopaedic Surgery, AKH-Wien, Waehringer Guertel18-20, 1090 Vienna (Austria); Ochsner, A. [Vienna Medical School, Department for Orthopaedics and Orthopaedic Surgery, AKH-Wien, Waehringer Guertel18-20, 1090 Vienna (Austria); Schueller-Weidekamm, C. [Vienna Medical School, Department for Radiology, AKH-Wien, Waehringer Guertel 18-20, 1090 Vienna (Austria); Schmidt, M. [Vienna Medical School, Department for Orthopaedics and Orthopaedic Surgery, AKH-Wien, Waehringer Guertel18-20, 1090 Vienna (Austria); Funovics, Ph.T. [Vienna Medical School, Department for Radiology, AKH-Wien, Waehringer Guertel 18-20, 1090 Vienna (Austria); Skrbensky, G. von [Vienna Medical School, Department for Orthopaedics and Orthopaedic Surgery, AKH-Wien, Waehringer Guertel18-20, 1090 Vienna (Austria); Goll, A. [Vienna Medical School, Core Unit for Medical Statistics and Wien, Waehringer Guertel18-20, 1090 Vienna (Austria); Schatz, K.D. [Vienna Medical School, Department for Orthopaedics and Orthopaedic Surgery, AKH-Wien, Waehringer Guertel18-20, 1090 Vienna (Austria)

    2010-07-15

    Introduction: The acromio-clavicular (AC) joint is very susceptible to degenerative processes that result in pain and functional impairment. One common modality of treatment has been local infiltration of the joint space. Although this procedure has produced notable positive results, needle misplacement occurs frequently. The aim of this investigation is to evaluate the effects of an intra articular infiltration by comparing precise needle placement into the joint space using high-resolution-ultrasound with the conventional palpation technique. Methods: This prospective and randomized pilot study analysed 20 patients who were assigned either to the 'ultrasound' or the 'palpation' group. Clinical examinations were performed before treatment and at 1 h, 1 week and 3 weeks after a single infiltration of local anaesthetic and corticoid carried out by one specialist. Results: In both groups significant improvement in pain and function was obtained up to one-week post injection. Function remained significantly improved until the last follow-up and did not differ between the two groups. The agent was administered in all patients into the joint space in the ultrasound group. Conclusion: Ultrasound guided infiltration of the AC joint is an easily achieved procedure without any complications. However, clinical follow-up did not differ between free-hand and ultrasound-guided AC joint space infiltration.

  13. Cisticercosis diseminada: reporte de un caso en Perú

    Directory of Open Access Journals (Sweden)

    Julio Maquera-Afaray

    Full Text Available La cisticercosis es una enfermedad desatendida y endémica en el Perú que afecta comúnmente al sistema nervioso central (SNC, causando la neurocisticercosis (NCC. Sin embargo, son pocos los reportes de cisticercosis diseminada (CCD en el mundo. Se reporta el caso de un paciente varón de 82 años, natural del departamento de Junín, que presenta pérdida brusca del nivel de conciencia asociada a convulsiones tónico-clónicas generalizadas. La tomografía axial computarizada y la resonancia magnética nuclear cerebral mostraron múltiples lesiones de aspecto quístico con presencia de escólex en su interior y compatibles con NCC masiva; la resonancia magnética nuclear torácica, abdominal y pélvica permitieron evidenciar la diseminación multiorgánica de cisticercos. Aunque es poca la casuística y experiencia terapéutica en los casos de CCD, el paciente recibió tratamiento antiparasitario con albendazol y corticoides, logrando una evolución clínica favorable y sin complicaciones durante la hospitalización

  14. Asma de difícil control en niños y adolescentes: Estrategias diagnóstico-terapéuticas

    Directory of Open Access Journals (Sweden)

    Hugo Neffen

    2012-10-01

    Full Text Available El asma es una de las enfermedades crónicas más frecuentes en los niños. Si bien la mayoría de los niños con asma responden a bajas dosis de corticoides inhalados y/o antagonistas del receptor de leucotrienos, algunos de ellos permanecen sintomáticos independientemente de cualquier esfuerzo terapéutico, presentando una elevada morbilidad e inclusive mortalidad. Aunque la mayoría de los pacientes controlan los síntomas de forma adecuada, existe un grupo importante que presenta síntomas graves de la enfermedad difíciles de controlar (ADC. El objetivo de la presente revisión es discutir los aspectos clínicos, diagnósticos y terapéuticos del ACD en los menores de 18 años y su implicancia en la práctica clínica diaria.

  15. Biopsia de la arteria temporal: revisión de indicaciones y técnica quirúrgica para cirujanos plásticos Temporal artery biopsy: review of indications and surgical technique for plastic surgeons

    Directory of Open Access Journals (Sweden)

    A. Rodríguez Lorenzo

    2007-06-01

    Full Text Available La arteritis de células gigantes (ACG es una vasculitis que presenta complicaciones graves si no es diagnosticada y tratada precozmente con corticoides a altas dosis. La biopsia de la arteria temporal (BAT es la técnica diagnóstica estandarizada utilizada para confirmar la enfermedad. Se trata de una técnica sencilla y con poca morbilidad. No obstante, en la actualidad existe una controversia sobre su indicación en pacientes con sospecha clínica de arteritis sin síntomas craneales debido a la baja tasa de positividad de la biopsia. Presentamos en este trabajo una serie de 28 pacientes en los que se realizaron 30 BAT con el objetivo de revisar las indicaciones y describir la técnica quirúrgica utilizada.Giant cell arteritis is a vasculitis that presents serious complications if it is not diagnosed and treated prematurely with corticosteroids to high dose. The temporal artery biopsy is the gold estandar technique of diagnosis used to confirm the disease. It is a simple technique with little morbidity. Nevertheless, currently there is a controversy on its indication in patients with clinical suspicion of arteritis without craneal symptoms because of the downward rate of positiveness of the biopsy. We present in this work a serie of 28 patients in which 30 biopsies were carried out with the objective to review the indications and to describe the surgical technique utilized.

  16. Effect of methylprednisolone use on the rotator cuff in rats: biomechanical and histological study

    Directory of Open Access Journals (Sweden)

    Gustavo Vinícius Ghellioni

    2015-06-01

    Full Text Available OBJECTIVE: To evaluate the influence of treatment with different doses of methylprednisolone on the mechanical resistance and possible histological alterations of the rotator cuff tendon in rats.METHODS: Male Wistar rats were divided randomly into four treatment groups: sham, vehicle or 0.6 mg/kg or 6.0 mg/kg of methylprednisolone. Changes to mechanical resistance (in N and histological parameters (fibrillar appearance, presence of collagen, edema and vascular proliferation of the rotator cuff tendon were evaluated. The analyses were conducted after administration of one treatment (24 h afterwards, two treatments (7 days afterward or three treatments (14 days afterwards, into the subacromial space.RESULTS: Seven and fourteen days after the treatments were started, it was found that in a dose-dependent manner, methylprednisolone reduced the mechanical resistance of the rotator cuff tendon (p < 0.05 in relation to the vehicle group. Modifications to the histological parameters were observed on the 7th and 14th days after the first infiltration, especially regarding the presence of collagen and vascular proliferation, for the dose of 0.6 mg/kg of methylprednisolone, and also regarding the presence of collagen, edema and vascular proliferation for the dose of 6.0 mg/kg of corticoid.CONCLUSION: The results obtained demonstrated a relationship between methylprednisolone use through infiltration into the subacromial space and reduction of the mechanical resistance of and histological modifications to the rotator cuff tendon in rats.

  17. Severe acute hepatitis and cold agglutinin-related hemolytic anemia secondary to prime infection with Epstein-Barr virus

    Directory of Open Access Journals (Sweden)

    Guillermo Ontanilla-Clavijo

    Full Text Available Epstein-Barr virus, a member of the Herpesviridae family, is responsible for the infectious mononucleosis clinical syndrome, which mainly includes the pharyngitis, fever, and lymphadenopathy triad after incubation for 30-50 days. The liver is involved in 80-90% of patients in a self-limiting transient manner, with jaundice being much more uncommon (5%. From a hematological standpoint it may manifest aplastic anemia, neutropenia, and thrombocytopenia. We report a case of infectious mononucleosis that included severe acute hepatitis and was associated with severe hemolytic anemia secondary to cold agglutinins. After exclusion of other etiologies, and given the clinical suspicion of the above association, which was later confirmed by lab tests, empiric therapy was initiated with antiviral agents (aciclovir + valganciclovir and corticoids, which resulted in a progressive clinical improvement until complete remission. Therefore, we believe that this case report will reinforce the clinical evidence in support of the above combined therapy for serious infectious mononucleosis as a step prior to liver transplantation.

  18. Effect of 131-iodine therapy on Grave ophthalmopathy: How to prevent?; Risque d'ophtalmopathie et iode 131: comment preparer les patients?

    Energy Technology Data Exchange (ETDEWEB)

    Duron, F. [Service d' endocrinologie, hopital Saint-Antoine, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, (France)

    2009-05-15

    The propositions to prepare the patients to ira-therapy are as follow: to try to get the smokers to stop tobacco; to get euthyroidism before the treatment; to avoid ira-therapy for the patients bearers of high title of antibodies ( but often, they are in failure of medical treatment and these ones to who it is proposed a radical treatment; to avoid hypothyroidism by quick establishment (possible choice of two weeks) of a treatment by thyroxine; to counter to ira-therapy for patients reached by severe Basedow orbitopathy; to treat preventively the patients bearers of moderated basedow orbitopathy by corticoids, according to the scheme proposed by Bartalena and al. (0.5 mg/kg of prednisone 48 hours before the treatment and the first following month, then at graduated dose on two months) or an other one; however, these propositions must be validated by prospective studies made on a large scale and including reproducible and homogeneous criteria of evaluation like these ones proposed by the European group 'European group on graves orbitopathy' (E.U.G.O.G.O). (N.C.)

  19. Infliximab en pacientes con enfermedad ocular inflamatoria, refractarios a DARMES

    Directory of Open Access Journals (Sweden)

    Elmer R. García-Salazar

    2013-07-01

    Full Text Available Se describe la experiencia con infliximab (anticuerpo monoclonal con una potente acción antiinflamatoria en el tratamiento de enfermedades oculares inflamatorias secundarias a patologías reumáticas y refractarias a drogas antirreumáticas modificadoras de la enfermedad (DARMES. Se evaluó el caso de una paciente de 50 años con artritis reumatoide (AR de fondo activo y una paciente de 37 años con vasculitis anticuerpos anticitoplasma de neutrófilos especifico para mieloperoxidasa (ANCA MPO sin compromiso de órgano noble, ambas con escleritis bilateral y perforación con prolapso de iris del ojo izquierdo. Ellas recibieron infliximab EV en dosis de 3 a 5 mg/kg/dosis, según el esquema, a las 0, 2, 6 y 8 semanas. Infliximab resultó eficaz y seguro para el tratamiento de escleritis asociada a AR y vasculitis ANCA MPO positivo, refractaria a tratamiento con DARMES y corticoides en dosis altas. Los injertos de tejido esclerocorneal evolucionaron favorablemente con infliximab.

  20. The role of adrenal hormones in the activation of tryptophan 2,3-dioxygenase by nicotinic acid in rat liver.

    Science.gov (United States)

    Sainio, E L

    1997-09-01

    In this study, our previous finding that nicotinic acid activates tryptophan 2,3-dioxygenase as strongly as tryptophan was investigated in further detail. This study focused on the role of the adrenals in the activation process. Adrenalectomy abolished the activation due to nicotinic acid, but not the activation caused by tryptophan. The role of corticoids and/or adrenomedullary hormones in the enzyme activation was studied, by supplementing these hormones in adrenalectomized rats using minipumps implanted under the skin. The results showed that the enhanced activity of tryptophan 2,3-dioxygenase caused by nicotinic acid was partly restored by adrenaline following adrenalectomy but not by corticosterone supplementation. The results were supported by further experiments in which the rats were treated with adrenaline or corticosterone intraperitoneally before nicotinic acid administration. The conclusion that adrenaline participates in the regulation of tryptophan 2,3-dioxygenase should promote further study to determine whether adrenaline is a general modulator of this enzyme. This experimental model generated new information on the activation mechanism of tryptophan 2,3-dioxygenase by nicotinic acid.

  1. Biodegradable polyurethane nanocomposites containing dexamethasone for ocular route

    International Nuclear Information System (INIS)

    Rodrigues da Silva, Gisele; Silva-Cunha, Armando da; Behar-Cohen, Francine; Ayres, Eliane; Orefice, Rodrigo L.

    2011-01-01

    The treatment of posterior segment ocular diseases, such as uveitis, by using eye drops and oral drugs is usually not effective due to the body's natural barriers to drug penetration. In this study, ocular implants to treat uveitis were synthesized by incorporating dexamethasone acetate, an important type of corticoid used in the treatment of some uveitis, into a biodegradable polyurethane containi clay nanoparticles. Biodegradable polyurethane nanocomposites having poly(caprolactone) oligomers as soft segments were obtained by delaminating clay particles within a polyurethane aqueous dispersion. The drug was incorporated into the polymer by dispersing it in the waterborne polyurethane followed by a drying step. Nanoparticles derived from clay were demonstrated to be able to tailor the mechanical properties of polyurethanes to achieve values that can match the properties of ocular soft tissues. Infrared spectra (FTIR) showed that the presence of clay particles was able to change the microphase separation process typical of polyurethanes. X-ray diffraction and small angle x-ray scattering (SAXS) results were explored to show that the incorporation of both dexamethasone acetate and nanocomponents derived from clay led to a less defined two-phase polyurethane. The presence of clay nanoparticles increased the rate of drug release measured in vitro. Human retinal pigment epithelial cells (ARPE-19) were cultured in contact with polyurethanes and polyurethane nanocomposites, and the viability of them (evaluated by using MTT assay after 7 days) showed that no toxic components were released from polyurethanes containing no drugs during the test.

  2. [Disk calcifications in children].

    Science.gov (United States)

    Schmit, P; Fauré, C; Denarnaud, L

    1985-05-01

    It is not unusual for intervertebral disk calcifications to be detected in pediatric practice, the 150 or so cases reported in the literature probably representing only a small proportion of lesions actually diagnosed. Case reports of 33 children with intervertebral disk calcifications were analyzed. In the majority of these patients (31 of 33) a diagnosis of "idiopathic" calcifications had been made, the cervical localization of the lesions being related to repeated ORL infections and/or trauma. A pre-existing pathologic factor was found in two cases (one child with juvenile rheumatoid arthritis treated by corticoids and one child with Williams and Van Beuren's syndrome). An uncomplicated course was noted in 31 cases, the symptomatology (pain, spinal stiffness and febricula) improving after several days. Complications developed in two cases: one child had very disabling dysphagia due to an anteriorly protruding cervical herniated disc and surgery was necessary; the other child developed cervicobrachial neuralgia due to herniated disc protrusion into the cervical spinal canal, but symptoms regressed within several days although calcifications persisted unaltered. These findings and the course of the rare complications documented in the literature suggest the need for the most conservative treatment possible in cases of disc calcifications in children.

  3. Transient changes of enzyme activity of five acid hydrolases in the supernatants of homogenates of hearts of mice due to ultraviolet irradiation

    International Nuclear Information System (INIS)

    Droba, B.; Jagiellonian Univ., Krakow

    1977-01-01

    Enzymatic activity of five lysosomal hydrolases: acid p-nitrophenyl phosphatase (EC 3.1.3.2), acid β-glycerophosphatase (EC 3.1.3.2), arylsulphatase (EC 3.1.6.1), β-galactosidase (EC 3.2.1.23) and β-N-acetylhexoaminidase (EC 3.2.1.30) was studied in the supernatants of homogenates of hearts of unirradiated mice, serving as controls, and a group of UV-irradiated mice. In the control group, determinations made at 6-hr intervals showed rhythmic diurnal changes in activities of three acid hydrolases. These changes were statistically significant in the case of acid p-nitrophenyl phosphatase, acid β-glycerophosphatase, and β-N-acetylhexosaminidase. The effect of UV-irradiation was manifested mainly by depression of enzyme activities of the acid hydrolases during the first few hours after exposure. Depression of activities of arylsulphatase and β-N-acetylhexosaminidase by UV light was statistically significant. Presumably, the fall in enzyme activities of the acid hydrolases was due to chemical mediators formed in the skin under the influence of UV-radiation and adrenal corticoids secreted into the blood

  4. [Is therapy with local infiltrations feasible in primary care consultations?].

    Science.gov (United States)

    Magaña Loarte, J E; Pérez Franco, J; Sánchez Sánchez, G

    1999-01-01

    To study the feasibility of local infiltration in primary care consultations. Before-and-after intervention study. Two clinics at an urban health centre. Patients diagnosed with pathology of tender areas and treated with corticosteroid infiltration between May 1997 and May 1998. Corticoid infiltration plus local anaesthetic. Weekly check-up. Analysis of the variables: sex, age, diagnosis, time elapsed between indication and start of treatment, subjective assessment of pain before and after treatment (VRS scale), number of infiltrations per patient, side-effects. Evaluation of overall and individual effectiveness. 41 patients were infiltrated. Average age was 58. Most common pathologies were: rotary joint tendinitis (48.7%), anserine bursitis (24.4%), plantar fasciitis (7.3%). Average number of infiltrations per pathology: 1.3. Mean waiting time: 3.5 days. Comparison of pain by means of VRS (range 0-5) before and after treatment used the Wilcoxon test, with a statistically significant difference and p < 0.001 (z = -5.5109). For 35 patients (85.4%), pain was solved very well (values 0 and 1 on the VRS). For 3 patients (7.3%), improvement was moderate; and for 3 (7.3%) there was no improvement. 1. Treatment with local infiltration of corticosteroids is effective in dealing with pain, and is an alternative to treatment with NSAIDs. 2. It is feasible in primary care, and there are many advantages if the general practitioner employs this therapeutic technique.

  5. Variations in the size of focal nodular hyperplasia on magnetic resonance imaging.

    Science.gov (United States)

    Ramírez-Fuentes, C; Martí-Bonmatí, L; Torregrosa, A; Del Val, A; Martínez, C

    2013-01-01

    To evaluate the changes in the size of focal nodular hyperplasia (FNH) during long-term magnetic resonance imaging (MRI) follow-up. We reviewed 44 FNHs in 30 patients studied with MRI with at least two MRI studies at least 12 months apart. We measured the largest diameter of the lesion (inmm) in contrast-enhanced axial images and calculated the percentage of variation as the difference between the maximum diameter in the follow-up and the maximum diameter in the initial study. We defined significant variation in size as variation greater than 20%. We also analyzed predisposing hormonal factors. The mean interval between the two imaging studies was 35±2 months (range: 12-94). Most lesions (80%) remained stable during follow-up. Only 9 of the 44 lesions (20%) showed a significant variation in diameter: 7 (16%) decreased in size and 2 (4%) increased, with variations that reached the double of the initial size. The change in size was not related to pregnancy, menopause, or the use of birth control pills or corticoids. Changes in the size of FNHs during follow-up are relatively common and should not lead to a change in the diagnosis. These variations in size seem to be independent of hormonal factors that are considered to predispose. Copyright © 2011 SERAM. Published by Elsevier Espana. All rights reserved.

  6. Consenso 2012 da Sociedade Brasileira de Reumatologia sobre o manejo de comorbidades em pacientes com artrite reumatoide 2012 Brazilian Society of Rheumatology Consensus on the management of comorbidities in patients with rheumatoid arthritis

    Directory of Open Access Journals (Sweden)

    Ivânio Alves Pereira

    2012-08-01

    Full Text Available OBJETIVO: Elaborar recomendações da Comissão de Artrite Reumatoide da Sociedade Brasileira de Reumatologia (SBR para o manuseio das comorbidades em artrite reumatoide (AR. MÉTODOS: Revisão da literatura e opinião de especialistas da Comissão de AR da SBR. RESULTADOS E CONCLUSÕES: Recomendações: 1 Diagnosticar e tratar precoce e adequadamente as comorbidades; 2 O tratamento específico da AR deve ser adaptado às comorbidades; 3 Inibidores da enzima conversora da angiotensina (IECA ou bloqueadores dos receptores de angiotensina II (BRA são preferidos no tratamento da hipertensão arterial sistêmica; 4 Em pacientes com AR e diabetes mellitus, deve-se evitar o uso contínuo de dose cumulativa alta de corticoides; 5 Sugere-se o uso de estatinas para manter níveis de LDL menor que 100 mg/dL e índice aterosclerótico menor que 3,5 em pacientes com AR e comorbidades; 6 A síndrome metabólica deve ser tratada; 7 Recomenda-se a realização de exames para a investigação de aterosclerose subclínica; 8 Maior vigilância para um diagnóstico precoce de neoplasia oculta; 9 Medidas de prevenção para trombose venosa são sugeridas; 10 Recomenda-se a realização de densitometria óssea em pacientes com AR acima de 50 anos, e naqueles com idade menor com corticoide maior que 7,5 mg por mais de três meses; 11 Pacientes com AR e osteoporose devem evitar quedas, e devem ser aconselhados a aumentarem a ingestão de cálcio, aumentarem a exposição solar e fazerem atividade física; 12 Suplementação de cálcio e vitamina D é sugerida.Autilização de bisfosfonatos é sugerida para pacientes com escore T menor que -2,5 na densidade mineral óssea; 13 Recomenda-se equipe multidisciplinar, com participação ativa do médico reumatologista no tratamento das comorbidades.OBJECTIVE: To elaborate recommendations of the Rheumatoid Arthritis Committee of the Brazilian Society of Rheumatology (SBR to manage comorbidities in rheumatoid arthritis (RA

  7. Evaluation of the response to treatment and clinical evolution in patients with burning mouth syndrome

    Science.gov (United States)

    Rodríguez-de Rivera-Campillo, Eugenia

    2013-01-01

    Objective: the aim of this study is to investigate the clinical evolution, the spontaneous remission of the symptomatology and the response to different treatments in a group of burning mouth syndrome patients. Study Design: the sample was formed by a group of patients that were visited in the Unit of Oral Medicine of the Dentistry Clinic of the University of Barcelona, from the year 2000 to 2011. After revising the clinical records of all the patients that had been under control for a period of time of 18 months or longer, they were contacted by telephone. In the telephone interview, they were questioned about the symptomatology evolution and the response to the treatments received, noting down the data in a questionnaire previously performed. Results: the average duration of the symptoms was 6.5 years (+/-2.5 years). The most frequent treatments were: chlorhexidine mouthrinses, oral benzodiazepines, topical clonazepam, antiinflamatory drugs, antidepressants, antifungicals, vitamins, psycotherapy, salivary substitutes and topical corticoids. The specialists that were consulted with a higher frequency were: dermatologists (30%), othorrynolaringologists (10%) and psychiatrists (3%). In 41 patients the oral symptoms did not improve, 35 reported partial improvements, 12 patients worsened, and only in 3 patients the symptoms remitted. Conclusions: In three of the 91 patients studied the symptoms remitted spontaneously within the five years of treatment. Only 42% of the study population had improved the symptomatology significantly, and this improvement would reach 60% if clonazepam were associated to psychotherapy. Key words:Burning mouth syndrome, stomatodynia, oral pain, clonazepam. PMID:23229252

  8. Exposure to chronic variable social stress during adolescence alters affect-related behaviors and adrenocortical activity in adult male and female inbred mice.

    Science.gov (United States)

    Caruso, Michael J; Kamens, Helen M; Cavigelli, Sonia A

    2017-09-01

    Rodent models provide valuable insight into mechanisms that underlie vulnerability to adverse effects of early-life challenges. Few studies have evaluated sex differences in anxiogenic or depressogenic effects of adolescent social stress in a rodent model. Furthermore, adolescent stress studies often use genetically heterogeneous outbred rodents which can lead to variable results. The current study evaluated the effects of adolescent social stress in male and female inbred (BALB/cJ) mice. Adolescent mice were exposed to repeat cycles of alternating social isolation and social novelty for 4 weeks. Adolescent social stress increased anxiety-related behaviors in both sexes and depression-related behavior in females. Locomotion/exploratory behavior was also decreased in both sexes by stress. Previously stressed adult mice produced less basal fecal corticosteroids than controls. Overall, the novel protocol induced sex-specific changes in anxiety- and depression-related behaviors and corticoid production in inbred mice. The chronic variable social stress protocol used here may be beneficial to systematically investigate sex-specific neurobiological mechanisms underlying adolescent stress vulnerability where genetic background can be controlled. © 2017 Wiley Periodicals, Inc.

  9. Radioreceptor assay for evaluation of the plasma glucocorticoid activity of natural and synthetic steroids in man

    International Nuclear Information System (INIS)

    Ballard, P.L.; Carter, J.P.; Graham, B.S.; Baxter, J.D.

    1975-01-01

    An assay for plasma glucocorticoid activity has been developed using specific glucocorticoid receptors. Unlike other assays for cortisol and certain synthetic corticosteroids, this radioreceptor assay measures the glucocorticoid activity of all natural and synthetic steroids. Steroids extracted from as little as 0.05 ml of plasma are incubated with 3 H-dexamethasone and cytosol receptors from cultured rat hepatoma cells. From 0.5 to 50 ng of cortisol are accurately detected. Glucocorticoid activities of adult plasmas determined by the assay correlate closely with corticoid levels obtained in the CBG-isotope and fluorometric assays. Other steroids are measured in proportion to both concentration and potency as glucocorticoids. Relative activities include: cortisol 100, dexamethasone 940, prednisolone 230, prednisone 3, estradiol 1 and androstenedione 1. A similar ranking of steroids was found using receptors from a human source (fetal lung). The assay has been useful in detecting glucocorticoid activity in unidentified medications and in measuring plasma glucocorticoid levels after administration of synthetic corticosteroids. (auth)

  10. Analysis of the hormone-binding domain of steroid receptors using chimeras generated by homologous recombination

    International Nuclear Information System (INIS)

    Martinez, Elisabeth D.; Pattabiraman, Nagarajan; Danielsen, Mark

    2005-01-01

    The glucocorticoid receptor and the mineralocorticoid receptor are members of the steroid receptor family that exhibit ligand cross-reactivity. Specificity of steroid receptor action is investigated in the present work by the construction and characterization of chimeras between the glucocorticoid receptor and the mineralocorticoid receptor. We used an innovative approach to make novel steroid receptor proteins in vivo that in general, contrary to our expectations, show increased ligand specificity compared to the parental receptors. We describe a receptor that is specific for the potent synthetic glucocorticoid triamcinolone acetonide and does not bind aldosterone. A further set of chimeras has an increased ability to discriminate between ligands, responding potently to mineralocorticoids and only very weakly to synthetic glucocorticoids. A chimera with the fusion site in the hinge highlights the importance of the region between the DNA-binding and the hormone-binding domains since, unlike both the glucocorticoid and mineralocorticoid receptors, it only responds to mineralocorticoids. One chimera has reduced specificity in that it acts as a general corticoid receptor, responding to glucocorticoids and mineralocorticoids with similar potency and efficacy. Our data suggest that regions of the glucocorticoid and mineralocorticoid receptor hormone-binding domains are functionally non-reciprocal. We present transcriptional, hormone-binding, and structure-modeling evidence that suggests that receptor-specific interactions within and across domains mediate aspects of specificity in transcriptional responses to steroids

  11. Síndrome DRESS inducido por fármacos antituberculosos en un paciente con diabetes mellitus tipo 2

    Directory of Open Access Journals (Sweden)

    Antonio Salas

    2012-04-01

    Full Text Available Presentamos el caso de un paciente varón de 48 años de edad, con diagnóstico de diabetes mellitus tipo 2, no controlada, de diez años de evolución, a quien se le diagnosticó tuberculosis pulmonar mediante signos clínicos, radiográficos y cultivo en esputo positivo para Mycobacterium tuberculosis, sensible a drogas antituberculosas de primera línea. Recibió isoniacida, rifampicina, etambutol y pirazinamida. Dos meses después de iniciado el tratamiento presentó hipersensibilidad a medicamentos, con los siguientes signos y síntomas: rash dérmico generalizado, prurito generalizado, anemia Coombs positiva, eosinofilia y síntomas sistémicos, compatibles con el síndrome DRESS (drug rash with eosinophilia and systemic symptoms. Ante ello, se suspendió la medicación antituberculosa y se instaló tratamiento con antihistamínicos y corticoides sistémicos, con remisión y mejoría de síntomas. Posteriormente, recibió un esquema individualizado de tratamiento para tuberculosis consistente en medicamentos mínimamente hemato-hepatotóxicos, similar al indicado en pacientes inmunosuprimidos. Desde entonces presenta baciloscopias negativas.

  12. Environmental influences on antibody-enhanced dengue disease outcomes.

    Science.gov (United States)

    Diniz, Daniel Guerreiro; Fôro, César Augusto Raiol; Turiel, Maíra C Pereira; Sosthenes, Marcia C K; Demachki, Sâmia; Gomes, Giovanni Freitas; Rego, Carla M Damasceno; Magalhães, Marina Cutrim; Pinho, Brunno Gomes; Ramos, Juliana Pastana; Casseb, Samir M Moraes; Brito, Maysa de Vasconcelos; da Silva, Eliana Vieira Pinto; Nunes, Marcio Roberto Teixeira; Diniz, José Antonio Picanço; Cunningham, Colm; Perry, Victor Hugh; Vasconcelos, Pedro F Costa; Diniz, Cristovam W Picanço

    2012-12-01

    Because an enriched environment (EE) enhances T-cell activity and T-lymphocytes contribute to immunopathogenesis during heterologous dengue virus (DENV) infections, we hypothesised that an EE increases dengue severity. To compare single serotype (SS) and antibody-enhanced disease (AED) infections regimens, serial intraperitoneal were performed with DENV3 (genotype III) infected brain homogenate or anti-DENV2 hyperimmune serum followed 24 h later by DENV3 (genotype III) infected brain homogenate. Compared AED for which significant differences were detected between the EE and impoverished environmental (IE) groups (Kaplan-Meyer log-rank test, p = 0.0025), no significant differences were detected between the SS experimental groups (Kaplan-Meyer log-rank test, p = 0.089). Survival curves from EE and IE animals infected with the AED regimen were extended after corticoid injection and this effect was greater in the EE than in the IE group (Kaplan-Meyer log-rank test, p = 0.0162). Under the AED regimen the EE group showed more intense clinical signs than the IE group. Dyspnoea, tremor, hunched posture, ruffled fur, immobility, pre-terminal paralysis, shock and death were associated with dominant T-lymphocytic hyperplasia and presence of viral antigens in the liver and lungs. We propose that the increased expansion of these memory T-cells and serotype cross-reactive antibodies facilitates the infection of these cells by DENV and that these events correlate with disease severity in an EE.

  13. [Pulmonary nocardiasis with abscesses spreading to cerebrum, cerebellum and orbits].

    Science.gov (United States)

    Borchers, M; von der Mülbe, B; Teikemeier, F; Theegarten, D

    2006-05-12

    A 71-year-old woman presented with suspected tuberculosis. She reported having productive coughs, unwanted weight loss and subfebrile temperature in the preceding 3 months. She was known to have chronic obstructive pulmonary disease treated with corticoids given systemically and by inhalation. She was a heavy smoker. Computed tomography revealed a left apical lung abscess. In the further course of the disease magnetic resonance imaging of the head demonstrated multiple abscesses in both cerebral hemispheres and an abscess, 3.4 cm in diameter, in the right side of the cerebellum, as well as a intra-orbital tumor on the right. Needle aspirate of the eyeball grew Nocardia farcinica. Over 3 weeks antimicrobial treatment was given with imipenem and amikacin, followed by oral cotrimoxazole for 12 months. The abscesses completely regressed and after 12 months no recurrence was demonstrated either radiologically or clinically. Although nocardiasis is rare in Germany it must be included in the differential diagnosis of pneumonia with abscesses. This is especially so if acid-fast bacilli are found. As the resistance pattern of N. farcinica to antibiotics varies, early treatment is essential with antibiotics to which it is sensitive.

  14. Importance of local skin treatments during radiotherapy for prevention and treatment of radio-induced epithelitis; Interet des applications cutanees en cours de radiotherapie pour la prevention et le traitement des epitheliites radio-induites

    Energy Technology Data Exchange (ETDEWEB)

    Chargari, C.; Fromantin, I.; Kirova, Y.M. [Institut Curie, Dept. de Radiotherapie Oncologique, 75 - Paris (France); Chargari, C. [Hopital d' Instruction des Armees du Val-de-Grace, Service d' Oncologie Radiotherapie, 75 - Paris (France)

    2009-07-15

    Radio-epithelitis represents a common problem, for which treatments are characterized by a great heterogeneity. The present review of literature focuses on data referenced in Pub med/Medline and published in French/English. Despite a real preclinical rationale, aloe vera and trolamine failed to demonstrate any benefit in the prophylactic settings. In a prospective assessment phase III assessment, Calendula officinalis was shown to be superior to trolamine for the prevention of radio-epithelitis. In the curative settings, sucrafalte failed to demonstrate any benefit. The benefit of dermo-corticoids was suggested in terms of erythema and itching. Promising clinical results are available with hyaluronic acid (M.A. S065D and Ialugen) and silver leaf may reduce the intensity of cutaneous radio-induced side effects. Data from the literature are conflicting, making real the difficulty to adopt from clinical trials any proof-of-principle strategy. Considering these uncertainties, several strategies are allowed. New topics are under investigation. Present data from the literature highlight the need for further trials, in order to propose evidence-based treatments and to harmonize clinical practice. (authors)

  15. Biodegradable polyurethane nanocomposites containing dexamethasone for ocular route

    Energy Technology Data Exchange (ETDEWEB)

    Rodrigues da Silva, Gisele [Federal University of Sao Joao Del Rei, School of Pharmacy, Divinopolis, Minas Gerais (Brazil); Silva-Cunha, Armando da [Federal University of Minas Gerais, School of Pharmacy, Belo Horizonte, Minas Gerais (Brazil); Behar-Cohen, Francine [INSERM, Physiopathology of ocular diseases: Therapeutic innovations, Institut des Cordeliers, Paris (France); Laboratoire d' Innovations Therapeutiques, Fondation Rothschild, Paris (France); Universite Rene Descartes, Hotel Dieu University Hospital, Paris (France); Ayres, Eliane [Federal University of Minas Gerais, Department of Metallurgical and Materials Engineering, Belo Horizonte, Minas Gerais (Brazil); Orefice, Rodrigo L., E-mail: rorefice@demet.ufmg.br [Federal University of Minas Gerais, Department of Metallurgical and Materials Engineering, Belo Horizonte, Minas Gerais (Brazil)

    2011-03-12

    The treatment of posterior segment ocular diseases, such as uveitis, by using eye drops and oral drugs is usually not effective due to the body's natural barriers to drug penetration. In this study, ocular implants to treat uveitis were synthesized by incorporating dexamethasone acetate, an important type of corticoid used in the treatment of some uveitis, into a biodegradable polyurethane containi clay nanoparticles. Biodegradable polyurethane nanocomposites having poly(caprolactone) oligomers as soft segments were obtained by delaminating clay particles within a polyurethane aqueous dispersion. The drug was incorporated into the polymer by dispersing it in the waterborne polyurethane followed by a drying step. Nanoparticles derived from clay were demonstrated to be able to tailor the mechanical properties of polyurethanes to achieve values that can match the properties of ocular soft tissues. Infrared spectra (FTIR) showed that the presence of clay particles was able to change the microphase separation process typical of polyurethanes. X-ray diffraction and small angle x-ray scattering (SAXS) results were explored to show that the incorporation of both dexamethasone acetate and nanocomponents derived from clay led to a less defined two-phase polyurethane. The presence of clay nanoparticles increased the rate of drug release measured in vitro. Human retinal pigment epithelial cells (ARPE-19) were cultured in contact with polyurethanes and polyurethane nanocomposites, and the viability of them (evaluated by using MTT assay after 7 days) showed that no toxic components were released from polyurethanes containing no drugs during the test.

  16. Human lipodystrophies: genetic and acquired diseases of adipose tissue

    Science.gov (United States)

    Capeau, Jacqueline; Magré, Jocelyne; Caron-Debarle, Martine; Lagathu, Claire; Antoine, Bénédicte; Béréziat, Véronique; Lascols, Olivier; Bastard, Jean-Philippe; Vigouroux, Corinne

    2010-01-01

    Human lipodystrophies represent a heterogeneous group of diseases characterized by generalized or partial fat loss, with fat hypertrophy in other depots when partial. Insulin resistance, dyslipidemia and diabetes are generally associated, leading to early complications. Genetic forms are uncommon: recessive generalized congenital lipodystrophies result in most cases from mutations in the genes encoding seipin or the 1-acyl-glycerol-3-phosphate-acyltransferase 2 (AGPAT2). Dominant partial familial lipodystrophies result from mutations in genes encoding the nuclear protein lamin A/C or the adipose transcription factor PPARγ. Importantly, lamin A/C mutations are also responsible for metabolic laminopathies, resembling the metabolic syndrome and progeria, a syndrome of premature aging. A number of lipodystrophic patients remain undiagnosed at the genetic level. Acquired lipodystrophy can be generalized, resembling congenital forms, or partial, as the Barraquer-Simons syndrome, with loss of fat in the upper part of the body contrasting with accumulation in the lower part. Although their aetiology is generally unknown, they could be associated with signs of auto-immunity. The most common forms of lipodystrophies are iatrogenic. In human immunodeficiency virus-infected patients, some first generation antiretroviral drugs were strongly related with peripheral lipoatrophy and metabolic alterations. Partial lipodystrophy also characterize patients with endogenous or exogenous long-term corticoid excess. Treatment of fat redistribution can sometimes benefit from plastic surgery. Lipid and glucose alterations are difficult to control leading to early occurrence of diabetic, cardio-vascular and hepatic complications. PMID:20551664

  17. Demodicidosis en pacientes con rosácea

    Directory of Open Access Journals (Sweden)

    Edhizon Trejo Mucha

    2007-01-01

    Full Text Available Objetivo: Determinar la frecuencia de demodicidosis y sus características clínicas en pacientes con rosácea. Materiales y métodos: Estudio de casos y controles en 42 pacientes con rosácea y 42 controles para describir la presencia y densidad de D. folliculorum. El estudio se realizó en el Hospital Nacional Cayetano Heredia entre marzo y setiembre del 2004, utilizándose la técnica de Tello. Resultados: Demodex folliculorum fue encontrado en los 42 pacientes con rosácea (100% y en 13 (31,0% del grupo control, (p= 0,000. La exposición a gatos, la crianza de roedores y cerdos, la seborrea y el uso de corticoides tópicos fueron mas frecuentes en los pacientes con rosácea. Conclusiones: La presencia de Demodex folliculorum fue más frecuente en los pacientes con rosácea. (Rev Med Hered 2007;18:15-21.

  18. Analysis of diversity of wood-inhabiting fungi retrieved from a Mediterranean forest dominated by Pinus pinaster Aiton

    Directory of Open Access Journals (Sweden)

    Maria D'Aguanno

    2016-04-01

    Full Text Available The present paper is focused on the diversity of wood-inhabiting fungi in a poorly investigated habitat: a Mediterranean forest dominated by maritime pine. The sampling area lies in Tocchi biogenetic Reserve, located in the province of Siena (Tuscany, Italy. The monitoring campaign was carried out in 10 permanents plots, taking note of all the fungal species found on each piece of dead wood, irrespective of size and stage of decay. Over one year of surveys, 56 taxa of wood-inhabiting fungi were recorded, among which 39 are corticoids species, 16 polypores and 1 Heterobasidiomycetes. The fungal community seems to be dominated by a small number of species, which are more abundant than the others. Moreover, there are some specific features of deadwood influencing the species composition, such as the presence of coarse woody debris at the first decay stage and fine woody debris at the late decay stages. The results allowed characterizing the wood-inhabiting fungal community in this forest reserve, broadening our knowledge on several species and providing a preliminary database for further studies in Mediterranean areas.

  19. Efficacy and safety of vedolizumab as a treatment option for moderate to severe refractory ulcerative colitis in two patients after liver transplant due to primary sclerosing cholangitis

    Directory of Open Access Journals (Sweden)

    Raúl Vicente Olmedo-Martín

    Full Text Available Vedolizumab is a humanized IgG1 monoclonal antibody that selectively blocks the lymphocyte integrin α4β7 and prevents its interaction with endothelial adhesion molecules and subsequent transmigration to the gastrointestinal tract. The drug was approved in 2014 for the induction and maintenance treatment of ulcerative colitis and moderate to severe Crohn's disease that is refractory or intolerant to conventional treatment with corticoids and immunosuppressants and/or anti-TNFα drugs. However, inflammatory bowel disease has a variable behavior following liver transplant. One third of patients with ulcerative colitis associated with primary sclerosing cholangitis are expected to deteriorate despite receiving immunosuppression to prevent rejection. There is limited experience with anti-TNFα agents in patients with inflammatory bowel disease in the setting of liver transplantation and the studies to date involve a limited number of cases. The efficacy and safety data of vedolizumab in this situation are unreliable and very preliminary. We present two cases with the aim to present the efficacy and safety of vedolizumab after one year of treatment in two patients who underwent a transplant due to primary sclerosing cholangitis. One case had de novo post-transplant ulcerative colitis refractory to two anti-TNFα drugs (golimumab and infliximab. The other patient had a colostomy due to fulminant colitis and developed severe ulcerative proctitis refractory to infliximab after reconstruction with an ileorectal anastomosis.

  20. Esclerosis Múltiple en Pacientes Pediátricos: Fisiopatología, Diagnóstico y Manejo

    Directory of Open Access Journals (Sweden)

    Oscar Mauricio Espitia Segura

    2011-01-01

    Full Text Available Objetivo: Revisar la literatura disponible sobre esclerosis múltiple en la población pediátrica.Métodos: Revisión sistemática de la literatura encontrada en las bases de datos Scopus y PubMed posterior al año 2000.Resultados y Conclusiones: La Esclerosis Múltiple es una enfermedad con una tasa de incidencia de 2 – 4 / 100.000 habitantes en Colombia, de la cual la población pediátrica representa entre 2,7 – 5% de los casos. Las causas que se han atribuido a la enfermedad son múltiples, incluyendo factores ambientales como infecciones virales o bacterianas, exposición a humo de cigarrillo o deficiencia de vitamina D, entre otras, genéticas e inmunológicas. Su diagnóstico se basa en los hallazgos clínicos e imagenológicos, previa exclusión de enfermedades más comunes. Su tratamiento se divide en tres ejes: el tratamiento de eventos agudos, el tratamiento modificador de la enfermedad y el tratamiento sintomático. Para el primero los medicamentos de primera elección son los corticoides, para el segundo los medicamentos inmunomoduladores como Acetato de Glatiramer y para el tercero se debe realizar un enfoque multidisciplinario. Su pronóstico a largo plazo es variable y depende en alguna medida de la respuesta al tratamiento.