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Sample records for vietnam study suggests

  1. CASE STUDY: Vietnam — Information brings progress to Vietnam's ...

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

    2010-12-16

    CASE STUDY: Vietnam — Information brings progress to Vietnam's communes. December 16, 2010. Image. Michelle Hibler. In Vietnam, a .... The strategy, he says, is to concentrate assistance on vulnerable groups, like women-headed households, widows, and invalids. There are 41 such deprived households in Gia Son.

  2. CASE STUDY: Vietnam — Information brings progress to Vietnam's ...

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

    In Vietnam, a community-based monitoring system builds on existing official poverty surveys to better target the poor. The additional data has led to improvements in communities, and in the lives of women in particular.

  3. Vietnam

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

    Cathy Egan

    Meanwhile, IDRC was gathering advice and insights from other donors (including United Nations agencies) already active in. Vietnam. The information gathering ... preparation of young scholars and researchers. It was cooperating with other donors — many of them network partners with IDRC in other countries. Its gov-.

  4. Planning Joint Vietnam Ocean Circulation Studies

    Science.gov (United States)

    2013-09-30

    We intend to make new Lagrangian and Eulerian observations to measure the seasonal circulation 1) in the coastal waters of Vietnam and 2) in the SCS...circulation models of the SCS and its coastal waters . Raise interest amongst Vietnamese scientists on Lagrangian circulation studies through multiple...an inexpensive micro-controller unit (MCU) was designed with support circuitry for onboard GPS, 5 SST, drogue detection, external barometer

  5. Design and methods of the national Vietnam veterans longitudinal study.

    Science.gov (United States)

    Schlenger, William E; Corry, Nida H; Kulka, Richard A; Williams, Christianna S; Henn-Haase, Clare; Marmar, Charles R

    2015-09-01

    The National Vietnam Veterans Longitudinal Study (NVVLS) is the second assessment of a representative cohort of US veterans who served during the Vietnam War era, either in Vietnam or elsewhere. The cohort was initially surveyed in the National Vietnam Veterans Readjustment Study (NVVRS) from 1984 to 1988 to assess the prevalence, incidence, and effects of post-traumatic stress disorder (PTSD) and other post-war problems. The NVVLS sought to re-interview the cohort to assess the long-term course of PTSD. NVVLS data collection began July 3, 2012 and ended May 17, 2013, comprising three components: a mailed health questionnaire, a telephone health survey interview, and, for a probability sample of theater Veterans, a clinical diagnostic telephone interview administered by licensed psychologists. Excluding decedents, 78.8% completed the questionnaire and/or telephone survey, and 55.0% of selected living veterans participated in the clinical interview. This report provides a description of the NVVLS design and methods. Together, the NVVRS and NVVLS constitute a nationally representative longitudinal study of Vietnam veterans, and extend the NVVRS as a critical resource for scientific and policy analyses for Vietnam veterans, with policy relevance for Iraq and Afghanistan veterans. Copyright © 2015 John Wiley & Sons, Ltd.

  6. Prevalence of Posttraumatic Stress Disorder in Vietnam-Era Women Veterans: The Health of Vietnam-Era Women's Study (HealthVIEWS).

    Science.gov (United States)

    Magruder, Kathryn; Serpi, Tracey; Kimerling, Rachel; Kilbourne, Amy M; Collins, Joseph F; Cypel, Yasmin; Frayne, Susan M; Furey, Joan; Huang, Grant D; Gleason, Theresa; Reinhard, Matthew J; Spiro, Avron; Kang, Han

    2015-11-01

    Many Vietnam-era women veterans served in or near war zones and may have experienced stressful or traumatic events during their service. Although posttraumatic stress disorder (PTSD) is well studied among men who served in Vietnam, no major epidemiologic investigation of PTSD among women has been performed. To assess (1) the onset and prevalence of lifetime and current PTSD for women who served during the Vietnam era, stratified by wartime location (Vietnam, near Vietnam, or the United States), and (2) the extent to which wartime location was associated with PTSD, with adjustment for demographics, service characteristics, and wartime exposures. Survey of 8742 women who were active-duty military personnel in the US Armed Forces at any time from July 4, 1965, through March 28, 1973, and alive as of survey receipt as part of Department of Veterans Affairs Cooperative Study 579, HealthVIEWS. Data were obtained from mailed and telephone surveys from May 16, 2011, through August 5, 2012, and analyzed from June 26, 2013, through July 30, 2015. Lifetime and current PTSD as measured by the PTSD module of the Composite International Diagnostic Interview, version 3.0; onset of PTSD; and wartime experiences as measured by the Women's Wartime Exposure Scale-Revised. Among the 4219 women (48.3%) who completed the survey and a telephone interview, the weighted prevalence (95% CI) of lifetime PTSD was 20.1% (18.3%-21.8%), 11.5% (9.1%-13.9%), and 14.1% (12.4%-15.8%) for the Vietnam, near-Vietnam, and US cohorts, respectively. The weighted prevalence (95% CI) of current PTSD was 15.9% (14.3%-17.5%), 8.1% (6.0%-10.2%), and 9.1% (7.7%-10.5%) for the 3 cohorts, respectively. Few cases of PTSD among the Vietnam or near-Vietnam cohorts were attributable to premilitary onset (weighted prevalence, 2.9% [95% CI, 2.2%-3.7%] and 2.9% [95% CI, 1.7%-4.2%], respectively). Unadjusted models for lifetime and current PTSD indicated that women who served in Vietnam were more likely to meet PTSD

  7. Vietnam

    Energy Technology Data Exchange (ETDEWEB)

    1999-09-01

    As a Party to the United Nations Framework Convention on Climate Change (UNFCCC) Viet Nam will make its strong effort to implement the UNFCCC through effective activities in order to reduce GHG emissions as well as enhance carbon sinks in the country. The UNEP/GEF Project `Economics of GHG Limitation - Phase 1: Establishment of a Methodological Framework for Climate Change Mitigation Assessment` developed by the UNEP Collaborating Centre on Energy and Environment (UCCEE) in cooperation with Lawrence Berkeley Laboratory has been deployed in Viet Nam since 1996. The project deals with GHG mitigation analysis and options, focusing on the main issues: a) Associated macro-economics, b) Energy, c) Land use and forestry. For this study, a number of different data related to energy, industry, forestry and agriculture sectors as well as Viet Nam socio-economic development up to the year 2030, are collected. Besides, several models such as MEDEE-S, EFOM-ENV, COMAP are applied for development and assessment of GHG mitigation options in the next decades. The MEDEE-S and EFOM-ENV models are used as a tool for determining the cost-effective strategies to abate GHG emissions for energy sector while COMAP model is applied for forestry sector. (au) 39 refs.

  8. Area Handbook Series: Vietnam: A Country Study

    Science.gov (United States)

    1987-12-01

    the Clear River) and the Song Da (also called the Black River or Rivi~re Noire ), contribute to its high water volume, which averages 500 million cubic...Dawson, Alan. "Eye on Indochina: Vietnam’s Money Trou - bles Pile Up," Bangkok Post [Bangkok], August 4, 1982. (FBIS-APA-82-150.) August 4, 1982, J1...River; Riviere Noire ), 85 revenue, 178 Song dynasty (China), 14-15 Revolutionary Action Movement (RAM), Song Hong (Red River), 85 298-99 Song Lo (Clear

  9. A study of ribonuclease activity in venom of vietnam cobra

    Directory of Open Access Journals (Sweden)

    Thiet Van Nguyen

    2017-09-01

    Full Text Available Abstract Background Ribonuclease (RNase is one of the few toxic proteins that are present constantly in snake venoms of all types. However, to date this RNase is still poorly studied in comparison not only with other toxic proteins of snake venom, but also with the enzymes of RNase group. The objective of this paper was to investigate some properties of RNase from venom of Vietnam cobra Naja atra. Methods Kinetic methods and gel filtration chromatography were used to investigate RNase from venom of Vietnam cobra. Results RNase from venom of Vietnam cobra Naja atra has some characteristic properties. This RNase is a thermostable enzyme and has high conformational stability. This is the only acidic enzyme of the RNase A superfamily exhibiting a high catalytic activity in the pH range of 1–4, with pHopt = 2.58 ± 0.35. Its activity is considerably reduced with increasing ionic strength of reaction mixture. Venom proteins are separated by gel filtration into four peaks with ribonucleolytic activity, which is abnormally distributed among the isoforms: only a small part of the RNase activity is present in fractions of proteins with molecular weights of 12–15 kDa and more than 30 kDa, but most of the enzyme activity is detected in fractions of polypeptides, having molecular weights of less than 9 kDa, that is unexpected. Conclusions RNase from the venom of Vietnam cobra is a unique member of RNase A superfamily according to its acidic optimum pH (pHopt = 2.58 ± 0.35 and extremely low molecular weights of its major isoforms (approximately 8.95 kDa for RNase III and 5.93 kDa for RNase IV.

  10. A study on the establishment of nuclear cooperative relations and future direction between Korea and Vietnam

    Energy Technology Data Exchange (ETDEWEB)

    Yang, M. H.; Kim, H. S.; Chung, W. S.; Yun, S. W.; Ko, H. S.; Lee, J. K

    2000-10-01

    This study was carried out in order to review the cooperation with vietnam and establish and activate the cooperative relations with Vietnam. During the study, current status of use and development of nuclear energy in vietnam, were investigated including nuclear power plant and cooperative relations between two nations were also established. It was agreed through exchanges of visits of cooperation delegation; 1) exchange of visits of cooperation delegation, 2) holding of policy seminar for high level decision makers of Vietnam 3) cooperaton between KAERI/VAEC, 4) joint feasibility study for the construction of KSNP into Vietnam and technical presentation of KSNP. It is recommended that cooperaion with vietnam be implemented systematically through the long term based basic directions and integrated national strategies.

  11. A Study of Strategic Lessons Learned in Vietnam. Volume 2. South Vietnam

    Science.gov (United States)

    1979-12-01

    Republic of Vietnam, particularly the ancient capital of Hue, wnich has historic and psycho-sociological signifi- cance. The major land routes into the...of Southeast Asia. They did, however, change the topography to a remarkable extent. Rome plowing cleared vegetation from the sides of main supply...foreign aid bill which augured possible decreased resistance to :Nortl] Vietnam. 19/ As a sign of support for the military junta which replaced Diem

  12. Vietnam Head Injury Study Phase III: A 30 Year Post-Injury Follow-Up Study

    National Research Council Canada - National Science Library

    Grafman, Jordan

    2004-01-01

    Implementation of the Vietnam Head Injury Study Phase III (VHIS - PIII) has begun. By November 2003 all study staff had been hired, and underwent subsequent training to administer the battery of tests...

  13. Risk factors for hepatitis C infection among Vietnam era veterans versus nonveterans: results from the Chronic Hepatitis Cohort Study (CHeCS).

    Science.gov (United States)

    Boscarino, Joseph A; Sitarik, Alexandra; Gordon, Stuart C; Rupp, Loralee B; Nerenz, David R; Vijayadeva, Vinutha; Schmidt, Mark A; Henkle, Emily; Lu, Mei

    2014-10-01

    Research suggests that Vietnam era veterans have a higher prevalence of hepatitis C virus (HCV) than other veterans and nonveterans. However, the reasons for this are unclear, since this research has been conducted among Department of Veterans Affairs (VA) patients and most veterans do not use the VA. The current study compares HCV risk factors between the Vietnam era veterans and nonveterans seen in 4 large non-VA systems to explain this disparity. A total of 4,636 HCV patients completed surveys in 2011-2012. Vietnam era veterans were defined as those who served in the military any time between 1964 and 1975. Bivariate tests followed by logistic regressions, and multivariable modeling were conducted to study risk factors among Vietnam era veterans and nonveterans. Since few veterans were female (~2 %), they were excluded. Among male respondents (N = 2,638), 22.5 % were classified as Vietnam era veterans. Compared to nonveterans, these patients were older (p risk factor differences for HCV infection by veteran status suggested that while injection drug use approached statistical significance (nonveterans = 46.1 % vs. Vietnam era veterans = 41.4 %, p = 0.06), only reported sex with men was significant (nonveterans = 2.4 % vs. Vietnam era veterans = 0.6 %, p = 0.013). In multivariate logistic regression controlling for age, education, country of birth, marital status and study site, no HCV risk factor was associated with Vietnam era veteran status. However, veterans were more likely to report "other" exposures were the source of infection than nonveterans (p Vietnam era veterans seen in non-VA facilities do not report a higher prevalence of common HCV risk factors, such as injection drug use, they are more likely to report "other" exposures, typically associated with military service, as the source of HCV infection.

  14. Mortality patterns among women Vietnam-era veterans: results of a retrospective cohort study.

    Science.gov (United States)

    Cypel, Yasmin; Kang, Han

    2008-03-01

    This research compiled and analyzed the data of two cohorts of women veterans who either served in Vietnam ("Vietnam veteran" cohort, n = 4586) or served elsewhere during the Vietnam War ("non-Vietnam veteran" cohort, n = 5325). All cause and cause-specific mortality were compared between Vietnam and non-Vietnam veteran cohorts, to the U.S. population, and to earlier research. Similar analyses were performed for nurses only. Vital status was determined through December 31, 2004, using primarily the U.S. Department of Veterans Affairs beneficiary file and the Social Security Administration Death Master File. Selected data were submitted to the National Center for Health Statistics for merging with the National Death Index to obtain cause of death. Cox proportional hazard analysis modeling was used to obtain adjusted relative risks (ARR). SEER( *)Stat software was used to compute standardized mortality ratios (SMR) for comparisons to the U.S. population. Women Vietnam veterans showed a significant deficit (ARR = 0.78, 95% confidence interval [CI] 0.62-0.98) in circulatory system disease relative to non-Vietnam veterans, but significant deficits also were observed when the Vietnam and non-Vietnam cohorts were each compared with women in the U.S. population (SMR = 0.65, 95% CI 0.54-0.77; SMR=0.82, 95% CI 0.73-0.93, respectively). Vietnam veterans had significantly lower mortality than women in the U.S. population for all causes (SMR = 0.87, 95% CI 0.80-0.94). Vietnam veterans were at significantly greater risk of mortality from motor vehicle accidents than non-Vietnam veterans (ARR = 2.60, 95% CI 1.22-5.55) and this appeared to be specific to service in Vietnam based on comparisons to the U.S. population. Patterns did not differ greatly for the analysis on nurse veterans or to earlier mortality studies of these cohorts. Mortality from motor vehicle accidents was significantly associated with service in Vietnam. Mortality patterns generally resembled those reported on

  15. Does Wartime Captivity Affect Late-life Mental Health? A Study of Vietnam-era Repatriated Prisoners of War.

    Science.gov (United States)

    Park, Crystal L; Kaiser, Anica Pless; Spiro, Avron; King, Daniel W; King, Lynda A

    2012-01-01

    Our earlier study of U.S. prisoners of war in Vietnam (King et al., 2011) examined personal and military demographics and aspects of the stressful experience of wartime imprisonment as they related to psychological well-being shortly after homecoming in 1973. Research with repatriated prisoners of war (RPWs) from other military eras suggests that the severity of captivity stressors might predict long-term distress. However, the extent to which effects of the captivity experience persisted for Vietnam-era RPWs is unknown. The present study extended our previous analyses by examining the associations of demographic factors, captivity stressors, and repatriation mental health with subsequent symptoms of posttraumatic stress disorder (PTSD), anxiety, and depressive symptoms (measured nearly 30 years later) in a sample of 292 Vietnam-era RPWs. Results indicated that although most of the men in our sample were within normal limits on anxiety and depressive symptoms, a substantial minority reported experiencing clinically significant levels. Levels of PTSD symptoms were generally low, with only a modest proportion demonstrating elevations. Multiple regression analyses showed that age at capture and posttraumatic stress symptoms at repatriation predicted all three long-term mental health outcomes. In addition, physical torture predicted long-term PTSD symptoms. Findings highlight the potential long-term effects of wartime captivity, and also suggest that most Vietnam-era RPWs demonstrate remarkable resilience to extraordinarily stressful life experiences.

  16. Inflated medicine prices in Vietnam: a qualitative study.

    Science.gov (United States)

    Nguyen, Tuan Anh; Knight, Rosemary; Mant, Andrea; Razee, Husna; Brooks, Geoffrey; Dang, Thu Ha; Roughead, Elizabeth Ellen

    2017-06-01

    One third of the world's population lacks regular access to essential medicines partly because of the high cost of medicines. In Vietnam, the cost to patients of medicines was 47 times the international reference price for originator brands and 11 times the price for generic equivalents in the public sector. In this article, we report the results of a qualitative study conducted to identify the principal reasons for inflated medicine prices in Vietnam.Between April 2008 and December 2009, 29 semi-structured interviews were conducted with staff from pharmaceutical companies, private pharmacies, the Ministry of Health, and the Ministry of Finance of Vietnam. Study participants were recruited using a combination of purposive and snowball sampling techniques. Interviews were recorded, transcribed and coded using NVivo8® software and analyzed using a framework of structure-conduct-performance (SCP).Participants attributed high prices of originator medicines to a monopoly of supply. The prices of generic medicines were also considered to be excessive, reportedly due to the need to recoup the cost of financial inducements paid to prescribers and procurement officers. These inducements constituted a dominant cost component of the end price of generic medicines. Poor market intelligence about current world prices, as well as failure to achieve economies of scale because of unwarranted duplication in pharmaceutical production and distribution system were also factors contributing to high prices. This was reported to be further compounded by multiple layers in the supply chain and unregulated retail mark-ups.To address these problems a multifaceted approach is needed encompassing policy and legislative responses. Policy options include establishing effective monitoring of medicine quality assurance, procurement, distribution and use. Rationalization of the domestic pharmaceutical production and distribution system to achieve economies of scale is also required. Appropriate

  17. Studies and Suggestions on Prewriting Activities

    Science.gov (United States)

    Zheng, Shigao; Dai, Weiping

    2012-01-01

    This paper studies and suggests the need for writing instruction by which students can experience writing as a creative process in exploring and communicating meaning. The prewriting activities generate ideas which can encourage a free flow of thoughts and help students discover both what they want to say and how to say it on paper. Through the…

  18. A Curriculum For Dispensing Optician A Case Study In Vietnam

    Directory of Open Access Journals (Sweden)

    Duong Dieu MD

    2015-08-01

    Full Text Available Until 2011 there had been no full-time training course for dispensing optician diploma in Vietnam. Most of the practicing opticians with no qualification and formal training have learnt their skills through apprentice. In response to the demand of the industry Nguyen Tat Thanh University Vietnam has teamed up with Bradford College United Kingdom to develop a curriculum for a of formal 2-year full-time training for dispensing optician. The curriculum is applied for 4 semesters and graduate gets called Intermediate Professional Diploma level included 4 semesters. In VN after high school students can obtain different many levels of study such as Intermediate Professional Diploma College Bachelor Master and PhD. The 1st semester is basis of Intermediate Professional Diploma level. The 2nd semester is the study of refractive error and primary care each for 4 weeks 100 hours in theory and primary eye care 4 weeks for theory 100 hours. Also in this semester the learners have practiced clinical rotation at the Ophthalmic Hospital Ophthalmic Service in General Hospital for 10 weeks. The 3rd semester is specialized of dispensing Optician included Lenses frame contact lenses and laboratory for optician. In the 4th semester the training concentrates in the management of the eyeglasses shop and practicing in making spectacles for customers are in the 4th semester. The 1st intake of the course was opened started in 2011 and had 30 students graduated in 2013. This paper describes the experience of developing the curriculum in the context of a developing country where the industry is still under regulated and less developed. The first program optician that privileged on primary eye care will be satisfied for community WHO 2020 1 optometrist for 50.000 people and 10 ophthalmologists for 1.000.000 people. Some characteristics of first course students have been noted. The result of this curriculum will be evaluated in the coming time.

  19. Joint KAERI/VAEC pre-possibility study on a new research reactor for Vietnam

    Energy Technology Data Exchange (ETDEWEB)

    Park, Cheol; Lee, B. C.; Chae, H. T.; Kim, H.; Lee, C. S.; Choi, C. O.; Jun, B. J. [KAERI, Taejon (Korea, Republic of); Vien, Luong Ba; Dien, Nguyen Nhi [Vietnam Atomic Energy Commission, Hanoi (Viet Nam)

    2004-05-01

    Based on the agreement on the technical cooperation for nuclear technology between Korea and Vietnam, a KAERI/VAEC joint study on the pre-possibility of a new research reactor for Vietnam has been carried out in the research reactor area from Nov. 2003 to May 2004. In this report, the results of the pre-possibility study on a new research reactor are described. The report presents the necessity of a new research reactor in Vietnam, and the desired performance requirements of the new research reactor if necessary. The major design characteristics of some existing research reactors and those under planning were also reviewed and the main characteristics which should be considered in selecting a new multipurpose research reactor for Vietnam were drawn. Some recommendations on the considerations for the next step of the feasibility study such as the project formulation, manpower requirements and international co-operation were also briefly touched upon.

  20. Agent Orange exposure and risk of death in Korean Vietnam veterans: Korean Veterans Health Study.

    Science.gov (United States)

    Yi, Sang-Wook; Ryu, So-Yeon; Ohrr, Heechoul; Hong, Jae-Seok

    2014-12-01

    Agent Orange (AO) was a mixture of phenoxy herbicides, containing several dioxin impurities including 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD). Various military herbicides, including AO, were sprayed by the US military and allied forces for military purposes during the Vietnam War. This study was performed to identify the associations between the AO exposure and mortality in Korean Vietnam veterans. From 1 January 1992 to 31 December 2005, 180 639 Korean Vietnam veterans were followed up for vital status and cause of death. The AO exposure index was based on the proximity of the veteran's unit to AO-sprayed areas, using a geographical information system-based model. The adjusted hazard ratios and 95% confidence intervals were calculated by Cox's proportional hazard model. The mortality from all causes of death was elevated with AO exposure. The deaths due to all sites of cancers combined and some specific cancers, including cancers of the stomach, small intestine, liver, larynx, lung, bladder and thyroid gland, as well as chronic myeloid leukaemia, were positively associated with AO exposure. The deaths from angina pectoris, chronic obstructive pulmonary disease and liver disease including liver cirrhosis were also increased with an increasing AO exposure. Overall, this study suggests that AO/TCDD exposure may account for mortality from various diseases even several decades after exposure. Further research is needed to better understand the long-term effects of AO/TCDD exposure on human health. © The Author 2014; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association.

  1. Course of Posttraumatic Stress Disorder 40 Years After the Vietnam War: Findings From the National Vietnam Veterans Longitudinal Study.

    Science.gov (United States)

    Marmar, Charles R; Schlenger, William; Henn-Haase, Clare; Qian, Meng; Purchia, Emily; Li, Meng; Corry, Nida; Williams, Christianna S; Ho, Chia-Lin; Horesh, Danny; Karstoft, Karen-Inge; Shalev, Arieh; Kulka, Richard A

    2015-09-01

    The long-term course of readjustment problems in military personnel has not been evaluated in a nationally representative sample. The National Vietnam Veterans Longitudinal Study (NVVLS) is a congressionally mandated assessment of Vietnam veterans who underwent previous assessment in the National Vietnam Veterans Readjustment Study (NVVRS). To determine the prevalence, course, and comorbidities of war-zone posttraumatic stress disorder (PTSD) across a 25-year interval. The NVVLS survey consisted of a self-report health questionnaire (n = 1409), a computer-assisted telephone survey health interview (n = 1279), and a telephone clinical interview (n = 400) in a representative national sample of veterans who served in the Vietnam theater of operations (theater veterans) from July 3, 2012, through May 17, 2013. Of 2348 NVVRS participants, 1920 were alive at the outset of the NVVLS, and 81 died during recruitment; 1450 of the remaining 1839 (78.8%) participated in at least 1 NVVLS study phase. Data analysis was performed from May 18, 2013, through January 9, 2015, with further analyses continued through April 13, 2015. Study instruments included the Mississippi Scale for Combat-Related PTSD, PTSD Checklist for DSM-IV supplemented with PTSD Checklist for DSM-5 items (PCL-5+), Clinician-Administered PTSD Scale for DSM-5 (CAPS-5), and Structured Clinical Interview for DSM-IV, Nonpatient Version. Among male theater veterans, we estimated a prevalence (95% CI) of 4.5% (1.7%-7.3%) based on CAPS-5 criteria for a current PTSD diagnosis; 10.8% (6.5%-15.1%) based on CAPS-5 full plus subthreshold PTSD; and 11.2% (8.3%-14.2%) based on PCL-5+ criteria for current war-zone PTSD. Among female veterans, estimates were 6.1% (1.8%-10.3%), 8.7% (3.8%-13.6%), and 6.6% (3.5%-9.6%), respectively. The PCL-5+ prevalence (95% CI) of current non-war-zone PTSD was 4.6% (2.6%-6.6%) in male and 5.1% (2.3%-8.0%) in female theater veterans. Comorbid major depression occurred in 36.7% (95% CI, 6

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

    OpenAIRE

    Nguyen, J.; Le, Q. H.; Duong, B. H.; Sun, P.; Pham, H. T.; Ta, V. T.; Kotsopoulos, J.; Narod, S. A.; Ginsburg, O.

    2016-01-01

    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 path...

  3. Pedagogical Study into Tertiary Learning Styles in Vietnam

    Directory of Open Access Journals (Sweden)

    Barry Ramsay

    2016-07-01

    Full Text Available Pedagogical studies for tertiary students in Vietnam are limited and no comparative benchmarking studies with other Asian tertiary students found. As a means to fill this gap and provide a better understanding the following study using Biggs (1987c Study Process Questionnaire (SPQ, a 42-item self-report survey consisting of ratings on a 5-point scale to questions relating to respondents' study motivations and their usual study patterns was conducted with 355 respondents. Findings were consistent with Hong Kong students and supports studies carried out in other countries by Kemper et al. (1989, Kemper and Gow (1991, Niles (1995, Volet and Renshaw (1996, Ramburuth (2001 and Hua, Williams and Hoi (2007. Despite learning in a “rote” manner during their formative years, students have adapted to deeper learning approaches although there is a still a slight but insignificant bias to surface learning. They desire to achieve and get good marks although strategy is limiting their progress. According to Biggs, this is commonly caused by a language problem.

  4. The Hidden Burden of Trichinellosis in Vietnam: A Postoutbreak Epidemiological Study

    Directory of Open Access Journals (Sweden)

    Nga Vu Thi

    2013-01-01

    Full Text Available A cross-sectional study was conducted in Muong Lat town (Thanh Hoa province, North Vietnam, following the confirmed diagnosis of trichinellosis in six patients from that town who had eaten hunted wild boar meat during the Vietnamese lunar year celebration. All inhabitants who declared to have eaten undercooked or raw wild boar meat at the celebration and showed at least one clinical symptom compatible with trichinellosis were included in the study and blood sampled. Anti-Trichinella IgG were determined by ELISA and Western Blot. Seropositive persons were given appropriate albendazole treatment and were followed up. A total of 100 inhabitants met the inclusion criteria. Among these, 30 (30% had antibodies to Trichinella. Serologically confirmed cases had fever (90.0%, myalgia (86.7%, facial oedema (63.3%, diarrhoea (53.3%, and pain of the masseter muscles (43.3%. Eosinophilia was detected in 83.3% of these individuals. Clinical symptoms resolved in all patients during albendazole treatment. The results suggest that only a proportion of the trichinellosis cases had sought health care during the outbreak. There is a need to implement surveillance and better diagnosis for trichinellosis and to set up educational programs to prevent infection in North Vietnam.

  5. The impact of economic growth on health care utilization: a longitudinal study in rural Vietnam.

    Science.gov (United States)

    Thoa, Nguyen Thi Minh; Thanh, Nguyen Xuan; Chuc, Nguyen Thi Kim; Lindholm, Lars

    2013-03-16

    In many developing countries, including Vietnam, out-of-pocket payment is the principal source of health financing. The economic growth is widening the gap between rich and poor people in many aspects, including health care utilization. While inequities in health between high- and low-income groups have been well investigated, this study aims to investigate how the health care utilization changes when the economic condition is changing at a household level. We analysed a panel data of 11,260 households in a rural district of Vietnam. Of the sample, 74.4% having an income increase between 2003 and 2007 were defined as households with economic growth. We used a double-differences propensity score matching technique to compare the changes in health care expenditure as percentage of total expenditure and health care utilization from 2003 to 2005, from 2003 to 2007, and from 2005 to 2007, between households with and without economic growth. Households with economic growth spent less percentage of their expenditure for health care, but used more provincial/central hospitals (higher quality health care services) than households without economic growth. The differences were statistically significant. The results suggest that households with economic growth are better off also in terms of health services utilization. Efforts for reducing inequalities in health should therefore consider the inequality in income growth over time.

  6. Student Plagiarism in Higher Education in Vietnam: An Empirical Study

    Science.gov (United States)

    Do Ba, Khang; Do Ba, Khai; Lam, Quoc Dung; Le, Dao Thanh Binh An; Nguyen, Phuong Lien; Nguyen, Phuong Quynh; Pham, Quoc Loc

    2017-01-01

    This paper assesses and compares the prevalence of plagiarism across different student and assignment characteristics at a university in Vietnam, using the similarity index reported by the text-matching software Turnitin as a proxy measure of plagiarism on a sample of 681 student papers. The findings present a level of match higher than reported…

  7. A systematic review of scope and quality of health economic evaluation studies in Vietnam.

    Science.gov (United States)

    Tran, Bach Xuan; Nong, Vuong Minh; Maher, Rachel Marie; Nguyen, Phuong Khanh; Luu, Hoat Ngoc

    2014-01-01

    The application of health economic evaluation (HEE) evidence can play an important role in strategic planning and policy making. This study aimed to assess the scope and quality of existing research, with the goal of elucidating implications for improving the use of HEE evidence in Vietnam. A comprehensive search strategy was developed to search medical online databases (Medline, Google Scholar, and Vietnam Medical Databases) to select all types of HEE studies except cost-only analyses. Two researchers assessed the quality of selected studies using the Quality of Health Economic Studies (QHES) instrument. We selected 26 studies, including 6 published in Vietnam. The majority of these studies focused on infectious diseases (14 studies), with HIV being the most common topic (5 studies). Most papers were cost-effectiveness studies that measured health outcomes using DALY units. Using QHES, we found that the overall quality of HEE studies published internationally was much higher (mean score 88.7+13.3) than that of those published in Vietnam (mean score 67.3+22.9). Lack of costing perspectives, reliable data sources and sensitivity analysis were the main shortcomings of the reviewed studies. This review indicates that HEE studies published in Vietnam are limited in scope and number, as well as by several important technical errors or omissions. It is necessary to formalize the process of health economic research in Vietnam and to institutionalize the links between researchers and policy-makers. Additionally, the quality of HEE should be enhanced through education about research techniques, and the implementation of standard HEE guidelines.

  8. A systematic review of scope and quality of health economic evaluation studies in Vietnam.

    Directory of Open Access Journals (Sweden)

    Bach Xuan Tran

    Full Text Available INTRODUCTION: The application of health economic evaluation (HEE evidence can play an important role in strategic planning and policy making. This study aimed to assess the scope and quality of existing research, with the goal of elucidating implications for improving the use of HEE evidence in Vietnam. METHODS: A comprehensive search strategy was developed to search medical online databases (Medline, Google Scholar, and Vietnam Medical Databases to select all types of HEE studies except cost-only analyses. Two researchers assessed the quality of selected studies using the Quality of Health Economic Studies (QHES instrument. RESULTS: We selected 26 studies, including 6 published in Vietnam. The majority of these studies focused on infectious diseases (14 studies, with HIV being the most common topic (5 studies. Most papers were cost-effectiveness studies that measured health outcomes using DALY units. Using QHES, we found that the overall quality of HEE studies published internationally was much higher (mean score 88.7+13.3 than that of those published in Vietnam (mean score 67.3+22.9. Lack of costing perspectives, reliable data sources and sensitivity analysis were the main shortcomings of the reviewed studies. CONCLUSION: This review indicates that HEE studies published in Vietnam are limited in scope and number, as well as by several important technical errors or omissions. It is necessary to formalize the process of health economic research in Vietnam and to institutionalize the links between researchers and policy-makers. Additionally, the quality of HEE should be enhanced through education about research techniques, and the implementation of standard HEE guidelines.

  9. Agent Orange exposure and disease prevalence in Korean Vietnam veterans: the Korean veterans health study.

    Science.gov (United States)

    Yi, Sang-Wook; Hong, Jae-Seok; Ohrr, Heechoul; Yi, Jee-Jeon

    2014-08-01

    Between 1961 and 1971, military herbicides were used by the United States and allied forces for military purposes. Agent Orange, the most-used herbicide, was a mixture of 2,4-dichlorophenoxyacetic acid (2,4-D) and 2,4,5-trichlorophenoxyacetic acid, and contained an impurity of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD). Many Korean Vietnam veterans were exposed to Agent Orange during the Vietnam War. The aim of this study was to evaluate the association between Agent Orange exposure and the prevalence of diseases of the endocrine, nervous, circulatory, respiratory, and digestive systems. The Agent Orange exposure was assessed by a geographic information system-based model. A total of 111,726 Korean Vietnam veterans were analyzed for prevalence using the Korea National Health Insurance claims data from January 2000 to September 2005. After adjusting for covariates, the high exposure group had modestly elevated odds ratios (ORs) for endocrine diseases combined and neurologic diseases combined. The adjusted ORs were significantly higher in the high exposure group than in the low exposure group for hypothyroidism (OR=1.13), autoimmune thyroiditis (OR=1.93), diabetes mellitus (OR=1.04), other endocrine gland disorders including pituitary gland disorders (OR=1.43), amyloidosis (OR=3.02), systemic atrophies affecting the nervous system including spinal muscular atrophy (OR=1.27), Alzheimer disease (OR=1.64), peripheral polyneuropathies (OR=1.09), angina pectoris (OR=1.04), stroke (OR=1.09), chronic obstructive pulmonary diseases (COPD) including chronic bronchitis (OR=1.05) and bronchiectasis (OR=1.16), asthma (OR=1.04), peptic ulcer (OR=1.03), and liver cirrhosis (OR=1.08). In conclusion, Agent Orange exposure increased the prevalence of endocrine disorders, especially in the thyroid and pituitary gland; various neurologic diseases; COPD; and liver cirrhosis. Overall, this study suggests that Agent Orange/2,4-D/TCDD exposure several decades earlier may increase morbidity

  10. A Study of Strategic Lessons Learned in Vietnam. Omnibus Executive Summary

    Science.gov (United States)

    1980-04-28

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  11. Predictors of Men's Acceptance of Modern Contraceptive Practice: Study in Rural Vietnam

    Science.gov (United States)

    Ha, Bui Thi Thu; Jayasuriya, Rohan; Owen, Neville

    2005-01-01

    Studies have shown family planning adoption is likely to be more effective for women when men are actively involved. The transtheoretical model of behavior change was used to examine men's involvement in general contraception and intrauterine device (IUD) use by their wives. The study was carried out in rural Vietnam with 651 eligible…

  12. Cost of Hospitalization for Foodborne Diarrhea: A Case Study from Vietnam.

    Science.gov (United States)

    Hoang, Van Minh; Tran, Tuan Anh; Ha, Anh Duc; Nguyen, Viet Hung

    2015-11-01

    Vietnam is undergoing a rapid social and economic developments resulting in speedy urbanization, changes in methods for animal production, food marketing systems, and food consumption habits. These changes will have major impacts on human exposures to food poisoning. The present case study aimed to estimate hospitalization costs of foodborne diarrhea cases in selected health facilities in Vietnam. This is a facility-based cost-of-illness study conducted in seven health facilities in Northern Vietnam. All suspect cases of foodborne diarrhea, as diagnosed by doctors, who admitted to the studied health facilities during June-August, 2013 were selected. Costs associated with hospitalization for foodborne diseases were estimated from societal perspective using retrospective approach. We included direct and indirect costs of hospitalization of foodborne diarrhea cases. During the study period, 87 foodborne diarrhea cases were included. On average, the costs per treatment episode and per hospitalization day for foodborne diarrhea case were US$ 106.9 and US$ 33.6 respectively. Indirect cost (costs of times to patient, their relatives due to the patient's illness) made up the largest share (51.3%). Direct medical costs accounted for 33.8%; direct non-medical costs (patient and their relatives) represented 14.9%. Cost levels and compositions varied by level of health facilities. More attentions should be paid on prevention, control of foodborne diarrhea cases in Vietnam. Ensuring safety of food depends on efforts of everyone involved in food chain continuum, from production, processing, and transport to consumption.

  13. Recourse seeking and intervention in the context of intimate partner violence in Vietnam: a qualitative study

    NARCIS (Netherlands)

    Schuler, S.R.; Lenzi, R.; Hoang, T.A.; Vu, S.H.; Yount, K.M.; Quach, T.T

    2016-01-01

    This qualitative study examines attitudes toward recourse seeking and intervention in cases of intimate partner violence (IPV) against women in periurban Vietnam. The data come from 20 open-ended interviews, 4 focus group discussions, and 40 cognitive interviews conducted with married men and women.

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

    Directory of Open Access Journals (Sweden)

    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.

  15. Agro-environmental determinants of avian influenza circulation: a multisite study in Thailand, Vietnam and Madagascar.

    Directory of Open Access Journals (Sweden)

    Mathilde C Paul

    Full Text Available Outbreaks of highly pathogenic avian influenza have occurred and have been studied in a variety of ecological systems. However, differences in the spatial resolution, geographical extent, units of analysis and risk factors examined in these studies prevent their quantitative comparison. This study aimed to develop a high-resolution, comparative study of a common set of agro-environmental determinants of avian influenza viruses (AIV in domestic poultry in four different environments: (1 lower-Northern Thailand, where H5N1 circulated in 2004-2005, (2 the Red River Delta in Vietnam, where H5N1 is circulating widely, (3 the Vietnam highlands, where sporadic H5N1 outbreaks have occurred, and (4 the Lake Alaotra region in Madagascar, which features remarkable similarities with Asian agro-ecosystems and where low pathogenic avian influenza viruses have been found. We analyzed H5N1 outbreak data in Thailand in parallel with serological data collected on the H5 subtype in Vietnam and on low pathogenic AIV in Madagascar. Several agro-environmental covariates were examined: poultry densities, landscape dominated by rice cultivation, proximity to a water body or major road, and human population density. Relationships between covariates and AIV circulation were explored using spatial generalized linear models. We found that AIV prevalence was negatively associated with distance to the closest water body in the Red River Delta, Vietnam highlands and Madagascar. We also found a positive association between AIV and duck density in the Vietnam highlands and Thailand, and with rice landscapes in Thailand and Madagascar. Our findings confirm the important role of wetlands-rice-ducks ecosystems in the epidemiology of AI in diverse settings. Variables influencing circulation of the H5 subtype in Southeast Asia played a similar role for low pathogenic AIV in Madagascar, indicating that this area may be at risk if a highly virulent strain is introduced.

  16. Agro-environmental determinants of avian influenza circulation: a multisite study in Thailand, Vietnam and Madagascar.

    Science.gov (United States)

    Paul, Mathilde C; Gilbert, Marius; Desvaux, Stéphanie; Andriamanivo, Harena Rasamoelina; Peyre, Marisa; Khong, Nguyen Viet; Thanapongtharm, Weerapong; Chevalier, Véronique

    2014-01-01

    Outbreaks of highly pathogenic avian influenza have occurred and have been studied in a variety of ecological systems. However, differences in the spatial resolution, geographical extent, units of analysis and risk factors examined in these studies prevent their quantitative comparison. This study aimed to develop a high-resolution, comparative study of a common set of agro-environmental determinants of avian influenza viruses (AIV) in domestic poultry in four different environments: (1) lower-Northern Thailand, where H5N1 circulated in 2004-2005, (2) the Red River Delta in Vietnam, where H5N1 is circulating widely, (3) the Vietnam highlands, where sporadic H5N1 outbreaks have occurred, and (4) the Lake Alaotra region in Madagascar, which features remarkable similarities with Asian agro-ecosystems and where low pathogenic avian influenza viruses have been found. We analyzed H5N1 outbreak data in Thailand in parallel with serological data collected on the H5 subtype in Vietnam and on low pathogenic AIV in Madagascar. Several agro-environmental covariates were examined: poultry densities, landscape dominated by rice cultivation, proximity to a water body or major road, and human population density. Relationships between covariates and AIV circulation were explored using spatial generalized linear models. We found that AIV prevalence was negatively associated with distance to the closest water body in the Red River Delta, Vietnam highlands and Madagascar. We also found a positive association between AIV and duck density in the Vietnam highlands and Thailand, and with rice landscapes in Thailand and Madagascar. Our findings confirm the important role of wetlands-rice-ducks ecosystems in the epidemiology of AI in diverse settings. Variables influencing circulation of the H5 subtype in Southeast Asia played a similar role for low pathogenic AIV in Madagascar, indicating that this area may be at risk if a highly virulent strain is introduced.

  17. Sun-Earth System Interaction studies over Vietnam: an international cooperative project

    Directory of Open Access Journals (Sweden)

    C. Amory-Mazaudier

    2006-12-01

    Full Text Available During many past decades, scientists from various countries have studied separately the atmospheric motions in the lower atmosphere, in the Earth's magnetic field, in the magnetospheric currents, etc. All of these separate studies lead today to the global study of the Sun and Earth connections, and as a consequence, new scientific programs (IHY- International Heliophysical Year, CAWSES- Climate and Weather in the Sun-Earth System are defined, in order to assume this new challenge. In the past, many scientists did not have the possibility to collect data at the same time in the various latitude and longitude sectors. Now, with the progress of geophysical sciences in many developing countries, it is possible to have access to worldwide data sets. This paper presents the particularities of geophysical parameters measured by the Vietnamese instrument networks. It introduces a cooperative Vietnamese-IGRGEA (International Geophysical Research Group Europe Africa project, and presents, for the first time, to the international community, the geophysical context of Vietnam. Concerning the ionosphere: since 1963, during four solar cycles, the ionosonde at Phu Thuy (North Vietnam was operating. The Phu Thuy data exhibits the common features for the ionospheric parameters, previously observed in other longitude and latitude sectors. The critical frequencies of the E, F1 and F2 ionospheric layers follow the variation of the sunspot cycle. F2 and E critical frequencies also exhibit an annual variation. The first maps of TEC made with data from GPS receivers recently installed in Vietnam illustrate the regional equatorial pattern, i.e. two maxima of electronic density at 15° N and 15° S from the magnetic equator and a trough of density at the magnetic equator. These features illustrate the equatorial fountain effect. Concerning the Earth's magnetic field: a strong amplitude of the equatorial electrojet was first observed by the CHAMP satellite at the height

  18. Sun-Earth System Interaction studies over Vietnam: an international cooperative project

    Directory of Open Access Journals (Sweden)

    C. Amory-Mazaudier

    2006-12-01

    Full Text Available During many past decades, scientists from various countries have studied separately the atmospheric motions in the lower atmosphere, in the Earth's magnetic field, in the magnetospheric currents, etc. All of these separate studies lead today to the global study of the Sun and Earth connections, and as a consequence, new scientific programs (IHY- International Heliophysical Year, CAWSES- Climate and Weather in the Sun-Earth System are defined, in order to assume this new challenge. In the past, many scientists did not have the possibility to collect data at the same time in the various latitude and longitude sectors. Now, with the progress of geophysical sciences in many developing countries, it is possible to have access to worldwide data sets. This paper presents the particularities of geophysical parameters measured by the Vietnamese instrument networks. It introduces a cooperative Vietnamese-IGRGEA (International Geophysical Research Group Europe Africa project, and presents, for the first time, to the international community, the geophysical context of Vietnam.

    Concerning the ionosphere: since 1963, during four solar cycles, the ionosonde at Phu Thuy (North Vietnam was operating. The Phu Thuy data exhibits the common features for the ionospheric parameters, previously observed in other longitude and latitude sectors. The critical frequencies of the E, F1 and F2 ionospheric layers follow the variation of the sunspot cycle. F2 and E critical frequencies also exhibit an annual variation. The first maps of TEC made with data from GPS receivers recently installed in Vietnam illustrate the regional equatorial pattern, i.e. two maxima of electronic density at 15° N and 15° S from the magnetic equator and a trough of density at the magnetic equator. These features illustrate the equatorial fountain effect.

    Concerning the Earth's magnetic field: a strong amplitude of the equatorial electrojet was first observed by the

  19. The mortality and cancer experience of New Zealand Vietnam war veterans: a cohort study.

    Science.gov (United States)

    McBride, David; Cox, Brian; Broughton, John; Tong, Darryl

    2013-09-03

    The aim was to observe the patterns of mortality and cancer incidence in New Zealand Vietnam veterans. The objectives were to assess whether the patterns of disease observed were consistent with those associated with military service in Vietnam, and similar to the patterns identified in other groups of Vietnam veterans. A historical cohort study. Veterans, identified from service records, with Vietnam service between 1964 and 1972. Of the 3322 survivors of Vietnam service, we followed up 2783 (84%). Standardised mortality and incidence ratios (SMRs and SIRs, respectively) were calculated based on the number of deaths and cancer registrations observed, those expected being based on New Zealand national rates. All cause mortality was significantly reduced (SMR 0.85, 95% CI 0.77 to 0.94) and cancer incidence non-significantly increased (SIR 1.06, 95% CI 0.97 to 1.16). The risk of mortality from cancers of the head and neck (SMR 2.20, 95% CI 1.09 to 3.93); oral cavity pharynx and larynx (SMR 2.13, 95% CI 1.06 to 3.81) and the incidence of chronic lymphatic leukaemia (CLL) (SIR 1.91, 95% CI 1.04 to 3.20) were, however, significantly increased. Other lymphohaematopoietic disorders, specifically multiple myeloma and Hodgkin disease, showed non-significant mortality excesses, reflected by a similar increase in incidence. Service in the Vietnam war was associated with defoliant herbicide exposure, including 2,4,5-trichlorophenoxyacetic acid, 2,4-dichlorophenoxyacetic acid, picloram and cacodylic acid. Subsequent reviews of mechanistic, animal and epidemiological evidence led to certain conditions being deemed compensable. The pattern of mortality and cancer incidence is not at odds with the list of compensable conditions and consistent with that found in Australian veterans serving in the same area of Vietnam, but also consistent with smoking and the healthy soldier effect. In common with the Australian experience, this is the only veterans group to show a significant

  20. Agroforestry and sustainable vegetable production case study: Nghia Trung Village, Bu Dang District, Binh Phuoc Province, Vietnam

    OpenAIRE

    Du, L.V.

    2007-01-01

    This presentation describes soil conservation studies to be conducted in Vietnam, LTR-5 site. It discusses a baseline study that covered issues on no-tillage vegetable systems and soil and water conservation. It gives a profile of the study area in Vietnam, and outlines the structure of cashew production including farmer perception, intercropping and the potential for future research. LTRA-5 (Agroforestry and Sustainable Vegetable Production)

  1. Prevalence and determinants of tobacco use among school going adolescents in Cambodia and Vietnam: a cross-sectional study.

    Science.gov (United States)

    Peltzer, Karl; Pengpid, Supa

    2017-07-01

    To investigate the prevalence and correlates of tobacco use among school-going adolescents. This cross-sectional study consisted of a secondary analysis of existing cross-sectional survey data from the Global School-based Health Survey from Cambodia and Vietnam in 2013, and comprised schoolchildren. Data was analysed using Stata 13.. The study comprised 7,137 schoolchildren. The overall mean age was 15.5±1.4 years. Besides, 3,806(53.33%) were from Cambodia and 3,331(46.67%) from Vietnam. Overall, 279(5.1%) students reported currently using tobacco (smoking and/or smokeless), including 214(6.2%) boys and 65(1.6%) girls, and 127(3.6%) in Cambodia and 152(5.2%) in Vietnam. Current cigarette smoking was 239(4.5%) and smokeless tobacco use was 143(2.4%). Tobacco use was found to be significantly high among schoolchildren in Cambodia and Vietnam.

  2. Female Swedish backpackers in Vietnam: a hypotheses generating study on sexual health risks while travelling.

    Science.gov (United States)

    Dahlman, Disa; Stafström, Martin

    2013-01-01

    According to previous studies, foreign travellers and backpackers are at increased risk of sexually transmitted infections (STI). Concurrently, STI incidence, especially Chlamydia, is increasing among young Swedes. Our objective was to investigate Swedish backpackers' own view of sexual health and risks while travelling, with the purpose to identify hypotheses for further, more extensive research. In-depth semi-structured interviews were carried out in Vietnam with four Swedish women in their early twenties. The interviewees had been travelling throughout South East Asia for a period of at least two weeks. There were large differences between the respondents regarding perceived health risks in relation to food safety, STI, and alcohol and drug use; and to what extent their behaviour while travelling deviated from their normal one. In contrast, the interviewees shared a perceived lack of knowledge about sexual health abroad. The study identified six hypotheses and suggestions for preventive measures that could be analysed in future research. The study demonstrated that sexual behaviour as well as attitudes and norms were strongly linked to the individual level, rather than to the group of backpackers. Copyright © 2013 Elsevier Ltd. All rights reserved.

  3. Women with gestational diabetes in Vietnam: a qualitative study to determine attitudes and health behaviours

    OpenAIRE

    Hirst Jane E; Tran Thach; Do My An T; Rowena Forsyth; Morris Jonathan M; Jeffery Heather E

    2012-01-01

    Abstract Background Diabetes is increasing in prevalence globally, notably amongst populations from low- and middle- income countries. Gestational Diabetes Mellitus(GDM), a precursor for type 2 diabetes, is increasing in line with this trend. Few studies have considered the personal and social effects of GDM on women living in low and middle-income countries. The aim of this study was determine attitudes and health behaviours of pregnant women with GDM in Vietnam. Methods This was a qualitati...

  4. Determinant of Access to Rural Credit and Its Effect on Living Standard: Case Study about Poor Households in Northwest, Vietnam

    OpenAIRE

    Tran Thi Thanh Tu; Nguyen Quoc Viet; Hoang Huu Loi

    2015-01-01

    This study investigated the determinants of accessibility to formal credit and its effects on living standards from 2010 to 2012 based on dataset of Vietnam Households Living Standards Survey (VHLSS) from the General Statistics Office of Vietnam and support of Eview 7 program. It is evident that average of education level, land area per capita, owned residential area affect is key factors of accessing to credit; meanwhile, average of education level affects the probability to require and amou...

  5. Economic growth constraints in Vietnam: A study using the growth diagnostic approach

    Directory of Open Access Journals (Sweden)

    Nguyen Duc Thanh

    2016-04-01

    Full Text Available Recent studies have clearly pointed out a decreasing trend of Vietnam’s economic growth in the short and the medium terms. This paper presents a study applying the growth diagnostic method for Vietnam to determine growth constrains. The binding growth constrains of Vietnam are found to include a poor business environment; an underdeveloped infrastructure, especially the transportation network market; failures related to information externalities, learning externalities and coordination failures. Notably, the energy infrastructure could be a vital constraint in a near future, but is not a binding constraint at present. The inefficiency of financial intermediaries and the government’s over-investment could become a binding constraint when the economy returns to its high growth path.

  6. Government Crisis Assessment and Reputation Management. A Case Study of the Vietnam Health Minister's Crises in 2013-2014

    Directory of Open Access Journals (Sweden)

    Tuong-Minh Ly-Le

    2015-06-01

    Full Text Available In Vietnam, many government announcements have gathered negative receptions from the public. Among them, Ms. Nguyen Thi Kim Tien, Vietnam Minister of Health, has received more of it. Through the case study of Ms. Kim Tien’s many scandals during the 2013-2014 period, this study is interested to see if the health scandals eventually elevated into a government crisis, how they affected the minister’s reputation, and what she could have done to better respond to the public. This study examined news articles on such health scandals to confirm whether the health scandals indeed escalated to be a government crisis. It also identified the advantages and disadvantages of Ms. Kim Tien’s responses in restoring her reputation to the public to understand what factors contributed to public dissatisfaction toward the minister. This study concluded that poorly-managed health scandals eventually elevated into a government crisis and greatly affected the minister’s reputation. It is suggested that PR is what the government needs to deal with such situations. The research also leaves room for a quantitative approach to the case to increase the result’s validity and representativeness. Until now, as the health issues and the resignation appeals are still needed, the crisis management effort should get more attention from the government, and such study is needed to better understand the situation.

  7. Prenatal diagnosis and prevention of toxoplasmosis in pregnant women in Northern Vietnam: study protocol.

    Science.gov (United States)

    Smit, G Suzanne A; Vu, Thi Lam Binh; Do, Trung Dung; Speybroeck, Niko; Devleesschauwer, Brecht; Padalko, Elizaveta; Roets, Ellen; Dorny, Pierre

    2017-05-25

    In Vietnam, no systematic prenatal toxoplasmosis screening is in place, and only few studies have assessed the prevalence and importance of this zoonotic parasite infection. In addition, no studies have been conducted to assess the risk factors associated with toxoplasmosis. This study protocol was developed to determine the seroprevalence of toxoplasmosis in pregnant women in Hanoi and Thai Binh, Northern Vietnam, and to evaluate the association with risk factors and congenital toxoplasmosis. The protocol was developed in a way that it could potentially evolve into a countrywide prenatal diagnosis and prevention program, with the main focus on primary prevention. The collaborating gynaecologists will invite eligible pregnant women attending antenatal care for the first time to participate in the study. At first consult, information about toxoplasmosis and its prevention will be provided. All participants will be asked to fill in a questionnaire, which is designed to analyse socio-demographic and biologically plausible risk factors associated with toxoplasmosis, and blood samples will be collected to determine the seroprevalence of toxoplasmosis in pregnant women. In case there is suspicion of a primary infection during pregnancy, the concerned women will be followed-up by the gynaecologists according to a predefined protocol. Every participant will be informed on her serological status, risk factors and prevention measures and is offered appropriate medical information and medical follow-up if required. The hypothesis is that congenital toxoplasmosis is an important but currently under-diagnosed public health problem in Vietnam. This study can strengthen sustainable control of toxoplasmosis in Vietnam, provide a protocol for prenatal diagnosis, boost overall awareness, improve the knowledge about toxoplasmosis prevention and can be essential for evidence-based health policy.

  8. Heatwave and risk of hospitalization: A multi-province study in Vietnam.

    Science.gov (United States)

    Phung, Dung; Chu, Cordia; Rutherford, Shannon; Nguyen, Huong Lien Thi; Do, Cuong Manh; Huang, Cunrui

    2017-01-01

    The effects of heatwaves on morbidity in developing and tropical countries have not been well explored. The purpose of this study was to examine the relationship between heatwaves and hospitalization and the potential influence of socio-economic factors on this relationship in Vietnam. Generalized Linear Models (GLM) with Poisson family and Distributed Lag Models (DLM) were applied to evaluate the effect of heatwaves for each province (province-level effect). A random-effects meta-analysis was applied to calculate the pooled estimates (country-level effects) for 'all causes', infectious, cardiovascular, and respiratory admissions queried by lag days, regions, sex, and ages. We used random-effects meta-regression to explore the potential influence of socio-economic factors on the relationship between heatwaves and hospitalization. The size of province-level effects varied across provinces. The pooled estimates show that heatwaves were significantly associated with a 2.5% (95%CI: 0.8-4.3) and 3.8% (95%CI, 1.5-6.2) increase in all causes and infectious admissions at lag 0. Cardiovascular and respiratory admissions (0.8%, 95%CI: -1.6-3.3; 2.2%, 95%CI: -0.7-5.2) were not significantly increased after a heatwave event. The risk of hospitalization due to heatwaves was higher in the North than in the South for all causes (5.4%, 95%CI: -0.1-11.5 versus 1.3%, 95%CI: 0.1-2.6), infectious (11.2%, 95%CI: 3.1-19.9 versus 3.2%, 95%CI: 0.7-5.7), cardiovascular (7.5%, 95%CI: 1.1-14.4 versus -1.2%, 95%CI: -2.6-2.3), and respiratory diseases (2.7%, 95%CI: -5.4-11.5 versus 2.1%, 95%CI: -0.8-1.2). A non-significant influence of socio-economic factors on the relationship between heatwave and hospitalization was observed. This study provides important evidence and suggests implications for the projected impacts of climate change related extreme weather. Climate change adaptation programs of the health sector should be developed to protect residents from the effects of extreme

  9. Air Pollution Determination Using Remote Sensing Technique: A Case Study In Quangninh Province, Vietnam

    OpenAIRE

    Le Hung Trinh

    2016-01-01

    Vietnam is a country rich in mineral resources, including coal, copper, oil, natural gas etc. Coal reserves, located mainly in the Quang Ninh province, have been estimated as high as 8.6 billion tons. Alongside with economic and social benefits, coal mining has negative impacts on the environment, such as air and water pollution. This article presents study on application of remote sensing technique for evaluation of air pollution influence on the mining area of Quang Ninh province, the north...

  10. Agent Orange exposure and cancer incidence in Korean Vietnam veterans: a prospective cohort study.

    Science.gov (United States)

    Yi, Sang-Wook; Ohrr, Heechoul

    2014-12-01

    During the Vietnam War, US and allied military sprayed approximately 77 million liters of tactical herbicides including Agent Orange, contaminated with 2,3,7,8-tetrachlorodibenzo-p-dioxin. To the authors' knowledge, few studies to date have examined the association between Agent Orange exposure and cancer incidence among Korean veterans who were exposed to Agent Orange during the Vietnam War. An Agent Orange exposure index, based on the proximity of the veteran's military unit to the area that was sprayed with Agent Orange, was developed using a geographic information system-based model. Cancer incidence was followed for 180,251 Vietnam veterans from 1992 through 2003. After adjustment for age and military rank, high exposure to Agent Orange was found to significantly increase the risk of all cancers combined (adjusted hazards ratio [aHR], 1.08). Risks for cancers of the mouth (aHR, 2.54), salivary glands (aHR, 6.96), stomach (aHR, 1.14), and small intestine (aHR, 2.30) were found to be significantly higher in the high-exposure group compared with the low-exposure group. Risks for cancers of all sites combined (aHR, 1.02) and for cancers of the salivary glands (aHR, 1.47), stomach (aHR, 1.03), small intestine (aHR, 1.24), and liver (aHR, 1.02) were elevated with a 1-unit increase in the exposure index. Exposure to Agent Orange several decades earlier may increase the risk of cancers in all sites combined, as well as several specific cancers, among Korean veterans of the Vietnam War, including some cancers that were not found to be clearly associated with exposure to Agent Orange in previous cohort studies primarily based on Western populations. © 2014 American Cancer Society.

  11. Elevated sister chromatid exchange frequencies in New Zealand Vietnam War veterans.

    Science.gov (United States)

    Rowland, R E; Edwards, L A; Podd, J V

    2007-01-01

    From July 1965 until November 1971, New Zealand Defence Force Personnel fought in the Vietnam War. During this time more than 76,500,000 litres of phenoxylic herbicides were sprayed over parts of Southern Vietnam and Laos, the most common being known as 'Agent Orange'. The current study aimed to ascertain whether or not New Zealand Vietnam War veterans show evidence of genetic disturbance arising as a consequence of their now confirmed exposure to these defoliants. A sample group of 24 New Zealand Vietnam War veterans and 23 control volunteers were compared using an SCE (sister chromatid exchange) analysis. The results from the SCE study show a highly significant difference (P Vietnam War veterans studied here were exposed to a clastogenic substance(s) which continues to exert an observable genetic effect today, and suggest that this is attributable to their service in Vietnam. Copyright 2007 S. Karger AG, Basel.

  12. Review: Results of studying atmospheric corrosion in Vietnam 1995–2005

    Directory of Open Access Journals (Sweden)

    Le Thi Hong Lien, Pham Thy San and Hoang Lam Hong

    2007-01-01

    Full Text Available Vietnam is situated in the wet tropical zone; thus, atmospheric conditions are characterized by high temperatures and a long time of wetness (TOW. In addition, the salt air coming in from the sea causes a high chloride concentration in coastal areas. Furthermore, Vietnam is a developing country, which means that air pollution is increasing with the development of industry. These factors result in significant damage to materials by atmospheric corrosion. In this report, the results of a recent study on the corrosion of carbon steel and zinc-galvanized steel at 6–8 testing sites in Vietnam over 10 recent years (1995–2005 are focused on as well as the effects of environmental factors on atmospheric corrosion. The results showed that the corrosion of carbon steel is dominated by TOW, whereas zinc-galvanized-steel corrosion strongly depends on the chloride ion concentration in the air. The corrosion losses of both carbon- and zinc-galvanized steel fit the power model well with high correlation coefficients. In addition, the characteristics of the Vietnamese climate are introduced in the form of distribution maps of temperature (T, relative humidity (RH, total rainfall and TOW. A relationship between TOW, T and RH was found that enabled the calculation of TOW from T and RH data, which are available at meteorological stations. Finally, atmospheric corrosivity is determined on the basis of data on TOW, Cl− and SO2 concentrations, and the carbon steel corrosion rate. It is shown that in Vietnam, TOW is so long that the corrosion rate of carbon steel is in the C3 category; nevertheless, Cl− and SO2 concentrations in the atmosphere are not high.

  13. Nutritional status and postoperative outcomes in patients with gastrointestinal cancer in Vietnam: a retrospective cohort study.

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    Loan, Bui Thi Hong; Nakahara, Shinji; Tho, Bui An; Dang, Tran Ngoc; Anh, Le Ngoc; Huy, Nguyen Do; Ichikawa, Masao

    2017-12-06

    Nutritional support for surgical care is crucial because hospital malnutrition is rather common. However, low- and middle-income countries have not adequately addressed nutritional management of surgical patients. To highlight need for nutritional management in surgical patients, the present study aimed to describe preoperative nutritional status in patients who underwent gastrointestinal cancer surgery in Vietnam and to investigate the relationship between preoperative malnutrition and adverse outcomes, such as postoperative complications and prolonged length of hospital stay. We reviewed medical records of patients who underwent a major curative surgery for gastrointestinal cancer at the national hospital in Ho Chi Minh City, Vietnam. We identified preoperative malnutrition based on body mass index and serum albumin level, and postoperative complications in the first 30 d postoperative. We estimated the relative influence of malnutrition on complications and length of hospital stay using multivariate regression models. Of 459 eligible patients, 63% had colorectal cancer, 33% gastric cancer, and 4% esophageal cancer. The prevalence of malnutrition was 19%. No patients died during hospitalization; however, 26% developed complications after surgery. The average length of hospital stay was 14 d. After controlling for potential confounders, preoperative malnutrition was associated with an increased risk of postoperative complications (odds ratio = 1.97) and prolonged hospital stay (2.8 d). Preoperative malnutrition affects surgical outcomes among patients with gastrointestinal cancer in Vietnam. We recommend implementing preoperative nutritional interventions to achieve better outcomes among surgical cancer patients. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Using Landsat Images for Studying Land Use Dynamics and Soil Degradation - Case Study in Tamduong District, Vinhphuc Province, Vietnam

    NARCIS (Netherlands)

    Trinh, M.V.; Dinh Duong, N.; Keulen, van H.

    2005-01-01

    Tamduong district, Vinhphuc province, is representative for vast areas in the north of Vietnam where soils are strongly degraded and erosion has led to patches of bare soil with exposure of parent material, and crop yields on these soils are strongly reduced. The aims of this study are to apply

  15. Exchange rate determination in Vietnam

    OpenAIRE

    Thai-Ha Le

    2015-01-01

    This study investigates the determinants of the exchange rate in Vietnam and suggests policy implications. Gregory-Hansen cointegration tests and generalised variance decomposition (VDC) analysis were applied to monthly data from July 2004 to December 2013. The model was built based on the three popular approaches to exchange rate determination, which are purchasing power parity (PPP) approach, balance of payment (BOP) approach, and monetary and portfolio approach. This study finds that the p...

  16. Does Combat Exposure Make You a More Violent or Criminal Person? Evidence from the Vietnam Draft

    Science.gov (United States)

    Rohlfs, Chris

    2010-01-01

    This study exploits the differential effects of the Vietnam War across birth cohorts to measure the effects of combat exposure on later violence and crime. Combat exposure and violent acts are measured using self-reports from the National Vietnam Veterans Readjustment Study. I find large positive effects on violence for blacks, suggestive evidence…

  17. A Prospective Study of Mortality and Trauma-Related Risk Factors Among a Nationally Representative Sample of Vietnam Veterans.

    Science.gov (United States)

    Schlenger, William E; Corry, Nida H; Williams, Christianna S; Kulka, Richard A; Mulvaney-Day, Norah; DeBakey, Samar; Murphy, Catherine M; Marmar, Charles R

    2015-12-15

    Because Vietnam veterans comprise the majority of all living veterans and most are now older adults, the urgency and potential value of studying the long-term health effects of service in the Vietnam War, including effects on mortality, is increasing. The present study is the first prospective mortality assessment of a representative sample of Vietnam veterans. We used one of the longest follow-up periods to date (spanning older adulthood) and conducted one of the most comprehensive assessments of potential risk factors. Vital status and cause of death were ascertained for the 1,632 veterans who fought in the Vietnam theater (hereafter referred to as theater veterans) and for 716 Vietnam War-era veterans (hereafter referred to as era veterans) who participated in the National Vietnam Veterans Readjustment Study (1987-2011). As of April 2011, 16.0% (95% confidence interval: 13.1, 19.0) of all Vietnam veterans who were alive in the 1980s were deceased. Male theater veterans with a high probability of posttraumatic stress disorder (PTSD) were nearly 2 times more likely to have died than were those without PTSD, even after adjustment for sociodemographic and other characteristics. A high level of exposure to war zone stress was independently associated with mortality for both male and female theater veterans after adjustment for sociodemographic characteristics, PTSD, and physical comorbid conditions. Theater veterans with a high level of exposure to war zone stress and a high probability of PTSD had the greatest mortality risk (adjusted hazard ratio = 2.34, 95% confidence interval: 1.24, 4.43). © The Author 2015. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  18. Attempted suicide in Vietnam

    OpenAIRE

    Tran Thi Thanh, Huong

    2006-01-01

    Suicide and attempted suicide is currently a major public health problem in rapidly developing countries but there are limited studies on this field in Asian countries. These are the first studies on suicidal behavior in Vietnam. The aim of the studies was to: 1) investigate the prevalence of suicide attempts, plans, ideation and medical attention following a suicide attempt in Vietnam and in nine other countries, 2) investigate the relation between lifetime suicidal tho...

  19. Study Suggests Brain Is Hard-Wired for Chronic Pain

    Science.gov (United States)

    ... News Release Tuesday, September 17, 2013 NIH-funded study suggests brain is hard-wired for chronic pain ... Apkarian, Ph.D., a senior author of the study and professor of physiology at Northwestern University Feinberg ...

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

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    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.

  1. The phytogeographic note on the orchids flora of Vietnam: a case study from the Hon Ba Nature Reserve, Central Vietnam

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    Vuong Ba Truong

    2016-06-01

    Full Text Available The survey of the Orchid flora at Hon Ba Nature Reserve, where was a part of the famous Annamite Range in Vietnam, had been achieved from March to December 2014. A total of 106 species in 4 life forms were accounted i.e. epiphyte (67 species, terrestrial (20 species, lithophyte (13 species and mycoheterotrophic (6 species. Among those, there were two newly recorded species to the Annamite Range i.e. Lecanorchis nigricans Honda and Bulbophyllum dasystachys J.J.Verm., P. Thavipoke & J. Phelps. The most diverse genera were Dendrobium, Bulbophyllum, Liparis and Paphiopedilum respectively. The result area revealed that the Annamite Range performed as a “cross road” of 4 floristic regions in Asia, i.e. the Himalayan Range, the Indo-China Mainland and Myanmar, the Sino-Japanese and the Malesian Region.

  2. Supplier selection by Using AHP-TOPSIS and Goal Programming - A case Study in Casumina Rubber Company - Vietnam

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    Chi Ha Thi Xuan

    2016-01-01

    Full Text Available Suppliers, one of the important factors, directly affect to trade strategy of a company which frequently changed. Evaluating the supplier’s abilities is a required step to select the appropriate supplier who ensure meet the demands of the company flexibly. This paper integrates both MADM and MODM approaches considering quantitative and qualitative techniques to support decision makers select the best solution under criteria and goals suggested by the company in different period. Analytic Hierarchy Process (AHP and Technique for Order Preference by Similarity to Ideal Solution method (TOPSIS are used to weigh criteria and obtain total score for each alternative, respectively. In addition, Goal Programming (GP allows defining priorities of goals and conflicted goals as the company expects to achieve. This study combines three methods solving the supplier section issue for Casumina Rubber Company in Vietnam.

  3. Studying Injured Minds’ - The Vietnam Head Injury Study and 40 years of brain injury research

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    Vanessa eRaymont

    2011-03-01

    Full Text Available The study of those who have sustained traumatic brain injuries (TBI during military conflicts has greatly facilitated research in the fields of neuropsychology, neurosurgery, psychiatry, neurology and neuroimaging. The Vietnam Head Injury Study (VHIS is a prospective, long-term follow-up study of a cohort of 1,221 Vietnam veterans with mostly penetrating brain injuries, which has stretched over more than 40 years. The scope of this study, both in terms of the types of injury and fields of examination, has been extremely broad. It has been instrumental in extending the field of TBI research and in exposing pressing medical and social issues that affect those who suffer such injuries. This review summarizes the history of conflict-related TBI research and the VHIS to date, as well as the vast range of important findings the VHIS has established.

  4. Baby Teeth Link Autism and Heavy Metals, NIH Study Suggests

    Science.gov (United States)

    ... Release Thursday, June 1, 2017 Baby teeth link autism and heavy metals, NIH study suggests Cross-section ... Sinai Health System Baby teeth from children with autism contain more toxic lead and less of the ...

  5. Even Your Bones Can Get Fat, Mouse Study Suggests

    Science.gov (United States)

    ... medlineplus.gov/news/fullstory_166422.html Even Your Bones Can Get Fat, Mouse Study Suggests But running rodents improved their ... the hows and whys behind exercise's impact on bone fat composition remains murky. She said her current focus ...

  6. Eye Problems May Be Tied to Zika, Lab Study Suggests

    Science.gov (United States)

    ... 165947.html Eye Problems May Be Tied to Zika, Lab Study Suggests Work with monkeys indicates birth ... 25, 2017 (HealthDay News) -- Scientists exploring how the Zika virus passes from pregnant monkeys to their fetuses ...

  7. Pathways to malaria persistence in remote central Vietnam: a mixed-method study of health care and the community

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    Doan Nhan H

    2009-03-01

    Full Text Available Abstract Background There is increasing interest in underlying socio-cultural, economic, environmental and health-system influences on the persistence of malaria. Vietnam is a Mekong regional 'success story' after dramatic declines in malaria incidence following introduction of a national control program providing free bed-nets, diagnosis and treatment. Malaria has largely retreated to pockets near international borders in central Vietnam, where it remains a burden particularly among impoverished ethnic minorities. In these areas commune and village health workers are lynchpins of the program. This study in the central province of Quang Tri aimed to contribute to more effective malaria control in Vietnam by documenting the non-biological pathways to malaria persistence in two districts. Methods Multiple and mixed (qualitative and quantitative methods were used. The formative stage comprised community meetings, observation of bed-net use, and focus group discussions and semi-structured interviews with health managers, providers and community. Formative results were used to guide development of tools for the assessment stage, which included a provider quiz, structured surveys with 160 community members and 16 village health workers, and quality check of microscopy facilities and health records at district and commune levels. Descriptive statistics and chi-square analysis were used for quantitative data. Results The study's key findings were the inadequacy of bed-nets (only 45% of households were fully covered and sub-optimal diagnosis and treatment at local levels. Bed-net insufficiencies were exacerbated by customary sleeping patterns and population mobility. While care at district level seemed good, about a third of patients reportedly self-discharged early and many were lost to follow-up. Commune and village data suggested that approximately half of febrile patients were treated presumptively, and 10 village health workers did not carry

  8. Direct Medical Costs of Dengue Fever in Vietnam: A Retrospective Study in a Tertiary Hospital.

    Science.gov (United States)

    Vo, Nhung Thi Tuyet; Phan, Trang Ngo Diem; Vo, Trung Quang

    2017-05-01

    In Vietnam, dengue fever is a major health concern, yet comprehensive information on its economic costs is lacking. The present study investigated treatment costs associated with dengue fever from the perspective of health care provision. This retrospective study was conducted between January 2013 and December 2015 in Cu Chi General Hospital. The following dengue-related treatment costs were calculated: hospitalisation, diagnosis, specialised services, drug usage and medical supplies. Average cost per case and treatment cost across different age was calculated. In the study period, 1672 patients with dengue fever were hospitalised. The average age was 24.98 (SD = 14.10) years, and 47.5% were males (795 patients). Across age groups, the average cost per episode was USD 48.10 (SD = 3.22). The highest costs (USD 56.61, SD = 48.84) were incurred in the adult age group (> 15 years), and the lowest costs (USD 30.10, SD = 17.27) were incurred in the paediatric age group (< 15 years). The direct medical costs of dengue-related hospitalisation place a severe economic burden on patients and their families. The probable economic value of dengue management in Vietnam is significant.

  9. Postpartum Depressive Symptoms and Associated Factors in Married Women: A Cross-sectional Study in Danang City, Vietnam

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    Thang Van Vo

    2017-04-01

    Full Text Available IntroductionPostpartum depression (PPD among women is a common mental health concern. It occurs at a time of major life change, coupled with the increased responsibilities associated with the care of a newborn infant. In Vietnam, the prevalence of depressive symptoms after giving birth has not been fully investigated. Research in the Northern provinces, in Ho Chi Minh City, and in Hue suggests postnatal depressive symptoms among women are common. This research aims to (1 estimate the prevalence of PPD symptoms among married women in one Vietnam city (Danang and (2 identify the social and personal factors associated with postpartum depressive symptoms.MethodsThis cross-sectional study was conducted from July 2013 to August 2014 in 10 wards of Hai Chau District, Danang. A total of 600 mothers who gave birth 4 weeks to 6 months prior to being interviewed were recruited. Interviews were conducted using structured questionnaires, which included several dimensions: demographics, family living arrangements, expectations of pregnancy, expectations of infant gender, the woman’s relationship with her husband, exercise after birth, infant health, and anxiety about matters other than the birth. The Edinburgh Postpartum Depression Scale (EPDS was used to examine PPD symptoms, with a cutoff point of 12/13.ResultsEPDS scores indicated the prevalence of PPD symptoms was 19.3% (95% CI: 16.16–22.50. Among women with PPD symptoms, 37.9% had suicidal thoughts in the previous seven days. Multivariate logistic regression indicated that the following key factors were significantly associated with PPD symptoms: Not being able to rely on their husband for help, having a husband who does not spend time to discuss problems, having anxiety about matters other than the birth, not exercising after giving birth, and having an ill baby.ConclusionThese findings should be interpreted in relation to other recent research in Vietnam. A consistent pattern of prevalence

  10. Strengthening pharmacy practice in vietnam: findings of a training intervention study.

    Science.gov (United States)

    Minh, Pham Duc; Huong, Dinh Thi Mai; Byrkit, Ramona; Murray, Marjorie

    2013-04-01

    To assess the effectiveness of a training and supportive supervision intervention in strengthening the capacity of pharmacy staff in Vietnam to deliver client-oriented, accurate healthcare information and appropriate services for childhood diarrhoea and emergency contraceptive pills (ECP). Pre- and post-intervention study using a cross-sectional design. Pharmacy staff participated in 3 days of training on customer relations, good pharmacy practice, childhood diarrhoea and ECP over a period of 1 month, consisting of lectures, discussion, question-and-answer sessions and role-playing. We compared baseline and 6-month post-intervention surveys to ascertain changes in knowledge, attitudes and practice of pharmacists, using univariate statistics to find significant differences. More than 1200 pharmacists received training and supportive supervision. After interventions, pharmacy staff knowledge was significantly improved on most of the measured indicators. Knowledge of dehydration symptoms for diarrhoea increased from 19% to 88%, and for side effects of ECP increased from 27% to 77%. While assessment of actual practice revealed that this knowledge was not always used, significant improvement was observed. Before interventions, 12% gave information on dehydration symptoms but 45% did so afterwards. The proportion giving information on side effects of ECP increased from 13% to 54%. Providing a programme of training and supportive supervision is an effective way to improve knowledge and practice of pharmacists at private pharmacies in Vietnam. These improvements have the potential to lead to better community health care. © 2013 Blackwell Publishing Ltd.

  11. Case study: Methadone maintenance treatment in Hanoi, Vietnam

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    Jardine Melissa

    2012-07-01

    Full Text Available Abstract Methadone maintenance therapy (MMT was introduced in the rapidly developing semi-rural district of Tu Liem in Hanoi in December, 2009. Commune police play an integral role in determining which injecting drug users (IDUs are eligible to commence and continue MMT. This case study highlights the importance of providing training to commune police about MMT to mitigate negative impacts drug law enforcement can have on IDU accessibility to MMT programs.

  12. Tax morale and reciprocity. A case study from Vietnam

    OpenAIRE

    Jahnke, Björn

    2015-01-01

    Understanding the effects of reciprocity on tax morale is crucial to explain tax compliance behavior. However, there is only little research about which sources of reciprocity affect tax morale most. Thus, this paper for the first time gauges the effects from two sources of reciprocity on tax morale in an empirical study. The first source, vertical reciprocity, measures how tax payers value their contributions to the government. The second source, horizontal reciprocity, examines the impact o...

  13. Viral Etiology of Encephalitis in Children in Southern Vietnam: Results of a One-Year Prospective Descriptive Study

    NARCIS (Netherlands)

    Tan, L.V.; Qui, P.T.; Ha, D.Q.; Hue, N.B.; Bao, L.Q.; Cam, B.V.; Khanh, T.H.; Hien, T.T.; Chau, N.V.V.; Tram, T.T.; Hien, V.M.; Nga, T.V.T.; Schultsz, C.; Farrar, J.; van Doorn, H.R.; de Jong, M.D.

    2010-01-01

    Background: Acute encephalitis is an important and severe disease in children in Vietnam. However, little is known about the etiology while such knowledge is essential for optimal prevention and treatment. To identify viral causes of encephalitis, in 2004 we conducted a one-year descriptive study at

  14. Factors Influencing the Educational and Career Choices of Senior High School Students: A Case Study in Vietnam

    Science.gov (United States)

    La, Thuy T.

    2009-01-01

    This exploratory qualitative study examined factors that could influence the educational and career decision-making of the senior students in the Northern part of Vietnam. The researcher was interested in the students and their parents' perceptions of the contextual factors, gender, individual factors, and the challenges that contribute to the…

  15. The epidemiology and aetiology of diarrhoeal disease in infancy in southern Vietnam: a birth cohort study

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    Katherine L. Anders

    2015-06-01

    Conclusions: The minimum incidence of diarrhoeal disease in infants in both urban and semi-rural settings in southern Vietnam was quantified prospectively. A large proportion of laboratory-diagnosed disease was caused by rotavirus and norovirus. These data highlight the unmet need for a rotavirus vaccine in Vietnam and provide evidence of the previously unrecognized burden of norovirus in infants.

  16. Prevalence of Post-Traumatic Stress Disorder in Aging Vietnam-Era Veterans: Veterans Administration Cooperative Study 569: Course and Consequences of Post-Traumatic Stress Disorder in Vietnam-Era Veteran Twins.

    Science.gov (United States)

    Goldberg, Jack; Magruder, Kathryn M; Forsberg, Christopher W; Friedman, Matthew J; Litz, Brett T; Vaccarino, Viola; Heagerty, Patrick J; Gleason, Theresa C; Huang, Grant D; Smith, Nicholas L

    2016-03-01

    The prevalence of post-traumatic stress disorder (PTSD) among aging Vietnam-era veterans is not well characterized. In a cross-sectional study, 5,598 male Vietnam-era veterans and members of the Vietnam Era Twin Registry were assessed for PTSD using the Composite International Diagnostic Interview. Current symptoms were measured with the PTSD Checklist (PCL). PTSD was estimated according to age (aged at least 60 years was 16.9% (95% CI: 13.9%-20.5%) and higher than the 5.5% (95% CI: 4.3%-7.0%) among nontheater veterans. Among veterans younger than 60 years, the comparable prevalence was 22.0% for theater (95% CI: 16.7%-28.4%) and 15.7% for nontheater (95% CI: 13.4%-18.2%) veterans. Similar results were found for theater service and current PTSD prevalence (past 12 months). PCL scores were significantly higher in theater compared with nontheater veterans in both younger and older cohorts. In both the younger and older cohorts significant differences in lifetime and current PTSD prevalence and PCL scores persisted in theater service discordant twin pairs. Vietnam service is related to elevated PTSD prevalence and current symptom burden in aging veterans. More than 30 years after the end of the Vietnam conflict, many veterans continue to suffer from PTSD, which highlights the need for continuing outreach throughout the life course. Copyright © 2016 American Association for Geriatric Psychiatry. All rights reserved.

  17. High mortality during tuberculosis treatment does not indicate long diagnostic delays in Vietnam: a cohort study

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    Sy Dinh N

    2007-08-01

    Full Text Available Abstract Background Delay in tuberculosis diagnosis and treatment initiation may increase disease severity and mortality. In evaluations of tuberculosis control programmes high fatality rates during tuberculosis treatment, are used as an indicator of long delays in low HIV-prevalence settings. However, data for this presumed association between delay and fatality are lacking. We assessed the association between diagnostic delay and mortality of new smear-positive pulmonary tuberculosis patients in Vietnam. Methods Follow-up of a patient cohort included in a survey of diagnostic delay in 70 randomly selected districts. Data on diagnosis and treatment were extracted from routine registers. Patients who had died during the course of treatment were compared to those with reported cure, completed treatment or failure (survivors. Results Complete data were available for 1881/2093 (89.9% patients, of whom 82 (4.4% had died. Fatality was 4.5% for patients with ≤ 4 weeks delay, 5.0% for 5- ≤ 8 weeks delay (aOR 1.11, 95%CI 0.67–1.84 and 3.2% for > 9 weeks delay (aOR 0.69, 95%CI 0.37–1.30. Fatality tended to decline with increasing delay but this was not significant. Fatality was not associated with median diagnostic delay at district level (Spearman's rho = -0.08, P = 0.5. Conclusion Diagnostic delay is not associated with treatment mortality in Vietnam at individual nor district level, suggesting that high case fatality should not be used as an indicator of long diagnostic delay in national tuberculosis programmes.

  18. Cervical cancer treatment costs and cost-effectiveness analysis of human papillomavirus vaccination in Vietnam: a PRIME modeling study.

    Science.gov (United States)

    Van Minh, Hoang; My, Nguyen Thi Tuyet; Jit, Mark

    2017-05-15

    Cervical cancer is currently the leading cause of cancer mortality among women in South Vietnam and the second leading cause of cancer mortality in North Vietnam. Human papillomavirus (HPV) vaccination has the potential to substantially decrease this burden. The World Health Organization (WHO) recommends that a cost-effectiveness analysis of HPV vaccination is conducted before nationwide introduction. The Papillomavirus Rapid Interface for Modeling and Economics (PRIME) model was used to evaluate the cost-effectiveness of HPV vaccine introduction. A costing study based on expert panel discussions, interviews and hospital case note reviews was conducted to explore the cost of cervical cancer care. The cost of cervical cancer treatment ranged from US$368 - 11400 depending on the type of hospital and treatment involved. Under Gavi-negotiated prices of US$4.55, HPV vaccination is likely to be very cost-effective with an incremental cost per disability-adjusted life year (DALY) averted in the range US$780 - 1120. However, under list prices for Cervarix and Gardasil in Vietnam, the incremental cost per DALY averted for HPV vaccination can exceed US$8000. HPV vaccine introduction appears to be economically attractive only if Vietnam is able to procure the vaccine at Gavi prices. This highlights the importance of initiating a nationwide vaccination programme while such prices are still available.

  19. Women with gestational diabetes in Vietnam: a qualitative study to determine attitudes and health behaviours

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    Hirst Jane E

    2012-08-01

    Full Text Available Abstract Background Diabetes is increasing in prevalence globally, notably amongst populations from low- and middle- income countries. Gestational Diabetes Mellitus(GDM, a precursor for type 2 diabetes, is increasing in line with this trend. Few studies have considered the personal and social effects of GDM on women living in low and middle-income countries. The aim of this study was determine attitudes and health behaviours of pregnant women with GDM in Vietnam. Methods This was a qualitative study using focus group methodology conducted in Ho Chi Minh City. Pregnant women, aged over 18 years, with GDM were eligible to participate. Women were purposely sampled to obtain a range of gestational ages and severity of disease. They were invited to attend a 1-hour focus group. Questions were semi structured around six themes. Focus groups were recorded, transcribed, translated and cross-referenced. Non-verbal and group interactions were recorded. Thematic analysis was performed using a theoretical framework approach. Results From December 2010 to February 2011, four focus groups were conducted involving 34 women. Median age was 31.5 years (range 23 to 44, median BMI 21.8 kg/m2. Women felt confusion, anxiety and guilt about GDM. Many perceived their baby to be at increased risk of death. Advice to reduce dietary starch was confusing. Women reported being ‘hungry’ or ‘starving’ most of the time, unaware of appropriate food substitutions. They were concerned about transmission of GDM through breast milk. Several women planned not to breastfeed. All felt they needed more information. Current sources of information included friends, magazines, a health phone line or the Internet. Women felt small group sessions and information leaflets could benefit them. Conclusions This study highlights the need for culturally appropriate clinical education and health promotion activities for women with GDM in Vietnam.

  20. "Doi moi" and private pharmacies: a case study on dispensing and financial issues in Hanoi, Vietnam.

    Science.gov (United States)

    Chuc, N T; Tomson, G

    1999-06-01

    Vietnam, a developing country, has had comparatively good health and human survival at low cost. The economic reform changed the health care system, and private pharmacies during the last 5 years have taken over a majority of the drug distribution. Problems include weaknesses in drug regulation and reported increases in antibiotic resistance. This case study, a purposive sample of two private pharmacies in Hanoi, explored management, including dispensing, inventory and financing, using the concept of triangulation. Observations and interviews of customers were complemented by stock inventory and interviews of the pharmacy staff. Drugs were classified according to the ATC code and the essential drug list of Vietnam. Pretested protocols were used. In all 1833 encounters were studied during the 2 weeks, out of which 286 were children. Less than 1% of customers came with prescriptions and 94.9% decided by themselves which drugs to buy. Antibiotics represented 17%, of which 90% were broad spectrum. Ampicillin dominated, both in children and adults. Some 50% of the antibiotics were given for 2.5 days or less. Less than 50% of the drugs were essential drugs (ED) on dispensing and even less on inventory. Antibiotics and vitamins were the most commonly sold drugs and, overall, brand names dominated. Little if any drug information was observed. Antibiotics were said to represent the most profitable drugs, according to the pharmacy staff. More than 20% of all products were combination drugs, including irrational and popular products with antibiotics and corticosteroids and combinations of aspirin, phenacetin and caffeine. This study shows an unexpectedly high proportion of customers, being "Tu Lam Bac Sy" (their own doctors), deciding themselves which drugs to buy. Although the "Doi moi" renovation has led to much improved drug availability, at least in urban setting, our case study highlights major problems in need of urgent actions. In particular the prevailing practices

  1. Infant growth disparity in the Khanh Hoa province in Vietnam: a follow-up study

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    Vaktskjold Arild

    2010-08-01

    Full Text Available Abstract Background Surveys in Vietnam have indicated that wasting and stunting have been prevalent among children, but the country is undergoing rapid socio-economic changes and little has been known about the relative situation in the different areas of the country. In 2006, the WHO introduced new growth standards applicable to all infant and child populations, which facilitates for improved assessments of the prevalence of growth impairment, independent of time, place and ethnicity. The aim of our study was to assess the growth of singleton infants delivered at term in three main birth clinics in the Khanh Hoa province in Vietnam by using the new WHO standards as reference, and the association between growth and some maternal, birth and health factors. Methods A cohort of 237 singleton infants born in the period May-July 2005 in three main delivery clinics in the Khanh Hoa province were observed prospectively. Their anthropometrical measures a year later were compared to the WHO sex-specific growth standards for weight-for-age, length-for-age, weight-for-length, and BMI-for-age. These measures were analysed as dependent outcomes using multiple linear regression models including the following independent factors: urban vs. rural birth, 1-minute Apgar score, weight and length at birth, duration of lactation, ever had diarrhoea, dengue fever, pneumonia or dysentery, and maternal age, height, gestational duration and parity. Results Compared to the standard distributions, 79% were below the median for weight-for-length; 18.0% were within the 5th percentile for length-for-age, 9.6% for weight-for-age, 20.3% for weight-for-length, and 19.8% for BMI. A lower length- and weight-for-age were statistically associated with being born rurally. Conclusions In this delivery-clinic based sample of children in the Khanh Hoa province in Vietnam, the proportions within the WHO-standard 5th percentiles for length-for-age, weight-for-length and BMI in late

  2. Diabetes in Vietnam.

    Science.gov (United States)

    Khue, Nguyen Thy

    2015-01-01

    The prevalence for diabetes, prediabetes, and gestational diabetes in Vietnam are low relative to other parts of the world, but they are increasing at alarming rates. These changes have occurred in the setting of economic and cultural transitions. The aim of this study was to provide relevant information depicting the diabetes burden in Vietnam. Literature was reviewed using PubMed and local Vietnamese sources, including papers published in the Vietnamese language. In 2012, the prevalence of diabetes was 5.4% and prediabetes 13.7%. In 2005, the prevalence of obesity was 1.7%. There is a dual burden of over- and undernutrition observed in Vietnam. Diabetes is associated with an increased waist-to-hip ratio despite normal body mass index. Nutritional transitions occurred with increased protein, fat, and fast foods, and with decreased fresh fruits and vegetables. Tobacco use is very high in Vietnam with 66% of adult men currently smoking. Challenges include endocrinology training, health care coverage, patient education, and lack of coordination among government and specialist agencies. Diabetes is a growing problem in Vietnam and is associated with obesity, changes in dietary patterns, and other cultural transitions. More research is needed to better understand this health care problem and to devise targeted interventions. Copyright © 2015 The Author. Published by Elsevier Inc. All rights reserved.

  3. Variations in Decision-making Approach to Tertiary Teaching: A Case Study in Vietnam

    Directory of Open Access Journals (Sweden)

    Thanh Tien Nguyen

    2016-01-01

    Full Text Available Although the question of what to teach and how to teach has received much attention from the literature, little was known about the way in which academics in teaching groups make decision on what and how to teach. This paper reports an analysis of variations in the decision-making approach to tertiary teaching through academics’ practices of designing course syllabuses, teaching, and assessing student learning. The study was conducted in three Faculties of business administration of three Higher Education Institutions (HEIs in Vietnam and three different patterns of decision-making approach to tertiary teaching, namely as (i the Given Framework, (ii the Closed Framework, and (iii the Open Framework, were found.

  4. Oats (Avena strigosa) as winter forage for dairy cows in Vietnam: an on-farm study.

    Science.gov (United States)

    Salgado, Paulo; Thang, Vu Q; Thu, Tran V; Trach, Nguyen X; Cuong, Vu C; Lecomte, Philippe; Richard, Didier

    2013-02-01

    In North Vietnam, during winter, alternative forage resources are needed to balance the feed ration of dairy cows. The objective of this study was to investigate the effect of oat forage as a component of traditional winter roughage diets on feed intake, milk production and feeding cost in dairy cows. The study was conducted on-farm using 24 mid-lactation Holstein-Friesian cows. The feeding experiment consisted of two successive periods and two dietary treatments per period. Traditional basal diets included fresh tropical grasses, maize silage and hay. The oat forage had no effect on the dry matter intake of the basal diet, but the total crude protein intake was higher in cows fed with oat diets than in those fed with control diets. The yield of butterfat-corrected milk (FCM) was not significantly different between diets during period 1, but there was a trend (P = 0.078) of higher FCM yields in cows fed with the oat diet compared to those with control diet during period 2 (17.3 vs. 16.3 kg/day). The decline rate in milk yield was significantly higher (P < 0.001) in cows fed with control diets than in those fed with oat diets in both experimental periods. The total feeding cost of cows fed with oat diets was on average 12 % lower than those fed with control diets (P < 0.01). So, the oat forage is an important winter resource for cows in North Vietnam allowing higher milk yield whilst reducing feeding cost, compared to traditional roughage diets.

  5. Treatment of hepatitis C as prevention: a modeling case study in Vietnam.

    Directory of Open Access Journals (Sweden)

    Nicolas Durier

    Full Text Available Treatment of hepatitis C (HCV is very effective, achieving a cure in 50-90% of patients. Besides its own good for individuals, this most likely translates in reduced transmission, but this phenomenon has yet to be fully explored.In this mathematical modeling study done in the context of Vietnam, we estimated the public health benefit that HCV therapy for injecting drug users (IDUs may achieve. Treatment coverage of 25, 50 and 75% of chronically HCV-infected IDUs (4 years into infection is predicted to reduce the chronic HCV viremia prevalence respectively by 21, 37 and 50%, 11 years after full scale up to the intended coverage. At a constant 50% coverage level, earlier treatment, 3, 2, and 1 year into infection is predicted to reduce the chronic HCV viremia prevalence by 46, 60 and 85%. In these later 3 scenarios, for every 100 treatment courses provided, a total of respectively 50, 61 and 94 new infections could be averted. These benefits were projected in the context of current low coverage of methadone maintenance therapy and needles/syringes exchange programs, and these services expansion showed complementary preventive benefits to HCV therapy. The program treatment commitment associated with the various scenarios is deemed reasonable. Our model projections are robust under adjustment for uncertainty in the model parameter values.In this case study in Vietnam, we project that treatment of HCV for injecting drug users will have a preventative herd effect in addition to curing patients in need for therapy, achieving a substantial reduction in HCV transmission and prevalence.

  6. Equality or equity in health care access: a qualitative study of doctors' explanations to a longer doctor's delay among female TB patients in Vietnam.

    Science.gov (United States)

    Thorson, A; Johansson, E

    2004-04-01

    Earlier studies from Vietnam have highlighted the importance of studying gender aspects of health-seeking and diagnosis of potential tuberculosis patients. A longer doctor's delay to diagnosis among female TB patients has been shown. The objective of the present study was to explore doctors' views about and explanations for the longer doctor's delay. Five focus group discussions and three in-depth interviews were performed in a rural province in Vietnam. Thematic content analysis was used to interpret the data. The doctors suggest that women are lost or delayed within the health care-seeking chain, mainly because of barriers associated with the female gender. These barriers are identified, but yet the patient-doctor encounter seems to be steered by an equality principle. This results in gender blindness since equal treatment is suggested despite needs being different. We argue that gender equity should be the guiding principle for the tuberculosis patient-doctor encounter. An equity principle emphasises that needs vary with factors like gender or context. We suggest more research into the health care-seeking chain in order to identify the specific steps where TB diagnosis of men and women may be delayed. Interventions are needed in order to reduce delay to TB diagnosis especially for women and the current TB control strategy, (DOTS), needs to be examined from an equity perspective.

  7. Delays in the diagnosis and treatment of tuberculosis patients in Vietnam: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Khanh Vu T

    2007-06-01

    Full Text Available Abstract Background Treatment delay is an important indicator of access to tuberculosis diagnosis and treatment. Analyses of patient delay (i.e. time interval between onset of symptoms and first consultation of a health care provider and health care delay (i.e. time interval between first consultation and start of treatment can inform policies to improve access. This study assesses the patient, health care provider and total delay in diagnosis and treatment of new smear-positive pulmonary tuberculosis patients, and the risk factors for long delay, in Vietnam. Methods A cross-sectional survey of new patients treated by the National Tuberculosis Control Programme was conducted in 70 randomly selected districts in Vietnam. All consecutively registered patients in one quarter of 2002 were interviewed using a pre-coded structured questionnaire. Results Median (range delay was 4 weeks (1–48 for total, 3 (1–48 weeks for patient and 1 (0–25 week for health care delay. Patients with long total delay (≥ 12 weeks, 15% accounted for 49% of the cumulative number of delay-weeks. Independent risk factors (p 5 km distance from a health facility or in the northern area. For long health care delay (≥ 6 weeks this was urban setting, residence in the central area and initial visit to a communal health post, TB hospital or the private sector. Conclusion Analyses of patient and treatment delays can indicate target groups and areas for health education and strengthening of the referral system, in particular between the private sector and the NTP.

  8. 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.

  9. Inequalities in reproductive, maternal, newborn and child health in Vietnam: a retrospective study of survey data for 1997-2006.

    Science.gov (United States)

    Axelson, Henrik; Gerdtham, Ulf-G; Ekman, Björn; Dinh, Thi Phuong Hoa; Alfvén, Tobias

    2012-12-13

    Vietnam has achieved considerable success in economic development, poverty reduction, and health over a relatively short period of time. However, there is concern that inequalities in health outcomes and intervention coverage are widening. This study explores if inequalities in reproductive, maternal, newborn and child health and nutrition changed over time in Vietnam in 1997-2006, and if inequalities were different depending on the type of stratifying variable used to measure inequalities and on the type of outcome studied. Using data from four nationally representative household surveys conducted in 1997-2006, we study inequalities in reproductive, maternal, newborn and child health and nutrition outcomes and intervention coverage by computing concentration indices by living standards, maternal education, ethnicity, region, urban/rural residence, and sex of child. Inequalities in maternal, newborn and child health persisted in 1997-2006. Inequalities were largest by living standards, but not trivial by the other stratifying variables. Inequalities in health outcomes generally increased over time, while inequalities in intervention coverage generally declined. The most equitably distributed interventions were family planning, exclusive breastfeeding, and immunizations. The most inequitably distributed interventions were those requiring multiple service contacts, such as four or more antenatal care visits, and those requiring significant support from the health system, such as skilled birth attendance. Three main policy implications emerge. First, persistent inequalities suggest the need to address financial and other access barriers, for example by subsidizing health care for the poor and ethnic minorities and by support from other sectors, for example in strengthening transportation networks. This should be complemented by careful monitoring and evaluation of current program design and implementation to ensure effective and efficient use of resources. Second

  10. Inequalities in reproductive, maternal, newborn and child health in Vietnam: a retrospective study of survey data for 1997–2006

    Directory of Open Access Journals (Sweden)

    Axelson Henrik

    2012-12-01

    Full Text Available Abstract Background Vietnam has achieved considerable success in economic development, poverty reduction, and health over a relatively short period of time. However, there is concern that inequalities in health outcomes and intervention coverage are widening. This study explores if inequalities in reproductive, maternal, newborn and child health and nutrition changed over time in Vietnam in 1997–2006, and if inequalities were different depending on the type of stratifying variable used to measure inequalities and on the type of outcome studied. Methods Using data from four nationally representative household surveys conducted in 1997–2006, we study inequalities in reproductive, maternal, newborn and child health and nutrition outcomes and intervention coverage by computing concentration indices by living standards, maternal education, ethnicity, region, urban/rural residence, and sex of child. Results Inequalities in maternal, newborn and child health persisted in 1997–2006. Inequalities were largest by living standards, but not trivial by the other stratifying variables. Inequalities in health outcomes generally increased over time, while inequalities in intervention coverage generally declined. The most equitably distributed interventions were family planning, exclusive breastfeeding, and immunizations. The most inequitably distributed interventions were those requiring multiple service contacts, such as four or more antenatal care visits, and those requiring significant support from the health system, such as skilled birth attendance. Conclusions Three main policy implications emerge. First, persistent inequalities suggest the need to address financial and other access barriers, for example by subsidizing health care for the poor and ethnic minorities and by support from other sectors, for example in strengthening transportation networks. This should be complemented by careful monitoring and evaluation of current program design and

  11. Suggestions for teacher education from concept mapping studies

    Directory of Open Access Journals (Sweden)

    Priit Reiska

    2015-03-01

    Full Text Available In order to enhance primary and secondary education, teaching and learning methods need to be continuously developed as well as, of course, promote teaching quality dependent on teacher personality, teacher professional development, teacher self-development, etc. Teacher professional development gives the novice teacher access to a wide set of teaching methods and assessment opportunities, especially geared to flexible learning and assessment methods, which can be considered for adoption. One such flexible method is the use of concept mapping. This article describes the results of several studies, where concept mapping method was used, giving many didactical suggestions for using concept mapping for learning and especially for assessment. Additionally, considerations are introduced on using concept maps as a research instrument.

  12. Women's communication self-efficacy and expectations of primary male partners' cooperation in sexually transmitted infection treatment in Ho Chi Minh City, Vietnam: a cross-sectional study

    National Research Council Canada - National Science Library

    Tran, Ly Thi-Hai; Bui, Thanh Cong; Markham, Christine M; Swartz, Michael D; Tran, Quan Minh; Nyitray, Alan G; Huynh, Thuy Thi-Thu; Hwang, Lu-Yu

    2016-01-01

    .... Our study assessed high-risk-STI women's confidence in STI-diagnosis-related communications with their primary male partners in Ho Chi Minh City, Vietnam, and determined associated characteristics...

  13. Teacher Development: A Real Need for English Departments in Vietnam.

    Science.gov (United States)

    Hiep, Pham Hoa

    2001-01-01

    Examines English-as-a-Foreign-Language (EFL) teacher training and teacher development in Vietnam. Suggests ways to promote professional development among EFL teachers in Vietnam, which may be applicable to similar situations in other countries. (Author/VWL)

  14. Lessons learned and advice from Vietnam war nurses: a qualitative study.

    Science.gov (United States)

    Scannell-Desch, Elizabeth A

    2005-03-01

    The aim of this paper is to describe guidance for nurses today from the lessons learned by nurses who served in the Vietnam War. There is little research focusing on nurses' experiences in the Vietnam War. Lessons learned and subsequent advice from nurses who served in Vietnam may be helpful to those serving in current and future wars. A Husserlian phenomenological approach was taken, using interviews with a purposive sample of Registered Nurses who were female, and had served in the United States of America armed forces in Vietnam during the war. Seven theme clusters described the lesson learned and guidance offered by the Vietnam War nurses: advice about journaling, training, caring for yourself, use of support systems, talking about your experiences, understanding the mission, and lack of preparation for war. Much can be learned from the lessons learned and advice given by Vietnam War nurses. These lessons stress that nurses need to take a pro-active role in preparing themselves for deployment to a war zone, and that institutional training for war needs to be intensive and realistic. The environmental, cultural, technological, clinical and psychosocial demands of war nursing need to be comprehensively addressed before nurses deploy to a war.

  15. Suggestibility, intelligence, memory recall and personality: an experimental study.

    Science.gov (United States)

    Gudjonsson, G H

    1983-01-01

    A new suggestibility test, potentially useful in the context of police interrogation, was administered to 45 subjects who also completed the Wechsler Adult Intelligence Scale and the Eysenck Personality Questionnaire. Suggestibility was significantly related to low intelligence, poor memory recall, neuroticism and social desirability.

  16. Molecular spectroscopic study for suggested mechanism of chrome tanned leather.

    Science.gov (United States)

    Nashy, Elshahat H A; Osman, Osama; Mahmoud, Abdel Aziz; Ibrahim, Medhat

    2012-03-01

    Collagen represents the structural protein of the extracellular matrix, which gives strength of hides and/or skin under tanning process. Chrome tan is the most important tanning agent all over the world. The methods for production of leather evolved over several centuries as art and engineering with little understanding of the underlying science. The present work is devoted to suggest the most probable mechanistic action of chrome tan on hide proteins. First the affect of Cr upon hide protein is indicated by the studied mechanical properties. Then the spectroscopic characterization of the hide protein as well as chrome tanned leather was carried out with Horizontal Attenuated Total Reflection (HATR) FT-IR. The obtained results indicate how the chromium can attached with the active sites of collagen. Molecular modeling confirms that chromium can react with amino as well as carboxylate groups. Four schemes were obtained to describe the possible interactions of chrome tan with hide proteins. Copyright © 2011 Elsevier B.V. All rights reserved.

  17. Smoking Initiation and Cessation among Youths in Vietnam: A Longitudinal Study Using the Chi Linh Demographic—Epidemiological Surveillance System (CHILILAB DESS

    Directory of Open Access Journals (Sweden)

    Duong Minh Duc

    2016-12-01

    Full Text Available Study of smoking initiation and cessation is particularly important in adolescent population because smoking prevention and cessation at this time may prevent several health consequences later in life. There is a very limited knowledge about the determinants of smoking initiation and cessation among youths in Vietnam. This limits the development and implementation of appropriately targeted anti-smoking prevention interventions. This study applied pooled data from 3 rounds of a longitudinal survey in the Chi Linh Demographic—Epidemiological Surveillance System (CHILILAB DESS in a northern province in Vietnam to analyse the determinants of smoking initiation and cessation among youths. The total of youths in the first round, second, and third rounds was 12,406, 10,211, and 7,654, respectively. The random-effects logit model controlling for both time-variant and time-invariant variables was conducted to explore the associated factors with new smokers and quitters. We found an increase trend of new smokers (7.0% to 9.6% and quitters (27.5% to 31.4% during 2009–2013. Smoking initiation and cessation are the result of multifactorial influences of demographic and health behaviours and status. Demographic background (older youths, male, unmarried youths, and youths having informal work and health behaviours and status (youths who had smoking family members and/or smoking close friends, and had harmful drinking were more likely to initiate smoking and more difficult to quit smoking. Among these variables, youths who had smoking close-friends had the highest likelihood of both initiating smoking and failed quitting. Our results could represent the similar health problems among youths in peri-urban areas in Vietnam. Further, our findings suggested that anti-smoking interventions should involve peer intervention, integrated with the reduction of other unhealthy behaviours such as alcohol consumption, and to focus on adolescents in their very early age

  18. Risks for HIV, HBV, and HCV infections among male injection drug users in northern Vietnam: A case-control study

    OpenAIRE

    Quan, Vu Minh; Go, Vivian F.; Van Nam, Le; Bergenstrom, Anna; Thuoc, Nguyen Phuong; Zenilman, Jonathan; Latkin, Carl; Celentano, David D.

    2009-01-01

    Injection drug use (IDU) and HIV infection are important public health problems in Vietnam. The IDU population increased 70% from 2000 to 2004 and is disproportionately affected by HIV and AIDS--the country’s second leading cause of death. Hepatitis B virus (HBV) and hepatitis C virus (HCV) share transmission routes with HIV and cause serious medical consequences. This study aimed to determine risk factors for acquisition of HIV, HBV, and HCV infections among IDUs in a northern province. We c...

  19. Studies and Suggestions on English Vocabulary Teaching and Learning

    Science.gov (United States)

    Zheng, Shigao

    2012-01-01

    To improve vocabulary learning and teaching in ELT settings, two questionnaires are designed and directed to more than 100 students and teachers in one of China's key universities. The findings suggest that an enhanced awareness of cultural difference, metaphorical competence, and learners' autonomy in vocabulary acquisition will effectively…

  20. Animal Rights: Selected Resources and Suggestions for Further Study.

    Science.gov (United States)

    Davidoff, Donald J.

    1989-01-01

    Presents an annotated list of selected resources intended to serve as a guide to the growing amount of material on animal rights. Suggestions to aid in additional research include subject headings used to find books, indexes used to locate periodical articles, sources for locating organizations, and a selected list of animal rights organizations.…

  1. 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

    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......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...... for the street-scale air pollution modeling in Vietnam, namely by providing reliable emission factors and hourly air pollution measurements of high quality....

  2. Descriptive Epidemiology of Clubfoot in Vietnam: A Clinic-Based Study

    Science.gov (United States)

    Nguyen, Michelle C.; Nhi, Huynh Manh; Nam, Vo Quang Dinh; Thanh, Do Van; Romitti, Paul; Morcuende, Jose A.

    2012-01-01

    The prevalence of congenital talipes equinovarus (clubfoot) in Vietnam is estimated to be approximately one in 1000 births. To date, no epidemiological studies have been conducted in this country to assess risk factors associated with this deformity. The purpose of this study was to evaluate specific environmental and socioeconomic factors that may increase the risk of an infant being born with clubfoot. A descriptive clinic-based study was conducted using structured questionnaires given to biological mothers of clinically confirmed clubfoot subjects (n=99) and biological mothers of children between ages 0–18 with no first or second degree family history of clubfoot as controls (n=97). Phenotypic data from clubfoot subjects was also collected. We found that males were twice as likely to have clubfoot and half of clubfoot subjects were affected bilaterally. There was no significant difference in the rate of left versus right clubfoot. Infant and maternal characteristics showing a strong association with clubfoot included breech presentation at birth (p=0.026) and young maternal age (p=0.033). Although there were no strong correlations with any sociodemographic paternal characteristics, a higher percentage of case fathers were younger at the age of conception compared to control fathers. The information from this preliminary study provides a framework for future epidemiologic studies in this population. An understanding of the risk factors associated with clubfoot will play an important role in understanding the pathophysiology of this disabling deformity. PMID:23576932

  3. Health policy processes in Vietnam: a comparison of three maternal health case studies.

    Science.gov (United States)

    Ha, Bui Thi Thu; Green, Andrew; Gerein, Nancy; Danielsen, Katrine

    2010-12-01

    To describe and analyse the policy processes related to maternal health in Vietnam. A multi-method, retrospective comparative study of three case studies of maternal health policy processes-skilled birth attendance, adolescent reproductive health and domestic violence. It drew on primary qualitative data and secondary data. The underpinning conceptual framework of the study with key elements of policy processes is described. The study identified significant differences between the policy processes related to the different case studies. Various factors affect these processes. Critical amongst these are the nature of the policy, the involvement of different actors and the wider context both nationally and internationally. The changing national context is opening up increasing opportunities for civil society to interact with policy processes. Understanding the nature of policy processes is critical to strengthen them, particularly in a changing environment. There is potential for a review of government policy processes which were developed in the period prior to Doi Moi to reflect the changing composition of civil society. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  4. Key parameters for behaviour related to source separation of household organic waste: A case study in Hanoi, Vietnam.

    Science.gov (United States)

    Kawai, Kosuke; Huong, Luong Thi Mai

    2017-03-01

    Proper management of food waste, a major component of municipal solid waste (MSW), is needed, especially in developing Asian countries where most MSW is disposed of in landfill sites without any pretreatment. Source separation can contribute to solving problems derived from the disposal of food waste. An organic waste source separation and collection programme has been operated in model areas in Hanoi, Vietnam, since 2007. This study proposed three key parameters (participation rate, proper separation rate and proper discharge rate) for behaviour related to source separation of household organic waste, and monitored the progress of the programme based on the physical composition of household waste sampled from 558 households in model programme areas of Hanoi. The results showed that 13.8% of 558 households separated organic waste, and 33.0% discharged mixed (unseparated) waste improperly. About 41.5% (by weight) of the waste collected as organic waste was contaminated by inorganic waste, and one-third of the waste disposed of as organic waste by separators was inorganic waste. We proposed six hypothetical future household behaviour scenarios to help local officials identify a final or midterm goal for the programme. We also suggested that the city government take further actions to increase the number of people participating in separating organic waste, improve the accuracy of separation and prevent non-separators from discharging mixed waste improperly.

  5. Sustainable Growth and Ethics: A Study of Business Ethics in Vietnam between Business Students and Working Adults

    Directory of Open Access Journals (Sweden)

    Lam D. Nguyen

    2013-04-01

    Full Text Available Sustainable growth is not only the ultimate goal of business corporations but also the primary target of local governments as well as regional and global economies. One of the cornerstones of sustainable growth is ethics. An ethical organizational culture provides support to achieve sustain- able growth. Ethical leaders and employees have great potential for positive influence on decisions and behaviors that lead to sustainability. Ethical behavior, therefore, is expected of everyone in the modern workplace. As a result, companies devote many resources and training programs to make sure their employees live according to the high ethical standards. This study provides an analysis of Vietnamese business students’ level of ethical maturity based on gender, education, work ex- perience, and ethics training. The results of data from 260 business students compared with 704 working adults in Vietnam demonstrate that students have a significantly higher level of ethical maturity. Furthermore, gender and work experience are significant factors in ethical maturity. While more educated respondents and those who had completed an ethics course did have a higher level of ethical maturity, the results were not statistically significant. Analysis of the results along with suggestions and implications are provided.

  6. 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.

  7. Ethnic-related stressors in the war zone: case studies of Asian American Vietnam veterans.

    Science.gov (United States)

    Loo, Chalsa M; Lim, Brian R; Koff, Gabriel; Morton, Robert K; Kiang, Peter N C

    2007-09-01

    Empirical research has shown that exposure to race-related stressors in the military by Asian American Pacific Islander Vietnam veterans, now reliably measurable, contributes uniquely and significantly to post-traumatic stress disorder (PTSD) symptoms and generalized psychiatric distress; moreover, studies reveal that adverse race-related events can meet Diagnostic and Statistical Manual of Mental Disorders-IV criteria for a PTSD diagnosis. Competence in treating PTSD or general psychiatric distress requires understanding the types of, and effects of, adverse race-related events experienced by ethnic minority veterans. Case studies highlight two types of race-related stressors-"bicultural identification and conflict" and "racial stigmatization"-which placed the veteran at greater risk of death and reduced cohesion with fellow service members. The studies demonstrate the presence of race-related stressors in one or more of the four major types of war zone stressors: traditional combat, atrocities-abusive violence, perceived threat, and malevolent environment. These case studies supplement the empirical findings on race-related stressors and PTSD, enlarging the clinician's understanding of this unique type of mental health risk factor.

  8. Solar-powered hearing aids for children with impaired hearing in Vietnam: a pilot study.

    Science.gov (United States)

    Vo, Quang Thanh; Pham, Dung; Choi, Kevin J; Nguyen, Uyen T T; Le, Lan; Shanewise, Trudy; Tran, Lien; Nguyen, Nga; Lee, Walter T

    2017-01-25

    Hearing loss is a barrier to speech and social and cognitive development. This can be especially pronounced in children living in low- and middle-income countries with limited resources. To determine the feasibility, durability and social impact of ComCare GLW solar-powered hearing aids provided for Vietnamese children with hearing impairment. A retrospective review of data from an international, multi-discipline humanitarian visit was performed. Hearing aids were given to 28 children enrolled at the Khoai Chau Functional Rehabilitation School, Hung Yen Province, Vietnam. Device inspection and observational assessments were performed by teachers using a modified Parents' Evaluation of Aural/Oral Performance of Children and an Infant Hearing Program Amplification Benefit Questionnaire. Qualitative interviews were undertaken to assess the study aims. Hearing aids were well tolerated for use during regular school hours. All units remained functional during the study period (12 months). Teachers noted increased student awareness and responsiveness to surrounding sounds, but the degree of response to amplification varied between children. There was no significant improvement in speech development as all subjects had prelingual deafness. Teachers felt confident in troubleshooting any potential device malfunction. A solar-powered hearing aid may be a viable option for children in low- and middle-income countries. This study demonstrates that device distribution, maintenance and function can be established in countries with limited resources, while providing feasibility data to support future studies investigating how similar devices may improve the quality of life of those with hearing loss.

  9. Viral etiology of encephalitis in children in southern Vietnam: results of a one-year prospective descriptive study.

    Directory of Open Access Journals (Sweden)

    Van Tan Le

    2010-10-01

    Full Text Available Acute encephalitis is an important and severe disease in children in Vietnam. However, little is known about the etiology while such knowledge is essential for optimal prevention and treatment. To identify viral causes of encephalitis, in 2004 we conducted a one-year descriptive study at Children's Hospital Number One, a referral hospital for children in southern Vietnam including Ho Chi Minh City.Children less than 16 years of age presenting with acute encephalitis of presumed viral etiology were enrolled. Diagnostic efforts included viral culture, serology and real time (RT-PCRs. A confirmed or probable viral causative agent was established in 41% of 194 enrolled patients. The most commonly diagnosed causative agent was Japanese encephalitis virus (n = 50, 26%, followed by enteroviruses (n = 18, 9.3%, dengue virus (n = 9, 4.6%, herpes simplex virus (n = 1, cytomegalovirus (n = 1 and influenza A virus (n = 1. Fifty-seven (29% children died acutely. Fatal outcome was independently associated with patient age and Glasgow Coma Scale (GCS on admission.Acute encephalitis in children in southern Vietnam is associated with high mortality. Although the etiology remains unknown in a majority of the patients, the result from the present study may be useful for future design of treatment and prevention strategies of the disease. The recognition of GCS and age as predictive factors may be helpful for clinicians in managing the patient.

  10. Oral health status of adults in Southern Vietnam - a cross-sectional epidemiological study

    Directory of Open Access Journals (Sweden)

    Truong Nhan B

    2010-03-01

    Full Text Available Abstract Background Before strategies or protocols for oral health care can be advised at population level, epidemiological information on tooth decay patterns and its effects on oral function are indispensable. The aim of this study was to investigate influences of socio-demographic variables on the prevalence of decayed, missing, filled (DMF and sound teeth (St and to determine the relative risk of teeth in different dental regions for D, M, and F, of adults living in urban and rural areas in Southern Vietnam. Methods Cross-sectional DMF and St data of 2965 dentate subjects aged 20 to 95 living in urban and rural areas in three provinces were collected by means of a self-administered questionnaire and an oral examination. The sample was stratified by age, gender, residence and province. Results The percentage of subjects having missing teeth was high for all ages while it was low for subjects with decayed and filled teeth. The mean number of missing teeth increased gradually by age from approximately 1 in each jaw at the age of 20 to 8 at the age of 80. The number of decayed teeth was relative low at all ages, being highest in molars at young ages. The mean number of filled teeth was extremely low at all ages in all dental regions. Every additional year of age gives a significantly lower chance for decay, a higher chance for missing, and a lower chance for filled teeth. Molars had a significantly higher risk for decay, missing and filled than premolars and anterior teeth. Females had significantly higher risk for decayed and filled teeth, and less chance for missing teeth than males. Urban subjects presented lower risk for decay, but approximately 4 times greater chance for having fillings than rural subjects. Low socio-economic status (SES significantly increased the chance for missing anterior and molar teeth; subjects with high SES had more often fillings. Conclusions The majority of adults of Southern Vietnam presented a reduced dentition

  11. Aging, Depression, and Wisdom: A Pilot Study of Life-Review Intervention and PTSD Treatment With Two Groups of Vietnam Veterans.

    Science.gov (United States)

    Daniels, Lori R; Boehnlein, James; McCallion, Phillip

    2015-01-01

    Vietnam War veterans are a sometimes overlooked subgroup of the aging baby boomer generation. Forty years after the war ended, war veterans still seek out VA or Vet Center counselors to assist with traumatic stress symptoms. However, there currently are no specific age-related protocols for treating older war veterans suffering from posttraumatic stress disorder (PTSD), nor have established PTSD interventions incorporated gerontology content for these older trauma survivors. This pilot study juxtaposed life review within regular PTSD group counseling for 12 Vietnam veterans at a community-based Vet Center using a partial crossover design. The Life Review and Experiencing Form (LREF) structured the delivery of the life review component. T-tests and repeated measures ANOVA were used to examine depression and self-assessed wisdom outcomes using measures previously tested with older adults. Findings suggest that life review prior to PTSD group therapy has clinical benefits for reducing symptoms of depression and increasing self-assessed wisdom. The study illuminates the possible relationship of traumatic stress symptom effects on the natural reminiscing process for older veterans and provides insights into methods for more age-appropriate treatment for trauma survivors participating in Vet Center and VA programs nationwide.

  12. Building the Army of the Republic of Vietnam’s Logistical System: Lessons Learned

    Science.gov (United States)

    2016-05-26

    Indigenous Forces: American Advisors in Korea, Vietnam, and El Salvador (Fort Leavenworth, KS: Combined Studies Institute, 2006), 34-45; Can Co Vien et...Vietnam and El Salvador and Advice for Advisors Suggestions and Observations from Lawrence to the Present, and the School of Advanced Military Studies (SAMS...Assistance Training Advisory ( MATA ) course under the Special Warfare School, which later evolved into the Institute of Military Assistance (IMA). By 1972

  13. Case Study: Strengthening the Economic Committee of the National Assembly in Vietnam

    Directory of Open Access Journals (Sweden)

    Cameron Neylon

    2017-10-01

    Full Text Available The Centre for Analysis and Forecasting of Vietnam has an IDRC-funded project “Strengthening the Economic Committee of the National Assembly in Vietnam”. The project involved collecting survey data from a large number of businesses to support the work of the Economic Committee of the National Assembly (ECNA. The survey was conducted in several rounds with a baseline survey of 773 Enterprises in 2014 and three rounds of follow-up surveys in 2015 and 2016. The project’s aims were to improve the awareness and information for ECNA on small and medium enterprises across Vietnam and to strengthen the analytical capability of ECNA in assessing the impact of macroeconomic policy on SMEs. An important characteristic of the project is that it is focussed on supporting internal policy and economic discussions within Vietnam.

  14. A Comparative Study of Trade Relations and the Spatial-Temporal Evolution of Geo-Economy between China and Vietnam

    National Research Council Canada - National Science Library

    Teng Ma; Yuli Liu; Yuejing Ge

    2017-01-01

    .... However, the export trade between Vietnam and China has been competitive. China and Vietnam seek to dominate or join an agreement that is conducive to their own trade, which also exacerbates the trade competition between the two countries...

  15. Perceptions of water, sanitation and health: a case study from the Mekong Delta, Vietnam.

    Science.gov (United States)

    Herbst, S; Benedikter, S; Koester, U; Phan, N; Berger, C; Rechenburg, A; Kistemann, T

    2009-01-01

    In the Mekong Delta in the south of Vietnam about 5.7 million people lack access to safe drinking water and 10 million people in rural areas live without adequate sanitation. Between May and August, 2007 a survey was carried out in An Bin, a peri-urban ward in the Mekong Delta, to gain insight into water, sanitation and health as well as to health-related hygiene behaviour. The study employed a combination of quantitative (standardized questionnaire) and qualitative (focus group discussions, semi-structured interviews) methods. The most important features in the choice of drinking water sources are matters of hygiene and the taste of the water. The majority (74%) of the 120 households surveyed indicated their ownership of a sanitation facility, but the fish pond toilet (64%) which is predominantly utilized is considered to be unimproved sanitation. The local peri-urban population link water and hygiene to health, but sanitation instead to environmental pollution. This and other outcomes lead to the assumption that people have a basic knowledge of proper hygiene behaviour. However, hygiene measures such as hand washing are put into practice in an untimely manner, most likely due to a misconception of risks and/or a lack of background knowledge of cause-effect relationships as well as ingrained habits.

  16. A twin study of the effects of the Vietnam conflict on alcohol drinking patterns.

    Science.gov (United States)

    Goldberg, J; Eisen, S A; True, W R; Henderson, W G

    1990-05-01

    This study examines the association between military service in Southeast Asia and alcohol drinking patterns in 2,169 male-male monozygotic twin pairs who both served on active military duty during the Vietnam era (1965-75). Data on alcohol drinking were collected in 1987 by mail and telephone interview. The alcohol drinking measures include three indicators of abstention (lifetime abstainer, lifetime non-regular drinker, and current abstainer) and two indicators of consumption (average daily ethanol consumption and high consumption). In unadjusted and co-twin adjusted analyses, neither service in Southeast Asia nor combat exposure was significantly associated with any measure of abstention. In the co-twin adjusted analysis, there was no association of Southeast Asia service and combat exposure with average daily ethanol consumption. After adjustment for co-twin effects, 4.0 percent of non-Southeast Asia veterans were high consumers compared to 6.7 percent of Southeast Asia veterans who served in high combat. We conclude that prior military service in a war zone has a relatively modest long-term effect on the alcohol drinking patterns of male veterans.

  17. A Study on Universal Service in Vietnam from an Institutional Perspective

    DEFF Research Database (Denmark)

    Do Manh, Thai; Falch, Morten; Williams, Idongesit

    2016-01-01

    Applying the institutional theory to examine the universal services policy in Vietnam, the paper looked at the institutional factors influencing the formulation and deployment of “the Program on provision of universal service till 2010”. The formulation of universal services policy in Vietnam...... services, and households could get the same subsidies from two or three operators. The outcome of this paper recommends that the central government should emphasize the role of DICs and encourage them to be more involved in the formulation and implementation of universal services policy....

  18. Studies since 2005 on South African primary schoolchildren suggest ...

    African Journals Online (AJOL)

    2012-12-06

    Dec 6, 2012 ... ranging impact of iron deficiency, with or without anaemia, on human health includes increased fatigability and weakness and greater susceptibility to infection and delayed mental and physical development.2,3 Anaemia for the age group relevant to this study was defined as haemoglobin (Hb) ≤ 11.5 g/dl ...

  19. The Lessons of the Vietnam War: Unit 13. Teacher's Manual: Strategies and Resources for Teaching the Vietnam War.

    Science.gov (United States)

    Center for Social Studies Education, Pittsburgh, PA.

    This teacher's manual is designed to accompany the curriculum "The Lessons of the Vietnam War." For each of 12 units of the curriculum, this manual suggests projects for student research and classroom activities. The 12 units are entitled: (1) Introduction to Vietnam: land, history and culture; (2) America at war in Vietnam: decisions and…

  20. Entry modes of European firms in Vietnam

    OpenAIRE

    Daniel Simonet

    2012-01-01

    Purpose: The purpose of the paper is to explore the entry modes of EU firms setting up operations in Vietnam. Design/methodology/approach: we use a case study approach on Haymarket, Cadbury, Creative Education, Fairchild, Aventis and Artemisinin and Farming International using interviews from managerial professionals in Vietnam. Findings: Despite the fact that Vietnam has been opening up for more than 20 years, licensing is the preferred entry mode because of the risks involved in ventur...

  1. Directions in Geoheritage Studies: Suggestions from the Italian Geomorphological Community

    Science.gov (United States)

    Panizza, Valeria

    2015-04-01

    More and more attention has been focused on geological and geomorphological heritage in the past years, leading to several researches in the framework of conservation projects, both at administrative and at scientific level, involving national and international research groups whose purposes are the promotion of Earth Sciences knowledge and the conservation of geological heritage. This paper presents an overview of research and conservation projects in Italy, mainly focused on the geomorphological heritage. Members of the AIGEO Working Group on geomorphosites and cultural landscape analyzed the historical development, methodological issues and main results of these research projects in order to identify possible innovation lines to improve the awareness and knowledge on geodiversity and geoheritage by a wide public, including education, tourism and conservation sectors. In Italy numerous projects of research have been realized with the main aim of geomorphosites inventory and the proposal of assessment methodologies, and so to the improvement and to the analysis of risks and impacts related to their fruition. At an international level, many Italian researchers have also been involved in studies carried out in the Working Group "Geomorphological sites" of the International Association of Geomorphologists (IAG). At a national level several research lines are under development, offering different responses to methodological issues within the general topic of geodiversity and geoheritage: Geosites inventories and assessment activities are performed with powerful digital techniques and new reference models: among these, the investigation on the ecologic support role for increasing geomorphosites global value and the elaboration of quantitative assessment methods of the scientific quality of Geomorphosites, carried out specifically for territorial planning. Improvements in field data collection and visual representation of landforms lead to new findings in

  2. Master of Business Administration (MBA) Student Outcomes in Vietnam: Graduate Student Insights from a Qualitative Study

    Science.gov (United States)

    Ly, Chau Thi Minh; Vickers, Margaret H.; Fernandez, Santha

    2015-01-01

    Purpose: Exploratory insights into the graduate student experiences of offshore MBA programmes in Vietnam are presented. Students are considered key stakeholders in the higher education (HE) debate, and their views were sought in light of recent shifts in HE worldwide, associated business education changes, nagging questions around the quality of…

  3. English as a Symbol of Internationalization in Higher Education: A Case Study of Vietnam

    Science.gov (United States)

    Duong, Van Anh; Chua, Catherine S. K.

    2016-01-01

    Vietnam universities have experienced remarkable changes brought about by their internationalization policies. The switch to English as a medium of instruction (EMI) for some academic programs was one of these critical changes. Literature has reported numerous issues related to EMI, including inadequate language proficiency of teaching staff. This…

  4. Internationalizing Higher Education (HE) in Vietnam: Insights from Higher Education Leaders--An Exploratory Study

    Science.gov (United States)

    Nguyen, Dong Phong; Vickers, Margaret; Ly, Thi Minh Chau; Tran, Mai Dong

    2016-01-01

    Purpose: The purpose of this paper is to increase knowledge of the key drivers, and challenges, of the internationalization of Higher Education (HE), especially in the transitioning economy of Vietnam. Design/methodology/approach: An exploratory qualitative research design used semi-structured interviews. Nine senior institutional leaders from…

  5. Towards the Reuse of Municipal Biowastes in Vietnam: a case study about Ho Chi Minh City

    NARCIS (Netherlands)

    Buuren, van J.C.L.; Thi, Le K.O.

    2006-01-01

    Table of contents: 1. Solid waste segragation at source in Ho Chi Minh City. 2. Survey of technical efficiency and economic viability of existing composting ventures and survey of the institutional and regulatory framework regarding composting in Vietnam. 3. Demand analysis of urban waste compost.

  6. Difficulties in Teaching English for Specific Purposes: Empirical Study at Vietnam Universities

    Science.gov (United States)

    Hoa, Nguy?n Th? T?; Mai, Ph?m Th? Tuy?t

    2016-01-01

    In recent years, teaching English, especially English for specific purposes at Vietnam universities has received a lot of attention from students, teachers, and relevant authorities because of not high teaching effectiveness. This results in the fact that students after graduation do not meet English requirements of employers, so unemployment…

  7. The Role of Family in Vocational Education and Training Choices: A Case Study in Vietnam

    Science.gov (United States)

    Dormeier Freire, Alexandre; Giang, Hong Trinh

    2012-01-01

    This article examines the role of family in vocational education and training (VET) choices, using primary qualitative data collected in the commune of Hung An, Vietnam. The authors demonstrate that, next to issues relating to income, it is family characteristics that are the predominant influence on an individual's choice of the VET track,…

  8. A multi-country study of the economic burden of dengue fever: Vietnam, Thailand, and Colombia.

    Directory of Open Access Journals (Sweden)

    Jung-Seok Lee

    2017-10-01

    Full Text Available Dengue fever is a major public health concern in many parts of the tropics and subtropics. The first dengue vaccine has already been licensed in six countries. Given the growing interests in the effective use of the vaccine, it is critical to understand the economic burden of dengue fever to guide decision-makers in setting health policy priorities.A standardized cost-of-illness study was conducted in three dengue endemic countries: Vietnam, Thailand, and Colombia. In order to capture all costs during the entire period of illness, patients were tested with rapid diagnostic tests on the first day of their clinical visits, and multiple interviews were scheduled until the patients recovered from the current illness. Various cost items were collected such as direct medical and non-medical costs, indirect costs, and non-out-of-pocket costs. In addition, socio-economic factors affecting disease severity were also identified by adopting a logit model. We found that total cost per episode ranges from $141 to $385 for inpatient and from $40 to $158 outpatient, with Colombia having the highest and Thailand having the lowest. The percentage of the private economic burden of dengue fever was highest in the low-income group and lowest in the high-income group. The logit analyses showed that early treatment, higher education, and better knowledge of dengue disease would reduce the probability of developing more severe illness.The cost of dengue fever is substantial in the three dengue endemic countries. Our study findings can be used to consider accelerated introduction of vaccines into the public and private sector programs and prioritize alternative health interventions among competing health problems. In addition, a community would be better off by propagating the socio-economic factors identified in this study, which may prevent its members from developing severe illness in the long run.

  9. A multi-country study of the economic burden of dengue fever: Vietnam, Thailand, and Colombia.

    Science.gov (United States)

    Lee, Jung-Seok; Mogasale, Vittal; Lim, Jacqueline K; Carabali, Mabel; Lee, Kang-Sung; Sirivichayakul, Chukiat; Dang, Duc Anh; Palencia-Florez, Diana Cristina; Nguyen, Thi Hien Anh; Riewpaiboon, Arthorn; Chanthavanich, Pornthep; Villar, Luis; Maskery, Brian A; Farlow, Andrew

    2017-10-01

    Dengue fever is a major public health concern in many parts of the tropics and subtropics. The first dengue vaccine has already been licensed in six countries. Given the growing interests in the effective use of the vaccine, it is critical to understand the economic burden of dengue fever to guide decision-makers in setting health policy priorities. A standardized cost-of-illness study was conducted in three dengue endemic countries: Vietnam, Thailand, and Colombia. In order to capture all costs during the entire period of illness, patients were tested with rapid diagnostic tests on the first day of their clinical visits, and multiple interviews were scheduled until the patients recovered from the current illness. Various cost items were collected such as direct medical and non-medical costs, indirect costs, and non-out-of-pocket costs. In addition, socio-economic factors affecting disease severity were also identified by adopting a logit model. We found that total cost per episode ranges from $141 to $385 for inpatient and from $40 to $158 outpatient, with Colombia having the highest and Thailand having the lowest. The percentage of the private economic burden of dengue fever was highest in the low-income group and lowest in the high-income group. The logit analyses showed that early treatment, higher education, and better knowledge of dengue disease would reduce the probability of developing more severe illness. The cost of dengue fever is substantial in the three dengue endemic countries. Our study findings can be used to consider accelerated introduction of vaccines into the public and private sector programs and prioritize alternative health interventions among competing health problems. In addition, a community would be better off by propagating the socio-economic factors identified in this study, which may prevent its members from developing severe illness in the long run.

  10. Population Density, Water Supply, and the Risk of Dengue Fever in Vietnam: Cohort Study and Spatial Analysis

    Science.gov (United States)

    Schmidt, Wolf-Peter; Suzuki, Motoi; Dinh Thiem, Vu; White, Richard G.; Tsuzuki, Ataru; Yoshida, Lay-Myint; Yanai, Hideki; Haque, Ubydul; Huu Tho, Le; Anh, Dang Duc; Ariyoshi, Koya

    2011-01-01

    Background Aedes aegypti, the major vector of dengue viruses, often breeds in water storage containers used by households without tap water supply, and occurs in high numbers even in dense urban areas. We analysed the interaction between human population density and lack of tap water as a cause of dengue fever outbreaks with the aim of identifying geographic areas at highest risk. Methods and Findings We conducted an individual-level cohort study in a population of 75,000 geo-referenced households in Vietnam over the course of two epidemics, on the basis of dengue hospital admissions (n = 3,013). We applied space-time scan statistics and mathematical models to confirm the findings. We identified a surprisingly narrow range of critical human population densities between around 3,000 to 7,000 people/km2 prone to dengue outbreaks. In the study area, this population density was typical of villages and some peri-urban areas. Scan statistics showed that areas with a high population density or adequate water supply did not experience severe outbreaks. The risk of dengue was higher in rural than in urban areas, largely explained by lack of piped water supply, and in human population densities more often falling within the critical range. Mathematical modeling suggests that simple assumptions regarding area-level vector/host ratios may explain the occurrence of outbreaks. Conclusions Rural areas may contribute at least as much to the dissemination of dengue fever as cities. Improving water supply and vector control in areas with a human population density critical for dengue transmission could increase the efficiency of control efforts. Please see later in the article for the Editors' Summary PMID:21918642

  11. Effect of the Gulf War on reactivation of adverse combat-related memories in Vietnam veterans.

    Science.gov (United States)

    Long, N; Chamberlain, K; Vincent, C

    1994-03-01

    Symptoms of combat related posttraumatic stress disorder (PTSD) have been reported extensively in Vietnam veterans. A few of these studies have reported situations in which PTSD has been reactivated in veterans with a history of PTSD. The present study reports the effects of media coverage of the Gulf War on a community sample of New Zealand Vietnam veterans. Levels of PTSD, distress, and well-being were assessed before and after the outbreak of hostilities. Most veterans closely followed the media presentation of the war and reported revived memories of Vietnam. Increased memories of Vietnam were associated with higher levels of PTSD and distress. It is suggested that veterans have heightened susceptibility to combat related stimuli because of their previous combat experience and that these stimuli can reactivate PTSD symptoms and distress. Implications of this finding for other groups in the community who harbour residual PTSD effects are discussed.

  12. REDD+ and climate smart agriculture in landscapes: A case study in Vietnam using companion modelling.

    Science.gov (United States)

    Salvini, G; Ligtenberg, A; van Paassen, A; Bregt, A K; Avitabile, V; Herold, M

    2016-05-01

    Finding land use strategies that merge land-based climate change mitigation measures and adaptation strategies is still an open issue in climate discourse. This article explores synergies and trade-offs between REDD+, a scheme that focuses mainly on mitigation through forest conservation, with "Climate Smart Agriculture", an approach that emphasizes adaptive agriculture. We introduce a framework for ex-ante assessment of the impact of land management policies and interventions and for quantifying their impacts on land-based mitigation and adaptation goals. The framework includes a companion modelling (ComMod) process informed by interviews with policymakers, local experts and local farmers. The ComMod process consists of a Role-Playing Game with local farmers and an Agent Based Model. The game provided a participatory means to develop policy and climate change scenarios. These scenarios were then used as inputs to the Agent Based Model, a spatially explicit model to simulate landscape dynamics and the associated carbon emissions over decades. We applied the framework using as case study a community in central Vietnam, characterized by deforestation for subsistence agriculture and cultivation of acacias as a cash crop. The main findings show that the framework is useful in guiding consideration of local stakeholders' goals, needs and constraints. Additionally the framework provided beneficial information to policymakers, pointing to ways that policies might be re-designed to make them better tailored to local circumstances and therefore more effective in addressing synergistically climate change mitigation and adaptation objectives. Copyright © 2015 Elsevier Ltd. All rights reserved.

  13. Application of tracer techniques in studies of sediment transport in Vietnam

    Energy Technology Data Exchange (ETDEWEB)

    Hai, P.S.; Quang, N.H.; Xuan, N.M. [Nuclear Research Institute, Dalat, (Viet Nam); Chuong, P.N. [Vanlang Univeristy, Ho Chin Minh City, (Viet Nam); Hien, P.Z. [R.C.A, C.T.O, Jakarta, (Indonesia)

    1997-10-01

    As a consequence of intensive erosion processes typical of the humid tropical one, as well as of human activities destroying tropical forests, grasslands and protective mangrove swamps, etc, most navigable estuaries in Vietnam suffer seriously from sedimentation. In order to maintain the necessary depth for the 7.000 ton vessels entering and leaving ports, a large amount of money is spent annually on dredging operation. A lot of hydraulic and sedimentary surveys were carried out in the past by different groups of researchers. However, owing to the complexity of sediment processes in estuarine areas under the hydrometeorological conditions typical of the southwest Pacific, the use of just any modelling approach is not suitable. In many cases, the conclusions inferred from mathematical models have been the controversial matter. The tracer techniques, which have been employed in the country since 1991, have provided a very efficient tool to obtain a dynamic idea of sediment transport. Many investigations of bedload transport using Sc-46 labelled glass and Ir-192 glass as radioactive tracers were carried out from 1992 to 1996 at Haiphong harbour area. Bedload transport rates under effect of northeast monsoon and southeast monsoon at 5 zones located on both sides of the navigation channel were estimated. In bedload transport studies, apart from conventional methods for assessment of transport thickness, a new method using the ratio of photoelectric peak to Compton region of spectra acquired directly on the sea bed was put forward and applied. The influence of dredging materials at two dumping sites under different tidal phases on in fill rate in the access channel was assessed by radioactive tracers. The qualitative and quantitative information on sediment transport at some experimental sites given by tracers was used by modelling specialists who have undertaken hydraulic and sedimentary surveys in this region. 8 refs., 2 tabs., 1 fig.

  14. Consistent association between mixed lateral preference and PTSD: confirmation among a national study of 2490 US Army Vietnam veterans.

    Science.gov (United States)

    Boscarino, Joseph A; Hoffman, Stuart N

    2007-05-01

    To evaluate the research-based association between mixed lateral preference for handedness and risk for posttraumatic stress disorder (PTSD) in a large-scale sample of US Army Vietnam veterans exposed to war zone stressors. We used a national sample of 2490 male US Army veterans, who completed the Edinburgh Handedness Inventory (EHI), a measure ranging from -100 (pure left-handedness) to +100 (pure right-handedness). We developed several classifications representing levels of mixed laterality: a) an EHI -70 to +70 (EHI 70, moderate mixed); b) an EHI -50 to +50 (EHI 50, consistent mixed); and c) an EHI 0, plus reports of using either hand on > or =50% of the tasks assessed (EHI 0+, extreme mixed). We controlled for intelligence, race, Army entry age, and Army volunteer status, and we assessed the impact of combat exposure. Although all three handedness measures were associated with current PTSD in bivariate analyses, only Edinburgh 0+ was associated with PTSD in the multivariate model (odds ratio (OR) = 2.1; p = .021). However, when we classified handedness by high combat exposure, all three measures were associated with PTSD, with ORs = 2.5, 2.8, and 4.7 for EHI 70, EHI 50, and EHI 0+, respectively (all p < .001). Veterans with mixed laterality and high combat exposure also had significantly increased PTSD symptoms (all p < .001). Our study confirmed findings reported among mostly smaller clinical samples and suggested that mixed lateral preference was associated with PTSD, especially among those individuals exposed to more severe psychological trauma.

  15. DINAMIKA PERDAGANGAN BERAS VIETNAM

    OpenAIRE

    Nugroho, Agus Dwi; Jamhari, Jamhari; Mulyo, Jangkung Handoyo

    2017-01-01

    The aims of this study is to analyze the performance of export-import, competitiveness and the factors affecting export-import of Vietnam rice. Type of data used is secondary data of 1980-2009. To determine the fluctuation of export-import trade were applied trend and trade specialization ratio. To find out the analysis of competitiveness were run revealed comparative advantage (RCA) and acceleration ratio (AR). To investigate the factors affecting the export and import used error correction ...

  16. Type 2 diabetes in Vietnam: a cross-sectional, prevalence-based cost-of-illness study

    Directory of Open Access Journals (Sweden)

    Le NTD

    2017-08-01

    Full Text Available Nguyen Tu Dang Le, Luyen Dinh Pham, Trung Quang Vo Department of Pharmacy Administration, Faculty of Pharmacy, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam Background: According to the International Diabetes Federation, total global health care expenditures for diabetes tripled between 2003 and 2013 because of increases in the number of people with diabetes as well as in the average expenditures per patient. This study aims to provide accurate and timely information about the economic impacts of type 2 diabetes mellitus (T2DM in Vietnam. Method: The cost-of-illness estimates followed a prospective, prevalence-based approach from the societal perspective of T2DM with 392 selected diabetic patients who received treatment from a public hospital in Ho Chi Minh City, Vietnam, during the 2016 fiscal year. Results: In this study, the annual cost per patient estimate was US $246.10 (95% CI 228.3, 267.2 for 392 patients, which accounted for about 12% (95% CI 11, 13 of the gross domestic product per capita in 2017. That includes US $127.30, US $34.40 and US $84.40 for direct medical costs, direct nonmedical expenditures, and indirect costs, respectively. The cost of pharmaceuticals accounted for the bulk of total expenditures in our study (27.5% of total costs and 53.2% of direct medical costs. A bootstrap analysis showed that female patients had a higher cost of treatment than men at US $48.90 (95% CI 3.1, 95.0; those who received insulin and oral antidiabetics (OAD also had a statistically significant higher cost of treatment compared to those receiving OAD, US $445.90 (95% CI 181.2, 690.6. The Gradient Boosting Regression (Ensemble method and Lasso Regression (Generalized Linear Models were determined to be the best models to predict the cost of T2DM (R2=65.3, mean square error [MSE]=0.94; and R2=64.75, MSE=0.96, respectively. Conclusion: The findings of this study serve as a reference for policy decision making in diabetes

  17. Prevalence and correlates of hyperglycemia in a rural population, Vietnam: implications from a cross–sectional study

    Directory of Open Access Journals (Sweden)

    Quang Binh Tran

    2012-11-01

    Full Text Available Abstract Background Despite the increasing prevalence of type 2 diabetes in urban areas, relatively little has been known about its actual prevalence and its associations in rural areas, Vietnam. The purpose of this study was to evaluate the prevalence of impaired fasting glucose (IFG, impaired glucose tolerance (IGT, diabetes and their risk factors in a rural province, Vietnam. Methods A cross–sectional study with a representative sample was designed to estimate the hyperglycemia prevalence, using 75–g oral glucose tolerance test. Potential risk factors for hyperglycemia were analyzed using multinomial logistic regression, taken into account influences of socio–economic status, anthropometric measures, and lifestyle–related factors. Results The age and sex–adjusted prevalence rates (95% CI of isolated IFG, isolated IGT, combined IFG–IGT, and diabetes were 8.7 (7.0–10.5, 4.3 (3.2−5.4, 1.6 (0.9−2.3, and 3.7% (2.7–4.7%, respectively. There were still 73% of diabetic subjects without knowing the condition. Blood pressure, family history of diabetes, obesity–related measures (waist circumference, waist–hip ratio, body fat percentage, and abdominal obesity were the independent risk factors for hyperglycemia (IFG, IGT, and diabetes. Conclusions The prevalence of hyperglycemia in rural areas has not been as sharply increased as that reported in urban cities, Vietnam. Blood pressure and obesity–related measures were the most significant predictors for hyperglycemia level and they can be taken into account in building prognosis models to early detection of diabetes in rural Vietnamese populations.

  18. Non-Performing Loans : Case study in Vietnam: causes, consequences, and effects.

    OpenAIRE

    Nguyen, Dung

    2014-01-01

    Non-performing loans affected the economy in a widespread area, at least during the last decade. The phenomenon had never been a concern until the collapse of stock and real estate markets. Considering that those markets accounted for a massive volume of capital, the crisis quickly spread to banking and commercial lending market. In Vietnam, the non-performing loans have been the concern since 2011. The inefficiency of capital markets humiliated production activities, in general, and compe...

  19. A Study of Strategic Lessons Learned in Vietnam. Volume I. The Enemy

    Science.gov (United States)

    1979-11-30

    communist leaders in the Soviet Union and China to Hitler.37/ President Eisenhower also knew that the American public was weary of the fighting in Korea...the NLF. 5. Group A assigned much greater effectiveness to bc*mbing in Vietnam and Laos than Group B. 164. Nixon, Memoirs (New York: Grosset & Dunlop ...CONGRESSIONAL OPPOSMON TO U 8 B UERUIN CONFERENCE OF FOREIN INTERVENTION MINISTERS a PUBUC WEARINESS OF WAR FOLLOWING D ,PAMl1nC WEAKNESS OF FRENCH

  20. Fish Farm Pollution - A Study of Clean-up Options in Vietnam

    OpenAIRE

    Vo Thi Lang; Ky Quang Vinh; Ngo Thi Thanh Truc

    2009-01-01

    Aquaculture is a thriving industry in the Mekong Delta (MD) of Vietnam. Tra fish are the most popular catfish species bred in the region and they have become an important export item. As such they are an economically valuable product for many MD farmers. However, catfish farming is causing problems for the environment. Waste, especially wastewater, from fish farms is often not treated properly and is dumped into canals, creeks or rivers. This has a negative impact on local communities that re...

  1. Contact investigation in households of patients with tuberculosis in Hanoi, Vietnam: a prospective cohort study.

    Directory of Open Access Journals (Sweden)

    Gregory James Fox

    Full Text Available SETTING: Existing tuberculosis control strategies in Vietnam are based on symptomatic patients attending health services for investigation. This approach has not resulted in substantial reductions in the prevalence of tuberculosis disease, despite the National Tuberculosis Program achieving high treatment completion rates. Alternative approaches are being considered. OBJECTIVE: To determine the feasibility and yield of contact investigation in households of patients with smear positive pulmonary tuberculosis among household members of tuberculosis patients in Hanoi, Vietnam. METHODS: Household contacts of patients with smear positive pulmonary tuberculosis were recruited at four urban and rural District Tuberculosis Units in Hanoi. Clinical and radiological screening was conducted at baseline, six months and 12 months. Sputum microscopy and culture was performed in contacts suspected of having tuberculosis. MIRU-VNTR molecular testing was used to compare the strains of patients and their contacts with disease. RESULTS: Among 545 household contacts of 212 patients, four were diagnosed with tuberculosis at baseline (prevalence 734 cases per 100,000 persons, 95% CI 17-1451 and one was diagnosed with tuberculosis during the subsequent 12 months after initial screening (incidence 180 cases per 100,000 person-years, 95% CI 44-131. Two of these cases were culture positive for M. tuberculosis and both had identical or near-identical MIRU-VNTR strain types. CONCLUSION: Household contacts of patients with potentially infectious forms of tuberculosis have a high prevalence of disease. Household contact investigation is feasible in Vietnam. Further research is required to investigate its effectiveness.

  2. Engaging Remote Sensing and Citizen Science into Water Quality Monitoring: A Case Study in Nhue-Day River Basin, Vietnam

    Science.gov (United States)

    Thi Van Le, Khoa; Minkman, Ellen; Nguyen Thi Phuong, Thuy; Rutten, Martine; Bastiaanssen, Wim

    2016-04-01

    Remote sensing and citizen science can be utilized to fulfill the gap of conventional monitoring methods. However, how to engage these techniques, principally taking advantage of local capacities and of globally accessible data for satisfying the continuous data requirements and uncertainties are exciting challenges. Previous studies in Vietnam showed that official documents regulated towards responding the vital need of upgrading national water monitoring infrastructures do not put the huge potentials of free satellite images and crowd-based data collection into account, this factor also limits publications related to these techniques. In this research, a new water monitoring approach will be developed friendly with areas suffering poor quality monitoring works. Particularly, algorithms respecting to the relationship between temperature, total suspended sediment (TSS), chlorophyll and information collected by sensors onboard Landsat-8 and Sentinel-2 MSI satellites are built in the study area in Northern Vietnam; additionally, undergraduate student volunteers were sent to the sites with all the measurement activities are designed to coincide with the time when the study area captured by the satellites to compare the results. While conventional techniques are proving their irreplaceable role in the water monitoring network, the utilization of remote sensing techniques and citizen science in this study will demonstrate highly supportive values, saving monitoring costs and time; advantaging local human resources to science; providing an inclusive assessment of water quality changes along with land-use change in the study area, these approaches are excellent alternatives to meet the demand of real-time, continuous data nationwide.

  3. Factors that make a marketing cam-paign go viral : Case study: Campaign ”Share a Coke” by Coca Cola in Vietnam

    OpenAIRE

    Nguyen, Thuan; Nguyen, Thy

    2015-01-01

    This paper aims at finding out underlying factors that make a marketing campaign go viral by analysing a case study with the aids of theoretical framework and quantitative research. “Share a Coke” campaign in Vietnam, which created a huge viral effect in Vietnam in summer 2014, was chosen to be the case study for this thesis. The theoretical framework of the thesis would mainly be based upon the theories established by Six Principles of Viral Marketing (Dr Wilson 2000), Inclusive Word of Mout...

  4. Sleep and resilience: a longitudinal 37-year follow-up study of Vietnam repatriated prisoners of war.

    Science.gov (United States)

    Segovia, Francine; Moore, Jeffrey L; Linnville, Steven; Hoyt, Robert E; Hain, Robert E

    2013-02-01

    This study examined sleep histories associated with resilience after trauma defined as a continuous lack of psychiatric illness across 37 years. Data were drawn from a 37-year follow-up examination of the effects of the Vietnam prisoner of war (POW) experience. The Robert E. Mitchell Center for POW Studies is a unique institution holding the only longitudinal study of the effects of the American POW experience in existence. The study used a sample of 440 Vietnam repatriated prisoners of war (RPWs). Psychiatric disorders were assessed at repatriation (1973) and were continued annually by a psychiatrist or clinical psychologist. Sleep issues before, during, and after captivity were assessed upon repatriation during medical examinations. Odds ratios examining presence of sleep symptoms show resilient RPWs reporting fewer symptoms compared to nonresilient RPWS before, during, and after captivity. Logistic regression comparing before, during, and after indicates fewer reported sleep disturbance symptoms after captivity was the strongest predictor of resilience (b = -0.82, Wald chi2 (1) = 16.70, p < 0.000). Reporting fewer sleep complaints, but not necessarily an absence of them before, during, and after the trauma predicts resilience across time.

  5. Vietnam’s public debt : Problems and Suggested solutions

    OpenAIRE

    Van Nguyen, Thuy

    2014-01-01

    Public debt crisis currently becomes a common concern of many countries. In Vietnam, public debt is at risk level and tends to increase rapidly. This thesis analyzed the current situation and causes of Vietnam’s public debt, and suggested some solutions to control public debt. The research flows from the cases in European countries and Japan to Vietnam to study the con-text of public debt crisis and policy-responses of those countries. The study was conducted by means of the qualitative ...

  6. A Multi-country Study of the Household Willingness-to-Pay for Dengue Vaccines: Household Surveys in Vietnam, Thailand, and Colombia.

    Science.gov (United States)

    Lee, Jung-Seok; Mogasale, Vittal; Lim, Jacqueline K; Carabali, Mabel; Sirivichayakul, Chukiat; Anh, Dang Duc; Lee, Kang-Sung; Thiem, Vu Dinh; Limkittikul, Kriengsak; Tho, Le Huu; Velez, Ivan D; Osorio, Jorge E; Chanthavanich, Pornthep; da Silva, Luiz J; Maskery, Brian A

    2015-01-01

    The rise in dengue fever cases and the absence of dengue vaccines will likely cause governments to consider various types of effective means for controlling the disease. Given strong public interests in potential dengue vaccines, it is essential to understand the private economic benefits of dengue vaccines for accelerated introduction of vaccines into the public sector program and private markets of high-risk countries. A contingent valuation study for a hypothetical dengue vaccine was administered to 400 households in a multi-country setting: Vietnam, Thailand, and Colombia. All respondents received a description of the hypothetical dengue vaccine scenarios of 70% or 95% effectiveness for 10 or 30 years with a three dose series. Five price points were determined after pilot tests in order to reflect different local situations such as household income levels and general perceptions towards dengue fever. We adopted either Poisson or negative binomial regression models to calculate average willingness-to-pay (WTP), as well as median WTP. We found that there is a significant demand for dengue vaccines. The parametric median WTP is $26.4 ($8.8 per dose) in Vietnam, $70.3 ($23.4 per dose) in Thailand, and $23 ($7.7 per dose) in Colombia. Our study also suggests that respondents place more value on vaccinating young children than school age children and adults. Knowing that dengue vaccines are not yet available, our study provides critical information to both public and private sectors. The study results can be used to ensure broad coverage with an affordable price and incorporated into cost benefit analyses, which can inform prioritization of alternative health interventions at the national level.

  7. Teaching the Vietnam War: A Sociological Approach.

    Science.gov (United States)

    Starr, Jerold M.

    1995-01-01

    Maintains that, because of its importance in modern U.S. history, over 300 college courses are taught on the Vietnam War. Asserts that studying the war helps students develop critical thinking skills needed for citizenship. Describes the texts, formats, and assignments used in a college sociology course on the Vietnam War. (CFR)

  8. Photo-oxidative degradation of motorcycle helmets in Hanoi, Vietnam: A prospective preliminary study.

    Science.gov (United States)

    Ramli, Roszalina; Che Man, Zuraidah; Nordin, Rifqah; Abdul Karim, Fadzlina; Rashdi, Muhd Fazlynizam; Oxley, Jennie; Viet Cuong, Pham

    2016-09-01

    Vietnamese spend hours travelling on the road using their motorcycles. Their helmets are exposed continuously to sunlight and rain. The objectives of this study were to determine the association between the effect of photo-oxidative degradation (POD) of the outer shells and helmet age on helmet damage. The micro-structural change of the outer shell was also investigated. This was a prospective, cross sectional study recruiting injured motorcyclists from Hanoi, Vietnam hospital. The participants were interviewed by a trained researcher. The participants' helmets were collected post-crash. Initially, the helmets were examined for their type and external characteristics. A 3 cm × 3 cm cut was made on the helmet in the impacted and non-impacted areas (control). These areas were investigated for evidence of POD and presence of micro-cracks and material disintegration. 50 participants were enrolled. Sources of information included questionnaire and laboratory analyses. The helmet factors of interest were age of the helmet, exposure of helmet to sunlight and rain (duration/day) and history of previous impact. Laboratory analyses included Fourier Transform Infra Red (FTIR) for degradation and scanning electron microscopy (SEM) for micro-structural examination. Majority of the helmets was the open-face type, 40 (80.0%). 31 (62.0%) helmets aged less than three years (LTY) and 19 (38.0%) were three years old or more (MTY). 19 (61.3%) of the LTY helmets and 12 (63.2%) MTY helmets showed evidence of POD. The duration of helmet exposure to sunlight was between 93 to 6570 hours (mean 2347.74 hours; SD 1733.39). The SEM showed 15 helmets (30%) with micro-fractures, 21 helmets (42.0%) with material disintegration. Prolonged uv exposure to the ABS helmets resulted in changes in the helmet material in the form of material disintegration and microcracks and this association was statistically significant (p = 0.03). POD occurs due to routine exposure to the ultraviolet light

  9. Knowledge attitudes and practice toward epilepsy among adults in BaVi, Vietnam: first report from the population-based EPIBAVI study.

    Science.gov (United States)

    Tuan, Nguyen Anh; Cuong, Le Quang; Allebeck, Peter; Chuc, Nguyen Thi Kim; Tomson, Torbjorn

    2007-10-01

    We conducted a survey to assess knowledge, attitudes, and practice toward epilepsy in a population-based study in a rural district of Vietnam. We utilized an established knowledge-attitudes-practice questionnaire. This was applied by trained surveyors in face-to-face interviews of 2005 randomly selected adult residents (19-71 years of age) of the BaVi district, 60 km west of Hanoi. Of the respondents, 67.0% had heard about epilepsy, 52.1% had known someone with seizures, and 49.3% had witnessed seizures. In total, 36.3% would object to their children playing with someone with seizures and 82.0% to their children marrying someone with epilepsy. Only 32.6% thought that epilepsy patients should be employed in a job as other people, while 10% thought that epilepsy was a form of insanity. Familiarity with epilepsy, having heard of epilepsy, known someone with epilepsy, or having seen seizures was associated with less negative attitudes. About half of the respondents (50.4%) thought epilepsy was caused by a brain disease and 80.1% would suggest consultation of a medical doctor for epilepsy. Knowledge of epilepsy among Vietnamese people is still limited compared to some Western countries and the attitudes more negative. Our findings indicated more negative attitudes than in another recent survey from Vietnam. This may be due to differences in sociodemographic characteristics and educational level of the study populations. The discrepancies demonstrate the importance of selection of study population and the need for caution in generalizing from results of surveys.

  10. EPA Collaboration with Vietnam

    Science.gov (United States)

    Vietnam, one of Asia’s emerging economies, is an important environmental partner for EPA in Asia. EPA’s current cooperation with Vietnam primarily focuses on dioxin remediation and technical assistance to reduce methane emissions.

  11. Decreased Streptococcus pneumoniae susceptibility to oral antibiotics among children in rural Vietnam: a community study

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    Phuc Ho D

    2010-03-01

    Full Text Available Abstract Background Streptococcus pneumoniae is the most significant bacterial cause of community-acquired pneumonia among children under five years worldwide. Updated resistance information of S. pneumoniae among children is essential to adjust the recommendations for empirical treatment of community-acquired pneumonia, which will have immense implications for local and global health. This study investigated the prevalence of antibiotic resistance in isolated strains of S. pneumoniae and relationship with antibiotic use and demographic factors of children under five in rural Vietnam in 2007. Methods In Bavi district, 847 children 6 to 60 months were selected from 847 households. The main child-caregivers in the households were interviewed weekly using structured questionnaires to collect information of daily illness symptoms and drug use for the selected child over a four-week period (from March through June 2007. In the 3rd week, the children were invited for a clinical examination and to collect nasopharyngeal samples for S. pneumoniae identification. Etest and disk diffusion were used to test antibiotic susceptibility. Results Of 818 participating children, 258 (32% had ongoing respiratory infections, 421 (52% carried S. pneumoniae, and 477 (58% had used antibiotics within the previous three weeks. Of the 421 isolates, 95% were resistant to at least one antibiotic (401/421. Resistance to co-trimoxazole, tetracycline, phenoxymethylpenicillin, erythromycin and ciprofloxacin was 78%, 75%, 75%, 70% and 28%, respectively. Low resistance was noted for amoxicillin (4%, benzylpenicillin (4%, and cefotaxime (2%. The intermediate resistance to amoxicillin was 32%. Multidrug-resistance was seen in 60%. The most common pattern was co-resistance to co-trimoxazole, tetracycline and erythromycin. The proportion of children carrying resistant bacteria was higher among the children who had used antibiotics in the previous three weeks. Conclusions Resistance

  12. Research Notes: Interim Report: A Case Study of Internet-Based Distance Education Program Development in Vietnam

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    Patrick J. Fahy

    2004-04-01

    Full Text Available This is a report of the role of Distance education (DE in enhancing education and training in developing countries. As countries compete in an ever more challenging international marketplace, they recognize the need to continually train and upgrade their citizenry. As national leaders struggle to cope with increasing populations and decreasing budgets, DE can be an additional and often essential tool in accomplishing this goal.This paper is a case study of the efforts of one college in Vietnam, Fisheries College Number 4, to develop a plan to introduce a small distance education offering to its regular courses. Its purpose was to better serve farmers in remote regions. The first author, Ramona Materi, through her company, Ingenia Consulting, carried out the work on behalf of the International Development Research Centre (IDRC, a public corporation created by the Parliament of Canada to help researchers and communities in the developing world to find solutions to their social, economic, and environmental problems. Materi’s assignment was to work with College officials to develop the DE plan and funding proposal.The paper begins with a brief description of the role of information and communications technology (ICT in education and development, particularly in South East Asia. It then provides an overview of Vietnam and its current activities in DE. The next section offers a detailed examination of the challenges the College faced in developing a plan for DE on the Internet. The paper concludes with Materi’s personal observations and commentary on lessons learned.

  13. Vietnam: Historians at War

    Science.gov (United States)

    Moyar, Mark

    2008-01-01

    Although the Vietnam War ended more than thirty years ago, historians remain as divided on what happened as the American people were during the war. Mark Moyar maps the ongoing battle between "orthodox" and "revisionist" Vietnam War historians: the first group, those who depict Vietnam as a bad war that the United States should…

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

    Science.gov (United States)

    Nguyen, Tung L; Uchida, Tomohisa; Tsukamoto, Yoshiyuki; Trinh, Dung T; Ta, Long; Mai, Bang H; Le, Song H; Thai, Ky D; Ho, Dung D; Hoang, Hai H; Matsuhisa, Takeshi; Okimoto, Tadayoshi; Kodama, Masaaki; Murakami, Kazunari; Fujioka, Toshio; Yamaoka, Yoshio; Moriyama, Masatsugu

    2010-09-30

    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. 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. 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. 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 Hanoi and Ho Chi Minh.

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

    Science.gov (United States)

    2010-01-01

    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 Hanoi and Ho Chi Minh. PMID

  16. 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

  17. Living with autism spectrum disorder in Hanoi, Vietnam.

    Science.gov (United States)

    Ha, Vu Song; Whittaker, Andrea; Whittaker, Maxine; Rodger, Sylvia

    2014-11-01

    There is limited understanding of Autism spectrum disorder (ASD) in Vietnam. This ethnographic study aimed to explore how ASD is represented and managed in the cultural, social and economic contexts of Vietnam, and describe the experiences of families with children with ASD in Hanoi, Vietnam. This study was conducted from 2011 to 2012 in Hanoi and employed a range of methods, including participant observation, in-depth interviews with 27 parents of children with ASD and 17 key informants, and online survey. This study found that within Hanoi, Vietnam, ASD has been culturally and socially constructed as a 'disease', 'karmic demerit' and 'family problem' rather than a life-long developmental disorder that needs support from government. Children with ASD and their families experience various forms of stigma and discrimination. There are limitations in assessment and diagnosis of ASD. Parents of children with ASD have little access to services for their children, and the limited political and economic supports exacerbate their difficulties. This study highlights some of the ways in which the understandings and management of ASD vary cross culturally. It also suggests further attention is required to the provision of appropriate public education, low cost interventions and support for family advocacy groups. Copyright © 2014 Elsevier Ltd. All rights reserved.

  18. Evidence of greater health care needs among older veterans of the Vietnam War.

    Science.gov (United States)

    Brooks, Matthew S; Laditka, Sarah B; Laditka, James N

    2008-08-01

    This study examined self-rated health, impairments in activities of daily living, and treatment for eight health conditions among Vietnam War-era veterans, comparing those who served in Vietnam with those who served elsewhere. Data were from the nationally representative 2001 National Survey of Veterans (N = 7,907; 3,923 veterans served in Vietnam). Age-stratified ( or =60 years) analyses included multivariate logistic regression. In adjusted analyses, among those Vietnam had notably poorer self-rated health and higher stroke risk (odds ratio, 1.51; 95% confidence interval, 1.48-1.53); odds of most other conditions were lower. Among those > or =60 years of age, those who served in Vietnam had poorer self-rated health, higher cancer risk (odds ratio, 1.33; 95% confidence interval, 1.32-1.35), and more treatment for hypertension, lung conditions, stroke, and hearing loss. Results suggest greater resource use among older veterans who served in Vietnam. Clinicians and the Department of Veterans Affairs should especially note their substantially higher cancer risk.

  19. Characterization of rubella virus genotypes among pregnant women in northern Vietnam, 2011-2013.

    Science.gov (United States)

    Van Le, Son; Le, Duc Hoang; Hoang, Huong Thi; Hoang, Ha; Nguyen, Nam Trung; Chu, Ha Hoang

    2015-02-01

    Rubella virus (RV) infection is an unresolved clinical complication that affects children in developing countries including Vietnam. RV infection during the first trimester of pregnancy causes severe birth defects known as congenital rubella syndrome. This study reports on the genomic characterization of RV strains circulating in northern Vietnam during 2011-2013. RV-IgM positive amniotic fluid specimens were collected from 38 women from northern Vietnam who presented with clinical rubella at the National Hospital of Obstetrics and Gynecology in Hanoi, Vietnam. The RV genes were determined by nested PCR with primers amplifying the 739-nucleotide coding region of the E1 gene. The sequences from the amplified DNA fragments were phylogenetically analyzed and compared to reference RV strains. Seventeen out of 38 samples are positive for RV detecting. All new RV isolates are clustered to genotype 2B. Eighteen amino acid mutations were found in the T and B cell epitopes. These results suggest that genotype 2B RV strains frequently circulate in northern Vietnam. These data describe the RV genotype in Vietnam with the aim of improving maternal and child health in this country. © 2014 Wiley Periodicals, Inc.

  20. The Provision of Sexual and Reproductive Health Education to Children in a Remote Mountainous Commune in Rural Vietnam: An Exploratory Study of Parents' Views

    Science.gov (United States)

    Ha, Tran Thi Thu; Fisher, Jane R. W.

    2011-01-01

    The purpose of this study was to explore the expectations of parents in a remote mountainous commune in Vietnam about sexual and reproductive health (SRH) education for their children. Separate in-depth interviews were conducted with 34 parents of eight-year-old children and key informants including a principal, a teacher and staff of the Youth…

  1. Amphetamine-type stimulant use among men who have sex with men (MSM) in Vietnam : Results from a socio-ecological, community-based study

    NARCIS (Netherlands)

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

    2016-01-01

    INTRODUCTION: Amphetamine-type-stimulants (ATS) use is associated with HIV-related sexual risk behaviours and is an emergent problem among men who have sex with men (MSM) in Vietnam. The purpose of this study is to describe ATS use patterns and understand the correlates of recent methamphetamine use

  2. Citizenship Education about War and Peace: A Study of the History of the Vietnam War through Oral History

    Science.gov (United States)

    Murray, Thomas E.

    2004-01-01

    In this article, the author discusses his "History of the Vietnam War" course, which takes oral history as the core of its curriculum. This oral history focuses on personal lives and stories that can bring history to life. The components of the course are as follows: (1) overview of the History of the Vietnam War; (2) email interviews;…

  3. English Language Training in Vietnam in the Era of Doi Moi. Ho Chi Minh City: A Descriptive Case Study.

    Science.gov (United States)

    Shapiro, Lawrence Avrom

    The status of English language education in Ho Chi Minh City (Vietnam) in the era of Doi Moi, or economic structuring that began in 1986, is analyzed. Background information is given on the history of English language training in Vietnam since 1975, the municipality of Ho Chi Minh City, the emergence of Doi Moi policy, policy concerning licensing…

  4. Stigma, an important source of dissatisfaction of health workers in HIV response in Vietnam: a qualitative study

    Directory of Open Access Journals (Sweden)

    Pham Ha Nguyen

    2012-12-01

    Full Text Available Abstract Background Like in many other low- and middle-income countries, the recent development of an HIV epidemic in Vietnam has led to a growing need for prevention, treatment, care, and support services for people living with HIV (PLHIV. This puts greater demands on the national HIV services, primarily on health workers, which increases the importance of their job satisfaction and working conditions. This study describes health worker perceptions and explores the factors that influence job satisfaction and dissatisfaction of health personnel working on the HIV response in Vietnam. Spector’s job satisfaction model was used as the theoretical framework for the study design and analysis. Methods The study employed a qualitative design with 7 focus group discussions and 15 semi-structured interviews with health workers, purposively selected from national and provincial organizations responsible for HIV services in 5 cities and provinces in Vietnam. Data were analyzed using a hybrid approach of theory-driven and data-driven coding and theme development using qualitative analysis software. Results HIV services are perceived by Vietnamese health workers as having both positive and negative aspects. Factors related to job satisfaction included training opportunities, social recognition, and meaningful tasks. Factors related to job dissatisfaction included unsatisfactory compensation, lack of positive feedback and support from supervisors, work-related stress from a heavy workload, fear of infection, and HIV-related stigma because of association with PLHIV. An adjusted Spector’s model of job satisfaction for HIV service health workers was developed from these results. Conclusion This study confirmed the relationship between stigmatization of PLHIV and stigma experienced by staff because of association with PLHIV from families, colleagues, and society. The experiencing stigma results in additional work-related stress, low self-esteem, poor views of

  5. Stigma, an important source of dissatisfaction of health workers in HIV response in Vietnam: a qualitative study.

    Science.gov (United States)

    Pham, Ha Nguyen; Protsiv, Myroslava; Larsson, Mattias; Ho, Hien Thi; de Vries, Daniel H; Thorson, Anna

    2012-12-21

    Like in many other low- and middle-income countries, the recent development of an HIV epidemic in Vietnam has led to a growing need for prevention, treatment, care, and support services for people living with HIV (PLHIV). This puts greater demands on the national HIV services, primarily on health workers, which increases the importance of their job satisfaction and working conditions. This study describes health worker perceptions and explores the factors that influence job satisfaction and dissatisfaction of health personnel working on the HIV response in Vietnam. Spector's job satisfaction model was used as the theoretical framework for the study design and analysis. The study employed a qualitative design with 7 focus group discussions and 15 semi-structured interviews with health workers, purposively selected from national and provincial organizations responsible for HIV services in 5 cities and provinces in Vietnam. Data were analyzed using a hybrid approach of theory-driven and data-driven coding and theme development using qualitative analysis software. HIV services are perceived by Vietnamese health workers as having both positive and negative aspects. Factors related to job satisfaction included training opportunities, social recognition, and meaningful tasks. Factors related to job dissatisfaction included unsatisfactory compensation, lack of positive feedback and support from supervisors, work-related stress from a heavy workload, fear of infection, and HIV-related stigma because of association with PLHIV. An adjusted Spector's model of job satisfaction for HIV service health workers was developed from these results. This study confirmed the relationship between stigmatization of PLHIV and stigma experienced by staff because of association with PLHIV from families, colleagues, and society. The experiencing stigma results in additional work-related stress, low self-esteem, poor views of their profession, and lower income. The study shows the importance of

  6. SWAT use of gridded observations for simulating runoff – a Vietnam river basin study

    Directory of Open Access Journals (Sweden)

    M. T. Vu

    2012-08-01

    Full Text Available Many research studies that focus on basin hydrology have applied the SWAT model using station data to simulate runoff. But over regions lacking robust station data, there is a problem of applying the model to study the hydrological responses. For some countries and remote areas, the rainfall data availability might be a constraint due to many different reasons such as lacking of technology, war time and financial limitation that lead to difficulty in constructing the runoff data. To overcome such a limitation, this research study uses some of the available globally gridded high resolution precipitation datasets to simulate runoff. Five popular gridded observation precipitation datasets: (1 Asian Precipitation Highly Resolved Observational Data Integration Towards the Evaluation of Water Resources (APHRODITE, (2 Tropical Rainfall Measuring Mission (TRMM, (3 Precipitation Estimation from Remote Sensing Information using Artificial Neural Network (PERSIANN, (4 Global Precipitation Climatology Project (GPCP, (5 a modified version of Global Historical Climatology Network (GHCN2 and one reanalysis dataset, National Centers for Environment Prediction/National Center for Atmospheric Research (NCEP/NCAR are used to simulate runoff over the Dak Bla river (a small tributary of the Mekong River in Vietnam. Wherever possible, available station data are also used for comparison. Bilinear interpolation of these gridded datasets is used to input the precipitation data at the closest grid points to the station locations. Sensitivity Analysis and Auto-calibration are performed for the SWAT model. The Nash-Sutcliffe Efficiency (NSE and Coefficient of Determination (R2 indices are used to benchmark the model performance. Results indicate that the APHRODITE dataset performed very well on a daily scale simulation of discharge having a good NSE of 0.54 and R2 of 0.55, when compared to the discharge simulation using station data (0

  7. Connectivity and distant drivers of land change: A case study of land use, land cover, and livelihood changes in Quang Tri, Vietnam

    Science.gov (United States)

    Rounds, Eric

    The urban lowland areas of Vietnam have been at the forefront of economic liberalization over the last 30 years, while the more remote mountainous areas of the country have lagged behind. Upland areas in the Northern and Central portions of Vietnam in particular remain largely impoverished and disconnected from broader national and regional markets. To address this economic inequality in the uplands, recent economic development efforts such as the East-West Economic Corridor (EWEC) have aimed at expanding road infrastructure to remote areas in Central Vietnam. This study examines the impact of road expansion in the EWEC on a single village in Quang Tri, Vietnam. It draws from social economic data gathered during fieldwork and a historical land cover analysis to address how land use, land cover, and livelihoods have changed in recent decades. Moreover, the paper discusses the distal and proximate drivers of these changes. Findings show that the improved road connectivity provided by new roads has facilitated the transmission of distant market-related drivers into the study area, and that these drivers have fostered significant changes in land use, land cover, and livelihoods.

  8. 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

  9. Citizen science land cover classification based on ground and satellite imagery: Case study Day River in Vietnam

    Science.gov (United States)

    Nguyen, Son Tung; Minkman, Ellen; Rutten, Martine

    2016-04-01

    Citizen science is being increasingly used in the context of environmental research, thus there are needs to evaluate cognitive ability of humans in classifying environmental features. With the focus on land cover, this study explores the extent to which citizen science can be applied in sensing and measuring the environment that contribute to the creation and validation of land cover data. The Day Basin in Vietnam was selected to be the study area. Different methods to examine humans' ability to classify land cover were implemented using different information sources: ground based photos - satellite images - field observation and investigation. Most of the participants were solicited from local people and/or volunteers. Results show that across methods and sources of information, there are similar patterns of agreement and disagreement on land cover classes among participants. Understanding these patterns is critical to create a solid basis for implementing human sensors in earth observation. Keywords: Land cover, classification, citizen science, Landsat 8

  10. Competence-Based System Self-Study System for Suggesting Study Materials Links

    Science.gov (United States)

    Nitchot, Athitaya; Gilbert, Lester; Wills, Gary B.

    2014-01-01

    The article proposes a self-study system which suggests web links to learners. The suggestions depend upon the learner's chosen competences selected from a competence structure for a particular knowledge domain. Three experiments were conducted, where the first compared the perceived usefulness and value of the links generated by different…

  11. A longitudinal cohort study of the impact of first- and both-eye cataract surgery on falls and other injuries in Vietnam

    Directory of Open Access Journals (Sweden)

    To KG

    2014-04-01

    Full Text Available Kien Gia To,1,2 Lynn Meuleners,1 Max Bulsara,3 Michelle L Fraser,1 Dat Van Duong,4 Dung Van Do,2 Van-Anh Ngoc Huynh,2 Tien Duy Phi,5 Hoang Huy Tran,5 Nguyen Do Nguyen51Curtin Monash Accident Research Centre (C-MARC, Faculty of Health Sciences, Curtin University, Perth, WA, Australia; 2University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam; 3Institute for Health Research, University of Notre Dame, Fremantle, WA, Australia; 4United Nations Population Fund, Hanoi, Vietnam; 5Eye Hospital, Ho Chi Minh City, VietnamAim: Little information exists on the impact of cataract surgery on falls and other injuries in Vietnam. The aim of this study was to determine the impact of first and both eye cataract surgery on the number of falls and other injuries among bilateral cataract patients in Ho Chi Minh City, Vietnam.Materials and methods: A longitudinal cohort study was conducted involving 413 bilateral cataract patients aged 50+ years. Participants were assessed at three time points: 1 week before, 1–3 months after, and 1 year after first-eye cataract surgery. Visual measures (visual acuity, contrast sensitivity and stereopsis were taken, and self-reported falls and injury data were collected. A multilevel longitudinal Poisson regression model was used to investigate change in the number of falls after surgery.Results: The risk of falls decreased by 78% (incidence-rate ratio [IRR] 0.22, 95% confidence interval [CI] 0.06–0.77; P=0.018 in the year after cataract surgery for participants who had first-eye surgery only and 83% (IRR 0.17, 95% CI 0.04–0.69; P=0.012 for participants who had the second eye operated on compared to before surgery. The risk of falls was three times higher for females than males (IRR 3.13, 95% CI 1.53–6.40; P=0.002. Improved binocular contrast sensitivity was also associated with a decrease in falls (IRR 0.40, 95% CI 0.17–0.97; P=0.042. The prevalence of other injuries also decreased after

  12. The Vietnam Initiative on Zoonotic Infections (VIZIONS): A Strategic Approach to Studying Emerging Zoonotic Infectious Diseases.

    Science.gov (United States)

    Rabaa, Maia A; Tue, Ngo Tri; Phuc, Tran My; Carrique-Mas, Juan; Saylors, Karen; Cotten, Matthew; Bryant, Juliet E; Nghia, Ho Dang Trung; Cuong, Nguyen Van; Pham, Hong Anh; Berto, Alessandra; Phat, Voong Vinh; Dung, Tran Thi Ngoc; Bao, Long Hoang; Hoa, Ngo Thi; Wertheim, Heiman; Nadjm, Behzad; Monagin, Corina; van Doorn, H Rogier; Rahman, Motiur; Tra, My Phan Vu; Campbell, James I; Boni, Maciej F; Tam, Pham Thi Thanh; van der Hoek, Lia; Simmonds, Peter; Rambaut, Andrew; Toan, Tran Khanh; Van Vinh Chau, Nguyen; Hien, Tran Tinh; Wolfe, Nathan; Farrar, Jeremy J; Thwaites, Guy; Kellam, Paul; Woolhouse, Mark E J; Baker, Stephen

    2015-12-01

    The effect of newly emerging or re-emerging infectious diseases of zoonotic origin in human populations can be potentially catastrophic, and large-scale investigations of such diseases are highly challenging. The monitoring of emergence events is subject to ascertainment bias, whether at the level of species discovery, emerging disease events, or disease outbreaks in human populations. Disease surveillance is generally performed post hoc, driven by a response to recent events and by the availability of detection and identification technologies. Additionally, the inventory of pathogens that exist in mammalian and other reservoirs is incomplete, and identifying those with the potential to cause disease in humans is rarely possible in advance. A major step in understanding the burden and diversity of zoonotic infections, the local behavioral and demographic risks of infection, and the risk of emergence of these pathogens in human populations is to establish surveillance networks in populations that maintain regular contact with diverse animal populations, and to simultaneously characterize pathogen diversity in human and animal populations. Vietnam has been an epicenter of disease emergence over the last decade, and practices at the human/animal interface may facilitate the likelihood of spillover of zoonotic pathogens into humans. To tackle the scientific issues surrounding the origins and emergence of zoonotic infections in Vietnam, we have established The Vietnam Initiative on Zoonotic Infections (VIZIONS). This countrywide project, in which several international institutions collaborate with Vietnamese organizations, is combining clinical data, epidemiology, high-throughput sequencing, and social sciences to address relevant one-health questions. Here, we describe the primary aims of the project, the infrastructure established to address our scientific questions, and the current status of the project. Our principal objective is to develop an integrated approach to

  13. Cancer incidence in Australian Vietnam veterans

    Energy Technology Data Exchange (ETDEWEB)

    Wilson, E.; Horsley, K. [Australian Government Department of Veterans' Affairs (Australia); Hoek, R. van der [Australian Institute of Health and Welfare (Australia)

    2004-09-15

    Australian Defence Force (ADF) personnel participated in the Vietnam Conflict from 1962 to 1973, involving nearly 60,000 personnel, of whom over 500 died during service and 3131 were severely physically wounded. Service in the Vietnam conflict presented distinct health challenges. Besides the hazards of combat conditions for extended periods, herbicides and other toxic chemicals were used extensively. The United States military sprayed more than 76,000,000L of herbicide over Vietnam in their Air Force Ranch Hand and Operation Trail Dust programs. The most heavily used herbicide was Agent Orange, contaminated with 2,3,7,8-tetrachlorodibenzo-pdioxin. Since the Vietnam conflict, ex-Service organisations (ESOs) have maintained that Vietnam service adversely affected the health of veterans. Initial studies showed no excess risk attributable to their service. However, more recent studies have shown that Vietnam veterans have excess incidence and mortality rates from several conditions such as cancers and heart disease. This paper describes the first cancer incidence study for all ADF Vietnam veterans.

  14. Bystander Attitudes to Prevent Sexual Assault: A Study of College Students in the United States, Japan, India, Vietnam, and China.

    Science.gov (United States)

    Kamimura, Akiko; Trinh, Ha Ngoc; Nguyen, Hanh; Yamawaki, Niwako; Bhattacharya, Haimanti; Mo, Wenjing; Birkholz, Ryan; Makomenaw, Angie; Olson, Lenora M

    2016-01-01

    College women are at a high risk of sexual assault. Although programs that aim to change bystander behaviors have been shown to be potentially effective in preventing sexual assault on campuses in the United States, little is known about bystander behaviors outside of the United States. The purpose of this study was to explore and compare factors affecting bystander behaviors regarding sexual assault intervention and prevention among undergraduate students in the United States, Japan, India, Vietnam, and China. A total of 1,136 students participated in a self-reported survey. Results demonstrate substantial variations across countries. Bystander behaviors are associated with multilevel factors, including gender, knowledge of individuals who have experienced a sexual assault, and knowledge about campus or community organizations.

  15. Civil society organisations' roles in health development in Vietnam: HIV as a case study.

    Science.gov (United States)

    Hoang, Tu-Anh

    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 providing information and services, including care and treatment, in line with a state-sanctioned 'implementer' role for civil society, and that these organisations therefore miss an opportunity to act as agents for change. It was observed that the CSOs taking on roles involving advocacy and the monitoring of policy implementation were those that focus exclusively on HIV/AIDS prevention and control. However, the sustainability of these efforts is unclear.

  16. Designing a community engagement framework for a new dengue control method: a case study from central Vietnam.

    Directory of Open Access Journals (Sweden)

    Darlene McNaughton

    2014-05-01

    Full Text Available BACKGROUND: The Wolbachia strategy aims to manipulate mosquito populations to make them incapable of transmitting dengue viruses between people. To test its efficacy, this strategy requires field trials. Public consultation and engagement are recognized as critical to the future success of these programs, but questions remain regarding how to proceed. This paper reports on a case study where social research was used to design a community engagement framework for a new dengue control method, at a potential release site in central Vietnam. METHODOLOGY/PRINCIPAL FINDINGS: The approach described here, draws on an anthropological methodology and uses both qualitative and quantitative methods to design an engagement framework tailored to the concerns, expectations, and socio-political setting of a potential trial release site for Wolbachia-infected Aedes aegypti mosquitoes. The process, research activities, key findings and how these were responded to are described. Safety of the method to humans and the environment was the most common and significant concern, followed by efficacy and impact on local lives. Residents expected to be fully informed and engaged about the science, the project, its safety, the release and who would be responsible should something go wrong. They desired a level of engagement that included regular updates and authorization from government and at least one member of every household at the release site. CONCLUSIONS/SIGNIFICANCE: Results demonstrate that social research can provide important and reliable insights into public concerns and expectations at a potential release site, as well as guidance on how these might be addressed. Findings support the argument that using research to develop more targeted, engagement frameworks can lead to more sensitive, thorough, culturally comprehensible and therefore ethical consultation processes. This approach has now been used successfully to seek public input and eventually support for

  17. Prioritization of zoonotic diseases of public health significance in Vietnam.

    Science.gov (United States)

    Trang, Do Thuy; Siembieda, Jennifer; Huong, Nguyen Thi; Hung, Pham; Ky, Van Dang; Bandyopahyay, Santanu; Olowokure, Babatunde

    2015-12-30

    Prioritization of zoonotic diseases is critical as it facilitates optimization of resources, greater understanding of zoonotic diseases and implementation of policies promoting multisectoral collaboration. This study aimed to establish strategic priorities for zoonotic diseases in Vietnam taking a key stakeholder approach. Two weeks prior to a workshop on zoonotic diseases a questionnaire was developed and posted to key professionals involved in different areas of zoonotic disease management in Vietnam. Respondents were asked to assess the relative priority of 12 zoonotic diseases using a number of evidence-based criteria, and to provide suggestions to strengthen multisectoral collaboration. A response rate of 69% (51/74) was obtained, and 75% (38/51) respondents worked in non-international Vietnamese organizations. Respondents identified the top five diseases for prioritization in Vietnam as: avian influenza, rabies, Streptococcus suis infection, pandemic influenza and foodborne bacterial diseases. The three criteria most used to rank diseases were severity of disease, outbreak potential and public attention. Avian influenza was ranked as the number one priority zoonotic disease in Vietnam by 57% of the respondents, followed by rabies (18%). Respondents identified coordination mechanisms, information sharing and capacity building as the most important areas for strengthening to enhance multisectoral collaboration. This study is the first systematic and broad-based attempt to prioritize zoonotic diseases of public health significance in Vietnam using key stakeholders, and a comparative and transparent method. There is limited literature for policy makers and planners on this topic and the results of this study can be used to guide decision-making.

  18. Tobacco control in Vietnam.

    Science.gov (United States)

    Tran, D T; Kosik, R O; Mandell, G A; Chen, Y A; Su, T P; Chiu, A W; Fan, A P

    2013-02-01

    To investigate the use of tobacco in Vietnam. Review study. Data were collected through a review of tobacco-related literature in Vietnam. Grey literature and web content from agencies such as the World Health Organization and the US Centers for Disease Control and Prevention were consulted. Tobacco smoking is still common in Vietnam, although numerous policies have been issued and implemented over the last two decades. Based on the most recent data (2010), the prevalence of smoking among adults aged >15 years was 23.8%, with a higher percentage among males (47.4%) than females (1.4%). The prevalence of smoking among students aged 13-15 was 3.8% (2007), with a similar gender pattern. The prevalence of exposure to secondhand smoke is of concern, with 73.1% and 55.9% of adults reporting exposure to secondhand smoke at home and at work or other places, respectively. Of the adult respondents, 55.5% believed that smoking may cause lung cancer, stroke and heart disease. Most students (93.4%) and adults (91.6%) had seen anti-smoking media messages. Of the students, 56.4% had seen pro-cigarette advertisements on billboards, 36.9% had seen pro-cigarette advertisements in newspapers or magazines, and 8.2% had been offered free cigarettes by tobacco company representatives. The price of cigarettes decreased by approximately 5% between 1995 and 2006, whereas gross domestic product per capita increased by more than 150%. On average, smokers smoked 13.5 cigarettes per day, and spent US$86 on cigarettes per year. Despite such high levels of tobacco exposure in Vietnam, the total tax on cigarettes remains at 45% of the retail price. Furthermore, only 29.7% of smokers had been advised to quit by a healthcare provider in the past 12 months. Strong enforcement and evidence-based regulations which rounded on MPOWER are needed to help protect current smokers and non-smokers from the devastating effects of tobacco. Copyright © 2012 The Royal Society for Public Health. Published by

  19. A study of the genus Protosticta Selys, 1855, with descriptions of four new species from Vietnam (Odonata: Platystictidae).

    Science.gov (United States)

    Phan, Quoc Toan; Kompier, Tom

    2016-04-07

    The genus Protosticta Selys, 1855 from Vietnam is revised. Four new species, P. ngoai spec. nov., P. socculus spec. nov., P. pseudocuriosa spec. nov., and P. spinosa spec. nov. are described; detailed morphological structures of four species P. beaumonti Wilson, 1997 (dark form), P. caroli van Tol, 2008, P. grandis Asahina, 1995, and P. satoi Asahina, 1997, are provided. P. beaumonti is newly recorded for Vietnam. The female of P. caroli is described for the first time. P. linnaei van Tol, 2008, is also listed here, based on the original description and visual inspection of the type specimens. The occurrence of P. khaosoidaoensis Asahina, 1984, in Vietnam is reviewed and rejected. A total of nine Protosticta species have now been recorded for Vietnam.

  20. Long-term disability associated with war-related experience among Vietnam veterans: retrospective cohort study.

    Science.gov (United States)

    Clarke, Philip M; Gregory, Robert; Salomon, Joshua A

    2015-05-01

    Recent combat operations have involved large numbers of personnel. Long-term health effects of military deployment remain largely unknown. To examine patterns and trends in long-term disability among combat veterans and to relate disability to aspects of wartime experience. A total of 60,228 Australian military personnel deployed between 1962 and 1975 during the Vietnam War, and 82,877 military personnel who were not deployed overseas. Accepted physician-assessed disability claims were evaluated over follow-up periods up to 50 years after deployment, and compared with age-matched controls. Multivariable analysis was used to examine differences by service branch, rank, age, and deployment duration. The steepest rise in disability incidence was observed among Vietnam veterans starting in the 1990s, around 20-30 years after deployment for most veterans. After 1994, when Statements of Principles were introduced to guide evaluation of disability claims, the hazard ratio for disability incidence was 1.53 (95% confidence interval, 1.32-1.77) compared with the prior period. By January 2011, after an average follow-up of 42.5 years, 69.7% (95% confidence interval, 69.4%-70.1%) of veterans had at least 1 war-related disability. Many veterans had multiple disabilities, with leading causes being eye and ear disorders (48.0%), mental health conditions (47.9%), and musculoskeletal disorders (18.4%). For specific categories of disability, relative risks for accepted claims among veterans compared with controls were highest for mental health disorders, at 22.9 (21.9-24.0) and lowest for injuries, at 1.5 (1.4-1.6) with a relative risk for any disability of 3.7 (3.7-3.8). Veterans with service of >1 year were 2.5 (2.2-2.7) times more likely to have a mental health disability than those who served war-related disability is associated with service history. If similar patterns follow from more recent conflicts, significant additional resources will be needed to prevent and treat long

  1. Smoking Initiation and Cessation among Youths in Vietnam : A Longitudinal Study Using the Chi Linh Demographic-Epidemiological Surveillance System (CHILILAB DESS)

    OpenAIRE

    Duong Minh Duc; Le Thi Vui; Hoang Ngoc Son; Hoang Van Minh

    2017-01-01

    Study of smoking initiation and cessation is particularly important in adolescent population because smoking prevention and cessation at this time may prevent several health consequences later in life. There is a very limited knowledge about the determinants of smoking initiation and cessation among youths in Vietnam. This limits the development and implementation of appropriately targeted anti-smoking prevention interventions. This study applied pooled data from 3 rounds of a longitudinal su...

  2. EXPLORING CRITICAL FACTORS FOR SUCCESSFULLY IMPLEMENTING LEAN MANUFACTURING AT MANUFACTURING COMPANIES IN VIETNAM

    Directory of Open Access Journals (Sweden)

    Nguyen Thi Duc Nguyen

    2017-06-01

    Full Text Available This study focuses on exploring the factors that influence the success of the Lean Manufacturing implementation at manufacturing companies in Vietnam. The mix-research methods are applied, including: reviewing previous studies, in-depth interviewing with experts in manufacturing field and case study-researching at two typical manufacturing companies in Vietnam. The results show that the significant issues, such as: leadership, communication at work, firm's financial capacity, employee's skills and expertise, organizational culture, customer and supplier management are the critical factors leading to the success of Lean Manufacturing implementation at manufacturing companies in Vietnam. Overall, this study provides the suggestions to business managers, especially Vietnamese managers, orienting toward utilizing resource on core activities to efficiently achieve Lean Manufacturing implementation.

  3. TerraSAR-X Data for High-Precision Land Subsidence Monitoring: A Case Study in the Historical Centre of Hanoi, Vietnam

    Directory of Open Access Journals (Sweden)

    Tuan S. Le

    2016-04-01

    Full Text Available In this study, subsidence patterns in the Historical Centre of Hanoi, Vietnam are mapped using the Interferometric Synthetic Aperture Radar (InSAR technique, with particular emphasis on the stability of ancient monuments, historical buildings and archaeological sectors. Due to the small and scattered characteristics of these structures, not only is a comprehensive coverage of radar targets needed, but also the details of a single building or monument. We took advantage of the high-resolution TerraSAR-X imagery with the aid of oversampling implementation on the Small Baseline (SB InSAR approach to reveal the subsidence patterns. A total of 6.29 million radar targets were obtained, maintaining the average density of 217,012 points/km2. Our results suggest that image oversampling not only increased the number of measurement points 4.4 times more than the standard processing chain, but also removed some of the noisiest points. The observed subsidence patterns are mostly related to adjacent groundwater extraction and construction activities, with maximum subsiding rate reaching −18.1 mm/year for the study period April 2012 to November 2013. Generally, heritage assets and monuments in the Citadel, the Old Quarter and French Quarter remain in a steady state, whereas those located along the Red River and in southern Hanoi are subject to subsidence.

  4. Vietnam Land Policy - Adjusting to Globalization

    Science.gov (United States)

    2013-11-01

    Conflicts over Land in Vietnam’s Red River Delta," Journal of Southeast Asian Studies, (2007): 317, accessed 6 September 2013, JSTOR . 5...Responsibility and No Rice,”: The Rise and Fall of Agricultural Collectivization in Vietnam,” Agricultural History: vol 82, no. 1, (2008), 54, JSTOR . 18...Performance and Communist Legitimacy,” World Politics, vol. 38 no. 3, (1986): 463, accessed 22 October 2013, JSTOR . 32 Ibid., 463. 33 Elliott

  5. The legacy of war: an epidemiological study of cluster weapon and land mine accidents in Quang Tri Province, Vietnam.

    Science.gov (United States)

    Phung, Tran Kim; Le, Viet; Husum, Hans

    2012-07-01

    The study examines the epidemiology of cluster weapon and land mine accidents in Quang Tri Province since the end of the Vietnam War. The province is located just south of the demarcation line and was the province most affected during the war. In 2009, a cross sectional household study was conducted in all nine districts of the province. During the study period of 1975-2009, 7,030 persons in the study area were exposed to unexploded ordnances (UXO) or land mine accidents, or 1.1% of the provincial population. There were 2,620 fatalities and 4,410 accident survivors. The study documents that the main problem is cluster weapons and other unexploded ordnances; only 4.3% of casualties were caused by land mines. The legacy of the war affects poor people the most; the accident rate was highest among villagers living in mountainous areas, ethnic minorities, and low-income families. The most common activities leading to the accidents were farming (38.6%), collecting scrap metal (11.2%), and herding of cattle (8.3%). The study documents that the people of the Quang Tri Province until this day have suffered heavily due to the legacy of war. Mine risk education programs should account for the epidemiological findings when future accident prevention programs are designed to target high-risk areas and activities.

  6. Type 2 diabetes in Vietnam: a cross-sectional, prevalence-based cost-of-illness study.

    Science.gov (United States)

    Le, Nguyen Tu Dang; Dinh Pham, Luyen; Quang Vo, Trung

    2017-01-01

    According to the International Diabetes Federation, total global health care expenditures for diabetes tripled between 2003 and 2013 because of increases in the number of people with diabetes as well as in the average expenditures per patient. This study aims to provide accurate and timely information about the economic impacts of type 2 diabetes mellitus (T2DM) in Vietnam. The cost-of-illness estimates followed a prospective, prevalence-based approach from the societal perspective of T2DM with 392 selected diabetic patients who received treatment from a public hospital in Ho Chi Minh City, Vietnam, during the 2016 fiscal year. In this study, the annual cost per patient estimate was US $246.10 (95% CI 228.3, 267.2) for 392 patients, which accounted for about 12% (95% CI 11, 13) of the gross domestic product per capita in 2017. That includes US $127.30, US $34.40 and US $84.40 for direct medical costs, direct nonmedical expenditures, and indirect costs, respectively. The cost of pharmaceuticals accounted for the bulk of total expenditures in our study (27.5% of total costs and 53.2% of direct medical costs). A bootstrap analysis showed that female patients had a higher cost of treatment than men at US $48.90 (95% CI 3.1, 95.0); those who received insulin and oral antidiabetics (OAD) also had a statistically significant higher cost of treatment compared to those receiving OAD, US $445.90 (95% CI 181.2, 690.6). The Gradient Boosting Regression (Ensemble method) and Lasso Regression (Generalized Linear Models) were determined to be the best models to predict the cost of T2DM (R(2)=65.3, mean square error [MSE]=0.94; and R(2)=64.75, MSE=0.96, respectively). The findings of this study serve as a reference for policy decision making in diabetes management as well as adjustment of costs for patients in order to reduce the economic impact of the disease.

  7. Vietnam's population: current notes.

    Science.gov (United States)

    Fraser, S E

    1984-06-01

    In an effort to curb the population growth rate, currently estimated at 2.5%/year, the government of Vietnam has stepped up its campaign to implement a national family planning program. 1979 census figures indicate a population of 52.76 million. There is increasing government awareness of the interaction between population growth, employment, and manpower utilization. The demographic realities of Vietnam necessitate a drastic decrease in fertility rates and family size, a redistribution of the population either through internal migration to new economic zones or transborder migration, and a more efficient use of land and exploitation of natural and human resources to support the growing population. Assuming a natural increase rate of less than 2% by 1984-85, the government estimates a total population of nearly 60 million by the end of 1985. It is hoped that a natural growth rate of 1% can be attained in the early 1990s, to achieve a population size below 75 million by the year 2000. However, if the 3-child family remains the norm, the population will approach 80-85 million by 2000. Changes in shortterm fertility patterns seem unlikely without a carefully thought out and sensitively implemented policy involving a deliberate scheme of incentives and disincentives. The Vietnam Fatherland Front (VFF) has recognized the need for a more regorous fertility control campaign and has requested that the Council of Ministers set up a coordinated population and family planning structure with direct linkages from Hanoi to provincial governments and communal administrations. Also recommended were regulations on birth control, population targets and norms, and a system of incentives and disincentives. Data from family planning services in Ho Chi Minh City for 1976-82 suggest a recent decline in IUD, condom, and pill users, largely as a result of procurement difficulties. The number of abortions has also declined because of successful family planning education. The ideal family

  8. Vietnam Urban Wastewater Review

    OpenAIRE

    World Bank

    2013-01-01

    Vietnam is facing the challenge of trying to keep pace with increasing environmental pollution associated with rapid urbanization, especially in the larger cities. Over the past 20 years, the Government of Vietnam has made considerable effort to develop urban sanitation policies, legislations and regulations, and to invest in urban sanitation including wastewater treatment systems. This st...

  9. Inexpensive and versatile measurement tools using purpose-made capillary electrophoresis devices coupled with contactless conductivity detection: A view from the case study in Vietnam

    Directory of Open Access Journals (Sweden)

    Hong Anh Duong

    2016-09-01

    Full Text Available In this study, the development of purpose-made capillary electrophoresis (CE devices with capacitively coupled contactless conductivity detection (C4D as a simple and inexpensive measurement tool and its applications for water monitoring, food control and pharmaceutical analyses in Vietnam are reviewed. The combination of CE and C4D, both relying on the control of the movements of ions in an electrical field, can be realizable even with a modest financial budget and limited experimental skills and expertise. Different CE-C4D configurations designed and developed for various applications were highlighted. Some perspectives for a wider recognition of its potential in Vietnam and for rendering this technique as an analytical tool for the population are discussed.

  10. Physical growth during the first year of life. A longitudinal study in rural and urban areas of Hanoi, Vietnam.

    Science.gov (United States)

    Nguyen, Huong Thu; Eriksson, Bo; Nguyen, Liem Thanh; Nguyen, Chuc Thi Kim; Petzold, Max; Bondjers, Göran; Ascher, Henry

    2012-03-12

    Good infant growth is important for future health. Assessing growth is common in pediatric care all over the world, both at the population and individual level. There are few studies of birth weight and growth studies comparing urban and rural communities in Vietnam. The first aim is to describe and compare the birth weight distributions and physical growth (weight and length) of children during their first year in one rural and one urban area of Hanoi Vietnam. The second aim is to study associations between the anthropometric outcomes and indicators of the economic and educational situations. Totally 1,466 children, born from 1st March, 2009 to June 2010, were followed monthly from birth to 12 months of age in two Health and Demographic Surveillance Sites; one rural and one urban. In all, 14,199 measurements each of weight and length were made. Birth weight was recorded separately. Information about demographic conditions, education, occupation and economic conditions of persons and households was obtained from household surveys. Fractional Polynomial models and standard statistical methods were used for description and analysis. Urban infants have higher birth weight and gain weight faster than rural infants. The mean birth weight for urban boys and girls were 3,298 grams and 3,203 grams as compared to 3,105 grams and 3,057 grams for rural children. At 90 days, the urban boys were estimated to be 4.1% heavier than rural boys. This difference increased to 7.2% at 360 days. The corresponding difference for girls was 3.4% and 10.5%. The differences for length were comparatively smaller. Both birth weight and growth were statistically significantly and positively associated with economic conditions and mother education. Birth weight was lower and the growth, weight and length, considerably slower in the rural area, for boys as well as for girls. The results support the hypothesis that the rather drastic differences in maternal education and economic conditions lead

  11. Changes in Co-Occurrence of Smoking and Harmful Drinking among Youth: a Study from the Chi Linh Demographic - Epidemiological Surveillance System in Vietnam, 2006-2013.

    Science.gov (United States)

    Duc, Duong Minh; Vui, Le Thi; Quynh, Nguyen Thuy; Minh, Hoang Van

    2016-01-01

    Smoking and harmful drinking dramatically increase health risks but little is known about their cooccurrence and factors that influence this co-habit, limiting development and implementation of appropriately targeted prevention interventions. This study was conducted among youth aged 10-24 years old in the Chi Linh Demographic - Epidemiological Surveillance System (CHILILAB DESS). The total numbers in the first, second and third rounds in 2006, 2009 and 2013 were 12,406, 10,211, and 7,654, respectively. A random-effects logit model controlling for both time-variant and time-invariant variables was applied to explore factors associated with current smoking, harmful drinking, and occurrence of smoking and harmful drinking together. We found dramatically increasing trends in current smoking, harmful drinking and co-occurrence among youth. Our results indicate similar health problems among youth in peri-urban areas in Vietnam. Demographic characteristics (older age, being male, being unmarried, and having informal work) appeared to be predictors for smoking and drinking behaviour. Besides, peer and family members had significant influence on smoking, whereas having a close-friend who was smoking was the most important variable. The results suggested that smoking and harmful drinking should not be solved with separate, stand-alone interventions but rather with integrated efforts.

  12. Mobile devices for community-based REDD+ monitoring: a case study for Central Vietnam.

    Science.gov (United States)

    Pratihast, Arun Kumar; Herold, Martin; Avitabile, Valerio; de Bruin, Sytze; Bartholomeus, Harm; Souza, Carlos M; Ribbe, Lars

    2012-12-20

    Monitoring tropical deforestation and forest degradation is one of the central elements for the Reduced Emissions from Deforestation and Forest Degradation in developing countries (REDD+) scheme. Current arrangements for monitoring are based on remote sensing and field measurements. Since monitoring is the periodic process of assessing forest stands properties with respect to reference data, adopting the current REDD+ requirements for implementing monitoring at national levels is a challenging task. Recently, the advancement in Information and Communications Technologies (ICT) and mobile devices has enabled local communities to monitor their forest in a basic resource setting such as no or slow internet connection link, limited power supply, etc. Despite the potential, the use of mobile device system for community based monitoring (CBM) is still exceptional and faces implementation challenges. This paper presents an integrated data collection system based on mobile devices that streamlines the community-based forest monitoring data collection, transmission and visualization process. This paper also assesses the accuracy and reliability of CBM data and proposes a way to fit them into national REDD+ Monitoring, Reporting and Verification (MRV) scheme. The system performance is evaluated at Tra Bui commune, Quang Nam province, Central Vietnam, where forest carbon and change activities were tracked. The results show that the local community is able to provide data with accuracy comparable to expert measurements (index of agreement greater than 0.88), but against lower costs. Furthermore, the results confirm that communities are more effective to monitor small scale forest degradation due to subsistence fuel wood collection and selective logging, than high resolution remote sensing SPOT imagery.

  13. Participatory integrated coastal zone management in Vietnam: Theory versus practice case study: Thua Thien Hue province

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    Bieke Abelshausen

    2015-06-01

    Full Text Available Sustainable management processes have undergone a shift from a top-down approach to a bottom-up approach. This bottom-up approach allows for a more apprehensive inclusion of stakeholders. In traditional hierarchical societies a combination of both is considered more desirable. This combination is described as a participatory approach that allows for bi-directional knowledge sharing. The question asked is whether this theoretical approach is viable in practice, taking into account different social, political and cultural influences. Qualitative research in bi-directional knowledge sharing and stakeholder participation in Integrated Coastal Zone Management (ICZM was conducted in the provinces of Thua Thien Hue in Vietnam. Qualitative research was conducted using coding analysis. This analysis showed that in practice a great reluctance for change affects the implementation of ICZM. This reluctance is directly related to the level of power of stakeholders and the level to which stakeholders are embedded in the top-down tradition. Two contradicting results emerged. On the one hand the theoretical understanding of participatory ICZM is highest when reluctance for change is highest and vice versa. On the other hand a decrease in power results in an increase of the sustainability of the implementation of participatory ICZM. This research concluded that a ‘platform or structure’ is essential to achieve sustainability. In the Vietnamese context the tradition of power results in a platform which is both formal and non-formal. A non-formal platform is needed to create social capital, whereas a formal platform will limit the risk for arbitrariness and allow for institutionalisation.

  14. Measuring the effect of environmental education for sustainable development at elementary schools: A case study in Da Nang city, Vietnam

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    Thu Thao Phan Hoang

    2016-11-01

    Full Text Available This study provides a detailed description of the environmental education of elementary school students in Da Nang city, Vietnam. In January 2014, the study surveyed 247 students in two elementary schools. An evaluation of the students' knowledge of solid waste management was conducted. Students had basic knowledge about the environment, but their knowledge was limited with regard to solid waste management. In February 2015, an environmental education workshop was conducted for the students. The result showed that 96% of the students were interested in solid waste management activities. In addition, the study found that there were changes in the students' knowledge before and after environmental education activities. Before the activity 29% of the students said that they knew about eco-bags, and 55% of the students said that they knew “that plastic bags are difficult to decompose naturally.” After environmental education 87% of the students answered that they knew about eco-bags, and 71% of the students said that they knew “that plastic bags are difficult to decompose naturally.” Given these results, this study was successful in increasing students' knowledge about solid waste management.

  15. Blogging Activism of Young Educated and Global Women in Tunisia and Vietnam: a two-case study

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    Yên Mai

    2017-01-01

    Full Text Available This article studies the blogging activism of two young, educated women who grew up in societies that emphasize traditional values. Through their blogging activities, these females embody a space for identity creation and recovery, and challenge the obedience to gender norms, authority, and religion in their home cultures. Though coming from two different societies (Tunisia and Vietnam, both subjects identify themselves within a global citizenship framework through their everyday life and blogging that emphasizes connection, harmony, and respect for diversity. The method of this study is a combination of autoethnography, ethnography and blog research, transforming the researcher also into the subject of analysis. Personal experiences and life stories of the author are analysed in conjunction with data provided by the informant. The data includes personal blogs, writings, drawings, interviews and collective discus-sions, which provide an intimate approach to the inner life of the study subjects. Through our analysis we conclude that the blogging may open new political spaces for culturally oppressed differences and become a practical space for girls to exercise their own control of self-representation. Girls who have difficulties in being heard or acknowledge in their everyday circumstances may create new types of expressions and ac-tivism through their blogging activity, where they find new belonging and strengthen their identity for-mation

  16. Vietnam and the Pax Americana: A Genealogy of the “New World Order”

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    William V. Spanos

    2015-03-01

    Full Text Available William V. Spanos’s chapter “Vietnam and the Pax Americana: A Genealogy of the ‘New World Order’” was originally published in his book-length study entitled America’s Shadow: An Anatomy of Empire (1999 and is here reprinted, courtesy of the University of Minnesota Press. Spanos’s prescient, unrelenting, and wide-ranging analysis of the consequences of the Vietnam War argues that the contemporary moment—including the Gulf War, Operation Hope in Somalia, American interventions in Bosnia and Kosovo, for example—has its “provenance” in the Vietnam War, yet the Vietnam War has essentially been underanalyzed and forgotten under the anesthetic of the American amnesiac condition, which perpetuates, systematically, an interpretation and misrepresentation of American exceptionalism and imperialism. Spanos’s philosophically informed interpretation of Vietnam Era literature, as well as other mediated representations of war, suggests that the Derridean specter haunts the “triumphalist” American representation of the post–Cold War reality, the New World Order or “Pax Americana,” and that the various politically correct theories that predict the decline of the nation-state or that celebrate the rise of American multicultural democracy will have mostly been the blind leading the blind toward a misapprehension of the global phenomenon of American hegemony.

  17. Governance and Compliance in Accounting Education in Vietnam--Case of a Public University

    Science.gov (United States)

    Bui, Binh; Hoang, Hien; Phan, Duc P. T.; Yapa, P. W. Senarath

    2017-01-01

    Prior research suggests that despite the mass development of higher education in Vietnam recently, the quality of higher education is declining. This study aims to understand the impact of the education reform on the quality of university accounting education by investigating the involvement of different stakeholders in accounting education within…

  18. Temporal patterns and predictors of bullying roles among adolescents in Vietnam: a school-based cohort study.

    Science.gov (United States)

    Le, Ha Thi Hai; Dunne, Michael P; Campbell, Marilyn A; Gatton, Michelle L; Nguyen, Huong Thanh; Tran, Nam T

    2017-03-01

    Although many cross-sectional studies have examined bullying experiences and correlated factors among adolescents in schools, relatively little is known about the extent to which bullying roles are stable or fluid over time. This short-term quantitative longitudinal study in Vietnam examined temporal patterns and predictors of bullying roles over an academic year. A total of 1424 middle and high school students aged 12-17 years completed two anonymous, self-administered questionnaires six months apart in 2014 and 2015. Young people were classified into different bullying roles as follow: not-involved (38.9%), victims only (24%), bullies only (6.6%), and bully-victims (40.4%) across the two times. About 60% of all surveyed students experienced bullying either as victim, bully, or bully-victim during the year. Of these students, nearly three in four indicated unstable bullying roles over time. Multivariate multinomial logistic regressions indicated factors ranging from individual (age, gender, and mental health) to family (social support, parental supervision and monitoring, witnessing parental violence, and conflict with siblings), school (perceived social support, teachers' attempt to stop bullying at school), and peers (social support, students' attempt to stop bullying at school) have significant associations with levels of bullying involvement. Implications for bullying prevention programs nationally and internationally are discussed.

  19. Paragonimus and paragonimiasis in Vietnam: an update.

    Science.gov (United States)

    Doanh, Pham Ngoc; Horii, Yoichiro; Nawa, Yukifumi

    2013-12-01

    Paragonimiasis is a food-borne parasitic zoonosis caused by infection with lung flukes of the genus Paragonimus. In Vietnam, research on Paragonimus and paragonimiasis has been conducted in northern and central regions of the country. Using a combination of morphological and molecular methods, 7 Paragonimus species, namely P. heterotremus, P. westermani, P. skrjabini, P. vietnamensis, P. proliferus, P. bangkokenis and P. harinasutai, have been identified in Vietnam. Of these, the first 3, P. heterotremus, P. westermani and P. skrjabini, are known to infect humans in other countries. However, in Vietnam, only P. heterotremus, found in some northern provinces, has been shown to infect humans. Even nowadays, local people in some northern provinces, such as Lai Chau and Yen Bai, are still suffering from P. heterotremus infection. In some provinces of central Vietnam, the prevalence and infection intensity of P. westermani metacercariae in freshwater crabs (the second intermediate hosts) are extremely high, but human cases have not been reported. Likewise, although P. skrjabini was found in Thanh Hoa Province, its pathogenicity to humans in Vietnam still remains uncertain. The results of molecular phylogenetic analyses of Vietnamese Paragonimus species provides new insights on the phylogeny and taxonomy of the genus Paragonimus. Comprehensive molecular epidemiological and geobiological studies on the genus in Vietnam and adjacent countries are needed to clarify the biodiversity and public health significance of the lung flukes.

  20. Bio-politics and the promotion of traditional herbal medicine in Vietnam.

    Science.gov (United States)

    Wahlberg, Ayo

    2006-04-01

    It is often suggested that, in the past 50 years, Vietnam has experienced a traditional medicine 'revival' that can be traced back to late President Ho Chi Minh's 1955 appeal 'to study means of uniting the effects of oriental remedies with those of Europe'. In this article, I demonstrate how traditional herbal medicine came to be recruited as an important component of national efforts to promote the public health of urban and rural populations in Vietnam. Importantly, this has entailed a rejection of a colonial biopolitics that sought to marginalize 'quackery' in favour of a postcolonial bio-politics that aims to promote the 'appropriate' use of traditional herbal medicines. While the Vietnamese case bears many parallels to other countries in this respect, notably China, Vietnam's ancient history of medicine, postcolonial isolation and extensive health delivery network have resulted in a unique strategy that encourages rural populations to become self-sufficient in the herbal treatment of their most common illnesses.

  1. A phylogeny of the Tylototriton asperrimus group (Caudata: Salamandridae) based on a mitochondrial study: suggestions for a taxonomic revision.

    Science.gov (United States)

    Yuan, Zhi-Yong; Jiang, Ke; Lü, Shun-Qing; Yang, Jun-Xiao; Nguyen, Quang Truong; Nguyen, Thien Tao; Jin, Jie-Qiong; Che, Jing

    2011-12-01

    A phylogenetic hypothesis for the Asian newts of the Tylototriton asperrimus group was generated using data from two mitochondrial fragments including COI and the ND1-ND2 regions. Four distinct clades (A, B, C, D) were resolved with high nodal support within this monophyletic group. Clade A included T. asperrimus, T. hainanensis, T. notialis, "T. vietnamensis", and two unnamed salamander populations from Vietnam. Clade A, constituted the sister group of clades B + C. Newly identified clade C likely represents a new cryptic species. Clade C was the sister group of T. wenxianensis. The true T. vietnamensis exclusively constituted clade D. Our results bring into question some previous taxonomic decisions, and a revision is required. This study illustrates the necessity to include samples from type localities in taxonomic studies, and highlights the importance of fine-grained geographical sampling.

  2. Maternal health care professionals' perspectives on the provision and use of antenatal and delivery care: a qualitative descriptive study in rural Vietnam

    Directory of Open Access Journals (Sweden)

    Krantz Gunilla

    2010-10-01

    Full Text Available Abstract Background High quality maternal health care is an important tool to reduce maternal and neonatal mortality. Services offered should be evidence based and adapted to the local setting. This qualitative descriptive study explored the perspectives and experiences of midwives, assistant physicians and medical doctors on the content and quality of maternal health care in rural Vietnam. Method The study was performed in a rural district in northern Vietnam. Four focus group discussions with health care professionals at primary health care level were conducted. The data was analysed using qualitative manifest and latent content analysis. Result Two main themes emerged: "Contextual conditions for maternal health care" and "Balancing between possibilities and constraints". Contextual conditions influenced both pregnant women's use of maternal health care and health care professionals' performance. The study participants stated that women's uses of maternal health care were influenced by economical constraints and cultural norms that impeded their autonomy in relation to childbearing. Structural constraints within the health care system included inadequate financing of the primary health care, resulting in lack of human resources, professional re-training and adequate equipment. Conclusion Contextual conditions strongly influenced the performance and interaction between pregnant women and health care professionals within antenatal care and delivery care in a rural district of Vietnam. Although Vietnam is performing comparatively well in terms of low maternal and child mortality figures, this study revealed midwives' and other health care professionals' perceived difficulties in their daily work. It seemed maternal health care was under-resourced in terms of staff, equipment and continuing education activities. The cultural setting in Vietnam constituting a strong patriarchal society and prevailing Confucian norms limits women's autonomy and

  3. Calling, texting, and searching for information while riding a motorcycle: A study of university students in Vietnam.

    Science.gov (United States)

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

    2017-08-18

    The objective of this study was to investigate the prevalence of calling, texting, and searching for information while riding a motorcycle among university students and the influences of sociodemographic characteristics, social norms, and risk perceptions on these behaviors. Students at 2 university campuses in Hanoi and Ho Chi Minh City, the 2 largest cities in Vietnam, were invited to participate in an anonymous online survey. Data collection was conducted during March and May 2016. There were 741 respondents, of whom nearly 90% of students (665) were motorcycle riders. Overall prevalence of mobile phone use while riding is 80.9% (95% confidence interval [CI], 77.9-83.9%) with calling having a higher level of prevalence than texting or searching for information while riding: 74% (95% CI, 70.7-77.3%) vs. 51.7% (95% CI, 47.9-55.5%) and 49.9% (95% CI, 46.1-53.7%), respectively. Random parameter ordered probit modeling results indicate that mobile phone use while riding is associated with gender, motorcycle license duration, perceived crash risk, perceived risk of mobile phone snatching, and perceptions of friends' mobile phone use while riding. Mobile phone use while riding a motorcycle is highly prevalent among university students. Educational programs should focus on the crash and economic risk of all types of mobile phone use while riding, including calling, texting, and searching for information. In addition, they should consider targeting the influence of social norms and peers on mobile phone use while riding.

  4. Long-term effects of coping with extreme stress: longitudinal study of Vietnam-era repatriated prisoners of war.

    Science.gov (United States)

    Kaiser, Anica Pless; Park, Crystal L; King, Lynda A; King, Daniel W; Schuster, Jennifer; Spiro, Avron; Moore, Jeffrey L; Kaloupek, Danny G; Keane, Terence M

    2011-12-01

    Captivity stressors and coping strategies were assessed shortly after the repatriation of Vietnam-era prisoners of war, and physical and mental health were assessed almost three decades later. Given research on coping goodness-of-fit, specifically the extent to which coping effects depend on situational controllability, we proposed that endorsement of the usefulness of avoidance-based strategies in captivity would be predictive of better later-life health. Findings indicated that approach-based and avoidance-based coping both moderated the link between physical torture and later physical health functional status, whereas approach-based coping moderated the link between injuries at capture and later mental health. Specifically, greater endorsement of avoidance-based coping was associated with better long-term physical health for prisoners who experienced the most physical torture. Lower endorsement of approach-based coping was associated with better long-term mental health for prisoners who reported the most injuries at the time of capture. Copyright © 2011 International Society for Traumatic Stress Studies.

  5. Looking at the Vietnam War through Literature.

    Science.gov (United States)

    Muller, Lisa S.

    1992-01-01

    Suggests a lesson plan in which history students discuss the effects of the Vietnam War on individuals and society. Explains that the students compare their responses before and after hearing a reading of two different works on the war. Includes suggested readings and questions for students to use in interviewing people in the community. (DK)

  6. Culturally adaptive storytelling method to improve hypertension control in Vietnam - "We talk about our hypertension": study protocol for a feasibility cluster-randomized controlled trial.

    Science.gov (United States)

    Allison, Jeroan J; Nguyen, Hoa L; Ha, Duc A; Chiriboga, Germán; Ly, Ha N; Tran, Hanh T; Phan, Ngoc T; Vu, Nguyen C; Kim, Minjin; Goldberg, Robert J

    2016-01-14

    Vietnam is experiencing an epidemiologic transition with an increased prevalence of non-communicable diseases. At present, the major risk factors for cardiovascular disease (CVD) are either on the rise or at alarming levels in Vietnam; inasmuch, the burden of CVD will continue to increase in this country unless effective prevention and control measures are put in place. A national survey in 2008 found that the prevalence of hypertension (HTN) was approximately 25 % among Vietnamese adults and it increased with advancing age. Therefore, novel, large-scale, and sustainable interventions for public health education to promote engagement in the process of detecting and treating HTN in Vietnam are urgently needed. A feasibility randomized trial will be conducted in Hung Yen province, Vietnam to evaluate the feasibility and acceptability of a novel community-based intervention using the "storytelling" method to enhance the control of HTN in adults residing in four rural communities. The intervention will center on stories about living with HTN, with patients speaking in their own words. The stories will be obtained from particularly eloquent patients, or "video stars," identified during Story Development Groups. The study will involve two phases: (i) developing a HTN intervention using the storytelling method, which is designed to empower patients to facilitate changes in their lifestyle practices, and (ii) conducting a feasibility cluster-randomized trial to investigate the feasibility, acceptability, and potential efficacy of the intervention compared with usual care in HTN control among rural residents. The trial will be conducted at four communes, and within each commune, 25 individuals 50 years or older with HTN will be enrolled in the trial resulting in a total sample size of 100 patients. This feasibility trial will provide the necessary groundwork for a subsequent large-scale, fully powered, cluster-randomized controlled trial to test the efficacy of our novel

  7. Making History Come Alive with the Nonfiction Literature of the Vietnam War.

    Science.gov (United States)

    Johannessen, Larry R.

    2003-01-01

    Considers student response to nonfiction Vietnam War literature and discusses why students should study Vietnam War nonfiction. Presents strategies for teaching nonfiction Vietnam War literature. Presents follow-up research and writing activities that are designed to enable students to connect reading, writing, and thinking. Concludes that the…

  8. Treatment Failure of Dihydroartemisinin/Piperaquine for Plasmodium falciparum Malaria, Vietnam

    Science.gov (United States)

    Phuc, Bui Quang; Duong, Tran Thanh; Dong, Le Than; Loi, Mai Anh; Ménard, Didier; Tarning, Joel; Bustos, Dorina; Ringwald, Pascal; Galappaththy, Gawrie Loku; Thieu, Nguyen Quang

    2017-01-01

    We conducted a study in Binh Phuoc, Vietnam, in 2015 on the therapeutic efficacy of dihydroartemisinin/piperaquine for Plasmodium falciparum malaria. A high number of treatment failures (14/40) was found, and piperaquine resistance in Vietnam was confirmed. A change in the malaria treatment policy for Vietnam is in process. PMID:28322709

  9. Barriers to and Facilitators of Female Deans' Career Advancement in Higher Education: An Exploratory Study in Vietnam

    Science.gov (United States)

    Nguyen, Thi Lan Huong

    2013-01-01

    Although the slow progress of female academics compared to their male colleagues and the challenges that female academic leaders have to face in taking leadership roles have been well-documented, very little is known about female academic leaders and managers' career advancement in developing countries like Vietnam. This paper reports on an…

  10. Stigma, an important source of dissatisfaction of health workers in HIV response in Vietnam: a qualitative study

    NARCIS (Netherlands)

    Pham, H.N.; Protsiv, M.; Larsson, M.; Ho, H.T.; de Vries, D.H.; Thorson, A.

    2012-01-01

    Background Like in many other low- and middle-income countries, the recent development of an HIV epidemic in Vietnam has led to a growing need for prevention, treatment, care, and support services for people living with HIV (PLHIV). This puts greater demands on the national HIV services, primarily

  11. Evaluating farmers' knowledge, perceptions and practices: a case study of pest management by fruit farmers in the Mekong Delta, Vietnam

    NARCIS (Netherlands)

    Mele, Van P.

    2000-01-01

    After the Doi moi policy reform of Vietnam in 1986, the government has increasingly emphasized diversification of agricultural production into high value crops. Over the period 1985-1995, fruit production in the Mekong Delta increased from 92,100 to 175,700 ha mainly

  12. Do author-suggested reviewers rate submissions more favorably than editor-suggested reviewers? A study on atmospheric chemistry and physics.

    Directory of Open Access Journals (Sweden)

    Lutz Bornmann

    Full Text Available BACKGROUND: Ratings in journal peer review can be affected by sources of bias. The bias variable investigated here was the information on whether authors had suggested a possible reviewer for their manuscript, and whether the editor had taken up that suggestion or had chosen a reviewer that had not been suggested by the authors. Studies have shown that author-suggested reviewers rate manuscripts more favorably than editor-suggested reviewers do. METHODOLOGY/PRINCIPAL FINDINGS: Reviewers' ratings on three evaluation criteria and the reviewers' final publication recommendations were available for 552 manuscripts (in total 1145 reviews that were submitted to Atmospheric Chemistry and Physics, an interactive open access journal using public peer review (authors' and reviewers' comments are publicly exchanged. Public peer review is supposed to bring a new openness to the reviewing process that will enhance its objectivity. In the statistical analysis the quality of a manuscript was controlled for to prevent favorable reviewers' ratings from being attributable to quality instead of to the bias variable. CONCLUSIONS/SIGNIFICANCE: Our results agree with those from other studies that editor-suggested reviewers rated manuscripts between 30% and 42% less favorably than author-suggested reviewers. Against this backdrop journal editors should consider either doing without the use of author-suggested reviewers or, if they are used, bringing in more than one editor-suggested reviewer for the review process (so that the review by author-suggested reviewers can be put in perspective.

  13. Do author-suggested reviewers rate submissions more favorably than editor-suggested reviewers? A study on atmospheric chemistry and physics.

    Science.gov (United States)

    Bornmann, Lutz; Daniel, Hans-Dieter

    2010-10-14

    Ratings in journal peer review can be affected by sources of bias. The bias variable investigated here was the information on whether authors had suggested a possible reviewer for their manuscript, and whether the editor had taken up that suggestion or had chosen a reviewer that had not been suggested by the authors. Studies have shown that author-suggested reviewers rate manuscripts more favorably than editor-suggested reviewers do. Reviewers' ratings on three evaluation criteria and the reviewers' final publication recommendations were available for 552 manuscripts (in total 1145 reviews) that were submitted to Atmospheric Chemistry and Physics, an interactive open access journal using public peer review (authors' and reviewers' comments are publicly exchanged). Public peer review is supposed to bring a new openness to the reviewing process that will enhance its objectivity. In the statistical analysis the quality of a manuscript was controlled for to prevent favorable reviewers' ratings from being attributable to quality instead of to the bias variable. Our results agree with those from other studies that editor-suggested reviewers rated manuscripts between 30% and 42% less favorably than author-suggested reviewers. Against this backdrop journal editors should consider either doing without the use of author-suggested reviewers or, if they are used, bringing in more than one editor-suggested reviewer for the review process (so that the review by author-suggested reviewers can be put in perspective).

  14. Rationale, design, methodology and sample characteristics for the Vietnam pre-conceptual micronutrient supplementation trial (PRECONCEPT: a randomized controlled study

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    Nguyen Phuong H

    2012-10-01

    Full Text Available Abstract Background Low birth weight and maternal anemia remain intractable problems in many developing countries. The adequacy of the current strategy of providing iron-folic acid (IFA supplements only during pregnancy has been questioned given many women enter pregnancy with poor iron stores, the substantial micronutrient demand by maternal and fetal tissues, and programmatic issues related to timing and coverage of prenatal care. Weekly IFA supplementation for women of reproductive age (WRA improves iron status and reduces the burden of anemia in the short term, but few studies have evaluated subsequent pregnancy and birth outcomes. The Preconcept trial aims to determine whether pre-pregnancy weekly IFA or multiple micronutrient (MM supplementation will improve birth outcomes and maternal and infant iron status compared to the current practice of prenatal IFA supplementation only. This paper provides an overview of study design, methodology and sample characteristics from baseline survey data and key lessons learned. Methods/design We have recruited 5011 WRA in a double-blind stratified randomized controlled trial in rural Vietnam and randomly assigned them to receive weekly supplements containing either: 1 2800 μg folic acid 2 60 mg iron and 2800 μg folic acid or 3 MM. Women who become pregnant receive daily IFA, and are being followed through pregnancy, delivery, and up to three months post-partum. Study outcomes include birth outcomes and maternal and infant iron status. Data are being collected on household characteristics, maternal diet and mental health, anthropometry, infant feeding practices, morbidity and compliance. Discussion The study is timely and responds to the WHO Global Expert Consultation which identified the need to evaluate the long term benefits of weekly IFA and MM supplementation in WRA. Findings will generate new information to help guide policy and programs designed to reduce the burden of anemia in women and

  15. Complete genome characterization of porcine epidemic diarrhea virus in Vietnam.

    Science.gov (United States)

    Vui, Dam Thi; Thanh, To Long; Tung, Nguyen; Srijangwad, Anchalee; Tripipat, Thitima; Chuanasa, Taksina; Nilubol, Dachrit

    2015-08-01

    Porcine epidemic diarrhea virus (PEDV) first emerged in Vietnam in 2009. In this study, the complete genomes of three Vietnamese PEDV isolates were characterized. These three isolates were isolated from 3-day-old pigs experiencing diarrhea. Two isolates were from swine farms in the south, and the other was from northern Vietnam. The whole genome sequences of these isolates are 28,035 nucleotides in length and have characteristics similar to those of other PEDV isolates. All three Vietnamese PEDV isolates share 99.8 % and 99.6 % sequence identity at the nucleotide and amino acid level, respectively, and have insertions of four amino acids (GENQ) and one amino acid (N) at positions 56-59 and 140, respectively, and one deletion of two amino acids (DG) at positions 160-161. Phylogenetic analysis based on the whole genome revealed that the three Vietnamese PEDV isolates are grouped together with new variants from China from 2011 to 2012 and are genetically distinct from US isolates and the classical PEDV variant. The results suggest that Vietnamese PEDV isolates are new variants, as evidenced by their genetic composition of insertions and a deletion in the spike gene, and they might have originated from the same ancestor as the Chinese PEDV strain. This study provides a better understanding of the molecular characteristics of PEDV in Vietnam.

  16. Identifying the management barriers for establishing suggestions system: A case study of educational system

    Directory of Open Access Journals (Sweden)

    Masoud Nouri

    2012-10-01

    Full Text Available Suggestions system is one of the new cooperative management plans, which affects making good decisions, self-confidence and employees occupational approval. The aim of this research is to survey the barriers for establishment of suggestion system. The proposed study designs and distributes a questionnaire among 195 out of 26550 managers who work for educational system in city of Kermanshah, Iran. The primary purpose of this survey is to learn whether lack of accepting any risk on behalf of management team, conflict of interest in management style, lack of belief on suggestions system in an organization are important barriers of executing suggestions system in an organization or not. The results of Freedman test confirm all seven components of the hypothesis. As a result, lack of accepting risk among management team is number one barrier in having suggestion system followed by existing conflict between management style and suggestions system and lack of management's belief to suggestions system, weakness in education for suggestions system and fear in management disruption because of having suggestions system. The other barriers coming in the last priority in terms of their relative importance include lack of management's support to suggestions system and weakness in management position because of accepting suggestions system.

  17. Screening value of the Center for epidemiologic studies - depression scale among people living with HIV/AIDS in Ho Chi Minh City, Vietnam: a validation study.

    Science.gov (United States)

    Thai, Truc Thanh; Jones, Mairwen K; Harris, Lynne M; Heard, Robert C

    2016-05-13

    Depression is believed to be under-diagnosed and under-treated in people living with HIV/AIDS (PLHIV). Early screening and referral to mental health services for treatment has been shown to enhance HIV patients' health during the course of HIV treatment. A lack of psychiatric specialist services for PLHIV at outpatient clinics (OPC) in Vietnam leads to insufficient identification of depression. However, alternative approaches are available such as the use of screening scales. This study investigated the psychometric properties of the Center for Epidemiologic Studies - Depression scale (CES-D) in Vietnamese HIV positive outpatients. A cross-sectional survey of 400 HIV positive outpatients was conducted in Ho Chi Minh City, Vietnam. Participants completed a self-reported questionnaire that included the CES-D. Participants were also interviewed independently by a psychiatrist who assessed for symptoms of major depressive disorder. CES-D reliability was measured by Cronbach's alpha. Criterion validity was evaluated by ROC analysis, Kappa index and the percentage of agreement between the CES-D and psychiatrists' interview. Construct validity was investigated by confirmatory factor analysis. The reliability for the whole scale was good (Cronbach α = 0.81). The four sub-scales of the CES-D had lower levels of internal consistency with Cronbach alpha of 0.71, 0.73, 0.71 and 0.58 for somatic complaints, depressive affect, positive affect and interpersonal problems respectively. CES-D has adequate construct validity with CFI = 0.926, IFI = 0.927, GFI = 0.930 and RMSEA = 0.045 (90% CI = 0.037-0.053) in the final four-factor model. Area under curve was 0.88 indicating good criterion validity. At the cutoff of 16, the sensitivity and specificity were 79.8% and 83.0% respectively while the percentage of agreement between the CES-D and psychiatrists' interview was 82.0% with Kappa index at 0.60. The CES-D was shown to be acceptable, reliable and valid for

  18. Common mental disorders among women, social circumstances and toddler growth in rural Vietnam: a population-based prospective study.

    Science.gov (United States)

    Fisher, J; Tran, T; Nguyen, T T; Nguyen, H; Tran, T D

    2015-11-01

    Common mental disorders (CMD) and adverse social circumstances are widespread among mothers of infants and toddlers in resource-constrained settings. These can undermine early childhood development through compromised caregiving and insufficient access to essential resources. The aim was to examine the effect of maternal CMD and social adversity in the post-partum year on toddler's length-for-age index in a rural low-income setting. A population-based prospective cohort study of women in Ha Nam province, Vietnam who completed baseline assessments in either late pregnancy or 4-6 weeks post partum and were followed up, with their toddlers, 15 months later. CMD were assessed at both points by psychiatrist-administered Structured Clinical Interviews for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Diagnoses. Anthropometric indices were calculated from toddler's age, sex, weight and length using World Health Organization Child Growth Standards. Social adversities were assessed by study-specific questions and locally validated psychometric instruments. The hypothesized model of factors governing toddler's length-for-age Z score (LAZ) was tested using path analysis. In total, 211/234 (90.1%) mother-toddler pairs provided complete data. Baseline prevalence of CMD among women was 33.6% and follow-up was 18.5%. The mean LAZ among toddlers was -1.03 and stunting prevalence (LAZ growth measured by LAZ in this resource-constrained setting. Social adversities affect child growth indirectly through increasing the risk of maternal CMD. Interventions to reduce stunting in low-income settings may need to address maternal CMD and social adversities in order to improve impact. © 2015 John Wiley & Sons Ltd.

  19. Protective effect of BCG against leprosy and its subtypes: a case-control study in southern Vietnam.

    Science.gov (United States)

    Thuc, N V; Abel, L; Lap, V D; Oberti, J; Lagrange, P H

    1994-12-01

    A case-control study was conducted to assess the protective effect of intradermal BCG against leprosy and its subtypes in southern Vietnam. A total of 177 cases were selected with a distribution by subtypes as follows: 38 TT, 23 BT, 51 BB, 36 BL, 22 LL, and 7 indeterminate. Two controls were matched with a case for age, sex, ethnic group, socioeconomic status, and district area. The odds ratio assessing the protective effect of BCG varied from 0.44 (0.19-1.03) in the BB subtype to 3.00 (0.24-37.5) in indeterminate leprosy; whereas its overall value was 0.71 (0.45-1.10) for leprosy per se. When all borderline leprosy types were pooled, the protective effect of BCG was found significant with an odds ratio of 0.48 (0.27-0.84). In the polar forms of leprosy, TT and LL, the odds ratio was > 1 with large confidence intervals. It is possible that BCG induces a shift in the immune response to a higher level of cell-mediated immunity. When BCG vaccination is given after primary infection with Mycobacterium leprae, this shift could be the cause of an increase in the risk of the occurrence of milder and transient forms of the disease. In TT forms BCG might reinforce the preexisting subclinical immunopathological reactions, and in stable LL forms BCG might be unable to induce any protective form of immunity. These results confirm the important variability in the protection offered by BCG with respect to the different types of leprosy, and may have important implications for the design and the interpretation of vaccine trials that should take into account the respective proportions of leprosy forms observed in the study region.

  20. Latent Classes of PTSD Symptoms in Vietnam Veterans

    Science.gov (United States)

    Steenkamp, Maria M.; Nickerson, Angela; Maguen, Shira; Dickstein, Benjamin D.; Nash, William P.; Litz, Brett T.

    2012-01-01

    The authors examined heterogeneity in posttraumatic stress disorder (PTSD) symptom presentation among veterans (n = 335) participating in the clinical interview subsample of the National Vietnam Veterans Readjustment Study. Latent class analysis was used to identify clinically homogeneous subgroups of Vietnam War combat veterans. Consistent with…

  1. Lightning protection for wind turbines in Vietnam

    Directory of Open Access Journals (Sweden)

    Thuan Nguyen

    2017-01-01

    Full Text Available Wind energy has become increasingly important in the total electrical energy supply mix in Vietnam over the last few years. Small, kW turbines were installed in isolated areas a decade ago, while wind farms of several MW to few hundred MW are now being connected directly to national grid, with many additional projects in planning or under construction to fulfill an objective of 6% of the total installed capacity by 2030 (approximately 6200 MW of wind energy component. The increase in wind farm generation results in increased damage from lightning. In this paper, the annual frequency of lightning strikes to wind turbines in Vietnam is calculated using electrogeometric model. Reported lightning incidents to three major wind farms in Vietnam are summarized. Possible causes of failure are discussed, and an EMTP simulation for each incident was performed accordingly. The simulations suggest the failure mechanisms as well the potential of improved grounding to reduce lightning induced damage in future windfarms.

  2. Clinically Isolated Syndromes Suggestive of Multiple Sclerosis: An Optical Coherence Tomography Study

    OpenAIRE

    Oreja-Guevara, Celia; Noval, Susana; Alvarez-Linera, Juan; Gabaldón, Laura; Manzano, Beatriz; Chamorro, Beatriz; Diez-Tejedor, Exuperio

    2012-01-01

    BACKGROUND: Optical coherence tomography (OCT) is a simple, high-resolution technique to quantify the thickness of retinal nerve fiber layer (RNFL), which provides an indirect measurement of axonal damage in multiple sclerosis (MS). This study aimed to evaluate RNFL thickness in patients at presentation with clinically isolated syndromes (CIS) suggestive of MS. METHODOLOGY: This was a cross-sectional study. Twenty-four patients with CIS suggestive of MS (8 optic neuritis [ON], 6 spinal cord s...

  3. English-based Pediatric Emergency Medicine Software Improves Physician Test Performance on Common Pediatric Emergencies: A Multicenter Study in Vietnam

    Directory of Open Access Journals (Sweden)

    Michelle Lin

    2013-09-01

    Full Text Available Introduction: Global health agencies and the Vietnam Ministry of Health have identified pediatric emergency care and health information technology as high priority goals. Clinical decision support (CDS software provides physicians with access to current literature to answer clinical queries, but there is limited impact data in developing countries. We hypothesized that Vietnamese physicians will demonstrate improved test performance on common pediatric emergencies using CDS technologies despite being in English.Methods: This multicenter, prospective, pretest-posttest study was conducted in 11 Vietnamese hospitals enrolled a convenience sample of physicians who attended an 80-minute software training on a pediatric CDS software (PEMSoft. Two multiple-choice exams (A, B were administered before and after the session. Participants, who received Test A as a pretest, received Test B as a posttest, and vice versa. Participants used the CDS software for the posttest. The primary outcome measure was the mean percentage difference in physician scores between the pretest and posttest, as calculated by a paired, two-tailed t-test.Results: For the 203 participants, the mean pretest, posttest, and improvement scores were 37% (95% CI: 35-38%, 70% (95% CI: 68-72%, and 33% (95% CI: 30-36%, respectively, with p<0.0001. This represents an 89% improvement over baseline. Subgroup analysis of practice setting, clinical experience, and comfort level with written English and computers showed that all subgroups equivalently improved their test scores.Conclusion: After brief training, Vietnamese physicians can effectively use an English-based CDS software based on improved performance on a written clinical exam. Given this rapid improvement, CDS technologies may serve as a transformative tool in resource-poor environments. [West J Emerg Med. 2013;14(5:471–476.

  4. Farmers' perceived risks of climate change and influencing factors: a study in the Mekong Delta, Vietnam.

    Science.gov (United States)

    Le Dang, Hoa; Li, Elton; Nuberg, Ian; Bruwer, Johan

    2014-08-01

    Many countries are confronting climate change that threatens agricultural production and farmers' lives. Farmers' perceived risks of climate change and factors influencing those perceived risks are critical to their adaptive behavior and well-planned adaptation strategies. However, there is limited understanding of these issues. In this paper, we attempt to quantitatively measure farmers' perceived risks of climate change and explore the influences of risk experience, information, belief in climate change, and trust in public adaptation to those perceived risks. Data are from structured interviews with 598 farmers in the Mekong Delta. The study shows that perceived risks to production, physical health, and income dimensions receive greater priority while farmers pay less attention to risks to happiness and social relationships. Experiences of the events that can be attributed to climate change increase farmers' perceived risks. Information variables can increase or decrease perceived risks, depending on the sources of information. Farmers who believe that climate change is actually happening and influencing their family's lives, perceive higher risks in most dimensions. Farmers who think that climate change is not their concern but the government's, perceive lower risks to physical health, finance, and production. As to trust in public adaptation, farmers who believe that public adaptive measures are well co-ordinated, perceive lower risks to production and psychology. Interestingly, those who believe that the disaster warning system is working well, perceive higher risks to finance, production, and social relationships. Further attention is suggested for the quality, timing, and channels of information about climate change and adaptation.

  5. Farmers' Perceived Risks of Climate Change and Influencing Factors: A Study in the Mekong Delta, Vietnam

    Science.gov (United States)

    Le Dang, Hoa; Li, Elton; Nuberg, Ian; Bruwer, Johan

    2014-08-01

    Many countries are confronting climate change that threatens agricultural production and farmers' lives. Farmers' perceived risks of climate change and factors influencing those perceived risks are critical to their adaptive behavior and well-planned adaptation strategies. However, there is limited understanding of these issues. In this paper, we attempt to quantitatively measure farmers' perceived risks of climate change and explore the influences of risk experience, information, belief in climate change, and trust in public adaptation to those perceived risks. Data are from structured interviews with 598 farmers in the Mekong Delta. The study shows that perceived risks to production, physical health, and income dimensions receive greater priority while farmers pay less attention to risks to happiness and social relationships. Experiences of the events that can be attributed to climate change increase farmers' perceived risks. Information variables can increase or decrease perceived risks, depending on the sources of information. Farmers who believe that climate change is actually happening and influencing their family's lives, perceive higher risks in most dimensions. Farmers who think that climate change is not their concern but the government's, perceive lower risks to physical health, finance, and production. As to trust in public adaptation, farmers who believe that public adaptive measures are well co-ordinated, perceive lower risks to production and psychology. Interestingly, those who believe that the disaster warning system is working well, perceive higher risks to finance, production, and social relationships. Further attention is suggested for the quality, timing, and channels of information about climate change and adaptation.

  6. Misrepresenting Atrocities: "Kill Anything that Moves" and the Continuing Distortions of the War in Vietnam

    Directory of Open Access Journals (Sweden)

    Peter Zinoman

    2014-09-01

    Full Text Available Nick Turse, Kill Anything that Moves: The Real American War in Vietnam. New York: Picador, 2013. 416 pp. $30 (cloth; $17 (paper; $10 (e-book. While recounting a punishing accumulation of atrocity stories, Kill Anything That Moves advances four relatively straightforward arguments. First, it asserts that this grim dimension of the Vietnam War was ignored at the time, has been neglected in the scholarship, and is today forgotten in popular memory. Second, it claims that American atrocities were pervasive in Vietnam, perpetrated on a massive scale by every military unit, in every theater of battle, during every period of the war. Third, it contends that the proliferation of atrocities and war crimes was largely caused by command policies devised at the highest levels of the U.S. military and government. And fourth, as its subtitle indicates, it suggests that the atrocious record of the U.S. military in Vietnam reveals both the “true nature of the war” (16 and the “true history of Vietnamese civilian suffering” (262 that it left in its wake. In addition to being untrue, these arguments point to the isolation of Turse’s approach from current trends in the historical study of military violence against civilians. For example, most recent work on military atrocities—such as John Horne and Alan Kramer’s magisterial German Atrocities, 1914: A History of Denial (2001—insist that primary and secondary sources on the topic must be treated with special care since they are notoriously vulnerable to politicization and distortion. Turse’s misleading estimate of the size and significance of the existing literature on Vietnam War atrocities flies in the face of this advice. As we will show, academics, lawyers, journalists, activists, and creative artists have been agonizing over American atrocities and war crimes in Vietnam for almost fifty years...

  7. Vietnam military service history and prostate cancer

    Directory of Open Access Journals (Sweden)

    Fritschi Lin

    2006-03-01

    Full Text Available Abstract Background Three decades after US and Australian forces withdrew from Vietnam, there has been much public interest in the health consequences of service in Vietnam. One controversial question is whether the risk of prostate cancer amongst Vietnam veterans is increased. This paper examines relationships between military history, family history and risk of prostate cancer in a population-based case control study. Methods Cases were selected from the Cancer Registry of Western Australia as incident cases of histologically-confirmed prostate cancer, and controls were age-matched and selected from the Western Australian electoral roll. Study participants were asked to report any military service history and details about that service. Results Between January 2001 and September 2002, 606 cases and 471 controls aged between 40–75 years were recruited. An increased prostate cancer risk was observed in men reporting they were deployed in Vietnam although this was not statistically significant (OR = 2.12; 95% CI 0.88–5.06. An increased risk was also observed in men reporting prostate cancer in fathers (OR = 1.90; 95% CI 1.20–3.00 or brothers (OR = 2.05; 95% CI 1.20–3.50 diagnosed with prostate cancer. Conclusion These findings support a positive association between prostate cancer and military service history in the Vietnam war and a first degree relative family history of prostate cancer.

  8. The black flies (Diptera: Simuliidae) of Vietnam.

    Science.gov (United States)

    Takaoka, Hiroyuki; Sofian-Azirun, Mohd; Ya'cob, Zubaidah; Chen, Chee Dhang; Lau, Koon Weng; Low, VAN Lun; Pham, Xuan DA; Adler, Peter H

    2017-05-05

    The biodiversity of black flies (Diptera: Simuliidae), which are biting insects of medical and veterinary importance, is strikingly high in Southeast Asian countries, such as Indonesia, Malaysia, Philippines and Thailand. In 2013, we began to explore the fauna of black flies in Vietnam, which has so far been poorly studied. In this monograph, the wealth of the biodiversity of black flies in Vietnam is also confirmed on the basis of the results of our recent investigations, though limited to five provinces in the country.      Morphotaxonomic studies of black flies obtained from Sapa, Lao Cai Province, northern Vietnam, in 2014 and Nghe An Province, northern Vietnam, in 2015, and reexaminations of black flies collected from Tam Dao, Vinh Phuc Province, northern Vietnam, in 2013, Thua Thien Hue Province, central Vietnam, in 2014, and Lam Dong Province, southern Vietnam, in 2014, were conducted. A total of 22 species are described as new, including one in the newly recorded subgenus Montisimulium Rubtsov, and three species are recognized as new records from Vietnam. This investigation brings the number of species of black flies known in Vietnam to 70, all of which are assigned to the genus Simulium Latreille, and are placed in four subgenera (25 in Gomphostilbia Enderlein, one in Montisimulium, seven in Nevermannia Enderlein, and 37 in Simulium Latreille s. str.). The numbers of species-groups recognized include seven in Gomphostilbia, three in Nevermannia and nine in Simulium, indicating a high diversity of putative phylogenetic lineages. New species include S. (G.) sanchayense sp. nov. (= the species formerly regarded as S. (G.) brinchangense Takaoka, Sofian-Azirun & Hashim), S. (S.) lowi sp. nov. (= the species formerly regarded as S. (S.) brevipar Takaoka & Davies), S. (S.) fuscicoxae sp. nov. [= the species formerly regarded as S. (S.) rufibasis Brunetti (in part)], S. (S.) suoivangense sp. nov. [= morphoform 'b' of the S. (S.) tani Takaoka & Davies (complex

  9. Analisis Pengaruh Country Risk Terhadap Keputusan Melakukan Foreign Direct Investment (Studi Pada Negara Indonesia, Malaysia, Filipina, Thailand, Dan Vietnam Tahun 2004-2014)

    OpenAIRE

    Aprella, Revi; Suhadak, Suhadak

    2017-01-01

    The purpose of this study is to identify and explain the effect of 1) macro-economic on Foreign Direct Investment, 2) political risk on Foreign Direct Investment, 3) political risk on macro-economic in the state of Indonesia, Malaysia, Philippines, Thailand, and Vietnam. The data used is from AON, World Bank, IMF, UNCTAD, and the BSP. Indicators that affect for each variables is vary between each country, that the factors to be considered are different in each country. The results showed ther...

  10. Corporate Governance Country Assessment : Vietnam

    OpenAIRE

    World Bank

    2013-01-01

    This report assesses Vietnam's corporate governance policy framework. It highlights recent improvements in corporate governance regulation, makes policy recommendations, and provides investors with a benchmark against which to measure corporate governance in Vietnam. It is an update of the 2006 Corporate Governance ROSC for Vietnam. Good corporate governance enhances investor trust, protec...

  11. Entry modes of European firms in Vietnam

    Directory of Open Access Journals (Sweden)

    Daniel Simonet

    2012-09-01

    Full Text Available Purpose: The purpose of the paper is to explore the entry modes of EU firms setting up operations in Vietnam. Design/methodology/approach: we use a case study approach on Haymarket, Cadbury, Creative Education, Fairchild, Aventis and Artemisinin and Farming International using interviews from managerial professionals in Vietnam. Findings: Despite the fact that Vietnam has been opening up for more than 20 years, licensing is the preferred entry mode because of the risks involved in venturing with local firms; that preference signals a low level commitment and a high perception of risk and state interference. In line with Vietnam transition to state - rather than private market - capitalism, a foreign company opting for a joint-venture will do so with a state-owned rather than privately-owned company. The choice of a subsidiary can be explained by the lack of trust in partners and institutions, not by improvement in the socio-political environment. Limitations: In determining the entry mode strategy, the paper focuses on the Uppsala school’s “psychic distance” (e.g. cultural distance, lack of trust rather than on firm-specific advantages (Rugman, 1980; 2006. Key-words: international entry mode; emerging markets; subsidiary; joint-venture; India; Vietnam

  12. China's potential for economic coercion in the South China sea disputes: a comparative study of the Philippines and Vietnam

    OpenAIRE

    Ravindran, Madhu Sudan

    2012-01-01

    "With tensions rising in the South China Sea, China’s use of its economic leverage over Southeast Asian countries has recently come into focus. With increasing economic and trade ties between China and Southeast Asia, the question being asked is whether China can successfully impose economic sanctions to gain policy concessions in the South China Sea disputes. This paper examines China's relations with the Philippines and Vietnam and analyses the possibility of a successful economic sanction ...

  13. Drug use and self-medication among children with respiratory illness or diarrhea in a rural district in Vietnam: a qualitative study

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    Le TH

    2011-09-01

    Full Text Available Thi Hoan Le1,2, Ellinor Ottosson3, Thi Kim Chuc Nguyen4, Bao Giang Kim5, Peter Allebeck11Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden; 2Department of Environmental Health, Hanoi Medical University, Hanoi, Vietnam; 3Department of Medicine, Gothenburg University, Gothenburg, Sweden; 4Department of Family Medicine, Hanoi Medical University, Hanoi, Vietnam; 5Department of Health Education, Hanoi Medical University, Hanoi, VietnamAims: To explore the knowledge, attitudes, and behaviors of parents in their use of drugs for respiratory illness or diarrhea among children under 5 years of age, and to understand factors influencing self-medication.Methods: A qualitative study was conducted, using in-depth interviews with two drug sellers and three health care providers, and four focus-group discussions with mothers of children under 5 years of age. Verbatim transcriptions were analyzed, and emerging themes and categories identified, using content analysis.Results: Use of a number of different drugs was reported, including broad-spectrum antibiotics and corticosteroids. There was poor awareness of side-effects, antibiotic resistance, and drug efficacy. Factors influencing self-medication were perceptions of the illness in the child, waiting time, and convenience, the attitudes of public health medical staff, insufficient drug supply in public health facilities, and poor control of prescribed drugs on the market.Conclusion: Misuse and misconceptions regarding drug use gave rise to considerable problems. Mothers' knowledge and attitudes to illness and health care services played an important role in determining the nature of self-medication. Financial barriers were not the only obstacle to adequate treatment. Health services should be more accessible and responsive to the needs of the population.Keywords: health services, parental attitudes, education

  14. Primary healthcare system capacities for responding to storm and flood-related health problems: a case study from a rural district in central Vietnam

    Directory of Open Access Journals (Sweden)

    Hoang Van Minh

    2014-12-01

    Full Text Available Background: As a tropical depression in the East Sea, Vietnam is greatly affected by climate change and natural disasters. Knowledge of the current capacity of the primary healthcare system in Vietnam to respond to health issues associated with storms and floods is very important for policy making in the country. However, there has been little scientific research in this area. Objective: This research was to assess primary healthcare system capacities in a rural district in central Vietnam to respond to such health issues. Design: This was a cross-sectional descriptive study using quantitative and qualitative approaches. Quantitative methods used self-administered questionnaires. Qualitative methods (in-depth interviews and focus groups discussions were used to broaden understanding of the quantitative material and to get additional information on actions taken. Results: 1 Service delivery: Medical emergency services, especially surgical operations and referral systems, were not always available during the storm and flood seasons. 2 Governance: District emergency plans focus largely on disaster response rather than prevention. The plans did not clearly define the role of primary healthcare and had no clear information on the coordination mechanism among different sectors and organizations. 3 Financing: The budget for prevention and control of flood and storm activities was limited and had no specific items for healthcare activities. Only a little additional funding was available, but the procedures to get this funding were usually time-consuming. 4 Human resources: Medical rescue teams were established, but there were no epidemiologists or environmental health specialists to take care of epidemiological issues. Training on prevention and control of climate change and disaster-related health issues did not meet actual needs. 5 Information and research: Data that can be used for planning and management (including population and epidemiological

  15. Primary healthcare system capacities for responding to storm and flood-related health problems: a case study from a rural district in central Vietnam

    Science.gov (United States)

    Van Minh, Hoang; Tuan Anh, Tran; Rocklöv, Joacim; Bao Giang, Kim; Trang, Le Quynh; Sahlen, Klas-Göran; Nilsson, Maria; Weinehall, Lars

    2014-01-01

    Background As a tropical depression in the East Sea, Vietnam is greatly affected by climate change and natural disasters. Knowledge of the current capacity of the primary healthcare system in Vietnam to respond to health issues associated with storms and floods is very important for policy making in the country. However, there has been little scientific research in this area. Objective This research was to assess primary healthcare system capacities in a rural district in central Vietnam to respond to such health issues. Design This was a cross-sectional descriptive study using quantitative and qualitative approaches. Quantitative methods used self-administered questionnaires. Qualitative methods (in-depth interviews and focus groups discussions) were used to broaden understanding of the quantitative material and to get additional information on actions taken. Results 1) Service delivery: Medical emergency services, especially surgical operations and referral systems, were not always available during the storm and flood seasons. 2) Governance: District emergency plans focus largely on disaster response rather than prevention. The plans did not clearly define the role of primary healthcare and had no clear information on the coordination mechanism among different sectors and organizations. 3) Financing: The budget for prevention and control of flood and storm activities was limited and had no specific items for healthcare activities. Only a little additional funding was available, but the procedures to get this funding were usually time-consuming. 4) Human resources: Medical rescue teams were established, but there were no epidemiologists or environmental health specialists to take care of epidemiological issues. Training on prevention and control of climate change and disaster-related health issues did not meet actual needs. 5) Information and research: Data that can be used for planning and management (including population and epidemiological data) were largely

  16. Primary healthcare system capacities for responding to storm and flood-related health problems: a case study from a rural district in central Vietnam.

    Science.gov (United States)

    Van Minh, Hoang; Tuan Anh, Tran; Rocklöv, Joacim; Bao Giang, Kim; Trang, Le Quynh; Sahlen, Klas-Göran; Nilsson, Maria; Weinehall, Lars

    2014-01-01

    As a tropical depression in the East Sea, Vietnam is greatly affected by climate change and natural disasters. Knowledge of the current capacity of the primary healthcare system in Vietnam to respond to health issues associated with storms and floods is very important for policy making in the country. However, there has been little scientific research in this area. This research was to assess primary healthcare system capacities in a rural district in central Vietnam to respond to such health issues. This was a cross-sectional descriptive study using quantitative and qualitative approaches. Quantitative methods used self-administered questionnaires. Qualitative methods (in-depth interviews and focus groups discussions) were used to broaden understanding of the quantitative material and to get additional information on actions taken. 1) Service delivery: Medical emergency services, especially surgical operations and referral systems, were not always available during the storm and flood seasons. 2) Governance: District emergency plans focus largely on disaster response rather than prevention. The plans did not clearly define the role of primary healthcare and had no clear information on the coordination mechanism among different sectors and organizations. 3) Financing: The budget for prevention and control of flood and storm activities was limited and had no specific items for healthcare activities. Only a little additional funding was available, but the procedures to get this funding were usually time-consuming. 4) Human resources: Medical rescue teams were established, but there were no epidemiologists or environmental health specialists to take care of epidemiological issues. Training on prevention and control of climate change and disaster-related health issues did not meet actual needs. 5) Information and research: Data that can be used for planning and management (including population and epidemiological data) were largely lacking. The district lacked a disease

  17. Pesticide pollution in agricultural areas of Northern Vietnam: Case study in Hoang Liet and Minh Dai communes

    Energy Technology Data Exchange (ETDEWEB)

    Hoai, Pham Manh [Research Center for Environmental Technology and Sustainable Development, Hanoi University of Science, 334 Nguyen Trai Str., Hanoi (Viet Nam); Sebesvari, Zita [United Nations University, Institute for Environment and Human Security (UNU-EHS), Hermann-Ehlers-Str. 10, D-5311, Bonn (Germany); Minh, Tu Binh; Viet, Pham Hung [Research Center for Environmental Technology and Sustainable Development, Hanoi University of Science, 334 Nguyen Trai Str., Hanoi (Viet Nam); Renaud, Fabrice G., E-mail: renaud@ehs.unu.edu [United Nations University, Institute for Environment and Human Security (UNU-EHS), Hermann-Ehlers-Str. 10, D-5311, Bonn (Germany)

    2011-12-15

    Soils and agricultural products from the Red River basin in Northern Vietnam were reported to be contaminated by agrichemicals. To assess potential exposure of local farmers and consumers to these contaminants, pesticide use and management practices of local farmers were surveyed and residue concentrations were determined for recently used as well as for banned pesticides in water, soil, vegetables, and fish samples in two communes of Northern Vietnam. DDTs, HCHs, and Drin compounds still persist at relatively high concentrations in soil and occur in vegetable and fish samples. Recently used pesticides, such as fenobucarb, trichlorfon, cyfluthrin, and cypermethrin were detected in vegetable and fish samples. Thresholds for acceptable daily intake levels (ADI) were frequently reached in the analyzed food products pointing to the fact that current pesticide management practices do not only result in a pollution of the environment but also pose threats to human health. - Highlights: > Pesticide use and residue concentrations in the environment and biota was investigated. > Cypermethrin, trichlorfon, fenobucarb, cyfluthrin were frequently detected in biota. > Acceptable daily intake (ADI) levels were repeatedly exceeded in fish and vegetables. > Banned organochlorine pesticides still persist in the environment. > Better information-sharing is required to improve farmers' pesticide management. - Pollution with recently used and banned pesticides was observed in the environment and food products in Northern Vietnam and is discussed in context of human exposure.

  18. Causes and determinants of inequity in maternal and child health in Vietnam.

    Science.gov (United States)

    Målqvist, Mats; Hoa, Dinh Thi Phuong; Thomsen, Sarah

    2012-08-11

    Inequities in health are a major challenge for health care planners and policymakers globally. In Vietnam, rapid societal development presents a considerable risk for disadvantaged populations to be left behind. The aim of this review is to map the known causes and determinants of inequity in maternal and child health in Vietnam in order to promote policy action. A review was performed through systematic searches of Pubmed and Proquest and manual searches of "grey literature." A thematic content analysis guided by the conceptual framework suggested by the Commission on Social Determinants of Health was performed. More than thirty different causes and determinants of inequity in maternal and child health were identified. Some determinants worth highlighting were the influence of informal fees and the many testimonies of discrimination and negative attitudes from health staff towards women in general and ethnic minorities in particular. Research gaps were identified, such as a lack of studies investigating the influence of education on health care utilization, informal costs of care, and how psychosocial factors mediate inequity. The evidence of corruption and discrimination as mediators of health inequity in Vietnam calls for attention and indicates a need for more structural interventions such as better governance and anti-discriminatory laws. More research is needed in order to fully understand the pathways of inequities in health in Vietnam and suggest areas for intervention for policy action to reach disadvantaged populations.

  19. Causes and determinants of inequity in maternal and child health in Vietnam

    Directory of Open Access Journals (Sweden)

    Målqvist Mats

    2012-08-01

    Full Text Available Abstract Background Inequities in health are a major challenge for health care planners and policymakers globally. In Vietnam, rapid societal development presents a considerable risk for disadvantaged populations to be left behind. The aim of this review is to map the known causes and determinants of inequity in maternal and child health in Vietnam in order to promote policy action. Methods A review was performed through systematic searches of Pubmed and Proquest and manual searches of “grey literature.” A thematic content analysis guided by the conceptual framework suggested by the Commission on Social Determinants of Health was performed. Results More than thirty different causes and determinants of inequity in maternal and child health were identified. Some determinants worth highlighting were the influence of informal fees and the many testimonies of discrimination and negative attitudes from health staff towards women in general and ethnic minorities in particular. Research gaps were identified, such as a lack of studies investigating the influence of education on health care utilization, informal costs of care, and how psychosocial factors mediate inequity. Conclusions The evidence of corruption and discrimination as mediators of health inequity in Vietnam calls for attention and indicates a need for more structural interventions such as better governance and anti-discriminatory laws. More research is needed in order to fully understand the pathways of inequities in health in Vietnam and suggest areas for intervention for policy action to reach disadvantaged populations.

  20. A Study on the Relationship between Organizational Culture and Organizational Performance and a Model Suggestion

    OpenAIRE

    Ebru Yıldız

    2014-01-01

    Organizational culture is defined as set of goals and values shared by employees in the organization. Recently it has also come to be perceived as a resource of knowledge in the organization. In the literature, along with the studies aiming at identifying the elements of organizational culture, there are some research that study the relationship between organizational culture and performance. This article is a theoretical study of the two concepts and suggests a research model for further res...

  1. The persistence and oscillations of submicroscopic Plasmodium falciparum and Plasmodium vivax infections over time in Vietnam: an open cohort study.

    Science.gov (United States)

    Nguyen, Thuy-Nhien; von Seidlein, Lorenz; Nguyen, Tuong-Vy; Truong, Phuc-Nhi; Hung, Son Do; Pham, Huong-Thu; Nguyen, Tam-Uyen; Le, Thanh Dong; Dao, Van Hue; Mukaka, Mavuto; Day, Nicholas Pj; White, Nicholas J; Dondorp, Arjen M; Thwaites, Guy E; Hien, Tran Tinh

    2018-02-01

    A substantial proportion of Plasmodium species infections are asymptomatic with densities too low to be detectable with standard diagnostic techniques. The importance of such asymptomatic plasmodium infections in malaria transmission is probably related to their duration and density. To explore the duration of asymptomatic plasmodium infections and changes in parasite densities over time, a cohort of participants who were infected with Plasmodium parasites was observed over a 2-year follow-up period. In this open cohort study, inhabitants of four villages in Vietnam were invited to participate in baseline and subsequent 3-monthly surveys up to 24 months, which included the collection of venous blood samples. Samples were batch-screened using ultra-sensitive (u)PCR (lower limit of detection of 22 parasites per mL). Participants found to be infected by uPCR during any of these surveys were invited to join a prospective cohort and provide monthly blood samples. We estimated the persistence of Plasmodium falciparum and Plasmodium vivax infections and changes in parasite densities over a study period of 24 months. Between Dec 1, 2013, and Jan 8, 2016, 356 villagers participated in between one and 22 surveys. These study participants underwent 4248 uPCR evaluations (11·9 tests per participant). 1874 (32%) of 4248 uPCR tests indicated a plasmodium infection; 679 (36%) of 1874 tests were P falciparum monoinfections, 507 (27%) were P vivax monoinfections, 463 (25%) were co-infections with P falciparum and P vivax, and 225 (12%) were indeterminate species of Plasmodium. The median duration of P falciparum infection was 2 months (IQR 1-3); after accounting for censoring, participants had a 20% chance of having parasitaemia for 4 months or longer. The median duration of P vivax infection was 6 months (3-9), and participants had a 59% chance of having parasitaemia for 4 months or longer. The parasite densities of persistent infections oscillated; following ultralow

  2. Drinking Diet Beverages During Pregnancy Linked to Child Obesity, NIH Study Suggests

    Science.gov (United States)

    ... 2017 Drinking diet beverages during pregnancy linked to child obesity, NIH study suggests Children born to women who ... better at reducing the risk for later childhood obesity than sugar-sweetened ... of Child Health and Human Development (NICHD). “Not surprisingly, we ...

  3. What, Me Study?--Some Suggestions to Make a Hard Job Easier

    Science.gov (United States)

    Knaus, Ronald M.

    1977-01-01

    Suggests unorthodox methods that may help to make studying more agreeable to students. Discussed are organizing complex cheat notes, use of chalkboard on pretending to give lectures on the subject to be mastered, developing an appreciation ("psyching out") for the professor's philosophy, and using flash cards for vocabulary mastery. (CS)

  4. A Visit to a Pig "Hatchery" on the Farm. (A Suggested Unit of Study).

    Science.gov (United States)

    Ediger, Marlow

    Objectives for students are provided in this unit of study which suggests diverse learning that can take place in conjunction with a class field trip to a farm specializing in the raising of pigs. Following a brief description of specialization in United States livestock production, the unit lists factual information to be learned, e.g.,…

  5. Suicide of Australians during the Vietnam War.

    Science.gov (United States)

    Pridmore, Saxby; Ahmadi, Jamshid; Pridmore, William

    2017-10-01

    National suicide rates fall during times of war. This fits with the notion of the population coming together against a common foe. But, what happens in the case of a war which is not fully supported, which draws the population and families apart? We consider this question by examining the Australian suicide rates during the divisive Vietnam War. We graphed and examined the Australian suicide figures for 1921-2010. We found clear evidence of a decrease in the suicide rate for World War II (consistent with other studies), but a marked elevation of suicide during the Vietnam War. The elevation of the Australian suicide rate during the Vietnam War is consistent with Durkheim's social integration model - when social integration is lessened, either by individual characteristics or societal characteristics, the risk of suicide rises.

  6. Male homosexual identities, relationships, and practices among young men who have sex with men in Vietnam: implications for HIV prevention.

    Science.gov (United States)

    Ngo, Duc Anh; Ross, Michael W; Phan, Ha; Ratliff, Eric A; Trinh, Thang; Sherburne, Lisa

    2009-06-01

    Rapid socioeconomic transformation in Vietnam in last 15 years has been followed by more liberation of sexual expression and representation of sexual identity among young people. There has been an increase in the visibility of homosexual men in major cities of Vietnam who were largely an unknown population until the emergence of the HIV epidemic. Men who have sex with men (MSM) are now considered as one of the target groups in many HIV prevention programs. This qualitative study examines local identities, relationships, and sexual practices among young MSM aged 15-24 in the cities of Hanoi and Ho Chi Minh City. Our analyses were based on 26 in-depth interviews and 10 focus group discussions with young MSM recruited through public place intercepts and cruising areas. Data document the linguistic classification, sexual relationships and behaviors, identity and process of homosexual identification, and the potential linkage between sexual identity and sexual behaviors of MSM in Vietnam. Data also highlight the stages of homosexual community development in urban Vietnam and important differences between Vietnam and the West in the representation of homosexual identity, relationships, and practices. In light of the findings, we suggest that the continuing development and elaboration of a homosexual community in Hanoi and Ho Chi Minh City offers significant opportunities for targeted HIV/AIDS prevention activities in the Vietnamese MSM population.

  7. EU and Vietnam

    DEFF Research Database (Denmark)

    Kokko, Ari

    This paper discusses the changing relationship between the EU and Vietnam, and asks whether there is a shift from a “parental” to a “competitive” relationship. The focus of the paper is on the shift from aid to trade as the main interface between the EU and Vietnam. Aid relationships are often...... understood as hierarchical, linking a benevolent donor to a needy recipient, whereas commercial relationships are typically expected to involve a more competitive relationship. However, we argue that the bilateral relationship was never a “parental” one, even at the time when Vietnam’s relation to the EU...... was limited to aid. The reason is largely Vietnam’s historical experiences from the aid relationship with the Soviet Union, which created dependence and eventually an economic crisis when aid flows dried up in the late 1980s. Instead, there has been substantial tension between the donor community and Vietnam...

  8. Dissociation, personality, suggestibility, alexithymia, and problems with emotional regulation: A correlational study

    Directory of Open Access Journals (Sweden)

    Ángeles Serrano

    2016-12-01

    Full Text Available The present paper explores the relationship between psychological and somatic dissociation and different personality and emotional variables, including suggestibility, alexithymia, and emotional regulation and dysregulation. The results with a sample of 355 partipants of a normal population reveal that there is a positive relationship between both types of dissociation, suggestibility and emotional dysregulation. Likewise, there were different patterns of personality associated both to psychological and somatic dissociation. Correlations found in this study put forward the importance to take into account both types of dissociactive symptoms, psychological and somatic ones.

  9. Burden of hospitalized childhood community-acquired pneumonia: A retrospective cross-sectional study in Vietnam, Malaysia, Indonesia and the Republic of Korea.

    Science.gov (United States)

    Tan, Kah Kee; Dang, Duc Anh; Kim, Ki Hwan; Kartasasmita, Cissy; Kim, Hwang Min; Zhang, Xu-Hao; Shafi, Fakrudeen; Yu, Ta-Wen; Ledesma, Emilio; Meyer, Nadia

    2018-01-02

    Few studies describe the community-acquired pneumonia (CAP) burden in children in Asia. We estimated the proportion of all CAP hospitalizations in children from nine hospitals across the Republic of Korea (high-income), Indonesia, Malaysia (middle-income), and Vietnam (low/middle-income). Over a one or two-year period, children Malaysia (two centers): 1027 CAP episodes were identified with 2.7% (2.6;2.9); 2.6% (2.4;2.8); 0.04% (0.04;0.1) due to S-CAP, C-CAP, and B-CAP, respectively. One child with B-CAP died. Indonesia (one center): 960 CAP episodes identified with 18.0% (17.0;19.1); 16.8% (15.8;17.9); 0.3% (0.2;0.4) due to S-CAP, C-CAP, and B-CAP, respectively. The B-CAP CFR was 20%. Korea (three centers): 3151 CAP episodes were identified with 21.1% (20.4;21.7); 11.8% (11.2;12.3); 2.4% (2.1;2.7) due to S-CAP, C-CAP, and B-CAP, respectively. There were no deaths. CAP-related hospitalization costs were highest for B-CAP episodes: 145.00 (Vietnam) to 1013.3 USD (Korea) per episode. CAP hospitalization causes an important health and cost burden in all four countries studied (NMRR-12-50-10793).

  10. A Study on the Relationship between Organizational Culture and Organizational Performance and a Model Suggestion

    Directory of Open Access Journals (Sweden)

    Ebru Yıldız

    2014-11-01

    Full Text Available Organizational culture is defined as set of goals and values shared by employees in the organization. Recently it has also come to be perceived as a resource of knowledge in the organization. In the literature, along with the studies aiming at identifying the elements of organizational culture, there are some research that study the relationship between organizational culture and performance. This article is a theoretical study of the two concepts and suggests a research model for further research. Recently, knowledge management and innovation strategy have started to be regarded as features of organizational culture. Research shows that these two variables also have significant impacts on organizational performance. Our model suggests measuring the effect of organizational culture on performance along with the supportive impacts of knowledge management and innovation strategy.

  11. A Study on the Relationship between Organizational Culture and Organizational Performance and a Model Suggestion

    Directory of Open Access Journals (Sweden)

    Ebru Yildiz

    2016-01-01

    Full Text Available Organizational culture is defined as set of goals and values shared by employees in the organization. Recently it has also come to be perceived as a resource of knowledge in the organization. In the literature, along with the studies aiming at identifying the elements of organizational culture, there are some research that study the relationship between organizational culture and performance. This article is a theoretical study of the two concepts and suggests a research model for further research. Recently, knowledge management and innovation strategy have started to be regarded as features of organizational culture. Research shows that these two variables also have significant impacts on organizational performance. Our model suggests measuring the effect of organizational culture on performance along with the supportive impacts of knowledge management and innovation strategy.

  12. Government plans and farmers intentions: a study on forest land use planning in Vietnam.

    Science.gov (United States)

    Ohlsson, Bo; Sandewall, Mats; Sandewall, R Kajsa; Phon, Nguyen Huy

    2005-05-01

    In 1998, the Vietnamese National Assembly approved a Five Million Hectare Reforestation Program, (5MHRP) 1998-2010. It would increase forest cover by some 45%, use barren hills, produce wood, and generate socioeconomic development. It would, however, also put demands on Vietnamese planning. Experiences from a former development project and two case studies from a commune and village are used as a basis for analyzing the planning system. The study describes the objectives and strategies of government and farmers in one commune and one village and analyzes how planning data influence scenarios on future development. Official planning data do not reflect reality but are derived through negotiations. In the commune and village studied, it would be difficult for the 5MHRP to materialize, as most of the forest land, officially not yet used, is actually used for food production. The approach and method used by the study offers alternatives to current planning practices.

  13. A Combined Hydrological and Hydraulic Model for Flood Prediction in Vietnam Applied to the Huong River Basin as a Test Case Study

    Directory of Open Access Journals (Sweden)

    Dang Thanh Mai

    2017-11-01

    Full Text Available A combined hydrological and hydraulic model is presented for flood prediction in Vietnam. This model is applied to the Huong river basin as a test case study. Observed flood flows and water surface levels of the 2002–2005 flood seasons are used for model calibration, and those of the 2006–2007 flood seasons are used for validation of the model. The physically based distributed hydrologic model WetSpa is used for predicting the generation and propagation of flood flows in the mountainous upper sub-basins, and proves to predict flood flows accurately. The Hydrologic Engineering Center River Analysis System (HEC-RAS hydraulic model is applied to simulate flood flows and inundation levels in the downstream floodplain, and also proves to predict water levels accurately. The predicted water profiles are used for mapping of inundations in the floodplain. The model may be useful in developing flood forecasting and early warning systems to mitigate losses due to flooding in Vietnam.

  14. Effect of animal-source food supplement prior to and during pregnancy on birthweight and prematurity in rural Vietnam: a brief study description.

    Science.gov (United States)

    Tu, Ngu; King, Janet C; Dirren, Henri; Thu, Hoang Nga; Ngoc, Quyen Phi; Diep, Anh Nguyen Thi

    2014-12-01

    Maternal nutritional status is an important predictor of infant birthweight. Most previous attempts to improve birthweight through multiple micronutrient supplementation have been initiated after women are pregnant. Interventions to improve maternal nutritional status prior to conception may be more effective in preventing low birthweight and improving other infant health outcomes. To compare the effects of maternal supplementation with animal-source food from preconception to term or from mid-gestation to term with routine prenatal care on birthweight, the prevalence of preterm births, intrauterine growth restriction, and infant growth during the first 12 months of life and on maternal nutrient status and the incidence of maternal and infant infections. Young women from 29 rural communes in northwestern Vietnam were recruited when they registered to marry and were randomized to one of three interventions: animal-source food supplement 5 days per week from marriage to term (approximately 13 months), animal-source food supplement 5 days per week from 16 weeks of gestation to term (approximately 5 months), or routine prenatal care without supplementalfeeding. Data on infant birthweight and gestational age, maternal and infant anthropometry, micronutrient status, and infections in the infant and mother were collected at various time points. In a preliminary study of women of reproductive age in this area of Vietnam, 40% of the women were underweight (body mass index nutritional interventions to improve maternal and infant health.

  15. Generalized anxiety disorder, major depressive disorder, and their comorbidity as predictors of all-cause and cardiovascular mortality: the Vietnam experience study.

    Science.gov (United States)

    Phillips, Anna C; Batty, G David; Gale, Catharine R; Deary, Ian J; Osborn, David; MacIntyre, Kate; Carroll, Douglas

    2009-05-01

    To examine whether the 1-year prevalence of major depressive disorder (MDD), generalized anxiety disorder (GAD), and their comorbidity were associated with subsequent all-cause and cardiovascular disease (CVD) mortality during 15 years in Vietnam veterans. Participants (N = 4256) were from the Vietnam Experience Study. Service, sociodemographic, and health data were collected from service files, telephone interviews, and a medical examination. One-year prevalence of MDD and GAD was determined through a diagnostic interview schedule based on the Diagnostic and Statistical Manual of Mental Disorders (version IV) criteria. Mortality over the subsequent 15 years was gathered from US army records. MDD and GAD were positively and significantly associated with all-cause and CVD mortality. The relationships between MDD and GAD and CVD mortality were no longer significant after adjustment for sociodemograhics, health status at entry, health behaviors, and other risk markers. Income was the covariate with the strongest impact on this association. In analyses comparing comorbidity and GAD and MDD alone, with neither diagnosis, comorbidity proved to be the strongest predictor of both all-cause and CVD mortality. GAD and MDD predict all-cause mortality in a veteran population after adjusting for a range of covariates. However, those with both GAD and MDD were at greatest risk of subsequent death, and it would seem that these disorders may interact synergistically to affect mortality. Future research on mental disorders and health outcomes, as well as future clinical interventions, should pay more attention to comorbidity.

  16. Historical droughts in northern Vietnam captured by variability in speleothem δ18O

    Science.gov (United States)

    Hardt, B. F.; McGee, D.; Burns, S. J.; Hieu, N.; Hieu, D. T.

    2015-12-01

    Speleothem records overlapping with the historical period offer valuable comparisons of documentary evidence with speleothem proxy data. These records provide opportunities to 'ground-truth' the paleo-record, fill in gaps in the historical record, and more confidently extent the paleo-record into deeper time. Here we present isotopic results from a stalagmite collected in northern Vietnam spanning 1200 to 1950 CE, a period with a rich historical record in Vietnam. This sample adds significantly to the relatively sparse paleoclimate record from Southeast Asia. The record includes several multi-decadal positive excursions of ≥1 per mille in calcite δ18O. A preliminary age model, based on six U/Th ages, suggests possible correspondence to noted droughts from the historical record, including the Angkor Droughts, the Ming Dynasty Drought, the Strange Parallels Drought, and the Victorian Holocaust Drought. As modeling studies indicate a strong correlation between rainfall δ18O and both the intensity of summer monsoon winds and summer rainfall over northern Vietnam (e.g., Liu et al., 2014), these excursions are consistent with a decrease in regional precipitation. The Vietnam record shows an overall negative trend during the Little Ice Age. The study site is located well south of the westerly wind belt, ruling out a shift between monsoonal and mid-latitude circulation systems as a likely explanation for the northern Vietnam record. We explore the correspondence between our record and other proxy data from Southeast Asia and suggest possible implications of the differences between Vietnamese and Chinese speleothem records during the Little Ice Age. References cited: Liu Z., Wen X., Brady E. C., Otto-Bliesner B., Yu G., Lu H., Cheng H., Wang Y., Zheng W., Ding Y., Edwards R. L., Cheng J., Liu W. and Yang H. (2014) Chinese cave records and the East Asia Summer Monsoon. Quaternary Science Reviews 83, 115-128.

  17. Can micro-credit empower HIV+ women? An exploratory case study in Northern Vietnam

    NARCIS (Netherlands)

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

    2008-01-01

    Vietnamese women are subject to many restrictions related to gender and their position in the household that affect their ability to make strategic choices. For example, they have unequal access to capital and other resources. Studies have shown how gender inequities cause women, especially poor

  18. Under-armed, Overtorqued, Unafraid: A Study of the Aeroscout Employment Evolution in Vietnam

    Science.gov (United States)

    2011-06-10

    belt, he simply used a monkey harness to secure himself to the aircraft. The harness allowed the gunner to move around the cabin and also stand on the...2006. De Toy , Dr. LTC Brian M., ed. Turning Victory into Success: Military Operations After the Campaign. Fort Leavenworth, KS: Combat Studies

  19. Signal Quality and Service Quality: A Study of Local and International MBA Programs in Vietnam

    Science.gov (United States)

    Nguyen, Tho D.

    2009-01-01

    Purpose: Although it is well known that firms can use signals to inform consumers about the unobservable aspect of their products or services in a market where asymmetric information exists, research on the relationship between signal quality and service quality is largely ignored. The purpose of this study is to investigate the role of signal…

  20. The International Student's Experience: An Exploratory Study of Students from Vietnam

    Science.gov (United States)

    Wearring, Andrew; Le, Huong; Wilson, Rachel; Arambewela, Rodney

    2015-01-01

    International students are an important part of today's global university sector. This paper explores, through 10 in-depth interviews, the perceptions of Vietnamese international students studying with regard to their experience of teaching and learning in Australia. The findings indicate that Vietnamese students struggle with language,…

  1. Learning Vocabulary in Group Work in Vietnam

    Science.gov (United States)

    Huong, Le Pham Hoai

    2006-01-01

    This study investigated learning vocabulary in group work at university in Vietnam. The students were studied in two kinds of group settings, "unassisted" and "assisted", the first consisting of five students from the same class level and the second of four from the same class and a student from a higher class. Differences were…

  2. Territorial Disputes and Nationalism: A Comparative Case Study of China and Vietnam

    OpenAIRE

    Hannah Cotillon

    2017-01-01

    In autocracies, nationalism appears to have merged with geopolitical thinking. In light of this geopoliticisation of nationalism, it is surprising that the literature has paid virtually no attention to the role of territorial disputes as a conditioning factor. The present study seeks to further enhance the field by factoring in the role of territorial disputes in triggering different expressions of nationalism. It develops an analytical framework for typologies of nationalism according to fou...

  3. Psychometric properties of the medical outcomes study: social support survey among methadone maintenance patients in Ho Chi Minh City, Vietnam: a validation study.

    Science.gov (United States)

    Khuong, Long Quynh; Vu, Tuong-Vi Thi; Huynh, Van-Anh Ngoc; Thai, Truc Thanh

    2018-02-14

    Social support plays a crucial role in the treatment and recovery process of patients engaging in methadone maintenance treatment (MMT). However, there is a paucity of research about social support among MMT patients, possibly due to a lack of appropriate measuring tools. This study aimed to evaluate the psychometric properties of the Vietnamese version of the Medical Outcomes Study: Social Support Survey (MOS-SSS) among MMT patients. A cross-sectional survey of 300 patients was conducted in a methadone clinic in Ho Chi Minh City, Vietnam. MMT patients who agreed to participate in the study completed a face-to-face interview in a private room. The MOS-SSS was translated into Vietnamese using standard forward-backward process. Internal consistency was measured by Cronbach's alpha. The intra-class correlation coefficient was used to determine the test-retest reliability of the MOS-SSS in 75 participants two weeks after the first survey. Concurrent validity of the MOS-SSS was evaluated by correlations with the Multidimensional Scale of Perceived Social Support (MSPSS) and the Perceived Stigma of Addiction Scale (PSAS). Construct validity was investigated by confirmatory factor analysis. The MOS-SSS had good internal consistency with Cronbach's alpha from 0.95 to 0.97 for the four subscales and 0.97 for the overall scale. The two-week test-retest reliability was at moderate level with intra-class correlation coefficients of 0.61-0.73 for the four subscales and 0.76 for the overall scale. Strong significant correlations between the MOS-SSS and the MSPSS (r = 0.77; p < 0.001) and the PSAS (r = - 0.76; p < 0.001) indicated good concurrent validity. Construct validity of the MOS-SSS was established since a final four-factor model fitted the data well with Comparative Fit Index (0.97), Tucker-Lewis Index (0.97), Standardized Root Mean Square Residual (0.03) and Root Mean Square Error of Approximation (0.068; 90% CI = 0.059-0.077). The MOS-SSS is a

  4. Vietnamese infant and childhood mortality in relation to the Vietnam War.

    Science.gov (United States)

    Savitz, D A; Thang, N M; Swenson, I E; Stone, E M

    1993-01-01

    OBJECTIVES. There is obvious potential for war to adversely affect infant and childhood mortality through direct trauma and disruption of the societal infrastructure. This study examined trends in Vietnam through the period of the war. METHODS. The 1988 Vietnam Demographic and Health Survey collected data on reproductive history and family planning from 4172 women aged 15 through 49 years in 12 selected provinces of Vietnam. The 13,137 births and 737 deaths to children younger than age 6 reported by the respondents were analyzed. RESULTS. For the country as a whole, infant and childhood mortality dropped by 30% to 80% from the prewar period to the wartime period and was stable thereafter. In provinces in which the war was most intense, mortality did not decline from the prewar period to the wartime period but declined after the war, consistent with an adverse effect during the wartime period. CONCLUSIONS. The data are limited by assignment of birth location on the basis of mother's current residence and by inadequate information on areas of war activity. Nonetheless, the data do not indicate a widespread, sizable adverse effect of the war on national infant and childhood mortality in Vietnam but suggest detrimental effects in selected provinces. PMID:8342722

  5. Revitalizing REDD+ Policy Processes in Vietnam: The Roles of State and Non-State Actors

    Directory of Open Access Journals (Sweden)

    Thu Ba Huynh

    2017-02-01

    Full Text Available Vietnam was one of the first countries to introduce the National REDD+ (Reduced Emissions from Deforestation and Forest Degradation Action Program in 2012. The country has recently revised the Program to aim for a more inclusive 2016–2020 strategy and a vision to 2030. This study explores how Vietnam policy actors view REDD+ policy development and their influence in these processes. The results can contribute to the discussion on how policy actors can effectively influence policy processes in the evolving context of REDD+ and in the types of political arrangements represented in Vietnam. We examined the influence of state and non-state actors on the 2012 National REDD+ Action Program (NRAP processes, and explored factors that may have shaped this influence, using a combination of document analysis and semi-structured interviews with 81 policy actors. It was found that non-state actors in REDD+ are still on the periphery of decision making, occupying “safe” positions, and have not taken either full advantage of their capacities, or of recent significant changes in the contemporary policy environment, to exert stronger influence on policy. We suggest that REDD+ policy processes in Vietnam need to be revitalized with key actors engaging collectively to promote the possibilities of REDD+ within a broader view of social change that reaches beyond the forestry sector.

  6. Vietnamese infant and childhood mortality in relation to the Vietnam War.

    Science.gov (United States)

    Savitz, D A; Thang, N M; Swenson, I E; Stone, E M

    1993-08-01

    There is obvious potential for war to adversely affect infant and childhood mortality through direct trauma and disruption of the societal infrastructure. This study examined trends in Vietnam through the period of the war. The 1988 Vietnam Demographic and Health Survey collected data on reproductive history and family planning from 4172 women aged 15 through 49 years in 12 selected provinces of Vietnam. The 13,137 births and 737 deaths to children younger than age 6 reported by the respondents were analyzed. For the country as a whole, infant and childhood mortality dropped by 30% to 80% from the prewar period to the wartime period and was stable thereafter. In provinces in which the war was most intense, mortality did not decline from the prewar period to the wartime period but declined after the war, consistent with an adverse effect during the wartime period. The data are limited by assignment of birth location on the basis of mother's current residence and by inadequate information on areas of war activity. Nonetheless, the data do not indicate a widespread, sizable adverse effect of the war on national infant and childhood mortality in Vietnam but suggest detrimental effects in selected provinces.

  7. Vietnam's Export Performance in the Face of China's Competitive Challenge

    OpenAIRE

    Tran Thi Anh-Dao

    2010-01-01

    This paper examines Vietnam's export performance in the face of China's emergence as a major competitor in global markets. We first use Constant Market Share analysis to investigate the influence of the factors determining ex-post export performance of Vietnam and China for the years 1997–2004. External trade indicators are then calculated in order to examine their specialization profiles. The paper suggests that, although China has become a huge competitor for the developing economies, this ...

  8. Neurology in the Vietnam War.

    Science.gov (United States)

    Gunderson, Carl H; Daroff, Robert B

    2016-01-01

    Between December 1965 and December 1971, the United States maintained armed forces in Vietnam never less than 180,000 men and women in support of the war. At one time, this commitment exceeded half a million soldiers, sailors, and airmen from both the United States and its allies. Such forces required an extensive medical presence, including 19 neurologists. All but two of the neurologists had been drafted for a 2-year tour of duty after deferment for residency training. They were assigned to Vietnam for one of those 2 years in two Army Medical Units and one Air Force facility providing neurological care for American and allied forces, as well as many civilians. Their practice included exposure to unfamiliar disorders including cerebral malaria, Japanese B encephalitis, sleep deprivation seizures, and toxic encephalitis caused by injection or inhalation of C-4 explosive. They and neurologists at facilities in the United States published studies on all of these entities both during and after the war. These publications spawned the Defense and Veterans Head Injury Study, which was conceived during the Korean War and continues today as the Defense and Veterans Head Injury Center. It initially focused on post-traumatic epilepsy and later on all effects of brain injury. The Agent Orange controversy arose after the war; during the war, it was not perceived as a threat by medical personnel. Although soldiers in previous wars had developed serious psychological impairments, post-traumatic stress disorder was formally recognized in the servicemen returning from Vietnam. © 2016 S. Karger AG, Basel.

  9. VIETNAM: 'N BLOEDIGE LEERSKOOL

    African Journals Online (AJOL)

    30 Apr 1975 ... The Republic of South Vietnam collapsed in a heap of chaos, and brought to an end a war that spanned three decades. It was also the United. States of America's first major defeat. This article provides insight into the reasons for the defeat. Inleiding. Die onvoorwaardelike oorgawe van Suid-Viet- nam op 30 ...

  10. IDRC in Vietnam

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

    , began offering Internet and e-mail. Netnam thrives to this day as a private company run by the original. IDRC-supported team. In the early 2000s, Vietnam's Fisheries. College No. 4 and Canada's College of the North Atlantic created the ...

  11. IDRC in Vietnam

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

    IDRCinternAtionAl DeveloPMent reSeArCh Centre. IDRC in Vietnam. IDRC support is helping: □ Disadvantaged groups, including women, access natural resources. □ Migrant women protect their rights. □ Small poultry producers reduce risk under new bird flu controls. □ Farmers find alternatives to growing tobacco.

  12. Rural Credit in Vietnam

    DEFF Research Database (Denmark)

    Barslund, Mikkel Christoffer; Tarp, Finn

    This paper uses a survey of 932 rural households to uncover how the rural credit market operates in four provinces of Vietnam. Households obtain credit through formal and informal lenders, but formal loans are almost entirely for production and asset accumulation. Interest rates fell from 1997...

  13. Doing Business in Vietnam

    DEFF Research Database (Denmark)

    Meyer, Klaus E.; Tran, Thi Thu Yen; Nguyen, Hung Vo

    2005-01-01

    Over the last thirty years, Vietnam evolved from `war after war' to an emerging economy with an attractive foreign investment policy and commitment to a liberalized economy. Although the GDP per capita is still considerably lower than in the Asian Tiger economies, and the institutional framework...

  14. Study of ranking of bio-indices using benthic macroinvertebrates for Lower Dongnai River System, Vietnam.

    Science.gov (United States)

    Nga, Le Phi; Quoi, Le Phat; Duc, Pham Anh

    2012-04-01

    It has been demonstrated by research that the most successful assessment methods have been based on the benthic macroinvertebrate communities. A lot of bio-indices have been applied to evaluate the water quality widely. However, most of them have got the rankings for the water quality assessment. In this study, based on the monitoring results of the benthic macroinvertebrate and the environmental parameters in the Lower Dongnai River System during three-year periods (2007 - 2009), the linear correlations among the most popular bio-indices and each environmental parameter were considered. These environmental variables having the most closed correlation with the biological indices were DO (dissolved oxygen), WQI (water quality index) and total nitrogen. From the analysis, the ranking of bio-indices using benthic macroinvertebrate for the Lower Dongnai River System were established. The findings proved that the ranking of bio-indices for water quality assessment can be used to evaluate the water quality for the Lower Dongnai River System.

  15. Hydrochemical assessment of freshening saline groundwater using multiple end-members mixing modeling: A study of Red River delta aquifer, Vietnam

    Science.gov (United States)

    Kim, Ji-Hyun; Kim, Kyoung-Ho; Thao, Nguyen Thi; Batsaikhan, Bayartungalag; Yun, Seong-Taek

    2017-06-01

    In this study, we evaluated the water quality status (especially, salinity problems) and hydrogeochemical processes of an alluvial aquifer in a floodplain of the Red River delta, Vietnam, based on the hydrochemical and isotopic data of groundwater samples (n = 23) from the Kien Xuong district of the Thai Binh province. Following the historical inundation by paleo-seawater during coastal progradation, the aquifer has been undergone progressive freshening and land reclamation to enable settlements and farming. The hydrochemical data of water samples showed a broad hydrochemical change, from Na-Cl through Na-HCO3 to Ca-HCO3 types, suggesting that groundwater was overall evolved through the freshening process accompanying cation exchange. The principal component analysis (PCA) of the hydrochemical data indicates the occurrence of three major hydrogeochemical processes occurring in an aquifer, namely: 1) progressive freshening of remaining paleo-seawater, 2) water-rock interaction (i.e., dissolution of silicates), and 3) redox process including sulfate reduction, as indicated by heavy sulfur and oxygen isotope compositions of sulfate. To quantitatively assess the hydrogeochemical processes, the end-member mixing analysis (EMMA) and the forward mixing modeling using PHREEQC code were conducted. The EMMA results show that the hydrochemical model with the two-dimensional mixing space composed of PC 1 and PC 2 best explains the mixing in the study area; therefore, we consider that the groundwater chemistry mainly evolved by mixing among three end-members (i.e., paleo-seawater, infiltrating rain, and the K-rich groundwater). The distinct depletion of sulfate in groundwater, likely due to bacterial sulfate reduction, can also be explained by EMMA. The evaluation of mass balances using geochemical modeling supports the explanation that the freshening process accompanying direct cation exchange occurs through mixing among three end-members involving the K-rich groundwater. This

  16. Does Microcredit Have an Impact on Children? Evidences from Vietnam

    OpenAIRE

    Dinh, Cuong; Nguyen, Van Cuong; Pham, Phuong

    2014-01-01

    Vietnam has been successful in economic growth and poverty reduction. One of important antipoverty program is micro-credit for the poor. Although there are a large number of studies on the impact of micro-credit programs on income and poverty reduction, there is little evidence on its impact of children. This paper aims to evaluate the impact of micro-credit on child labor and education in Vietnam using Vietnam Household Living Standard Survey (VHLSS) 2006 and 2008. Overall, this study does n...

  17. Environmental comparison of intensive and integrated agriculture-aquaculture systems for striped catfish production in the Mekong Delta, Vietnam, based on two existing case studies using life cycle assessment

    NARCIS (Netherlands)

    Kluts, I.N.; Potting, J.M.B.; Bosma, R.H.; Phong, L.T.; Udo, H.M.J.

    2012-01-01

    Vietnam is the largest producer for the export of striped catfish. Traditionally striped catfish production in the Mekong Delta took place in integrated agriculture–aquaculture systems, but has shifted recently to intensive systems to meet increasing export demands. A recent study quantified the

  18. Influence of urbanity on perception of mental illness stigma: a population based study in urban and rural Hanoi, Vietnam.

    Science.gov (United States)

    Ta, Thi Minh Tam; Zieger, Aron; Schomerus, Georg; Cao, Tien Duc; Dettling, Michael; Do, Xuan Tinh; Mungee, Aditya; Diefenbacher, Albert; Angermeyer, Matthias C; Hahn, Eric

    2016-12-01

    To examine, for the first time in Vietnam, whether urbanity of respondents among other socio-demographic factors affects the public perception of stigma attached to persons with mental illness in Hanoi. A general population-based survey was carried out in 2013 in the greater Hanoi area. The perception of stigma attached to people with mental illness was elicited using Link's perceived discrimination and devaluation scale (PDDS) carried out in Vietnamese language. The survey sample (n = 806) was stratified for gender, urban/rural location, age, household size and marital status, in accordance with the 2013 Vietnamese census. Comparing the total score of the PDDS and its single items, we found less perceived stigma and discrimination among the rural population of Hanoi and in respondents who reported religious attainment to either Buddhism or Christianity. Logistic regression analyses found no significant influences of gender, age, household size or marital status regarding the perceived stigma toward persons with mental illness. Less negative perception of stigma attached to persons with mental illness that was observed among the rural population in the Hanoi area may be interpreted in the light of possibly more demanding living conditions in modern urban Vietnam with less opportunities for mentally ill patients and points toward a dynamic interaction with rapidly changing living conditions in Asian megacities. © The Author(s) 2016.

  19. The Vietnam War and the Media.

    Science.gov (United States)

    Elterman, Howard

    1988-01-01

    Surveys the author's contribution to the Center for Social Studies Education curriculum on the Vietnam War. Focuses on "How the War Was Reported," a unit which raises four questions concerning the responsibilities of the government and the press for keeping the public informed. Encourages use of the curriculum in teaching about the…

  20. Ichthyofauna of the reservoirs of Central Vietnam

    Directory of Open Access Journals (Sweden)

    I. A. Stolbunov

    2012-01-01

    Full Text Available Species composition, distribution and abundance of fish in the pelagic and littoral zone of four reservoirs of Central Vietnam (Suoi Chau, Kam Lam, Da Ban and Suoi Dau were studied first. According to the research data the fish community of the reservoirs is represented by 43 species of 19 fish families.

  1. Demography of threatened tree species in Vietnam

    NARCIS (Netherlands)

    Chien, P.D.

    2006-01-01

    Demography of threatened tree species in Vietnam (Summary for the library) Effective conservation of threatened tree species requires information on natural dynamics and future prospects of populations of these species. Such information can be obtained from demographic studies. We investigated the

  2. A suggestion for quality assessment in systematic reviews of observational studies in nutritional epidemiology

    Directory of Open Access Journals (Sweden)

    Jong-Myon Bae

    2016-04-01

    Full Text Available OBJECTIVES: It is important to control the quality level of the observational studies in conducting meta-analyses. The Newcastle-Ottawa Scale (NOS is a representative tool used for this purpose. We investigated the relationship between high-quality (HQ defined using NOS and the results of subgroup analysis according to study design. METHODS: We selected systematic review studies with meta-analysis which performed a quality evaluation on observational studies of diet and cancer by NOS. HQ determinations and the distribution of study designs were examined. Subgroup analyses according to quality level as defined by the NOS were also extracted. Equivalence was evaluated based on the summary effect size (sES and 95% confidence intervals computed in the subgroup analysis. RESULTS: The meta-analysis results of the HQ and cohort groups were identical. The overall sES, which was obtained by combining the sES when equivalence was observed between the cohort and case-control groups, also showed equivalence. CONCLUSIONS: The results of this study suggest that it is more reasonable to control for quality level by performing subgroup analysis according to study design rather than by using HQ based on the NOS quality assessment tool.

  3. Field study suggests that sex determination in sea lamprey is directly influenced by larval growth rate

    Science.gov (United States)

    Johnson, Nicholas; Swink, William D.; Brenden, Travis O.

    2017-01-01

    Sex determination mechanisms in fishes lie along a genetic-environmental continuum and thereby offer opportunities to understand how physiology and environment interact to determine sex. Mechanisms and ecological consequences of sex determination in fishes are primarily garnered from teleosts, with little investigation into basal fishes. We tagged and released larval sea lamprey (Petromyzon marinus) into unproductive lake and productive stream environments. Sex ratios produced from these environments were quantified by recapturing tagged individuals as adults. Sex ratios from unproductive and productive environments were initially similar. However, sex ratios soon diverged, with unproductive environments becoming increasingly male-skewed and productive environments becoming less male-skewed with time. We hypothesize that slower growth in unproductive environments contributed to the sex ratio differences by directly influencing sex determination. To the best of our knowledge, this is the first study suggesting that growth rate in a fish species directly influences sex determination; other studies have suggested that the environmental variables to which sex determination is sensitive (e.g. density, temperature) act as cues for favourable or unfavourable growth conditions. Understanding mechanisms of sex determination in lampreys may provide unique insight into the underlying principles of sex determination in other vertebrates and provide innovative approaches for their management where valued and invasive.

  4. Exporting a Scandinavian Learning Model to Egypt and Vietnam

    DEFF Research Database (Denmark)

    Youssef, Sandra Safwat; Bygholm, Ann; Jæger, Kirsten

    2013-01-01

    many challenges. In this paper, we will present findings from an ethnographic study of the learning systems in higher education in Denmark, Egypt and Vietnam. The sample includes undergraduate level classes taught in Denmark, Egypt and Vietnam. The selected learning setting include an 'Academic...... in the above mentioned classes by the researcher are offered in this paper. In the "Learning Situations" (LS) observed in Denmark, the interaction is interpreted as arranged in agreement with basic constructivist principles, whereas the interaction in Vietnam is predominantly student-teacher centered......, and the LS observed in Egypt is predominantly student-materials centered...

  5. Sero-prevalence of specific Leptospira serovars in fattening pigs from 5 provinces in Vietnam.

    Science.gov (United States)

    Lee, Hu Suk; Khong, Nguyen Viet; Xuan, Huyen Nguyen; Nghia, Vuong Bui; Nguyen-Viet, Hung; Grace, Delia

    2017-05-08

    Leptospirosis is a zoonotic bacterial disease with a worldwide distribution. In Vietnam, leptospirosis is considered endemic. In pigs, leptospirosis can result in reproductive problems (such as abortion and infertility) which lead to economic loss. In addition, transmission to people presents a public health risk. In Vietnam, few national studies have been conducted on sero-prevalence of leptospirosis in pigs. The main objective of this study was to evaluate the sero-prevalence and incidence of presumptive infective leptospira serovars in fattening pigs from 5 provinces in Vietnam. Blood samples from fattening pigs were randomly collected at slaughterhouses. We collected 1959 sera samples from 5 provinces (Son La, Hanoi, Nghe An, Dak Lak and An Giang) between January and early June 2016. The microscopic agglutination test (MAT) was used to identify the serogroups/serovars. Overall, the sero-prevalence was 8.17% (95% CI: 6.99-9.47) and serovar Tarassovi Mitis (2.19%) had the highest prevalence followed by Australis (1.94%), Javanica (1.68%) and Autumnalis (1.17%) using a cutoff (≥ 1:100). The sero-prevalence among female pigs (5.28%, 95% CI: 3.94-6.93) was slightly higher than among male pigs (4.88%, 95% CI: 3.51-6.58), but this difference was not statistically significant. Leptospirosis in pigs may be a useful indicator of the human/animal burden in Vietnam and a risk assessment tool. The presence of some of the identified serovars suggests that wildlife may play an important role in the transmission of leptospirosis to domesticated pigs in Vietnam. Therefore, strengthened monitoring and surveillance systems are needed to better understand the epidemiology of the disease and prevent or reduce infection in humans and animals.

  6. Students' expectation toward service of recruiment agencies in Vietnam

    OpenAIRE

    Tran, Hanh

    2010-01-01

    The objective of the thesis was to explore the expectations of students studying abroad to recruitment agencies in Vietnam. The study aims at recommend the right service for recruit-ment agencies offer to students to find a job and explore the culture obstacles for their career development when return home. The study originated from author’s own experience when finding an internship in Vietnam. The theoretical framework is based on relevant areas of theories of recruitment process, na-...

  7. Natural Disasters, Household Welfare, and Resilience: Evidence from Rural Vietnam

    National Research Council Canada - National Science Library

    Arouri, Mohamed; Nguyen, Cuong; Youssef, Adel Ben

    2015-01-01

    The study uses commune fixed-effects regressions to estimate the effect of natural disasters on welfare and poverty of rural households in Vietnam, and subsequently examines household and community...

  8. Essays on Impact evaluation: new empirical evidence from Vietnam

    NARCIS (Netherlands)

    Nguyen Viet Cuong, N.

    2009-01-01

    Keywords: Credit, cash transfers, remittances, migration, poverty, inequality, impact evaluation, Vietnam, Asia This study estimates the impact of various economic flows including government-subsidized micro-credit, informal credit, public and private transfers, international remittances, and

  9. Exploring Vietnam: A Multiple Intelligence Portfolio of Learning.

    Science.gov (United States)

    Hoover, Linda A.; Taylor, Randall

    1998-01-01

    Provides guidelines for implementing portfolios in the social studies classroom that focus on the Vietnam era and incorporate Howard Gardner's multiple intelligences. Outlines the portfolio project, lists eleven portfolio components, and addresses the intelligence of each. (CMK)

  10. Women's Land Rights and Children's Human Capital in Vietnam

    National Research Council Canada - National Science Library

    Menon, Nidhiya

    2014-01-01

    .... Using a matched household sample from Vietnam's 2004 and 2008 Household Living Standards Survey, this study analyzes whether land titling for women led to improvements in child health and education...

  11. Cholera returns to southern Vietnam in an outbreak associated with consuming unsafe water through iced tea: A matched case-control study.

    Science.gov (United States)

    Nguyen, Thuong V; Pham, Quang D; Do, Quoc K; Diep, Tai T; Phan, Hung C; Ho, Thang V; Do, Hong T; Phan, Lan T; Tran, Huu N

    2017-04-01

    After more than a decade of steadily declining notifications, the number of reported cholera cases has recently increased in Vietnam. We conducted a matched case-control study to investigate transmission of cholera during an outbreak in Ben Tre, southern Vietnam, and to explore the associated risk factors. Sixty of 71 diarrheal patients confirmed to be infected with cholera by culture and diagnosed between May 9 and August 3, 2010 in Ben Tre were consecutively recruited as case-patients. Case-patients were matched 1:4 to controls by commune, sex, and 5-year age group. Risk factors for cholera were examined by multivariable conditional logistic regression. In addition, environmental samples from villages containing case-patients were taken to identify contamination of food and water sources. The regression indicated that drinking iced tea (adjusted odds ratio (aOR) = 8.40, 95% confidence interval (CI): 1.84-39.25), not always boiling drinking water (aOR = 2.62, 95% CI: 1.03-6.67), having the main source of water for use being close to a toilet (aOR = 4.36, 95% CI: 1.37-13.88), living with people who had acute diarrhea (aOR = 13.72, 95% CI: 2.77-67.97), and little or no education (aOR = 4.89, 95% CI: 1.18-20.19) were significantly associated with increased risk of cholera. In contrast, drinking stored rainwater (aOR = 0.17, 95% CI: 0.04-0.63), eating cooked seafood (aOR = 0.27, 95% CI: 0.10-0.73), and eating steamed vegetables (aOR = 0.22, 95% CI: 0.07-0.70) were protective against cholera. Vibrio cholerae O1 Ogawa carrying ctxA was found in two of twenty-five river water samples and one of six wastewater samples. The magnitude of the cholera outbreak in Ben Tre was lower than in other similar settings. This investigation identified several risk factors and underscored the importance of continued responses targeting cholera prevention in southern Vietnam. The association between drinking iced tea and cholera and the spread of V. cholerae O1, altered El Tor strains

  12. The comprehensive diagnostic study is suggested as a design to model the diagnostic process.

    Science.gov (United States)

    Donner-Banzhoff, Norbert; Haasenritter, Jörg; Hüllermeier, Eyke; Viniol, Annika; Bösner, Stefan; Becker, Annette

    2014-02-01

    The classical diagnostic cross-sectional study has a focus on one disease only. Generalist clinicians, however, are confronted with a wide range of diagnoses. We propose the "comprehensive diagnostic study design" to evaluate diagnostic tests regarding more than one disease outcome. We present the secondary analysis of a data set obtained from patients presenting with chest pain in primary care. Participating clinicians recorded 42 items of the history and physical examination. Diagnostic outcomes were reviewed by an independent panel after 6-month follow-up (n = 710 complete cases). We used Shannon entropy as a measure of uncertainty before and after testing. Four different analytical strategies modeling specific clinical ways of reasoning were evaluated. Although the "global entropy" strategy reduced entropy most, it is unlikely to be of clinical use because of its complexity. "Inductive" and "fixed-set" strategies turned out to be efficient requiring a small amount of data only. The "deductive" procedure resulted in the smallest reduction of entropy. We suggest that the comprehensive diagnostic study design is a feasible and valid option to improve our understanding of the diagnostic process. It is also promising as a justification for clinical recommendations. Copyright © 2014 Elsevier Inc. All rights reserved.

  13. A survey of aflatoxin B-1 in maize and awareness of aflatoxins in Vietnam

    OpenAIRE

    Lee, H S; Nguyen-Viet, H.; Lindahl, Johanna; Thanh, H. M.; Khanh, T. N.; Hien, L. T. T.; Grace, D.

    2017-01-01

    Vietnam is a tropical country with high temperature and precipitation, which may provide good conditions for fungal growth. A few limited studies have been conducted to evaluate the level of aflatoxin B1 in maize in Vietnam. In addition, no studies have been conducted to evaluate the perception and knowledge of aflatoxins in Vietnam. Therefore, the main objective of this study was to determine the levels of aflatoxin B1 for human and animal consumption in maize and evaluate perceptions and kn...

  14. A cross-sectional study to quantify the prevalence of avian influenza viruses in poultry at intervention and non-intervention live bird markets in central Vietnam, 2014.

    Science.gov (United States)

    Chu, D-H; Stevenson, M A; Nguyen, L V; Isoda, N; Firestone, S M; Nguyen, T N; Nguyen, L T; Matsuno, K; Okamatsu, M; Kida, H; Sakoda, Y

    2017-12-01

    In Vietnam, live bird markets are found in most populated centres, providing the means by which fresh poultry can be purchased by consumers for immediate consumption. Live bird markets are aggregation points for large numbers of poultry, and therefore, it is common for a range of avian influenza viruses to be mixed within live bird markets as a result of different poultry types and species being brought together from different geographical locations. We conducted a cross-sectional study in seven live bird markets in four districts of Thua Thien Hue Province in August and December, 2014. The aims of this study were to (i) document the prevalence of avian influenza in live bird markets (as measured by virus isolation); and (ii) quantify individual bird-, seller- and market-level characteristics that rendered poultry more likely to be positive for avian influenza virus at the time of sale. A questionnaire soliciting details of knowledge, attitude and avian influenza practices was administered to poultry sellers in study markets. At the same time, swabs and faecal samples were collected from individual poultry and submitted for isolation of avian influenza virus. The final data set comprised samples from 1,629 birds from 83 sellers in the seven live bird markets. A total of 113 birds were positive for virus isolation; a prevalence of 6.9 (95% CI 5.8-8.3) avian influenza virus-positive birds per 100 birds submitted for sale. After adjusting for clustering at the market and individual seller levels, none of the explanatory variables solicited in the questionnaire were significantly associated with avian influenza virus isolation positivity. The proportions of variance at the individual market, seller and individual bird levels were 6%, 48% and 46%, respectively. We conclude that the emphasis of avian influenza control efforts in Vietnam should be at the individual seller level as opposed to the market level. © 2017 Blackwell Verlag GmbH.

  15. Cognitive ability in early adulthood is associated with systemic inflammation in middle age: the Vietnam experience study

    DEFF Research Database (Denmark)

    Phillips, Anna C; Batty, G David; van Zanten, Jet J C S Veldhuijzen

    2011-01-01

    We examined the prospective association between cognitive ability in early adulthood and erythrocyte sedimentation rate, a marker of inflammation, in middle age. Participants were 4256 male Vietnam era US veterans. Data on cognitive ability, assessed by the Army General Technical Test, ethnicity......, and place of service were extracted from enlistment files. Smoking behaviour, alcohol consumption, basic socio-demographics, and whether participants suffered from a physician diagnosed chronic disease were determined by telephone interview in middle-age in 1985. Erythrocyte sedimentation rate, cholesterol......, blood pressure, height, and weight were measured at a 3-day medical examination in 1986. In linear regression models that adjusted for age and then additionally for circumstantial, socio-demographic, lifestyle, and health factors, poor cognitive ability in early adulthood was associated with greater...

  16. Suggestions for Formulating Collaborative Remote Sensing Emergency Plan Based on Case Studies

    Science.gov (United States)

    Liu, B.; Wang, F.; Zheng, X.; Qi, M.

    2017-09-01

    With the rapid development of the Remote Sensing (RS) technology, Remote Sensing Services for Emergency Monitoring (RSSEM) are playing a more and more important role in the field of emergency management, where the collaborative RS approaches (including such as Space-Air-Ground platforms) can provide the decision-makers a quick access to the detailed, real-time information about the emergencies. However, there are still some problems in the current mechanism of RSSEM, for example, the inappropriate choices of the collaborative RS approaches, the miscellaneous procedures and so on. It is urgent to formulate a collaborative RS emergency plan for regulating the applications of the RS monitoring approaches in order to be well prepared for the emergency management. In our studies, creating a good collaborative RS emergency plan is the main research objective. This paper is divided into four parts. The Part Ⅰ gives a brief introduction about the research background. The Part Ⅱ investigates four case studies to analyze the applications of the RS technologies under the guidance of the available RS related emergency plans, and then points out the existing problems in the mechanism of the RSSEM. The Part Ⅲ proposes our suggestions for formulating the collaborative RS emergency plan to explore the countermeasures of the problems pointed out in the Part Ⅱ. The last part concludes this paper and discusses the future work of the collaborative RS emergency plan.

  17. The Vietnam War

    DEFF Research Database (Denmark)

    Godbolt, James; Larsen, Chris Holmsted; Rasmussen, Søren Hein

    2009-01-01

    This article investigates the role of the Vietnam War in Danish and Norwegian politics. We argue that Danish and Norwegian membership in NATO and an unstable parliamentary situation may explain why these countries, unlike Sweden, did not take on the lead in the international protest against the war...... in Denmark, Sweden and Norway, and in all three countries powerful protest movements emerged that were remarkably similar. The Vietnam War strengthened the left in general and promoted a leftist politics of solidarity that influenced Swedish, Danish and Norwegian foreign policy-making of the 1970s........ Non-socialistic coalitions came to power in Norway and Denmark in the latter half of the 1960s which to an extent explains why the social democratic parties in both countries became more critical of the US. By the end of the 1960s, foreign policy as well as public attitudes towards the war converged...

  18. Estimating the welfare loss to households from natural disasters in developing countries: a contingent valuation study of flooding in Vietnam

    Directory of Open Access Journals (Sweden)

    Ståle Navrud

    2012-06-01

    Full Text Available Background: Natural disasters have severe impacts on the health and well-being of affected households. However, we find evidence that official damage cost assessments for floods and other natural disasters in Vietnam, where households have little or no insurance, clearly underestimate the total economic damage costs of these events as they do not include the welfare loss from mortality, morbidity and reduced well-being experienced by the households affected by the floods. This should send a message to the local communities and national authorities that higher investments in flood alleviation, reduction and adaptive measures can be justified since the social benefits of these measures in terms of avoided damage costs are higher than previously thought. Methods: We pioneer the use of the contingent valuation (CV approach of willingness-to-contribute (WTC labour to a flood prevention program, as a measure of the welfare loss experienced by household due to a flooding event. In a face-to-face household survey of 706 households in the Quang Nam province in Central Vietnam, we applied this approach together with reported direct physical damage in order to shed light of the welfare loss experienced by the households. We asked about households’ WTC labour and multiplied their WTC person-days of labour by an estimate for their opportunity cost of time in order to estimate the welfare loss to households from the 2007 floods. Results: The results showed that this contingent valuation (CV approach of asking about willingness-to-pay in-kind avoided the main problems associated with applying CV in developing countries. Conclusion: Thus, the CV approach of WTC labour instead of money is promising in terms of capturing the total welfare loss of natural disasters to households, and promising in terms of further application in other developing countries and for other types of natural disasters.

  19. What does living alone really mean for older persons? A comparative study of Myanmar, Vietnam, and Thailand

    Directory of Open Access Journals (Sweden)

    Bussarawan Teerawichitchainan

    2015-06-01

    Full Text Available Background: Rapid development and social change in Asia have led many to assume that the proportion of elderly people living alone is rising and that they tend to live in destitute situations. These assumptions often lack empirical validation. Objective: We address the trends and correlates of solitary living among older persons in Myanmar, Vietnam, and Thailand. We examine the extent to which this form of living arrangement equates with their financial stress, physical and social isolation, psychological distress, and met need for personal care. Methods: We analyze 2011-12 national surveys of older persons from the three countries. We employ descriptive and multivariate analyses using either binary logistic regression or multiple classification analysis. Results: There has been a modest upward trend in solo living among the elderly in the three countries over the last few decades. The prevalence of solo living remains low, accounting for less than one-tenth of all elders in each setting. A substantial proportion of solo-dwelling elders live in quasi-coresidence. Solo living is not always associated with financial stress. Although solitary dwellers report more psychological distress than others, our evidence does not support the claim that they are socially alienated. Note, however, that solo-living elders who are childless are the most vulnerable group and will need attention from policymakers and social workers. While solitary living tends to be correlated with adverse wellbeing outcomes in Myanmar and Vietnam, this is less the case in Thailand. Conclusions: Our evidence provides a varied and nuanced view regarding the trends and situations of solitary-living elders in developing Southeast Asia.

  20. Estimating the welfare loss to households from natural disasters in developing countries: a contingent valuation study of flooding in Vietnam.

    Science.gov (United States)

    Navrud, Ståle; Tuan, Tran Huu; Tinh, Bui Duc

    2012-01-01

    Natural disasters have severe impacts on the health and well-being of affected households. However, we find evidence that official damage cost assessments for floods and other natural disasters in Vietnam, where households have little or no insurance, clearly underestimate the total economic damage costs of these events as they do not include the welfare loss from mortality, morbidity and well-being experienced by the households affected by the floods. This should send a message to the local communities and national authorities that higher investments in flood alleviation, reduction and adaptive measures can be justified since the social benefits of these measures in terms of avoided damage costs are higher than previously thought. We pioneer the use of the contingent valuation (CV) approach of willingness-to-contribute (WTC) labour to a flood prevention program, as a measure of the welfare loss experienced by household due to a flooding event. In a face-to-face household survey of 706 households in the Quang Nam province in Central Vietnam, we applied this approach together with reported direct physical damage in order to shed light of the welfare loss experienced by the households. We asked about households' WTC labour and multiplied their WTC person-days of labour by an estimate for their opportunity cost of time in order to estimate the welfare loss to households from the 2007 floods. The results showed that this contingent valuation (CV) approach of asking about willingness-to-pay in-kind avoided the main problems associated with applying CV in developing countries. Thus, the CV approach of WTC labour instead of money is promising in terms of capturing the total welfare loss of natural disasters, and promising in terms of further application in other developing countries and for other types of natural disasters.

  1. Climate Change and Vietnam

    Science.gov (United States)

    2013-11-01

    projects (the majority of them in South and South East Asia); focusing in Vietnam on climate change planning and carbon sequestration markets . 33...enhancement for dairy cattle. 21 In the parallel line of effort, MNRE’s priorities for adaptation programs are agriculture, forestry, coastal zone management...Climate change assistance,” AusAID, 13 June 2013, accessed 15 October 2013, http://www.ausaid.gov.au. 33 IFAD, “ Planning for Climate Change in

  2. Teaching in Vietnam

    CERN Multimedia

    Vitale,B

    1974-01-01

    Monsieur B.Vitale porte depuis plusieurs années un grand interêt aux questions d'enseignement dans les pays du tiers monde et a recemment eu l'occasion de faire un séjour dans la république démocratique du Vietnam. Il va nous faire part de ses impressions dans le domaine de l'enseignement, qu'il a vu, entrevu et essayé de comprendre

  3. GPS suggests low physical activity in urban Hispanic school children: a proof of concept study.

    Science.gov (United States)

    Carrel, Aaron L; Sledge, Jeffrey S; Ventura, Stephen J; Eickhoff, Jens C; Allen, David B

    2014-01-01

    Urban environments can increase risk for development of obesity, insulin resistance (IR), and type 2 diabetes mellitus (T2DM) by limiting physical activity. This study examined, in a cohort of urban Hispanic youth, the relationship between daily physical activity (PA) measured by GPS, insulin resistance and cardiovascular fitness. Hispanic middle school children (n = 141) were assessed for body mass index (BMI), IR (homeostasis model [HOMA-IR]), cardiovascular fitness (progressive aerobic cardiovascular endurance run [PACER]). PA was measured (GPS-PA) and energy expenditure estimated (GPS-EE) utilizing a global positioning mapping device worn for up to 7 days. Students (mean age 12.7 ± 1.2 years, 52% female) spent 98% of waking time in sedentary activities, 1.7% in moderate intensity PA, and 0.3% in vigorous intensity. GPS analysis revealed extremely low amounts of physical movement during waking hours. The degree of low PA confounded correlation analysis with PACER or HOMA-IR. Levels of moderate and vigorous intensity PA, measured by GPS, were extremely low in these urban Hispanic youth, possibly contributing to high rates of obesity and IR. Physical movement patterns suggest barriers to PA in play options near home, transportation to school, and in school recess time. GPS technology can objectively and accurately evaluate initiatives designed to reduce obesity and its morbidities by increasing PA.

  4. Contributions to the genus Hetaeria (Orchidaceae: Goodyerinae) in Vietnam

    OpenAIRE

    Ponert, Jan; Vuong, T. B.; Hanh, N.; Thanh, T.T.; Vy, N. T.; Rybková, R.; Tam, T. Q.

    2014-01-01

    As a result of Hon Ba nature reserve survey, Hetaeria finlaysoniana, previously recorded from Thailand, Myanmar and southern China, is newly recorded from Vietnam. Description of studied plants is presented together with notes on ecology and photographic documentation. These plants were collected in southern Vietnam (Hon Ba Nature Reserve, Khanh Hoa), which is located quite far from other known localities and thus a larger distribution of this possibly overlooked species could be expected. Ad...

  5. Dioxin in Vietnam: fighting a legacy of war.

    OpenAIRE

    Booker, S M

    2001-01-01

    Singapore was the site of an East-West convergence over the week of 27 November-1 December 2000. At the behest of their respective governments, scientists from the United States and Vietnam came together for what promises to be the first of many meetings. Their mission: to explore the possibility of launching a joint research program to study the human and environmental health effects resulting from spraying Agent Orange and other herbicides during the Vietnam War.

  6. Dioxin in Vietnam: fighting a legacy of war.

    Science.gov (United States)

    Booker, S M

    2001-03-01

    Singapore was the site of an East-West convergence over the week of 27 November-1 December 2000. At the behest of their respective governments, scientists from the United States and Vietnam came together for what promises to be the first of many meetings. Their mission: to explore the possibility of launching a joint research program to study the human and environmental health effects resulting from spraying Agent Orange and other herbicides during the Vietnam War.

  7. The Contributions of the American Military Working Dog in Vietnam.

    Science.gov (United States)

    1998-06-05

    percent were for physical rejections such as hip dysplasia and heartworm disease, and the remaining 20 percent were temperament rejections.8 The most...4. TITLE AND SUBTITLE The Contributions of the American Military Working Dog in Vietnam REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-01B8...DISTRIBUTION CODE A 13. ABSTRACT (Maximum 200 words) This study investigates the contributions of the Military Working Dogs in Vietnam to determine their

  8. Dioxin in Vietnam: fighting a legacy of war.

    Science.gov (United States)

    Booker, S M

    2001-01-01

    Singapore was the site of an East-West convergence over the week of 27 November-1 December 2000. At the behest of their respective governments, scientists from the United States and Vietnam came together for what promises to be the first of many meetings. Their mission: to explore the possibility of launching a joint research program to study the human and environmental health effects resulting from spraying Agent Orange and other herbicides during the Vietnam War. PMID:11333203

  9. Drinking amid abundant illicit drugs. The Vietnam case.

    Science.gov (United States)

    Goodwin, D W; Davis, D H; Robins, L N

    1975-02-01

    We studied drinking patterns and problems of 451 US Army enlisted men after their return from Vietnam. Before Vietnam, nearly half were regular drinkers and one quarter had drinking problems. Problem drinking declined in Vietnam as opiate use rose sharply; half had tried opiates and 20% were opiate dependent. After Vietnam, opiate use decreased (now less than 2% opiate dependent) and problem drinking again became ascendant. At time of interview, 17% had drunk in an alcoholic pattern at some period in their lives and another 41% had had problems from drinking. The younger men were more likely to have had problems. Alcholism predictors included:becoming intoxicated at an early age; dropping out of school; truancy and expulsion from school; and having a father with a history of alcoholism or arrests.

  10. The Lessons of the Vietnam War.

    Science.gov (United States)

    Starr, Jerold M., Ed.

    This text book on the Vietnam War is to be used in teaching high students. Each of the volume's 12 chapters is a self-contained unit on an aspect of the War. The chapters are: (1) Introduction to Vietnam: land, history, and culture; (2) America at war in Vietnam: decisions and consequences; (3) Was the Vietnam War legal? (4) who fought for the…

  11. Developing School Psychology in Vietnam

    Science.gov (United States)

    Le, Phuong; Hagans, Kristi; Powers, Kristin; Hass, Michael

    2011-01-01

    Like China, Vietnam is a communist country with increasingly capitalist economic policies. A fundamental change occurred in these policies with the enactment of Vietnam's "doi moi" (renovation) policy in 1986 that called for a "free market with socialist orientations." However, this economic modernization has inadvertently…

  12. Caulder's Story: "Chinese Handcuffs" and the Untold Story of the Vietnam War.

    Science.gov (United States)

    Philion, Thomas

    2001-01-01

    Calls attention to an important instructional resource that high school English and history teachers can use to engage their students in critical thinking about the Vietnam War. Gives some ideas for helping teenagers to make connections between the young adult novel "Chinese Handcuffs" and the Vietnam War. Suggests the integration of "Chinese…

  13. Inter-sectoral Interdependence and Growth in Vietnam: A Comparative Analysis with Indonesia and Malaysia

    OpenAIRE

    秋田, 隆裕; Hau, Chu Thi Trung

    2006-01-01

    This study examines the sources of output growth in Vietnam during 1996-2000 using the national input-output (I-O) tables. It employs an extended growth-factor decomposition method, which is an extension of the standard growth-factor decomposition method, in which all industries are classified into the primary, secondary and tertiary sectors. It also conducts a comparative analysis of Vietnam, Indonesia and Malaysia. The major source of Vietnam's output growth was the expansion of exports. Th...

  14. Moving toward universal coverage of health insurance in Vietnam: barriers, facilitating factors, and lessons from Korea.

    Science.gov (United States)

    Do, Ngan; Oh, Juhwan; Lee, Jin-Seok

    2014-07-01

    Vietnam has pursued universal health insurance coverage for two decades but has yet to fully achieve this goal. This paper investigates the barriers to achieve universal coverage and examines the validity of facilitating factors to shorten the transitional period in Vietnam. A comparative study of facilitating factors toward universal coverage of Vietnam and Korea reveals significant internal forces for Vietnam to further develop the National Health Insurance Program. Korea in 1977 and Vietnam in 2009 have common characteristics to be favorable of achieving universal coverage with similarities of level of income, highly qualified administrative ability, tradition of solidarity, and strong political leadership although there are differences in distribution of population and structure of the economy. From a comparative perspective, Vietnam can consider the experience of Korea in implementing the mandatory enrollment approach, household unit of eligibility, design of contribution and benefit scheme, and resource allocation to health insurance for sustainable government subsidy to achieve and sustain the universal coverage of health insurance.

  15. U.S. military working dogs with Vietnam service: definition and characteristics of the cohort.

    Science.gov (United States)

    Hayes, H M; Tarone, R E; Casey, H W; Jennings, P B; Hildebrandt, P K; Reardon, M J

    1994-11-01

    We verified and corrected inaccuracies in descriptive profile information on military working dogs (MWDs) that died from 1965 to 1980 and were reported in the Armed Forces Institute of Pathology Registry of Veterinary Pathology. Using other available military records, we determined which dogs served in Vietnam. Identified were 3,895 MWDs with a unique identity tattoo that served in Vietnam, of which 2,389 served exclusively with U.S. military forces and died in Vietnam. Another 479 Vietnam veteran MWDs completed their service elsewhere. This overall effort resulted in signalment corrections, generally age at death, in 21% of the Registry MWD accessions during the study period. The improved definition and characterization of the Vietnam cohort will lead to greater precision in epidemiologic investigations of the health effects from the Vietnam experience in U.S. military working dogs.

  16. The study on the development of nuclear cooperation policy and the follow-up of nuclear joint committee meeting between Korea and Vietnam

    Energy Technology Data Exchange (ETDEWEB)

    Yang, M. H.; Yun, S. W.; Jeong, I.; Choi, P. H.; Seo, M. W

    2004-02-01

    National efforts have been carried out positively to export nuclear technologies to oversee nuclear power markets, which can enable to contribute to enhance the national prestige and the promotion of cooperation foundation in international community. The demand of energy and electricity in Vietnam is continuously increasing due to rapid industrial development and economical development during the last several years. In order to meet the increasing electricity demand, Vietnam has been carrying out positive nuclear R and D and plans to introduce the first nuclear power plant between the year 2015 and 2010. It is necessary to strengthen the cooperative relations with Vietnam to introduce nuclear power plants as well as export of nuclear technologies through various channel such as the exchange of governmental cooperation delegation and the joint meeting of nuclear cooperation between Korea and Vietnam in field of peaceful use and development of nuclear energy between two countries.

  17. Spatiotemporal Dynamics of Dengue Epidemics, Southern Vietnam

    Science.gov (United States)

    Cuong, Hoang Quoc; Vu, Nguyen Thanh; Cazelles, Bernard; Boni, Maciej F.; Thai, Khoa T.D.; Rabaa, Maia A.; Quang, Luong Chan; Simmons, Cameron P.; Huu, Tran Ngoc

    2013-01-01

    An improved understanding of heterogeneities in dengue virus transmission might provide insights into biological and ecologic drivers and facilitate predictions of the magnitude, timing, and location of future dengue epidemics. To investigate dengue dynamics in urban Ho Chi Minh City and neighboring rural provinces in Vietnam, we analyzed a 10-year monthly time series of dengue surveillance data from southern Vietnam. The per capita incidence of dengue was lower in Ho Chi Minh City than in most rural provinces; annual epidemics occurred 1–3 months later in Ho Chi Minh City than elsewhere. The timing and the magnitude of annual epidemics were significantly more correlated in nearby districts than in remote districts, suggesting that local biological and ecologic drivers operate at a scale of 50–100 km. Dengue incidence during the dry season accounted for 63% of variability in epidemic magnitude. These findings can aid the targeting of vector-control interventions and the planning for dengue vaccine implementation. PMID:23735713

  18. WP/082 The Economic Costs of Climate Change: A Multi-Sector Impact Assessment for Vietnam

    DEFF Research Database (Denmark)

    Arndt, Channing; Tarp, Finn; Thurlow, James

    Unlike existing studies, we adopt a multi-sectoral approach and consider the full range of climate projections. Biophysical damages are translated into economic costs using a dynamic economywide model. Our results for Vietnam indicate that the negative impacts on agriculture and roads are modest,...... that there are benefits from pre-emptive action, but also opportunity costs from precautionary adaptation investments.......Unlike existing studies, we adopt a multi-sectoral approach and consider the full range of climate projections. Biophysical damages are translated into economic costs using a dynamic economywide model. Our results for Vietnam indicate that the negative impacts on agriculture and roads are modest......, at least until 2050. Larger costs are caused by rising sea levels and cyclone strikes. Overall, climate change is likely to reduce Vietnam’s national income by between one and two percent by 2050 (relative to a historical baseline). Damages double under more extreme projections. Our findings suggest...

  19. Fiscal 1996 survey report on the environmentally friendly type coal utilization system feasibility study. Feasibility study of the environmentally friendly type coal utilization system in Malaysia and Vietnam; Kankyo chowagata sekitan riyo system kanosei chosa. Malaysia Vietnam ni okeru kankyo chowagata sekitan riyo system kanosei chosa

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-03-01

    This survey arranged the status of coal utilization technology and the status of coal production, supply, etc. in Malaysia and Vietnam, examined/studied coal utilization systems in both countries, and finally assessed feasibility of introducing the environmentally friendly type coal utilization system. As a country of primary energy source which is abundant in crude oil, natural gas, hydroelectric power, coal, etc., Malaysia now depends on crude oil and natural gas for 80% of its energy, and places emphasis on exploration of natural gas and oil refining. In electric power and cement industries where coal is consumed, effectiveness and environmental issues in association with coal utilization are future subjects. In Vietnam, the north is abundant in hydroelectric power and anthracite, and the south in oil and gas resource, but the north and central districts are in a state of undevelopment. Coal is used for coal thermal power generation, cement industry, and residential/commercial fuel. In the future, effective coal utilization and environmental issues will be subjects. 16 refs., 38 figs., 75 tabs.

  20. Vietnam seeks help expanding voluntary surgical contraception.

    Science.gov (United States)

    Piet-pelon, N J; Sukop, S

    1992-07-01

    Recent surveys by the Vietnamese Ministry of Health suggest that 60% of married women desire no more children. Yet only 2% of currently married women and less than 1/2 of 1% of their partners use sterilization. Underscoring the high unmet need for effective family planning, over 1 million abortions (legal in Vietnam for the past 20 years) are performed annually. This rate corresponds to 1 abortion for every live birth. The Ministry of Health has recently welcomed a variety of organizations, including AVSC, whose assistance can help expand the country's family planning programs. Sorely lacking in supplies, equipment, and trained personnel, Vietnam has merited priority status--2nd only to China and India--from the UNFPA, which has committed $36 million over the next 4 years. Other organizations currently working in Vietnam include the Population Council, the Population Crisis Committee, and the International Planned Parenthood Federation. Despite enormous casualties during the war years, and a decrease since the 1970s in average family size from 6 to 4 children, the population of Vietnam has continued to grow rapidly, far outpacing economic growth. Currently 67 million, the population is expected to reach 80 million by the year 2000. The average Vietnamese annual income is only $195, among the lowest in the world. Doi moi, the process of economic reform begun in 1986, coupled with new government incentives for families who have no more than 2 children, is changing the face of family planning in Vietnam. Newly opened pharmacies sell imported birth control pills and condoms (to those who can afford them), while government hospitals and health clinics provide mainly IUDs, in addition to limited supplies of pills and condoms. Throughout the country, some 8000 community-level health centers are staffed by nurse-midwives trained in family planning. Voluntary sterilization is available at the district, provincial, and national hospitals. All married women may obtain family

  1. In vivo susceptibility of Plasmodium falciparum to artesunate in Binh Phuoc Province, Vietnam

    Directory of Open Access Journals (Sweden)

    Hien Tran

    2012-10-01

    Full Text Available Abstract Background By 2009, there were worrying signs from western Cambodia that parasitological responses to artesunate-containing treatment regimens for uncomplicated Plasmodium falciparum malaria were slower than elsewhere which suggested the emergence of artemisinin resistance. Vietnam shares a long land border with Cambodia with a large number of migrants crossing it on a daily basis. Therefore, there is an urgent need to investigate whether there is any evidence of a change in the parasitological response to the artemisinin derivatives in Vietnam. Methods From August 2010 to May 2011, a randomized controlled clinical trial in uncomplicated falciparum malaria was conducted to compare two doses of artesunate (AS (2mg/kg/day versus 4 mg/kg/day for three days followed by dihydroartemisinin-piperaquine (DHA-PPQ and a control arm of DHA-PPQ. The goal was characterization of the current efficacy of artesunate in southern Vietnam. The primary endpoint of this study was the parasite clearance half-life; secondary endpoints included the parasite reduction ratios at 24 and 48 hours and the parasite clearance time. Results 166 patients were recruited into the study. The median parasite clearance half-lives were 3.54 (AS 2mg/kg, 2.72 (AS 4mg/kg, and 2.98 hours (DHA-PPQ (p=0.19. The median parasite-reduction ratio at 24 hours was 48 in the AS 2mg/kg group compared with 212 and 113 in the other two groups, respectively (p=0.02. The proportions of patients with a parasite clearance time of >72 hours for AS 2mg/kg, AS 4mg/kg and DHA-PPQ were 27%, 27%, and 22%, respectively. Early treatment failure occurred in two (4% and late clinical failure occurred in one (2% of the 55 patients in the AS 2mg/kg group, as compared with none in the other two study arms. The PCR-corrected adequate clinical and parasitological response (APCR rates in the three groups were 94%, 100%, and 100% (p=0.04. Conclusions This study demonstrated faster P. falciparum parasite

  2. In vivo susceptibility of Plasmodium falciparum to artesunate in Binh Phuoc Province, Vietnam.

    Science.gov (United States)

    Hien, Tran Tinh; Thuy-Nhien, Nguyen Thanh; Phu, Nguyen Hoan; Boni, Maciej F; Thanh, Ngo Viet; Nha-Ca, Nguyen Thuy; Thai, Le Hong; Thai, Cao Quang; Toi, Pham Van; Thuan, Phung Duc; Long, Le Thanh; Dong, Le Thanh; Merson, Laura; Dolecek, Christiane; Stepniewska, Kasia; Ringwald, Pascal; White, Nicholas J; Farrar, Jeremy; Wolbers, Marcel

    2012-10-26

    By 2009, there were worrying signs from western Cambodia that parasitological responses to artesunate-containing treatment regimens for uncomplicated Plasmodium falciparum malaria were slower than elsewhere which suggested the emergence of artemisinin resistance. Vietnam shares a long land border with Cambodia with a large number of migrants crossing it on a daily basis. Therefore, there is an urgent need to investigate whether there is any evidence of a change in the parasitological response to the artemisinin derivatives in Vietnam. From August 2010 to May 2011, a randomized controlled clinical trial in uncomplicated falciparum malaria was conducted to compare two doses of artesunate (AS) (2mg/kg/day versus 4 mg/kg/day for three days) followed by dihydroartemisinin-piperaquine (DHA-PPQ) and a control arm of DHA-PPQ. The goal was characterization of the current efficacy of artesunate in southern Vietnam. The primary endpoint of this study was the parasite clearance half-life; secondary endpoints included the parasite reduction ratios at 24 and 48 hours and the parasite clearance time. 166 patients were recruited into the study. The median parasite clearance half-lives were 3.54 (AS 2mg/kg), 2.72 (AS 4mg/kg), and 2.98 hours (DHA-PPQ) (p=0.19). The median parasite-reduction ratio at 24 hours was 48 in the AS 2mg/kg group compared with 212 and 113 in the other two groups, respectively (p=0.02). The proportions of patients with a parasite clearance time of >72 hours for AS 2mg/kg, AS 4mg/kg and DHA-PPQ were 27%, 27%, and 22%, respectively. Early treatment failure occurred in two (4%) and late clinical failure occurred in one (2%) of the 55 patients in the AS 2mg/kg group, as compared with none in the other two study arms. The PCR-corrected adequate clinical and parasitological response (APCR) rates in the three groups were 94%, 100%, and 100% (p=0.04). This study demonstrated faster P. falciparum parasite clearance in southern Vietnam than in western Cambodia but

  3. Comparing to Prepare: Suggesting Ways to Study Social Media Today—and Tomorrow

    Directory of Open Access Journals (Sweden)

    Anders Olof Larsson

    2015-04-01

    Full Text Available While the two currently most popular social media services – Twitter and Facebook – are different in terms of technical and end-user details, this paper suggests that a series of similarities can also be found regarding different modes of communication offered by both services. These modes are labeled as Broadcasting, Redistributing, Interacting and Acknowledging. The argument is put forward that such synthesis of communication modes across platform could prove useful for longitudinal and comparative research efforts.

  4. Using hypnotic suggestion to model loss of control and awareness of movements: an exploratory FMRI study.

    Directory of Open Access Journals (Sweden)

    Quinton Deeley

    Full Text Available The feeling of voluntary control and awareness of movement is fundamental to our notions of selfhood and responsibility for actions, yet can be lost in neuropsychiatric syndromes (e.g. delusions of control, non-epileptic seizures and culturally influenced dissociative states (e.g. attributions of spirit possession. The brain processes involved remain poorly understood. We used suggestion and functional magnetic resonance imaging (fMRI to investigate loss of control and awareness of right hand movements in 15 highly hypnotically suggestible subjects. Loss of perceived control of movements was associated with reduced connectivity between supplementary motor area (SMA and motor regions. Reduced awareness of involuntary movements was associated with less activation in parietal cortices (BA 7, BA 40 and insula. Collectively these results suggest that the sense of voluntary control of movement may critically depend on the functional coupling of SMA with motor systems, and provide a potential neural basis for the narrowing of awareness reported in pathological and culturally influenced dissociative phenomena.

  5. Cortisol, dehydroepiandrosterone sulphate, their ratio and hypertension: evidence of associations in male veterans from the Vietnam Experience Study.

    Science.gov (United States)

    Carroll, D; Phillips, A C; Lord, J M; Arlt, W; Batty, G D

    2011-07-01

    Although clinical observations implicate cortisol in hypertension, the epidemiological evidence is less compelling. Little is known about the relationship between dehydroepiandrosterone sulphate (DHEAS) and hypertension, and nothing about the association with the cortisol:DHEAS ratio. The present analyses of data obtained from Vietnam-era US veterans examined the associations between cortisol, DHEAS, their ratio and hypertension. Participants were 4180 male veterans. From military files, telephone interviews and a medical examination, sociodemographic and health data were collected. At medical examination, a fasted morning blood sample was collected to assay serum cortisol and DHEAS, blood pressure measured and body mass index (BMI) determined. Hypertension was defined by having one of the following: a reported physician diagnosis, taking antihypertensive medication, an average systolic blood pressure ≥ 140 mm Hg and an average diastolic blood pressure ≥ 90 mm Hg. Cortisol and the cortisol:DHEAS ratio were positively associated with hypertension (P significance (P = 0.06) in models that adjusted for age, sociodemographics, place of service, health behaviours and BMI. The present analyses provide confirmation of a positive association between cortisol and the cortisol:DHEAS ratio and population hypertension.

  6. Assessment of benefits of research reactors in less developed countries. A case study of the Dalat reactor in Vietnam

    Energy Technology Data Exchange (ETDEWEB)

    Hien, P.D. [Vietnam Atomic Energy Agency, Hanoi (Viet Nam)

    1999-08-01

    The analysis of data on nuclear research reactor (NRR) and socio-economic conditions across countries reveals highly significant relationships of reactor power with GDP and R and D expenditure. The trends revealed can be used as preliminary guides for feasibility assessment of investment in a NRR. Concerning reactor performance, i.e. the number of reactor operation days per year, the covariation with R and D expenditure is most significant, but moderate, implying that there are other controlling factors, e.g. the engagement of country in nuclear power development. Thus, the size of the R and D fund is a most significant indicator to look at in reactor planning. Unfortunately, the lack of adequate R and D funding is a common and chronic problem in less developed countries. As NRR is among the biggest R and D investment in less developed countries, adequate cost benefit assessment is rightfully required. In the case of Vietnam, during 15 years of operation of a 500 kW NRR 2300 Ci of radioisotopes were delivered and 45,000 samples were analysed for multielemental compositions. From a pure financial viewpoint these figures would still be insignificant to justify the investment. However, the impact of the reactor on the technological development seems not to be a matter of pro and cons. The status of reactor utilization and lessons learned are presented and discussed. (author)

  7. Cognitive ability in early adulthood is associated with systemic inflammation in middle age: the Vietnam experience study.

    Science.gov (United States)

    Phillips, Anna C; Batty, G David; van Zanten, Jet J C S Veldhuijzen; Mortensen, Laust H; Deary, Ian J; Calvin, Catherine M; Carroll, Douglas

    2011-02-01

    We examined the prospective association between cognitive ability in early adulthood and erythrocyte sedimentation rate, a marker of inflammation, in middle age. Participants were 4256 male Vietnam era US veterans. Data on cognitive ability, assessed by the Army General Technical Test, ethnicity, and place of service were extracted from enlistment files. Smoking behaviour, alcohol consumption, basic socio-demographics, and whether participants suffered from a physician diagnosed chronic disease were determined by telephone interview in middle-age in 1985. Erythrocyte sedimentation rate, cholesterol, blood pressure, height, and weight were measured at a 3-day medical examination in 1986. In linear regression models that adjusted for age and then additionally for circumstantial, socio-demographic, lifestyle, and health factors, poor cognitive ability in early adulthood was associated with greater erythrocyte sedimentation rate in middle age, β=-.09. Thus, it would appear that not only does systemic inflammation influence cognition, but also that poor cognitive ability earlier in life is associated with inflammation in middle-age. Copyright © 2010 Elsevier Inc. All rights reserved.

  8. Urinary amino acid alterations in 3-year-old children with neurodevelopmental effects due to perinatal dioxin exposure in Vietnam: a nested case-control study for neurobiomarker discovery.

    Directory of Open Access Journals (Sweden)

    Muneko Nishijo

    Full Text Available In our previous study of 3-year-old children in a dioxin contamination hot spot in Vietnam, the high total dioxin toxic equivalent (TEQ-PCDDs/Fs-exposed group during the perinatal period displayed lower Bayley III neurodevelopmental scores, whereas the high 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD-exposed group displayed increased autistic traits. In autistic children, urinary amino acid profiles have revealed metabolic alterations in the amino acids that serve as neurotransmitters in the developing brain. Therefore, our present study aimed to investigate the use of alterations in urinary amino acid excretion as biomarkers of dioxin exposure-induced neurodevelopmental deficits in highly exposed 3-year-old children in Vietnam. A nested case-control study of urinary analyses was performed for 26 children who were selected from 111 3-year-old children whose perinatal dioxin exposure levels and neurodevelopmental status were examined in follow-up surveys conducted in a dioxin contaminated hot spot. We compared urinary amino acid levels between the following 4 groups: (1 a high TEQ-PCDDs/Fs and high TCDD-exposed group; (2 a high TEQ-PCDDs/Fs but low TCDD-exposed group; (3 a low TEQ-PCDDs/Fs exposed and poorly developed group; and (4 a low TEQ-PCDDs/Fs exposed and well-developed group. Urinary levels of histidine and tryptophan were significantly decreased in the high TEQ-PCDDs/Fs and high TCDD group, as well as in the high TEQ-PCDDs/Fs but low TCDD group, compared with the low TEQ-PCDDs/Fs and well-developed group. However, the ratio of histidine to glycine was significantly lower only in the high TEQ-PCDDs/Fs and high TCDD group. Furthermore, urinary histidine levels and the ratio of histidine to glycine were significantly correlated with neurodevelopmental scores, particularly for language and fine motor skills. These results indicate that urinary histidine is specifically associated with dioxin exposure-induced neurodevelopmental deficits

  9. Urinary amino acid alterations in 3-year-old children with neurodevelopmental effects due to perinatal dioxin exposure in Vietnam: a nested case-control study for neurobiomarker discovery.

    Science.gov (United States)

    Nishijo, Muneko; Tai, Pham The; Anh, Nguyen Thi Nguyet; Nghi, Tran Ngoc; Nakagawa, Hideaki; Van Luong, Hoang; Anh, Tran Hai; Morikawa, Yuko; Waseda, Tomoo; Kido, Teruhiko; Nishijo, Hisao

    2015-01-01

    In our previous study of 3-year-old children in a dioxin contamination hot spot in Vietnam, the high total dioxin toxic equivalent (TEQ-PCDDs/Fs)-exposed group during the perinatal period displayed lower Bayley III neurodevelopmental scores, whereas the high 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD)-exposed group displayed increased autistic traits. In autistic children, urinary amino acid profiles have revealed metabolic alterations in the amino acids that serve as neurotransmitters in the developing brain. Therefore, our present study aimed to investigate the use of alterations in urinary amino acid excretion as biomarkers of dioxin exposure-induced neurodevelopmental deficits in highly exposed 3-year-old children in Vietnam. A nested case-control study of urinary analyses was performed for 26 children who were selected from 111 3-year-old children whose perinatal dioxin exposure levels and neurodevelopmental status were examined in follow-up surveys conducted in a dioxin contaminated hot spot. We compared urinary amino acid levels between the following 4 groups: (1) a high TEQ-PCDDs/Fs and high TCDD-exposed group; (2) a high TEQ-PCDDs/Fs but low TCDD-exposed group; (3) a low TEQ-PCDDs/Fs exposed and poorly developed group; and (4) a low TEQ-PCDDs/Fs exposed and well-developed group. Urinary levels of histidine and tryptophan were significantly decreased in the high TEQ-PCDDs/Fs and high TCDD group, as well as in the high TEQ-PCDDs/Fs but low TCDD group, compared with the low TEQ-PCDDs/Fs and well-developed group. However, the ratio of histidine to glycine was significantly lower only in the high TEQ-PCDDs/Fs and high TCDD group. Furthermore, urinary histidine levels and the ratio of histidine to glycine were significantly correlated with neurodevelopmental scores, particularly for language and fine motor skills. These results indicate that urinary histidine is specifically associated with dioxin exposure-induced neurodevelopmental deficits, suggesting that

  10. Dilemmas in examining understanding of nature of science in Vietnam

    Science.gov (United States)

    Thao-Do, Thi Phuong; Yuenyong, Chokchai

    2017-06-01

    Scholars proved nature of science (NOS) has made certain contributions to science teaching and learning. Nonetheless, what, how and how much NOS should be integrated in the science curriculum of each country cannot be a benchmark, due to the influence of culture and society. Before employing NOS in a new context, it should be carefully studied. In assessing views of NOS in Vietnam, a developing country with Eastern culture where the NOS is not consider a compulsory learning outcome, there are several issues that researchers and educators should notice to develop an appropriate instrument that can clearly exhibit a NOS view of Vietnamese. They may include: time for the survey; length, content, type, and terms of the questionnaire; Vietnamese epistemology and philosophy; and some other Vietnamese social and cultural aspects. The most important reason for these considerations is that a Vietnamese view of NOS and NOS assessment possibly differs from the Western ideas due to the social and cultural impact. As a result, a Western assessment tool may become less effective in an Eastern context. The suggestions and implications in this study were derived from a prolonged investigation on Vietnamese science teacher educators and student teachers of School of Education, at Can Tho University, a State University in Mekong Delta region, Vietnam.

  11. Epidemiological studies on noise and blood pressure in children: Observations and suggestions.

    Science.gov (United States)

    Paunović, Katarina; Stansfeld, Stephen; Clark, Charlotte; Belojević, Goran

    2011-07-01

    The goal of this review was to investigate methodological differences in studies on the effects of aircraft or road-traffic noise on blood pressure (BP) of urban children, emphasizing the similarities and differences in blood pressure measurements. A literature search has identified eight peer-reviewed studies, four conference proceedings and one PhD thesis on the effects of aircraft or road-traffic noise on children's blood pressure published in English in the last 30 years. Most of the studies were cross-sectional, and four studies were longitudinal, with follow-up period from one to three years. The studies were analyzed according to the following methodological issues: study design, children's characteristics, noise exposure assessment and blood pressure measurements. The effects of noise on systolic and diastolic pressure were presented in detail. Studies on aircraft noise had more uniform methodology, indicating a slight tendency towards a positive relationship between aircraft noise exposure and BP in children. The studies on road-traffic noise were methodologically diverse, but compared to aircraft noise studies they showed a more uniform trend in the direction of a positive relationship with systolic BP. The time, place and number of BP measurements, as well as the devices and cuff sizes varied among the studies. Children's age, gender, body composition and ethnicity, and socio-economic status remain the greatest source of diversity in BP values. The reviewed studies were methodologically diverse concerning noise exposure assessment, BP measurement, study design and control for confounders. In spite of this, they indicate a tendency toward positive association between noise exposure and children's blood pressure. We recommended strategies that might help researchers adopt similar procedures when measuring BP in future field studies. Copyright © 2011 Elsevier Ltd. All rights reserved.

  12. Interactions among alcohol dependence, perinatal common mental disorders and violence in couples in rural Vietnam: a cross-sectional study using structural equation modeling.

    Science.gov (United States)

    Tran, Thach Duc; Tran, Tuan; Wynter, Karen; Fisher, Jane

    2012-09-19

    There is increasing recognition that perinatal common mental disorders (PCMDs) are prevalent in women in low and lower-middle income countries and emerging evidence that PCMDs and alcohol abuse occur in men in these settings. Domestic violence is associated with PCMDs in both women and men. The aim of this study was to examine the relationships among PCMDs, alcohol abuse and domestic violence in couples in a rural, low-income setting. A cross-sectional, population-based study was undertaken in randomly selected communes in Ha Nam and Hanoi, Vietnam. All women in the selected study sites who were at least 28 weeks pregnant or were mothers of 4 - 6 week old babies in the recruitment period were eligible. The husbands of the women who consented to join the study were also invited to participate. Data sources were study-specific questions and standardised measures: PCMDs were assessed by psychiatrist-administered Structured Clinical Interviews for DSM IV disorders, and alcohol dependence (AD) by the CAGE questionnaire (cut-off of ≥ 2). Structural Equation Modeling was used to test direct, indirect and mutual relationships simultaneously in the hypothesised model. In total 364/392 (93%) eligible women agreed to participate. Of these, 360 were married, and 230 (64%) of their husbands also participated to yield a sample of 230 couples for analyses. Overall, in 7.4% (95% CI: 4.6-11.6) of couples both wife and husband were diagnosed with a PCMD; and 41.2% (95% CI: 35.1-47.8) of couples at least one member had a PCMD. Comorbid PCMD and AD were observed in 6.9% (95% CI: 4.3-11.0) of men, but did not occur in women. After controlling for other psychosocial risk factors comorbid PCMD and AD in husbands increased by 4.7 times the probability of PCMDS in their wives via intimate partner violence. PCMDS in wives did not increase the probability of PCMDS or AD in husbands. These data provide evidence that comorbid PCMD and AD in husbands have a significant adverse effect on

  13. Interactions among alcohol dependence, perinatal common mental disorders and violence in couples in rural Vietnam: a cross-sectional study using structural equation modeling

    Directory of Open Access Journals (Sweden)

    Tran Thach

    2012-09-01

    Full Text Available Abstract Background There is increasing recognition that perinatal common mental disorders (PCMDs are prevalent in women in low and lower-middle income countries and emerging evidence that PCMDs and alcohol abuse occur in men in these settings. Domestic violence is associated with PCMDs in both women and men. The aim of this study was to examine the relationships among PCMDs, alcohol abuse and domestic violence in couples in a rural, low-income setting. Methods A cross-sectional, population-based study was undertaken in randomly selected communes in Ha Nam and Hanoi, Vietnam. All women in the selected study sites who were at least 28 weeks pregnant or were mothers of 4 – 6 week old babies in the recruitment period were eligible. The husbands of the women who consented to join the study were also invited to participate. Data sources were study-specific questions and standardised measures: PCMDs were assessed by psychiatrist-administered Structured Clinical Interviews for DSM IV disorders, and alcohol dependence (AD by the CAGE questionnaire (cut-off of ≥ 2. Structural Equation Modeling was used to test direct, indirect and mutual relationships simultaneously in the hypothesised model. Results In total 364/392 (93% eligible women agreed to participate. Of these, 360 were married, and 230 (64% of their husbands also participated to yield a sample of 230 couples for analyses. Overall, in 7.4% (95% CI: 4.6-11.6 of couples both wife and husband were diagnosed with a PCMD; and 41.2% (95% CI: 35.1-47.8 of couples at least one member had a PCMD. Comorbid PCMD and AD were observed in 6.9% (95% CI: 4.3-11.0 of men, but did not occur in women. After controlling for other psychosocial risk factors comorbid PCMD and AD in husbands increased by 4.7 times the probability of PCMDS in their wives via intimate partner violence. PCMDS in wives did not increase the probability of PCMDS or AD in husbands. Conclusions These data provide evidence that comorbid

  14. The long-term impact of war on health and wellbeing in Northern Vietnam: some glimpses from a recent survey.

    Science.gov (United States)

    Teerawichitchainan, Bussarawan; Korinek, Kim

    2012-06-01

    War is deemed a major threat to public health; yet, the long-term effects of war on individual health have rarely been examined in the context of developing countries. Based on data collected as a pilot follow-up to the Vietnam Longitudinal Survey, this study examines current health profiles of northern Vietnamese war survivors who entered early adulthood during the Vietnam War and now represent Vietnam's older adult population. To ascertain how war and military service in the early life course may have had long-term impacts on health status of Vietnam's current older adults, we compare multi-dimensional measures of health among veterans and nonveterans, and within these groups, regardless of their military service, between combatants and noncombatants. Multivariate results suggest that despite prolonged exposure to war, veterans and those who served in combat roles are not significantly different from their civilian and noncombatant counterparts on most health outcomes later in life. This is in contrast to American veterans who fought on the opposing side of the war. The near absence of differences in older adult health among northern Vietnamese with varying degrees of war involvement might be explained by the encompassing extent of war; the notion that time heals; and the hardiness and resilience against ill health that are by-products of shared struggle in war and a victorious outcome. Copyright © 2012 Elsevier Ltd. All rights reserved.

  15. Youth Transition to Employment in Vietnam: A Vulnerable Path

    Science.gov (United States)

    Tran, Thi Tuyet

    2018-01-01

    Literature suggests that educational attainment is one of the significant factors affecting youth transition to work. The process of capital accumulation through education is suggested as the key marker of social inclusion and exclusion. This paper compares the educational attainment among youth in Vietnam with their status in employment. It uses…

  16. Studies suggest an association between maternal periodontal disease and pre-eclampsia.

    Science.gov (United States)

    Vergnes, Jean-Noel

    2008-01-01

    In this systematic review, several types of infections are identified and investigated: urinary tract infection, periodontal disease, Chlamydia pneumoniae infection, HIV infection, malaria and other persistent bacterial and viral infections. Separate analyses were conducted for each of them. This summary review will only focus on the link between pre-eclampsia and periodontitis, which was just a part of the original systematic review. MEDLINE, EMBASE, POPLINE, CINAHL, LILACS (all from inception to June 30, 2007), proceedings of international meetings on pre-eclampsia, bibliography of the retrieved articles, reviews, chapters in standard textbooks on hypertension in pregnancy, and contact with investigators involved in the field were used to identify relevant studies. No language restrictions were imposed. Cohort, case-control or cross-sectional studies with original data that evaluated the association between maternal periodontal disease and pre-eclampsia were included. Cases were defined as women suffering from hypertension plus proteinuria, after 20 weeks' gestation. Data were extracted from each study according to design, geographic location, sample size, gestational age when periodontal disease was diagnosed, definition and severity of pre-eclampsia, confounding factors controlled for, temporality of the association, and report of dose-response gradient. Studies included in the systematic review were also included in the meta-analysis if they reported Odds Ratio (OR) or Relative Risk (RR) estimates with their 95% Confidence Intervals (CIs), or provided the information necessary to calculate them. Results from different reports were combined to produce a pooled OR according to the Mantel-Haenszel method, using both fixed- and random-effects models. Heterogeneity was quantified with I(2) statistics. Studies were also quality assessed. Seven case-control studies and 2 cohort studies evaluated the association between periodontal disease and pre-eclampsia. Six

  17. Vietnam: A Failure of Strategy and Leadership

    Science.gov (United States)

    2013-04-30

    boundaries set by civilian leadership . Likewise, it also presents a case study in the absolute necessity for military leaders to address policy limitations ...but was within limitations set by civilian leadership . Likewise it would have been incumbent upon General Westmoreland to analyze what he was... limited approach by communist leadership in Hanoi where the stated objected was a unified Vietnam. Nixon and his team immediately initiated planning to

  18. Epidemiology and virology of acute respiratory infections during the first year of life: a birth cohort study in Vietnam.

    Science.gov (United States)

    Anders, Katherine L; Nguyen, Hoa L; Nguyen, Nguyet Minh; Van Thuy, Nguyen Thi; Hong Van, Nguyen Thi; Hieu, Nguyen Trong; Hong Tham, Nguyen Thi; Thanh Ha, Phan Thi; Lien, Le Bich; Vinh Chau, Nguyen Van; Ty Hang, Vu Thi; van Doorn, H Rogier; Simmons, Cameron P

    2015-04-01

    Understanding viral etiology and age-specific incidence of acute respiratory infections in infants can help identify risk groups and inform vaccine delivery, but community-based data is lacking from tropical settings. One thousand four hundred and seventy-eight infants in urban Ho Chi Minh City and 981 infants in a semi-rural district in southern Vietnam were enrolled at birth and followed to 1 year of age. Acute respiratory infection (ARI) episodes were identified through clinic-based illness surveillance, hospital admissions and self-reports. Nasopharyngeal swabs were collected from infants with respiratory symptoms and tested for 14 respiratory pathogens using multiplex reverse transcription-polymerase chain reaction. Estimated incidence of ARI was 542 and 2691 per 1000 infant-years, and hospitalization rates for ARI were 81 and 138 per 1000 infant-years, in urban and semi-rural cohorts, respectively, from clinic- and hospital-based surveillance. However self-reported ARI episodes were just 1.5-fold higher in the semi-rural versus urban cohort, indicating that part of the urban-rural difference was explained by under-ascertainment in the urban cohort. Incidence was higher in infants ≥6 months of age than respiratory syncytial virus, influenza virus A and bocavirus. ARI-associated hospitalizations were associated with longer stays and more frequent ICU admission than other infections. ARI is a significant cause of morbidity in Vietnamese infants and influenza virus A is an under-appreciated cause of vaccine-preventable disease and hospitalizations in this tropical setting. Public health strategies to reduce infant ARI incidence and hospitalization rates are needed.

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

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    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

  20. In-silico interaction studies suggest RND efflux pump mediates polymyxin resistance in Acinetobacter baumannii.

    Science.gov (United States)

    Verma, Privita; Maurya, Pramila; Tiwari, Monalisa; Tiwari, Vishvanath

    2017-12-29

    Bacterial efflux pumps have emerged as antibiotic resistance determinants and confers multi-drug resistance to a broad range of antimicrobials as well as non-antibiotic substances. A study about translocation of antibiotic molecules through the efflux transporter, will contribute in determining substrate specificity. In the present study, we have explored RND family efflux pump extensively found in Acinetobacter baumannii i.e. AdeABC. Besides, another well studied RND efflux pump, AcrAB-TolC together with a non-RND efflux pump, NorM was investigated for comparative analysis. We employed a series of computational techniques ranging from molecular docking to binding free energy estimation and molecular dynamics simulations to determine the binding affinity for different classes of drugs, namely aminoglycosides, polymyxins, β-lactams, tetracyclines, glycylcyclines, quinolones and metronidazole with AdeB, AcrB, and NorM efflux proteins. Our results revealed that class polymyxins has the highest binding affinity with the RND efflux pumps i.e. AcrAB-TolC and AdeABC as well as non-RND efflux pump, NorM. The experimental validation study demonstrated bigger zone of inhibition in presence of efflux pump inhibitor than polymyxin alone thus unveiling its specificity toward efflux pump. The reported experimental data comprising of minimum inhibitory concentration of antibiotics toward these efflux pumps also support our finding based on in silico approach. To recapitulate the outcome, polymyxins shows maximum specificity toward RND as well as non-RND efflux pump and may unlatch the way to rationally develop new potential antibacterial agents as well as efflux pump inhibitors in order to combat resistance.

  1. Examining Differences in Mathematics and Reading Achievement among Grade 5 Pupils in Vietnam

    Science.gov (United States)

    Hungi, Njora

    2008-01-01

    This study employed a multilevel technique to examine pupil-, school- and province-level factors that influence achievement in mathematics and reading of Grade 5 primary school pupils in Vietnam. The data for this study were collected as part of a major survey that sought to examine the quality of education offered in Vietnam primary schools.…

  2. Limitation on the Development of Skills in Higher Education in Vietnam

    Science.gov (United States)

    Tran, Thi Tuyet

    2013-01-01

    This study investigates the perceptions of higher education students, recent graduates and employers in Vietnam on the issue of skill development in the higher education system in Vietnam. Enhancing skill development is considered essential for students, not only to pursue their study, but also for their success later, at work and in life. The…

  3. Cost Function and Its Use for Intergovernmental Educational Transfers in Vietnam

    Science.gov (United States)

    Nguyen-Hoang, Phuong

    2012-01-01

    The purpose of this paper is twofold. First, although many cost function studies have been done in developed countries, there has been no such study for the developing countries such as Vietnam. This paper will make the first attempt at conducting a cost function analysis for Vietnam. Second, it also demonstrates how the results of the cost…

  4. Coumarins as Potential Antioxidant Agents Complemented with Suggested Mechanisms and Approved by Molecular Modeling Studies

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    Yasameen K. Al-Majedy

    2016-01-01

    Full Text Available Syntheses of coumarins, which are a structurally interesting antioxidant activity, was done in this article. The modification of 7-hydroxycoumarin by different reaction steps was done to yield target compounds. Molecular structures were characterized by different spectroscopical techniques (Fourier transformation infrared and nuclear magnetic resonance. Antioxidant activities were performed by using various in vitro spectrophometric assays against 1,1-diphenyl-2-picrylhydrazyl (DPPH radical and hydrogen peroxide (H2O2. All compounds exhibited high efficiency as antioxidants compared to ascorbic acid. The highest efficiency scavenging activity was found for compound 3 (91.0 ± 5.0, followed by compounds 2 and 4 (88.0 ± 2.00; and 87.0 ± 3.00. Ascorbic acid C was used as a standard drug with a percentage inhibition of 91.00 ± 1.5. The mechanism of the synthesized compounds as antioxidants was also studied. Hartree–Fock–based quantum chemical studies have been carried out with the basis set to 3-21G, in order to obtain information about the three-dimensional (3D geometries, electronic structure, molecular modeling, and electronic levels, namely HOMO (highest occupied molecular orbital and LUMO (lowest unoccupied molecular orbital, to understand the antioxidant activity for the synthesized compounds.

  5. Three Sets of Case Studies Suggest Logic and Consistency Challenges with Value Frameworks.

    Science.gov (United States)

    Cohen, Joshua T; Anderson, Jordan E; Neumann, Peter J

    2017-02-01

    To assess the logic and consistency of three prominent value frameworks. We reviewed the value frameworks from three organizations: the Memorial Sloan Kettering Cancer Center (DrugAbacus), the American Society of Clinical Oncologists, and the Institute for Clinical and Economic Review. For each framework, we developed case studies to explore the degree to which the frameworks have face validity in the sense that they are consistent with four important principles: value should be proportional to a therapy's benefit; components of value should matter to framework users (patients and payers); attribute weights should reflect user preferences; and value estimates used to inform therapy prices should reflect per-person benefit. All three frameworks can aid decision making by elucidating factors not explicitly addressed by conventional evaluation techniques (in particular, cost-effectiveness analyses). Our case studies identified four challenges: 1) value is not always proportional to benefit; 2) value reflects factors that may not be relevant to framework users (patients or payers); 3) attribute weights do not necessarily reflect user preferences or relate to value in ways that are transparent; and 4) value does not reflect per-person benefit. Although the value frameworks we reviewed capture value in a way that is important to various audiences, they are not always logical or consistent. Because these frameworks may have a growing influence on therapy access, it is imperative that analytic challenges be further explored. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  6. Meeting report: suggestions for studies on future health risks following the Fukushima accident.

    Science.gov (United States)

    Inamasu, Tomoko; Schonfeld, Sara J; Abe, Masafumi; Bidstrup, Pernille E; Deltour, Isabelle; Ishida, Takashi; Ishikawa, Tetsuo; Kesminiene, Ausrele; Ohira, Tetsuya; Ohto, Hitoshi; Suzuki, Shinichi; Thierry-Chef, Isabelle; Yabe, Hirooki; Yasumura, Seiji; Schüz, Joachim; Yamashita, Shunichi

    2015-03-19

    In October 2013, the Radiation Medical Science Center of the Fukushima Medical University and the Section of Environment and Radiation of the International Agency for Research on Cancer held a joint workshop in Fukushima, Japan to discuss opportunities and challenges for long-term studies of the health effects following the March 2011 Fukushima Daiichi Nuclear Power Plant Accident. This report describes four key areas of discussion -- thyroid screening, dosimetry, mental health, and non-radiation risk factors -- and summarizes recommendations resulting from the workshop. Four recommendations given at the workshop were to: 1) build-up a population-based cancer registry for long-term monitoring of the cancer burden in the prefecture; 2) enable future linkage of data from the various independent activities, particularly those related to dose reconstruction and health status ascertainment; 3) establish long-term observational studies with repeated measurements of lifestyle and behavioural factors to disentangle radiation and non-radiation factors; and 4) implement primary prevention strategies targeted for populations affected by natural disasters, including measures to better understand and address health risk concerns in the affected population. The workshop concluded that coordinated data collection between researchers from different institutes and disciplines can both reduce the burden on the population and facilitate efforts to examine the inter-relationships between the many factors at play.

  7. The determinants of trichiasis recurrence differ at one and two years following lid surgery in Vietnam: A community-based intervention study

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    Rajiv Khandekar

    2009-01-01

    Results : Fifty-six eyes developed recurrence at one year with adjusted prevalence of 8.8% (95% CI 6.60-11.01. One hundred and one eyes [15.9% (95% CI 13.04-18.72] had recurrence two years following surgery. Female gender, older age group, study area, severe grade of trachomatous scarring (TS, past history of lid surgery, postoperative suture adjustment and surgeon were risk factors for recurrence at the end of one year. Study area and previous lid surgery were risk factors for recurrence in the second year. Recurrence at one year could be predicted if study area and severity of Trachomatous Scarring (TS are known. Conclusions : One and two year recurrence rates with modified Cuenod Nataf lid surgeries for TT in Vietnam were acceptably low. Early recurrence could be reduced by proper case selection. However, late recurrence seems to be dependent on interaction of risk factors. Only age of the patient was the reliable predictor of recurrence.

  8. Facilitators and barriers for retention in HIV care between testing and treatment in Asia-A study in Bangladesh, Indonesia, Lao, Nepal, Pakistan, Philippines and Vietnam.

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    Sushil Koirala

    Full Text Available The need for efficient retention in HIV care is more evident than ever because of the expansion of earlier ART initiation and the shift towards 'Test and Treat'. This study assesses factors affecting participation in the HIV care cascade among people living with HIV (PLHIV in the Asia-Pacific Region.A total of 7843 PLHIV aged 18-50 years were recruited using targeted and venue-based sampling between October 1, 2012, and May 31, 2013, across 59 sites in 7 countries (Bangladesh, Indonesia, Lao People's Democratic Republic (Lao PDR, Nepal, Pakistan, Philippines and Vietnam. Statistically significant associations between demographic and health system determinants, and various steps in the HIV care cascade were computed using a generalized structural equation model.A high proportion of PLHIV (40-51% presented late for HIV care and delayed linkage to care in all seven countries. However, once PLHIV enrolled in care, retention in the various steps of the care cascade including adherence to antiretroviral treatment (ART was satisfactory. The proportion still engaged in HIV care at 36 months post HIV diagnosis, varied from 78% in Nepal to >90% in Lao PDR. Similarly, the proportion of ART initiation who also were adherent to ART ranged from 91% in Bangladesh to >95% in Philippines/ Vietnam and from 70% in Lao PDR to 89% in the Philippines respectively. The following factors enhanced the likelihood of ART initiation and high adherence to HIV care and ART: good client-provider communication, high HIV treatment literacy, a referral from a health worker and TB/HIV co-infection. The following barriers were identified: young age, sex work, imprisonment, transgender identity, illiteracy, rural residence, alcohol/ injecting drug use, perceived poor health status, lack of health insurance, fear of confidentiality breach, self-referral for HIV testing, and public hospital as the place of HIV diagnosis.HIV programme planners should ensure easy access to HIV testing

  9. Facilitators and barriers for retention in HIV care between testing and treatment in Asia-A study in Bangladesh, Indonesia, Lao, Nepal, Pakistan, Philippines and Vietnam.

    Science.gov (United States)

    Koirala, Sushil; Deuba, Keshab; Nampaisan, Oranuch; Marrone, Gaetano; Ekström, Anna Mia

    2017-01-01

    The need for efficient retention in HIV care is more evident than ever because of the expansion of earlier ART initiation and the shift towards 'Test and Treat'. This study assesses factors affecting participation in the HIV care cascade among people living with HIV (PLHIV) in the Asia-Pacific Region. A total of 7843 PLHIV aged 18-50 years were recruited using targeted and venue-based sampling between October 1, 2012, and May 31, 2013, across 59 sites in 7 countries (Bangladesh, Indonesia, Lao People's Democratic Republic (Lao PDR), Nepal, Pakistan, Philippines and Vietnam). Statistically significant associations between demographic and health system determinants, and various steps in the HIV care cascade were computed using a generalized structural equation model. A high proportion of PLHIV (40-51%) presented late for HIV care and delayed linkage to care in all seven countries. However, once PLHIV enrolled in care, retention in the various steps of the care cascade including adherence to antiretroviral treatment (ART) was satisfactory. The proportion still engaged in HIV care at 36 months post HIV diagnosis, varied from 78% in Nepal to >90% in Lao PDR. Similarly, the proportion of ART initiation who also were adherent to ART ranged from 91% in Bangladesh to >95% in Philippines/ Vietnam and from 70% in Lao PDR to 89% in the Philippines respectively. The following factors enhanced the likelihood of ART initiation and high adherence to HIV care and ART: good client-provider communication, high HIV treatment literacy, a referral from a health worker and TB/HIV co-infection. The following barriers were identified: young age, sex work, imprisonment, transgender identity, illiteracy, rural residence, alcohol/ injecting drug use, perceived poor health status, lack of health insurance, fear of confidentiality breach, self-referral for HIV testing, and public hospital as the place of HIV diagnosis. HIV programme planners should ensure easy access to HIV testing and earlier

  10. Eye Movement Training and Suggested Gaze Strategies in Tunnel Vision - A Randomized and Controlled Pilot Study.

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    Iliya V Ivanov

    Full Text Available Degenerative retinal diseases, especially retinitis pigmentosa (RP, lead to severe peripheral visual field loss (tunnel vision, which impairs mobility. The lack of peripheral information leads to fewer horizontal eye movements and, thus, diminished scanning in RP patients in a natural environment walking task. This randomized controlled study aimed to improve mobility and the dynamic visual field by applying a compensatory Exploratory Saccadic Training (EST.Oculomotor responses during walking and avoiding obstacles in a controlled environment were studied before and after saccade or reading training in 25 RP patients. Eye movements were recorded using a mobile infrared eye tracker (Tobii glasses that measured a range of spatial and temporal variables. Patients were randomly assigned to two training conditions: Saccade (experimental and reading (control training. All subjects who first performed reading training underwent experimental training later (waiting list control group. To assess the effect of training on subjects, we measured performance in the training task and the following outcome variables related to daily life: Response Time (RT during exploratory saccade training, Percent Preferred Walking Speed (PPWS, the number of collisions with obstacles, eye position variability, fixation duration, and the total number of fixations including the ones in the subjects' blind area of the visual field.In the saccade training group, RTs on average decreased, while the PPWS significantly increased. The improvement persisted, as tested 6 weeks after the end of the training. On average, the eye movement range of RP patients before and after training was similar to that of healthy observers. In both, the experimental and reading training groups, we found many fixations outside the subjects' seeing visual field before and after training. The average fixation duration was significantly shorter after the training, but only in the experimental training

  11. Eye Movement Training and Suggested Gaze Strategies in Tunnel Vision - A Randomized and Controlled Pilot Study

    Science.gov (United States)

    Ivanov, Iliya V.; Mackeben, Manfred; Vollmer, Annika; Martus, Peter; Nguyen, Nhung X.; Trauzettel-Klosinski, Susanne

    2016-01-01

    Purpose Degenerative retinal diseases, especially retinitis pigmentosa (RP), lead to severe peripheral visual field loss (tunnel vision), which impairs mobility. The lack of peripheral information leads to fewer horizontal eye movements and, thus, diminished scanning in RP patients in a natural environment walking task. This randomized controlled study aimed to improve mobility and the dynamic visual field by applying a compensatory Exploratory Saccadic Training (EST). Methods Oculomotor responses during walking and avoiding obstacles in a controlled environment were studied before and after saccade or reading training in 25 RP patients. Eye movements were recorded using a mobile infrared eye tracker (Tobii glasses) that measured a range of spatial and temporal variables. Patients were randomly assigned to two training conditions: Saccade (experimental) and reading (control) training. All subjects who first performed reading training underwent experimental training later (waiting list control group). To assess the effect of training on subjects, we measured performance in the training task and the following outcome variables related to daily life: Response Time (RT) during exploratory saccade training, Percent Preferred Walking Speed (PPWS), the number of collisions with obstacles, eye position variability, fixation duration, and the total number of fixations including the ones in the subjects' blind area of the visual field. Results In the saccade training group, RTs on average decreased, while the PPWS significantly increased. The improvement persisted, as tested 6 weeks after the end of the training. On average, the eye movement range of RP patients before and after training was similar to that of healthy observers. In both, the experimental and reading training groups, we found many fixations outside the subjects' seeing visual field before and after training. The average fixation duration was significantly shorter after the training, but only in the

  12. Taxonomy and conservation of Vietnam's primates: a review.

    Science.gov (United States)

    Blair, Mary E; Sterling, Eleanor J; Hurley, Martha M

    2011-11-01

    Vietnam has the highest number of primate taxa overall (24-27) and the highest number of globally threatened primate taxa (minimum 20) in Mainland Southeast Asia. Conservation management of these species depends in part on resolving taxonomic uncertainties, which remain numerous among the Asian primates. Recent research on genetic, morphological, and acoustic diversity in Vietnam's primates has clarified some of these uncertainties, although a number of significant classification issues still remain. Herein, we summarize and compare the major current taxonomic classifications of Vietnam's primates, discuss recent advances in the context of these taxonomies, and suggest key areas for additional research to best inform conservation efforts in a region crucial to global primate diversity. Among the most important next steps for the conservation of Vietnam's primates is a new consensus list of Asian primates that resolves current differences between major taxonomies, incorporates recent research advances, and recognizes units of diversity at scales below the species-level, whether termed populations, morphs, or subspecies. Priority should be placed on recognizing distinct populations, regardless of the species concept in use, in order to foster the evolutionary processes necessary for primate populations to cope with inevitable environmental changes. The long-term conservation of Vietnam's primates depends not only on an accepted and accurate taxonomy but also on funding for on-the-ground conservation activities, including training, and the continued dedication and leadership of Vietnamese researchers and managers. © 2011 Wiley Periodicals, Inc.

  13. Identification of important and potentially avoidable risk factors in a prospective audit study of neonatal deaths in a paediatric hospital in Vietnam.

    Science.gov (United States)

    Kruse, Alexandra Y; Phuong, Cam N; Ho, Binh T T; Stensballe, Lone G; Pedersen, Freddy K; Greisen, Gorm

    2014-02-01

    Neonatal deaths (≤28 days) account for more than half of child mortality in Vietnam. Presumably most die in hospital, but data are scarce. This study aimed to identify risk factors of death among hospitalised neonates. We prospectively studied all neonatal deaths and expected deaths (discharged alive after withdrawal of life-sustaining treatment) in a Vietnamese tertiary paediatric hospital during a 12-month period in 2009-2010. The medical files were audited classifying admission prognosis, discharge outcome, cause of death/expected death according to two classifications, and important and potentially avoidable risk factors during the hospital stay. Among 5763 neonates admitted, 235 deaths and 67 expected deaths were included. According to both classifications, major causes were congenital malformations, prematurity and severe infections. Six risk factors were identified in 85% (60/71) of the neonates with a relatively good prognosis: recognition or response to danger signs, internal transfers, nosocomial infections, sepsis management, access to usual equipment/staff, and family perception. Among 302 neonatal deaths/expected deaths, the major causes were congenital malformations, prematurity and severe infections. Six important and potentially avoidable risk factors could be addressed in the subgroup with relatively good admission prognosis, without implementing new technology or major organisational changes. ©2013 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  14. China’s Potential for Economic Coercion in the South China Sea Disputes: A Comparative Study of the Philippines and Vietnam

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    Madhu Sudan Ravindran

    2012-01-01

    Full Text Available With tensions rising in the South China Sea, China’s use of its economic leverage over Southeast Asian countries has recently come into focus. With increasing economic and trade ties between China and Southeast Asia, the question being asked is whether China can successfully impose economic sanctions to gain policy concessions in the South China Sea disputes. This paper examines China’s relations with the Philippines and Vietnam and analyses the possibility of a successful economic sanction by China against these two countries in future disputes. The article concludes that Vietnam may be more vulnerable economically to Chinese sanctions than the Philippines. However, political factors would offset that vulnerability in the case of Vietnam and amplify it in the case of the Philippines, making the Philippines more likely to concede to modest political demands.

  15. Anemia and intestinal parasite infection in school children in rural Vietnam

    NARCIS (Netherlands)

    Thi, Le H.; Brouwer, I.D.; Verhoef, H.; Khan, N.C.; Kok, F.J.

    2007-01-01

    Objectives: This study hypothesized that besides iron deficiency, intestinal parasites infection is also a determinant of anemia in schoolchildren in rural Vietnam. Methods: 400 primary schoolchildren from 20 primary schools in Tam Nong district, a poor rural area in Vietnam, were randomly selected

  16. Changes in Underlying Determinants Explain Rapid Increases in Child Linear Growth in Alive & Thrive Study Areas between 2010 and 2014 in Bangladesh and Vietnam.

    Science.gov (United States)

    Nguyen, Phuong Hong; Headey, Derek; Frongillo, Edward A; Tran, Lan Mai; Rawat, Rahul; Ruel, Marie T; Menon, Purnima

    2017-03-01

    Background: Child linear growth sometimes improves in both intervention and comparison groups in evaluations of nutrition interventions, possibly because of spillover intervention effects to nonintervention areas or improvements in underlying determinants of nutritional change in both areas.Objective: We aimed to understand what changes in underlying socioeconomic characteristics and behavioral factors are important in explaining improvements in child linear growth.Methods: Baseline (2010) and endline (2014) surveys from the Alive & Thrive impact evaluation were used to identify the underlying determinants of height-for-age z scores (HAZs) among children aged 24-48 mo in Bangladesh (n = 4311) and 24-59 mo in Vietnam (n = 4002). Oaxaca-Blinder regression decompositions were used to examine which underlying determinants contributed to HAZ changes over time.Results: HAZs improved significantly between 2010 and 2014 in Bangladesh (∼0.18 SDs) and Vietnam (0.25 SDs). Underlying determinants improved substantially over time and were larger in Vietnam than in Bangladesh. Multiple regression models revealed significant associations between changes in HAZs and socioeconomic status (SES), food security, maternal education, hygiene, and birth weight in both countries. Changes in HAZs were significantly associated with maternal nutrition knowledge and child dietary diversity in Bangladesh, and with prenatal visits in Vietnam. Improvements in maternal nutrition knowledge in Bangladesh accounted for 20% of the total HAZ change, followed by maternal education (13%), SES (12%), hygiene (10%), and food security (9%). HAZ improvements in Vietnam were accounted for by changes in SES (26%), prenatal visits (25%), hygiene (19%), child birth weight (10%), and maternal education (7%). The decomposition models in both countries performed well, explaining >75% of the HAZ changes.Conclusions: Decomposition is a useful and simple technique for analyzing nonintervention drivers of

  17. A study on correlation between stereographic cinematography and storytelling: through a documentary film about Ho Quyen-UNESCO World heritage in Vietnam

    Science.gov (United States)

    Choi, Yang Hyun; Ahn, Jaehong

    2010-02-01

    Nowadays stereoscopic technology is being paid attention as a leading technology for the next generation film industry in many countries including Korea. In Korean stereoscopic film production, however, the quality but also the quantity of stereoscopic contents still leaves much to be desired, and know-how and skill of stereoscopic film production has been elevated in tardy progress. This paper shows a research on the correlation between stereoscopic cinematography and storytelling. Based on a casestudy of a documentary film about Ho Quyen, UNESCO World Heritage in Vietnam, we could deliver guidelines for the stereoscopic film production and storytelling. For this study, we analyzed scenes and shots of a documentary film script in pre-production stage. These analysis results were reflected on a storyboard. A stereographer grasped the idea of a storytelling that a director had meant through a script and storyboard. Then he applied suitable parameters for a stereoscopic cinematography to every shot with a beamsplitter rig. A researcher wrote major parameters like interaxial distance, convergence angle in every shot. Then average parameter values of scenes were calculated from the parameter database, and the relationship between stereoscopic cinematography and storytelling was derived by shot-by-shot analysis.

  18. IQ in late adolescence/early adulthood, risk factors in middle-age and later coronary heart disease mortality in men: the Vietnam Experience Study

    DEFF Research Database (Denmark)

    Batty, G; Shipley, Martin; Mortensen, Laust

    2008-01-01

    OBJECTIVE: Examine the relation between IQ in early adulthood and later coronary heart disease (CHD) mortality, and assess the extent to which established risk factors measured in middle-age might explain this gradient. DESIGN: Cohort study of 4316 male former Vietnam-era US army personnel with IQ...... scores (mean age 20.4 years), risk factor data (mean age 38.3 years) and 15 years mortality surveillance. RESULTS: In age-adjusted analyses, lower IQ scores were associated with an increased rate of CHD mortality (hazard ratio per SD decrease in IQ; 95% confidence interval: 1.34; 1.00, 1.79). Adjustment...... for later chronic disease (1.22; 0.91, 1.64), behavioural (1.29; 0.95, 1.74) and physiological risk factors (1.19; 0.88, 1.62) led to some attenuation of this gradient. This attenuation was particularly pronounced on adding socioeconomic indices to the multivariable model when the IQ-CHD relation...

  19. Feasibility of a mindfulness-based intervention to address youth issues in Vietnam.

    Science.gov (United States)

    Le, Thao N; Trieu, Don T

    2016-06-01

    Youth problems including risky sex, drug use, violence and mental health issues are on the rise in Vietnam. Mindfulness is proposed as one way to address unskillful responses to stress that give rise to these behavioral and psychosocial issues in Vietnam. This study explores the feasibility of a mindfulness program for adolescents and young adults in a central city in Vietnam. The mindfulness-based intervention was comprised 1-h daily session over 3 weeks that was conducted at two different sites, one with handicapped adolescents/young adults at the Vocational School for Handicapped and the other with at-risk youth at a semi-private high school. Forty-two Vietnamese youth participants and five Vietnamese teachers/facilitators who were trained in the mindfulness program provided personal reflections of their experiences. Analyses of the qualitative data suggest that mindfulness was enthusiastically received and accepted by both youth and teachers. There is strong indication that mindfulness is promising as a prevention strategy to help with stress and to build important life skills among Vietnamese youth. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  20. Estimating the extra cost of living with disability in Vietnam.

    Science.gov (United States)

    Minh, Hoang Van; Giang, Kim Bao; Liem, Nguyen Thanh; Palmer, Michael; Thao, Nguyen Phuong; Duong, Le Bach

    2015-01-01

    Disability is shown to be both a cause and a consequence of poverty. However, relatively little research has investigated the economic cost of living with a disability. This study reports the results of a study on the extra cost of living with disability in Vietnam in 2011. The study was carried out in eight cities/provinces in Vietnam, including Hanoi and Ho Chi Minh cities (two major metropolitan in Vietnam) and six provinces from each of the six socio-economic regions in Vietnam. Costs are estimated using the standard of living approach whereby the difference in incomes between people with disability and those without disability for a given standard of living serves as a proxy for the cost of living with disability. The extra cost of living with disability in Vietnam accounted for about 8.8-9.5% of annual household income, or valued about US$200-218. Communication difficulty was shown to result in highest additional cost of living with disability and self-care difficulty was shown to lead to the lowest levels of extra of living cost. The extra cost of living with disability increased as people had more severe impairment. Interventions to promote the economic security of livelihood for people with disabilities are needed.

  1. Profile of Vietnam War Veterans (2015).

    Data.gov (United States)

    Department of Veterans Affairs — The Profile of Vietnam War Veterans uses the 2015 ACS to provide a view into the demographic characteristics and socioeconomic conditions of the Vietnam War Veteran...

  2. Social sustainability of Mesocyclops biological control for dengue in South Vietnam.

    Science.gov (United States)

    Tran, Thanh Tam; Olsen, Anna; Viennet, Elvina; Sleigh, Adrian

    2015-01-01

    Copepod Mesocyclops as biological control agents for dengue was previously proven to be effective and sustainable in the Northern and Central provinces of Vietnam. We aim to study social sustainability of Mesocyclops intervention in south Vietnam. Both quantitative and qualitative approaches were used. An entomological survey was carried out in 100 random households of Chanh An commune, Vinh Long Province. Aedes larval indices and Mesocyclops prevalence were compared with historical pre- and post-intervention values. In the same commune, using purposeful sampling, sixteen semi-structured interviews (1 villager leader, 1 local doctor, 10 villagers, 2 teachers, 2 entomology officials), and a focus group discussion (6 Mesocyclops program collaborators) explored water storage habits, beliefs about dengue prevention and behaviour related to Mesocyclops. Thematic analysis was conducted to interpret the qualitative findings. Aedes abundance increased after responsibility for Mesocyclops intervention moved from government to community in 2010, with post-transfer surges in Breteau Index, Container Index, and Larval Density Index. Larval increments coincided with decrease in Mesocyclops prevalence. Villagers had some knowledge of dengue but it was conflated with other mosquito borne diseases and understanding of Mesocyclops was incomplete. Program adoption among the villagers was limited. With reduced government support program collaborators reported limited capacity to conduct population monitoring, and instead targeted 'problem' households. Although the Mesocyclops program was highly sustainable in northern and central provinces of Vietnam, the intervention has not been consistently adopted by southern households in Chanh An commune. Limited education, household monitoring and government support are affecting sustainability. Findings were based on a small household sample visited over a short time period, so other evaluations are needed. However, our results suggest that

  3. Pathogenicity and molecular characterization of emerging porcine reproductive and respiratory syndrome virus in Vietnam in 2007.

    Science.gov (United States)

    Metwally, S; Mohamed, F; Faaberg, K; Burrage, T; Prarat, M; Moran, K; Bracht, A; Mayr, G; Berninger, M; Koster, L; To, T L; Nguyen, V L; Reising, M; Landgraf, J; Cox, L; Lubroth, J; Carrillo, C

    2010-10-01

    In 2007, Vietnam experienced swine disease outbreaks causing clinical signs similar to the 'porcine high fever disease' that occurred in China during 2006. Analysis of diagnostic samples from the disease outbreaks in Vietnam identified porcine reproductive and respiratory syndrome virus (PRRSV) and porcine circovirus type 2 (PCV-2). Additionally, Escherichia coli and Streptococcus equi subspecies zooepidemicus were cultured from lung and spleen, and Streptococcus suis from one spleen sample. Genetic characterization of the Vietnamese PRRSV isolates revealed that this virus belongs to the North American genotype (type 2) with a high nucleotide identity to the recently reported Chinese strains. Amino acid sequence in the nsp2 region revealed 95.7-99.4% identity to Chinese strain HUN4, 68-69% identity to strain VR-2332 and 58-59% identity to strain MN184. A partial deletion in the nsp2 gene was detected; however, this deletion did not appear to enhance the virus pathogenicity in the inoculated pigs. Animal inoculation studies were conducted to determine the pathogenicity of PRRSV and to identify other possible agents present in the original specimens. Pigs inoculated with PRRSV alone and their contacts showed persistent fever, and two of five pigs developed cough, neurological signs and swollen joints. Necropsy examination showed mild to moderate bronchopneumonia, enlarged lymph nodes, fibrinous pericarditis and polyarthritis. PRRSV was re-isolated from blood and tissues of the inoculated and contact pigs. Pigs inoculated with lung and spleen tissue homogenates from sick pigs from Vietnam developed high fever, septicaemia, and died acutely within 72 h, while their contact pigs showed no clinical signs throughout the experiment. Streptococcus equi subspecies zooepidemicus was cultured, and PRRSV was re-isolated only from the inoculated pigs. Results suggest that the cause of the swine deaths in Vietnam is a multifactorial syndrome with PRRSV as a major factor. © 2010

  4. After Access: Divergent Learning Profiles in Vietnam and India

    Science.gov (United States)

    Rolleston, Caine; James, Zoe

    2015-01-01

    In recent decades, both India and Vietnam have successfully expanded access to schooling to near-universal levels and have shifted their focus to quality-oriented policy reform. Yet, international and national evidence shows strongly contrasting learning profiles for children within the two systems. Simple indicators of numeracy suggest similar…

  5. Job Satisfaction in the Shrimp Trawl Fisheries of Vietnam

    Science.gov (United States)

    Sinh, Le Xuan

    2012-01-01

    This paper investigates the job satisfaction of small-scale shrimp trawl fishers in the vicinity of Camau National Park in southern Vietnam. The research sample consisted of 77 fishers who belong to a growing population of shrimp fishers in the region. The results suggest that 60% would change their fishing metier, 78% would leave fishing for…

  6. 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

  7. Meanings of epilepsy in its sociocultural context and implications for stigma : Findings from ethnographic studies in local communities in China and Vietnam

    NARCIS (Netherlands)

    Jacoby, A.; Wang, W.; Vu, T.D.; Wu, J.; Snape, D.; Aydemir, N.; Parr, J.; Reis, R.; Begley, C.; de Boer, H.; Prilipko, L.; Baker, G.

    We investigated beliefs about the causes, course, and treatment of epilepsy and its impact on quality of life (QOL) in key target groups, using “mini-ethnographies” involving 141 in-depth interviews and 12 focus groups in China, and 84 in-depth interviews and 16 focus groups in Vietnam. Data were

  8. Project Hue: Report and field study on the water related problems and solutions in and around the Cau Hai lagoon and the Tu Hien inlet, Vietnam

    NARCIS (Netherlands)

    Peters, T.; Jongerius, Y.R.; Franken, J.T.; Ponsioen, L.A.; Tieleman, O.C.

    2015-01-01

    The Tam Giang-Cau Hai lagoon system, lying in the Thua Thien-Hue province in central Vietnam, is affected by a tropical monsoon climate. This among others is the reason the Cau Hai Lagoon area has a long history of floods and other water related problems. Inhabitants are very dependent on the

  9. Learning Environment in Vietnamese Physics Teacher Education Programme through the Lens of Constructivism: A Case Study of a State University in Mekong Delta Region, Vietnam

    Science.gov (United States)

    Thao-Do, Thi Phuong; Bac-Ly, Dang Thi; Yuenyong, Chokchai

    2016-01-01

    Constructivism was introduced to Vietnam through many ways such as workshops, books, the Internet, and so on. However, due to the lack of professional education, fundamental ideas of constructivist learning perhaps were missing or neglected through classroom activities. Furthermore, due to the influence of culture and society, Vietnamese…

  10. Biliary atresia in Vietnam: Management and the burden of disease.

    Science.gov (United States)

    Liu, Max Bolun; Huong, Thuy Bui; Hoang, Xuyen; Doan, Lan; Trinh, Shauna; Anh Nguyen, Hoa Pham; Thanh Le, Hai; Holterman, Ai-Xuan

    2017-02-01

    Biliary atresia is an idiopathic, neonatal liver disease of the bile ducts. The natural evolution of biliary atresia is known in developed countries. This study describes the clinical course of biliary atresia in Vietnam, a developing country. Chart reviews were undertaken of patients treated with or without the Kasai procedure between January 2010 and July 2013 at a children's hospital in Vietnam. Of 287 children with biliary atresia, 149 (52%) were treated without the Kasai procedure and 138 (48%) were treated with the Kasai procedure. Median age at diagnosis was 2.4 months for children treated without the Kasai procedure vs 2.3 months for those treated with the procedure. The percentages of patients in the group treated without the Kasai procedure presenting at 6 months of age were 31%, 35%, 15%, 10%, and 9%, respectively, compared to those treated with the Kasai procedure at 36% (P = .38), 44% (P = .12), 16% (P = 1.0), 4% (P = .037), and 0% (P Vietnam. The majority of biliary atresia in Vietnam remains untreated despite early presentation and reasonable outcomes after a Kasai procedure relative to Western countries. These data illustrate the high health care burden for biliary atresia in Vietnam and the need to improve education about biliary atresia and its treatment. Copyright © 2016 Elsevier Inc. All rights reserved.

  11. Migration and Persistence of Human Influenza A Viruses, Vietnam, 2001–2008

    Science.gov (United States)

    Le, Mai Quynh; Lam, Ha Minh; Cuong, Vuong Duc; Lam, Tommy Tsan-Yuk; Halpin, Rebecca A; Wentworth, David E; Hien, Nguyen Tran; Thanh, Le Thi; Phuong, Hoang Vu Mai; Horby, Peter

    2013-01-01

    Understanding global influenza migration and persistence is crucial for vaccine strain selection. Using 240 new human influenza A virus whole genomes collected in Vietnam during 2001–2008, we looked for persistence patterns and migratory connections between Vietnam and other countries. We found that viruses in Vietnam migrate to and from China, Hong Kong, Taiwan, Cambodia, Japan, South Korea, and the United States. We attempted to reduce geographic bias by generating phylogenies subsampled at the year and country levels. However, migration events in these phylogenies were still driven by the presence or absence of sequence data, indicating that an epidemiologic study design that controls for prevalence is required for robust migration analysis. With whole-genome data, most migration events are not detectable from the phylogeny of the hemagglutinin segment alone, although general migratory relationships between Vietnam and other countries are visible in the hemagglutinin phylogeny. It is possible that virus lineages in Vietnam persisted for >1 year. PMID:24188643

  12. A prospective descriptive study of cryptococcal meningitis in HIV uninfected patients in Vietnam - high prevalence of Cryptococcus neoformans var grubii in the absence of underlying disease

    Directory of Open Access Journals (Sweden)

    Baker Stephen

    2010-07-01

    Full Text Available Abstract Background Most cases of cryptococcal meningitis occur in patients with HIV infection: the course and outcome of disease in the apparently immunocompetent is much more poorly understood. We describe a cohort of HIV uninfected Vietnamese patients with cryptococcal meningitis in whom underlying disease is uncommon, and relate presenting features of patients and the characteristics of the infecting species to outcome. Methods A prospective descriptive study of HIV negative patients with cryptococcal meningitis based at the Hospital for Tropical Diseases, Ho Chi Minh City. All patients had comprehensive clinical assessment at baseline, were cared for by a dedicated study team, and were followed up for 2 years. Clinical presentation was compared by infecting isolate and outcome. Results 57 patients were studied. Cryptococcus neoformans var grubii molecular type VN1 caused 70% of infections; C. gattii accounted for the rest. Most patients did not have underlying disease (81%, and the rate of underlying disease did not differ by infecting species. 11 patients died while in-patients (19.3%. Independent predictors of death were age ≥ 60 years and a history of convulsions (odds ratios and 95% confidence intervals 8.7 (1 - 76, and 16.1 (1.6 - 161 respectively. Residual visual impairment was common, affecting 25 of 46 survivors (54.3%. Infecting species did not influence clinical phenotype or outcome. The minimum inhibitory concentrations of flucytosine and amphotericin B were significantly higher for C. neoformans var grubii compared with C. gattii (p Conclusion In HIV uninfected individuals in Vietnam, cryptococcal meningitis occurs predominantly in people with no clear predisposing factor and is most commonly due to C. neoformans var grubii. The rates of mortality and visual loss are high and independent of infecting species. There are detectable differences in susceptibility to commonly used antifungal drugs between species, but the clinical

  13. 2The role of controlling behaviour in intimate partner violence and its health effects: a population based study from rural Vietnam

    Directory of Open Access Journals (Sweden)

    Krantz Gunilla

    2009-05-01

    Full Text Available Abstract Background Studies in North America and other high-income regions support the distinction between extreme "intimate terrorism" and occasional "situational couple violence", defined conceptually in terms of the presence or absence of controlling behaviour in the violent member of the couple. Relatively little research has been conducted on the different forms intimate partner violence may take in low-income countries. The aim of this study was to investigate whether these expressions of intimate partner violence in one low-income country, Vietnam, adhere to patterns observed in western industrialised countries as well as to investigate the resulting health effects. Methods This cross-sectional study collected structured interview data from 883 married women aged 17–60, using the Women's Health and Life Experiences questionnaire developed by WHO. Intimate partner violence was assessed by past-year experience of physical or sexual violence and control tactics were assessed using six items combined into a scale. Three different health parameters constituted the dependent variables. Bi- and multivariate analyses, including effect modification analyses, were performed. Results Of the participants, 81 (9.2% had been exposed to physical or sexual violence during the past 12 months; of these, 26 (32.1% had been subjected to one or more controlling behaviours by their partners. The risk of ill health associated with combined exposure was elevated eight to 15 times, compared to a two-fourfold risk increase after exposure to only one of the behaviours, i.e. violent acts or control tactics. Conclusion Physical or sexual violence combined with control tactics acted synergistically to worsen health in rural Vietnamese women. The occurrence of such violence calls for altered policies, increased research and implementation of preventive and curative strategies. The unacceptability of intimate partner violence as a part of normal Vietnamese family life

  14. EVALUATION OF THE TRADE RELATIONSHIP BETWEEN VIETNAM AND CHINA; VIETNAM AND UNITED STATES: A COMPARISON USING GRAVITY MODEL

    Directory of Open Access Journals (Sweden)

    Lien Thi Dinh

    2017-06-01

    Full Text Available This study aims to evaluate the determinants of trade relationship between two largest trading partners of Vietnam, United States and China. Using gravity model for time series data from 1986 to 2015, the study found that economic growth rate plays a crucial role in stimulating the trade flow. Both trade relationships fit with the practical approach of Heckscher-Ohlin theory, stating that trade flow increases between countries with different income levels. The most important finding of this study lines on the results regarding the impact of trade agreements. While United States-Vietnam bilateral agreement creates trade, the trade agreement between ASEAN and China produced trade diversion. As China expands its markets among ASEAN countries, Vietnam should diversify its export markets to improve its export flow.

  15. Depressive symptoms and other risk factors predicting suicide in middle-aged men: a prospective cohort study among Korean Vietnam War veterans.

    Science.gov (United States)

    Yi, Sang-Wook; Hong, Jae-Seok

    2015-01-01

    Background. Few studies have prospectively examined whether depressive symptoms and other risk factors are associated with a higher risk of suicide death in individuals other than high-risk populations such as psychiatric patients and individuals with self-harm histories. The purpose of the study is to prospectively examine whether depressive symptoms assessed by the Beck Depression Inventory (BDI) are associated with greater risk of suicide death and whether depressive symptoms and other risk factors are independent predictors of suicide in general-risk populations. Another aim is to evaluate the sensitivity of the BDI for predicting suicide death. Methods. 10,238 Korean Vietnam War veterans (mean age: 56.3 years) who participated in two surveys in 2001 were followed up for suicide mortality over 7.5 years. Results. 41 men died by suicide. Severely depressed participants had a higher adjusted hazard ratio (aHR = 3.4; 95% CI [1.5-7.7]) of suicide than non-to-moderately depressed ones. Higher suicide risk was associated with more severe depressive symptoms (p for trend = 0.009). After adjustment for depressive symptoms and other factors, very poor health, low education, and past drinking were associated with higher suicide risk, while good health, body mass index, and marital status were not associated with suicide. The sensitivity at the cut-off score of 31 for detecting suicide was higher during the earlier 3.5 years of the follow-up (75%; 95% CI [50-90]) than during the latter 4 years (60%; 95% CI [41-76]). Conclusions. Depressive symptoms are a strong independent predictor and very poor health, low education, and drinking status may be independent predictors of future suicide. The BDI may have acceptable diagnostic properties as a risk assessment tool for identifying people with depression and suicidal potential among middle-aged men.

  16. Depressive symptoms and other risk factors predicting suicide in middle-aged men: a prospective cohort study among Korean Vietnam War veterans

    Directory of Open Access Journals (Sweden)

    Sang-Wook Yi

    2015-07-01

    Full Text Available Background. Few studies have prospectively examined whether depressive symptoms and other risk factors are associated with a higher risk of suicide death in individuals other than high-risk populations such as psychiatric patients and individuals with self-harm histories. The purpose of the study is to prospectively examine whether depressive symptoms assessed by the Beck Depression Inventory (BDI are associated with greater risk of suicide death and whether depressive symptoms and other risk factors are independent predictors of suicide in general-risk populations. Another aim is to evaluate the sensitivity of the BDI for predicting suicide death.Methods. 10,238 Korean Vietnam War veterans (mean age: 56.3 years who participated in two surveys in 2001 were followed up for suicide mortality over 7.5 years.Results. 41 men died by suicide. Severely depressed participants had a higher adjusted hazard ratio (aHR = 3.4; 95% CI [1.5–7.7] of suicide than non-to-moderately depressed ones. Higher suicide risk was associated with more severe depressive symptoms (p for trend = 0.009. After adjustment for depressive symptoms and other factors, very poor health, low education, and past drinking were associated with higher suicide risk, while good health, body mass index, and marital status were not associated with suicide. The sensitivity at the cut-off score of 31 for detecting suicide was higher during the earlier 3.5 years of the follow-up (75%; 95% CI [50–90] than during the latter 4 years (60%; 95% CI [41–76].Conclusions. Depressive symptoms are a strong independent predictor and very poor health, low education, and drinking status may be independent predictors of future suicide. The BDI may have acceptable diagnostic properties as a risk assessment tool for identifying people with depression and suicidal potential among middle-aged men.

  17. Acceptance patterns and decision-making for human papillomavirus vaccination among parents in Vietnam: an in-depth qualitative study post-vaccination

    Directory of Open Access Journals (Sweden)

    Cover Jane K

    2012-08-01

    Full Text Available Abstract Background The GAVI Alliance’s decision in late 2011 to invite developing countries to apply for funding for human papillomavirus (HPV vaccine introduction underscores the importance of understanding levels of HPV vaccine acceptance in developing country settings. In this paper, we present findings from qualitative research on parents’ rationales for vaccinating or not vaccinating their daughters (vaccine acceptance and their decision-making process in the context of an HPV vaccination demonstration project in Vietnam (2008–2009. Methods We designed a descriptive qualitative study of HPV vaccine acceptability among parents of girls eligible for vaccination in four districts of two provinces in Vietnama. The study was implemented after each of two years of vaccinations was completed. In total, 133 parents participated in 16 focus group discussions and 27 semi-structured interviews. Results Focus group discussions and in-depth interviews with parents of girls vaccinated revealed that they were generally very supportive of immunization for disease prevention and of vaccinating girls against HPV. The involvement of the National Expanded Program of Immunization in the demonstration project lent credibility to the HPV vaccine, contributing to high levels of acceptance. For parents who declined participation, concerns about side effects, the possibility that the vaccine was experimental, and the possible impact of the vaccine on future fertility rose to the surface. In terms of the decision-making process, many parents exhibited ‘active decision-making,’ reaching out to friends, family, and opinion leaders for guidance prior to making their decision. Conclusion Vietnam’s HPV vaccination experience speaks to the importance of close collaboration with the government to make the most of high levels of trust, and to reduce suspicions about new vaccines that may arise in the context of vaccine introduction in developing country settings.

  18. Green trade barriers and Vietnam''s agricultural and fishery export

    OpenAIRE

    Khoi, Nguyen; THUY LE THI THANH

    2014-01-01

    Green barriers can produce both positive and negative impact on international trade. However, the number of these barriers keeps growing without any monitoring system. This research will analyse the impacts of green trade barriers on Vietnam and European Union trade relationship. The study presents an important observation: the requirements to upgrade technology to meet exactly the technical regulations and expenditure for conformity assessment actually increase the production costs for small...

  19. Vietnam and the regional crisis

    DEFF Research Database (Denmark)

    Masina, Pietro Paolo

    2002-01-01

    The paper explores the linkages between Vietnam and the regional economy before and after the East Asian financial crisis of 1997 and 1998, indicating that the country is more closely associated with the region than normally assumed. Thus, key indicators, such as falling foreign direct investment...... (including a restructuring of the so-called 'flying geese' pattern) Vietnam's chances of benefitting from closer integration in the world economy will depend on a clearcut industrial and trade policy, rather than on embarking a so-called 'neutral trade regime'. Preliminary evidence seems to indicate...... that Vietnam can successfully exploit market niches opened up by postcrisis regional economic reorganisation, thus offering some optimism for the country's immediate economic future....

  20. Characterisation of Phytophthora capsici isolates from black pepper in Vietnam.

    Science.gov (United States)

    Truong, Nguyen V; Liew, Edward C Y; Burgess, Lester W

    2010-01-01

    Phytophthora foot rot of black pepper caused by Phytophthora capsici is a major disease of black pepper (Piper nigrum) throughout Vietnam. To understand the population structure of P. capsici, a large collection of P. capsici isolates from black pepper was studied on the basis of mating type, random amplified microsatellites (RAMS) and repetitive extragenic palindromic (REP) fingerprinting. Two mating types A1 and A2 were detected in four provinces in two climatic regions, with A1:A2 ratios ranging from 1:3 to 1:5. In several instances A1 and A2 mating types were found to co-exist in the same farm or black pepper pole, suggesting the potential for sexual reproduction of P. capsici in the field in Vietnam although its contribution to disease epidemics is uncertain. RAMS and REP DNA fingerprinting analysis of 118 isolates of P. capsici from black pepper showed that the population was genetically more diverse where two mating types were found, although the overall genetic diversity was low with most of the isolates belonging to one clonal group. The implication of these findings is discussed. The low diversity among isolates suggests that the P. capsici population may have originated from a single source. There was no genetic differentiation of isolates from different climatic regions. In addition to the large clonal group, several isolates with unique RAMS/REP phenotypes were also detected. Most of these unique phenotypes belonged to the minority A1 mating type. This may have significant implications for a gradual increase in overall genetic diversity.

  1. Sow efficiency and early piglet mortality in two local pig breeds on smallholder farms in northern Vietnam-a longitudinal study.

    Science.gov (United States)

    Muth, Philipp C; Huyen, Le T T; Valle Zárate, Anne

    2017-08-01

    In the recent past, pig performance and sow management on smallholder farms in the Southeast Asian Massif have been extensively researched. But the objective of this study was to investigate the lifetime efficiency of breeding sows of the local Vietnamese Ban (n = 89) and Mong Cai (n = 131) breeds in a production system context. The impact of sow longevity was considered in particular. In addition, predictors of early pre-weaning mortality in piglets were investigated. In total, nine villages of Son La province, situated in the uplands of north-western Vietnam, were selected, differing in access to markets, production intensity, and pig management level. Data was collected over a period of 10 years through an on-farm performance testing system. It was shown that sows of both breeds that achieved five or more parities farrowed and weaned significantly more piglets per life year compared to sows with only one or two parities. The conception rate (Spearman's rho = 0.374) and age at first farrowing (Spearman's rho = -0.424) were significantly correlated with the number of weaned piglets per life year of stayable (≥4 parities) Mong Cai sows. The risk of early pre-weaning death of piglets born to Mong Cai sows was affected more by litter size, while for piglets born to Ban sows, the risk was influenced more by the season. Therefore, interventions to improve the sow lifetime efficiency and piglet survivability must match the sow breed and management level.

  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. Can isotope markers differentiate between wild and captive reptile populations? A case study based on crocodile lizards (Shinisaurus crocodilurus from Vietnam

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    Mona van Schingen

    2016-04-01

    Full Text Available The international wildlife trade in allegedly “captive-bred” specimens has globally increased during recent years, while the legal origin of respective animals frequently remains doubtful. Worldwide, authorities experience strong challenges to effectively control the international trade in CITES-listed species and are struggling to uncover fraudulent claims of “captive-breeding”. Forensic analytical methods are being considered as potential tools to investigate wildlife crime. The present case study is the first of its kind in reptiles that investigates the application of δ13C and δ15N stable isotope ratios to discriminate between captive and wild crocodile lizards from Vietnam. The CITES-listed crocodile lizard Shinisaurus crocodilurus is listed as endangered on the IUCN Red List mainly due to habitat loss and unsustainable exploitation for the international pet trade. Our results revealed significant differences in the composition of the two tested isotope systems between captive and wild individuals. Isotope values of skin samples from captive specimens were significantly enriched in 13C and 15N as compared to specimens from the wild. We also used the weighted k-Nearest Neighbor classifier to assign simulated samples back to their alleged place of origin and demonstrated that captive bred individuals could be distinguished with a high degree of accuracy from specimens that were not born in captivity. We conclude that isotope analysis appears to be highly attractive as a forensic tool to reduce laundering of wild caught lizards via breeding farms, but acknowledge that this potential might be limited to range restricted or ecologically specialist species.

  4. 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.

  5. Burnout Study of Clinical Nurses in Vietnam: Development of Job Burnout Model Based on Leiter and Maslach's Theory.

    Science.gov (United States)

    Thu Nguyen, Huong Thi; Kitaoka, Kazuyo; Sukigara, Masune; Thai, Anh Lan

    2018-02-08

    This study aimed to create a Vietnamese version of both the Maslach Burnout Inventory-General Survey (MBI-GS) and Areas of Worklife Scale (AWS) to assess the burnout state of Vietnamese clinical nurses and to develop a causal model of burnout of clinical nurses. We conducted a descriptive design using a cross-sectional survey. The questionnaire was hand-divided directly by nursing departments to 500 clinical nurses in three hospitals. Vietnamese MBI-GS and AWS were then examined for reliability and validity. We used the revised exhaustion + 1 burnout classification to access burnout state. We performed path analysis to develop a Vietnamese causal model basing on the original model by Leiter and Maslach's theory. We found that both scales were reliable and valid for assessing burnout. Among nurse participants, the percentage of severe burnout was 0.7 %, burnout was 15.8% and 17.2% of nurses was exhausted. The best predictor of burnout was "on-duty work schedule" that clinical nurses have to work for 24 hours. In the causal model, we also found similarity and difference pathways in comparison with the original model. Vietnamese MBI-GS and AWS were applicable to research on occupational stress. Nearly one-fifth of Vietnamese clinical nurses were working in burnout state. The causal model suggested a range of factors resulting in burnout, it is necessary to consider the specific solution to prevent burnout problem. Copyright © 2018. Published by Elsevier B.V.

  6. Communication ambivalence toward elders: data from North Vietnam, South Vietnam, and the U.S.A.

    Science.gov (United States)

    McCann, Robert M; Cargile, Aaron C; Giles, Howard; Bui, Cuong T

    2004-12-01

    This study investigated young adults' beliefs about their intra- and intergenerational communications in South Vietnam, North Vietnam, and the U.S.A. Respondents perceived their interactions with older people as simultaneously more problematic (e.g., older people seen as more nonaccommodative) and more pleasing (e.g., older adults seen as more accommodative) than their interactions with other young adults. Young adults also strongly felt more of an obligation to be respectful, and to a lesser degree avoidant, in their communication with older adults than to those in their peer age group. Large-scale linguistic, historical, political, and cultural differences notwithstanding, a similar intergenerational communication profile emerged among the North Vietnamese, South Vietnamese, and American respondents in their reports of their communication with people of different ages. Intergroup, cultural, identity, and modernity issues were invoked to account for these findings.

  7. Alcohol-related harm among university students in Hanoi, Vietnam

    Directory of Open Access Journals (Sweden)

    Pham Bich Diep

    2013-02-01

    Full Text Available Introduction and Aim: This study examines the prevalence of and risk factors for alcohol-related harm and types of harm among medical students from Hanoi Medical University (Vietnam. Risk factors include aspects of drinking patterns and relevant socio-demographic variables. Study Design and Methods: A cross-sectional study involving 1st to 6th year students (N=1216; response rate 96.5%. Of these, 210 students from each academic year were randomly selected from a sampling frame covering all students from each academic year. Data were collected using a questionnaire distributed in class by researchers. Drinkers completed 23 questions on alcohol-related harm categorized into: 1 ‘negative influence on daily activities’; 2 ‘social conflict’; 3 ‘loss of control, acute consequences, and withdrawal’; 4 ‘mental health conditions’; and 5 ‘physical and medical health problems’. Logistic and Poisson regression models were used to identify the predictors of alcohol-related harm and the amount of harm, respectively. Results: The prevalence of alcohol use associated with at least one or more of the five types of harm was higher in men (81.8% than in women (60.4%. In female and male students, the most common harm category was ‘loss of control, acute consequences, and withdrawal’ (51.8 and 75.6%, respectively, followed by ‘negative influence on daily activities’ (29.4 and 55.8%, respectively. Age, living away from home, and average number of standard drinks per occasion among male drinkers, and age and frequency of drinking per week among female drinkers were associated with alcohol-related harm. Conclusions: These data suggest that alcohol-related harm represents a serious public health problem among young educated individuals in Vietnam. The risk factors indicate that prevention should be aimed at aspects of drinking patterns and specific subpopulations defined by gender, age, and (for men only type of living situation.

  8. Open to Suggestion.

    Science.gov (United States)

    Journal of Reading, 1987

    1987-01-01

    Offers (1) suggestions for improving college students' study skills; (2) a system for keeping track of parent, teacher, and community contacts; (3) suggestions for motivating students using tic tac toe; (4) suggestions for using etymology to improve word retention; (5) a word search grid; and (6) suggestions for using postcards in remedial reading…

  9. Posttraumatic stress disorder and interpersonal functioning in Vietnam War veterans: a mediational model.

    Science.gov (United States)

    MacDonald, C; Chamberlain, K; Long, N; Flett, R

    1999-10-01

    This study examines the association between posttraumatic stress disorder (PTSD) and interpersonal functioning in a New Zealand community sample of 756 Vietnam War veterans. The results support previous research findings showing that PTSD adversely affects veterans' interpersonal relationships, family functioning, and marital/dyadic adjustment and show that the effects of PTSD on family functioning and dyadic adjustment are mediated by severity of interpersonal problems. It is suggested that higher levels of PTSD affect the ability of veterans to initiate and maintain interpersonal relationships and that these interpersonal problems are evident in poorer levels of family functioning and poorer dyadic adjustment.

  10. Healthcare in the New Vietnam: comparing patients' satisfaction with outpatient care in a traditional neighborhood clinic and a new, western-style clinic in Ho Chi Minh City.

    Science.gov (United States)

    Tat, Sonny; Barr, Donald

    2006-03-01

    As Vietnam opens its economy to privatization, its system of healthcare will face a series of crucial tests. Vietnam's system of private healthcare--once comprised only of individual physicians holding clinic hours in their homes--has come to also include larger customer-oriented clinics based on an American business model. As the two models compete in the expanding private market, it becomes increasingly important to understand patients' perceptions of the alternative models of care. This study reports on interviews with 194 patients in two different types of private-sector clinics in Vietnam: a western-style clinic and a traditional style, after-hours clinic. In bivariate and multivariate analyses, we found that patients at the western style clinic reported both higher expectations of the facility and higher satisfaction with many aspects of care than patients at the after-hours clinic. These different perceptions appear to be based on the interpersonal manner of the physician seen and the clinic's delivery methods rather than perceptions of the physician's technical skill and method of treatment. These findings were unaffected by the ethnicity of physician seen. These findings suggest that patients in Vietnam recognize and prefer more customer-oriented care and amenities, regardless of physician ethnicity and perceive no significant differences in technical skill between the private delivery models.

  11. Management current land use of perennial industrial crops by NDVI index: A case study in Chu Se District, Gia Lai Province, Vietnam

    OpenAIRE

    Nguyen, Hoang Khanh Linh; Nguyen, Bich Ngoc

    2015-01-01

    Remote sensing and Geographic Information System (GIS) - an effective tool for managing naturalresources, is quite common application in establishing thematic maps. However, the application of this modern technology in natural resource management has not yet been popular in Vietnam, particularly mapping the land use/cover. Currently, land use/cover map is constructed as traditional methods and gets limitations of management counting due to time-consuming for mapping andsynthesis the status of...

  12. A Comparative Study on the Self-help Approach in Rural Development between Vietnam's New Rural Development and Korea's Saemaul Undong

    Directory of Open Access Journals (Sweden)

    Trang Thu Do

    2016-03-01

    Full Text Available Vietnam's "Doi Moi", initiated in 1986, translated to high economic growth and rapid urbanization for the country, but also widened the gap between rural and urban areas. Vietnam's National Target Program on New Rural Development for 2010 - 2020 was aimed at developing the rural economy and improving the living standards of rural people, but after five years the urban-rural gap remains substantial. Two of the main reasons are the lack of investment capital and lack of effective ways to mobilize community involvement. In contrast, during the 1970s, rural areas in Korea experienced huge improvements under the "Saemaul Undong" movement. The program's success at promoting sustainable development in Korea's rural areas has inspired rural programs in other developing countries. In this paper, we compare and contrast the two movements to provide explanations for the different results between the two countries. Based on this analysis, and policy implications stemming from it, we recommend resource mobilization strategies to change villagers' attitude and increase their involvement in Vietnam's rural development movement, aligning with the inclusivity principle "people know, people discuss, people do and people check"

  13. Pregnancy Diet High in Refined Grains Could Increase Child Obesity Risk By Age 7, NIH Study Suggests

    Science.gov (United States)

    ... Pregnancy diet high in refined grains could increase child obesity risk by age 7, NIH study suggests danishc/ ... in refined grains — such as white rice — to obesity, type 2 diabetes and heart disease. The researchers compared records from 918 mother-child pairs who took part in the Danish National ...

  14. From Combat to Legacies: Novels of the Vietnam War.

    Science.gov (United States)

    Johannessen, Larry R.

    1995-01-01

    Discusses novels of the Vietnam War, their usefulness, and the interest they hold for students. Considers four categories of Vietnam novels: the Vietnam experience, the war at home, the refugee experience, and the war's effect on the next generation. (SR)

  15. Current Status of Taeniasis and Cysticercosis in Vietnam

    Science.gov (United States)

    Le, Thanh Hoa; Lien, Phan Thi Huong; Eom, Keeseon S.

    2014-01-01

    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. PMID:24850954

  16. Greening textile industry in Vietnam

    NARCIS (Netherlands)

    Nguyen Thi Phuong, L.

    2011-01-01

        The textile and garment industry has made a remarkable contribution to the economic development of Vietnam and employs currently a large labor force of 2.5 million people.However, the textile industry is also seen as a most polluting and unsustainable industry due to the use of

  17. Zircon Hf isotopic constraints on the mantle source of felsic magmatic rocks in the Phan Si Pan uplift and Tu Le basin, northern Vietnam

    Science.gov (United States)

    Usuki, T.; Lan, C.; Tran, T.; Pham, T.; Wang, K.

    2013-12-01

    Permian plume-related rocks, such as picrites, flood basalts and silicic volcanic rocks occur in northern Vietnam. This area was displaced 600 km southeastward along the Ailao Shan-Red River fault during mid-Tertiary in response to the India-Eurasia collision. The original location of the area was situated at the central Emeishan Large Igneous Province (ELIP) in SW China before Tertiary. The picrites and flood basalts in northern Vietnam have been investigated by many authors and are comparable with the ELIP. While, felsic magmatisms in northern Vietnam has been poorly studied. Zircon U-Pb age and Hf isotopic data are useful to compare the felsic magmatism in northern Vietnam with that in the ELIP, because the magmatisms of the ELIP had a characteristic time period (260-250 Ma) and the Hf isotopes show a remarkable mantle signature. Therefore, this study carried out in-situ U-Pb ages and Hf isotopic compositions for 300 zircon grains in eighteen granitoids and rhyolites in Phan Si Pan uplift and Tu Le basin in northern Vietnam. Zircons from the granitoids and rhyolites occasionally show development of {101} pyramid and {100} prism crystal facies, suggesting typical zircons crystallized from high temperature alkaline granite. 206Pb/238U ages of granitoid and rhyolite yield consistently in a narrow range of 260 to 250 Ma, which coincides with those from peralkaline to metaluminous granites in the ELIP. ɛHf(t) values of zircons in rhyolites and granites of this study dominate in the range of +5 to +10, which is consistent with those from the ELIP. U-Pb ages and Hf isotopic compositions of zircons indicate that felsic magmatic rocks in the Phan Si Pan uplift and Tu La basin have been derived from the same mantle source with the ELIP.

  18. 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...

  19. Comparing land use planning approaches in the Mekong Delta, Vietnam

    NARCIS (Netherlands)

    Trung, N.H.

    2006-01-01

    This thesis presents the application and comparison of three land-use planning (LUP) approaches in the coastal area of the Mekong Delta,Vietnam. The land use of the studied area is diverse, quickly shifting and

  20. Witness for the Innocent: Children's Literature and the Vietnam War.

    Science.gov (United States)

    Saul, E. Wendy

    1985-01-01

    Presents findings from a study of treatment of the Vietnam war in children's literature. Found that there have not been a large number of books published on subject. Those dealing with subject witness the horrors of the war while treating the conflict as an isolated incident, without a past, and having only a tenuous relationship to our national…

  1. Long-term impact of community-based information, education and communication activities on food hygiene and food safety behaviors in Vietnam: a longitudinal study.

    Directory of Open Access Journals (Sweden)

    Kumiko Takanashi

    Full Text Available BACKGROUND: Ingestion of contaminated water or food is a major contributor to childhood diarrhea in developing countries. In Vietnam, the use of community-based information, education and communication (IEC activities could be a sustainable strategy to improve food hygiene and food safety behaviors. This study thus examined the long-term impact of community-based IEC activities on food hygiene and food safety behaviors. METHODS: In this longitudinal study, we interviewed caregivers of children aged between six months and four years in suburban Hanoi. Baseline data were collected in January 2006 (n = 125. After conducting IEC interventions, we collected a 1(st set of evaluation data in January 2007 (n = 132. To examine the long-term impact of the interventions, we then collected a 2(nd set of evaluation data in January 2008 (n = 185. Changes in childhood diarrhea prevalence, IEC coverage, and food hygiene and food safety behaviors were assessed over a two-year period using bivariate and logistic regression analyses. Effective IEC channels were determined through multiple linear regression analysis. RESULTS: Childhood diarrhea was significantly reduced from 21.6% at baseline to 7.6% at the 1(st post-intervention evaluation (P = 0.002, and to 5.9% at the 2(nd evaluation. Among 17 food hygiene and food safety behaviors measured, a total of 11 behaviors were improved or maintained by the 2(nd evaluation. Handwashing after toilet use was significantly improved at both evaluation points. Overall, 3 food safety behaviors and 7 food hygiene behaviors were found to have significantly improved at the 1(st and at the 2(nd evaluations, respectively. Flip chart communication administered by community groups was identified to be the most effective IEC channel for effecting behavior change (P = 0.018. CONCLUSIONS: Flip chart communication administered by community groups is effective for improving multiple food hygiene and food safety

  2. Mineral resources of Vietnam

    Directory of Open Access Journals (Sweden)

    Kušnír Imrich

    2000-06-01

    Full Text Available Vietnam je bohatý na nerastné suroviny, ktoré sa nachádzajú prevažne na severe krajiny. Ložiská bauxitov, fosfátov, vzácnych zemín (REE, majú svetový význam. Ale i zásoby celého radu ïalších surovín (ropy, uhlia, zlata, železných rúd, chromitu, cínu, ilmenitu, medi, grafitu, atï. sú významné, ekonomicky ažite¾né a ich potenciál je obrovský. Za uvedené nerastné bohatstvo je „zodpovednᓠrozmanitá geologická stavba krajiny. Taktiež i morfológia a klíma (vlhká, tropická prispeli ku vytvoreniu niektorých ložísk (bauxity v krasových priehlbniach, atï.. Súèasná produkcia, okrem ropy (3,5 Mt/rok, zahròuje: 10,7 Mt uhlia, 3,5 Mt chromitu, asi 1 000 kg zlata, grafitu, kaolínu a mnohé iné minerály. Napriek tomu, je banícky priemysel v porovnaní so surovinovou základòou slabo vyvinutý. K jeho rozvoju urèite prispeje i úèas zahranièných spoloèností, odnedávna prítomných pri prieskume a ažbe surovín urèených pre export. Okrem struèného úvodu do geológie krajiny, obsahuje tento èlánok krátky popis nerastného bohatstva Vietnamu.

  3. Hypnosis, suggestion, and suggestibility: an integrative model.

    Science.gov (United States)

    Lynn, Steven Jay; Laurence, Jean-Roch; Kirsch, Irving

    2015-01-01

    This article elucidates an integrative model of hypnosis that integrates social, cultural, cognitive, and neurophysiological variables at play both in and out of hypnosis and considers their dynamic interaction as determinants of the multifaceted experience of hypnosis. The roles of these variables are examined in the induction and suggestion stages of hypnosis, including how they are related to the experience of involuntariness, one of the hallmarks of hypnosis. It is suggested that studies of the modification of hypnotic suggestibility; cognitive flexibility; response sets and expectancies; the default-mode network; and the search for the neurophysiological correlates of hypnosis, more broadly, in conjunction with research on social psychological variables, hold much promise to further understanding of hypnosis.

  4. Continuity and change in premarital sex in Vietnam.

    Science.gov (United States)

    Ghuman, Sharon; Loi, Vu Manh; Huy, Vu Tuan; Knodel, John

    2006-12-01

    Premarital sexual activity is thought to be rising in Vietnam. However, there is little evidence documenting such an increase, and it is unknown whether levels of premarital sex differ between northern and southern Vietnam and whether premarital sex occurs primarily with a future spouse. Surveys conducted in northern Vietnam (Red River Delta) and southern Vietnam (Ho Chi Minh City and surrounding environs) in 2003-2004 among individuals married during one of three important periods in Vietnamese history (1963-1971, 1977-1985 or 1992-2000) were used to assess trends and regional differences in the prevalence and context of premarital sex. In both regional samples, 31% of men who married in 1992-2000 reported having had premarital sex. The proportion was much lower among women (8% in the South, 12% in the North). The prevalence of premarital sex rose markedly across cohorts in the North but only modestly in the South. Relatively few men had premarital sex with someone other than a future spouse (3-23%). The proportion of the rise in the prevalence of premarital sex that was due to sex exclusively with a future spouse was greater in the North (42%) than in the South (25%). These results suggest that premarital sex is becoming more common in Vietnam but is still not widespread. Better information about the sexual networks of men in the general population and their contacts with high-risk groups (e.g., commercial sex workers) is needed to ascertain the likelihood that HIV/AIDS will spread to the general population.

  5. Launching Nuoc Phan Lan brand in Vietnam

    OpenAIRE

    Pham, Huydong

    2015-01-01

    Environmental issues are emerging as another side of economic development in Vietnam. From Finland, through its strong network in South East Asia, Finnish Water Forum recognised the opportunity and the need of having a Finnish brand promoting Finnish water expertise in the environmental sector, especially water treatment in Vietnam. The research objective is to launch the brand successfully in Vietnam within 2014. In order to achieve that, this paper describes carefully the process of bu...

  6. EXPLORING CRITICAL FACTORS FOR SUCCESSFULLY IMPLEMENTING LEAN MANUFACTURING AT MANUFACTURING COMPANIES IN VIETNAM

    OpenAIRE

    Nguyen Thi Duc Nguyen; Nguyen Quoc Chinh

    2017-01-01

    This study focuses on exploring the factors that influence the success of the Lean Manufacturing implementation at manufacturing companies in Vietnam. The mix-research methods are applied, including: reviewing previous studies, in-depth interviewing with experts in manufacturing field and case study-researching at two typical manufacturing companies in Vietnam. The results show that the significant issues, such as: leadership, communication at work, firm's financial capacity, employee's skill...

  7. Exploring Cultural Context and School Leadership: Conceptualizing an Indigenous Model of Có Uy School Leadership in Vietnam

    Science.gov (United States)

    Truong, Thang Dinh; Hallinger, Philip

    2017-01-01

    The need for empirical research on leadership in educational organizations across more diverse national settings frames the purpose of the current study of principal leadership in Vietnam. To date, the international literature on school leadership in Vietnam is virtually a blank slate. This research aimed at describing how Vietnamese school…

  8. The effect of pneumatophore density on turbulence: A field study in a Sonneratia-dominated mangrove forest, Vietnam

    Science.gov (United States)

    Norris, Benjamin K.; Mullarney, Julia C.; Bryan, Karin R.; Henderson, Stephen M.

    2017-09-01

    This paper examines the role of mangrove pneumatophore roots as a spatial control over the turbulent kinetic energy (TKE) dissipation rate within a natural mangrove forest. Measurements of turbulence at millimeter scales were compared with vegetation geometries reconstructed using a novel photogrammetric technique. These small-scale relationships were then averaged to show larger-scale patterns in turbulence across the mudflat and mangrove fringe-forest transition. Although turbulence estimates varied with across-shore position, TKE dissipation was always elevated in the fringe relative to mudflat and forest interior sample sites. The largest dissipation rates (4.5 × 10-3 W kg-1) were measured as breaking waves propagated over canopies in very shallow water. Dissipation was reduced, but often remained intense (10-5-10-4 W kg-1) under non-breaking waves at the fringe, likely indicating turbulent generation in pneumatophore wakes. Pneumatophore density was positively correlated with the spatial distribution of TKE dissipation. Turbulence was also correlated positively with wave height and negatively with water depth. Fringe sediments were more sandy and less muddy than sediments onshore and offshore, suggesting that the intense turbulence may lead to winnowing of fine-grained sediments at the fringe.

  9. Analysing motives behind willingness to pay for improving early warning services for tropical cyclones in Vietnam

    National Research Council Canada - National Science Library

    Nguyen, Thanh Cong; Robinson, Jackie

    2015-01-01

    ...), this study elicited values for an improved cyclone warning service in Vietnam. To examine motives or reasons behind respondents' WTP, respondents were requested to allocate 10 points among different types of values, including self...

  10. Shoreline changes in and around the Thubon River mouth, Central Vietnam

    Digital Repository Service at National Institute of Oceanography (India)

    Mau, L.D.; Nayak, G.N.; SanilKumar, V.

    Application of GENESIS model (GENEralized model for Simulating Shoreline change) for studying the shoreline change in and around the Thubon River Mouth, Central Vietnam is presented in this paper The input parameters used are the near shore wave...

  11. Hegemony and the Politics of Policy Making for Education for Sustainable Development: A Case Study of Vietnam

    Science.gov (United States)

    Bengtsson, Stefan Lars

    2016-01-01

    Assumptions are readily made about the global nature and discourse of education for sustainable development. This study challenges assumptions made about structural power as expressed through Education for Sustainable Development (ESD) policy and politics of education. Focusing on the concept of sustainable development (SD) and ESD, the research…

  12. A systematic review of taeniasis, cysticercosis and trichinellosis in Vietnam.

    Science.gov (United States)

    Ng-Nguyen, Dinh; Stevenson, Mark A; Traub, Rebecca J

    2017-03-21

    Taeniasis, cysticercosis and trichinellosis have been ranked as the most important food-borne parasites of humans in terms of public health, socioeconomic and trade impact. Despite this, information on these food-borne zoonoses in Vietnam is scarce and fragmented, and many local reports remain inaccessible to the international research community. This study aims to conduct comprehensive literature searches to report on the incidence and estimate the true prevalence of taeniasis in humans and T. solium cysticercosis in humans and pigs in Vietnam utilizing Bayesian models; in addition, to report the incidence and the distribution of trichinellosis. A Bayesian approach was used to estimate the true prevalence of taeniasis and cysticercosis based on published diagnostic test characteristics used in each published cross-sectional survey. The utilization of coproscopic-based examination of Taenia eggs in stool, although highly specific for genus-level detection, has poor sensitivity and led to an underestimation of the prevalence of human taeniasis. Similarly, post-mortem-based surveys of T. solium cysticercosis in pigs also led to the underestimation of prevalence of porcine cysticercosis. On the other hand, the low specificity of immunodiagnostic methods, in particular Ab-ELISA, led to a likely overestimation of T. solium cysticercosis in humans. Due to the use of imperfect diagnosis tests combined with poor descriptions of sampling methods, our ability to draw solid conclusions from these data is limited. We estimate that the true prevalence of taeniasis and T. solium cysticercosis in rural 'hotspots', is as high as 13% for each, in humans. Taeniasis and T. solium cysticercosis occurs in 60 of the 63 provinces of Vietnam. Most of the information relating to the distribution and prevalence of porcine cysticercosis is limited to commercial abattoir surveys. In Vietnam, Taenia asiatica appears to be confined to the north where it occurs sympatrically with T. solium and

  13. Genotypic characterization and species identification of Fasciola spp. with implications regarding the isolates infecting goats in Vietnam.

    Science.gov (United States)

    Nguyen, Thanh Giang Thi; Van De, Nguyen; Vercruysse, Jozef; Dorny, Pierre; Le, Thanh Hoa

    2009-12-01

    Ribosomal RNA sequences (361 or 362bp) of the second internal transcribed spacer 2 (ITS-2) and a portion of mitochondrial cox1 (423bp) for Fasciola spp. obtained from specimens collected in indigenous and hybrid goats and sheep in Vietnam were characterized for genotypic status and hybridization/introgression. Alignment of 48 ITS-2 sequences (also those from goats and sheep in this study) indicates that F. gigantica and F. hepatica differ typically from each other at seven sites whereas one of these is a distinguishing deletion (T) at the 327th position in F. gigantica relative to F. hepatica. The isolates from the mountainous goats in the North of Vietnam (Yen Bai province) showed the ITS-2 composition relatively identical to that of F. hepatica. The ITS-2 sequences from populations of Fasciola isolates in goats had probably experienced introgression/hybridization as reported previously in other ruminants and humans. All Vietnamese goat-of-origin specimens had high pairwise percentage of mitochondrial cox1 sequences to F. gigantica (97-100%), and very low identity to F. hepatica (91-93%), suggesting their maternal linkage to be traced to F. gigantica. The presence of hybrid and/or introgressed populations of liver flukes bearing genetic material from both F. hepatica and F. gigantica in the goats/sheep in Vietnam, regardless of indigenous or imported hosts, appears to be the first demonstration from a tropical country.

  14. Agent Orange exposure and attributed health effects in Vietnam veterans.

    Science.gov (United States)

    Young, Alvin L; Cecil, Paul F

    2011-07-01

    Serum dioxin studies of Vietnam (VN) veterans, military historical records of tactical herbicide use in Vietnam, and the compelling evidence of the photodegradation of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) and other aspects of environmental fate and low bioavailability of TCDD are consistent with few, if any, ground troop veterans being exposed to Agent Orange. That conclusion, however, is contrary to the presumption by the Department of Veterans Affairs (DVA) that military service in Vietnam anytime from January 9, 1962 to May 7, 1975 is a proxy for exposure to Agent Orange. The DVA assumption is inconsistent with the scientific principles governing determinations of disease causation. The DVA has nonetheless awarded Agent Orange-related benefits and compensation to an increasing number of VN veterans based on the presumption of exposure and the published findings of the Institute of Medicine that there is sufficient evidence of a "statistical association" (a less stringent standard than "causal relationship") between exposure to tactical herbicides or TCDD and 15 different human diseases. A fairer and more valid approach for VN veterans would have been to enact a program of "Vietnam experience" benefits for those seriously ill, rather than benefits based on the dubious premise of injuries caused by Agent Orange.

  15. Prevalence and Factors Associated with Teen Pregnancy in Vietnam: Results from Two National Surveys

    Directory of Open Access Journals (Sweden)

    Huong Nguyen

    2016-05-01

    Full Text Available This study asked two broad questions: (1 what is the prevalence of teen pregnancy in contemporary Vietnam; and (2 what selected social, family, and individual factors are associated with teen pregnancy in Vietnam? The study utilized Vietnam Survey Assessment of Vietnamese Youth surveys conducted in 2003 and 2008 to answer the two research questions within the context of fast political, economic, and social change in Vietnam in the last two decades. Results of this study show that the prevalence of pregnancy among Vietnamese teenagers in the surveys was stable at 4%, or 40 pregnancies per 1000 adolescent girls aged 14 to 19. Age, experience of domestic violence, and early sexual debut were positively correlated with higher odds of teenage pregnancy for both survey cohorts; however, being an ethnic minority, educational attainment, sexual education at school, Internet use, and depressive symptoms were significantly related to teenage pregnancy only in the 2008 cohort.

  16. The role of emotions in time to presentation for symptoms suggestive of cancer: a systematic literature review of quantitative studies.

    Science.gov (United States)

    Balasooriya-Smeekens, Chantal; Walter, Fiona M; Scott, Suzanne

    2015-12-01

    Emotions may be important in patients' decisions to seek medical help for symptoms suggestive of cancer. The aim of this systematic literature review was to examine quantitative literature on the influence of emotion on patients' help-seeking for symptoms suggestive of cancer. The objectives were to identify the following: (a) which types of emotions influence help-seeking behaviour, (b) whether these form a barrier or trigger for seeking medical help and (c) how the role of emotions varies between different cancers and populations. We searched four electronic databases and conducted a narrative synthesis. Inclusion criteria were studies that reported primary, quantitative research that examined any emotion specific to symptom appraisal or help-seeking for symptoms suggestive of cancer. Thirty-three papers were included. The studies were heterogeneous in their methods and quality, and very few had emotion as the main focus of the research. Studies reported a limited range of emotions, mainly related to fear and worry. The impact of emotions appears mixed, sometimes acting as a barrier to consultation whilst at other times being a trigger or being unrelated to time to presentation. It is plausible that different emotions play different roles at different times prior to presentation. This systematic review provides some quantitative evidence for the role of emotions in help-seeking behaviour. However, it also highlighted widespread methodological, definition and design issues among the existing literature. The conflicting results around the role of emotions on time to presentation may be due to the lack of definition of each specific emotion. Copyright © 2015 John Wiley & Sons, Ltd.

  17. Overview of cleaner production as a result of clean technology research in Vietnam

    Energy Technology Data Exchange (ETDEWEB)

    Sam, D.V.; Nhan, T.V.; Lan, N.N. [Hanoi Univ. of Technology (Viet Nam)

    1996-12-31

    Vietnam is beginning its industrialization process, and it currently lacks the capital necessary for expensive pollution control and treatment systems. Pollution strategies are critical for the country. This study evaluates the present status of industry and the pollution problems associated with industrial development in Vietnam. The purpose of the study is to identify sectors that may have potential for promoting cleaner production practices. 4 refs.

  18. The Significance of Nationalism for the Spread of Communism to Vietnam and Cuba

    OpenAIRE

    Rausch, Joseph Anthony

    2011-01-01

    This thesis explores the effect that nationalism had on the spread of communism to Vietnam and Cuba during the first half of the twentieth century. Using a case studies approach to analyze the revolution of Ho Chi Minh in Vietnam and Fidel Castro in Cuba, the thesis seeks to determine the extent to which nationalism directed these revolutions and their turn to communism once assuming power. The study examines the conditions that existed in each country that allowed for a nationalist revolut...

  19. Universal service policy in Vietnam

    DEFF Research Database (Denmark)

    Do Manh, Thai; Falch, Morten; Von Salakpi, Simeon

    2016-01-01

    Universal service provision is a key to bridge the digital divide. This paper provides an empirical examination of the Vietnamese universal policy introduced in 2015 for implementation up to 2020. Using the framework of King et al. (1994) the paper analyses the universal services policy in Vietnam...... as well as the policies of broadband development in South Korea and Japan in order to clarify the types of universal service initiatives made in these countries. Furthermore, the paper compares the universal service policy in Vietnam with the broadband development policy in South Korea and in Japan...... in order to evaluate whether the Vietnamese universal policy is efficient. The paper concludes with a discussion of how an effective universal policy can be designed....

  20. Assessing the impact of urbanization on urban climate by remote satellite perspective: a case study in Danang city, Vietnam

    Science.gov (United States)

    Hoang Khanh Linh, N.; Van Chuong, H.

    2015-04-01

    Urban climate, one of the challenges of human being in 21 century, is known as the results of land use/cover transformation. Its characteristics are distinguished by different varieties of climatic conditions in comparison with those of less built-up areas. The alterations lead to "Urban Heat Island", in which temperature in urban places is higher than surrounding environment. This happens not only in mega cities but also in less urbanized sites. The results determine the change of land use/cover and land surface temperature in Danang city by using multi-temporal Landsat and ASTER data for the period of 1990-2009. Based on the supervised classification method of maximum likelihood algorithm, satellite images in 1990, 2003, 2009 were classified into five classes: water, forest, shrub, agriculture, barren land and built-up area. For accuracy assessment, the error metric tabulations of mapped classes and reference classes were made. The Kappa statistics, derived from error matrices, were over 80% for all of land use maps. An comparison change detection algorithm was made in three intervals, 1990-2003, 2003-2009 and 1990-2009. The results showed that built-up area increased from 8.95% to 17.87% between 1990 and 2009, while agriculture, shrub and barren decreased from 12.98% to 7.53%, 15.72% to 9.89% and 3.88% to 1.77% due to urbanization that resulted from increasing of urban population and economic development, respectively. Land surface temperature (LST) maps were retrieved from thermal infrared bands of Landsat and ASTER data. The result indicated that the temperature in study area increased from 39oC to 41oC for the period of 1990-2009. Our analysis showed that built-up area had the highest LST values, whereas water bodies had the least LST. This study is expected to be useful for decision makers to make an appropriate land use planning which can mitigate the effect to urban climate.

  1. Identifying the impediments and enablers of ecohealth for a case study on health and environmental sanitation in Hà Nam, Vietnam.

    Science.gov (United States)

    Nguyen, Vi; Nguyen-Viet, Hung; Pham-Duc, Phuc; Stephen, Craig; McEwen, Scott A

    2014-01-01

    To date, research has shown an increasing use of the term "ecohealth" in literature, but few researchers have explicitly described how it has been used. We investigated a project on health and environmental sanitation (the conceptual framework of which included the pillars of ecohealth) to identify the impediments and enablers of ecohealth and investigate how it can move from concept to practice. A case study approach was used. The interview questions were centred on the nature of interactions and the sharing of information between stakeholders. The analysis identified nine impediments and 15 enablers of ecohealth. Three themes relating to impediments, in particular-integration is not clear, don't understand, and limited participation-related more directly to the challenges in applying the ecohealth pillars of transdisciplinarity and participation. The themes relating to enablers-awareness and understanding, capacity development, and interactions-facilitated usage of the research results. By extracting information on the environmental, social, economic, and health aspects of environmental sanitation, we found that the issue spanned multiple scales and sectors. The challenge of how to integrate these aspects should be considered at the design stage and throughout the research process. We recommend that ecohealth research teams include a self-investigation of their processes in order to facilitate a comparison of moving from concept to practice, which may offer insights into how to evaluate the process.

  2. Essays on the innovation and intellectual property system in Vietnam

    OpenAIRE

    Tuan Anh, Vu

    2012-01-01

    This dissertation provide not only a comprehensive overview on concepts and models of innovation, but it also provide critical analysis on the intellectual property system with an emphasize on the patent system and enforcement system in Vietnam. The empirical findings have suggested that legal business types, firm's age are amongst the determinant characteristics that indicate manufacturing innovation. Furthermore, a number of factors including rewarding scheme,average employee education,coll...

  3. Political Connections and Investment in Rural Vietnam

    DEFF Research Database (Denmark)

    Markussen, Thomas; Tarp, Finn

    This paper uses household panel data from rural Vietnam to explore the effects of having a relative in a position of political or bureaucratic power on farmers’ agricultural investment decisions. Our main result is that households significantly increase their investment in land improvement...... as a result of relatives moving into public office. Connections to office holders appear to be important for investment because they strengthen de facto land property rights and improve access to off-farm employment and to informal loans. The findings underline the importance of informal networks for economic...... behaviour in environments with developing institutions and markets. They also suggest the presence of an untapped potential for economic development: if households without connections could obtain equally strong property rights and access to credit and insurance as the well-connected households, investment...

  4. Yemen and Vietnam capripoxviruses demonstrate a distinct host preference for goats compared with sheep.

    Science.gov (United States)

    Babiuk, Shawn; Bowden, Timothy R; Parkyn, Geoff; Dalman, Brett; Hoa, Dong Manh; Long, Ngo Thanh; Vu, Pham Phong; Bieu, Do Xuan; Copps, John; Boyle, David B

    2009-01-01

    Sheeppox and goatpox are caused by viruses that are members of the genus Capripoxvirus, and globally result in significant production losses. To improve the understanding of disease pathogenesis and evaluate host species preferences, sheep and goats were inoculated either with a capripoxvirus isolate from Yemen or from a recent outbreak in Vietnam. Blood, swabs and tissues were collected at various time points following experimental challenge and assessed for viral DNA content using real-time PCR and infectivity using virus isolation. The Yemen isolate was considerably more pathogenic in goats with 100 % mortality and morbidity compared with sheep with 0 % mortality and 100 % morbidity. The Vietnam isolate was also more pathogenic in goats with 100 % morbidity and an estimated 33 % mortality rate compared with mild morbidity and a 0 % mortality rate in sheep. Higher viral titres were observed in nasal, oral and conjunctival swabs from goats inoculated with either the Yemen or Vietnam isolate compared with those collected from sheep. Although the highest viral titres were detected in primary and secondary skin lesions in sheep and goats, the severity of clinical disease observed in each species varied according to the inoculum used. Whereas both the Yemen and Vietnam isolates clearly caused more severe disease in goats, the Yemen isolate was also moderately pathogenic in sheep. The Vietnam isolate, in contrast, caused only very mild disease in sheep. Limited DNA sequencing revealed ORF 074 of the Vietnam isolate to be identical to that of several goatpox virus isolates from China, suggesting a possible Chinese origin.

  5. Strongyloides stercoralis seroprevalence in Vietnam.

    Science.gov (United States)

    Diep, Nguyen Thi Ngoc; Thai, Pham Quang; Trang, Nghiem Nguyen Minh; Jäger, Julia; Fox, Annette; Horby, Peter; Phuong, Hoang Vu Mai; Anh, Dang Duc; Mai, LE Thi Quynh; VAN Doorn, H Rogier; Nadjm, Behzad

    2017-11-01

    Strongyloidiasis is a neglected tropical disease caused by the roundworm Strongyloides stercoralis affecting 30-100 million people worldwide. Many Southeast-Asian countries report a high prevalence of S. stercoralis infection, but there are little data from Vietnam. Here, we evaluated the seroprevalence of S. stercoralis related to geography, sex and age in Vietnam through serological testing of anonymized sera. Sera (n = 1710, 1340 adults and 270 children) from an anonymized age-stratified serum bank from four regions in Vietnam between 2012 and 2013 were tested using a commercial Strongyloides ratti immunoglobulin G ELISA. Seroreactivity was found in 29·1% (390/1340) of adults and 5·5% (15/270) of children. Male adults were more frequently seroreactive than females (33·3% vs. 24·9%, P = 0·001). The rural central highlands had the highest seroprevalence (42·4% of adults). Seroreactivity in the other regions was 29·9% (Hue) and 26·0% and 18·2% in the large urban centres of Hanoi and Ho Chi Minh City, respectively. We conclude that seroprevalence of S. stercoralis was high in the Vietnamese adult population, especially in rural areas.

  6. The Ri chicken breed and livelihoods in North Vietnam: characterization and prospects

    Directory of Open Access Journals (Sweden)

    Pascal Leroy

    2011-06-01

    Full Text Available For the last twenty years, the consumption of poultry meat has boomed in Vietnam as in the rest of the developing world. Capital-intensive production has grown rapidly to satisfy this demand. Based on a few numbers of genetically uniform strains, these systems threaten biodiversity. In Vietnam, both rural and urban households still keep indigenous chickens as part of a diversified livelihood portfolio. In line with the national in situ conservation strategy, this study approached the context of local poultry keeping in two rural and one suburban districts of Northern Vietnam. It aimed at understanding households’ willingness, constraints and opportunities for practice improvement, including breeds’ management. As the Ri chicken constitutes the large majority of backyard flocks, two particular objectives of this study are the morpho-biometric characterisation of phenotypic diversity among individuals classified as Ri by farmers and an assessment of their productive potential. Chicken was found to hold a different place in livelihoods of the three districts with consequences on the management of genetic resources. The most favourable conditions for improvement of the Ri breed was found in the rural district of Luong-Son, due to market integration. In the more remote district of Ky-Son, living standards were lower and much would be gained from Ri conservation. Ri breed was the most threatened in the suburban Gia-Lam district, where poultry was a minor side-activity, lacking incentive for genetic management. From motives and constraints, tracks about breeding goals are suggested. Further considerations about conservation, improvement, market integration and livelihoods are proposed.

  7. Workshop Report on Atomic Bomb Dosimetry--Residual Radiation Exposure: Recent Research and Suggestions for Future Studies

    Energy Technology Data Exchange (ETDEWEB)

    None

    2013-06-06

    There is a need for accurate dosimetry for studies of health effects in the Japanese atomic bomb survivors because of the important role that these studies play in worldwide radiation protection standards. International experts have developed dosimetry systems, such as the Dosimetry System 2002 (DS02), which assess the initial radiation exposure to gamma rays and neutrons but only briefly consider the possibility of some minimal contribution to the total body dose by residual radiation exposure. In recognition of the need for an up-to-date review of the topic of residual radiation exposure in Hiroshima and Nagasaki, recently reported studies were reviewed at a technical session at the 57th Annual Meeting of the Health Physics Society in Sacramento, California, 22-26 July 2012. A one-day workshop was also held to provide time for detailed discussion of these newer studies and to evaluate their potential use in clarifying the residual radiation exposures to the atomic-bomb survivors at Hiroshima and Nagasaki. Suggestions for possible future studies are also included in this workshop report.

  8. Tradition and Change in Marriage Payments in Vietnam, 1963-2000.

    Science.gov (United States)

    Teerawichitchainan, Bussarawan; Knodel, John

    2012-01-01

    Trends and determinants of marriage payments have rarely been examined at the population level despite their plausible implications for the welfare of family and the distribution of wealth across families and generations. In this study, we analyze population-based data from the Vietnam Study of Family Change to document prevalence and directions of marriage payments in Vietnam from 1963 to 2000. We investigate the extent to which structural and policy transformations (particularly market reform and the socialist policy that banned brideprice) influenced the practice of marriage payments as well as estimate how societal changes indirectly impacted payments via their effects on population characteristics. Results indicate that marriage payments surged following market reform but also reveal more nuanced trends and regional differences during earlier years. While the socialist attempts to eradicate brideprice appear to have been moderately successful in the North prior to economic renovation the evidence suggests they were largely unsuccessful in the South. Results suggest that structural and policy change explained most of the observed variations in marriage payments and that changing characteristics of the individuals who married mattered relatively little. We interpret the reemergence of marriage payments as attesting to resilience of traditional values and the unraveling of the socialist agenda, especially in the North, but also as a reflection of economic prosperity associated with market reform.

  9. Tradition and Change in Marriage Payments in Vietnam, 1963–2000

    Science.gov (United States)

    Teerawichitchainan, Bussarawan; Knodel, John

    2013-01-01

    Trends and determinants of marriage payments have rarely been examined at the population level despite their plausible implications for the welfare of family and the distribution of wealth across families and generations. In this study, we analyze population-based data from the Vietnam Study of Family Change to document prevalence and directions of marriage payments in Vietnam from 1963 to 2000. We investigate the extent to which structural and policy transformations (particularly market reform and the socialist policy that banned brideprice) influenced the practice of marriage payments as well as estimate how societal changes indirectly impacted payments via their effects on population characteristics. Results indicate that marriage payments surged following market reform but also reveal more nuanced trends and regional differences during earlier years. While the socialist attempts to eradicate brideprice appear to have been moderately successful in the North prior to economic renovation the evidence suggests they were largely unsuccessful in the South. Results suggest that structural and policy change explained most of the observed variations in marriage payments and that changing characteristics of the individuals who married mattered relatively little. We interpret the reemergence of marriage payments as attesting to resilience of traditional values and the unraveling of the socialist agenda, especially in the North, but also as a reflection of economic prosperity associated with market reform. PMID:23833635

  10. Mental health priorities in Vietnam: a mixed-methods analysis

    Directory of Open Access Journals (Sweden)

    Niemi Maria

    2010-09-01

    Full Text Available Abstract Background The Mental Health Country Profile is a tool that was generated by the International Mental Health Policy and Services Project to inform policy makers, professionals and other key stakeholders about important issues which need to be considered in mental health policy development. The Mental Health Country Profile contains four domains, which include the mental health context, resources, provision and outcomes. We have aimed to generate a Mental Health Country Profile for Vietnam, in order to highlight the strengths and weaknesses of the Vietnamese mental health situation, in order to inform future reform efforts and decision-making. Methods This study used snowball sampling to identify informants for generating a Mental Health Country Profile for Vietnam, and the data gathering was done through semi-structured interviews and collection of relevant reports and documents. The material from the interviews and documents was analysed according to qualitative content analysis. Results Marked strengths of the Vietnam mental health system are the aims to move toward community management and detection of mental illness, and the active involvement of several multilateral organizations and NGOs. However, there are a number of shortages still found, including the lack of treatment interventions apart from medications, the high proportion of treatments to be paid out-of-pocket, prominence of large tertiary psychiatric hospitals, and a lack of preventative measures or mental health information to the public. Conclusions At the end of this decade, mental health care in Vietnam is still characterised by unclear policy and poor critical mass especially within the governmental sector. This initial attempt to map the mental health situation of Vietnam suffers from a number of limitations and should be seen as a first step towards a comprehensive profile.

  11. Rapid Ascent From Zero Quality to International Organization for Standardization Accreditation: A Case Study of Hai Duong Preventive Medicine Center in Vietnam, 2012-2013.

    Science.gov (United States)

    Duong, Cuong Ngoc; Bond, Kyle B; Carvalho, Humberto; Thi Thu, Hien Bui; Nguyen, Thuong; Rush, Thomas

    2017-04-01

    In 2012, the Vietnam Ministry of Health sought to improve the quality of health laboratories by introducing international quality standards. Strengthening Laboratory Management Toward Accreditation (SLMTA), a year-long, structured, quality improvement curriculum (including projects and mentorship) was piloted in 12 laboratories. Progress was measured using a standardized audit tool (Stepwise Laboratory Quality Improvement Process Towards Accreditation). All 12 pilot laboratories (a mix of hospital and public health) demonstrated improvement; median scores rose from 44% to 78% compliance. The public health laboratory in Hai Duong Province entered the program with the lowest score of the group (28%) yet concluded with the highest score (86%). Five months after the completion of the program, without any additional external support, they were accredited. Laboratory management/staff describe factors key to their success: support from the facility senior management, how-to guidance provided by SLMTA, support from the site mentor, and strong commitment of laboratory staff. Hai Duong preventive medical center is one of only a handful of laboratories to reach accreditation after participation in SLMTA and the only laboratory to do so without additional support. Due to the success seen in Hai Duong and other pilot laboratories, Vietnam has expanded the use of SLMTA.

  12. Gender Differences in Socioeconomic Status and Health: Evidence from the 2008 Vietnam Household Living Standard Survey

    OpenAIRE

    Nidhiya Menon; Yana van der Meulen Rodgers

    2010-01-01

    The study provides new evidence on gender differences in educational attainment, labor market status, health status, and land titling in Vietnam. Up-to-date statistical evidence on household well-being in Vietnam is particularly important given the heavy weight the government has placed on meeting the needs of vulnerable members of the population, reducing overall poverty, and improving societal well-being. Vietnam’s government has placed priority emphasis on achieving gender equality in the ...

  13. Insulin sensitivity and serum TCDD in Air Force veterans occupationally exposed to herbicides during the Vietnam war

    Energy Technology Data Exchange (ETDEWEB)

    Kern, P.; Said, S. [Univ. of Arkansas for Medical Sciences, Little Rock (United States); Jackson, W. Jr; Michalek, J. [Air Force Research Lab., San Antonio (United States)

    2004-09-15

    Between 1961 and 1971, the United States Air Force sprayed 12 million gallons of the defoliant ''Agent Orange'' on 3.6 million acres of Vietnam. Agent Orange was a 1:1 mixture of 2,4-dichlorophenoxyacetic acid and 2,4,5- trichlorophenoxyacetic acid, and 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) was a contaminant of the defoliant, from less than 0.05 to almost 50 parts per million. Numerous Vietnam veterans were exposed to TCDD when Agent Orange and other TCDD-contaminated herbicides were sprayed in large quantities in Vietnam and TCDD has been found at many toxic waste disposal sites in the United States. Some of the highest exposure to TCDD occurred in members of Operation Ranch Hand, the Air Force unit responsible for spraying herbicides from fix-wing aircraft in Vietnam. The Air Force Health Study (AFHS), an epidemiological study of Ranch Hand veterans, was launched in 1980 to address veteran concerns regarding Agent Orange exposure. A link between TCDD and diabetes has been demonstrated in several studies. Among the Ranch Hand veterans with high blood levels of TCDD, there was a significant increase in the prevalence of diabetes and a decrease in the age at which diabetes was diagnosed. In a study from Seveso, Italy, where 45,000 people had varying levels of exposure to TCDD, there were significant increases in mortality from coronary artery disease and diabetes. Several studies have demonstrated a relationship between blood TCDD levels and hyperinsulinemia. The data suggest that non-diabetic individuals exposed to TCDD have an increased risk of insulin-resistance, being able to maintain normal blood glucose levels but only because of very high concentrations of insulin. As a result of available evidence, public policy decisions have been made, such as a decision by the Veterans Administration that diabetes is a service-connected condition in Agent Orange-exposed Vietnam veterans. Here we study the relation between TCDD insulin sensitivity

  14. Blood levels of DDT and breast cancer risk among women living in the north of Vietnam.

    Science.gov (United States)

    Schecter, A; Toniolo, P; Dai, L C; Thuy, L T; Wolff, M S

    1997-11-01

    A positive association has been reported between elevated tissue organochlorines (p,p'-DDT/p,p'-DDE, PCBs, dioxins) and breast cancer in some case-control studies and occupational cohort studies. We previously reported high serum levels of p,p'-DDT and its metabolite p,p'-DDE in women living throughout Vietnam. We report here the results of a small hospital-based case-control study examining the association between blood levels of p,p'-DDT/p,p'-DDE and the risk of invasive breast cancer among residents of the north of Vietnam-an area where insecticides such as p,p'-DDT have been heavily used in the recent past. The study was conducted among patients admitted to a single hospital in the capital city of Hanoi in 1994. Study subjects were 21 women newly diagnosed with invasive adenocarcinoma of the breast, who served as cases, and 21 women of similar age with fibrocystic breast disease, who served as controls. No increase was evident in the relative risk of breast cancer with increasing tertiles of serum concentration of the compounds of interest, even after adjustment for major potential confounders, such as age at menarche, parity, history of lactation, and body weight. These results suggest that recent and past exposure to p,p'-DDT does not play an important role in the etiology of breast cancer among women living in a country with a tropical climate where insecticide use for mosquito control is common.

  15. Impact of deforestation on local precipitation patterns over the Da River basin, Vietnam

    Science.gov (United States)

    Anghileri, Daniela; Spartà, Daniele; Castelletti, Andrea; Boschetti, Mirco

    2014-05-01

    Change in land cover, e.g. from forest to bare soil, might severely impact the hydrological cycle at the river basin scale by altering the balance between rainfall and evaporation, ultimately affecting streamflow dynamics. These changes generally occur over decades, but they might be much more rapid in developing countries, where economic growth and growing population may cause abrupt changes in landscape and ecosystem. Detecting, analysing and modelling these changes is an essential step to design mitigation strategies and adaptation plans, balancing economic development and ecosystem protection. In this work we investigate the impact of land cover changes on the water cycle in the Da River basin, Vietnam. More precisely, the objective is to evaluate the interlink between deforestation and precipitation. The case study is particularly interesting because Vietnam is one of the world fastest growing economies and natural resources have been considerably exploited to support after-war development. Vietnam has the second highest rate of deforestation of primary forests in the world, second to only Nigeria (FAO 2005), with associated problems like abrupt change in run-off, erosion, sediment transport and flash floods. We performed land cover evaluation by combining literature information and Remote Sensing techniques, using Landsat images. We then analysed time series of precipitation observed on the period 1960-2011 in several stations located in the catchment area. We used multiple trend detection techniques, both state-of-the-art (e.g., Linear regression and Mann-Kendall) and novel trend detection techniques (Moving Average on Shifting Horizon), to investigate trends in seasonal pattern of precipitation. Results suggest that deforestation may induce a negative trend in the precipitation volume. The effect is mainly recognizable at the beginning and at the end of the monsoon season, when the local mechanisms of precipitation formation prevail over the large scale

  16. The incidence of primary antibiotic resistance of Helicobacter pylori in Vietnam

    Science.gov (United States)

    Binh, Tran Thanh; Shiota, Seiji; Nguyen, Lam Tung; Ho, Dung D Q; Hoang, Hai H; Ta, Long; Trinh, Dung T; Fujioka, Toshio; Yamaoka, Yoshio

    2012-01-01

    Goals To determine the susceptibility of Helicobacter pylori strains isolated from a Vietnamese population to 5 antibiotics. Background The incidence of antibiotic resistance in H. pylori infection is increasing worldwide and has become a leading cause for failure of treatment. Antibiotic susceptibility testing is very important to provide optimal regimens in a clinical setting. Study We isolated 103 H. pylori strains from the gastric mucosa of H. pylori-infected patients from 2 areas in Vietnam (Ho Chi Minh and Hanoi) in 2008. Epsilometer test was used to determine the minimum inhibitory concentrations of amoxicillin (AMX), clarithromycin (CLR), metronidazole (MNZ), levofloxacin (LVFX), and tetracycline (TC). Results Among the 103 strains, the resistance rates were 0% (AMX), 33% (CLR), 69.9% (MNZ), 18.4% (LVFX), and 5.8% (TC). The resistant strains showed a high-level of resistance (≥256 μg/mL) to CLR, 23.5% (8/34), and MNZ, 29.1% (21/72). The resistance rate for CLR was significantly higher in Ho Chi Minh than in Hanoi (49% vs. 18.5%, P = 0.001). Resistance to both CLR and MNZ was most commonly observed (24.3%). Two strains (1.9%) were resistant to 4 of the 5 antibiotics. No significant association was observed between antibiotic resistance rates and age, gender, or clinical outcomes of the patients. Conclusions High incidence of resistance to CLR and MNZ suggests that standard triple therapies may not be useful as first-line treatment in Vietnam. Alternative strategies such as bismuth-based quadruple therapies or sequential therapy may be more effective in Vietnam. PMID:23090037

  17. Problems Encountered in Multi-Grade Classes and Teachers’ Suggestions for Possible Solutions (A Case Study in Kilis Province

    Directory of Open Access Journals (Sweden)

    M. Semih Summak

    2011-12-01

    Full Text Available The objective of this study is to determine the problems of the teachers who take part in multigrade-classes programme currently maintained in the village primary schools and to elicit their views and solutions related to the multigrade classes education programme. 12 multigrade-classes teachers teaching in the nearby villages of Kilis province participated in the study and they were selected by the easilyaccessible case sampling method. Subjects’ opinion were gathered thorough a semiconstructed interview form. The data derived from the interview were reduced through qualitative data analysis method, and figurative-interpretive analysis method was used by quoting from the reduced data. The subjects involved in the study generally complained from the difficulty in carrying out educational goals and objectives and managing classes of diverse needs, from time shortage, from the pupils’ low readiness and competence level; from managing multiple classes in the same place simultaneously, from biases of the families, from the funding problems and physical insufficiency. Based on the findings, It’s suggested that the number of the schools that have students transported daily from the multigrade-classes village schools should be increased in order for the multigrade classes to decrease in number and an original curriculum should be launched for these schools according to instruction techniques and classroom management procedures specific to these schools

  18. Suggestions for successful piggybacking of biogeochemical studies onto regional to national-scale environmental monitoring programs (Invited)

    Science.gov (United States)

    Kendall, C.; Young, M. B.; Silva, S. R.; Elliott, E.

    2013-12-01

    The main thrust of our research for >20 years has been the tracing of nutrient sources and biogeochemical processes in aquatic systems using a multi-isotope and multi-tracer approach. Many of these studies have been conducted at the regional to national scale by piggybacking on existing large-scale water quality, air, and ecological monitoring programs managed by federal and state agencies, as part of large collaborative teams. Isotopes are a potentially powerful component of monitoring and assessment programs aimed at quantifying and mitigating alterations to environments from human activities because locations exhibiting unusually high rates of biogeochemical cycling or elevated pollution levels usually have distinctive isotopic compositions that are suggestive or diagnostic of the reactions and pollution sources. Among the many challenges of piggybacking our studies onto monitoring programs that are collecting and analyzing samples for their own objectives is integrating different kinds of data collected at a range of different spatial and temporal scales. There are a number of issues to consider, including testing whether the isotope and/or chemical data of interest are 'gradational' in composition over the temporal and/or spatial scales of the sampling efforts or the questions being addressed. Spatial patterns of compositions in some environments (e.g., lakes and airmasses) are relatively easy to present as contour maps because the media are well connected and relatively isotropic. In contrast, rivers are characterized by linear connections of water, chemical constituents, and biota because of the unidirectional flow of water. Construction of concentration maps and isoscapes using datasets from many adjacent rivers makes implicit assumptions about the connectivity of isolated rivers that may not be supported by the data, or be supported equivalently for different constituents (e.g., water isotopes vs nitrate isotopes), requiring careful testing of models

  19. Predictive Studies Suggest that the Risk for the Selection of Antibiotic Resistance by Biocides Is Likely Low in Stenotrophomonas maltophilia.

    Directory of Open Access Journals (Sweden)

    María Blanca Sánchez

    Full Text Available Biocides are used without restriction for several purposes. As a consequence, large amounts of biocides are released without any control in the environment, a situation that can challenge the microbial population dynamics, including selection of antibiotic resistant bacteria. Previous work has shown that triclosan selects Stenotrophomonas maltophilia antibiotic resistant mutants overexpressing the efflux pump SmeDEF and induces expression of this pump triggering transient low-level resistance. In the present work we analyze if two other common biocides, benzalkonium chloride and hexachlorophene, trigger antibiotic resistance in S. maltophilia. Bioinformatic and biochemical methods showed that benzalkonium chloride and hexachlorophene bind the repressor of smeDEF, SmeT. Only benzalkonium chloride triggers expression of smeD and its effect in transient antibiotic resistance is minor. None of the hexachlorophene-selected mutants was antibiotic resistant. Two benzalkonium chloride resistant mutants presented reduced susceptibility to antibiotics and were impaired in growth. Metabolic profiling showed they were more proficient than their parental strain in the use of some dipeptides. We can then conclude that although bioinformatic predictions and biochemical studies suggest that both hexachlorophene and benzalkonium chloride should induce smeDEF expression leading to transient S. maltophilia resistance to antibiotics, phenotypic assays showed this not to be true. The facts that hexachlorophene resistant mutants are not antibiotic resistant and that the benzalkonium chloride resistant mutants presenting altered susceptibility to antibiotics were impaired in growth suggests that the risk for the selection (and fixation of S. maltophilia antibiotic resistant mutants by these biocides is likely low, at least in the absence of constant selection pressure.

  20. Dependency on aquaculture in northern Vietnam

    DEFF Research Database (Denmark)

    Le Minh, Hanh; Phan, Van Thi; Nghia, Nguyen Huu

    2017-01-01

    Whilst a range of studies address the aquaculture livelihoods in southern Vietnam’s Mekong Delta, the role of aquaculture in northern Vietnam remains less described. We, therefore, conducted interviews with 199 households in the two northern provinces Quang Ninh and Nghe An in 2014 to analyse...... the dependence on aquaculture in these two provinces and amongst farmers specializing in shrimp and freshwater fish production, respectively. Further, we tested the ability of different socio-economic variables to explain the observed reliance on aquaculture using an ANCOVA model. The study identifies...... a substantial reliance on aquaculture of farmers in the study area with at least half of their income generated by aquaculture. Our analyses highlight that the educational background of farmers explain their engagement in aquaculture better than how long they have worked as aquaculture farmers. Freshwater fish...

  1. CONSIDERATIONS ABOUT THE PERMANENCE OF THE SUGGESTION IN THE CONTEXT OF TRANSFER: AN INTRODUCTORY STUDY IN THE FREUDIAN TEXT

    OpenAIRE

    Ferreira,Luciana Bacellar Leal; Pinheiro,Nadja Nara Barbosa

    2016-01-01

    ABSTRACT: The article is based on the hypothesis that suggestion - abandoned as a technique since the beginning of psychoanalysis - once understood as a process inherent of psychic functioning, remains active in transference. It relates suggestion, symptom and dream in order to show that, since the beginning of Freud's work, the permanence of suggestion in transference is linked to something that escapes the analyst's control. Freud's papers, from his first publications to Dora, are analyzed.

  2. An international observational study suggests that artificial intelligence for clinical decision support optimizes anemia management in hemodialysis patients.

    Science.gov (United States)

    Barbieri, Carlo; Molina, Manuel; Ponce, Pedro; Tothova, Monika; Cattinelli, Isabella; Ion Titapiccolo, Jasmine; Mari, Flavio; Amato, Claudia; Leipold, Frank; Wehmeyer, Wolfgang; Stuard, Stefano; Stopper, Andrea; Canaud, Bernard

    2016-08-01

    Managing anemia in hemodialysis patients can be challenging because of competing therapeutic targets and individual variability. Because therapy recommendations provided by a decision support system can benefit both patients and doctors, we evaluated the impact of an artificial intelligence decision support system, the Anemia Control Model (ACM), on anemia outcomes. Based on patient profiles, the ACM was built to recommend suitable erythropoietic-stimulating agent doses. Our retrospective study consisted of a 12-month control phase (standard anemia care), followed by a 12-month observation phase (ACM-guided care) encompassing 752 patients undergoing hemodialysis therapy in 3 NephroCare clinics located in separate countries. The percentage of hemoglobin values on target, the median darbepoetin dose, and individual hemoglobin fluctuation (estimated from the intrapatient hemoglobin standard deviation) were deemed primary outcomes. In the observation phase, median darbepoetin consumption significantly decreased from 0.63 to 0.46 μg/kg/month, whereas on-target hemoglobin values significantly increased from 70.6% to 76.6%, reaching 83.2% when the ACM suggestions were implemented. Moreover, ACM introduction led to a significant decrease in hemoglobin fluctuation (intrapatient standard deviation decreased from 0.95 g/dl to 0.83 g/dl). Thus, ACM support helped improve anemia outcomes of hemodialysis patients, minimizing erythropoietic-stimulating agent use with the potential to reduce the cost of treatment. Copyright © 2016 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.

  3. A second species of Euscorpiops Vachon from caves in Vietnam (Scorpiones, Euscorpiidae, Scorpiopinae). Cave Euscorpiops scorpion from Vietnam.

    Science.gov (United States)

    Lourenço, Wilson R; Pham, Dinh-Sac

    2014-09-01

    Euscorpiops dakrong sp. n., belonging to the family Euscorpiidae Laurie, is described on the basis of one male and one female collected in the Dakrong Nature Reserve cave system, Dakrong District, Quang Tri Province, Vietnam. The new species presents most features exhibited by scorpions of the genus Euscorpiops, but it is characterized by a slender body and elongated pedipalps. This new scorpion taxon represents the second species of Scorpiopinae discovered in a cave system and may be yet another endemic element in the fauna of Vietnam. Some taxonomic propositions on the generic position of Scorpiops oligotrichus Fage, 1933 are also suggested. Copyright © 2014 Académie des sciences. Published by Elsevier SAS. All rights reserved.

  4. Genome-Wide Association Studies Suggest Limited Immune Gene Enrichment in Schizophrenia Compared to 5 Autoimmune Diseases.

    Science.gov (United States)

    Pouget, Jennie G; Gonçalves, Vanessa F; Spain, Sarah L; Finucane, Hilary K; Raychaudhuri, Soumya; Kennedy, James L; Knight, Jo

    2016-09-01

    There has been intense debate over the immunological basis of schizophrenia, and the potential utility of adjunct immunotherapies. The major histocompatibility complex is consistently the most powerful region of association in genome-wide association studies (GWASs) of schizophrenia and has been interpreted as strong genetic evidence supporting the immune hypothesis. However, global pathway analyses provide inconsistent evidence of immune involvement in schizophrenia, and it remains unclear whether genetic data support an immune etiology per se. Here we empirically test the hypothesis that variation in immune genes contributes to schizophrenia. We show that there is no enrichment of immune loci outside of the MHC region in the largest genetic study of schizophrenia conducted to date, in contrast to 5 diseases of known immune origin. Among 108 regions of the genome previously associated with schizophrenia, we identify 6 immune candidates (DPP4, HSPD1, EGR1, CLU, ESAM, NFATC3) encoding proteins with alternative, nonimmune roles in the brain. While our findings do not refute evidence that has accumulated in support of the immune hypothesis, they suggest that genetically mediated alterations in immune function may not play a major role in schizophrenia susceptibility. Instead, there may be a role for pleiotropic effects of a small number of immune genes that also regulate brain development and plasticity. Whether immune alterations drive schizophrenia progression is an important question to be addressed by future research, especially in light of the growing interest in applying immunotherapies in schizophrenia. © The Author 2016. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center.

  5. Nonfatal Injuries and Psychosocial Correlates among Middle School Students in Cambodia and Vietnam.

    Science.gov (United States)

    Peltzer, Karl; Pengpid, Supa

    2017-03-08

    The aim of the study was to estimate the prevalence and psychosocial correlates of nonfatal injury among middle school students in Cambodia and Vietnam. Cross-sectional data from 7137 school children (mean age 15.5 years, SD = 1.4) who were randomly sampled for participation in nationally representative Global School-based Health Surveys (GSHS) in Cambodia and Vietnam were analyzed. The proportion of school children reporting one or more serious injuries in the past year was 22.6% among boys and 17.5% among girls in Cambodia and 34.3% among boys and 25.1% among girls in Vietnam. The most prevalent cause of the most serious injury in Cambodia was traffic injuries (4.7% among boys and 4.3% among girls) and in Vietnam it was falls (10.0% among boys and 7.0% among girls). In multinomial logistic regression analyses, experiencing hunger (as an indicator for low socioeconomic status) and drug use were associated with having sustained one injury and two or more injuries in the past 12 months in Cambodia. In addition, poor mental health was associated with two or more injuries. In Vietnam, being male, experiencing hunger, current alcohol use, poor mental health and ever having had sex were associated with having sustained one injury and two or more injuries in the past 12 months. Several psychosocial variables were identified which could help in designing injury prevention strategies among middle school children in Cambodia and Vietnam.

  6. Nonfatal Injuries and Psychosocial Correlates among Middle School Students in Cambodia and Vietnam

    Directory of Open Access Journals (Sweden)

    Karl Peltzer

    2017-03-01

    Full Text Available The aim of the study was to estimate the prevalence and psychosocial correlates of nonfatal injury among middle school students in Cambodia and Vietnam. Cross-sectional data from 7137 school children (mean age 15.5 years, SD = 1.4 who were randomly sampled for participation in nationally representative Global School-based Health Surveys (GSHS in Cambodia and Vietnam were analyzed. The proportion of school children reporting one or more serious injuries in the past year was 22.6% among boys and 17.5% among girls in Cambodia and 34.3% among boys and 25.1% among girls in Vietnam. The most prevalent cause of the most serious injury in Cambodia was traffic injuries (4.7% among boys and 4.3% among girls and in Vietnam it was falls (10.0% among boys and 7.0% among girls. In multinomial logistic regression analyses, experiencing hunger (as an indicator for low socioeconomic status and drug use were associated with having sustained one injury and two or more injuries in the past 12 months in Cambodia. In addition, poor mental health was associated with two or more injuries. In Vietnam, being male, experiencing hunger, current alcohol use, poor mental health and ever having had sex were associated with having sustained one injury and two or more injuries in the past 12 months. Several psychosocial variables were identified which could help in designing injury prevention strategies among middle school children in Cambodia and Vietnam.

  7. FY 1998 survey report on the potential study of cooperation related to the activity implementation joint in 6 countries of Southeast Asia (Vietnam, Laos, Cambodia, Myanmar, Thailand and Malaysia); 1998 nendo Indoshina 6 kakkoku (Vietnam, Laos, Cambodia, Myanmar, Tai oyobi Malaysia) ni okeru energy kankyo kanren kyodo kenkyu jisshi kanosei chosa hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-03-01

    A potential study in FY 1998 was made of the energy/environment related activity implementation joint (COP3 related AIJ) in 6 Southeast Asian countries. Vietnam is a country which is the lowest in greenhouse effect gas (GHG) emission in the world, but they want the international assistance for their continued development and contribution to the global environment. Laos has to continue their economic development for extermination of poverty and improvement of life level. Accordingly, AIJ has to be the one that supports those and is helpful for both industrial development and environmental improvement. The same in Cambodia as in Laos, AIJ has to be the one that is helpful for both industrial development and promotion of environmental improvement. In Myanmar, GHG emits (CO2 conversion) 94.5% in the agricultural sector where methane is emitted from livestock and rice growing. There, the forest protection plays a big role. In Thailand, the use of land and forest protection are subjects mainly with the heightening of energy efficiency and fuel substitution. Malaysia, of course, promotes the economic development, has the leading GHG policy (traffic management in urban area, etc.), and wants the international technology transfer. (NEDO)

  8. Immunotoxicological effects of Agent Orange exposure to the Vietnam War Korean veterans.

    Science.gov (United States)

    Kim, Hyoung-Ah; Kim, Eun-Mi; Park, Yeong-Chul; Yu, Ji-Yeon; Hong, Seung-Kwon; Jeon, Seong-Hoon; Park, Kui-Lea; Hur, Sook-Jin; Heo, Yong

    2003-07-01

    Immunomodulatory effects of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) demonstrated using animals are thymic atrophy, downregulation of cytotoxic T or B lymphocyte differentiation or activation, whereas human immunotoxicities have not been investigated well. This study was undertaken to evaluate overall immunologic spectrum of the Vietnam War Korean veterans exposed to Agent Orange contaminated with TCDD. Quantity of red blood cells, hemoglobin and hematocrit in the veterans suffered from chronic diseases associated with Agent Orange exposure (Veterans-patient group) were decreased in comparison with those of the veterans without the diseases and the age-matched healthy controls, but no differences in leukocyte populations. Plasma IgG levels were lowered in the veterans than the controls, owing to significant decrease in the IgG1 levels. Increase in the IgE levels was observed in the plasma from the veterans. Alteration of T cell-mediated immunity was also resulted from activation of peripheral blood mononuclear cells with polyclonal T cell activators. Production of IFNgamma, a major cytokine mediating host resistance against infection or tumoregenesis, was lowered in the veterans-patient group. However, production of IL-4 and IL-10, representative cytokines involved with hypersensitivity induction, was enhanced in the patient group. Overall, this study suggests that military service in Vietnam and/or Agent Orange exposure disturbs immune-homeostasis resulting in dysregulation of B and T cell activities.

  9. Geodynamic setting of Late Cretaceous Sn–W mineralization in southeastern Yunnan and northeastern Vietnam

    Directory of Open Access Journals (Sweden)

    Yanbo Cheng

    2016-12-01

    Full Text Available The Sn–W mineralization in SE Yunnan Province, China and NE Vietnam shares many similarities. Through comparing the geological and geochronological data, we suggest the Sn–W deposits and the associate igneous rocks in the region represent one regional magmatic-mineralization event. To explore the geodynamic setting of these mineralization and magmatic activities, a geochronological dataset in the regions has been presented, containing data of this study and previously published. The dataset shows that the Late Cretaceous magmatic–mineralization–metamorphic activities widely distribute along the eastern Asian continental margin. Existing studies support that this is the product of the subduction of the Palaeo-Pacific Plate beneath the Eurasian continent, which probably formed under an Andean-type active continental margin setting. According to the exhibited data, we preliminarily conclude that the late Cretaceous magmatic and Sn–W mineralization activities in the southeast Yunnan and northeast Vietnam region is one part of this subduction activities and should have formed under the same geodynamic setting.

  10. Relative benefits of on-plot water supply over other 'improved' sources in rural Vietnam.

    Science.gov (United States)

    Brown, Joe; Hien, Vo Thi; McMahan, Lanakila; Jenkins, Marion W; Thie, Lauren; Liang, Kaida; Printy, Erin; Sobsey, Mark D

    2013-01-01

    Access to improved water sources is rapidly expanding in rural central Vietnam. We examined one NGO-led piped water supply programme to assess the drinking water quality and health impacts of piped water systems where access to 'improved' water sources is already good. This longitudinal, prospective cohort study followed 300 households in seven project areas in Da Nang province, Vietnam: 224 households who paid for an on-plot piped water connection and 76 control households from the same areas relying primarily on 'improved' water sources outside the home. The 4-month study was intended to measure the impact of the NGO-led water programmes on households' drinking water quality and health and to evaluate system performance. We found that: (i) households connected to a piped water supply had consistently better drinking water quality than those relying on other sources, including 'improved' sources and (ii) connected households experienced less diarrhoea than households without a piped water connection (adjusted longitudinal prevalence ratio: 0.57 (95% CI 0.39-0.86, P = 0.006) and households using an 'improved' source not piped to the plot: (adjusted longitudinal prevalence ratio: 0.59 (95% CI 0.39-0.91, P = 0.018). Our results suggest that on-plot water service yields benefits over other sources that are considered 'improved' by the WHO/UNICEF Joint Monitoring Programme. © 2012 Blackwell Publishing Ltd.

  11. Rice-planted area extraction by time series analysis of ENVISAT ASAR WS data using a phenology-based classification approach: A case study for Red River Delta, Vietnam

    Science.gov (United States)

    Nguyen, D.; Wagner, W.; Naeimi, V.; Cao, S.

    2015-04-01

    Recent studies have shown the potential of Synthetic Aperture Radars (SAR) for mapping of rice fields and some other vegetation types. For rice field classification, conventional classification techniques have been mostly used including manual threshold-based and supervised classification approaches. The challenge of the threshold-based approach is to find acceptable thresholds to be used for each individual SAR scene. Furthermore, the influence of local incidence angle on backscatter hinders using a single threshold for the entire scene. Similarly, the supervised classification approach requires different training samples for different output classes. In case of rice crop, supervised classification using temporal data requires different training datasets to perform classification procedure which might lead to inconsistent mapping results. In this study we present an automatic method to identify rice crop areas by extracting phonological parameters after performing an empirical regression-based normalization of the backscatter to a reference incidence angle. The method is evaluated in the Red River Delta (RRD), Vietnam using the time series of ENVISAT Advanced SAR (ASAR) Wide Swath (WS) mode data. The results of rice mapping algorithm compared to the reference data indicate the Completeness (User accuracy), Correctness (Producer accuracy) and Quality (Overall accuracies) of 88.8%, 92.5 % and 83.9 % respectively. The total area of the classified rice fields corresponds to the total rice cultivation areas given by the official statistics in Vietnam (R2  0.96). The results indicates that applying a phenology-based classification approach using backscatter time series in optimal incidence angle normalization can achieve high classification accuracies. In addition, the method is not only useful for large scale early mapping of rice fields in the Red River Delta using the current and future C-band Sentinal-1A&B backscatter data but also might be applied for other rice

  12. Carcinogenicity and teratogenicity vs. psychogenicity: Psychological characteristics associated with self-reported Agent Orange exposure among Vietnam combat veterans who seek treatment for substance abuse

    Energy Technology Data Exchange (ETDEWEB)

    Robinowitz, R.; Roberts, W.R.; Dolan, M.P.; Patterson, E.T.; Charles, H.L.; Atkins, H.G.; Penk, W.E. (Univ. of Texas Health Science Center, Dallas (USA))

    1989-09-01

    This study asked, What are the psychological characteristics of Vietnam combat veterans who claim Agent Orange exposure when compared with combat-experienced cohorts who do not report such contamination The question was researched among 153 heroin addicts, polydrug abusers, and chronic alcoholics who were seeking treatment: 58 reported moderate to high defoliant exposure while in combat; 95 reported minimal to no exposure while in Vietnam. The null hypothesis was accepted for measures of childhood and present family social climate, premilitary backgrounds, reasons for seeking treatment, patterns and types of illicit drug and alcohol use, interpersonal problems, intellectual functioning, and short-term memory. The null hypothesis was rejected for personality differences, however, those who self-reported high Agent Orange exposure scored significantly higher on MMPI scales F, Hypochondriasis, Depression, Paranoia, Psychasthenia, Schizophrenia, Mania, and Social interoversion. The results suggest that clinicians carefully assess attributional processing of those who report traumatic experience.

  13. New Species of Orchids (Orchidaceae) in the Flora of Vietnam

    OpenAIRE

    Leonid V. Averyanov; Van Duy NONG; Khang Sinh NGUYEN; Tatiana V. MAISAK; Nguyen, Van Canh; Quang Thinh PHAN; Nguyen, Phi Tam; Thien Tich NGUYEN; Ba Vuong TRUONG

    2016-01-01

    This paper summarizes results of joint efforts of professional botanists and orchid enthusiasts on studies of Vietnamese native orchids during years 2013–2016. It provides new original data about the discovery of 1 genus (Grammatophyllum Blume) and 29 orchid species new for the flora of Vietnam. Valid name, main synonyms, data on type, ecology, phenology, estimated IUCN Red List status, distribution, studied specimens, as well as brief taxonomic and biological notes are provided for each spec...

  14. New Species of Orchids (Orchidaceae in the Flora of Vietnam

    Directory of Open Access Journals (Sweden)

    Leonid V. AVERYANOV

    2016-11-01

    Full Text Available This paper summarizes results of joint efforts of professional botanists and orchid enthusiasts on studies of Vietnamese native orchids during years 2013–2016. It provides new original data about the discovery of 1 genus (Grammatophyllum Blume and 29 orchid species new for the flora of Vietnam. Valid name, main synonyms, data on type, ecology, phenology, estimated IUCN Red List status, distribution, studied specimens, as well as brief taxonomic and biological notes are provided for each species and varieties. Eight species (Bidupia khangii, Bulbophyllum striatulum, B. tipula, Cleisostoma dorsisacculatum, Cymbidium repens, Dendrobium congianum, Flickingeria xanthocheila, Podochilus rotundipetala and two varieties (Phreatia densiflora var. vietnamensis, P. formosana var. continentalis are described as new for science. One combination (Bulbophyllum bicolor var. funingense is proposed. An illustrated annotated list of all studied species and varieties is arranged in alphabetical order. Including present data, the known orchid flora of Vietnam comprises currently at least 1210 documented species from 172 genera.

  15. Meta-analysis of breast cancer microarray studies in conjunction with conserved cis-elements suggest patterns for coordinate regulation

    Directory of Open Access Journals (Sweden)

    Lundberg Cathryn

    2008-01-01

    Full Text Available Abstract Background Gene expression measurements from breast cancer (BrCa tumors are established clinical predictive tools to identify tumor subtypes, identify patients showing poor/good prognosis, and identify patients likely to have disease recurrence. However, diverse breast cancer datasets in conjunction with diagnostic clinical arrays show little overlap in the sets of genes identified. One approach to identify a set of consistently dysregulated candidate genes in these tumors is to employ meta-analysis of multiple independent microarray datasets. This allows one to compare expression data from a diverse collection of breast tumor array datasets generated on either cDNA or oligonucleotide arrays. Results We gathered expression data from 9 published microarray studies examining estrogen receptor positive (ER+ and estrogen receptor negative (ER- BrCa tumor cases from the Oncomine database. We performed a meta-analysis and identified genes that were universally up or down regulated with respect to ER+ versus ER- tumor status. We surveyed both the proximal promoter and 3' untranslated regions (3'UTR of our top-ranking genes in each expression group to test whether common sequence elements may contribute to the observed expression patterns. Utilizing a combination of known transcription factor binding sites (TFBS, evolutionarily conserved mammalian promoter and 3'UTR motifs, and microRNA (miRNA seed sequences, we identified numerous motifs that were disproportionately represented between the two gene classes suggesting a common regulatory network for the observed gene expression patterns. Conclusion Some of the genes we identified distinguish key transcripts previously seen in array studies, while others are newly defined. Many of the genes identified as overexpressed in ER- tumors were previously identified as expression markers for neoplastic transformation in multiple human cancers. Moreover, our motif analysis identified a collection of

  16. Confirmed Plasmodium vivax Resistance to Chloroquine in Central Vietnam.

    Science.gov (United States)

    Thanh, Pham Vinh; Hong, Nguyen Van; Van, Nguyen Van; Louisa, Melva; Baird, Kevin; Xa, Nguyen Xuan; Peeters Grietens, Koen; Hung, Le Xuan; Duong, Tran Thanh; Rosanas-Urgell, Anna; Speybroeck, Niko; D'Alessandro, Umberto; Erhart, Annette

    2015-12-01

    Plasmodium vivax resistance to chloroquine (CQ) is currently reported in almost all countries where P. vivax is endemic. In Vietnam, despite a first report on P. vivax resistance to chloroquine published in the early 2000s, P. vivax was still considered sensitive to CQ. Between May 2009 and December 2011, a 2-year cohort study was conducted in central Vietnam to assess the recommended radical cure regimen based on a 10-day course of primaquine (0.5 mg/kg/day) together with 3 days of CQ (25 mg/kg). Here we report the results of the first 28-day follow-up estimating the cumulative risk of P. vivax recurrences together with the corresponding CQ blood concentrations, among other endpoints. Out of 260 recruited P. vivax patients, 240 completed treatment and were followed up to day 28 according to the WHO guidelines. Eight patients (3.45%) had a recurrent P. vivax infection, at day 14 (n = 2), day 21 (n = 1), and day 28 (n = 5). Chloroquine blood concentrations, available for 3/8 recurrent infections (days 14, 21, and 28), were above the MIC (>100 ng/ml whole blood) in all of these cases. Fever and parasitemia (both sexual and asexual stages) were cleared by day 3. Anemia was common at day 0 (35.8%), especially in children under 10 years (50%), and hemoglobin (Hb) recovery at day 28 was substantial among anemic patients (median change from day 0 to 28, +1.7 g/dl; interquartile range [IQR], +0.7 to +3.2). This report, based on CQ blood levels measured at the time of recurrences, confirms for the first time P. vivax CQ resistance in central Vietnam and calls for further studies using standardized protocols for accurately monitoring the extent and evolution of P. vivax resistance to chloroquine in Vietnam. These results, together with the mounting evidence of artemisinin resistance in central Vietnam, further highlight the increasing threat of antimalarial drug resistance to malaria elimination in Vietnam. Copyright © 2015 Thanh et al.

  17. Recent progress in radioisotope production in Vietnam

    Energy Technology Data Exchange (ETDEWEB)

    Le Van So [Radioisotope Dept., Nuclear Research Institute, Dalat (Viet Nam)

    1998-10-01

    This is a report on the recent progress in radioisotope production in Vietnam. Using a nuclear research reactor of 500 KW with continuous operation cycles of 100 hours a month, the production of some important radioisotopes used in nuclear medicine and research was routinely carried out. More than 80 per cent of irradiation capacity of reactor for radioisotope production were exploited. The radioactivity of more than 150 Ci of {sup 131}I, {sup 99}Mo-{sup 99m}Tc, {sup 32}P, {sup 51}Cr, {sup 153}Sm, {sup 46}Sc, {sup 192}Ir was produced annually. Radiopharmaceuticals such as {sup 131}I-Hippuran and in-vivo Kits for {sup 99m}Tc labelling were also prepared routinely and regularly. More than 10 in-vivo Kits including modern radiopharmaceuticals such as HmPAO kit were supplied to hospitals in Vietnam. The research on the improvement of dry distillation technology for production of {sup 131}I was carried out. As a result obtained a new distillation apparatus made from glass was successfully put to routine use in place of expensive quartz distillation furnace. We have also continued the research programme on the development of {sup 99m}Tc generators using low power research reactors. Gel technology using Zr- and Ti- molybdate gel columns for {sup 99m}Tc generator production was developed and improved continually. Portable {sup 99m}Tc generator using Zr-({sup 99}Mo) molybdate gel column and ZISORB adsorbent column for {sup 99m}Tc concentration were developed. The ZISORB adsorbent of high adsorption capacity for {sup 99}Mo and other parent radionuclides was also studied for the development purpose of alternative technology of {sup 99m}Tc and other different radionuclide generator systems. The studies on the preparation of therapeutic radiopharmaceuticals labelling with {sup 153}Sm and {sup 131}I such as {sup 153}Sm-EDTMP, {sup 131}I-MIBG were carried out. (author)

  18. Health-care use before a first demyelinating event suggestive of a multiple sclerosis prodrome: a matched cohort study.

    Science.gov (United States)

    Wijnands, José M A; Kingwell, Elaine; Zhu, Feng; Zhao, Yinshan; Högg, Tanja; Stadnyk, Karen; Ekuma, Okechukwu; Lu, Xinya; Evans, Charity; Fisk, John D; Marrie, Ruth Ann; Tremlett, Helen

    2017-06-01

    Degenerative processes in neurodegenerative diseases can start years before clinical manifestation. We aimed to establish whether a multiple sclerosis prodromal period exists by examining patterns of health-care use before a first demyelinating event. In this matched cohort study, we used data from linked health administrative and clinical databases from four Canadian provinces (British Columbia, Saskatchewan, Manitoba, and Nova Scotia) to compare hospital, physician, and prescription use data from people with multiple sclerosis and matched general population controls in the 5 years before the first demyelinating disease claim (health administrative index date) or clinically reported symptom onset (clinical index date). Rate ratios (RRs) were estimated using negative binomial regression and combined across provinces using random effect models. The primary outcome was all-cause use of health care during each of the 5 years before the health administrative or clinical index date. The health administrative cohort included 14 428 multiple sclerosis cases and 72 059 matched controls for whom data were available between April, 1984, and April, 2014. Annual health-care use increased steadily between 5 years and 1 year before the first demyelinating disease claim in people with multiple sclerosis compared with controls (from RR 1·26 [95% CI 1·16-1·36] to 1·78 [1·50-2·10] for hospital admissions; from 1·24 [1·16-1·32] to 1·88 [1·72-2·07] for physician claims; and from 1·23 [1·06-1·41] to 1·49 [1·41-1·59] for prescriptions, assessed as drug classes). Similar patterns for physician claims and prescriptions were observed in the cohort with available clinical symptom onset (3202 individuals with multiple sclerosis and 16 006 controls), although the differences in use in each of the 5 years mostly did not reach statistical significance. More frequent use of health care in patients with multiple sclerosis than in controls in the 5 years before a first

  19. Climate change and its gendered impacts on agriculture in Vietnam

    Directory of Open Access Journals (Sweden)

    Trung, P.T

    2013-03-01

    Full Text Available Studies have shown that Vietnam is one of the countries that most affected by climate change because of its geographical and natural conditions together with its fast but massive and unplanned urbanization. There are many research and studies that have been conducted to assess the impacts of climate change on different sectors in Vietnam. Agriculture plays an important role in the country’s economy in terms of poverty reduction, food security, employment and export but projected to be heavily affected because of sea level rise, floods or droughts etc. A large proportion of Vietnam’s population, especially women, involves with agricultural works and production. So, this paper using a gender perspective will examine possible impacts that climate change has been causing to women and men differently in order to propose some solutions for the facing problems. Since the paper only utilizes available resources, it can serve as a concept note for further works in the future.

  20. The expansion of farm-based plantation forestry in Vietnam.

    Science.gov (United States)

    Sandewall, Mats; Ohlsson, Bo; Sandewall, R Kajsa; Viet, Le Sy

    2010-12-01

    This study targets plantation forestry by farm households (small holders), which is increasing globally and most rapidly in China and Vietnam. By use of an interdisciplinary approach on three study sites in Vietnam, we examined the trends in farmers' tree planting over time, the various pre-requisites for farm-based plantation forestry and its impact on rural people's livelihood strategies, socioeconomic status, income and security. The findings indicated a change from subsistence to cash-based household economy, diversification of farmers' incomes and a transformation of the landscape from mainly natural forests, via deforestation and shifting cultivation, to a landscape dominated by farm-based plantations. The trend of transformation, over a period of some 30 years, towards cash crops and forestry was induced by a combination of policy, market, institutional, infrastructural and other conditions and the existence of professional farming communities, and was most rapid close to the industrial market.

  1. Trichinella infection in wild boars and synanthropic rats in northwest Vietnam.

    Science.gov (United States)

    Thi, N Vu; Nguyen, V D; Praet, N; Claes, L; Gabriël, S; Huyen, N T; Dorny, P

    2014-02-24

    Trichinellosis is an emerging parasitic zoonosis in North Vietnam. In this survey, hunted and farm-bred wild boars as well as synanthropic rats were sampled in two provinces of northwest Vietnam where outbreaks of trichinellosis have recently occurred. Evidence of Trichinella infection was studied by parasitological, serological and molecular methods. The results showed relatively low prevalence of Trichinella spiralis in hunted wild boars (2/62 (3.2%; 95% CI: 0.8- 4.8)) and rats (23/820 (2.8%; 95% CI: 13.7-32.3)). Parasite burdens in the muscle tissues were between 0.1 and 0.03 larvae/g, and 0.1 and 7 larvae/g in wild boars and rats, respectively. Seroprevalence in farm-bred wild boars was negative. The findings of Trichinella-infected rats in 7 of the 20 districts of Dien Bien and Son La provinces suggest that the parasite is circulating in these regions. These results indicate that the local population and health centers should be made aware of the risks of eating raw or undercooked meat dishes prepared from wild animals. Copyright © 2013 Elsevier B.V. All rights reserved.

  2. Longitudinal assessment of sleep disordered breathing in Vietnam veterans with post-traumatic stress disorder.

    Science.gov (United States)

    Yesavage, Jerome A; Kinoshita, Lisa M; Noda, Art; Lazzeroni, Laura C; Fairchild, Jennifer Kaci; Friedman, Leah; Sekhon, Gundeep; Thompson, Stephanie; Cheng, Jauhtai; Zeitzer, Jamie M

    2014-01-01

    Previous work has demonstrated the relatively high prevalence of risk factors for cognitive impairment, such as sleep disordered breathing (SDB) and obesity, in Vietnam War era veterans with post-traumatic stress disorder (PTSD). No data are currently available on the longitudinal stability of SDB as a risk factor for cognitive decline in that population, which this study now reports. Sample consisted of 48 veterans of the Vietnam War with PTSD who completed longitudinal sleep assessments over a 3-year period. The primary outcome measure, the Apnea-Hypopnea Index (AHI) indicator, was determined during standard overnight polysomnography. Body mass index (BMI) was calculated using standard measurements. Measures of cognitive function tapped auditory verbal memory as measured by the Rey Auditory Verbal Learning Test and executive functioning as measured by the Color-Word Interference Test of the Delis-Kaplan Executive Function System battery. Statistical analyses included mixed effects modeling. In this sample, AHI increased significantly by 2.19 points per year (β=2.19; PVietnam War with PTSD over a 3-year period. The worsening of SDB over time suggests the need for appropriate countermeasures in populations at risk for progression of the condition.

  3. Relationship of urinary arsenic metabolites to intake estimates in residents of the Red River Delta, Vietnam

    Energy Technology Data Exchange (ETDEWEB)

    Agusa, Tetsuro [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan); Department of Legal Medicine, Shimane University Faculty of Medicine, Enya 89-1, Izumo 693-8501 (Japan); Kunito, Takashi [Department of Environmental Sciences, Faculty of Science, Shinshu University, 3-1-1 Asahi, Matsumoto 390-8621 (Japan); Minh, Tu Binh [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan); Department of Biology and Chemistry (BCH), City University of Hong Kong, 83 Tat Chee Avenue, Kowloon Tong, Hong Kong (China); Pham Thi Kim Trang [Center for Environmental Technology and Sustainable Development (CETASD), Hanoi National University, 334 Nguyen Trai Street, Thanh Xuan, Hanoi (Viet Nam); Iwata, Hisato [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan); Pham Hung Viet [Center for Environmental Technology and Sustainable Development (CETASD), Hanoi National University, 334 Nguyen Trai Street, Thanh Xuan, Hanoi (Viet Nam); Tanabe, Shinsuke [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan)], E-mail: shinsuke@agr.ehime-u.ac.jp

    2009-02-15

    This study investigated the status of arsenic (As) exposure from groundwater and rice, and its methylation capacity in residents from the Red River Delta, Vietnam. Arsenic levels in groundwater ranged from <1.8 to 486 {mu}g/L. Remarkably, 86% of groundwater samples exceeded WHO drinking water guideline of 10 {mu}g/L. Also, estimated inorganic As intake from groundwater and rice were over Provisional Tolerable Weekly Intake (15 {mu}g/week/kg body wt.) by FAO/WHO for 92% of the residents examined. Inorganic As and its metabolite (monomethylarsonic acid and dimethylarsinic acid) concentrations in human urine were positively correlated with estimated inorganic As intake. These results suggest that residents in these areas are exposed to As through consumption of groundwater and rice, and potential health risk of As is of great concern for these people. Urinary concentration ratios of dimethylarsinic acid to monomethylarsonic acid in children were higher than those in adults, especially among men, indicating greater As methylation capacity in children. - Positive correlations between estimated arsenic intake and urinary inorganic arsenic and its metabolites were observed in human from the Red River Delta, Vietnam.

  4. Satellites may underestimate rice residue and associated burning emissions in Vietnam

    Science.gov (United States)

    Lasko, Kristofer; Vadrevu, Krishna P.; Tran, Vinh T.; Ellicott, Evan; Nguyen, Thanh T. N.; Bui, Hung Q.; Justice, Christopher

    2017-08-01

    In this study, we estimate rice residue, associated burning emissions, and compare results with existing emissions inventories employing a bottom-up approach. We first estimated field-level post-harvest rice residues, including separate fuel-loading factors for rice straw and rice stubble. Results suggested fuel-loading factors of 0.27 kg m-2 (±0.033), 0.61 kg m-2 (±0.076), and 0.88 kg m-2 (±0.083) for rice straw, stubble, and total post-harvest biomass, respectively. Using these factors, we quantified potential emissions from rice residue burning and compared our estimates with other studies. Our results suggest total rice residue burning emissions as 2.24 Gg PM2.5, 36.54 Gg CO and 567.79 Gg CO2 for Hanoi Province, which are significantly higher than earlier studies. We attribute our higher emission estimates to improved fuel-loading factors; moreover, we infer that some earlier studies relying on residue-to-product ratios could be underestimating rice residue emissions by more than a factor of 2.3 for Hanoi, Vietnam. Using the rice planted area data from the Vietnamese government, and combining our fuel-loading factors, we also estimated rice residue PM2.5 emissions for the entirety of Vietnam and compared these estimates with an existing all-sources emissions inventory, and the Global Fire Emissions Database (GFED). Results suggest 75.98 Gg of PM2.5 released from rice residue burning accounting for 12.8% of total emissions for Vietnam. The GFED database suggests 42.56 Gg PM2.5 from biomass burning with 5.62 Gg attributed to agricultural waste burning indicating satellite-based methods may be significantly underestimating emissions. Our results not only provide improved residue and emission estimates, but also highlight the need for emissions mitigation from rice residue burning.

  5. Norms of Masculinity and the Cultural Narrative of Intimate Partner Violence Among Men in Vietnam.

    Science.gov (United States)

    James-Hawkins, Laurie; Salazar, Kelsey; Hennink, Monique M; Ha, Vu Song; Yount, Kathryn M

    2016-10-01

    Semi-structured interviews with 31 men in Hung Yen Province in Northern Vietnam are used to elucidate a conceptual narrative to understand men's perceptions and perpetration of intimate partner violence (IPV) in Vietnam. This narrative suggests that cultural definitions of masculinity and changes in women's participation in the labor force have contributed to status conflicts that normalize IPV as part of masculine superiority. The narratives of both IPV perpetrators and non-perpetrators demonstrate how violence is incorporated into the cultural definition of masculinity and illustrates how men use this definition to minimize their own and other men's perpetration. We suggest that attempts to reduce IPV in Vietnam must address constructions of masculinity and the socio-historical context of IPV by providing gender-sensitivity training and opportunities for men to evaluate critically how constructions of masculinity in their families and communities contribute to IPV perpetration.

  6. Assessment of the needs of caregivers of stroke patients at state-owned acute-care hospitals in southern Vietnam, 2011.

    Science.gov (United States)

    Hayashi, Yumiko; Hai, Hoang Hoa; Tai, Nguyen Anh

    2013-08-22

    Care for stroke patients has improved steadily in southern Vietnam. Medical treatments such as thrombolytic therapy have been implemented at several hospitals, and stroke-care units composed of a team of various health professionals have been created. However, little attention has been focused on providing support to caregivers of stroke patients. This study aimed to characterize the caregivers of stroke patients who were treated in state-owned acute-care hospitals and to learn about their needs when patients are discharged. Such information can be used to enhance the caregiver's support system. We used questionnaires to conduct a descriptive study in 2011 at a state-owned acute-care hospital in southern Vietnam. We recruited study participants from among caregivers of stroke patients who had been informed of their hospital discharge date. We assessed 8 caregiver characteristics, and caregiver participants selected their needs from the survey's list of 15 possible needs. We analyzed the data by using the independent sample t test and logistic regression. Of the 93 caregivers who consented to participate, 86 (92.5%) completed the survey and indicated their concerns at discharge. The most frequently cited need was information on how to prevent stroke recurrence (72, 83.7%), followed by which drugs are most effective in preventing a relapse (62, 72.1%), how long recovery would take (61, 70.9%), and availability of hospitals in the patient's hometown (60, 69.8%). A little over half of caregivers indicated financial concerns. A caregiver's need for information on diet for a stroke survivor increased with the caregiver's education level. This study revealed several needs among caregivers of stroke survivors in southern Vietnam that are similar to those found by studies of caregivers of stroke survivors in high-income countries. Our findings suggest that comprehensive stroke care that includes caregiver education about healthful diets and prevention of stroke recurrence

  7. Open to Suggestion.

    Science.gov (United States)

    Journal of Reading, 1986

    1986-01-01

    Offers (1) suggestions on how to teach students the importance of regular study habits for learning to spell, (2) story ideas to help students get started with creative writing, and (3) a model of a daily record assignment book to help students organize and remember their homework assignments. (SRT)

  8. Zooplankton from can Giuoc River in Southern Vietnam

    Directory of Open Access Journals (Sweden)

    Duc Pham Anh

    2016-12-01

    Full Text Available In this study, the variables of zooplankton and water quality were investigated in the Can Giuoc River, Southern Vietnam. Zooplankton was monitored in April and September 2015 at 5 sampling sites in the river. Some basic water quality parameters were also tested, including pH, total suspended solid (TSS, dissolved oxygen (DO, biological oxygen demand (BOD5, inorganic nitrogen (NH4+, dissolved phosphorus (PO43−, and coliform. The zooplankton biodiversity indices were applied for the water quality assessment.

  9. Engaged Learning and Filmmaking by Way of Vietnam

    Directory of Open Access Journals (Sweden)

    Steven Emmanuel

    2010-04-01

    Full Text Available Virginia Wesleyan professor Steven Emmanuel and five students spent four weeks in Vietnam in the summer of 2007. Their work, supported by an ASIANetwork Student-Faculty Fellows Grant, resulted in a documentary film that won several awards in national and international film festivals. In the following piece, he describes the project and talks about how the grant experience gave him a new perspective on study abroad.

  10. Attitude, motivation, and consumption of seafood in Bacninh province, Vietnam

    OpenAIRE

    Thom, Nguyen Tien

    2007-01-01

    This study applies the theory planed behavior (TPB - Ajzen, 1991) to investigate the general antecedents of seafood consumption in Bacninh province of Vietnam. The results show that customers in the area consume seafood at a low frequency although they have high motivation and positive attitude toward fish consumption. A further investigation reveals that quality, negative effects, and suitability have significant impact on attitude, while availability, suitability, and value are main determi...

  11. The Dyke Dilemma - A Cost-Benefit Analysis from Vietnam

    OpenAIRE

    Thang Nam Do

    2008-01-01

    Wetlands provide rich environments for wildlife as well as agriculture. This frequently results in a conflict between wetland conservation and agricultural development. This, in turn, means that research into the interplay between development decision making, agricultural productivity and ecological sustainability in wetlands is crucial. This study from Vietnam has looked into just such a situation. It investigates the impact of proposed changes to the dyke system of the country's Mekong Delt...

  12. Inaccuracy of INR measurements and suggestions for improved WHO guidelines for calibration of reference preparations – a statistical study

    DEFF Research Database (Denmark)

    Attermann, Jørn

    2003-01-01

    %, when prediction is performed under the conventional WHO model. Under the same model the CV of the predicted vs. the true INR is believed to be only about 1% when it in reality is more than 4%. We suggest that the conventional calibration procedure is modified in order to reduce the twofold negative...... impact of lower true accuracy and overestimated reported accuracy on oral anticoagulant therapy and to allow for an unambiguous definition of true INR values....

  13. Prevalence and causes of blindness in children in Vietnam.

    Science.gov (United States)

    Limburg, Hans; Gilbert, Clare; Hon, Do Nhu; Dung, Nguyen Chi; Hoang, Tran Huy

    2012-02-01

    To estimate the prevalence of blindness in children in Vietnam and to assess the major causes. A population-based study sampled children from 16 provinces across Vietnam. The second study examined children attending all blind schools in Vietnam. In 16 provinces, 28 800 children aged 0-15 were sampled. In 28 blind schools, 569 children aged 0-15 were examined. In children not seeing well according to the parents, presenting visual acuity (PVA) was assessed. If PVA was children in blind schools were examined by a pediatric ophthalmologist. Blindness was defined as PVA children had a PVA children (95% confidence interval [CI], 4.9-11.8/10 000). Fourteen children had a pinhole visual acuity children were blind from all causes, with 36.4% from uncorrected refractive errors. In the blind schools, 411 children had a PVA blindness in 32.6% of children younger than 10 years, but in only 6% of older children. The converse was true for corneal scarring and phthisis (14.0% and 27.3%, respectively). All other causes were similar between age groups (53.5% and 66.7%, respectively). More than half of all causes were avoidable. Vietnam is developing very rapidly, and this is impacting health indices. The mortality rate of those younger than 5 years declined from 65/100 live births in 1980 to 14/100 in 2008. The findings of this study show these changes, because the childhood blindness prevalence was relatively low, and the causes show improved control of measles and vitamin A deficiency, as well as increased services for premature babies. Eye care services for children should now focus on refractive errors, cataract, and control of ROP. Copyright © 2012 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

  14. Policy processes underpinning universal health insurance in Vietnam.

    Science.gov (United States)

    Ha, Bui T T; Frizen, Scott; Thi, Le M; Duong, Doan T T; Duc, Duong M

    2014-01-01

    In almost 30 years since economic reforms or 'renovation' (Doimoi) were launched, Vietnam has achieved remarkably good health results, in many cases matching those in much higher income countries. This study explores the contribution made by Universal Health Insurance (UHI) policies, focusing on the past 15 years. We conducted a mixed method study to describe and assess the policy process relating to health insurance, from agenda setting through implementation and evaluation. The qualitative research methods implemented in this study were 30 in-depth interviews, 4 focus group discussions, expert consultancy, and 420 secondary data review. The data were analyzed by NVivo 7.0. Health insurance in Vietnam was introduced in 1992 and has been elaborated over a 20-year time frame. These processes relate to moving from a contingent to a gradually expanded target population, expanding the scope of the benefit package, and reducing the financial contribution from the insured. The target groups expanded to include 66.8% of the population by 2012. We characterized the policy process relating to UHI as incremental with a learning-by-doing approach, with an emphasis on increasing coverage rather than ensuring a basic service package and financial protection. There was limited involvement of civil society organizations and users in all policy processes. Intertwined political economy factors influenced the policy processes. Incremental policy processes, characterized by a learning-by-doing approach, is appropriate for countries attempting to introduce new health institutions, such as health insurance in Vietnam. Vietnam should continue to mobilize resources in sustainable and viable ways to support the target groups. The country should also adopt a multi-pronged approach to achieving universal access to health services, beyond health insurance.

  15. Policy processes underpinning universal health insurance in Vietnam

    Directory of Open Access Journals (Sweden)

    Bui T. T. Ha

    2014-09-01

    Full Text Available Background: In almost 30 years since economic reforms or ‘renovation’ (Doimoi were launched, Vietnam has achieved remarkably good health results, in many cases matching those in much higher income countries. This study explores the contribution made by Universal Health Insurance (UHI policies, focusing on the past 15 years. We conducted a mixed method study to describe and assess the policy process relating to health insurance, from agenda setting through implementation and evaluation. Design: The qualitative research methods implemented in this study were 30 in-depth interviews, 4 focus group discussions, expert consultancy, and 420 secondary data review. The data were analyzed by NVivo 7.0. Results: Health insurance in Vietnam was introduced in 1992 and has been elaborated over a 20-year time frame. These processes relate to moving from a contingent to a gradually expanded target population, expanding the scope of the benefit package, and reducing the financial contribution from the insured. The target groups expanded to include 66.8% of the population by 2012. We characterized the policy process relating to UHI as incremental with a learning-by-doing approach, with an emphasis on increasing coverage rather than ensuring a basic service package and financial protection. There was limited involvement of civil society organizations and users in all policy processes. Intertwined political economy factors influenced the policy processes. Conclusions: Incremental policy processes, characterized by a learning-by-doing approach, is appropriate for countries attempting to introduce new health institutions, such as health insurance in Vietnam. Vietnam should continue to mobilize resources in sustainable and viable ways to support the target groups. The country should also adopt a multi-pronged approach to achieving universal access to health services, beyond health insurance.

  16. Cost of treatment for breast cancer in central Vietnam

    Directory of Open Access Journals (Sweden)

    Nguyen Hoang Lan

    2013-02-01

    Full Text Available Background: In recent years, cases of breast cancer have been on the rise in Vietnam. To date, there has been no study on the financial burden of the disease. This study estimates the direct medical cost of a 5-year treatment course for women with primary breast cancer in central Vietnam. Methods: Retrospective patient-level data from medical records at the Hue Central Hospital between 2001 and 2006 were analyzed. Cost analysis was conducted from the health care payers’ perspective. Various direct medical cost categories were computed for a 5-year treatment course for patients with breast cancer. Costs, in US dollars, discounted at a 3% rate, were converted to 2010 after adjusting for inflation. For each cost category, the mean, standard deviation, median, and cost range were estimated. Median regression was used to investigate the relationship between costs and the stage, age at diagnosis, and the health insurance coverage of the patients. Results: The total direct medical cost for a 5-year treatment course for breast cancer in central Vietnam was estimated at $975 per patient (range: $11.7–$3,955. The initial treatment cost, particularly the cost of chemotherapy, was found to account for the greatest proportion of total costs (64.9%. Among the patient characteristics studied, stage at diagnosis was significantly associated with total treatment costs. Patients at later stages of breast cancer did not differ significantly in their total costs from those at earlier stages however, but their survival time was much shorter. The absence of health insurance was the main factor limiting service uptake. Conclusion: From the health care payers’ perspective, the Government subsidization of public hospital charges lowered the direct medical costs of a 5-year treatment course for primary breast cancer in central Vietnam. However, the long treatment course was significantly influenced by out-of-pocket payments for patients without health insurance.

  17. The causal effects of Vietnam-era military service on post-war family dynamics.

    Science.gov (United States)

    Heerwig, Jennifer A; Conley, Dalton

    2013-03-01

    Past work has suggested a lasting impact of military service on the lives of veterans. By intervening at a critical stage in the lives of young men, service may open up opportunities for disadvantaged youth. In contrast, the negative consequences of exposure to combat may offset these presumed advantages. Induction into the military is also a nonrandom process that makes identifying the effects of service exceedingly difficult. In this study we use an instrumental variable (IV) approach to model the causal impact of Vietnam-era military service on two outcomes, marital stability and co-residence with adult offspring. We find limited evidence to suggest that military service may have a lasting effect on family life. In particular, we find that service reduces the probability of marital dissolution for white men. Service also significantly increases the probability of filial co-residence for men of other races. Copyright © 2012 Elsevier Inc. All rights reserved.

  18. Patient complaints in healthcare services in Vietnam's health system.

    Science.gov (United States)

    Thi Thu Ha, Bui; Mirzoev, Tolib; Morgan, Rosemary

    2015-01-01

    There is growing recognition of patient rights in health sectors around the world. Patients' right to complain in hospitals, often visible in legislative and regulatory protocols, can be an important information source for service quality improvement and achievement of better health outcomes. However, empirical evidence on complaint processes is scarce, particularly in the developing countries. To contribute in addressing this gap, we investigated patients' complaint handling processes and the main influences on their implementation in public hospitals in Vietnam. The study was conducted in two provinces of Vietnam. We focused specifically on the implementation of the Law on Complaints and Denunciations and the Ministry of Health regulation on resolving complaints in the health sector. The data were collected using document review and in-depth interviews with key respondents. Framework approach was used for data analysis, guided by a conceptual framework and aided by qualitative data analysis software. Five steps of complaint handling were implemented, which varied in practice between the provinces. Four groups of factors influenced the procedures: (1) insufficient investment in complaint handling procedures; (2) limited monitoring of complaint processes; (3) patients' low awareness of, and perceived lack of power to change, complaint procedures and (4) autonomization pressures on local health facilities. While the existence of complaint handling processes is evident in the health system in Vietnam, their utilization was often limited. Different factors which constrained the implementation and use of complaint regulations included health system-related issues as well as social and cultural influences. The study aimed to contribute to improved understanding of complaint handling processes and the key factors influencing these processes in public hospitals in Vietnam. Specific policy implications for improving these processes were proposed, which include improving

  19. Applications of radioisotopes in industry and healthcare in Vietnam

    Energy Technology Data Exchange (ETDEWEB)

    Dien, N.N.; Quang, N.H. [Nucealr Research Institute, Dalat, (Viet Nam)

    1997-10-01

    Nowadays, in Vietnam radioisotopes have been used very widely in various socio-economic branches, especially in industry and healthcare. Applications of radioisotopes have significant meaning in economic development, people health protection, as well as in scientific research. In this paper, the present status and main applications of radiation and radioactive isotopes in industry and healthcare in Vietnam are reported. In order to control and monitor industrial processes, nucleonic control systems and radioactive tracer techniques have been utilized. Actually, sealed source applications are popular in Vietnam industry. A number of nuclear control devices and gauges have been used in the various industrial factories, such as liquid level gauges in steel industry, cement and beverage factories; density and moisture gauges in paper industry, etc. Tracer technique and sealed source applications have also been utilized in industrial production plants and in trouble-shooting in the petroleum industry. For medicine purposes, two departments of nuclear medicine were primarily established at the beginning of the 1970s. At the present time, a number of nuclear medicine departments have been set up and they have been equipped with advanced equipment. Main activities are focused on thyroid function studies, nuclear cardiology, brain scans, gastrointestinal studies, bone scans, etc. Since march 1984 Dalat nuclear research reactor of nominal power of 500 kW has been reconstructed and put into operation. This reactor is unique in Vietnam and has become an important scientific tool for development of nuclear techniques and radioisotope applications for socio-economic progress. Thanks to this important scientific tool, a variety of radioisotopes for medicine and industry applications as well as for scientific research has been produced. Utilization of the Dalat research reactor for radioisotope production is also summarized in this paper

  20. Nature of Science Progression in School Year 1-9: a Case Study of Teachers' Suggestions and Rationales

    Science.gov (United States)

    Leden, Lotta; Hansson, Lena

    2017-07-01

    The inclusion of nature of science (NOS) in science education has for a long time been regarded as crucial. There is, however, a lack of research on appropriate NOS aspects for different educational levels. An even more neglected area of research is that focusing on teachers' perspectives on NOS teaching at different levels. The aim of this article is to examine NOS progression in the light of teachers' suggestions and rationales. In order to obtain teachers' informed perspectives, we chose to involve six teachers (teaching grades 1-9) in a 3-year research project. They took part in focus group discussions about NOS and NOS teaching as well as implemented jointly planned NOS teaching sessions. Data that this article builds on was collected at the end of the project. The teachers' suggestions for NOS progression often relied on adding more NOS issues at every stage, thereby creating the foundations of a broader but not necessarily deeper understanding of NOS. Five rationales, for if/when specific NOS issues are appropriate to introduce, emerged from the analysis of the teacher discussions. Some of these rationales, including practice makes perfect and increasing levels of depth can potentially accommodate room for many NOS issues in the science classroom, while maturity and experience instead has a restricting effect on NOS teaching. Also, choice of context and teaching approaches play an important role in teachers' rationales for whether specific NOS issues should be included or not at different stages. The article discusses the implications for teacher education and professional development.

  1. Cultural shift in mental illness: a comparison of stress responses in World War I and the Vietnam War.

    Science.gov (United States)

    Skinner, Rasjid; Kaplick, Paul M

    2017-12-01

    Post-traumatic stress disorder is an established diagnostic category. In particular, over the past 20 years, there has been an interest in culture as a fundamental factor in post-traumatic stress disorder symptom manifestation. However, only a very limited portion of this literature studies the historical variability of post-traumatic stress within a particular culture. Therefore, this study examines whether stress responses to violence associated with armed conflicts have been a culturally stable reaction in Western troops. We have compared historical records from World War I to those of the Vietnam War. Reference is also made to observations of combat trauma reactions in pre-World War I conflicts, World War II, the Korean War, the Falklands War, and the First Gulf War. The data set consisted of literature that was published during and after these armed conflicts. Accounts of World War I Shell Shock that describe symptom presentation, incidence (both acute and delayed), and prognosis were compared to the observations made of Vietnam War post-traumatic stress disorder victims. Results suggest that the conditions observed in Vietnam veterans were not the same as those which were observed in World War I trauma victims. The paper argues that the concept of post-traumatic stress disorder cannot be stretched to cover the typical battle trauma reactions of World War I. It is suggested that relatively subtle changes in culture, over little more than a generation, have had a profound effect on how mental illness forms, manifests itself, and is effectively treated. We add new evidence to the argument that post-traumatic stress disorder in its current conceptualisation does not adequately account, not only for ethnocultural variation but also for historical variation in stress responses within the same culture.

  2. Serpents in jars: the snake wine industry in Vietnam

    Directory of Open Access Journals (Sweden)

    R. Somaweera

    2010-10-01

    Full Text Available Exploitation of snakes in Vietnam takes place for different purposes, and among them the snake wine industry is prominent but has received far less attention than other dealings, such as the pet trade. Despite widespread commercialisation there is a general lack of information about this snake trade, which makes it difficult to evaluate its magnitude and impact on snake populations. This study documents the use of snakes in snake wine in four cities in Vietnam through surveys conducted in 127 locations selling snake wine in September 2009. This study provides a list of species used along with the number of individuals observed. While none of the species involved are listed in the IUCN Red List, seven species are listed in the Vietnam Red Data Book, of which five are regulated by CITES. On the other hand, the most abundant species used in the trade, Xenochrophis flavipunctatus, is not listed in any conservation document. The popularity and economic importance of snakes in the form of snake wine demonstrates the need for the development of sustainable use programs for these species.

  3. Challenges for municipal solid waste management practices in Vietnam

    Directory of Open Access Journals (Sweden)

    Nguyen Duc Luong

    2013-11-01

    Full Text Available Municipal solid waste (MSW management is currently one of the major environmental problems facing by Vietnam. Improper management of MSW has caused adverse impacts on the environment, community health, and social-economic development. This study attempts to provide a review of the generation and characterization, disposal and treatment technologies of MSW to evaluate the current status and identify the problems of MSW management practices in Vietnam. Finally, this study is concluded with fruitful recommendations which may be useful in encouraging the responsible agencies to work towards the further improvement of the existing MSW management system.Doi: http://dx.doi.org/10.12777/wastech.1.1.17-21Citation:  Luong, N.D., Giang, H.M., Thanh, B.X. and Hung, N.T.  2013. Challenges for municipal solid waste management practices in Vietnam. Waste Technology 1(1:6-9.Doi: http://dx.doi.org/10.12777/wastech.1.1.17-21

  4. Molecular genotyping of duck hepatitis A viruses (DHAV) in Vietnam.

    Science.gov (United States)

    Doan, Huong Thi Thanh; Le, Xuyen Thi Kim; Do, Roan Thi; Hoang, Chau Thi Minh; Nguyen, Khue Thi; Le, Thanh Hoa

    2016-09-30

    The aim of this study was to identify the genetic characteristics and molecular genotyping of duck hepatitis A virus (DHAV) isolated in Vietnam during 2009-2013. Thirty duckling livers from outbreaks between 2009 and 2013 in seven provinces were collected and identified by polymerase chain reaction (PCR). Then, VP1 genes of eleven positive samples and two attenuated vaccine strains were sequenced and analyzed. Genotypic and phylogenetic analyses indicated that the 13 Vietnamese isolates were classified into two genotypes, DHAV-1 and DHAV-3. The rate of identity and homology was 91%-100% between the 10 Vietnamese and 26 global strains of DHAV-3, and 92%-100% between 3 Vietnamese and 16 strains of DHAV-1. Between the DHAV-3 and DHAV-1 strains, the divergence reached 30%. At the C-terminal of VP1 for the different strains, a hypervariable region was observed, and notably, six of the Vietnamese DHAV-3 strains in this study showed four consistent differences (at positions T184M, Q200H, K207N, and K214R) within this group that were distinct from all other DHAV-3 strains. This is the first report of molecular characterization of DHAVs in Vietnam. At least two genotypes were identified, DHAV-1 and DHAV-3, with diversified clades within and between genotypes. DHAV-3 seemed to be dominant in Vietnam.

  5. Epidemiology and care of epilepsy in Vietnam

    OpenAIRE

    Tuan, Nguyen Anh

    2010-01-01

    Epilepsy is often considered the most common serious chronic neurological disorder estimated to affect 50 million people globally. Although the majority of these live in developing countries, data on the epidemiology of epilepsy from such countries are scarce. This is true also for Vietnam. The overall objective of this project, Epidemiology and Care of Epilepsy in Ba Vi (EPIBAVI), was therefore to provide essential epidemiological data on epilepsy in Vietnam as a basis for ...

  6. Vietnam, a Hotspot for Chromosomal Diversity and Cryptic Species in Black Flies (Diptera: Simuliidae.

    Directory of Open Access Journals (Sweden)

    Peter H Adler

    Full Text Available The increasing attention on Vietnam as a biodiversity hotspot prompted an investigation of the potential for cryptic diversity in black flies, a group well known elsewhere for its high frequency of isomorphic species. We analyzed the banding structure of the larval polytene chromosomes in the Simulium tuberosum species group to probe for diversity beyond the morphological level. Among 272 larvae, 88 different chromosomal rearrangements, primarily paracentric inversions, were discovered in addition to 25 already known in the basic sequences of the group in Asia. Chromosomal diversity in Vietnam far exceeds that known for the group in Thailand, with only about 5% of the rearrangements shared between the two countries. Fifteen cytoforms and nine morphoforms were revealed among six nominal species in Vietnam. Chromosomal evidence, combined with available molecular and morphological evidence, conservatively suggests that at least five of the cytoforms are valid species, two of which require formal names. The total chromosomal rearrangements and species (15 now known from the group in Vietnam far exceed those of any other area of comparable size in the world, supporting the country's status as a biodiversity hotspot. Phylogenetic inference based on uniquely shared, derived chromosomal rearrangements supports the clustering of cytoforms into two primary lineages, the Simulium tani complex and the Southeast Asian Simulium tuberosum subgroup. Some of these taxa could be threatened by habitat destruction, given their restricted geographical distributions and the expanding human population of Vietnam.

  7. Vietnam, a Hotspot for Chromosomal Diversity and Cryptic Species in Black Flies (Diptera: Simuliidae).

    Science.gov (United States)

    Adler, Peter H; Takaoka, Hiroyuki; Sofian-Azirun, Mohd; Low, Van Lun; Ya'cob, Zubaidah; Chen, Chee Dhang; Lau, Koon Weng; Pham, Xuan Da

    2016-01-01

    The increasing attention on Vietnam as a biodiversity hotspot prompted an investigation of the potential for cryptic diversity in black flies, a group well known elsewhere for its high frequency of isomorphic species. We analyzed the banding structure of the larval polytene chromosomes in the Simulium tuberosum species group to probe for diversity beyond the morphological level. Among 272 larvae, 88 different chromosomal rearrangements, primarily paracentric inversions, were discovered in addition to 25 already known in the basic sequences of the group in Asia. Chromosomal diversity in Vietnam far exceeds that known for the group in Thailand, with only about 5% of the rearrangements shared between the two countries. Fifteen cytoforms and nine morphoforms were revealed among six nominal species in Vietnam. Chromosomal evidence, combined with available molecular and morphological evidence, conservatively suggests that at least five of the cytoforms are valid species, two of which require formal names. The total chromosomal rearrangements and species (15) now known from the group in Vietnam far exceed those of any other area of comparable size in the world, supporting the country's status as a biodiversity hotspot. Phylogenetic inference based on uniquely shared, derived chromosomal rearrangements supports the clustering of cytoforms into two primary lineages, the Simulium tani complex and the Southeast Asian Simulium tuberosum subgroup. Some of these taxa could be threatened by habitat destruction, given their restricted geographical distributions and the expanding human population of Vietnam.

  8. In vitro studies in a myelogenous leukemia cell line suggest an organized binding of geranylgeranyl diphosphate synthase inhibitors.

    Science.gov (United States)

    Reilly, Jacqueline E; Zhou, Xiang; Tong, Huaxiang; Kuder, Craig H; Wiemer, David F; Hohl, Raymond J

    2015-07-15

    A small set of isoprenoid bisphosphonates ethers has been tested in the K562 chronic myelogenous leukemia cell line to determine their impact on isoprenoid biosynthesis. Five of these compounds inhibit geranylgeranyl diphosphate synthase (GGDPS) with IC50 values below 1 μM in enzyme assays, but in cells their apparent activity is more varied. In particular, the isomeric C-geranyl-O-prenyl and C-prenyl-O-geranyl bisphosphonates are quite different in their activity with the former consistently demonstrating greater impairment of geranylgeranylation in cells but the latter showing greater impact in the enzyme assays with GGDPS. Together, these findings suggest an organized binding of these inhibitors in the two hydrophobic channels of the geranylgeranyl diphosphate synthase enzyme. Copyright © 2015. Published by Elsevier Inc.

  9. A user-centered qualitative study on experiences with ankle-foot orthoses and suggestions for improved design.

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    van der Wilk, Dymphy; Hijmans, Juha Markus; Postema, Klaas; Verkerke, Gijsbertus Jacob

    2017-01-01

    Improving ankle-foot orthosis design can best be done by implementing a user-centered approach. To provide insight into the ideas of ankle-foot orthosis users with flaccid ankle muscle paresis on the importance of activities and suggestions for an improved ankle-foot orthosis design. A focus-group discussion with eight ankle-foot orthosis users (57 ± 5 years, 50% female). Main inclusion criteria were as follows: ⩾18 years, unable to stand on tip-toe and unable to lift toes. Main exclusion criterion was spasticity of lower extremity muscles. Transcribed data were coded according to the International Classification of Functioning, Disability and Health. Thematic analysis with inductive approach was chosen to order and interpret codes. Ankle-foot orthosis users ranked walking the most important activity followed by sitting down/standing up from a chair. Their opinion was that ankle-foot orthoses facilitate walking and standing. Ankle-foot orthosis users suggested that an improved ankle-foot orthosis design should balance between stability and flexibility. Current ankle-foot orthoses facilitate walking which was the most important activity according to ankle-foot orthosis users. An improved ankle-foot orthosis design should enable walking and should optimize between stability and flexibility dependent on the activity and the paresis severity. Clinical relevance Experienced users of ankle-foot orthosis agreed that matching ankle-foot orthosis functions to daily-life activities is a trade-off between stability and flexibility. An improved ankle-foot orthosis design should at least enable level walking.

  10. Are reviewers suggested by authors as good as those chosen by editors? Results of a rater-blinded, retrospective study

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    Parkin Emma C

    2006-05-01

    Full Text Available Abstract Background BioMed Central (BMC requires authors to suggest four reviewers when making a submission. Editors searching for reviewers use these suggestions as a source. The review process of the medical journals in the BMC series is open – authors and reviewers know each other's identity – although reviewers can make confidential comments to the editor. Reviews are published alongside accepted articles so readers may see the reviewers' names and recommendations. Our objective was to compare the performance of author-nominated reviewers (ANR with that of editor-chosen reviewers (ECR in terms of review quality and recommendations about submissions in an online-only medical journal. Methods Pairs of reviews from 100 consecutive submissions to medical journals in the BMC series (with one author-nominated and one editor-chosen reviewer and a final decision were assessed by two raters, blinded to reviewer type, using a validated review quality instrument (RQI which rates 7 items on 5-point Likert scales. The raters discussed their ratings after the first 20 pairs (keeping reviewer type masked and resolved major discrepancies in scoring and interpretation to improve inter-rater reliability. Reviewers' recommendations were also compared. Results Reviewer source had no impact on review quality (mean RQI score (± SD 2.24 ± 0.55 for ANR, 2.34 ± 0.54 for ECR or tone (mean scores on additional question 2.72 ANR vs 2.82 ECR (maximum score = 5 in both cases. However author-nominated reviewers were significantly more likely to recommend acceptance (47 vs 35 and less likely to recommend rejection (10 vs 23 than editor-chosen reviewers after initial review (p Conclusion Author-nominated reviewers produced reviews of similar quality to editor-chosen reviewers but were more likely to recommend acceptance during the initial stages of peer review.

  11. Phylogenomic study indicates widespread lateral gene transfer in Entamoeba and suggests a past intimate relationship with parabasalids.

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    Grant, Jessica R; Katz, Laura A

    2014-09-01

    Lateral gene transfer (LGT) has impacted the evolutionary history of eukaryotes, though to a lesser extent than in bacteria and archaea. Detecting LGT and distinguishing it from single gene tree artifacts is difficult, particularly when considering very ancient events (i.e., over hundreds of millions of years). Here, we use two independent lines of evidence--a taxon-rich phylogenetic approach and an assessment of the patterns of gene presence/absence--to evaluate the extent of LGT in the parasitic amoebozoan genus Entamoeba. Previous work has suggested that a number of genes in the genome of Entamoeba spp. were acquired by LGT. Our approach, using an automated phylogenomic pipeline to build taxon-rich gene trees, suggests that LGT is more extensive than previously thought. Our analyses reveal that genes have frequently entered the Entamoeba genome via nonvertical events, including at least 116 genes acquired directly from bacteria or archaea, plus an additional 22 genes in which Entamoeba plus one other eukaryote are nested among bacteria and/or archaea. These genes may make good candidates for novel therapeutics, as drugs targeting these genes are less likely to impact the human host. Although we recognize the challenges of inferring intradomain transfers given systematic errors in gene trees, we find 109 genes supporting LGT from a eukaryote to Entamoeba spp., and 178 genes unique to Entamoeba spp. and one other eukaryotic taxon (i.e., presence/absence data). Inspection of these intradomain LGTs provide evidence of a common sister relationship between genes of Entamoeba (Amoebozoa) and parabasalids (Excavata). We speculate that this indicates a past close relationship (e.g., symbiosis) between ancestors of these extant lineages. © The Author(s) 2014. Published by Oxford University Press on behalf of the Society for Molecular Biology and Evolution.

  12. PTSD and Use of Outpatient General Medical Services Among Veterans of the Vietnam War.

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    Schlenger, William E; Mulvaney-Day, Norah; Williams, Christianna S; Kulka, Richard A; Corry, Nida H; Mauch, Danna; Nagler, Caryn F; Ho, Chia-Lin; Marmar, Charles R

    2016-05-01

    The primary goal of this analysis was to assess whether recent use of outpatient services for general medical concerns by Vietnam veterans varies according to level of posttraumatic stress disorder (PTSD) symptomatology over time. Another goal was to determine whether PTSD symptomatology was associated with veterans' reports of discussing behavioral health issues as part of a general medical visit. Self-reported service use data and measures of PTSD were from a nationally representative sample of 848 male and female Vietnam theater veterans (individuals who were deployed to the Vietnam theater of operations) who participated in the National Vietnam Veterans Longitudinal Study, a 25-year follow-up of a cohort of veterans originally interviewed from 1984-1988 as part of the National Vietnam Veterans Readjustment Study. Four categories of PTSD symptomatology course over 25 years were defined, and logistic regression models were used to assess their relationship with recent use of outpatient general medical services. Male and female theater veterans with high or increasing PTSD symptomatology over the period were more likely than those with low symptomatology to report recent VA outpatient visits. Males in the increasing and high categories were also more likely to discuss behavioral health issues at general medical visits. Vietnam veterans with high and increasing PTSD symptomatology over time were likely to use VA outpatient general health services. Attention to stressors of the aging process and to persistence of PTSD symptoms is important for Vietnam veterans, as is addressing PTSD with other psychiatric and medical comorbidities within the context of outpatient general medical care.

  13. Socio-ecological risk factors for prime-age adult death in two coastal areas of Vietnam.

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    Deok Ryun Kim

    Full Text Available BACKGROUND: Hierarchical spatial models enable the geographic and ecological analysis of health data thereby providing useful information for designing effective health interventions. In this study, we used a Bayesian hierarchical spatial model to evaluate mortality data in Vietnam. The model enabled identification of socio-ecological risk factors and generation of risk maps to better understand the causes and geographic implications of prime-age (15 to less than 45 years adult death. METHODS AND FINDINGS: The study was conducted in two sites: Nha Trang and Hue in Vietnam. The study areas were split into 500×500 meter cells to define neighborhoods. We first extracted socio-demographic data from population databases of the two sites, and then aggregated the data by neighborhood. We used spatial hierarchical model that borrows strength from neighbors for evaluating risk factors and for creating spatially smoothed risk map after adjusting for neighborhood level covariates. The Markov chain Monte Carlo procedure was used to estimate the parameters. Male mortality was more than twice the female mortality. The rates also varied by age and sex. The most frequent cause of mortality was traffic accidents and drowning for men and traffic accidents and suicide for women. Lower education of household heads in the neighborhood was an important risk factor for increased mortality. The mortality was highly variable in space and the socio-ecological risk factors are sensitive to study site and sex. CONCLUSION: Our study suggests that lower education of the household head is an important predictor for prime age adult mortality. Variability in socio-ecological risk factors and in risk areas by sex make it challenging to design appropriate intervention strategies aimed at decreasing prime-age adult deaths in Vietnam.

  14. Assessment of climate change impact on river flow regimes in The Red River Delta, Vietnam – A case study of the Nhue-Day River Basin

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    Phan Cao Duong

    2016-09-01

    Full Text Available Global warming has caused dramatic changes in regional climate variability, particularly regarding fluctuations in temperature and rainfall. Thus, it is predicted that river flow regimes will be altered accordingly. The purpose of this paper is to present the results of modeling such changes by simulating discharge using the HEC-HMS model. The precipitation was projected using super-high resolution multiple climate models (20 km resolution with newly updated emission scenarios as the input for the HEC-HMS model for flow analysis at the Red River Basin in the northern area of Vietnam. The findings showed that climate change impact on the river flow regimes tend towards a decrease in the dry season and a longer duration of flood flow. A slight runoff reduction is simulated for November while a considerable runoff increase is modeled for July and August amounting to 30% and 25%, respectively. The discharge scenarios serve as a basis for water managers to develop suitable adaptation methods and responses on the river basin scale.

  15. Understanding the causes and consequences of injuries to adolescents growing up in poverty in Ethiopia, Andhra Pradesh (India), Vietnam and Peru: a mixed method study.

    Science.gov (United States)

    Morrow, Virginia; Barnett, Inka; Vujcich, Daniel

    2014-01-01

    The World Health Organization estimates that almost half of all premature deaths among 15- to 19-year olds can be attributed to injuries with most (95%) fatal injuries occurring in low- and middle-income countries. Yet the evidence base for adolescent injuries in low-income countries is poor. This article uses a mixed method approach to gain an understanding of patterns, causes and consequences of unintentional injuries among adolescents aged between 14 and 16 years in four low-income country settings. Survey data collected in 2009 in Ethiopia, India (Andhra Pradesh), Peru and Vietnam (from ~900 adolescents in each country) were integrated with qualitative research (conducted between 2007 and 2011) with a nested sample of older cohort children in Ethiopia (n = 25) and India (n = 25) using an iterative process. Logistic regression models were fitted to examine potential risk factors for injuries. Injuries were a concern for adolescents in all countries and occurred during work, recreation and sports or transportation. Being male was associated with an increased risk for all types of injuries, whereas being poor was only significantly associated with work injuries. Area of residence (urban vs rural) made a difference in some countries and for some kinds of injuries as did perceived health status. Qualitative findings highlight the consequences of injuries not only for the adolescents but also for the social and economic status of the entire household. Injury prevention programmes need to be specific to cultural and environmental settings, expectations of adolescent's responsibilities and responsive to the context of poverty.

  16. Ocean Dynamics: Vietnam DRI

    Science.gov (United States)

    2014-09-30

    set of Slocum gliders, some with microstructure packages (WHOI-St. Laurent) and others with coherent 2 MHz Nortek Aquadopp profilers (OSU- Shearman... Slocum gliders where then deployed bracketing the WW. The gliders, using the real-time telemetered position of the WW, were navigated to maintain a...Figure 3: Screen shot of the combined activites during the CSC-14 Process study. This image shows the relative positions of the WW (#11), four Slocum

  17. Estimating the burden of fungal disease in Vietnam.

    Science.gov (United States)

    Beardsley, J; Denning, D W; Chau, N V; Yen, N T B; Crump, J A; Day, J N

    2015-10-01

    Data regarding the prevalence of fungal infections in Vietnam are limited yet they are likely to occur more frequently as increasingly sophisticated healthcare creates more iatrogenic risk factors. In this study, we sought to estimate baseline incidence and prevalence of selected serious fungal infections for the year 2012. We made estimates with a previously described actuarial method, using reports on the incidence and prevalence of various established risk factors for fungal infections from Vietnam, or similar environments, supplemented by personal communications. Global data were used if local data were unavailable. We estimated 2,352,748 episodes of serious fungal infection occurred in Vietnam in 2012. Frequent conditions included recurrent vaginal candidiasis (3893/100,000 women annually), tinea capitis (457/100,000 annually) and chronic pulmonary aspergillosis (61/100,000/5 year period). We estimated 140 cases of cryptococcal meningitis, 206 of penicilliosis and 608 of Pneumocystis jirovecii pneumonia. This is the first summary of Vietnamese fungal infections. The majority of severe disease is due to Aspergillus species, driven by the high prevalence of pulmonary tuberculosis. The AIDS epidemic highlights opportunistic infections, such as penicilliosis and cryptococcosis, which may complicate immunosuppressive treatments. These estimates provide a useful indication of disease prevalence to inform future research and resource allocation but should be verified by further epidemiological approaches. © 2015 The Authors Mycoses Published by Blackwell Verlag GmbH.

  18. CO2 Reduction Potential of Water Saving in Vietnam

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    Takayuki Otani

    2015-05-01

    Full Text Available In a previous study, we showed that widespread adoption of water-saving equipment had the potential to reduce CO2 emissions by 1% in Japan. The usage of already diffused equipment was used as an evaluation baseline. This was an evaluation model of developed countries. In order to evaluate the potential benefits of water-saving in developing countries, it is necessary to set the baseline, as cities in developing countries are expected to have the necessary infrastructure in place in the near future. In this paper, the potential for reducing CO2 emissions by water saving in Vietnam was evaluated. Based on the development of water infrastructure, and envisioning a society in which the latest high-efficiency flush toilet bowls and showers installed in Hanoi and Ho Chi Minh City are used in all Vietnamese houses as a near future baseline, we evaluated the potential reduction when a water-saving project is implemented. Under these conditions, an 8.8% reduction in CO2 emissions in Vietnam would be achieved by the widespread adoption of water-saving equipment. Following the recognition of the large environmental contribution potential of water saving, a water-saving project has been planned for implementation in Vietnam in the near future.

  19. Genome-environment association study suggests local adaptation to climate at the regional scale in Fagus sylvatica.

    Science.gov (United States)

    Pluess, Andrea R; Frank, Aline; Heiri, Caroline; Lalagüe, Hadrien; Vendramin, Giovanni G; Oddou-Muratorio, Sylvie

    2016-04-01

    The evolutionary potential of long-lived species, such as forest trees, is fundamental for their local persistence under climate change (CC). Genome-environment association (GEA) analyses reveal if species in heterogeneous environments at the regional scale are under differential selection resulting in populations with potential preadaptation to CC within this area. In 79 natural Fagus sylvatica populations, neutral genetic patterns were characterized using 12 simple sequence repeat (SSR) markers, and genomic variation (144 single nucleotide polymorphisms (SNPs) out of 52 candidate genes) was related to 87 environmental predictors in the latent factor mixed model, logistic regressions and isolation by distance/environmental (IBD/IBE) tests. SSR diversity revealed relatedness at up to 150 m intertree distance but an absence of large-scale spatial genetic structure and IBE. In the GEA analyses, 16 SNPs in 10 genes responded to one or several environmental predictors and IBE, corrected for IBD, was confirmed. The GEA often reflected the proposed gene functions, including indications for adaptation to water availability and temperature. Genomic divergence and the lack of large-scale neutral genetic patterns suggest that gene flow allows the spread of advantageous alleles in adaptive genes. Thereby, adaptation processes are likely to take place in species occurring in heterogeneous environments, which might reduce their regional extinction risk under CC. © 2016 The Authors. New Phytologist © 2016 New Phytologist Trust.

  20. X-ray Crystallographic Studies of Substrate Binding to Aristolochene Synthase Suggest a Metal Ion Binding Sequence for Catalysis

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    Shishova,E.; Yu, F.; Miller, D.; Faraldos, J.; Zhao, Y.; Coates, R.; Allemann, R.; Cane, D.; Christianson, D.

    2008-01-01

    The universal sesquiterpene precursor, farnesyl diphosphate (FPP), is cyclized in an Mg2+-dependent reaction catalyzed by the tetrameric aristolochene synthase from Aspergillus terreus to form the bicyclic hydrocarbon aristolochene and a pyrophosphate anion (PPi) coproduct. The 2.1- Angstroms resolution crystal structure determined from crystals soaked with FPP reveals the binding of intact FPP to monomers A-C, and the binding of PPi and Mg2+B to monomer D. The 1.89- Angstroms resolution structure of the complex with 2-fluorofarnesyl diphosphate (2F-FPP) reveals 2F-FPP binding to all subunits of the tetramer, with Mg2+Baccompanying the binding of this analogue only in monomer D. All monomers adopt open activesite conformations in these complexes, but slight structural changes in monomers C and D of each complex reflect the very initial stages of a conformational transition to the closed state. Finally, the 2.4- Angstroms resolution structure of the complex with 12,13-difluorofarnesyl diphosphate (DF-FPP) reveals the binding of intact DF-FPP to monomers A-C in the open conformation and the binding of PPi, Mg2+B, and Mg2+C to monomer D in a predominantly closed conformation. Taken together, these structures provide 12 independent 'snapshots' of substrate or product complexes that suggest a possible sequence for metal ion binding and conformational changes required for catalysis.