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Natural infection by Trichinella sp. has been reported in humans and more than 150 species of animals, especially carnivorous and omnivorous mammals. Although the presence of Trichinella sp. infection in wild boars (Sus scrofa) has been documented worldwide, limited information is known about Trichinella circulation in farmed wild boars in China. This study intends to investigate the prevalence of Trichinella sp. in farmed wild boars in China. Seven hundred and sixty-one (761) muscle samples from farmed wild boars were collected in Jilin Province of China from 2017 to 2020. The diaphragm muscles were examined by artificial digestion method. The overall prevalence of Trichinella in farmed wild boars was 0.53% [95% confidence interval (CI): 0.51–0.55]. The average parasite loading was 0.076 ± 0.025 larvae per gram (lpg), and the highest burden was 0.21 lpg in a wild boar from Fusong city. Trichinella spiralis was the only species identified by multiplex polymerase chain reaction. The 5S rDNA inter-genic spacer region of Trichinella was amplified and sequenced. The results showed that the obtained sequence (GenBank accession number: OQ725583) shared 100% identity with the T. spiralis HLJ isolate (GenBank accession number: MH289505). Since the consumption of farmed wild boars is expected to increase in the future, these findings highlight the significance of developing exclusive guidelines for the processing of slaughtered farmed wild boar meat in China.
The concept of a forest transition – a regional shift from deforestation to forest recovery – tends to equate forest area expansion with sustainability, assuming that more forest is good for people and the environment. To promote debate and more just and ecologically sustainable outcomes during this period of intense focus on forests (such as the United Nations’ Decade on Ecological Restoration, the Trillion Trees initiative and at the United Nations’ Climate Change Conferences), we synthesize recent nuanced and integrated research to inform forest management and restoration in the future. Our results reveal nine pitfalls to assuming forest transitions and sustainability are automatically linked. The pitfalls are as follows: (1) fixating on forest quantity instead of quality; (2) masking local diversity with large-scale trends; (3) expecting U-shaped temporal trends of forest change; (4) failing to account for irreversibility; (5) framing categories and concepts as universal/neutral; (6) diverting attention from the simplification of forestlands into single-purpose conservation forests or intensive production lands; (7) neglecting social power transitions and dispossessions; (8) neglecting productivism as the hidden driving force; and (9) ignoring local agency and sentiments. We develop and illustrate these pitfalls with local- and national-level evidence from Southeast Asia and outline forward-looking recommendations for research and policy to address them. Forest transition research that neglects these pitfalls risks legitimizing unsustainable and unjust policies and programmes of forest restoration or tree planting.
The aim of this study is to analyse the changing patterns in the transmission of COVID-19 in relation to changes in Vietnamese governmental policies, based on epidemiological data and policy actions in a large Vietnamese province, Bac Ninh, in 2021. Data on confirmed cases from January to December 2021 were collected, together with policy documents. There were three distinct periods of the COVID-19 pandemic in Bac Ninh province during 2021. During the first period, referred to as the ‘Zero-COVID’ period (01/04–07/04/2021), there was a low population vaccination rate, with less than 25% of the population receiving its first vaccine dose. Measures implemented during this period focused on domestic movement restrictions, mask mandates, and screening efforts to control the spread of the virus. The subsequent period, referred to as the ‘Transition’ period (07/05–10/22/2021), witnessed a significant increase in population vaccination coverage, with 80% of the population receiving their first vaccine dose. During this period, several days passed without any reported COVID-19 cases in the community. The local government implemented measures to manage domestic actions and reduce the time spent in quarantine, and encouraged home quarantining for the close contacts of cases with COVID-19. Finally, the ‘New-normal’ stage (10/23–12/31/2021), during which the population vaccination coverage with a second vaccine dose increased to 70%, and most of the mandates for the prevention and control of COVID-19 were reduced. In conclusion, this study highlights the importance of governmental policies in managing and controlling the transmission of COVID-19 and provides insights for developing realistic and context-specific strategies in similar settings.
This Element demonstrates how and why the alignment method can advance measurement fairness in developmental science. It explains its application to multi-category items in an accessible way, offering sample code and demonstrating an R package that facilitates interpretation of such items' multiple thresholds. It features the implications for group mean differences when differences in the thresholds between categories are ignored because items are treated as continuous, using an example of intersectional groups defined by assigned sex and race/ethnicity. It demonstrates the interpretation of item-level partial non-invariance results and their implications for group-level differences and encourages substantive theorizing regarding measurement fairness.
OBJECTIVES/GOALS: This study investigates whether localization of high mobility group box 1 (HMGB1) controls inflammatory signaling and DNA damage response in human keratinocytes, the cell of origin for squamous cell carcinoma (SCC). SCC is especially metastatic in chronic wounds, burns, and in patients with recessive dystrophic epidermolysis bullosa (RDEB). METHODS/STUDY POPULATION: We used CRISPR/Cas9 gene-editing to knock out HMGB1 in a keratinocyte line, p16INK4a-negative keratinocytes immortalized by ectopic hTERT expression (N/TERT-2G [46,XY]). Following gene editing, clonal keratinocyte populations were screened for knockout by PCR followed by TIDE analysis (Tracking of Indels by Decomposition) to identify indels that would result in a frameshift mutation. Total cell lysates for each clonal population were analyzed by immunoblot and immunofluorescence for HMGB1 protein. These cells will be used to assay for DNA damage sensitivity in the presence of genotoxic agents (etoposide, ultraviolet radiation, γ-irradiation). A lentiviral vector will then be used to express mutant forms of HMGB1 that localize to the nucleus (C23/45S) or cytoplasm (C106S) and DNA damage assays repeated. RESULTS/ANTICIPATED RESULTS: We have confirmed by sequencing, immunoblot, and immunofluorescence that HMGB1 is knocked out in a clonal population of N/TERT-2G human keratinocyte cells. We anticipate that cells with a complete absence of HMGB1 will have high sensitivity to DNA damaging agents, but little change in inflammatory signaling. We also expect that cells expressing mutant HMGB1 that localizes exclusively to the cytoplasm will demonstrate an increased sensitivity to DNA damage relative to wild-type controls, while mutant HMGB1 that localizes exclusively to the nucleus will be protected from DNA damage caused by exposure to genotoxic agents. DISCUSSION/SIGNIFICANCE: HMGB1 is a nuclear protein and damage associated molecular pattern that is elevated systemically in patients with RDEB, many of whom will go on to develop metastatic squamous cell carcinoma. The experiments described here investigate whether HMGB1 plays a mechanistic role in skin carcinogenesis via regulation of the DNA damage response.
Objectives: SARS-CoV-2 is a novel and highly infectious virus. An effective response requires rapid training of healthcare workers (HCWs). We measured the change in knowledge related to COVID-19 and associated factors before and after training of HCWs in Vietnam. Methods: A quasi-experimental design was used to evaluate HCW knowledge related to prevention and control of SARS-CoV-2 before and after attending a 2-day training-of-trainers course. Between June and September 2020, 963 HCWs from 194 hospitals in 21 provinces received the training. HCW knowledge was assessed using a 20-item questionnaire consisting of multiple-choice questions at the beginning and closing of the training course. A participant received 1 point for each correct answer. He or she was considered to have improved knowledge the posttest score was higher than the pretest score with a score ≥15 on the posttest. We applied the McNemar test and logistic regression model to test the level of association between demographic factors and change in knowledge of COVID-19. Results: Overall, 100% of HCWs completed both the pretest and posttest. At baseline, only 14.7% scored ≥15. Following the training, 78.4% scored ≥15 and 64.3% had improved knowledge according to the predetermined definition. Questions related to the order of PPE donning and doffing and respiratory specimen collection procedures were identified as having the greatest improvement (44.6% and 60.7%, respectively). Being female (OR, 1.5; 95% CI, 1.1–2.0), having a postgraduate degree (OR, 2.5; 95% CI, 1.4–4.4), working in a nonmanager position (OR, 1.5; 95% CI, 1.1–2.1), previous contact with a COVID-19 patient (OR, 1.5; 95% CI, 1.1–2.0), and working in northern Vietnam (OR, 2.0; 95% CI, 1.4–2.6), were associated with greater knowledge improvement. Conclusions: Most HCWs demonstrated improved knowledge of COVID-19 prevention and control after attending the training. Particular groups may benefit from additional training: those who are male, leaders and managers, those who hold an undergraduate degree, and those who work in the southern provinces.
Acute myocarditis is one of the common complications of coronavirus disease 2019 (COVID-19) with a relatively high case fatality. Here reported is a fulminant case of a 42-year-old previously healthy woman with cardiogenic shock and refractory cardiac arrest due to COVID-19-induced myocarditis who received veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) after 120 minutes of cardiopulmonary resuscitation (CPR). This is the first adult case of cardiac arrest due to COVID-19-induced myocarditis supported by ECMO that fully recovered with normal neurological functions. The success of the treatment course with full recovery emphasized the potential role of ECMO in treating these patients.
In some languages assertions about ‘somebody’ or ‘nobody’ are existential in a strong sense, i.e. they need or prominently allow an explicit syntactic marker of existence (‘there is’, ‘exist’). This paper presents a state-of-the-art typology of existential indefinite constructions and finds the typological understanding to be inconclusive in many respects. The paper responds to this inconclusiveness with a study of the existential indefinite constructions in four mainland Southeast Asian languages, namely Thai, Lao, Vietnamese, and Khmer. These are languages in which existential indefinite constructions take pride of place, although the typological literature has not acknowledged this. The paper then sketches the implications of the study of the aforementioned languages for typology.
This paper introduces a formal definition of a Cyber-Physical System (CPS) in the spirit of the CPS Framework proposed by the National Institute of Standards and Technology (NIST). It shows that using this definition, various problems related to concerns in a CPS can be precisely formalized and implemented using Answer Set Programming (ASP). These include problems related to the dependency or conflicts between concerns, how to mitigate an issue, and what the most suitable mitigation strategy for a given issue would be. It then shows how ASP can be used to develop an implementation that addresses the aforementioned problems. The paper concludes with a discussion of the potentials of the proposed methodologies.
The aim of this study was to determine why bystanders did not use formal Emergency Medical Services (EMS) or conduct cardiopulmonary resuscitation (CPR) on the scene for out-of-hospital cardiac arrest (OHCA) patients in Hanoi, Vietnam.
Methods:
This was a prospective, observational study of OHCA patients admitted to five tertiary hospitals in the Hanoi area from June 2018 through January 2019. The data were collected through interviews (using a structured questionnaire) with bystanders.
Results:
Of the 101 patients, 79% were aged <65 years, 71% were men, 79% were witnessed to collapse, 36% were transported to the hospital by formal EMS, and 16% received bystander CPR at the scene. The most frequently indicated reason for not using EMS by the attendants was “using a private vehicle or taxi is faster” (85%). The reasons bystanders did not conduct CPR at the scene included “not recognizing the ailment as cardiac arrest” (60%), “not knowing how to perform CPR” (33%), and “being afraid of doing harm to patients” (7%). Only seven percent of the bystanders had been trained in CPR.
Conclusion:
The information revealed in this study provides useful information to indicate what to do to increase EMS use and CPR provision. Spreading awareness and training among community members regarding EMS roles, recognition of cardiac arrest, CPR skills, and dispatcher training to assist bystanders are crucial to improve the outcomes of OHCA patients in Vietnam.
Fatty acid (FA) levels and profiles are vital for soybean oil quality, while cytokinins (CKs) and abscisic acid (ABA) are potent regulators of plant growth and development. Previous research suggested associations between FA biosynthesis and hormonal signalling networks; however, hormonal regulation of FA accumulation during soybean (Glycine max) seed maturation has never been measured. We analysed hormone and FA profiles obtained from HPLC-(ESI)-MS/MS and GC-FID screening during soybean seed maturation. A multilayered data processing approach, involving heat-maps, principal component analysis (PCA), correlation and multiregression models, suggested a strong relationship between hormone metabolism and FA/oil accumulation during seed maturation. Most strikingly, positive correlations were found between the levels of CK ribosides [transZeatin riboside (tZR), N6-isopentenyladenosine (iPR)] at the early stages of SM (R5-R6) and C18:0, C18:2 and oil content at the R8 stage. Moreover, multiple regression models revealed functional linkages between several CK derivatives and FA and oil content in mature seeds. To further test the significance of hormone regulation in FA metabolism, plants of two soybean accessions with contrasting hormone and FA profiles were sprayed with exogenous ABA and transZeatin (tZ) during the seed-filling period (R5-R6). Depending on the hormone type and concentration, these treatments distinctly modified biosynthesis of all tested FAs, except for C18:0. Most remarkably, tZ (50 nM) promoted production of C16:0, C18:1, C18:2, C18:3, and oil accumulation in maturing seeds. Overall, the results indicate impactful roles for ABA and CKs in FA accumulation during SM and represent a further step towards understanding FA biosynthesis, and potential improvements of soybean oil profiles.
This paper investigates the relationship between women’s education and desire for additional children across the six economic regions of Vietnam. The study employed data from the nationally representative Vietnam Multiple Indicator Cluster Survey (MICS) 2014. Probit regression results showed that for women with one child, higher levels of education were associated with higher fertility desire in two out of six regions. Similar results were found for women with two or more children. Children’s sex composition played a role in the desire for additional children, reflecting both son preference and mixed-gender preference. In Vietnam overall, among women with at least one boy, those with lower levels of education were more likely not to want another child. The results, however, differed by region. The findings suggest that the social and economic context of each region, particularly sex ratio at birth and total fertility rate, should be taken into account when designing population policies in Vietnam.
Vietnam is a coastal state and a disputing party in the South China Sea (SCS), which is called the East Sea in Vietnam due to its location vis-à-vis its mainland. Within the framework of this chapter, these two terms are used interchangeably. There, Vietnam claims sovereignty over the land features in the Paracels and Spratlys, and over a suite of maritime zones as stipulated by the United Nations Convention on the Law of the Sea (UNCLOS), which overlap wholly and partly with those of its neighbours. The country has been well-known as one of the claimants which has stood firmly in a series of stand-offs with its giant neighbour, China. It is a big puzzle for many why Hanoi would risk antagonizing Beijing, its most important neighbour, for a bunch of remote, barren and tiny features in the middle of the sea and for the waters off its coast. This chapter builds on the existing literature of Vietnam's maritime activities and its statecraft to map and identify the importance of the East Sea in the Vietnamese perspective throughout the course of history. It should be noted that the SCS and the offshore islets have not only been incorporated into Vietnam's political geography since at least the 17th century but also into its strategic thinking. In other words, the sea and islands serve as a layer of defence that increases the country's strategic depth.
Lack of strategic depth and insecurity
Vietnam's strategic thinking is conditioned by history and geography. The combination of the asymmetry of power and geographical proximity created a permanent concern among Vietnamese political elites about the Northern threat. History textbooks remind schoolchildren about the bitter experience of King An Du’o’ng Vu’o’ng in trusting Chinese General Zhao Tuo (magistrate of Nanhai Province), which resulted in the fall of the Âu Lạc Dynasty in 179BCE and a longue durée of Chinese suzerainty. Consequently, such a dark time under the Chinese yoke, or “a millennium of grievance,” created a deep sense of insecurity and served as an undying reminder of the danger from the North.
Geographically speaking, Vietnam's most dominant feature is the lack of strategic depth. The concept broadly refers to the distance between the frontline and the country's core areas, including the capital and main industrial cities.
Vietnam is one of the first countries where strict lockdown measures were enacted to mitigate the COVID-19 outbreak (Pollack et al, 2020). While such actions are vital to control the pandemic and save lives, they appear to increase the vulnerability of people working in informal sectors, such as ‘handto-mouth’ fresh food vendors, lotto sellers, hawkers, barbers, motorbike-taxi drivers, and locksmiths. In the megacity of Hanoi, strict social distancing policies have wiped countless poor street vendors out of informal workplaces in public spaces, and closed hundreds of outdoor neighborhood markets and street-front businesses deemed non-essential. These informal workers are unlikely to receive timely financial support from the government and tend to suffer food insecurity due to income loss (Wertheim-Heck, 2020). During this difficult time, they have demonstrated their resilience with an ability to self-sustain and through their various, critical roles supporting the community. Given that informal sectors have usually been considered problematic and treated unequally by the government, the experiences and initiatives of street vendors during the pandemic in Hanoi represent a form of local resilience that deserves a closer look in our work to understand and minimize urban inequality.
This chapter examines the informal livelihoods of street vendors in Hanoi, Vietnam during the COVID-19 crisis, highlighting their initiatives (employed amid public health restrictions) to generate income and provide affordable foods and critical services to others, especially low-income families (see also Volume 1, Chapter Two). We analyze data from local reports and 22 interviews with street vendors conducted in April 2020, to illuminate the survival strategies and adaptive capacity of the urban poor in Hanoi. This sheds light on the role of social capital in enhancing resilience, through community collaboration, sharing, and solidarity. Given social capital has multiple meanings and applications, this chapter refers to the capability of people to work together for mutual objectives through personal connection, communal network, and virtual platforms in societies (Burt, 1992; Ellison et al, 2007). Street vendors’ practices during the lockdown in Hanoi aligns with Fukuyama (1995), who defines social capital as the presence of a certain set of informal values or norms shared among local residents that enable collaboration and bonding; both are significant in building resilience (Agnitsch et al, 2006).
On 30 December 2019, speaking at the virtual year-end national conference between the central and local governments, the secretary-general of the Communist Party of Vietnam (CPV) and president of Vietnam, Nguyen Phu Trong, set the scene for the country in 2020:
It is the final year of the current tenure [of the 12th Party Congress], which will have a decisive significance for the successful completion of the tasks set out in the 12th Party Congress Resolution. It is also the year that will see: congresses of party committees at all local levels to be held in the lead-up to the 13th National Party Congress, the celebration of the 90th anniversary of the founding of the CPV and the Vietnam Fatherland Front, 75 years of Vietnam's national independence, the 130th birthday of President Ho Chi Minh, Vietnam taking the rotational ASEAN chairmanship and the non-permanent membership in the United Nations Security Council for the 2020–2021 term, and many other political events of paramount significance.
Unforeseen in Trong's vision were the ramifications of the coronavirus pandemic, known as COVID-19. Though COVID-19 had significant adverse impacts on both domestic politics and foreign relations during the year, Vietnam's effective response to the pandemic not only earned credit for the Vietnamese government overseas but also intensified the CPV's legitimacy at home. At the same government function on 28 December 2020, almost one year later, Trong was able to define 2020 as “more successful than 2019 and the most successful year in the past five years”. Trong singled out achievements on the following five fronts:
First, the prompt, timely, flexible and effective responses to COVID-19 and national disasters. Second, making all efforts to maintain and recover the economy to achieve the possible highest growth rate. Third, continued progress in the cultural, social, healthcare, education and training and science and technology sectors. Fourth, crucial achievements in foreign relations and international integration, contributing to the elevation of the country's credibility and position in the international arena. National defence and security continued to be intensified; national sovereignty, peaceful environment and stability were preserved, creating favourable conditions for national development.
The present study aimed to determine thiamine intake levels and the association between thiamine intake, diabetes, cardiovascular diseases and mental health. Participants were interviewed to obtain data on socio-demographic characteristics, lifestyle, current medications, medical and family history. The daily intake of thiamine was assessed by a 24-h recall. The mean age of the 34 700 study subjects was 42⋅9 years (sd 22⋅8, min–max: 1–80) and 19 342 (55⋅7 %) were women. The levels of thiamine intake were 1⋅126 mg (2016), 1⋅115 mg (2017) and 1⋅087 mg (2018) for women, which were equal to or only slightly above the recommended intake of 1⋅10 mg/d for women. The levels of thiamine intake from 2014–15 and 2016–18 significantly decreased. The estimated percentage of insufficient thiamine intake was 37⋅8 % (95 % CI 37⋅3, 38⋅4). Multivariable regression analysis adjusted for potential confounders showed that thiamine intake was critically associated with lower risks of hypertension, MI or angina, type 2 diabetes, depression and dyslipidemia. The daily thiamine intake from food can reversal the risks of hypertension (OR 0⋅95; 95 % CI 0⋅90, 0⋅99), MI or angina (OR 0⋅84; 95 % CI 0⋅74, 0⋅95), type 2 diabetes (OR 0⋅86; 95 % CI 0⋅81, 0⋅93), depression (OR 0⋅90; 95 % CI 0⋅83, 0⋅97) and dyslipidemia (OR 0⋅90; 95 % CI 0⋅86, 0⋅95), respectively. Further works are needed to identify the effects of thiamine and non-communicable diseases (NCDs) and mental health. A preventive thiamine supplementation strategy should be adopted to target NCDs and mental health and risk factors associated with thiamine deficiency. The optimisation of NCD control and mental health protection is also a vital integral part of Korea's public health system.
We aim to determine the association between Fe status and the metabolic syndrome (MetS) during menopause. Records of 1069 premenopausal and 703 postmenopausal Korean women were retrieved from the database of the fifth Korean National Health and Nutrition Examination Survey (KNHANES V 2012) and analysed. The association between the MetS and Fe status was performed using multivariable-adjusted analyses, subsequently develop a prediction model for the MetS by margin effects. We found that the risk of Fe depletion among postmenopausal women was lower than premenopausal women (PR = 0·813, 95 % CI 0·668, 0·998, P = 0·038). The risk of the MetS was 2·562-fold lower among premenopausal women with than without Fe depletion (PR = 0·390, 95 % CI 0·266, 0·571, P < 0·001). In contrast, the risk of the MetS tended to be higher among postmenopausal women with than without Fe depletion (PR = 1·849, 95 % CI 1·406, 2·432, P < 0·001). When the serum ferritin levels increased, the risk of the MetS increased in both premenopausal women and postmenopausal women. The margin effects showed that an increase in serum Hb and ferritin was associated with an increase in the risk of the MetS according to menopausal status and age group. Therefore, ferritin is the most validated and widely used Fe marker, could be a potential clinical value in predicting and monitoring the MetS during menopause. Further prospective or longitudinal studies, especially, clinically related studies on menopause and Fe status, are needed to clarify the causality between serum ferritin levels and the MetS that could offer novel treatments for the MetS.
The median duration of hospital stays due to COVID-19 has been reported in several studies on China as 10−13 days. Global studies have indicated that the length of hospitalisation depends on different factors, such as the time elapsed from exposure to symptom onset, and from symptom onset to hospital admission, as well as specificities of the country under study. The goal of this paper is to identify factors associated with the median duration of hospital stays of COVID-19 patients during the second COVID-19 wave that hit Vietnam from 5 March to 8 April 2020.
Method
We used retrospective data on 133 hospitalised patients with COVID-19 recorded over at least two weeks during the study period. The Cox proportional-hazards regression model was applied to determine the potential risk factors associated with length of hospital stay.
Results
There were 65 (48.9%) females, 98 (73.7%) patients 48 years old or younger, 15 (11.3%) persons with comorbidities, 21 (16.0%) severely ill patients and 5 (3.8%) individuals with life-threatening conditions. Eighty-two (61.7%) patients were discharged after testing negative for the SARS-CoV-2 virus, 51 were still in the hospital at the end of the study period and none died. The median duration of stay in a hospital was 21 (IQR: 16–34) days. The multivariable Cox regression model showed that age, residence and sources of contamination were significantly associated with longer duration of hospitalisation.
Conclusion
A close look at how long COVID-19 patients stayed in the hospital could provide an overview of their treatment process in Vietnam, and support the country's National Steering Committee on COVID-19 Prevention and Control in the efficient allocation of resources over the next stages of the COVID-19 prevention period.