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SEANUTS II Vietnam aims to obtain an in-depth understanding of the nutritional status and nutrient intake of children between 0.5-11.9 years old
Design:
Cross-sectional survey
Setting:
A multistage cluster systematic random sampling method was implemented in different regions in Vietnam: North Mountainous, Central Highlands, Red River Delta, North Central and Coastal Area, Southeast and Mekong River Delta.
Participants:
4001 children between 6 months and 11.9 years of age
Results:
Prevalence of stunting and underweight was higher in rural than in urban children, whereas overweight and obese rates were higher in urban areas. 12.0% of the children had anemia and especially children 0.5-1-year-old were affected (38.6%). Low serum retinol was found in 6.2% of children ≥ 4 years old. Prevalence of vitamin D insufficiency was 31.1% while 60.8% had low serum zinc. For nutrient intake, overall, 80.1% of the children did not meet the estimated energy requirements. For calcium intake, ∼60% of the younger children did not meet the RNI while it was 92.6% in children >7 years old. For vitamin D intake, 95.0% of the children did not meet RNI.
Conclusions:
SEANUTS II Vietnam indicated that overnutrition was more prevalent than undernutrition in urban areas, while undernutrition was found more in rural areas. The high prevalence of low serum zinc, vitamin D insufficiency and the inadequate intakes of calcium and vitamin D are of concern. Nutrition strategies for Vietnamese children should consider three sides of malnutrition and focus on approaches for the prevention malnutrition.
Because of their isolating capacity, smectite-rich clays have been proposed as buffer and backfill materials in high-level radioactive waste repositories. These repositories have to guarantee long-term safety for ~1 million years. Thermodynamics and kinetics of possible alteration processes of bentonite determine its long-term performance as a barrier material. Smectites in 25 different clays and bentonites were investigated in order to identify possible differences in their rates of alteration. These samples were saturated for 30 days in 1 M NaCl solution and deionized water, and then overhead rotated at speeds of 20 rpm and 60 rpm. Depending on the octahedral and interlayer composition, each of the smectites studied had specific rate of alteration, a so-called specific dissolution potential of smectite. The bentonites were classed as ‘slow-reacting bentonite’, ‘moderate-reacting bentonite’, or ‘fast-reacting bentonite’ corresponding to a relatively low (ΔP specific dissolution potential — <-5%), moderate (-5% < ΔP < -20%), or high specific dissolution potential (ΔP > -20%), respectively. The larger the amount of octahedral Fe and Mg compared to octahedral Al, the greater the specific dissolution potential. The present study found that the interlayer composition has a discernible impact on the rate of alteration. In experiments with rotation speeds of 60 rpm and a 1 M NaCl solution, Na+ was found to be the stabilizing cation in the interlayers of all the smectites. The Na-stabilizing mechanism was identified in only some of the smectites (type A) in experiments with 20 rpm (1 M NaCl solution). A second stabilization mechanism (by interlayer cations; Ca and Mg) was identified for other smectites (type B). Each bentonite has a specific rate of alteration. ‘Slow-reacting bentonite’ and clay with smectite-illite interstratifications are recommended as potential clay barriers in HLW repositories. The experimental and analytical procedures described here could be applied to potential barrier materials to identify ‘slow-reacting bentonite’.
This study examines the relationships between e-government service quality, perceived value, satisfaction, and loyalty toward e-government services. Survey data were collected from 340 randomly selected e-government service users in Vietnam. The results reveal that (1) e-government service quality consists of five dimensions: ease of interaction, fulfillment, citizen care, security and privacy, and trustworthiness; (2) among the five dimensions of e-government service quality, only trustworthiness and fulfillment are significantly related to perceived value; however, trustworthiness has a stronger association with perceived value than does fulfillment; and (3) both perceived value and satisfaction are positively associated with loyalty. The results indicate that the e-government can create value for the citizens by improving service quality, which may help satisfy citizens’ needs and build their loyalty.
Objectives: In Vietnam, although surveillance and control of multidrug-resistant organisms is a national priority, information on the burden of these pathogens remains scarce. At the University Medical Center in Ho Chi Minh City, we assessed the proportion of carbapanemase-producing carbapenem-resistant organisms (CP-CRO) and evaluated an intervention package to prevent transmission of carbapenemase-producing carbapenem-resistant Enterobacterieacea (CP-CRE) in the intensive care unit (ICU). Methods: All gram-negative isolates collected between November 2018 to April 2019 were tested for carbapenem resistance using the disc-diffusion method. Carbapenem-resistant bacteria, defined as meropenem resistant, were tested for phenotypic carbapenemase-production using the Becton Dickinson Phoenix CPO Detect assay. An intervention package, including placement of patients in cohorts, enhanced barrier precautions, enhanced discharge environmental cleaning, and CP-CRE rectal screening, was implemented from July 2019 through December 2020. During this period, all ICU patients were screened on admission, and negative patients were rescreened every 2 days or 7 days until discharge, death, or CRE-positive result. Admission prevalence and incidence of CP-CRE transmission was calculated among CP-CRE infected or colonized patients. Results: Among 599 gram-negative isolates collected, 108 were carbapenem-resistant isolates, of which 107 (99%) were CP-CRO by the phenotypic method. Most CP-CRO were Acinetobacter baumannii (42%) and Klebsiella pneumoniae (36%). Of 1,206 patients, 433 (35.9%) were already colonized or infected with CP-CRE before admission to the ICU. The incidence rate (cases per 100 risk days) of CP-CRE colonization or infection during ICU treatment decreased from 11.5 before the intervention to 2.9 after the implementation of the intervention package. The average number of days to change from a negative to positive screening result in the intervention phase was 7.4, compared with 4.9 days during preintervention phase. Conclusions: Nearly all CROs isolated from our ICU are carbapenemase-producing CROs, with high presence on admission as well as new acquisition during an ICU stay. An intervention package containing enhanced infection control measures was effective in reducing CP-CRE transmission.
The protection of marine environment assumes a special place under UNCLOS. Part XII provides for general obligations to protect and preserve the environment as well as more specific provisions concerning the prevention, reduction and control of marine pollution, including those relating to different sources of pollution. At the same time, Part XII is intended to provide a general framework for the protection of the marine environment. This framework nature is demonstrated not only by the existence of many generally-worded provisions and open-ended obligations which need to be further elaborated but also in the existence of numerous reference to external rules and standards, international organisations and regional arrangements. This chapter examines the contribution of UNCLOS tribunals to clarifying the scope and content of the general obligation to protect and preserve the marine environment before moving to discussing the extent to which UNCLOS tribunals have shed light on the normative content of three key environmental obligations and principles in the context of the marine environment.
The term ‘coastal State’ is not defined under UNCLOS despite being one of the most frequently used terms. In the EEZ, UNCLOS confers upon coastal States both exclusive sovereign rights and jurisdiction over natural resources and jurisdiction in relation to artificial islands, installations and structure, marine scientific research and environmental protection. However, the scope of these rights and obligations is not always clearly set out in the relevant provisions, requiring further clarification and elaboration. Moreover, due to the new scope of power given to coastal States in the EEZ, the question has arisen as to how coastal States’ rights and obligations in this new maritime zone, as well as coastal States’ rights and obligations in the territorial sea and the high seas, interact with historic claims arising prior to the entry into force of UNCLOS. This chapter analyses the decisions rendered by UNCLOS tribunals addressing the abovementioned issues and assesses the extent to which they have contributed to clarifying relevant rules relating to coastal States’ rights and obligations under the law of the sea.
The procedural rules on dispute settlement are primarily contained in Part XV UNCLOS. These rules set out the conditions for UNCLOS tribunals to establish and exercise their compulsory jurisdiction hear contentious disputes. In addition to disputes between States, UNCLOS also grants the Seabed Disputes Chamber advisory jurisdiction pursuant to Article 191 UNCLOS. ITLOS as a full tribunal, however, has also found that it may exercise advisory jurisdiction despite the absence of an explicit provision to that effect under UNCLOS and the ITLOS Statute. This Chapter critically examines UNCLOS tribunals’ decisions relating the conditions for the establishment of compulsory jurisdiction in contentious proceedings under Part XV and the establishment of advisory jurisdiction of both the SDC and ITLOS as a full tribunal, in order to determine the extent to which UNCLOS tribunals have clarified the procedural law under the Convention.
This chapter begins with a brief overview of the UNCLOS dispute settlement system established under Part XV UNCLOS. It then provides a conceptual framework for understanding what is meant by ‘development of the law’ by international courts and tribunals in order to set the stage for an analysis of the development of the law of the sea in the subsequent chapters. The chapter suggests a working definition of the term ‘development of the law’ and explains the ways in which international courts and tribunals ‘develop the law’. In the course of doing so, the chapter also explores the role of legal reasoning in the assessment of the contribution of judicial decisions to the development of international law.
This final chapter first takes stock of the contribution of UNCLOS tribunals to the development of the law of sea, specifically assessing the areas of the law of the sea in which the contribution has been most prominent and the types of contribution that have been made, as well as the interpretative methods that UNCLOS tribunals have employed in the course of deciding their disputes or rendering advisory opinions. With the understanding that UNCLOS tribunals operate within a legal framework with constraints and limitations which impact the way they decide cases and thus the extent which they can contribute to developing the law, the chapter then explores the factors that help explain the decision-making process of UNCLOS tribunals and thus the room available for UNCLOS tribunals to take on the role of developing the law. These factors include the scope of jurisdiction that UNCLOS confers on the tribunals the institutional structure of UNCLOS and the expected and self-perceived roles of UNCLOS tribunals. Finally, the chapter offers some observations on whether there are major differences in the contribution of ITLOS and Annex VII tribunals to the development of the law of the sea.
The rights and duties of flag States go hand in hand under the UNCLOS legal framework. A State bears the right to grant a ship its nationality and is entitled to exercise exclusive jurisdiction over the ship. At the same time, a flag State has the obligation to effectively exercise its jurisdiction and control over the ship sailing under its flag. While the provisions relating to flag States’ rights and obligations are found in Part VII UNCLOS entitled ‘High seas’, their application apply to wherever the ship may find itself. Given the omnipresence of ships at seas, clarity and certainty regarding flag States’ rights and obligations is crucial for the effective implementation of UNCLOS, as well as for ensuring delicate balance between the rights and obligations of coastal States and of flag States upon which UNCLOS hinges. This chapter examines the decisions of UNCLOS tribunals relating to flag States’ rights and obligations, in order to examine whether and to what extent UNCLOS tribunals have contributed to the clarification and development of the relevant rules pertaining to flag States.
This chapter examines UNCLOS tribunals’ contribution to the development of the law on maritime entitlement and maritime delimitation-two distinct but related concepts. The chapter first analyses and assesses the extent to which UNCLOS tribunals—as the first international tribunals to deal with questions relating to the entitlement to a continental shelf beyond 200 nm and entitlement from insular features—have contributed to clarifying the legal ambiguities concerning these two issues. The chapter then analyses UNCLOS tribunals’ decisions relating to maritime delimitation within and beyond 200 nm, with a focus on examining the convergences and divergences in UNCLOS tribunals’ application of the established three-stage approach within 200 nm and on assessing the contribution of UNCLOS tribunals to clarifying the legal ambiguities concerning the delimitation of the continental shelf beyond 200 nm.
This is the first study to provide both a systematic assessment of the ways by which the dispute settlement bodies of the United Convention on the Law of the Sea (UNCLOS) contribute to the development of the law of the sea and an exposition of the factors that explain such contribution. The book analyses UNCLOS dispute settlement bodies' decisions and the legal reasoning in key areas of the law of the sea. It further examines the factors that impact the decision-making process of UNCLOS tribunals to explain the parameters within which UNCLOS tribunals operate and how this impacts their ability and willingness to develop the law. The book provides a unique reference point for lecturers, researchers and students of international law, particularly law of the sea, as well as practitioners and government advisors who wish to gain comprehensive insights into the functioning and the role of the UNCLOS dispute settlement system.