Serum 2,3,7,8-tetrachlorodibenzo-p-dioxin levels in US Army Vietnam-era veterans

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1988-09-02

This study investigates whether military records can be used to identify US Army Vietnam veterans who were likely to be exposed to the herbicide Agent Orange. Serum levels of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD), a toxic contaminant in Agent Orange, were obtained for 646 ground combat troops who served in heavily sprayed areas of Vietnam and for 97 veterans who did not serve in Vietnam. The distributions of current TCDD levels in Vietnam and non-Vietnam veterans were nearly identical (mean in each group, approx. = 4 parts per trillion (ppt)). Only two men (both Vietnam veterans) had clearly elevated levels (> 20 ppt).more » Levels of TCDD did not tend to increase with greater likelihood of exposure to Agent Orange, as estimated from either military records of self-reported exposure. This study is consistent with other studies and suggests that most US Army ground troops who served in Vietnam were not heavily exposed to TCDD, except perhaps men whose jobs involved handling herbicides.« less

Validation of verbal autopsy methods using hospital medical records: a case study in Vietnam.

PubMed

Tran, Hong Thi; Nguyen, Hoa Phuong; Walker, Sue M; Hill, Peter S; Rao, Chalapati

2018-05-18

Information on causes of death (COD) is crucial for measuring the health outcomes of populations and progress towards the Sustainable Development Goals. In many countries such as Vietnam where the civil registration and vital statistics (CRVS) system is dysfunctional, information on vital events will continue to rely on verbal autopsy (VA) methods. This study assesses the validity of VA methods used in Vietnam, and provides recommendations on methods for implementing VA validation studies in Vietnam. This validation study was conducted on a sample of 670 deaths from a recent VA study in Quang Ninh province. The study covered 116 cases from this sample, which met three inclusion criteria: a) the death occurred within 30 days of discharge after last hospitalisation, and b) medical records (MRs) for the deceased were available from respective hospitals, and c) the medical record mentioned that the patient was terminally ill at discharge. For each death, the underlying cause of death (UCOD) identified from MRs was compared to the UCOD from VA. The validity of VA diagnoses for major causes of death was measured using sensitivity, specificity and positive predictive value (PPV). The sensitivity of VA was at least 75% in identifying some leading CODs such as stroke, road traffic accidents and several site-specific cancers. However, sensitivity was less than 50% for other important causes including ischemic heart disease, chronic obstructive pulmonary diseases, and diabetes. Overall, there was 57% agreement between UCOD from VA and MR, which increased to 76% when multiple causes from VA were compared to UCOD from MR. Our findings suggest that VA is a valid method to ascertain UCOD in contexts such as Vietnam. Furthermore, within cultural contexts in which patients prefer to die at home instead of a healthcare facility, using the available MRs as the gold standard may be meaningful to the extent that recall bias from the interval between last hospital discharge and death

The Images of Vietnam: A Popular Music Approach.

ERIC Educational Resources Information Center

Chilcoat, George W.

1985-01-01

In this activity for secondary social studies students both rock and country-western music are used to analyze the different views held about the Vietnam War for nearly a decade. Specific songs are suggested. (RM)

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

PubMed

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.

The United States and Vietnam Relationship: Benefits and Challenges for Vietnam

DTIC Science & Technology

2016-06-10

the current stage in their bilateral relations. The U.S.-Vietnam relationship has been increasingly cemented in the context of the contemporary...reach the current stage in their bilateral relations. The U.S.-Vietnam relationship has been increasingly cemented in the context of the contemporary...Major Exports to Vietnam aircraft, mining equipment, electronic machinery, steel wire, raw cotton, plastics Source: Mark E. Manyin, The Vietnam

Dioxins and dibenzofurans in adipose tissue of U. S. Vietnam veterans and controls

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kang, H.K.; Watanabe, K.K.; Breen, J.

1990-08-01

Concern about the adverse effects of exposure to Agent Orange is for the most part attributable to its toxic contaminant, 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD). A total of 40 Vietnam veterans, 80 non-Vietnam veterans and 80 civilian men were selected from males born between 1936 and 1954 and their adipose tissues were analyzed for 17 2,3,7,8-substituted dioxins and dibenzofurans. TCDD levels were log normally distributed and the mean level of 2,3,7,8-TCDD in adipose tissue of the Vietnam veterans (13.4 ppt) was not significantly different from that of the non-Vietnam veterans (12.5 ppt) or civilian men (15.8 ppt). Adjusting for demographic variables did notmore » change the conclusions. The study results suggest that heavy exposure to Agent Orange for most Vietnam veterans was very unlikely and that there is no readily available and reliable indirect method of assessing exposure to Agent Orange for Vietnam veterans.« less

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

ERIC Educational Resources Information Center

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)

Climate Change and Vietnam

DTIC Science & Technology

2013-11-01

suggests, such action may come at a cost against competing priorities like modernization and economic development. In that context, it bears inquiring...program including India, 29 Rajaram Panda , “Vietnam and the World: Focus on the U.S. and India

Diabetes in Vietnam.

PubMed

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.

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

ERIC Educational Resources Information Center

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…

Phylodynamic analysis of the dissemination of HIV-1 CRF01_AE in Vietnam.

PubMed

Liao, Huanan; Tee, Kok Keng; Hase, Saiki; Uenishi, Rie; Li, Xiao-Jie; Kusagawa, Shigeru; Thang, Pham Hong; Hien, Nguyen Tran; Pybus, Oliver G; Takebe, Yutaka

2009-08-15

To estimate the epidemic history of HIV-1 CRF01_AE in Vietnam and adjacent Guangxi, China, we determined near full-length nucleotide sequences of CRF01_AE from a total of 33 specimens collected in 1997-1998 from different geographic regions and risk populations in Vietnam. Phylogenetic and Bayesian molecular clock analyses were performed to estimate the date of origin of CRF01_AE lineages. Our study reconstructs the timescale of CRF01_AE expansion in Vietnam and neighboring regions and suggests that the series of CRF01_AE epidemics in Vietnam arose by the sequential introduction of founder strains into new locations and risk groups. CRF01_AE appears to have been present among heterosexuals in South-Vietnam for more than a decade prior to its epidemic spread in the early 1990s. In the late 1980s, the virus spread to IDUs in Southern Vietnam and subsequently in the mid-1990s to IDUs further north. Our results indicate the northward dissemination of CRF01_AE during this time.

Introducing supported self-management for depression to primary care in Vietnam: A feasibility study in preparation for a randomized controlled trial.

PubMed

Murphy, Jill; Oanh, Pham Thi; Goldsmith, Charles H; Jones, Wayne; Nguyen, Vu Cong

2018-06-01

Although depression is a major contributor to the global burden of disease, services remain scarce in many low- and middle-income countries. In Vietnam, depression services are limited, and the government has recently prioritized primary care and community-based service integration. We conducted a pilot study in 2 districts of Hanoi to test the feasibility of (a) introducing a supported self-management (SSM) intervention for adult depression in primary care in Vietnam, and (b) conducting a randomized controlled trial (RCT) to test the effectiveness of the intervention. We conducted focus groups with providers (n = 16) and community members (n = 32) to assess the appropriateness of an Antidepressant Skills Workbook for use in Vietnam. We trained providers (n = 23) to screen patients using the Self-Reporting Questionnaire-20 (SRQ-20) depression scale and to deliver SSM for a 2-month period. A total of 71 patients were eligible to participate in the study, with depression (SRQ-20) and disability (World Health Organization Disability Assessment Schedule 2.0) scores assessed at baseline and 1 and 2 months. Study results demonstrate the feasibility of conducting a full RCT in Vietnam and suggest that SSM is an appropriate care model for the Vietnamese context. There was a statistically significant decrease in depression symptoms on the SRQ-20 and in functional disability in all domains for the World Health Organization Disability Assessment Schedule 2.). Feasibility study results suggested that a full RCT was warranted. An unanticipated outcome of the study was the uptake of the model by the Ministry of Labor, Invalids, and Social Affairs in 2 additional provinces. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Estimating the incidence of malignant mesothelioma in Vietnam: a pilot descriptive cancer registration study.

PubMed

Soeberg, Matthew J; Luong, Mai Anh; Tran, Van Thuan; Tran, Anh Thanh; Nguyen, Thị Thu Huyen; Bui, Dieu; Nguyen, Thi Hoai Nga; Takahashi, Ken; van Zandwijk, Nico

2016-04-01

Global asbestos consumption has shifted toward lower income countries, particularly in the Asian region including Vietnam where asbestos and asbestos-containing products have been imported since the late 1960s. This pilot descriptive epidemiological study aimed to provide contemporary estimates of malignant mesothelioma incidence (histological subtype M9050/3; ICD-O-3) by gender and age group as recorded across nine cancer registries in Vietnam. We identified 148 incident cases of malignant mesothelioma during 1987-2013. The majority of cases were recorded in the Hanoi region (n = 93) and were aged 55 years or older (n = 96). By carefully reviewing existing cancer registry records in Vietnam, we identified a larger number of malignant mesothelioma cases than previously estimated. We recommend the use of cancer registry data in tracking future asbestos-related disease in Vietnam.

Estimating the Cost-Effectiveness of HIV Prevention Programmes in Vietnam, 2006-2010: A Modelling Study

PubMed Central

Pham, Quang Duy; Wilson, David P.; Kerr, Cliff C.; Shattock, Andrew J.; Do, Hoa Mai; Duong, Anh Thuy; Nguyen, Long Thanh; Zhang, Lei

2015-01-01

Introduction Vietnam has been largely reliant on international support in its HIV response. Over 2006-2010, a total of US$480 million was invested in its HIV programmes, more than 70% of which came from international sources. This study investigates the potential epidemiological impacts of these programmes and their cost-effectiveness. Methods We conducted a data synthesis of HIV programming, spending, epidemiological, and clinical outcomes. Counterfactual scenarios were defined based on assumed programme coverage and behaviours had the programmes not been implemented. An epidemiological model, calibrated to reflect the actual epidemiological trends, was used to estimate plausible ranges of programme impacts. The model was then used to estimate the costs per averted infection, death, and disability adjusted life-year (DALY). Results Based on observed prevalence reductions amongst most population groups, and plausible counterfactuals, modelling suggested that antiretroviral therapy (ART) and prevention programmes over 2006-2010 have averted an estimated 50,600 [95% uncertainty bound: 36,300–68,900] new infections and 42,600 [36,100–54,100] deaths, resulting in 401,600 [312,200–496,300] fewer DALYs across all population groups. HIV programmes in Vietnam have cost an estimated US$1,972 [1,447–2,747], US$2,344 [1,843–2,765], and US$248 [201–319] for each averted infection, death, and DALY, respectively. Conclusions Our evaluation suggests that HIV programmes in Vietnam have most likely had benefits that are cost-effective. ART and direct HIV prevention were the most cost-effective interventions in reducing HIV disease burden. PMID:26196290

Estimating the incidence of malignant mesothelioma in Vietnam: a pilot descriptive cancer registration study

PubMed Central

Soeberg, Matthew J.; Luong, Mai Anh; Tran, Van Thuan; Tran, Anh Thanh; Nguyen, Thị Thu Huyen; Bui, Dieu; Nguyen, Thi Hoai Nga; Takahashi, Ken; van Zandwijk, Nico

2016-01-01

Introduction Global asbestos consumption has shifted toward lower income countries, particularly in the Asian region including Vietnam where asbestos and asbestos-containing products have been imported since the late 1960s. Methods This pilot descriptive epidemiological study aimed to provide contemporary estimates of malignant mesothelioma incidence (histological subtype M9050/3; ICD-O-3) by gender and age group as recorded across nine cancer registries in Vietnam. Results We identified 148 incident cases of malignant mesothelioma during 1987–2013. The majority of cases were recorded in the Hanoi region (n = 93) and were aged 55 years or older (n = 96). Discussion By carefully reviewing existing cancer registry records in Vietnam, we identified a larger number of malignant mesothelioma cases than previously estimated. We recommend the use of cancer registry data in tracking future asbestos-related disease in Vietnam. PMID:27388204

Molecular epidemiology of rabies virus in Vietnam (2006-2009).

PubMed

Nguyen, Anh K T; Nguyen, Dong V; Ngo, Giang C; Nguyen, Thu T; Inoue, Satoshi; Yamada, Akio; Dinh, Xuyen K; Nguyen, Dung V; Phan, Thao X; Pham, Bao Q; Nguyen, Hien T; Nguyen, Hanh T H

2011-01-01

This study was aimed at determining the molecular epidemiology of rabies virus (RABV) circulating in Vietnam. Intra vitam samples (saliva and cerebrospinal fluid) were collected from 31 patients who were believed to have rabies and were admitted to hospitals in northern provinces of Vietnam. Brain samples were collected from 176 sick or furious rabid dogs from all over the country. The human and canine samples were subjected to reverse transcription-polymerase chain reaction analysis. The findings showed that 23 patients tested positive for RABV. Interestingly, 5 rabies patients did not have any history of dog or cat bites, but they had an experience of butchering dogs or cats, or consuming their meat. RABV was also detected in 2 of the 100 sick dogs from slaughterhouses. Molecular epidemiological analysis of 27 RABV strains showed that these viruses could be classified into two groups. The RABVs classified into Group 1 were distributed throughout Vietnam and had sequence similarity with the strains from China, Thailand, Malaysia, and the Philippines. However, the RABVs classified into Group 2 were only found in the northern provinces of Vietnam and showed high sequence similarity with the strain from southern China. This finding suggested the recent influx of Group 2 RABVs between Vietnam and China across the border. Although the incidence of rabies due to circulating RABVs in slaughterhouses is less common than that due to dog bite, the national program for rabies control and prevention in Vietnam should include monitoring of the health of dogs meant for human consumption and vaccination for workers at dog slaughterhouses. Further, monitoring of and research on the circulating RABVs in dog markets may help to determine the cause of rabies and control the spread of rabies in slaughterhouses in Vietnam.

Reassessing the level of unintended pregnancy and its correlates in Vietnam.

PubMed

Le, Linh Cu; Magnani, Robert; Rice, Janet; Speizer, Ilene; Bertrand, William

2004-03-01

Despite rapidly increasing contraceptive use and rapidly declining fertility, unintended pregnancy and induced abortion remain common in Vietnam. This study reassesses the level of unintended pregnancy in Vietnam and its correlates, drawing on retrospective calendar data gathered for the Vietnam Demographic and Health Survey II. Data from 13,540 "segments" of outcomes and contraceptive practice were analyzed. Based on the calendar data, 40 percent of pregnancies during the 1994-97 period are estimated to have been unintended, a proportion 48 percent higher than the prevailing estimate calculated from the reported intendedness of live births. When concealment of pregnancies ending in induced abortions is taken into account, the unintended pregnancy rate in Vietnam is likely to approach levels found only in developing countries. Unintended pregnancy was found to be associated with age, early marriage, spousal age difference, number of living sons, past unintended pregnancy, geographic region, contraceptive use prior to pregnancy, and the family planning supply environment. The findings suggest that broadening the method mix at the community level, targeting high-risk and underserved groups, and expanding postabortion counseling and services are likely to have a dramatic impact on the unintended pregnancy rate in Vietnam.

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

PubMed

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.

Vietnam Revised: Are Our Textbooks Changing?

ERIC Educational Resources Information Center

Fleming, Dan B.; Nurse, Ronald J.

1982-01-01

Describes a study which analyzed 10 current and widely used secondary U.S. history textbooks for their coverage of the Vietnam War to determine their accuracy, completeness, and objectivity. Most of the textbooks studied offered a too sketchy account of the Vietnam War. Certain key topics are often neglected. (RM)

Posttraumatic Stress Disorder, Exposure to Combat, and Lower Plasma Cortisol among Vietnam Veterans: Findings and Clinical Implications.

ERIC Educational Resources Information Center

Boscarino, Joseph A.

1996-01-01

Clinical studies suggest individuals with posttraumatic stress disorder (PSD) experience neuroendocrine systems alterations, resulting in significantly lower plasma cortisol. To test this hypothesis, morning serum cortisol was compared among a national sample of Vietnam "theater" veterans (n=2,490) and a sample of Vietnam "era"…

Serum dioxin in Vietnam-era veterans - preliminary report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1987-08-14

Agent orange, a defoliant used in Vietnam, was a mixture of 2,4-DD and 2,4,5-TS. During manufacture 2,4,5-T was contaminated with TCDD, a compound with marked toxicity in some species of experimental animals. In 1979, the US Congress responded to concerns of Vietnam veterans by passing Public Law 96-151 mandating epidemiologic studies of the possible health effects on Vietnam veterans of exposure to herbicides and their associated dioxin contaminants. In 1983, CDC developed a protocol for a historical cohort study of US Army veterans who had served in heavily sprayed areas of Vietnam. A report on that study is presented.

Vietnam plunges ahead

DOE Office of Scientific and Technical Information (OSTI.GOV)

Burr, M.T.

1995-07-01

Vietnam is moving fast. Facing the need to double its installed power generation capacity by the year 2000, Vietnam is pursuing a range of development alternatives to add an estimated 3,000 MW of new power plants. As part of the country`s progress toward a market economy, Vietnam has relaxed its rules regarding investment in power plants. The country enacted a new electricity law early in 1995, paving the way for private participation in the power sector.

Prioritization of zoonotic diseases of public health significance in Vietnam.

PubMed

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.

The association of selected cancers with service in the US military in Vietnam. I. Non-Hodgkin's lymphoma. The Selected Cancers Cooperative Study Group (see comments)

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1990-12-01

As part of a series of investigations into the health of Vietnam veterans, we conducted a population-based, case-control study of non-Hodgkin's lymphoma between 1984 and 1988. All men born between 1929 and 1953 and diagnosed as having non-Hodgkin's lymphoma in an area covered by eight cancer registries were considered eligible. Control subjects were identified by random-digit dialing from these same regions and were frequency-matched to men with lymphoma by age. Analyses of 1157 men with pathologically confirmed lymphomas and 1776 control subjects showed that the risk of non-Hodgkin's lymphoma was approximately 50% higher among Vietnam veterans (odds ratio, 1.47; 95%more » confidence interval, 1.1 to 2.0) compared with men who did not serve in Vietnam. Vietnam veterans were also at higher risk relative to (1) men who had not served in the military, (2) other veterans, and (3) other veterans who served between 1964 and 1972. An analysis of the military histories of the 232 Vietnam veterans suggested that the relative risk (1) increased with length of service in Vietnam (P = .10), and (2) was higher among men in the sea-based Navy than among other veterans (P = .11). Little difference in risk, however, was noted according to dates of service, type of unit, military region, or any other characteristics that may have been associated with the use of Agent Orange. Although the cause remains uncertain, results of this study indicate that the risk of non-Hodgkin's lymphoma is higher among Vietnam veterans than among other men.« less

Vietnam: Historians at War

ERIC Educational Resources Information Center

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…

John F. Kennedy and Vietnam: The Historical Record Versus the Revisionists.

ERIC Educational Resources Information Center

Turner, Thomas R.

1995-01-01

Criticizes the current historical interpretation (promoted by Arthur Schlesinger, Jr. and Oliver Stone) that President John F. Kennedy intended to withdraw from Vietnam if elected to a second term. Maintains that the preponderance of historical evidence suggests that Kennedy intended to exit Vietnam only after a military victory. (MJP)

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

PubMed

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.

The black flies (Diptera: Simuliidae) of Vietnam.

PubMed

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

Vietnam: The Political Economy of Education in a "Socialist" Periphery

ERIC Educational Resources Information Center

London, Jonathan D.

2006-01-01

In this article I examine historic changes in the goals, conduct and outcomes of education policies in Vietnam from the 1940s to the present, under the Communist Party of Vietnam. Recent studies of Vietnam's education system centre on econometric and demographic analysis of education data dating back to the early 1990s, when Vietnam began an…

Inflated medicine prices in Vietnam: a qualitative study.

PubMed

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

Study of mosquito fauna in rice ecosystems around Hanoi, northern Vietnam.

PubMed

Ohba, Shin-ya; Van Soai, Nguyen; Van Anh, Dinh Thi; Nguyen, Yen T; Takagi, Masahiro

2015-02-01

Species of the Culex vishnui subgroup, Cx. fuscocephala and Cx. gelidus, which are known Japanese encephalitis (JE) vectors, are distributed in rice agroecosystems in Asian countries. Hence, although ecological studies of rice agroecosystems in northern Vietnam are necessary, very few integrated studies of breeding habitats of mosquitoes, including JE vectors, have been conducted. We carried out a field study and investigated the mosquito fauna in six rice production areas in northern Vietnam during the rainy and dry seasons of 2009. Mosquitoes and potential mosquito predators were collected from aquatic habitats by using larval dippers. We collected 1780 Culex individuals (including 254 Cx. tritaeniorhynchus; 113 Cx. vishnui, 58 Cx. vishnui complex, consisting of Cx. vishnui and Cx. pseudovishnui; 12 Cx. gelidus; 1 Cx. bitaeniorhynchus; and 1 Cx. fuscocephala), 148 Anopheles individuals (including 5 An. vagus), 1 Mansonia annulifera, and 1 Mimomyia chamberlaini during the rainy season. During the dry season, we collected 176 Culex individuals (including 33 Cx. vishnui, 24 Cx. tritaeniorhynchus, 8 Cx. vishnui complex, and 1 Cx. gelidus) and 186 Anopheles individuals (including 9 An. tessellatus, 2 An. kochi, and 2 An. barbumbrosus). We found mosquitoes in all aquatic habitats, namely, rice fields, ditches, ponds, wetlands, irrigation canals, and rice nurseries, and Cx. tritaeniorhynchus and Cx. vishnui complex were found in all the above six areas. Heteroptera such as Micronecta, Veliidae, and Pleidae were abundant and widely distributed in both the seasons. The abundance of mosquito larvae was higher in the rice fields, ditches, and ponds during the rainy season than during the dry season. Cx. tritaeniorhynchus, Cx. vishnui complex, Cx. fuscocephala, and Cx. gelidus were abundant in rice agroecosystems (rice fields, ditches, ponds, and wetlands) in northern Vietnam, and their abundance was high during the rainy season. These findings deepen our understanding of

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

DTIC Science & Technology

1979-12-01

form more than in 1-28 THE BDM CORPORATION reality --the American desire was ronger than the Vietnamese.38/ Equally, Vietnamese would sometimes resor...government in South Vietnam. The first objective was at least understandable given the realities which appeared to govern the situation. The second...objective was not, at least in retrospect, given the political realities which both preceded and attended our involvement in the conflict. 1. The

Tectonic Implications of Paleoproterozoic Deo Khe Granitoids in Northwestern Vietnam

NASA Astrophysics Data System (ADS)

Hoang, T. H. A.; Yu, Y.; Pham, T. H.; Choi, S. H.; Tu, V. L.; Son, L. M.

2015-12-01

An integrated study of petrographic description, zircon U/Pb geochronology, and Hf isotopic analysis was carried out on the medium-grained two-mica Deo Khe Granitoids (DKG) in northwestern Vietnam. U/Pb zircon ages were 1855-1873 Ma, interpreted as the time of magma crystallization. On the basis of Hf isotopic compositions, a single-stage Hf model ages were estimated as 3.3-2.8 Ga. Values of Hf isotopes ɛHf (t) range from -23.6 to -17.5, suggesting that the DKG are products of reworked Archean crustal rocks. A similar sequence of tectonic events including the presence of 2.8-2.9 Ga tonalite-trondhjemite-granodiorite (TTG) gneiss, metamorphic development of TTG gneiss at 1.9-2.0 Ga, and 1.85 Ga magmatic activity were recognized both in Yangtze block and northwestern Vietnam. Therefore we propose that basement rocks in northern Vietnam are similar to those found along southern China.

Social phobia and PTSD in Vietnam veterans.

PubMed

Orsillo, S M; Heimberg, R G; Juster, H R; Garrett, J

1996-04-01

Posttraumatic stress disorder (PTSD) is the most prevalent psychological disorder experienced by Vietnam veterans. However, there are many other disorders and problems of adjustment, like social anxiety and social phobia, that have not been fully investigated in this population. This study examined the prevalence of social phobia and the comorbidity of social phobia and PTSD, and tested out a theory of the etiology of social anxiety in trauma victims. Forty one Vietnam combat veterans were interviewed and completed self-report measures assessing PTSD and social phobia. Adversity of homecoming was also assessed. Using a conservative multi-method assessment approach, 32% of the sample were found to be positive for both social phobia and PTSD. Veterans with PTSD were significantly more likely to carry an additional diagnosis of social phobia as compared to veterans without PTSD. Adversity of homecoming and shame about one's experience in Vietnam were significant predictors of current level of social anxiety over and above the effects of pre-military anxiety and severity of combat exposure. These observations suggest that social anxiety and social phobia may be significant problems among individuals with PTSD. Further, these findings offer preliminary support for the theory that posttrauma environment may impact upon the later development of social anxiety.

Dioxins and dibenzofurans in adipose tissue of US Vietnam veterans and controls

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kang, H.K.; Watanabe, K.K.; Breen, J.

1991-03-01

The primary reason for concern about the adverse effects of exposure to Agent Orange is attributable to its toxic contaminant, 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) or dioxin. We studied adipose tissues from 36 Vietnam veterans, a similar group of 79 non-Vietnam veterans, and 80 civilians; the tissue specimens were selected from the 8,000 archived tissues collected from the non-institutionalized general population by the US Environmental Protection Agency. The geometric mean (+/- standard deviation) dioxin levels in adipose tissue for Vietnam veterans, non-Vietnam veterans, and civilian controls were 11.7 (+/- 1.7), 10.9 (+/- 1.7), and 12.4 (+/- 1.9) parts per trillion on a lipidmore » weight basis, respectively. The mean levels for these groups were not significantly different from each other with or without adjustment for age of individuals, body mass index, and specimen collection year. In addition, none of the surrogate measures of Agent Orange exposure such as military branch, service within specific geographic region, military occupation, and troop location in relation to recorded Agent Orange spray was associated with the dioxin levels in adipose tissue of Vietnam veterans. Our results suggest that heavy exposure to Agent Orange or dioxin for most US troops was unlikely.« less

The Lessons of the Vietnam War.

ERIC Educational Resources Information Center

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…

MMPI-2 profiles of Gulf and Vietnam combat veterans with chronic posttraumatic stress disorder.

PubMed

Glenn, D Michael; Beckham, Jean C; Sampson, William S; Feldman, Michelle E; Hertzberg, Michael A; Moore, Scott D

2002-04-01

The current study examined service era differences in a sample of 172 Gulf and Vietnam outpatient veterans with combat-related posttraumatic stress disorder (PTSD). Participants completed the MMPI-2 and several additional self-report measures of symptom severity (PTSD, depression, anxiety, hostility, and health complaints). Results indicated that MMPI-2 profiles differed significantly according to service era with Vietnam veterans scoring higher on scales 2, 8, and 0 and lower on scale 9 than did Gulf veterans. Examination of group means derived from parametric analysis of MMPI-2 data suggested a mean two-point code type of 2-8/8-2 for Vietnam veterans and 1-8/8-1 for Gulf veterans. In contrast, when the data were examined using descriptive techniques based on frequency counts of individual MMPI-2 profiles, the most frequently occurring two-point codetype was 7-8/8-7 for Vietnam veterans, and 6-8/8-6 for Gulf veterans. In addition, Gulf veterans reported a greater number of total health complaints than Vietnam veterans, whereas Vietnam veterans reported a greater number of physician-diagnosed physical conditions. Potential advantages of incorporating descriptive approaches versus parametric methods when examining profile data are also presented. Copyright 2002 Wiley Periodicals, Inc.

Perspectives of HIV-related stigma in a community in Vietnam: a qualitative study.

PubMed

Gaudine, Alice; Gien, Lan; Thuan, Tran T; Dung, Do V

2010-01-01

While HIV/AIDS is increasing in Vietnam, very few published studies focus on HIV-related stigma in Vietnam. This study reports on findings from a community development project to reduce HIV-related stigma within one community in Vietnam. The purpose of this qualitative study is to describe HIV-related stigma from the perspective of three groups within one community in Vietnam: people living with HIV, their family members, and community members and leaders, including health care professionals. SETTING, PARTICIPANTS AND METHODS: Fifty-eight individuals from a poor, industrial district on the outskirts of a large city participated in the study and were asked to describe HIV-related stigma. Interviews were conducted with 10 people living with HIV, 10 family members of a person living with HIV, and 10 community members and 5 community leaders including health care professionals. We also conducted three focus groups, one with people living with HIV (n=8), one with family members of people living with HIV (n=8), and one with community leaders including health care professionals (n=7). Stigma across the three groups is characterized by four dimensions of HIV-related stigma: feeling shamed and scorned, behaving differently, stigma due to association, and fear of transmission. The manifestation of these dimensions differs for each group. Four themes of HIV-related stigma as described by people living with HIV are: being avoided, experiencing anger and rejection, being viewed as a social ill, and hiding the illness. Seven themes of HIV-related stigma as described by family members are: shunned by neighbors, viewed as poor parents, discriminated by health professionals, overhearing discussions about people with HIV, maintaining the secret, financial hardship for family, and fear of contracting HIV. Four themes of HIV-related stigma as described by community members and leaders including health professionals are: stigma as a fair reward, avoidance and shunning by neighbors

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

PubMed

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.

A Prospective Study of PTSD and Early-Age Heart Disease Mortality Among Vietnam Veterans: Implications for Surveillance and Prevention

PubMed Central

Boscarino, Joseph A.

2013-01-01

Objective To examine prospectively early-age heart disease (HD) among a national random sample of 4328 male Vietnam veterans, who did not have HD at baseline in 1985. Studies have suggested that posttraumatic stress disorder (PTSD) may result in cardiovascular disease. However, many past studies had important methodological limitations to their designs. Method Using Cox regressions, we assessed PTSD, age, race, intelligence, family history, obesity, smoking, alcohol abuse, antisocial personality, and depression in predicting HD mortality at follow-up in December 31, 2000. The men were <65 years old at follow-up. Results Using two PTSD measures, a Diagnostic and Statistical Manual of Mental Disorders, 3rd Edition (DSM-III) measure (D-PTSD) and one developed by Keane (K-PTSD), we found that among Vietnam theater and era veterans combined (era veterans had no Vietnam service), having PTSD was associated with HD mortality for D-PTSD (hazard ratio (HR) = 2.25, p = .045) and approached significance for K-PTSD (HR = 2.16, p = .066). However, having higher PTSD symptoms on either scale was associated with mortality, with a 5-point increase associated with ~20% increase in mortality risk (all p < .05). Controlling for lifetime depression only slightly altered the results. The effects for theater veterans alone were stronger (D-PTSD: HR = 2.58, p = .025; K-PTSD: HR = 2.73, p = .022). Among theater veterans, controlling for lifetime depression or combat exposure made little difference. Conclusion PTSD was prospectively associated with HD mortality among veterans free of HD at baseline. This study suggests that early-age HD may be an outcome after military service among PTSD-positive veterans. PMID:18596248

English Takes Root in Vietnam.

ERIC Educational Resources Information Center

Yablonka, Marc Phillip

1999-01-01

English has emerged as an important language in Vietnam, and English-as-a-Second-Language (ESL) education exists at all levels of schooling and in business. This paper explains Vietnam's post-embargo quest for English, the effect of economic hardships on education in Vietnam, incoming ESL instructors, and the past, present, and future of languages…

EPA Collaboration with Vietnam

EPA Pesticide Factsheets

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.

Evolution of highly pathogenic H5N1 avian influenza viruses in Vietnam between 2001 and 2007.

PubMed

Wan, Xiu-Feng; Nguyen, Tung; Davis, C Todd; Smith, Catherine B; Zhao, Zi-Ming; Carrel, Margaret; Inui, Kenjiro; Do, Hoa T; Mai, Duong T; Jadhao, Samadhan; Balish, Amanda; Shu, Bo; Luo, Feng; Emch, Michael; Matsuoka, Yumiko; Lindstrom, Stephen E; Cox, Nancy J; Nguyen, Cam V; Klimov, Alexander; Donis, Ruben O

2008-01-01

Highly pathogenic avian influenza (HPAI) H5N1 viruses have caused dramatic economic losses to the poultry industry of Vietnam and continue to pose a serious threat to public health. As of June 2008, Vietnam had reported nearly one third of worldwide laboratory confirmed human H5N1 infections. To better understand the emergence, spread and evolution of H5N1 in Vietnam we studied over 300 H5N1 avian influenza viruses isolated from Vietnam since their first detection in 2001. Our phylogenetic analyses indicated that six genetically distinct H5N1 viruses were introduced into Vietnam during the past seven years. The H5N1 lineage that evolved following the introduction in 2003 of the A/duck/Hong Kong/821/2002-like viruses, with clade 1 hemagglutinin (HA), continued to predominate in southern Vietnam as of May 2007. A virus with a clade 2.3.4 HA newly introduced into northern Vietnam in 2007, reassorted with pre-existing clade 1 viruses, resulting in the emergence of novel genotypes with neuraminidase (NA) and/or internal gene segments from clade 1 viruses. A total of nine distinct genotypes have been present in Vietnam since 2001, including five that were circulating in 2007. At least four of these genotypes appear to have originated in Vietnam and represent novel H5N1 viruses not reported elsewhere. Geographic and temporal analyses of H5N1 infection dynamics in poultry suggest that the majority of viruses containing new genes were first detected in northern Vietnam and subsequently spread to southern Vietnam after reassorting with pre-existing local viruses in northern Vietnam. Although the routes of entry and spread of H5N1 in Vietnam remain speculative, enhanced poultry import controls and virologic surveillance efforts may help curb the entry and spread of new HPAI viral genes.

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

PubMed

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.

Learner-Centeredness and EFL Instruction in Vietnam: A Case Study

ERIC Educational Resources Information Center

Van Dang, Hung

2006-01-01

Although learner-centeredness has been widely applied in instruction in the world, this approach has only been cautiously adopted in English as a Foreign Language (EFL) teaching at some institutions in Vietnam. Taking a social constructivist view, this case study explores how a learner-centred perspective is employed in EFL teaching at a teacher…

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

ERIC Educational Resources Information Center

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…

Maternal mortality in Vietnam in 1994-95.

PubMed

Hieu, D T; Hanenberg, R; Vach, T H; Vinh, D Q; Sokal, D

1999-12-01

This report presents the first population-based estimates of maternal mortality in Vietnam. All the deaths of women aged 15-49 in 1994-95 in three provinces of Vietnam were identified and classified by cause. Maternal mortality was the fifth most frequent cause of death. The maternal mortality ratio was 155 deaths per 100,000 live births. This ratio compares with the World Health Organization's estimates of 430 such deaths globally and 390 for Asia. The maternal mortality ratio in the delta regions of these provinces was half that of the mountainous and semimountainous regions. Because a larger proportion of the Vietnamese population live in delta regions than elsewhere, the maternal mortality ratio for Vietnam as a whole may be lower than that of the three provinces studied. Maternal mortality is low in Vietnam primarily because a relatively high proportion of deliveries take place in clinics and hospitals, where few women die in childbirth. Also, few women die of the consequences of induced abortion in Vietnam because the procedure is legal and easily available.

Looking at the Vietnam War through Literature.

ERIC Educational Resources Information Center

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)

Estimation of Vietnam national burden of disease 2008.

PubMed

Nhung, Nguyen Thi Trang; Long, Tran Khanh; Linh, Bui Ngoc; Vos, Theo; Huong, Nguyen Thanh; Anh, Ngo Duc

2014-09-01

Burden of disease has been used to assess population health status. This article presents the first estimations of burden of disease in Vietnam in 2008 using disability-adjusted life years (DALYs). DALYs were calculated using the Global Burden of Disease (GBD) methods. Incidence, prevalence of diseases, and causes of death was extracted from Vietnam data. Disability weights were borrowed from GBD and Dutch research. In 2008, the total burden of disease in Vietnam was 12.3 million DALYs. Noncommunicable diseases dominated the total burden of diseases in Vietnam, accounting for 71% of the total burden, and cardiovascular disease was the leading cause group of premature death. While pneumonia was an important cause of burden in Vietnamese children, stroke and depression were the main causes of disease burden among adults. The study provides a snapshot of Vietnamese health status and offers guidance for health policymaking in Vietnam. © 2013 APJPH.

Historical droughts in northern Vietnam captured by variability in speleothem δ18O

NASA Astrophysics Data System (ADS)

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.

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

PubMed

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

2017-04-01

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.

Association between Caesarean Delivery and Childhood Asthma in India and Vietnam.

PubMed

Lavin, Tina; Franklin, Peter; Preen, David B

2017-01-01

While there is evidence of an association between caesarean birth and increased asthma in children in high-income countries, it is unknown whether this association exists in low-to-middle-income countries (LMICs). We investigated whether children born through caesarean in India and Vietnam are at increased risk of caregiver-reported asthma by 8 years of age. Data from an ongoing multi-national longitudinal cohort study (the Young Lives Study) in two LMICs (India n = 2026; Vietnam n = 2000) were used. Caregiver questionnaires captured information on caregiver-reported long-term respiratory problems such as asthma or wheeze at age 8 years, birth mode and a range of sociodemographic factors. Multivariable logistic regression models using propensity score adjustment were used to explore birth mode and asthma at age 8 years adjusted for a range of known confounders. Children delivered by caesarean in India (odds ratio (OR) 2.6, 95% confidence interval (CI) 1.3, 5.4) and Vietnam (OR 2.0, 95% CI 1.2, 3.3) had greater odds of asthma at age 8 years, after adjustment for other risk factors including wealth, liveborn parity, low birthweight, geographic location, cooking fuel used, livestock ownership, household size, housing quality and parental smoking. The study suggests that caesarean birth may be associated with an increased risk of childhood asthma in India and Vietnam. The underlying mechanisms of this finding need to be further elucidated. © 2016 John Wiley & Sons Ltd.

Teaching the Vietnam War: A Sociological Approach.

ERIC Educational Resources Information Center

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)

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

PubMed Central

2012-01-01

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. PMID:22883138

A second species of Euscorpiops Vachon from caves in Vietnam (Scorpiones, Euscorpiidae, Scorpiopinae). Cave Euscorpiops scorpion from Vietnam.

PubMed

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.

Paragonimus and paragonimiasis in Vietnam: an update.

PubMed

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.

Paragonimus and Paragonimiasis in Vietnam: an Update

PubMed Central

Horii, Yoichiro; Nawa, Yukifumi

2013-01-01

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. PMID:24516264

The Road to Success in the Study of Nanophosphors and Nanotubes in Vietnam

NASA Astrophysics Data System (ADS)

Tran, Kim Anh

2009-04-01

I studied physics for three years in a bamboo hut in the forest. It was during the war and my school had fled Hanoi. I subsequently earned my bachelor's degree in physics from Hanoi University and my PhD from the Polish Academy of Science. I am now a member of the National Basic Research Program of Vietnam on Optical Properties of Photonic Materials at the Institute of Materials Science of the Vietnamese Academy of Science and Technology. In 2005 I received the National Award of Vietnam for Science and Technology. This is the story of how I came to love physics more at each step of my education and career.

Agro-Environmental Determinants of Avian Influenza Circulation: A Multisite Study in Thailand, Vietnam and Madagascar

PubMed Central

Paul, Mathilde C.; Gilbert, Marius; Desvaux, Stéphanie; Rasamoelina Andriamanivo, Harena; 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. PMID:25029441

Latent Classes of PTSD Symptoms in Vietnam Veterans

ERIC Educational Resources Information Center

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…

Spatiotemporal structure of molecular evolution of H5N1 highly pathogenic avian influenza viruses in Vietnam.

PubMed

Carrel, Margaret A; Emch, Michael; Jobe, R Todd; Moody, Aaron; Wan, Xiu-Feng

2010-01-08

Vietnam is one of the countries most affected by outbreaks of H5N1 highly pathogenic avian influenza viruses. First identified in Vietnam in poultry in 2001 and in humans in 2004, the virus has since caused 111 cases and 56 deaths in humans. In 2003/2004 H5N1 outbreaks, nearly the entire poultry population of Vietnam was culled. Our earlier study (Wan et al., 2008, PLoS ONE, 3(10): e3462) demonstrated that there have been at least six independent H5N1 introductions into Vietnam and there were nine newly emerged reassortants from 2001 to 2007 in Vietnam. H5N1 viruses in Vietnam cluster distinctly around Hanoi and Ho Chi Minh City. However, the nature of the relationship between genetic divergence and geographic patterns is still unclear. In this study, we hypothesized that genetic distances between H5N1 viruses in Vietnam are correlated with geographic distances, as the result of distinct population and environment patterns along Vietnam's long north to south longitudinal extent. Based on this hypothesis, we combined spatial statistical methods with genetic analytic techniques and explicitly used geographic space to explore genetic evolution of H5N1 highly pathogenic avian influenza viruses at the sub-national scale in Vietnam. Our dataset consisted of 125 influenza viruses (with whole genome sets) isolated in Vietnam from 2003 to 2007. Our results document the significant effect of space and time on genetic evolution and the rise of two regional centers of genetic mixing by 2007. These findings give insight into processes underlying viral evolution and suggest that genetic differentiation is associated with the distance between concentrations of human and poultry populations around Hanoi and Ho Chi Minh City. The results show that genetic evolution of H5N1 viruses in Vietnamese domestic poultry is highly correlated with the location and spread of those viruses in geographic space. This correlation varies by scale, time, and gene, though a classic isolation by

Analysis of Vietnamization: Summary and Evaluation

DTIC Science & Technology

1973-11-01

Ellsberg, Daniel . Some Lessons from Failure in Vietnam, P-4036. Santa Monica: The RAND Corp., July 1969. Fulbright, J. William (ed.). The Vietnam...34 Chira and North Vietnam: Two Revolutionary Paths, " Part I, Current Scene, Vol. IX, No. II (Nov 7, 1971), Part II, Current Scene. Vol. IX, No. IZ (Doc 7

Evolution of Highly Pathogenic H5N1 Avian Influenza Viruses in Vietnam between 2001 and 2007

PubMed Central

Smith, Catherine B.; Zhao, Zi-Ming; Carrel, Margaret; Inui, Kenjiro; Do, Hoa T.; Mai, Duong T.; Jadhao, Samadhan; Balish, Amanda; Shu, Bo; Luo, Feng; Emch, Michael; Matsuoka, Yumiko; Lindstrom, Stephen E.; Cox, Nancy J.; Nguyen, Cam V.; Klimov, Alexander; Donis, Ruben O.

2008-01-01

Highly pathogenic avian influenza (HPAI) H5N1 viruses have caused dramatic economic losses to the poultry industry of Vietnam and continue to pose a serious threat to public health. As of June 2008, Vietnam had reported nearly one third of worldwide laboratory confirmed human H5N1 infections. To better understand the emergence, spread and evolution of H5N1 in Vietnam we studied over 300 H5N1 avian influenza viruses isolated from Vietnam since their first detection in 2001. Our phylogenetic analyses indicated that six genetically distinct H5N1 viruses were introduced into Vietnam during the past seven years. The H5N1 lineage that evolved following the introduction in 2003 of the A/duck/Hong Kong/821/2002-like viruses, with clade 1 hemagglutinin (HA), continued to predominate in southern Vietnam as of May 2007. A virus with a clade 2.3.4 HA newly introduced into northern Vietnam in 2007, reassorted with pre-existing clade 1 viruses, resulting in the emergence of novel genotypes with neuraminidase (NA) and/or internal gene segments from clade 1 viruses. A total of nine distinct genotypes have been present in Vietnam since 2001, including five that were circulating in 2007. At least four of these genotypes appear to have originated in Vietnam and represent novel H5N1 viruses not reported elsewhere. Geographic and temporal analyses of H5N1 infection dynamics in poultry suggest that the majority of viruses containing new genes were first detected in northern Vietnam and subsequently spread to southern Vietnam after reassorting with pre-existing local viruses in northern Vietnam. Although the routes of entry and spread of H5N1 in Vietnam remain speculative, enhanced poultry import controls and virologic surveillance efforts may help curb the entry and spread of new HPAI viral genes. PMID:18941631

A Probabilistic Typhoon Risk Model for Vietnam

NASA Astrophysics Data System (ADS)

Haseemkunju, A.; Smith, D. F.; Brolley, J. M.

2017-12-01

Annually, the coastal Provinces of low-lying Mekong River delta region in the southwest to the Red River Delta region in Northern Vietnam is exposed to severe wind and flood risk from landfalling typhoons. On average, about two to three tropical cyclones with a maximum sustained wind speed of >=34 knots make landfall along the Vietnam coast. Recently, Typhoon Wutip (2013) crossed Central Vietnam as a category 2 typhoon causing significant damage to properties. As tropical cyclone risk is expected to increase with increase in exposure and population growth along the coastal Provinces of Vietnam, insurance/reinsurance, and capital markets need a comprehensive probabilistic model to assess typhoon risk in Vietnam. In 2017, CoreLogic has expanded the geographical coverage of its basin-wide Western North Pacific probabilistic typhoon risk model to estimate the economic and insured losses from landfalling and by-passing tropical cyclones in Vietnam. The updated model is based on 71 years (1945-2015) of typhoon best-track data and 10,000 years of a basin-wide simulated stochastic tracks covering eight countries including Vietnam. The model is capable of estimating damage from wind, storm surge and rainfall flooding using vulnerability models, which relate typhoon hazard to building damageability. The hazard and loss models are validated against past historical typhoons affecting Vietnam. Notable typhoons causing significant damage in Vietnam are Lola (1993), Frankie (1996), Xangsane (2006), and Ketsana (2009). The central and northern coastal provinces of Vietnam are more vulnerable to wind and flood hazard, while typhoon risk in the southern provinces are relatively low.

Population-environment drivers of H5N1 avian influenza molecular change in Vietnam

PubMed Central

Carrel, Margaret A.; Emch, Michael; Nguyen, Tung; Jobe, R. Todd; Wan, Xiu-Feng

2013-01-01

This study identifies population and environment drivers of genetic change in H5N1 avian influenza viruses (AIV) in Vietnam using a landscape genetics approach. While prior work has examined how combinations of local-level environmental variables influence H5N1 occurrence, this research expands the analysis to the complex genetic characteristics of H5N1 viruses. A dataset of 125 highly pathogenic H5N1 AIV isolated in Vietnam from 2003–2007 is used to explore which population and environment variables are correlated with increased genetic change among viruses. Results from non-parametric multidimensional scaling and regression analyses indicate that variables relating to both the environmental and social ecology of humans and birds in Vietnam interact to affect the genetic character of viruses. These findings suggest that it is a combination of suitable environments for species mixing, the presence of high numbers of potential hosts, and in particular the temporal characteristics of viral occurrence, that drive genetic change among H5N1 AIV in Vietnam. PMID:22652510

Population-environment drivers of H5N1 avian influenza molecular change in Vietnam.

PubMed

Carrel, Margaret A; Emch, Michael; Nguyen, Tung; Todd Jobe, R; Wan, Xiu-Feng

2012-09-01

This study identifies population and environment drivers of genetic change in H5N1 avian influenza viruses (AIV) in Vietnam using a landscape genetics approach. While prior work has examined how combinations of local-level environmental variables influence H5N1 occurrence, this research expands the analysis to the complex genetic characteristics of H5N1 viruses. A dataset of 125 highly pathogenic H5N1 AIV isolated in Vietnam from 2003 to 2007 is used to explore which population and environment variables are correlated with increased genetic change among viruses. Results from non-parametric multidimensional scaling and regression analyses indicate that variables relating to both the environmental and social ecology of humans and birds in Vietnam interact to affect the genetic character of viruses. These findings suggest that it is a combination of suitable environments for species mixing, the presence of high numbers of potential hosts, and in particular the temporal characteristics of viral occurrence, that drive genetic change among H5N1 AIV in Vietnam. Copyright © 2012 Elsevier Ltd. All rights reserved.

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

ERIC Educational Resources Information Center

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…

The Vietnam Era Veteran: Challenge for Change. Administrator's Seminars on Vietnam Era Veterans.

ERIC Educational Resources Information Center

Veterans Administration, Washington, DC.

This report covers 5 regional seminars designed to increase the Veterans Administration understanding of Vietnam Era veterans. The process used was one of involvement and interaction of Veterans Administration officials with returning Vietnam Era veterans and other young people. After the traditional introductions and keynote remarks, there was a…

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

PubMed

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

45 CFR 506.10 - “Vietnam conflict” defined.

Code of Federal Regulations, 2010 CFR

2010-10-01

... § 506.10 “Vietnam conflict” defined. Vietnam conflict refers to the period beginning February 28, 1961... “Vietnam conflict” for purposes of payment of interest on missing military service members' deposits in the... ending date for the Vietnam conflict for purposes of determining eligibility for compensation under 50 U...

Rapid assessment of Hib disease burden in Vietnam

PubMed Central

2011-01-01

Background Several countries have applied the Haemophilus influenzae type b (Hib) rapid assessment tool (RAT) to estimate the burden of Hib disease where resources for hospital- or population-based surveillance are limited. In Vietnam, we used the Hib RAT to estimate the burden of Hib pneumonia and meningitis prior to Hib vaccine introduction. Methods Laboratory, hospitalization and mortality data were collected for the period January 2004 through December 2005 from five representative hospitals. Based on the WHO Hib RAT protocol, standardized MS Excel spreadsheets were completed to generate meningitis and pneumonia case and death figures. Results We found 35 to 77 Hib meningitis deaths and 441 to 957 Hib pneumonia deaths among children < 5 years of age annually in Vietnam. Overall, the incidence of Hib meningitis was estimated at 18/100,000 (95% confidence interval, CI, 15.1-21.6). The estimated Hib meningitis incidence in children < 5 years age was higher in Ho Chi Minh City (22.5/100,000 [95% CI, 18.4-27.5]) compared to Hanoi (9.8/100,000 [95% CI, 6.5-14.8]). The Hib RAT suggests that there are a total of 883 to 1,915 cases of Hib meningitis and 4,414 to 9,574 cases of Hib pneumonia per year in Vietnam. Conclusions In Hanoi, the estimated incidence of Hib meningitis for children < 5 years of age was similar to that described in previous population-based studies of Hib meningitis conducted from 1999 through 2002. Results from the Hib RAT suggest that there is a substantial, yet unmeasured, disease burden associated with Hib pneumonia in Vietnamese children. PMID:21513577

The Application of Operational Art to Health Service Support: A Case Study of the Korean and Vietnam Wars

DTIC Science & Technology

2017-05-25

The Application of Operational Art to Health Service Support: A Case Study of the Korean and Vietnam Wars A Monograph by MAJ Brian M. Downs...of Operational Art to Health Service Support: A Case Study of the Korean and Vietnam Wars 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM...ABSTRACT Health Service Support (HSS) planners have endured static healthcare operations over the last 15 years during operations in Iraq and

In Vietnam, Manufacturing Masterworks

ERIC Educational Resources Information Center

Overland, Martha Ann

2006-01-01

Vietnam, with its cheap labor and lax copyright laws, is a counterfeiter's dream. Books are sold hot off the photocopier and Hollywood's latest blockbusters can be had on DVD's for about a dollar. But it is in art forgery that Vietnam excels. With a stable of neoclassically trained art students, who spend years learning to copy the masters, art…

“Studying Injured Minds” – The Vietnam Head Injury Study and 40 Years of Brain Injury Research

PubMed Central

Raymont, Vanessa; Salazar, Andres M.; Krueger, Frank; Grafman, Jordan

2011-01-01

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. PMID:21625624

The long-term effects of military conscription on mortality: estimates from the Vietnam-era draft lottery.

PubMed

Conley, Dalton; Heerwig, Jennifer

2012-08-01

Research on the effects of Vietnam military service suggests that Vietnam veterans experienced significantly higher mortality than the civilian population at large. These results, however, may be biased by nonrandom selection into the military if unobserved background differences between veterans and nonveterans affect mortality directly. To generate unbiased estimates of exposure to conscription on mortality, the present study compares the observed proportion of draft-eligible male decedents born 1950-1952 to the (1) expected proportion of draft-eligible male decedents given Vietnam draft-eligibility cutoffs; and (2) observed proportion of draft-eligible decedent women. The results demonstrate no effect of draft exposure on mortality, including for cause-specific death rates. When we examine population subgroups-including splits by race, educational attainment, nativity, and marital status-we find weak evidence for an interaction between education and draft eligibility. This interaction works in the opposite direction of putative education-enhancing, mortality-reducing effects of conscription that have, in the past, led to concern about a potential exclusion restriction violation in instrumental variable (IV) regression models. We suggest that previous research, which has shown that Vietnam-era veterans experienced significantly higher mortality than nonveterans, might be biased by nonrandom selection into the military and should be further investigated.

Current status of taeniasis and cysticercosis in Vietnam.

PubMed

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

2014-04-01

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

45 CFR 506.10 - “Vietnam conflict” defined.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 45 Public Welfare 3 2014-10-01 2014-10-01 false âVietnam conflictâ defined. 506.10 Section 506.10... § 506.10 “Vietnam conflict” defined. Vietnam conflict refers to the period beginning February 28, 1961... proclaimed the date of May 7, 1975, to be the ending date of the “Vietnam era” (Presidential Proclamation No...

45 CFR 506.10 - “Vietnam conflict” defined.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 45 Public Welfare 3 2013-10-01 2013-10-01 false âVietnam conflictâ defined. 506.10 Section 506.10... § 506.10 “Vietnam conflict” defined. Vietnam conflict refers to the period beginning February 28, 1961... proclaimed the date of May 7, 1975, to be the ending date of the “Vietnam era” (Presidential Proclamation No...

45 CFR 506.10 - “Vietnam conflict” defined.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 45 Public Welfare 3 2012-10-01 2012-10-01 false âVietnam conflictâ defined. 506.10 Section 506.10... § 506.10 “Vietnam conflict” defined. Vietnam conflict refers to the period beginning February 28, 1961... proclaimed the date of May 7, 1975, to be the ending date of the “Vietnam era” (Presidential Proclamation No...

45 CFR 506.10 - “Vietnam conflict” defined.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 45 Public Welfare 3 2011-10-01 2011-10-01 false âVietnam conflictâ defined. 506.10 Section 506.10... § 506.10 “Vietnam conflict” defined. Vietnam conflict refers to the period beginning February 28, 1961... proclaimed the date of May 7, 1975, to be the ending date of the “Vietnam era” (Presidential Proclamation No...

The Vietnam Conflict: "America's Best Documented War?"

ERIC Educational Resources Information Center

Shaughnessy, C. A.

1991-01-01

Discusses problems with military documentation during the Vietnam War. Reports poor record keeping practices, destruction of permanent files, and mislabeled and missing records. Describes the National Archives' Vietnam project that organized and preserved the remaining military records. Concludes that the Vietnam War was better documented than the…

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

ERIC Educational Resources Information Center

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…

Spatiotemporal Structure of Molecular Evolution of H5N1 Highly Pathogenic Avian Influenza Viruses in Vietnam

PubMed Central

Emch, Michael; Jobe, R. Todd; Moody, Aaron

2010-01-01

Background Vietnam is one of the countries most affected by outbreaks of H5N1 highly pathogenic avian influenza viruses. First identified in Vietnam in poultry in 2001 and in humans in 2004, the virus has since caused 111 cases and 56 deaths in humans. In 2003/2004 H5N1 outbreaks, nearly the entire poultry population of Vietnam was culled. Our earlier study (Wan et al., 2008, PLoS ONE, 3(10): e3462) demonstrated that there have been at least six independent H5N1 introductions into Vietnam and there were nine newly emerged reassortants from 2001 to 2007 in Vietnam. H5N1 viruses in Vietnam cluster distinctly around Hanoi and Ho Chi Minh City. However, the nature of the relationship between genetic divergence and geographic patterns is still unclear. Methodology/Principal Findings In this study, we hypothesized that genetic distances between H5N1 viruses in Vietnam are correlated with geographic distances, as the result of distinct population and environment patterns along Vietnam's long north to south longitudinal extent. Based on this hypothesis, we combined spatial statistical methods with genetic analytic techniques and explicitly used geographic space to explore genetic evolution of H5N1 highly pathogenic avian influenza viruses at the sub-national scale in Vietnam. Our dataset consisted of 125 influenza viruses (with whole genome sets) isolated in Vietnam from 2003 to 2007. Our results document the significant effect of space and time on genetic evolution and the rise of two regional centers of genetic mixing by 2007. These findings give insight into processes underlying viral evolution and suggest that genetic differentiation is associated with the distance between concentrations of human and poultry populations around Hanoi and Ho Chi Minh City. Conclusions/Significance The results show that genetic evolution of H5N1 viruses in Vietnamese domestic poultry is highly correlated with the location and spread of those viruses in geographic space. This correlation

Youth Transition to Employment in Vietnam: A Vulnerable Path

ERIC Educational Resources Information Center

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…

Developing School Psychology in Vietnam

ERIC Educational Resources Information Center

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…

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

PubMed

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.

Predictors of depression among refugees from Vietnam: a longitudinal study of new arrivals.

PubMed

Hinton, W L; Tiet, Q; Tran, C G; Chesney, M

1997-01-01

The present study examined the impact of prearrival traumatic experiences and sociodemographic characteristics on future depression among Vietnamese and Chinese refugees from Vietnam. This is a longitudinal study of newly arrived refugees from Vietnam undergoing a mandatory health screening. A stratified consecutive sample of ethnic Chinese and ethnic Vietnamese refugees was drawn. The depression subscale of the Indochinese Hopkins symptoms checklist was administered to 114 refugees within the first 6 months after arrival in the United States and 12 to 18 months later. Ethnic Vietnamese reported more prearrival trauma compared with ethnic Chinese. Age was strongly correlated with time 2 depression among ethnic Vietnamese but not among ethnic Chinese. Multivariate linear regression analysis revealed that being a veteran, older, unattached, less proficient in English, ethnic Vietnamese, and more depressed at baseline predicted higher depression at follow-up. Although prearrival trauma predicted future depression, other sociodemographic characteristics assumed more importance with time.

Child malnutrition in Vietnam and its transition in an era of economic growth.

PubMed

Thang, N M; Popkin, B

2003-08-01

In the past decade, Vietnam has achieved an impressive rate of socioeconomic development paralleled by broad improvements in the health sector--but child malnutrition still lags far behind that of most other health indicators. The purpose of this study is to discover inequality in the near-present situation (1997-98; hereafter referred to as the present situation), changes of child malnutrition over the period from 1992-93 to 1997-98, and factors that might affect the inability to rapidly reduce child malnutrition among the poor, rural, and minority populations. Data from two nationally representative surveys--the 1992-93 and 1997-98 Vietnam Living Standards Measurement Surveys (LSMS)--of Vietnamese households were utilized in this study. Descriptive and logistic procedures were used for the analyses. The focus was on the variables related to household poverty status, total expenditure levels, rural residence, and minority status with controls for other key economic and demographic measures. A cross-sectional analysis was conducted on data using 4305 households and 4367 children (2-11 years of age in 1992-93) that were included in both surveys of the Vietnam Living Standard Survey (VLSS) in 1992-93 and 1997-98, conducted under the framework of the LSMS. Children of rural households, poor households, and ethnic minority backgrounds are significantly more likely to be malnourished than urban residents, children of nonpoor households, and the majority Kinh population. Additionally, avenues to escape malnourishment are limited in the former categories. These results suggest that economic improvements in Vietnam have, for the most part, bypassed the rural poor and minorities, and targeting economic resources towards these groups will be most critical to reduce malnutrition in Vietnam.

Reaction of Vietnam Veterans to the Persian Gulf War.

ERIC Educational Resources Information Center

Kobrick, Felice R.

1993-01-01

Reviews evolution of the concept of combat-related posttraumatic stress disorder and analyzes reports of Vietnam veterans' reactions to the Persian Gulf War. Presents case study of Vietnam veteran whose traumatic memories were reawakened with the onset of the Persian Gulf War, and discusses implications for social work practice. (Author/NB)

Current Status of Taeniasis and Cysticercosis in Vietnam

PubMed Central

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

Seasonal characteristics and current sources of OCPs and PCBs and enantiomeric signatures of chiral OCPs in the atmosphere of Vietnam.

PubMed

Wang, Weitao; Wang, Yinghui; Zhang, Ruijie; Wang, Shaopeng; Wei, Chaoshuai; Chaemfa, Chakra; Li, Jun; Zhang, Gan; Yu, Kefu

2016-01-15

Passive air samplers (PAS) were deployed concurrently at 15 locations (nine urban sites and six rural sites) in Vietnam and exposed for approximately 6 weeks from June 26, 2012 to August 26, 2012 and from December 8, 2012 to February 8, 2013. The concentration, composition and enantiomeric signatures of the target compound and Air Mass Backward Trajectories of the 15 sampling sites are presented and discussed in this study. Relatively clean air mass from ocean and similar concentrations and composition of POPs between the south and north of Vietnam indicate that local emissions is most likely the major source of POPs in Vietnam. Technical DDT and technical HCH were widely used in Vietnam and corresponding quantitative data suggests the sporadic use. The preferential degradation of (+)-α-HCH was found in all sampling sites, which could be a regional characteristic of Vietnam. High trans-/cis-chlordane (TC/CC) ratios indicate the current use of technical chlordane for termite control. PCA estimated that main source of PCBs present in the atmosphere of Vietnam was uncontrolled discarded e-waste. Copyright © 2015 Elsevier B.V. All rights reserved.

A Prospective Multi-Center Observational Study of Children Hospitalized with Diarrhea in Ho Chi Minh City, Vietnam

PubMed Central

Thompson, Corinne N.; Phan, My V. T.; Hoang, Nguyen Van Minh; Minh, Pham Van; Vinh, Nguyen Thanh; Thuy, Cao Thu; Nga, Tran Thi Thu; Rabaa, Maia A.; Duy, Pham Thanh; Dung, Tran Thi Ngoc; Phat, Voong Vinh; Nga, Tran Vu Thieu; Tu, Le Thi Phuong; Tuyen, Ha Thanh; Yoshihara, Keisuke; Jenkins, Claire; Duong, Vu Thuy; Phuc, Hoang Le; Tuyet, Pham Thi Ngoc; Ngoc, Nguyen Minh; Vinh, Ha; Chinh, Nguyen Tran; Thuong, Tang Chi; Tuan, Ha Manh; Hien, Tran Tinh; Campbell, James I.; Chau, Nguyen Van Vinh; Thwaites, Guy; Baker, Stephen

2015-01-01

We performed a prospective multicenter study to address the lack of data on the etiology, clinical and demographic features of hospitalized pediatric diarrhea in Ho Chi Minh City (HCMC), Vietnam. Over 2,000 (1,419 symptomatic and 609 non-diarrheal control) children were enrolled in three hospitals over a 1-year period in 2009–2010. Aiming to detect a panel of pathogens, we identified a known diarrheal pathogen in stool samples from 1,067/1,419 (75.2%) children with diarrhea and from 81/609 (13.3%) children without diarrhea. Rotavirus predominated in the symptomatic children (664/1,419; 46.8%), followed by norovirus (293/1,419; 20.6%). The bacterial pathogens Salmonella, Campylobacter, and Shigella were cumulatively isolated from 204/1,419 (14.4%) diarrheal children and exhibited extensive antimicrobial resistance, most notably to fluoroquinolones and third-generation cephalosporins. We suggest renewed efforts in generation and implementation of policies to control the sale and prescription of antimicrobials to curb bacterial resistance and advise consideration of a subsidized rotavirus vaccination policy to limit the morbidity due to diarrheal disease in Vietnam. PMID:25802437

Estimating the extra cost of living with disability in Vietnam.

PubMed

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.

The Vietnam Era Twin Registry: a resource for medical research.

PubMed Central

Henderson, W G; Eisen, S; Goldberg, J; True, W R; Barnes, J E; Vitek, M E

1990-01-01

The Vietnam Era Twin Registry consists of 4,774 male-male twin pairs born between 1939 and 1957 with both brothers having served in the United States military during the Vietnam War. The registry was originally developed to provide the best control group for Vietnam-exposed servicemen to study the long-term health consequences of service in Vietnam. Recognizing the potential value of the registry for other areas of medical research, the Department of Veterans Affairs in 1988 opened the registry for use by both VA and non-VA investigators. The existence of centralized VA data bases for deaths and VA hospitalizations will strengthen future followup of the twins. This article describes the characteristics of the registry population and the process for accessing the registry. PMID:2116638

Antecedents of narcotic use and addiction. A study of 898 Vietnam veterans.

PubMed

Helzer, J E; Robins, L N; Davis, D H

1976-02-01

Previous studies of predictors of narcotic abuse have been retrospective and based on samples of long-term addicts obtained from legal or medical channels. There are several methodological problems in this approach. The present study is an attempt to test certain alleged predictors of narcotic use in a cohort of 898 Vietnam veterans. The design overcomes several of the methodological weaknesses of previous studies. Eight variables which have been reported as predictors of drug use or addiction in the drug literature were inquired about during a personal interview which included the premilitary life of each subject. The antecedent variables were socioeconomic background, inner city residence, psychiatric illness, broken home, race, employment history, education and antisocial history. Using information obtained from interviews and military records, we then tested the predictive value of each of these antecedents by comparing narcotic used and addiction in Vietman and use after Vietnam in men differing with respect to each antecedent. Results indicate that some of the variables were very poor, and others very good predictors of the various levels of narcotic involvement. The predictive value and overall importance of each of the variables we tested are discussed.

Vietnam seeks help expanding voluntary surgical contraception.

PubMed

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

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

ERIC Educational Resources Information Center

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…

Vietnam Country Analysis Brief

EIA Publications

2017-01-01

Over the past few decades Vietnam has emerged as an important oil and natural gas producer in Southeast Asia. Vietnam has boosted exploration activities and allowed for greater foreign company investment and cooperation in the oil and gas sectors, and introduced limited market reforms to support the energy industry. On the demand side, the country’s rapid economic growth, industrialization, and export market expansion have spurred domestic energy consumption over the past decade.

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

PubMed

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.

Prevalence and risk factors of type 2 diabetes in older Vietnam-born Australians.

PubMed

Tran, Duong Thuy; Jorm, Louisa R; Johnson, Maree; Bambrick, Hilary; Lujic, Sanja

2014-02-01

Vietnamese immigrants in Australia represent the second largest Vietnamese community in developed countries, following the United States. However, limited information is available about prevalence of type 2 diabetes (T2D) and the relative roles of socio-demographic characteristics, lifestyle factors, and Vietnamese ethnicity per se in this population. This study investigated the prevalence of T2D and its risk factors in older Vietnam-born Australians, in comparison to native-born Australians. The study used baseline questionnaire data from 787 Vietnam- and 196,866 Australia-born individuals (≥45 years), who participated in the 45 and Up Study, which is Australia's largest population-based cohort study. Country of birth specific prevalence of T2D and its risk factors were age-standardised to the 2006 Australian population (≥45 years). Multivariable logistic regression models were built for each group to assess the relationship between T2D and socio-demographic characteristics, family history of diabetes, lifestyle factors and health status. Compared to Australia-born counterparts, Vietnam-born individuals had significantly (p < 0.001) higher age-standardised prevalence of T2D (14.7 vs 7.4 %) and significantly (p < 0.001) lower levels of vegetable consumption (≥5 serves/day, 19.4 vs 33.5 %), physical activity (≥5 sessions/week, 68.7 vs 78.5 %) and overweight and obesity (body mass index ≥25 kg/m(2), 21.5 vs 62.7 %). The increased risk of T2D associated with a family history of diabetes for Vietnam-born people [adjusted odds ratio (OR) 7.14, 95 % CI 4.15-12.28] was almost double that for Australia-born people (OR 3.77, 95 % CI 3.63-3.90). The patterns of association between T2D and other factors were similar between the two groups. The findings suggest a genetic predisposition to T2D in people of Vietnamese ethnicity. Reducing lifestyle risk factors for diabetes and better management of diabetes are priorities for Vietnam-born populations.

Interpersonal Styles of Vietnam Era Veterans

ERIC Educational Resources Information Center

Lorr, Maurice; And Others

1975-01-01

A comparative analysis is made of the social characteristics of Vietnam veterans and World War II veterans. By use of the Interpersonal Style Inventory, the results showed that the Vietnam veterans were more rebellious, radical, and expedient than older veterans. (DEP)

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

DTIC Science & Technology

1980-04-28

for Defense of South Vietnam V-7 VI-I The Enemy Base Area System and Additional Lines of Communication, January 1970 VI-4 VI-2 The Ho Chi Minh Campaign...military would not be justified in resting on its hard-won laurels.-- The judgment of the study team is that the cardinal blame for our ultimate... of the enemies; a lesser but harmful communications gap also existed between the US govern- "ment and its

Feasibility of a mindfulness-based intervention to address youth issues in Vietnam.

PubMed

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.

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

ERIC Educational Resources Information Center

Berman, David M.

1995-01-01

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

38 CFR 3.313 - Claims based on service in Vietnam.

Code of Federal Regulations, 2013 CFR

2013-07-01

... in Vietnam. 3.313 Section 3.313 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS... Evaluations; Service Connection § 3.313 Claims based on service in Vietnam. (a) Service in Vietnam. Service in Vietnam includes service in the waters offshore, or service in other locations if the conditions of...

38 CFR 3.313 - Claims based on service in Vietnam.

Code of Federal Regulations, 2012 CFR

2012-07-01

... in Vietnam. 3.313 Section 3.313 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS... Evaluations; Service Connection § 3.313 Claims based on service in Vietnam. (a) Service in Vietnam. Service in Vietnam includes service in the waters offshore, or service in other locations if the conditions of...

38 CFR 3.313 - Claims based on service in Vietnam.

Code of Federal Regulations, 2010 CFR

2010-07-01

... in Vietnam. 3.313 Section 3.313 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS... Evaluations; Service Connection § 3.313 Claims based on service in Vietnam. (a) Service in Vietnam. Service in Vietnam includes service in the waters offshore, or service in other locations if the conditions of...

38 CFR 3.313 - Claims based on service in Vietnam.

Code of Federal Regulations, 2014 CFR

2014-07-01

... in Vietnam. 3.313 Section 3.313 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS... Evaluations; Service Connection § 3.313 Claims based on service in Vietnam. (a) Service in Vietnam. Service in Vietnam includes service in the waters offshore, or service in other locations if the conditions of...

38 CFR 3.313 - Claims based on service in Vietnam.

Code of Federal Regulations, 2011 CFR

2011-07-01

... in Vietnam. 3.313 Section 3.313 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS... Evaluations; Service Connection § 3.313 Claims based on service in Vietnam. (a) Service in Vietnam. Service in Vietnam includes service in the waters offshore, or service in other locations if the conditions of...

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.

PubMed

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 <18 years who are hospitalised or present to outpatient departments. Following parental consent, data will be collected using a modified version of the Australian Cerebral Palsy Register questionnaire. The data collection form has been developed in consultation with local and international experts and translated into Vietnamese. Information collected will include demographics, maternal health and birth history, type and severity of 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

Migration and persistence of human influenza A viruses, Vietnam, 2001-2008.

PubMed

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; Boni, Maciej F

2013-11-01

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.

Voices from Vietnam: The New Literature from America's Longest War.

ERIC Educational Resources Information Center

Kneeshaw, Stephen

1988-01-01

Provides an essay review of seven books, written since 1983, on the Vietnam War. The titles include: THE BAD WAR: AN ORAL HISTORY OF THE VIETNAM WAR (1987); IN THE COMBAT ZONE: AN ORAL HISTORY OF AMERICAN WOMEN IN VIETNAM, 1966-1975 (1987); and DEAR AMERICA: LETTERS HOME FROM VIETNAM (1985). (JDH)

From Combat to Legacies: Novels of the Vietnam War.

ERIC Educational Resources Information Center

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)

Go / NGO success ensures Vietnam project.

PubMed

2000-02-01

This article reports the results of a joint evaluation by the Japanese Evaluation Team and the People's Committee of Nghe An on the Japan International Cooperation Agency Vietnam Reproductive Health (RH) Project. The evaluation, which was conducted through a workshop, showed that the Vietnam RH Project in Nghe An Province was successful. With two short-term experts dispatched to Vietnam in November and December 1999, the Project¿s activities were realized. Many activities were undertaken, which included retraining of community health centers, improvement of district health centers¿ monitoring capacity, and prenatal examination. Although the evaluation was carried out after only 2 years of actual activities, the Project¿s planned activities showed a smooth implementation as a result of good collaboration among Japan, the Vietnamese government, and nongovernmental organizations. With the successful outcome of the first phase of the project, both Japan and Vietnam have put up plans for future project activities.

Limitation on the Development of Skills in Higher Education in Vietnam

ERIC Educational Resources Information Center

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…

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

PubMed

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.

A Multilevel Study of Students in Vietnam: Drinking Motives and Drinking Context as Predictors of Alcohol Consumption

PubMed Central

Diep, Pham Bich; Tan, Frans E. S.; Knibbe, Ronald A.; De Vries, Nanne

2016-01-01

Background: This study used multi-level analysis to estimate which type of factor explains most of the variance in alcohol consumption of Vietnamese students. Methods: Data were collected among 6011 students attending 12 universities/faculties in four provinces in Vietnam. The three most recent drinking occasions were investigated per student, resulting in 12,795 drinking occasions among 4265 drinkers. Students reported on 10 aspects of the drinking context per drinking occasion. A multi-level mixed-effects linear regression model was constructed in which aspects of drinking context composed the first level; the age of students and four drinking motives comprised the second level. The dependent variable was the number of drinks. Results: Of the aspects of context, drinking duration had the strongest association with alcohol consumption while, at the individual level, coping motive had the strongest association. The drinking context characteristics explained more variance than the individual characteristics in alcohol intake per occasion. Conclusions: These findings suggest that, among students in Vietnam, the drinking context explains a larger proportion of the variance in alcohol consumption than the drinking motives. Therefore, measures that reduce the availability of alcohol in specific drinking situations are an essential part of an effective prevention policy. PMID:27420089

Preventing Escalation in the South China Sea Disputed Waters: A Comparative Study of Republic of the Philippines and Socialist Republic of Vietnam

DTIC Science & Technology

2015-03-01

among claimants’ civilian and military maritime forces in the South China Sea, and there are few studies of how the lack of civil-military cooperation...ESCALATION IN THE SOUTH CHINA SEA DISPUTED WATERS: A COMPARATIVE STUDY OF REPUBLIC OF THE PHILIPPINES AND SOCIALIST REPUBLIC OF VIETNAM by Askari...SOUTH CHINA SEA DISPUTED WATERS: A COMPARATIVE STUDY OF REPUBLIC OF THE PHILIPPINES AND SOCIALIST REPUBUC OF VIETNAM 6. AUTHOR(S) Askari 7

Using the Arts to Teach Vietnam War Literature.

ERIC Educational Resources Information Center

Johannessen, Larry R.

Starting a unit on Vietnam War literature by having students view slides of the Vietnam Veterans Memorial and listen to letters left there is just the first step in how an English teacher uses the arts to enhance student learning about the Vietnam War and its literature. After discussing their reactions to the slides and the offerings left at the…

Second Generation Effect of Vietnam: Adolescent Children of Combat Veterans.

ERIC Educational Resources Information Center

Dansby, Virginia Smejkal

Although extensive research has focused upon the adjustment problems of the veterans of the Vietnam conflict, little data is available concerning their children. The purpose of this study was to provide a description of the adolescent children who have lived with Vietnam combat veteran fathers, comparing them (on the basis of social and personal…

After Access: Divergent Learning Profiles in Vietnam and India

ERIC Educational Resources Information Center

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…

Cost Function and Its Use for Intergovernmental Educational Transfers in Vietnam

ERIC Educational Resources Information Center

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…

Training Learners to Use Quizlet Vocabulary Activities on Mobile Phones in Vietnam with Facebook

ERIC Educational Resources Information Center

Tran, Phuong

2016-01-01

Mobile phone ownership among university students in Vietnam has reached almost 100%, exceeding that of Internet-capable desktop computers. This has made them increasingly popular to allow learners to carry out learning activities outside of the classroom, but some studies have suggested that learners are not always willing to engage in activities…

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

PubMed

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.

A Macromarketing View of Sustainable Development in Vietnam.

PubMed

Shultz, Clifford J; Peterson, Mark

2017-12-30

The authors apply methods and perspectives from several disciplines to explore the effects of Vietnam's economic development on various ecosystems, to offer a macromarketing view of sustainable development in Vietnam. An adapted version of the Sustainable Society Index was used to assess Vietnam's sustainability, how Vietnam's measures compare to other countries, with implications for future sustainable-development. Among several findings, Vietnam earns favorable sustainability ratings in absolute terms for water resources, healthy living, energy use, greenhouse gases, genuine savings, and employment. Ominously, Vietnam and some of its nearby neighbors post poor scores for energy savings and education. Going forward, energy savings, a well-educated population, and a coordinated marketing system will be required to ensure favorable sustainability measures. Drawing on macromarketing explorations of complex and interdependent systems, key factors are considered to redress unsustainable resource exploitation and degradation. Particular attention is given to the complexities and dilemmas inherent to waterways, such as the Mekong River Basin and Delta. The authors argue for multi-win goals, systemic understanding, stakeholder inclusion, and resolutions via cooperation and constructive engagement-including projects, products, services, and institutional leadership for best practices designed and administered to enhance sustainability and citizen/societal well-being.

Forest transition in Vietnam and displacement of deforestation abroad

PubMed Central

Meyfroidt, Patrick; Lambin, Eric F.

2009-01-01

In some countries across the globe, tropical forest cover is increasing. The national-scale reforestation of Vietnam since 1992 is assumed to contribute to this recovery. It is achieved, however, by the displacement of forest extraction to other countries on the order of 49 (34–70) M m3, or ≈39% of the regrowth of Vietnam's forests from 1987 to 2006. Approximately half of wood imports to Vietnam during this period were illegal. Leakage due to policies restricting forest exploitation and displacement due to growing domestic consumption and exports contributed respectively to an estimated 58% and 42% of total displacement. Exports of wood products from Vietnam also grew rapidly, amounting to 84% of the displacement, which is a remarkable feature of the forest transition in Vietnam. Attribution of the displacement and corresponding forest extraction to Vietnam, the source countries or the final consumers is thus debatable. Sixty-one percent of the regrowth in Vietnam was, thus, not associated with displacement abroad. Policies allocating credits to countries for reducing deforestation and forest degradation should monitor illegal timber trade and take into account the policy-induced leakage of wood extraction to other countries. PMID:19805270

Forest transition in Vietnam and displacement of deforestation abroad.

PubMed

Meyfroidt, Patrick; Lambin, Eric F

2009-09-22

In some countries across the globe, tropical forest cover is increasing. The national-scale reforestation of Vietnam since 1992 is assumed to contribute to this recovery. It is achieved, however, by the displacement of forest extraction to other countries on the order of 49 (34-70) M m(3), or approximately 39% of the regrowth of Vietnam's forests from 1987 to 2006. Approximately half of wood imports to Vietnam during this period were illegal. Leakage due to policies restricting forest exploitation and displacement due to growing domestic consumption and exports contributed respectively to an estimated 58% and 42% of total displacement. Exports of wood products from Vietnam also grew rapidly, amounting to 84% of the displacement, which is a remarkable feature of the forest transition in Vietnam. Attribution of the displacement and corresponding forest extraction to Vietnam, the source countries or the final consumers is thus debatable. Sixty-one percent of the regrowth in Vietnam was, thus, not associated with displacement abroad. Policies allocating credits to countries for reducing deforestation and forest degradation should monitor illegal timber trade and take into account the policy-induced leakage of wood extraction to other countries.

Pharmacy Education in Vietnam

PubMed Central

Bedouch, Pierrick; Nguyen, Thi-Hoai; Nguyen, Thi-Lien-Huong; Hoang, Thi-Kim-Huyen; Calop, Jean; Allenet, Benoît

2013-01-01

Pharmacy education programs in Vietnam are complex and offer various career pathways. All include theory and laboratory modules in general, foundation, and pharmaceutical knowledge; placements in health facilities; and a final examination. The various pharmacy degree programs allow specialization in 1 or more of 5 main fields: (1) drug management and supply, (2) drug development and production, (3) pharmacology and clinical pharmacy, (4) traditional medicine and pharmacognosy, and (5) drug quality control, which are offered as main specialization options during the reformed undergraduate and postgraduate programs. However, pharmacy education in Vietnam in general remains product oriented and clinical pharmacy training has not received adequate attention. Only students who have obtained the bachelor of pharmacy degree, which requires a minimum of 5 years of study, are considered as fully qualified pharmacists. In contrast, an elementary diploma in pharmacy awarded after 1 year of pharmacy study permits entry into more junior pharmacy positions. Since the 2000s, there has been a surge in the number and types of schools offering pharmacy qualifications at various levels. PMID:23966717

Opportunities in Vietnam

DOE Office of Scientific and Technical Information (OSTI.GOV)

Burke, F.; Donoghue, N.

1994-11-01

Vietnam`s energy needs are clear and acute. Economic reforms have triggered a dynamic development process with a large and growing appetite for power. In view of the Vietnamese government`s own shortages of capital, private international power companies have been identified as key problem-solvers in the country`s efforts to meet a skyrocketing demand for energy resources. There are no restrictions on the nature of projects in which non-Vietnamese investors may participate. A number of legal issues need resolution before independent power producers can take advantage of the Republic`s recently created Builder-Operator-Transfer Contracts (the BOT Regulations). This paper discusses these regulations andmore » how they affect independent power producers« less

Assessment of the geothermal resources of the Socialist Republic of Vietnam

DOE Office of Scientific and Technical Information (OSTI.GOV)

Flynn, T.; Tien, Phan Cu; Schochert, D.

1997-12-31

More than 125 thermal springs, with temperatures greater than 30{degrees}C have been identified and catalogued by the General Department of Geology of Vietnam. Subsurface data are limited and fewer than 10 areas have been identified, on the basis of chemical geothermometers, as capable of supporting electric power production. Six sites in south-central Vietnam have recently been selected for exploration to determine their development potential for electrical power generation. Selected criteria included surface features, chemical geothermometers, proximity to regional faults trends, and regional requirements for electric power. Site visits were conducted to a total of eight areas in south central Vietnammore » where collateral economic developments suggest the need for a local, reliable source of electricity. Physical and visual information on geothermal springs and wells in Vietnam was compared to Nevada`s geothermal resources. Surface geothermal manifestations in Vietnam appear remarkably similar to those in Nevada. Outcrops adjacent to the geothermal areas indicate that Mesozoic-age granites are the most likely basement rocks. Quaternary basalts mapped throughout the study area may be responsible for the thermal anomaly. Initial exploration efforts will focus on three of the six sites, which together may be able to produce 40 to 60 MWe. A cooperative research program with selected Vietnamese governmental agencies includes geologic mapping, surface geophysical and geochemical surveys, and a graduated schedule of drilling programs, ranging in depth from 100 to 1,000 m. Results will be used to define a detailed, deep drilling and testing program at the three prime sites. Development of geothermal power in this region will boost local economic recovery and add stability to the national electric grid.« less

Spatiotemporal Dynamics of Dengue Epidemics, Southern Vietnam

PubMed Central

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

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

PubMed

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

Teaching the Vietnam War in the 1990s.

ERIC Educational Resources Information Center

Franklin, H. Bruce

For an instructor who has been teaching the Vietnam War for over 30 years, the War has been teaching him for even longer. One of the objectives in teaching the Vietnam War in the 1990s is what it meant to teach the Vietnam War in the 1960s. It is easy to forget that the antiwar movement began as an attempt to educate the government and the nation,…

Evolution and phylogeographic dissemination of endemic porcine picornaviruses in Vietnam

PubMed Central

Lu, Lu; Van Dung, Nguyen; Bryant, Juliet E.; Carrique-Mas, Juan; Van Cuong, Nguyen; Anh, Pham Honh; Rabaa, Maia A.; Baker, Stephen; Simmonds, Peter; Woolhouse, Mark E.

2016-01-01

Members of the Picornaviridae are important and often zoonotic viruses responsible for a variety of human and animal diseases. However, the evolution and spatial dissemination of different picornaviruses circulating in domestic animals are not well studied. We examined the rate of evolution and time of origin of porcine enterovirus G (EV-G) and porcine kobuvirus species C lineages (PKV-C) circulating in pig farms in Vietnam and from other countries. We further explored the spatiotemporal spread of EV-G and PKV-C in Southwest Vietnam using phylogeographic models. Multiple types of EV-G are co-circulating in Vietnam. The two dominant EV-G types among isolates from Vietnam (G1 and G6) showed strong phylogenetic clustering. Three clades of PKV-C (PKV-C1-3) represent more recent introductions into Vietnam; PKV-C2 is closely related to PKV-C from Southwest China, indicating possible cross-border dissemination. In addition, high virus lineage migration rates were estimated within four districts in Dong Thap province in Vietnam for both EV-G types (G1, G6) and all PKV-C (C1-3) clades. We found that Chau Thanh district is a primary source of both EV-G and PKV-C clades, consistent with extensive pig trading in and out of the district. Understanding the evolution and spatial dissemination of endemic picornaviruses in pigs may inform future strategies for the surveillance and control of picornaviruses. PMID:27774295

Dioxin exposure in breast milk and infant neurodevelopment in Vietnam.

PubMed

Tai, Pham The; Nishijo, Muneko; Anh, Nguyen Thi Nguyet; Maruzeni, Shoko; Nakagawa, Hideaki; Van Luong, Hoang; Anh, Tran Hai; Honda, Ryumon; Kido, Teruhiko; Nishijo, Hisao

2013-09-01

Dioxin levels in the breast milk of mothers residing near hot spots of dioxin contamination areas in South Vietnam remain much higher than in unsprayed areas, suggesting that fetuses and breast-fed infants may be exposed to high levels of dioxins. The present study investigated the association of infant neurodevelopment in early infancy and dioxin exposure during the perinatal period. The study involved 216 mother-infant pairs living near the Da Nang airbase, a dioxin contaminated area in Vietnam. Mothers and infants were followed from birth until infants were 4 months old. Dioxin levels in breast milk were measured to estimate the perinatal dioxin exposure, including the infant daily dioxin intake (DDI) via breastfeeding. Infant neurodevelopmental parameters, including cognitive, language and motor domains were assessed at approximately 4 months using the Bayley Scales of Infant and Toddler Development, third edition (Bayley-III). The level of 2,3,7,8-tetrachlorodibenzo-p-dioxin and polychlorinated dibenzo-p-dioxins/furans-toxic equivalents in breast milk and the infant DDI showed significant inverse correlations with neurodevelopmental scores. When the subjects were divided into four groups according to dioxin levels in breast milk, the moderate and high DDI groups had significantly lower cognitive, composite motor and fine motor scores, and the high polychlorinated dibenzo-p-dioxins/furans-toxic equivalents group had significantly lower fine motor score than the low exposure group. For all domains, neurodevelopmental scores were decreased with increase in the level of 2,3,7,8-tetrachlorodibenzo-p-dioxin. The present study demonstrates a considerable impact of perinatal dioxin exposure on neurodevelopment in 4-month-old infants living in contaminated areas in Vietnam.

Ensemble climate projections of mean and extreme rainfall over Vietnam

NASA Astrophysics Data System (ADS)

Raghavan, S. V.; Vu, M. T.; Liong, S. Y.

2017-01-01

A systematic ensemble high resolution climate modelling study over Vietnam has been performed using the PRECIS model developed by the Hadley Center in UK. A 5 member subset of the 17-member Perturbed Physics Ensembles (PPE) of the Quantifying Uncertainty in Model Predictions (QUMP) project were simulated and analyzed. The PRECIS model simulations were conducted at a horizontal resolution of 25 km for the baseline period 1961-1990 and a future climate period 2061-2090 under scenario A1B. The results of model simulations show that the model was able to reproduce the mean state of climate over Vietnam when compared to observations. The annual cycles and seasonal averages of precipitation over different sub-regions of Vietnam show the ability of the model in also reproducing the observed peak and magnitude of monthly rainfall. The climate extremes of precipitation were also fairly well captured. Projections of future climate show both increases and decreases in the mean climate over different regions of Vietnam. The analyses of future extreme rainfall using the STARDEX precipitation indices show an increase in 90th percentile precipitation (P90p) over the northern provinces (15-25%) and central highland (5-10%) and over southern Vietnam (up to 5%). The total number of wet days (Prcp) indicates a decrease of about 5-10% all over Vietnam. Consequently, an increase in the wet day rainfall intensity (SDII), is likely inferring that the projected rainfall would be much more severe and intense which have the potential to cause flooding in some regions. Risks due to extreme drought also exist in other regions where the number of wet days decreases. In addition, the maximum 5 day consecutive rainfall (R5d) increases by 20-25% over northern Vietnam but decreases in a similar range over the central and southern Vietnam. These results have strong implications for the management water resources, agriculture, bio diversity and economy and serve as some useful findings to be

Global and Local Approaches to Children's Rights in Vietnam.

ERIC Educational Resources Information Center

Burr, Rachel

2002-01-01

Examines influence of the United Nations Convention on the Rights of the Child (CRC) on local attitudes toward childhood and children's lived experiences in Vietnam. Examines attitudes of aid agency members working with those children, and suggests that members of organizations that uphold the CRC often assume that local people share their notion…

United States national security policy making and Vietnam

DOE Office of Scientific and Technical Information (OSTI.GOV)

Davidson, M.W.

1985-01-01

The United States failed to achieve its goals in waging a war in Vietnam. This thesis endeavors to show that this failure was due to errors in the formulation of American national security policy regarding Vietnam. The policy making process went astray, at least in part, due to a narrowing of the role of senior military officers as national security policy makers. The restricted role of senior officers as national security policy makers adversely affected American policy formulation regarding Vietnam. The United States response to the coup against Diem in 1963 and the deployment of conventional American forces to groundmore » combat in Vietnam, in 1965 were undertaken without a clear recognition of the considerable costs of the commitments being assumed. Senior military officers had prompted such a recognition in similar previous crises but were not in a policy making position to do so concerning Vietnam. The policymaking input that was absent was ethical counsel of a fundamental nature. Clausewitz viewed the mortality of a war as being embodied in the national will to fight that war. The absence of an accurate appreciation of the costs of a military solution in Vietnam denied civilian officials a critical policy making factor and contributed significantly to the defeat of the American purpose there.« less

Migration and Persistence of Human Influenza A Viruses, Vietnam, 2001–2008

PubMed Central

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

Appearance of reassortant European avian-origin H1 influenza A viruses of swine in Vietnam.

PubMed

Takemae, N; Nguyen, P T; Le, V T; Nguyen, T N; To, T L; Nguyen, T D; Pham, V P; Vo, H V; Le, Q V T; Do, H T; Nguyen, D T; Uchida, Y; Saito, T

2018-03-06

Three subtypes-H1N1, H1N2 and H3N2-of influenza A viruses of swine (IAVs-S) are currently endemic in swine worldwide, but there is considerable genotypic diversity among each subtype and limited geographical distribution. Through IAVs-S monitoring in Vietnam, two H1N2 influenza A viruses were isolated from healthy pigs in Ba Ria-Vung Tau Province, Southern Vietnam, on 2 December 2016. BLAST and phylogenetic analyses revealed that their HA and NA genes were derived from those of European avian-like H1N2 IAVs-S that contained avian-origin H1 and human-like N2 genes, and were particularly closely related to those of IAVs-S circulating in the Netherlands, Germany or Denmark. In addition, the internal genes of these Vietnamese isolates were derived from human A(H1N1)pdm09 viruses, suggesting that the Vietnamese H1N2 IAVs-S are reassortants between European H1N2 IAVs-S and human A(H1N1)pdm09v. The appearance of European avian-like H1N2 IAVs-S in Vietnam marks their first transmission outside Europe. Our results and statistical analyses of the number of live pigs imported into Vietnam suggest that the European avian-like H1N2 IAVs-S may have been introduced into Vietnam with their hosts through international trade. These findings highlight the importance of quarantining imported pigs to impede the introduction of new IAVs-S. © 2018 Blackwell Verlag GmbH.

Confirmed Plasmodium vivax Resistance to Chloroquine in Central Vietnam.

PubMed

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.

There Can Be Only One: An Analysis of Operational Artists in Vietnam

DTIC Science & Technology

2017-05-05

elevated, in the case of the Vietnam comparative study here, to the theater commander. 6...factors in identifying the true Operational Artist in the Vietnam case study as well as future conflicts. This is where the creativity that defines...difference between successful and unsuccessful Operational Artists in the sense this monograph proposes. This is a comparative case study between GEN Paul

Description of two new Calicnemia from Vietnam and central Laos with notes on their congeners in Vietnam (Odonata: Platycnemididae).

PubMed

Phan, Quoc Toan; Kompier, Tom; Karube, Haruki

2017-02-16

Descriptions are given of two new species of Calicnemia: C. akahara sp. nov. from central and southern Vietnam and C. hamata sp. nov. from central Laos. C. soccifera Yu & Chen, 2013, and C. haksik Wilson & Reels, 2003, are recorded for the first time from Vietnam; C. uenoi Asahina, 1997, is redescribed with new illustrations provided of its anal appendages and genital ligula; and the occurrence of C. mortoni (Laidlaw, 1917) in Vietnam is discussed.

Antibiotic sales in rural and urban pharmacies in northern Vietnam: an observational study

PubMed Central

2014-01-01

Background The irrational overuse of antibiotics should be minimized as it drives the development of antibiotic resistance, but changing these practices is challenging. A better understanding is needed of practices and economic incentives for antibiotic dispensing in order to design effective interventions to reduce inappropriate antibiotic use. Here we report on both quantitative and qualitative aspects of antibiotic sales in private pharmacies in northern Vietnam. Method A cross-sectional study was conducted in which all drug sales were observed and recorded for three consecutive days at thirty private pharmacies, 15 urban and 15 rural, in the Hanoi region in 2010. The proportion of antibiotics to total drug sales was assessed and the revenue was calculated for rural and urban settings. Pharmacists and drug sellers were interviewed by a semi-structured questionnaire and in-depth interviews to understand the incentive structure of antibiotic dispensing. Results In total 2953 drug sale transactions (2083 urban and 870 rural) were observed. Antibiotics contributed 24% and 18% to the total revenue of pharmacies in urban and rural, respectively. Most antibiotics were sold without a prescription: 88% in urban and 91% in rural pharmacies. The most frequent reported reason for buying antibiotics was cough in the urban setting (32%) and fever in the rural area (22%). Consumers commonly requested antibiotics without having a prescription: 50% in urban and 28% in rural area. The qualitative data revealed that drug sellers and customer’s knowledge of antibiotics and antibiotic resistance were low, particularly in rural area. Conclusion Over the counter sales of antibiotic without a prescription remains a major problem in Vietnam. Suggested areas of improvement are enforcement of regulations and pricing policies and educational programs to increase the knowledge of drug sellers as well as to increase community awareness to reduce demand-side pressure for drug sellers to

Neurology in the Vietnam War.

PubMed

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.

Son preference in a rural village in North Vietnam.

PubMed

Bélanger, Danièle

2002-12-01

This article explores the continuing preference for sons in the context of low fertility in Vietnam. Although the total fertility rate for Vietnam declined from 6.0 children per woman of reproductive age in 1979 to 2.2 children in 1998, demographic evidence shows that son preference remains strong and influences contraceptive and fertility behavior. This study examines the underlying factors for son preference in a rural village in North Vietnam. The methodology includes focus-group discussions, an in-depth study of 25 families, and ethnographic observation. Results indicate that sons are highly desired for their social, symbolic, and economic value. In spite of four decades of socialist policies aimed at reducing gender-based inequalities and at weakening the patriarchal kinship system, the desire for sons continues to drive the family-building process. The article also indicates a gap between discourse and social practice with respect to roles assigned to children on the basis of their sex.

Women Vietnam Veterans: Do PTSD Symptoms Mediate Effects of Warzone Service on Health?

PubMed Central

Kaiser, Anica Pless; Spiro, Avron; Lee, Lewina Onyi; Stellman, Jeanne Mager

2012-01-01

We assessed the impact of warzone stress on the physical and mental health functioning and well-being of 975 female nurse veterans who had been deployed to Vietnam, and examined whether PTSD symptoms at the time of the survey mediated these relations. A questionnaire was mailed to the Women’s Vietnam Memorial Project members, approximately 25 – 30 years after their wartime service. We examined current physical and mental health functioning in relation to several measures of warzone stress and PTSD symptoms, adjusting for age, length of military service, and current physical health problems. Using regression models, we evaluated whether current PTSD symptoms mediated the effects of warzone stress on mental and physical health. Findings suggested that PTSD symptoms did mediate the relationship between warzone stress and mental, but not physical, health functioning in later life. These findings suggest that among women nurses deployed to Vietnam, the effects of warzone stress many years earlier on current functioning and well-being are both direct and indirect, mediated by PTSD symptoms. The legacy of wartime deployment remains, although muted in its expression, in military nurses nearly 30 years after their return. PMID:22984348

Student Plagiarism in Higher Education in Vietnam: An Empirical Study

ERIC Educational Resources Information Center

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…

Social sustainability of Mesocyclops biological control for dengue in South Vietnam.

PubMed

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

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

NASA Astrophysics Data System (ADS)

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.

Weaver ant role in cashew orchards in Vietnam.

PubMed

Peng, Renkang; Lan, La Pham; Christian, Keith

2014-08-01

Cashew (Anacardium occidentale L.) is a very important source of income for more than 200,000 farmer households in Vietnam. The present cashew productivity in Vietnam is low and unstable, and pest damage is partly responsible for this. Cashew farmers rely on pesticides to minimize the damage, resulting in adverse impacts on farm environment and farmers' health. Weaver ants (Oecophylla spp) are effective biocontrol agents of a range of cashew insect pests in several cashew-growing countries, and these ants are widely distributed in Vietnam. The aim of this study is to evaluate the potential of weaver ants in cashew orchards in Vietnam. Field surveys and field experiment were conducted in five cashew orchards from July 2006 to January 2008 in Binh Phuoc, Dong Nai, and Ba Ria Vung Tau provinces, Vietnam. Based on the field surveys, the most important pests that damage flushing foliar and floral shoots and young cashew fruits and nuts were mosquito bugs, brown shoot borers, blue shoot borers, and fruit-nut borers. The damage caused by each of these pests was significantly lower on trees with weaver ants compared with trees without the ants, showing that the ants were able to keep these pest damages under the control threshold. Regular monitoring of the field experiment showed that weaver ants were similar to insecticides for controlling mosquito bugs, blue shoot borers, fruit-nut borers, leaf rollers, and leaf miners. Aphids did not become major pests in plot with weaver ants. To manage insect pest assemblage in cashew orchards, an integrated pest management using weaver ants as a major component is discussed.

Job Satisfaction in the Shrimp Trawl Fisheries of Vietnam

ERIC Educational Resources Information Center

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…

38 CFR 21.5020 - Post-Vietnam era veterans' educational assistance.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 2 2012-07-01 2012-07-01 false Post-Vietnam era veterans... AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Post-Vietnam Era Veterans' Educational Assistance Under 38 U.S.C. Chapter 32 General § 21.5020 Post-Vietnam era veterans' educational assistance...

38 CFR 21.5020 - Post-Vietnam era veterans' educational assistance.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 2 2013-07-01 2013-07-01 false Post-Vietnam era veterans... AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Post-Vietnam Era Veterans' Educational Assistance Under 38 U.S.C. Chapter 32 General § 21.5020 Post-Vietnam era veterans' educational assistance...

38 CFR 21.5020 - Post-Vietnam era veterans' educational assistance.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 false Post-Vietnam era veterans... AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Post-Vietnam Era Veterans' Educational Assistance Under 38 U.S.C. Chapter 32 General § 21.5020 Post-Vietnam era veterans' educational assistance...

38 CFR 21.5020 - Post-Vietnam era veterans' educational assistance.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Post-Vietnam era veterans... AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Post-Vietnam Era Veterans' Educational Assistance Under 38 U.S.C. Chapter 32 General § 21.5020 Post-Vietnam era veterans' educational assistance...

38 CFR 21.5020 - Post-Vietnam era veterans' educational assistance.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 2 2014-07-01 2014-07-01 false Post-Vietnam era veterans... AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Post-Vietnam Era Veterans' Educational Assistance Under 38 U.S.C. Chapter 32 General § 21.5020 Post-Vietnam era veterans' educational assistance...

The characterization of low pathogenic avian influenza viruses isolated from wild birds in northern Vietnam from 2006 to 2009.

PubMed

Takakuwa, Hiroki; Yamashiro, Tetsu; Le, Mai Q; Phuong, Lien S; Ozaki, Hiroichi; Tsunekuni, Ryota; Usui, Tatsufumi; Ito, Hiroshi; Yamaguchi, Tsuyoshi; Ito, Toshihiro; Murase, Toshiyuki; Ono, Etsuro; Otsuki, Koichi

2013-12-01

Due to concerns that wild birds could possibly spread H5N1 viruses, surveillance was conducted to monitor the types of avian influenza viruses circulating among the wild birds migrating to or inhabiting in northern Vietnam from 2006 to 2009. An H5N2 virus isolated from a Eurasian woodcock had a close phylogenetic relationship to H5 viruses recently isolated in South Korea and Japan, suggesting that H5N2 has been shared between Vietnam, South Korea, and Japan. An H9N2 virus isolated from a Chinese Hwamei was closely related to two H9N2 viruses that were isolated from humans in Hong Kong in 2009, suggesting that an H9N2 strain relevant to the human isolates had been transmitted to and maintained among the wild bird population in Vietnam and South China. The results support the idea that wild bird species play a significant role in the spread and maintenance of avian influenza and that this also occurs in Vietnam. Copyright © 2013 Elsevier Ltd. All rights reserved.

Policy processes underpinning universal health insurance in Vietnam.

PubMed

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.

Investigating Vietnam's ornamental bird trade: implications for transmission of zoonoses.

PubMed

Edmunds, Kelly; Roberton, Scott I; Few, Roger; Mahood, Simon; Bui, Phuong L; Hunter, Paul R; Bell, Diana J

2011-03-01

Global wildlife trade is financially lucrative, frequently illegal and increases the risk for zoonotic disease transmission. This paper presents the first interdisciplinary study of Vietnam's illegal wild bird trade focussing on those aspects which may contribute to the transmission of diseases such as Highly Pathogenic Avian Influenza (HPAI) H5N1. Comparing January 2009 data with that of May 2007, we found a five-fold increase to 9,117 birds on sale in Hanoi. Ninety-five percent of Hanoian bird vendors appear unaware of trade regulations and across Vietnam vendors buy birds sourced outside of their province. Approximately 25% of the species common to Vietnam's bird trade are known to be HPAI H5N1 susceptible. The anthropogenic movement of birds within the trade chain and the range of HPAI-susceptible species, often traded alongside poultry, increase the risk Vietnam's bird trade presents for the transmission of pathogens such as HPAI H5N1. These results will assist in the control and monitoring of emerging zoonotic diseases and conservation of Southeast Asia's avifauna.

Supplement to Vietnam 1964-1973: An American Dilemma

DTIC Science & Technology

2005-10-01

1991. 161-188. (DS 549 .C66 1991) Cobb, William W. Jr. The American Foundation Myth in Vietnam: Reigning Paradigms and Raining Bombs. Lanham, MD: UP of...Guenter. " The Role of Deception in the Vietnam War." In Deception and Deterrence in "Wars of National Liberation," State-Sponsored Terrorism and Other Forms... the Senate’s Role in War Making." In Looking Back on the Vietnam War: A 1990s Perspective on the Decisions, Combat, and Legacies. Ed. William Head and

Tradition and Change in Marriage Payments in Vietnam, 1963–2000

PubMed Central

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

31 CFR 500.565 - Family remittances to nationals of Vietnam and Cambodia.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Vietnam and Cambodia. 500.565 Section 500.565 Money and Finance: Treasury Regulations Relating to Money... remittances to nationals of Vietnam and Cambodia. (a) The remittances specified in this section are authorized... relative is a national of Vietnam or Cambodia, is a resident of Vietnam, Cambodia, or a country to which...

Different Lineage of Porcine Deltacoronavirus in Thailand, Vietnam and Lao PDR in 2015.

PubMed

Saeng-Chuto, K; Lorsirigool, A; Temeeyasen, G; Vui, D T; Stott, C J; Madapong, A; Tripipat, T; Wegner, M; Intrakamhaeng, M; Chongcharoen, W; Tantituvanont, A; Kaewprommal, P; Piriyapongsa, J; Nilubol, D

2017-02-01

Porcine deltacoronavirus (PDCoV) was detected by RT-PCR in 12 of 97 (12.4%) intestinal samples collected during 2015 from piglets with diarrhoea in Thailand, Vietnam and Lao PDR. Spike, membrane and nucleocapsid genes were characterized, and phylogenetic analyses demonstrated that PDCoV isolates from Thai and Lao PDR form a novel cluster, separated from US and China isolates, but relatively were more closely related to China PDCoV than US isolates. Vietnam PDCoVs, however, were grouped together with US PDCoV. The analyses of amino acid changes suggested that they were from different lineage. © 2016 Blackwell Verlag GmbH.

Vietnam's Half-Hearted Welcome Home

ERIC Educational Resources Information Center

Overland, Martha Ann

2008-01-01

Twenty years ago, Vietnam's closed-door policy meant its students were restricted to the former Soviet-bloc countries. Today they study all over the world--about 6,000 are in the United States alone. In many cases, their tuition and living expenses are paid by foreign governments and private charitable organizations. Fulbright, the Ford…

Geophysics Integrated Studies in the Sun Earth System: A Cooperative Project of Vietnam, Europe, and Africa

NASA Astrophysics Data System (ADS)

Amory-Mazaudier, C.; et al.

2006-11-01

lhminh@igp.ncst.ac.vn The Hanoi Institute of Geophysics (Vietnam) will participate to international Heliophysical Year. This paper presents Vietnam‘s participation into this International cooperative project : the Vietnamese network of magnetometers, meteorological stations, ionosondes and GPS receivers involved in campaigns of measurements, the research field selected for the training of young Vietnamese scientists, and the Institutes involve in this training. This paper also presents some particularities of geophysical parameters in Vietnam : the strong amplitude of the equatorial electrojet observed by satellite data and confirmed by magnetic observations at the ground level presented for the first time to the international community, the monsoon signature etc. Finally the differences between the Asian sector and the African sector lead to the development of comparative studies between Asia and Africa.

Use of modern contraceptives among married women in Vietnam: a multilevel analysis using the Multiple Indicator Cluster Survey (2011) and the Vietnam Population and Housing Census (2009).

PubMed

Vu, Lan Thi Hoang; Oh, Juhwan; Bui, Quyen Thi-Tu; Le, Anh Thi-Kim

2016-01-01

The prevalence of modern contraceptive use is an important indicator that reflects accessibility to reproductive health services. Satisfying unmet needs for family planning alone could reduce the number of maternal deaths by almost a third. This study uses multiple data sources to examine multilevel factors associated with the use of modern contraceptives among married women in Vietnam aged 15-49 years. Data from different national surveys (Vietnam Population and Housing Census, Vietnam Living Standard Survey, and Multiple Indicator Cluster Survey) were linked to create a dataset including individual and contextual (provincial) variables (N=8,341). Multilevel modeling was undertaken to examine the impact of both individual and provincial characteristics on modern contraceptive use. Odds ratios (ORs) and 95% confidence intervals (CIs) are reported. Individual factors significantly associated with the use of modern contraceptives were age 30-34 years (reference 15-19 years) (OR=1.63); high socioeconomic status (SES) (OR=0.8); having two living children (OR=2.4); and having a son (OR=1.4). The provincial poverty rate mediated the association between the individual's SES and the likelihood of using modern contraceptives. The proportion of women in Vietnam using modern contraceptive methods has remained relatively high in recent years with significant variation across Vietnam's 63 provinces. Women of lower SES are more likely to use modern contraceptive methods, especially in the poorer provinces. Achieving access to universal reproductive health is one of the Millennium Development Goals. Vietnam must continue to make progress in this area.

Somalia and Vietnam. Deja Vu All Over Again

DTIC Science & Technology

1994-04-01

Rev. 2-89) Pre•cribed by ANSI Std. Z39-18 298-102 AIR WAR COLLEGE AIR LUNIVRITY SOMALIA AND VIETNAM " DEJA VU ALL OVER AGAIN" by James M. Comgan A...BASE., ALABAMA APRIL 1994 II II 3 AIR WAR COLLEGE AIR UNIVERITY *! SOMALIA AND VIETNAM S1 " DEJA VU ALL OVER AGAIN" I 3 by James M. Corrigan A RESEARCH...Vietnam: " Deja Vu All Over Again" AUTHOR. James M. Corrigan, Lieutenant Colonel During the recet involvemen in Somalia, U.S. leadership likely

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

PubMed Central

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

2016-01-01

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 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 (10–14 years

Antenatal and early infant predictors of postnatal growth in rural Vietnam: a prospective cohort study

PubMed Central

Hanieh, Sarah; Ha, Tran T; De Livera, Alysha M; Simpson, Julie A; Thuy, Tran T; Khuong, Nguyen C; Thoang, Dang D; Tran, Thach D; Tuan, Tran; Fisher, Jane; Biggs, Beverley-Ann

2015-01-01

Objective To determine which antenatal and early-life factors were associated with infant postnatal growth in a resource-poor setting in Vietnam. Study design Prospective longitudinal study following infants (n=1046) born to women who had previously participated in a cluster randomised trial of micronutrient supplementation (ANZCTR:12610000944033), Ha Nam province, Vietnam. Antenatal and early infant factors were assessed for association with the primary outcome of infant length-for-age z scores at 6 months of age using multivariable linear regression and structural equation modelling. Results Mean length-for-age z score was −0.58 (SD 0.94) and stunting prevalence was 6.4%. Using structural equation modelling, we highlighted the role of infant birth weight as a predictor of infant growth in the first 6 months of life and demonstrated that maternal body mass index (estimated coefficient of 45.6 g/kg/m2; 95% CI 34.2 to 57.1), weight gain during pregnancy (21.4 g/kg; 95% CI 12.6 to 30.1) and maternal ferritin concentration at 32 weeks' gestation (−41.5 g per twofold increase in ferritin; 95% CI −78 to −5.0) were indirectly associated with infant length-for-age z scores at 6 months of age via birth weight. A direct association between 25-(OH) vitamin D concentration in late pregnancy and infant length-for-age z scores (estimated coefficient of −0.06 per 20 nmol/L; 95% CI −0.11 to −0.01) was observed. Conclusions Maternal nutritional status is an important predictor of early infant growth. Elevated antenatal ferritin levels were associated with suboptimal infant growth in this setting, suggesting caution with iron supplementation in populations with low rates of iron deficiency. PMID:25246090

The Policy Cycle and Vernacular Globalization: A Case Study of the Creation of Vietnam National University--Hochiminh City

ERIC Educational Resources Information Center

Minh Ngo, Thanh; Lingard, Bob; Mitchell, Jane

2006-01-01

This article examines the policy cycle and vernacular globalization in the context of higher education reform in Vietnam. Through an analysis of the development of the Vietnam National University--Hochiminh City as part of the post-1986 reconstruction of Vietnamese higher education, the article considers the complex interrelationship between…

Abortion in Vietnam: measurements, puzzles, and concerns.

PubMed

Goodkind, D

1994-01-01

This report summarizes current knowledge about abortion in Vietnam, drawing upon government statistics, survey data, and fieldwork undertaken by the author in Vietnam throughout 1993 and part of 1994. The official total abortion rate in Vietnam in 1992 was about 2.5 per woman, the highest in Asia and worrisome for a country with a still-high total fertility rate of 3.7 children per woman. Vietnamese provinces exhibited substantial variation in both the rate of abortion and the type of procedures performed. Among the hypotheses explored to explain Vietnam's high rate of abortion are the borrowing of family planning strategies from other poor socialist states where abortion is common; current antinatal population policies that interact with a lack of contraceptive alternatives; and a rise in pregnancies among young and unmarried women in the wake of recent free-market reforms. Because family-size preferences are still declining, abortion rates may continue to increase unless the incidence of unwanted pregnancy can be reduced, a goal that Vietnamese population specialists are seeking to achieve.

Impact of presumed service-connected diagnosis on the Department of Veterans Affairs healthcare utilization patterns of Vietnam-Theater Veterans: A cross-sectional study.

PubMed

Fried, Dennis A; Rajan, Mangala; Tseng, Chin-Lin; Helmer, Drew

2018-05-01

During the Vietnam War, the US military sprayed almost 20 million gallons of Agent Orange (AO), an herbicide contaminated with dioxin, over Vietnam. Approximately, 2.7 million US military personnel may have been exposed to AO during their deployment. Ordinarily, veterans who can demonstrate a nexus between a diagnosed condition and military service are eligible for Department of Veterans Affairs (VA) service-connected disability compensation. Vietnam Veterans have had difficulty, however, establishing a nexus between AO exposure and certain medical conditions that developed many years after the war. In response, VA has designated certain conditions as "presumed service connected" for Vietnam Veterans who were present and possibly exposed. Veterans with any of these designated conditions do not have to document AO exposure, making it easier for them to access the VA disability system. The extent to which VA healthcare utilization patterns reflect easier access afforded those with diagnosed presumptive conditions remains unknown. In this cross-sectional study, we hypothesized that Vietnam Veterans with diagnosed presumptive conditions would be heavier users of the VA healthcare system than those without these conditions. In our analysis of 85,699 Vietnam Veterans, we used binary and cumulative logit multivariable regression to assess associations between diagnosed presumptive conditions and VA healthcare utilization in 2013. We found that diagnosed presumptive conditions were associated with higher odds of 5+ VHA primary care visits (OR = 2.01, 95% CI: 1.93-2.07), 5+ specialty care visits (OR = 2.11, 95% CI: 2.04-2.18), emergency department use (OR = 1.22, 95% CI: 1.11-1.34), and hospitalization (OR = 1.23, 95% CI: 1.17-1.29). Consistent with legislative intent, presumptive policies appear to facilitate greater VA system utilization for Vietnam Veterans who may have been exposed to AO.

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

ERIC Educational Resources Information Center

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.…

Improved rice residue burning emissions estimates: Accounting for practice-specific emission factors in air pollution assessments of Vietnam.

PubMed

Lasko, Kristofer; Vadrevu, Krishna

2018-05-01

In Southeast Asia and Vietnam, rice residues are routinely burned after the harvest to prepare fields for the next season. Specific to Vietnam, the two prevalent burning practices include: a). piling the residues after hand harvesting; b). burning the residues without piling, after machine harvesting. In this study, we synthesized field and laboratory studies from the literature on rice residue burning emission factors for PM 2.5 . We found significant differences in the resulting burning-practice specific emission factors, with 16.9 g kg -2 (±6.9) for pile burning and 8.8 g kg -2 (±3.5) for non-pile burning. We calculated burning-practice specific emissions based on rice area data, region-specific fuel-loading factors, combined emission factors, and estimates of burning from the literature. Our results for year 2015 estimate 180 Gg of PM 2.5 result from the pile burning method and 130 Gg result from non-pile burning method, with the most-likely current emission scenario of 150 Gg PM 2.5 emissions for Vietnam. For comparison purposes, we calculated emissions using generalized agricultural emission factors employed in global biomass burning studies. These results estimate 80 Gg PM 2.5 , which is only 44% of the pile burning-based estimates, suggesting underestimation in previous studies. We compare our emissions to an existing all-combustion sources inventory, results show emissions account for 14-18% of Vietnam's total PM 2.5 depending on burning practice. Within the highly-urbanized and cloud-covered Hanoi Capital region (HCR), we use rice area from Sentinel-1A to derive spatially-explicit emissions and indirectly estimate residue burning dates. Results from HYSPLIT back-trajectory analysis stratified by season show autumn has most emission trajectories originating in the North, while spring has most originating in the South, suggesting the latter may have bigger impact on air quality. From these results, we highlight locations where emission

Improved Rice Residue Burning Emissions Estimates: Accounting for Practice-Specific Emission Factors in Air Pollution Assessments of Vietnam

NASA Technical Reports Server (NTRS)

Lasko, Kristofer; Vadrevu, Krishna

2018-01-01

In Southeast Asia and Vietnam, rice residues are routinely burned after the harvest to prepare fields for the next season. Specific to Vietnam, the two prevalent burning practices include: a). piling the residues after hand harvesting; b). burning the residues without piling, after machine harvesting. In this study, we synthesized field and laboratory studies from the literature on rice residue burning emission factors for Particulate Matter less than 2.5 microns (PM2.5). We found significant differences in the resulting burning-practice specific emission factors, with 16.9 grams per square kilogram (plus or minus 6.9) for pile burning and 8.8 grams per square kilogram (plus or minus 3.5) for non-pile burning. We calculated burning practice specific emissions based on rice area data, region-specific fuel-loading factors, combined emission factors, and estimates of burning from the literature. Our results for year 2015 estimate 180 gigagrams of PM2.5 result from the pile burning method and 130 gigagrams result from non-pile burning method, with the most-likely current emission scenario of 150 gigagrams PM2.5 emissions for Vietnam. For comparison purposes, we calculated emissions using generalized agricultural emission factors employed in global biomass burning studies. These results estimate 80 gigagrams PM2.5, which is only 44 percent of the pile burning-based estimates, suggesting underestimation in previous studies. We compare our emissions to an existing all-combustion sources inventory, results show emissions account for 14-18 percent of Vietnam's total PM2.5 depending on burning practice. Within the highly-urbanized and cloud-covered Hanoi Capital region (HCR), we use rice area from Sentinel-1A to derive spatially-explicit emissions and indirectly estimate residue burning dates. Results from HYSPLIT (Hybrid Single-Particle Lagrangian Integrated Trajectory) back-trajectory analysis stratified by season show autumn has most emission trajectories originating in

An Unfamiliar Minority: Vietnam Veterans on Campus.

ERIC Educational Resources Information Center

Drake, David

This essay, based on the personal experiences of a professional librarian, who is also a Vietnam veteran, looks at why Vietnam veterans are a minority in higher education and the misconceptions that surround them. The lack of contact with actual veterans by administrators in many institutions of higher education is noted, and the paper goes on to…

Patterns of Drug Usage Among Vietnam Veterans.

ERIC Educational Resources Information Center

Fisher, Allan H., Jr.; And Others

A factor analysis was performed on an intercorrelation matrix of reported drug usage frequencies for seven drug categories at two consecutive periods of time. Subjects were 1,010 Army Vietnam veterans in pay grade E6 or below, aged 26 years or less. Retrospective reporting identified drug usage prior to a tour of Vietnam and during the tour. Four…

A Study of Strategic Lessons Learned in Vietnam. Volume 4. US Domestic Factors Influencing Vietnam War Policy Making

DTIC Science & Technology

1980-04-01

Kennedy Years 4-9 xiv -’ 1 -jON THE BDM CORPORATION TABLE OF CONTENTS (CONTINUED) Chapter Page I. The Development of Tax-Cut Legislation , 1962-64 4-9 2...other similar legislation was a deliberate step to limit executive authority and to assert congressional prerog- ative in the foreign policy decision...rights coalitions that had been so effective in pressing for legislation . Aniother factor was the Vietnam War, for opposi- tion to the war was found not

MALE HOMOSEXUAL IDENTITIES, RELATIONSHIPS, AND PRACTICES AMONG YOUNG MEN WHO HAVE SEX WITH MEN IN VIETNAM: IMPLICATIONS FOR HIV PREVENTION

PubMed Central

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

2010-01-01

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. PMID:19519239

Policy processes underpinning universal health insurance in Vietnam

PubMed Central

Ha, Bui T. T.; Frizen, Scott; Thi, Le M.; Duong, Doan T. T.; Duc, Duong M.

2014-01-01

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. PMID:25262793

U.S.-Vietnam Relations: Background and Issues for Congress

DTIC Science & Technology

2008-10-31

Clips, Produced by U.S. State Department Hanoi and Ho Chi Minh City Public Affairs Sections; Oxford Analytica ( OA ), “Vietnam/Cambodia/Laos: Crisis Could...Spur Reforms,” October 24 2008. 8 For these contrasting views, see EIU, Vietnam Country Report, October 2008, and OA , “Vietnam/Cambodia/Laos: Crisis...military bases in Bien Hoa, Da Nang, Nha Trang, and Phu Cat. In February 2007, the United States announced it would provide $400,000 to support mitigation

Patterns of Health Expenditures and Financial Protections in Vietnam 1992-2012.

PubMed

Hoang, Van Minh; Oh, Juhwan; Tran, Tuan Anh; Tran, Thi Giang Huong; Ha, Anh Duc; Luu, Ngoc Hoat; Nguyen, Thi Kim Phuong

2015-11-01

Health financing has been considered as an important building block of a health system and has a key role in promoting universal health coverage in the Vietnam. This paper aims to describe the pattern of health expenditure, including total health expenditure and composition of health expenditure, over the last two decades in Vietnam. The paper mainly uses the data from Vietnam National Health Account and Vietnam Living Standards Survey. We also included data from other relevant published literature, reports and statistics about health care expenditure in Vietnam. The per capita health expenditure in Vietnam increased from US$ 14 in 1995 to US$ 86 in 2012. The total health expenditure as a share of GDP also rose from 5.2% in 1995 to 6.9% in 2012. Public health expenditure as percentage of government expenditure rose from 7.4% in 1995 to nearly 10% in 2012. The coverage of health insurance went up from 10% in 1995 to 68.5% in 2012. However, health financing in Vietnam was depending on private expenditures (57.4% in 2012). As a result, the proportion of households with catastrophic expenditure in 2012 was 4.2%. The rate of impoverishment in 2012 was 2.5%. To ensure equity and efficient goal of health system, policy actions for containing the health care out-of-pocket payments and their poverty impacts are urgently needed in Vietnam.

Vietnam, a Hotspot for Chromosomal Diversity and Cryptic Species in Black Flies (Diptera: Simuliidae)

PubMed Central

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. PMID:27695048

Vietnam, a Hotspot for Chromosomal Diversity and Cryptic Species in Black Flies (Diptera: Simuliidae).

PubMed

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.

A novel strain of porcine deltacoronavirus in Vietnam.

PubMed

Le, Van Phan; Song, Sok; An, Byung-Hyun; Park, Gyu-Nam; Pham, Ngoc Thach; Le, Dinh Quyen; Nguyen, Van Tam; Vu, Thi Thu Hang; Kim, Ki-Sun; Choe, SeEun; An, Dong-Jun

2018-01-01

Two porcine deltacoronavirus (PDCoV) strains (Binh21 and HaNoi6) were isolated from two pig farms in North Vietnam. Phylogenetic analysis of the complete genomes and the Spike and Membrane genes revealed that the two Vietnam PDCoVs belong to the same lineage as PDCoVs from Thailand and Laos; however, the N genes belonged to the same lineage as PDCoVs from the USA, Korea, China, and Hong Kong. The recombination detection program subsequently identified the major parent (S5011 strain) and minor parent (HKU15-44 strain) of the two Vietnam PDCoV strains (p < 0.01).

Use of modern contraceptives among married women in Vietnam: a multilevel analysis using the Multiple Indicator Cluster Survey (2011) and the Vietnam Population and Housing Census (2009)

PubMed Central

Vu, Lan Thi Hoang; Oh, Juhwan; Bui, Quyen Thi-Tu; Le, Anh Thi-Kim

2016-01-01

Background The prevalence of modern contraceptive use is an important indicator that reflects accessibility to reproductive health services. Satisfying unmet needs for family planning alone could reduce the number of maternal deaths by almost a third. This study uses multiple data sources to examine multilevel factors associated with the use of modern contraceptives among married women in Vietnam aged 15–49 years. Design Data from different national surveys (Vietnam Population and Housing Census, Vietnam Living Standard Survey, and Multiple Indicator Cluster Survey) were linked to create a dataset including individual and contextual (provincial) variables (N=8,341). Multilevel modeling was undertaken to examine the impact of both individual and provincial characteristics on modern contraceptive use. Odds ratios (ORs) and 95% confidence intervals (CIs) are reported. Results Individual factors significantly associated with the use of modern contraceptives were age 30–34 years (reference 15–19 years) (OR=1.63); high socioeconomic status (SES) (OR=0.8); having two living children (OR=2.4); and having a son (OR=1.4). The provincial poverty rate mediated the association between the individual's SES and the likelihood of using modern contraceptives. Conclusions The proportion of women in Vietnam using modern contraceptive methods has remained relatively high in recent years with significant variation across Vietnam's 63 provinces. Women of lower SES are more likely to use modern contraceptive methods, especially in the poorer provinces. Achieving access to universal reproductive health is one of the Millennium Development Goals. Vietnam must continue to make progress in this area. PMID:26950565

Strategy in the Vietnam War: Western Concepts, Eastern Conflict and the Roots of Failure.

ERIC Educational Resources Information Center

Weland, James

1990-01-01

Critiques U.S. military assumptions concerning the war in Vietnam. Discusses the North Vietnamese strategic approach to gaining control of South Vietnam. Traces the history of the Vietnam War, analyzing specific U.S. military operations in Vietnam and reasons for their failure. Contends that U.S. strategic ethnocentrism lead to defeat in Vietnam.…

Dioxins and dioxin-like chemicals in blood and semen of American Vietnam veterans from the state of Michigan.

PubMed

Schecter, A; McGee, H; Stanley, J S; Boggess, K; Brandt-Rauf, P

1996-12-01

This exposure assessment pilot study tested the hypothesis that elevated blood levels of the dioxin congener 2,3,7,8-TCDD ("TCDD"), due to Agent Orange exposure, in American Vietnam veterans could be demonstrated two to three decades after Vietnam service. A second objective was to determine if dioxins, including TCDD, are present in the semen of adult males. In the early 1990s, blood samples from 50 Vietnam veterans and three pooled semen samples from 17 of them were analyzed by high-resolution gas chromatography-mass spectroscopy for dioxins, dibenzofurans, and the dioxin-like PCBs. Fifty volunteers from the Michigan Vietnam veteran bonus list, which documented Vietnam service, were invited to participate based on their self-reported exposure to Agent Orange in Vietnam. Screening of military and medical records was performed by an epidemiologist and a physician to assure that Agent Orange exposure was possible based on job description, location of service in Vietnam, and military Agent Orange spray records. Elevated 2,3,7,8-TCDD levels, over 20 ppt on a lipid basis, could still be detected in six of the 50 veterans in this nonrandomly selected group. The dioxin and dibenzofuran congeners commonly found in the U.S. population, including TCDD, were also detected in the three pooled semen samples. Quantification and comparison on a lipid basis were not possible due to low lipid concentrations where levels were below the detection limit. Therefore, semen samples were measured and reported on a wet-weight basis. Elevated blood TCDD levels, probably related to Agent Orange exposure, can be detected between two and three decades after potential exposure in some American veterans. Original levels were estimated to be 35-1,500-fold greater that that of the general population (4 ppt, lipid) at the time of exposure. In addition, the detection of dioxins in semen suggests a possible mechanism for male-mediated adverse reproductive outcomes following Agent Orange or other

A systematic review of taeniasis, cysticercosis and trichinellosis in Vietnam.

PubMed

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

Prevalence of frailty and its associated factors in older hospitalised patients in Vietnam.

PubMed

Vu, Huyen Thi Thanh; Nguyen, Thanh Xuan; Nguyen, Tu N; Nguyen, Anh Trung; Cumming, Robert; Hilmer, Sarah; Pham, Thang

2017-09-15

Frailty is an emerging issue in geriatrics and gerontology. The prevalence of frailty is increasing as the population ages. Like many developing countries, Vietnam has a rapidly ageing population. However, there have been no studies about frailty in older people in Vietnam. This study aims to investigate the prevalence of frailty and its associated factors in older hospitalised patients at the National Geriatric Hospital in Hanoi, Vietnam. Prospective observational study in inpatients aged ≥60 years at the National Geriatric Hospital in Hanoi, Vietnam from 4/2015 to 10/2015. Frailty was assessed using the Reported Edmonton Frail Scale (REFS) and Fried frailty phenotype. A total of 461 patients were recruited (56.8% female, mean age 76.2 ± 8.9 years). The prevalence of frailty was 31.9% according to the REFS. Using the Fried frailty criteria, the percentages of non-frail, pre-frail and frail participants were 24.5, 40.1 and 35.4%, respectively. Factors associated with frailty defined by REFS were age (OR 1.05 per year, 95% CI 1.03-1.08), poor reported nutritional status (OR 4.51, 95% CI 2.15-9.44), and not finishing high school (OR 2.18, 95% CI 1.37-3.46). Factors associated with frailty defined by the Fried frailty criteria included age (OR 1.07 per year, 95% CI 1.05-1.10), poor reported nutritional status (OR 2.96, 95%CI 1.43-6.11), not finishing high school (OR 1.58, 95% CI 1.01-2.46) and cardiovascular disease (OR 1.76, 95% CI 1.16-2.67). While further studies are needed to examine the impact of frailty on outcomes in Vietnam, the observed high prevalence of frailty in older inpatients is likely to have implications for health policy and planning for the ageing population in Vietnam.

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

PubMed Central

VO, Nhung Thi Tuyet; PHAN, Trang Ngo Diem; VO, Trung Quang

2017-01-01

Background 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. Methods 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. Results 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). Conclusion 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. PMID:28814934

Dilemmas in examining understanding of nature of science in Vietnam

NASA Astrophysics Data System (ADS)

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.

Land surface and climate parameters and malaria features in Vietnam

NASA Astrophysics Data System (ADS)

Liou, Y. A.; Anh, N. K.

2017-12-01

Land surface parameters may affect local microclimate, which in turn alters the development of mosquito habitats and transmission risks (soil-vegetation-atmosphere-vector borne diseases). Forest malaria is a chromic issue in Southeast Asian countries, in particular, such as Vietnam (in 1991, approximate 2 million cases and 4,646 deaths were reported (https://sites.path.org)). Vietnam has lowlands, sub-tropical high humidity, and dense forests, resulting in wide-scale distribution and high biting rate of mosquitos in Vietnam, becoming a challenging and out of control scenario, especially in Vietnamese Central Highland region. It is known that Vietnam's economy mainly relies on agriculture and malaria is commonly associated with poverty. There is a strong demand to investigate the relationship between land surface parameters (land cover, soil moisture, land surface temperature, etc.) and climatic variables (precipitation, humidity, evapotranspiration, etc.) in association with malaria distribution. GIS and remote sensing have been proven their powerful potentials in supporting environmental and health studies. The objective of this study aims to analyze physical attributes of land surface and climate parameters and their links with malaria features. The outcomes are expected to illustrate how remotely sensed data has been utilized in geohealth applications, surveillance, and health risk mapping. In addition, a platform with promising possibilities of allowing disease early-warning systems with citizen participation will be proposed.

Wicked problems: a value chain approach from Vietnam's dairy product.

PubMed

Khoi, Nguyen Viet

2013-12-01

In the past few years, dairy industry has become one of the fastest growing sectors in the packaged food industry of Vietnam. However, the value-added creation among different activities in the value chain of Vietnam dairy sector is distributed unequally. In the production activities, the dairy farmers gain low value-added rate due to high input cost. Whereas the processing activities, which managed by big companies, generates high profitability and Vietnamese consumers seem to have few choices due to the lack of dairy companies in the market. These wicked problems caused an unsustainable development to the dairy value chain of Vietnam. This paper, therefore, will map and analyze the value chain of the dairy industry in Vietnam. It will also assess the value created in each activity in order to imply solutions for a sustainable development of Vietnam's dairy industry. M10, M11.

Uncaging the Dragon: Vietnam and the Middle-Income Trap

DTIC Science & Technology

2013-11-01

compete with high- income advanced economies because it lacks the institutions necessary to continue economic growth . The author suggests that...but then cannot compete with high- income advanced economies because it lacks the institutions necessary to continue economic growth . The author...Vietnam modifies its current economic strategy, the factors that limit economic growth will leave it mired in the middle- income trap. The Communist

The Army and the Strategic Military Legacy of Vietnam

DTIC Science & Technology

1990-06-01

anxious to know how long U.S. troops will be there. It is only natural given the pre- vious interventions and the memories of involvement in the...hand" institutional memory , future Army leaders will increasingly have to rely on the Vietnam "lessons literature." Future Army leaders will not have the...or may not even resemble, the Vietnam experience. As the Vietnam War begins to pass out of the military’s personal institutional memory by way of

General Lewis Walt: Operational Art in Vietnam, 1965-1967

DTIC Science & Technology

2013-05-23

civic action in Vietnam US Marine Corps Civic Action Effort in Vietnam March 1965 – March 1966 by Russel Stolfi and US Marine Corps Civil Affairs in I... US Marine Corps, 1978), 13. 29 As much as any other factor, geography and climate permeated all facets of life in the I CTZ and had a direct... US Marine Corps Civic Action Effort in Vietnam March 1965 – March 1966 (Washington, DC: Historical Branch, G3 Division, U.S. Marine Corps, 1978), 22

Maternal vitamin D status and infant outcomes in rural Vietnam: a prospective cohort study.

PubMed

Hanieh, Sarah; Ha, Tran T; Simpson, Julie A; Thuy, Tran T; Khuong, Nguyen C; Thoang, Dang D; Tran, Thach D; Tuan, Tran; Fisher, Jane; Biggs, Beverley-Ann

2014-01-01

Vitamin D deficiency affects 1 billion people globally. It has an important role in bone homeostasis, brain development and modulation of the immune system and yet the impact of antenatal vitamin D deficiency on infant outcomes is poorly understood. We assessed the association of 25- hydroxyvitamin D levels (25-OHD) in late pregnancy and early infant growth and developmental outcomes in rural Vietnam. A prospective cohort study of 960 women who had previously participated in a double-blind cluster randomized controlled trial of antenatal micronutrient supplementation in rural Vietnam was undertaken. Maternal 25-OHD concentration was measured at 32 weeks gestation, and infants were followed until 6 months of age. Main outcome measures were cognitive, motor, socio-emotional and language scores using the Bayley Scales of Infant Development, 3rd edition, and infant length-for-age z scores at 6 months of age. 60% (582/960) of women had 25-OHD levels <75 nmol/L at 32 weeks gestation. Infants born to women with 25-OHD deficiency (<37.5 nmol/L) had reduced developmental language scores compared to those born to women who were vitamin D replete (≥75 nmol/L) (Mean Difference (MD) -3.48, 95% Confidence Interval (CI) -5.67 to -1.28). For every 25 nmol increase in 25-OHD concentration in late pregnancy, infant length-for-age z scores at 6 months of age decreased by 0.08 (95% CI -0.15 to -0.02). Low maternal 25- hydroxyvitamin D levels during late pregnancy are of concern in rural Vietnam, and are associated with reduced language developmental outcomes at 6 months of age. Our findings strengthen the evidence for giving vitamin D supplementation during pregnancy.

78 FR 10210 - Utility Scale Wind Towers From China and Vietnam

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-13

...)] Utility Scale Wind Towers From China and Vietnam Determinations On the basis of the record \\1\\ developed... with material injury by reason of imports of utility scale wind towers from China and Vietnam, provided... of imports of utility scale wind towers from China and Vietnam. Commissioner Dean A. Pinkert...

Social and ecological challenges of market-oriented shrimp farming in Vietnam.

PubMed

Lan, Ngo Thi Phuong

2013-01-01

Vietnam is one of the largest shrimp exporters in the world. Since 2010, Vietnam has earned about two billion dollars annually through shrimp exports. As a fertile area of greatest potential for agricultural production in Vietnam, the Mekong Delta has been a major contributor to the country's achievements, especially in the agricultural sector. During recent decades, trade liberation along with various policies in support of aquaculture has accelerated the development of shrimp production in the Delta. Based on an ethnographic study of shrimp farming in the Mekong Delta of Vietnam, I assert that along with great rewards arising from the expansion of shrimp farming areas, productivity, and export value, the shrimp industry has brought various environmental, economic and social challenges. Consequently, shrimp farming is a risky business and local inhabitants have relied on various strategies to cope with these challenges. Risk mitigation in shrimp production and labor migration are the two important strategies of local inhabitants for securing their livelihoods. Water pollution and poor quality post-larvae shrimp are direct consequences of market-oriented production.

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

PubMed

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.

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

ERIC Educational Resources Information Center

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;…

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

PubMed

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.

77 FR 55186 - Executive-Led Indonesia Vietnam Infrastructure Business Development Mission Statement...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-07

... DEPARTMENT OF COMMERCE International Trade Administration Executive-Led Indonesia Vietnam... the Notice of the Executive-Led Indonesia Vietnam Infrastructure Business Development Mission... Timeframe for Recruitment and Applications section of the Notice of the Indonesia Vietnam Infrastructure...

77 FR 9701 - Steel Wire Garment Hangers From Taiwan And Vietnam

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-17

...)] Steel Wire Garment Hangers From Taiwan And Vietnam Determinations On the basis of the record \\1... injured by reason of imports from Taiwan and Vietnam of steel wire garment hangers, provided for in... the United States at less than fair value (LTFV) and steel wire garment hangers from Vietnam that are...

Coping With a Rising Power: Vietnam’s Hedging Strategy Toward China

DTIC Science & Technology

2018-03-01

again argued that Vietnam used three primary strategies when dealing with China: first, utilize high -level party-to-party talks; second, promote...the period from 2001 to 2008, there were various incidents and causes of tension between China and Vietnam in the South China Sea, but the two... Tensions between Vietnam and China in the South China Sea have generally garnered international support for Vietnam from powerful partners, including

United States-Vietnam Relations 1945-1967, Study Prepared by the Department of Defense, Book 2 of 12

DTIC Science & Technology

1971-01-01

status of other semi-military and police forces.... 29. South Vietnam’s mobilisable manpower pool is estimated at 1,500,000 physically fit...con- ferees themselves, who postulated an ideal political settlement incom- patible with the physical and psychological dismemberment of Vietnam...level where people are fighting and working, and in our new scale of values it is those who participate physically and selflessly in the fight

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

PubMed Central

Tan, Le Van; Qui, Phan Tu; Ha, Do Quang; Hue, Nguyen Bach; Bao, Lam Quoi; Cam, Bach Van; Khanh, Truong Huu; Hien, Tran Tinh; Vinh Chau, Nguyen Van; Tram, Tran Tan; Hien, Vo Minh; Nga, Tran Vu Thieu; Schultsz, Constance; Farrar, Jeremy; van Doorn, H. Rogier; de Jong, Menno 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 Children's Hospital Number One, a referral hospital for children in southern Vietnam including Ho Chi Minh City. Methodology/Principal Findings 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. Conclusions/Significance 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. PMID:21049060

Breast cancer services in Vietnam: a scoping review.

PubMed

Jenkins, Chris; Minh, Luu Ngoc; Anh, Tran Tuan; Ngan, Tran Thu; Tuan, Ngo Tri; Giang, Kim Bao; Hoat, Luu Ngoc; Lohfeld, Lynne; Donnelly, Michael; Van Minh, Hoang; Murray, Liam

2018-01-01

Breast cancer incidence has been increasing consistently in Vietnam. Thus far, there have been no analytical reviews of research produced within this area. We sought to analyse the nature andextent of empirical studies about breast cancer in Vietnam, identifying areas for future research and systemsstrengthening. We undertook a scoping study using a five-stage framework to review published and grey literature in English and Vietnamese on breast cancer detection, diagnosis and treatment. We focused specifically on research discussing the health system and service provision. Our results show that breast cancer screening is limited, with no permanent or integrated national screening activities. There is a lack of information on screening processes and on the integration of screening services with other areas of the health system. Treatment is largely centralised, and across all services there is a lack of evaluation and data collection that would be informative for recommendations seeking to improve accessibility and quality of breast cancer services. This paper is the first scoping review of breast cancer services in Vietnam. It outlines areas for future focus for policy makers and researchers with the objective of strengthening service provision to women with breast cancer across the country while also providing a methodological example for how to conduct a collaborative scoping review.

Overview of cleaner production as a result of clean technology research in Vietnam

DOE Office of Scientific and Technical Information (OSTI.GOV)

Sam, D.V.; Nhan, T.V.; Lan, N.N.

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.

Impact and perspective on chronic kidney disease in an Asian developing country: a large-scale survey in North Vietnam.

PubMed

Ito, Jun; Dung, Dinh Thi Kim; Vuong, Mai Tuyet; Tuyen, Do Gia; Vinh, Le Danh; Huong, Nguyen Thi; Ngoc, Tran Bich; Ngoc, Nguyen Thi Bich; Hien, Mai Thi; Hao, Dang Duc; Oanh, Lam Thi Kim; Lieu, Do Thi; Fujisawa, Masato; Kawabata, Masato; Shirakawa, Toshiro

2008-01-01

The prevalence of chronic kidney disease (CKD) in Asia is expected to increase along with increases of hypertension and diabetes. Most cases are not treated and progress to end-stage renal disease (ESRD) with an increased risk for cardiovascular complications. Renal replacement therapies are so expensive that most ESRD patients die without treatment. Thus, countermeasures against early stages of CKD are urgently needed. Nevertheless, basic information for CKD has not been reported in Vietnam. We conducted a survey of CKD in 8,505 inhabitants aged >40 years in Vietnam. Subjects with abnormal urinary findings were further examined, including serum creatinine levels. In this study, CKD was defined as <60 ml/min/1.73 m(2) of estimated creatinine clearance by the Cockcroft-Gault method. We identified 3.1% of subjects as CKD (stages 3-5) with positive findings in urine test. We also found that elderly hypertension and malnutrition were independent risk factors for CKD in this population. We found a significant number of CKD patients in Vietnam. To avoid a CKD pandemic in Asia including Vietnam, we strongly suggest further analyses of risk factors and prognosis of CKD in these populations, and the development of efficient management systems suitable for Asia. Copyright 2008 S. Karger AG, Basel.

A dynamic approach to assess international competitiveness of Vietnam's garment and textile industry.

PubMed

Vu, Huong Thanh; Pham, Lam Cat

2016-01-01

Garment and textile (G&T) industry has been playing as a driving force for the socio-economic development of Vietnam. With the international integration process and rising challenges from the global market, there is a need to examine international competitiveness of Vietnam's G&T industry to find out what Vietnam should focus on to enhance its position in the global market place. This paper, by using the Generalized Double Diamond Model (GDDM), analyzed international competitiveness of Vietnam's G&T industry and compared it with China. The results showed that Vietnam was less competitive than China in all four attributes of the GDDM. The lowest competitiveness of Vietnam in comparison with China was Related and Supporting industries, followed by Factor Conditions. Therefore, the paper argued that although Vietnam should improve all of the four attributes in the long term, Vietnam must put a high priority on developing Related and Supporting Industries and then enhance Factor Conditions while maintaining its strengths over China in terms of G&T export growths and favorable business context.

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

PubMed Central

2010-01-01

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 reduce their possibility to make

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

PubMed

Graner, Sophie; Mogren, Ingrid; Duong, Le Q; Krantz, Gunilla; Klingberg-Allvin, Marie

2010-10-14

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. 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. 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. 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 reduce their possibility to make independent decisions about their

The Vietnam War and the Media.

ERIC Educational Resources Information Center

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…

Strongyloides stercoralis seroprevalence in Vietnam.

PubMed

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.

The United States, Vietnam, and the National Interest.

DTIC Science & Technology

1981-03-01

Asia concluded, after fifteen months investiga- tion, that there was no credible evidence that any Americans were still being held captive in Vietnam...Secretary Kissinger "is not possible and should not be expected." 2 32 Thus, when the mission, led by Leonard Woodcock , arrived in Hanoi on March 16, the...normalization of relations, and aid." 2 34 One positive aspect of the Woodcock mission was Hanoi’s suggestion that talks take place in Paris without

Clinical and microbiological features of melioidosis in northern Vietnam.

PubMed

Phuong, Doan Mai; Trung, Trinh Thanh; Breitbach, Katrin; Tuan, Nguyen Quang; Nübel, Ulrich; Flunker, Gisela; Khang, Dinh Duy; Quang, Nguyen Xuan; Steinmetz, Ivo

2008-12-01

Sporadic cases of melioidosis have been reported from Vietnam for decades, but clinical and epidemiological data for the indigenous population are still scarce. In this study, we reviewed clinical and demographic data of patients with culture-proven melioidosis diagnosed at a single large referral hospital in Hanoi between November 1997 and December 2005. We found that the clinical manifestations of melioidosis (with fatal septicaemia as the most common presentation), a high rate of underlying diseases, and a peak of cases admitted during the wet season, were similar to studies from other endemic areas. The geographical origin of patients with melioidosis showed that melioidosis existed in at least 18 northern provinces. The characterization of clinical Burkholderia pseudomallei strains by multilocus sequence typing identified 17 different sequence types (STs), 11 of which have (as yet) not been found outside Vietnam. Several of these STs presumably were generated through recent evolutionary events in this rapidly diversifying bacterial species, and thus, restricted geographic distribution may be a consequence of limited time passed since emergence. To our knowledge, this is the first report on a series of cases describing clinical and epidemiological features of melioidosis and corresponding B. pseudomallei strains from northern Vietnam.

The prevalence and genetic diversity of group A rotaviruses on pig farms in the Mekong Delta region of Vietnam

PubMed Central

Hong Anh, Pham; Carrique-Mas, Juan J.; Van Cuong, Nguyen; Hoa, Ngo Thi; Lam Anh, Nguyet; Duy, Do Tien; Hien, Vo Be; Vu Tra My, Phan; Rabaa, Maia A.; Farrar, Jeremy; Baker, Stephen; Bryant, Juliet E.

2014-01-01

Group A rotaviruses (ARoVs) are a common cause of severe diarrhea among children worldwide and the cause of approximately 45% of pediatric hospitalizations for acute diarrhea in Vietnam. ARoVs are known to cause significant economic losses to livestock producers by reducing growth performance and production efficiencies, however little is known about the implications of asymptomatic endemic circulation of ARoV. We aimed to determine the prevalence and predominant circulating genotypes of ARoVs on pig farms in a southern province of Vietnam. We found overall animal-level and farm-level prevalence of 32.7% (239/730) and 74% (77/104), respectively, and identified six different G types and 4 P types in various combinations (G2, G3, G4, G5, G9, G11 and P[6], P[13], P[23], and P[34]). There was no significant association between ARoV infection and clinical disease in pigs, suggesting that endemic asymptomatic circulation of ARoV may complicate rotavirus disease attribution during outbreaks of diarrhea in swine. Sequence analysis of the detected ARoVs suggested homology to recent human clinical cases and extensive genetic diversity. The epidemiological relevance of these findings for veterinary practitioners and to ongoing pediatric ARoV vaccine initiatives in Vietnam merits further study. PMID:24679960

Systematic Review on Irrational Use of Medicines in China and Vietnam

PubMed Central

Mao, Wenhui; Vu, Huyen; Xie, Zening; Chen, Wen; Tang, Shenglan

2015-01-01

Background Irrational use of medicines has been an issue concerned all over the world and the outlooks in developing countries are more severe. This study aimed to assess the different patterns of irrational use of medicines and its influential factors in China and Vietnam. Methods A systematic review was performed on both published and grey literatures in English, Chinese and Vietnamese languages between 1993 and 2013 based on the WHO framework. Quality assessment was conducted on the basis of the Critical Appraisal Skills Programme. Key indicators were analyzed to compare the irrational use of medicines in two countries. Results A total of 67 published works about China and 29 about Vietnam were included, the majority of which were cross-sectional prescription studies in both China and Vietnam. Irrational use of medicines was found in both the countries but issues with polypharmacy as well as overuse of antibiotics were more severe in Vietnam while overuse of injections was unique to China. Various patterns of irrational use were also indicated between urban and rural areas, and among different levels of hospitals. Rarely does literature focus on the analysis of influential factors of irrational use of medicines. While lack of proper knowledge from both providers and patients were the most recognized influential factors in both countries, economic incentives from pharmaceutical companies in China, and weak control and regulation over prescriptions in Vietnam were the main factors attributed to this issue. Conclusion Severe irrational use of medicines has been abundantly evidenced in both China and Vietnam, highlighting the importance of policy interventions on the issue. However, limited evidence on the appropriateness or its compliance (conformity) to guidelines of prescription has been found. In addition, convincing evidence on the underlying explanation of this issue is lacking, although economic incentives, health insurance coverage, and knowledge of service

Mortality from cardiovascular diseases in Bavi District, Vietnam.

PubMed

Minh, Hoang Van; Byass, Peter; Wall, Stig

2003-01-01

Like other developing countries, Vietnam is undergoing epidemiological transition, which is characterized by many changes in terms of morbidity and mortality patterns. The fact that cardiovascular diseases (CVD) are leading causes of death in hospitals in the whole country was ascertained from annual statistics. However, the magnitude of the burden of mortality from CVD at the community level remained unknown. The aims of the study were to outline CVD mortality during health transition in a rural community in the north of Vietnam and to examine associations between CVD mortality and the socioeconomic status of the population. Within an established demographic surveillance system (DSS), verbal autopsy (VA) was used to identify the burden of mortality from CVD. Cohort analysis was used in this study to measure associations between CVD mortality and socioeconomic determinants. CVD emerged as a leading cause of death in the study area, accounting for more than infectious and parasitic diseases combined. CVD killed many people among the most economically productive age group, both men and women, in all socioeconomic groups. Occupational status was shown to be significantly associated with CVD mortality. Already at this point in the epidemiological transition, there is evidence of a substantial burden of CVD in rural Vietnam. Although this study was not able to show trends, the current situation is a cause for concern in health policy and planning. Verbal autopsy methods and CVD risk factor evaluations will form important parts of future research agendas.

The Changing Role of Vietnam in Southeast Asia: Beyond the Cold War

DTIC Science & Technology

1991-06-01

Hanoi ," International Affairs (Moscow) (September 1989): 74. 25 D. VIETNAM’S FOREIGN POLICY CONCERNS A resolution of the Congress says that the goal...interests 19 ABSTRACT (Continue on reverse if necessary and identify by block number) This thesis examines the United States relationship with Vietnam...in the aftermath of the Vietnam War and the end of the Cold War. Even though Vietnam’s path toward progress and growth is hindered by internal and

Molecular epidemiology of Japanese encephalitis in northern Vietnam, 1964-2011: genotype replacement.

PubMed

Do, Loan Phuong; Bui, Trang Minh; Hasebe, Futoshi; Morita, Kouichi; Phan, Nga Thi

2015-04-01

Japanese encephalitis virus (JEV) is an arthropod-borne virus causing serious public health issues in Asia. JEV consists of five genotypes and recent studies have shown the emergence of JEV genotype I (GI) and its replacement of genotype III (GIII). Using an archival JEV collection, we investigated the molecular evolution of JEV in Vietnam over the last 48 years (1964-2012) in humans, mosquitoes, and pigs, within the global context. The nine JEV isolates from humans, pigs, and mosquitoes sequenced in this study and 29 sequences available in GenBank were used to analyze the envelope (E) protein of the Vietnamese JEVs. A collection of 225 cerebrospinal fluid specimens from patients with suspected Japanese encephalitis (JE) was also tested and genotyped with real-time RT-PCR. The 38 E genes identified with sequencing and nine Vietnamese JEV strains genotyped with real-time RT-PCR, belonging to two lineages, evolved in accordance with those in the rest of the world. The first GIII strain was detected in humans in Vietnam in 1964, and in mosquitoes in 1979, whereas GI strains were first detected in humans and mosquitoes in 1990 and 1994, respectively. After 2004, GI was the only genotype detected in Vietnam, demonstrating that the GIIII strains had been displaced by GI strains. Five haplotypes were identified in the Vietnamese JEVs, with SKSS predominant. The S123N and S123R substitutions in the E protein were already present in the Vietnamese JEVs. This study describes the long evolutionary history of JEV in Vietnam over 34 years, which correlates well with the global evolution of JEV. The Vietnamese GIII strains have been replaced by GI strains in mosquitoes, pigs, and humans. The predominant haplotypes of the Vietnamese strains support this genotype displacement in Vietnam. Further surveillance is required to confirm the disappearance of the GIII strains in nature and the emergence of new pathogens causing encephalitis in Vietnam, after the long-term use of JEV

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

PubMed

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

2018-04-01

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.

Agent Orange exposure and attributed health effects in Vietnam veterans.

PubMed

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.

French Bilingual Classes in Vietnam: Issues and Debates about an Innovative Language Curriculum

ERIC Educational Resources Information Center

Normand-Marconnet, Nadine

2013-01-01

Despite a long historical French presence in Vietnam, only 0.5% of Vietnamese people speak French today. As in other countries of South East Asia, language instruction in Vietnam has mainly focused on English for several decades. This paper provides an overview of a project called "French bilingual classes". The main aim of the study is…

Family planning in Vietnam.

PubMed

Feuerstein, M T

1993-07-24

A trial of nearly 32,000 quinacrine pellet female sterilizations in Vietnam has occurred in the context of a country in transition to modernization. The main objectives of population and family planning (FP) policies are a two-child family, reduction of the infant mortality rate from 45 to 25/1000, reduction of child malnutrition rates from 50% to 25%, reduced maternal mortality from 120 to 50/100,000, increase in contraceptive use by 20% from the present rate of 33%, and reduction in the fertility rate from 4.0 to below 3 by the end of the century. Without vigorous FP, the population could double to 170 million within 30 years. The government has trebled its population and FP budget, but neighboring countries spend 6-10 times as much. The search is on to broaden the range of FP methods currently in use. In 1990, there were reported to be about 1 million abortions, another million insertions of IUDs around 223,000 oral contraceptive users, and 23,000 sterilizations. Menstrual regulation is legal, free, and available in communes where there is a three-year trained health worker. Research is in progress on injectable and implanted contraceptives. Acceptance of male sterilization is increasing. In field trials of quinacrine pellet nonsurgical female sterilization, physicians and midwives trained in IUD insertion were used. (The country is currently in the midst of a major overhaul of health manpower and health facilities.) Further research is required on the effects of insertion technique on the efficacy of quinacrine pellet sterilization and on the concentration of quinacrine in the uterine cavity in relation to placement and efficacy. The field trial also suggests that around 242 maternal deaths may have been averted during the study. It is estimated that 1300 clinicians doing 100 quinacrine pellet insertions sterilizations a month could meet vietnam's unmet need for female sterilization, thus contributing substantially to the country's FP needs.

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

ERIC Educational Resources Information Center

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…

Maternal Vitamin D Status and Infant Outcomes in Rural Vietnam: A Prospective Cohort Study

PubMed Central

Hanieh, Sarah; Ha, Tran T.; Simpson, Julie A.; Thuy, Tran T.; Khuong, Nguyen C.; Thoang, Dang D.; Tran, Thach D.; Tuan, Tran; Fisher, Jane; Biggs, Beverley-Ann

2014-01-01

Objective Vitamin D deficiency affects 1 billion people globally. It has an important role in bone homeostasis, brain development and modulation of the immune system and yet the impact of antenatal vitamin D deficiency on infant outcomes is poorly understood. We assessed the association of 25- hydroxyvitamin D levels (25-OHD) in late pregnancy and early infant growth and developmental outcomes in rural Vietnam. Design and Methods A prospective cohort study of 960 women who had previously participated in a double-blind cluster randomized controlled trial of antenatal micronutrient supplementation in rural Vietnam was undertaken. Maternal 25-OHD concentration was measured at 32 weeks gestation, and infants were followed until 6 months of age. Main outcome measures were cognitive, motor, socio-emotional and language scores using the Bayley Scales of Infant Development, 3rd edition, and infant length-for-age z scores at 6 months of age. Results 60% (582/960) of women had 25-OHD levels <75 nmol/L at 32 weeks gestation. Infants born to women with 25-OHD deficiency (<37.5 nmol/L) had reduced developmental language scores compared to those born to women who were vitamin D replete (≥75 nmol/L) (Mean Difference (MD) −3.48, 95% Confidence Interval (CI) −5.67 to −1.28). For every 25 nmol increase in 25-OHD concentration in late pregnancy, infant length-for-age z scores at 6 months of age decreased by 0.08 (95% CI −0.15 to −0.02). Conclusions Low maternal 25- hydroxyvitamin D levels during late pregnancy are of concern in rural Vietnam, and are associated with reduced language developmental outcomes at 6 months of age. Our findings strengthen the evidence for giving vitamin D supplementation during pregnancy. PMID:24967813

Herbicide Exposure, Vietnam Service, and Hypertension Risk in Army Chemical Corps Veterans.

PubMed

Cypel, Yasmin S; Kress, Amii M; Eber, Stephanie M; Schneiderman, Aaron I; Davey, Victoria J

2016-11-01

We examined hypertension risk in Army Chemical Corps (ACC) veterans who sprayed defoliant in Vietnam. We analyzed data from the 2013 health survey of 3086 ACC veterans and investigated the association between self-reported physician-diagnosed-hypertension (SRH) and herbicide-spray-history adjusting for Vietnam-service-status, rank, age, tobacco/alcohol use, race, and body mass index (BMI). Spray-history was verified against serum 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) (n = 636). SRH was confirmed by blood pressure (BP) measurement by trained medical technicians and medical record reviews. Herbicide-spray-history (ORadjusted[95%confidence interval {CI}] = 1.74[1.44,2.11]) and Vietnam-service-status (ORadjusted = 1.26[1.05,1.53]) were significantly associated with SRH. The association was highest when comparing Vietnam-service-sprayers to non-Vietnam-service-nonsprayers (ORadjusted = 2.21[1.76,2.77]). Serum TCDD was highest for Vietnam-service-sprayers. Mean systolic BPs were significantly higher among veterans with SRH than those without (P ≤ 0.001). Medical records and SRH overall agreement was 89%. Occupational herbicide exposure history and Vietnam-service-status were significantly associated with hypertension risk.

Using guidelines to improve neonatal health in China and Vietnam: a qualitative study.

PubMed

Raven, Joanna; Liu, Xiaoyun; Hu, Dan; Zhu, Weiming; Hoa, Dinh Thi Phuong; Thi, Le Minh; Duong, Doan Thi Thuy; Alonso-Garbayo, Alvaro; Martineau, Tim

2016-11-11

Neonatal health (NH) remains a major problem in many countries. Children dying before 28 days often suffer from conditions that are preventable or treatable with proven, cost-effective interventions. The knowledge gaps are no longer about what should be done, but to understand why guidelines including these interventions are not followed. Using a behaviour change framework, this study explores neonatal health guidelines use and the role of management in supporting effective usage in two rural settings in China and Vietnam. Semi-structured interviews with policy makers, health care managers and providers (n = 49) and focus group discussions with women, husbands and grandmothers who had experienced maternal and NH care services within the last year (n = 7) were conducted. Data were analysed using the framework approach. Guidelines are not readily available at county, township and village levels in the study sites in China, whereas, in Vietnam, guidelines are available, accepted and being used at facility level. Improvements in implementation could be made in both settings. Factors influencing guidelines use common to both settings included: lack of equipment and supplies; shortage of staff with NH care experience; and guidelines not in line with patient practices. Factors specific to China included: poor guidelines dissemination; and disagreement with guidelines. There was limited community engagement in NH services in China, whereas in Vietnam, community members were actively involved in decision making and provision of services. Managers have an important role in supporting NH guidelines use through: ensuring guidelines are available; allocating appropriate resources; supporting and monitoring staff in their use; and engaging with local communities to promote effective practices. Engaging managers to support implementation is crucial. Management systems that provide the necessary resources, competent staff, and monitoring, regulatory and incentive

What Should We Tell Our Children about Vietnam?

ERIC Educational Resources Information Center

McCloud, Bill

1988-01-01

Describes McCloud's efforts to improve coverage of the Vietnam War in the junior high school curriculum. Presents answers to the question "What do you think are the most important things for today's junior high students to understand about the Vietnam War?" from people such as Ronald Reagan, Jimmy Carter, Tom Hayden, and Robert S.…

Adapting Evidence-Based Pedagogy to Local Cultural Contexts: A Design Research Study of Policy Borrowing in Vietnam

ERIC Educational Resources Information Center

Pham, Thanh Thi Hong; Renshaw, Peter

2015-01-01

This study employs design-based research to investigate how university teachers and their students from Vietnam perceived and adapted an evidence-based pedagogy known as "student-teams achievement division" (STAD). Two hundred and twenty one students and their teachers from three classes at a Vietnamese university participated in this…

Evidence of previous but not current transmission of chikungunya virus in southern and central Vietnam: Results from a systematic review and a seroprevalence study in four locations.

PubMed

Quan, Tran Minh; Phuong, Huynh Thi; Vy, Nguyen Ha Thao; Thanh, Nguyen Thi Le; Lien, Nguyen Thi Nam; Hong, Tran Thi Kim; Dung, Pham Ngoc; Chau, Nguyen Van Vinh; Boni, Maciej F; Clapham, Hannah E

2018-02-01

Arbovirus infections are a serious concern in tropical countries due to their high levels of transmission and morbidity. With the outbreaks of chikungunya (CHIKV) in surrounding regions in recent years and the fact that the environment in Vietnam is suitable for the vectors of CHIKV, the possibility of transmission of CHIKV in Vietnam is of great interest. However, information about CHIKV activity in Vietnam remains limited. In order to address this question, we performed a systematic review of CHIKV in Vietnam and a CHIKV seroprevalence survey. The seroprevalence survey tested for CHIKV IgG in population serum samples from individuals of all ages in 2015 from four locations in Vietnam. The four locations were An Giang province (n = 137), Ho Chi Minh City (n = 136), Dak Lak province (n = 137), and Hue City (n = 136). The findings give us evidence of some CHIKV activity: 73/546 of overall samples were seropositive (13.4%). The age-adjusted seroprevalences were 12.30% (6.58-18.02), 13.42% (7.16-19.68), 7.97% (3.56-12.38), and 3.72% (1.75-5.69) in An Giang province, Ho Chi Minh City, Dak Lak province, and Hue City respectively. However, the age-stratified seroprevalence suggests that the last transmission ended around 30 years ago, consistent with results from the systematic review. We see no evidence for on-going transmission in three of the locations, though with some evidence of recent exposure in Dak Lak, most likely due to transmission in neighbouring countries. Before the 1980s, when transmission was occurring, we estimate on average 2-4% of the population were infected each year in HCMC and An Giang and Hue (though transmision ended earlier in Hue). We estimate lower transmission in Dak Lak, with around 1% of the population infected each year. In conclusion, we find evidence of past CHIKV transmission in central and southern Vietnam, but no evidence of recent sustained transmission. When transmission of CHIKV did occur, it appeared to be widespread and affect a

Evidence of previous but not current transmission of chikungunya virus in southern and central Vietnam: Results from a systematic review and a seroprevalence study in four locations

PubMed Central

Phuong, Huynh Thi; Vy, Nguyen Ha Thao; Thanh, Nguyen Thi Le; Lien, Nguyen Thi Nam; Hong, Tran Thi Kim; Dung, Pham Ngoc; Chau, Nguyen Van Vinh; Boni, Maciej F.; Clapham, Hannah E.

2018-01-01

Background Arbovirus infections are a serious concern in tropical countries due to their high levels of transmission and morbidity. With the outbreaks of chikungunya (CHIKV) in surrounding regions in recent years and the fact that the environment in Vietnam is suitable for the vectors of CHIKV, the possibility of transmission of CHIKV in Vietnam is of great interest. However, information about CHIKV activity in Vietnam remains limited. Methodology In order to address this question, we performed a systematic review of CHIKV in Vietnam and a CHIKV seroprevalence survey. The seroprevalence survey tested for CHIKV IgG in population serum samples from individuals of all ages in 2015 from four locations in Vietnam. Principal findings The four locations were An Giang province (n = 137), Ho Chi Minh City (n = 136), Dak Lak province (n = 137), and Hue City (n = 136). The findings give us evidence of some CHIKV activity: 73/546 of overall samples were seropositive (13.4%). The age-adjusted seroprevalences were 12.30% (6.58–18.02), 13.42% (7.16–19.68), 7.97% (3.56–12.38), and 3.72% (1.75–5.69) in An Giang province, Ho Chi Minh City, Dak Lak province, and Hue City respectively. However, the age-stratified seroprevalence suggests that the last transmission ended around 30 years ago, consistent with results from the systematic review. We see no evidence for on-going transmission in three of the locations, though with some evidence of recent exposure in Dak Lak, most likely due to transmission in neighbouring countries. Before the 1980s, when transmission was occurring, we estimate on average 2–4% of the population were infected each year in HCMC and An Giang and Hue (though transmision ended earlier in Hue). We estimate lower transmission in Dak Lak, with around 1% of the population infected each year. Conclusion In conclusion, we find evidence of past CHIKV transmission in central and southern Vietnam, but no evidence of recent sustained transmission. When

Vietnam: A Failure of Strategy and Leadership

DTIC Science & Technology

2013-04-30

AND LEADERSHIP SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF MILITARY STUDIES AUTHOR: MAJOR D. M. CROUSORE, USMC...Q__ Date: ’::?:D l:foell 0<..01~ (/ i Executive Summary Title: VIETNAM: A FAILURE OF STRATEGY AND LEADERSHIP Author: Major D. M

Delivering diabetes care in the Philippines and Vietnam: policy and practice issues.

PubMed

Beran, David; Higuchi, Michiyo

2013-01-01

The aim of this study is the comparison of 2 studies looking at the barriers to access of diabetes care and medicines in the Philippines and Vietnam. These studies used the Rapid Assessment Protocol for Insulin Access. Diabetes care is provided in specialized facilities and appropriate referral systems are lacking. In Vietnam, no problems were reported with regard to diagnostic tools, whereas this was a concern in the public sector in the Philippines. Both countries had high prices for medicines in comparison to international standards. Availability of medicines was better in Vietnam than in the Philippines, especially with regard to insulin. This affected adherence as did a lack of patient education. As countries aim to provide health care to the majority of their populations through universal coverage, the challenge of diabetes cannot be neglected. Trying to achieve universal coverage in parallel to decentralization, national and local governments need adapted guidance for this.

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

PubMed

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

2013-11-01

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

Nonfatal Injuries and Psychosocial Correlates among Middle School Students in Cambodia and Vietnam.

PubMed

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.

Molecular diversity of Rice grassy stunt virus in Vietnam.

PubMed

Ta, Hoang-Anh; Nguyen, Doan-Phuong; Causse, Sandrine; Nguyen, Thanh-Duc; Ngo, Vinh-Vien; Hébrard, Eugénie

2013-04-01

Rice grassy stunt virus (RGSV, Tenuivirus) recently emerged on rice in Vietnam, causing high yield losses during 2006-2009. The genetic diversity of RGSV is poorly documented. In this study, the two genes encoded by each ambisense segment RNA3 and RNA5 of RGSV isolates from six provinces of South Vietnam were sequenced. P3 and Pc3 (RNA3) have unknown function, P5 (RNA5) encodes the putative silencing suppressor, and Pc5 (RNA5) encodes the nucleocapsid protein (N). The sequences of 17 Vietnamese isolates were compared with reference isolates from North and South Philippines. The average nucleotide diversity among the isolates was low. We confirmed a higher variability of RNA3 than RNA5 and Pc3 than P3. No relationships between the genetic diversity and the geographic distribution of RGSV isolates could be ascertained, likely because of the long-distance migration of the insect vector. This data will contribute to a better understanding on the RGSV epidemiology in South Vietnam, a prerequisite for further management of the disease and rice breeding for resistance.

Population Genetics of Plasmodium vivax in Four Rural Communities in Central Vietnam

PubMed Central

Hong, Nguyen Van; Delgado-Ratto, Christopher; Thanh, Pham Vinh; Van den Eede, Peter; Guetens, Pieter; Binh, Nguyen Thi Huong; Phuc, Bui Quang; Duong, Tran Thanh; Van Geertruyden, Jean Pierre; D’Alessandro, Umberto; Erhart, Annette; Rosanas-Urgell, Anna

2016-01-01

Background The burden of malaria in Vietnam has drastically reduced, prompting the National Malaria Control Program to officially engage in elimination efforts. Plasmodium vivax is becoming increasingly prevalent, remaining a major problem in the country's central and southern provinces. A better understanding of P. vivax genetic diversity and structure of local parasite populations will provide baseline data for the evaluation and improvement of current efforts for control and elimination. The aim of this study was to examine the population genetics and structure of P. vivax isolates from four communities in Tra Leng commune, Nam Tra My district in Quang Nam, Central Vietnam. Methodology/Principal Findings P. vivax mono infections collected from 234 individuals between April 2009 and December 2010 were successfully analyzed using a panel of 14 microsatellite markers. Isolates displayed moderate genetic diversity (He = 0.68), with no significant differences between study communities. Polyclonal infections were frequent (71.4%) with a mean multiplicity of infection of 1.91 isolates/person. Low but significant genetic differentiation (FST value from -0.05 to 0.18) was observed between the community across the river and the other communities. Strong linkage disequilibrium (IAS = 0.113, p < 0.001) was detected across all communities, suggesting gene flow within and among them. Using multiple approaches, 101 haplotypes were grouped into two genetic clusters, while 60.4% of haplotypes were admixed. Conclusions/Significance In this area of Central Vietnam, where malaria transmission has decreased significantly over the past decade, there was moderate genetic diversity and high occurrence of polyclonal infections. Local human populations have frequent social and economic interactions that facilitate gene flow and inbreeding among parasite populations, while decreasing population structure. Findings provide important information on parasites populations circulating in the

Breast cancer services in Vietnam: a scoping review

PubMed Central

Jenkins, Chris; Minh, Luu Ngoc; Anh, Tran Tuan; Ngan, Tran Thu; Tuan, Ngo Tri; Giang, Kim Bao; Hoat, Luu Ngoc; Lohfeld, Lynne; Donnelly, Michael; Van Minh, Hoang; Murray, Liam

2018-01-01

ABSTRACT Background: Breast cancer incidence has been increasing consistently in Vietnam. Thus far, there have been no analytical reviews of research produced within this area. Objectives: We sought to analyse the nature andextent of empirical studies about breast cancer in Vietnam, identifying areas for future research and systemsstrengthening. Methods: We undertook a scoping study using a five-stage framework to review published and grey literature in English and Vietnamese on breast cancer detection, diagnosis and treatment. We focused specifically on research discussing the health system and service provision. Results: Our results show that breast cancer screening is limited, with no permanent or integrated national screening activities. There is a lack of information on screening processes and on the integration of screening services with other areas of the health system. Treatment is largely centralised, and across all services there is a lack of evaluation and data collection that would be informative for recommendations seeking to improve accessibility and quality of breast cancer services. Conclusions: This paper is the first scoping review of breast cancer services in Vietnam. It outlines areas for future focus for policy makers and researchers with the objective of strengthening service provision to women with breast cancer across the country while also providing a methodological example for how to conduct a collaborative scoping review. PMID:29473488

Molecular and morphological variation of Paragonimus westermani in Vietnam with records of new second intermediate crab hosts and a new locality in a northern province.

PubMed

Doanh, N Pham; Tu, A Luu; Bui, T Dung; Loan, T Ho; Nonaka, Nariaki; Horii, Yoichiro; Blair, David; Nawa, Yukifumi

2016-10-01

Paragonimus westermani is one of the most medically important lung flukes and is widely distributed in Asia. It exhibits considerable variation in morphological, genetic and biological features. In central provinces of Vietnam, a high prevalence of metacercariae of this species has been reported from the crab intermediate host, Vietopotamon aluoiense. In this study, we detected P. westermani metacercariae in two additional crab hosts, Donopotamon haii in Quang Tri Province, central Vietnam and Indochinamon tannanti in Yen Bai Province in the north. The latter is a new locality for P. westermani in a northern region of Vietnam where P. heterotremus is the only species currently known to cause human paragonimiasis. Paragonimus westermani metacercariae found in Vietnam showed considerable morphological variation but slight genetic variation based on DNA sequences from the nuclear ribosomal ITS2 region and the mitochondrial 16S gene. Co-infection of the same individual crabs with P. westermani and P. heterotremus and/or some other Paragonimus species was found frequently, suggesting potential for co-infection in humans. The findings of the present study emphasize the need for highly specific molecular and immunodiagnostic methods to differentially diagnose between P. westermani and P. heterotremus infections.

Tetanus in Southern Vietnam: Current Situation

PubMed Central

Thuy, Duong Bich; Campbell, James I.; Thanh, Tran Tan; Thuy, Cao Thu; Loan, Huynh Thi; Hao, Nguyen Van; Minh, Yen Lam; Tan, Le Van; Boni, Maciej F.; Thwaites, C. Louise

2017-01-01

In Vietnam, there are no accurate data on tetanus incidence to allow assessment of disease burden or vaccination program efficacy. We analyzed age structure of 786 tetanus cases admitted to a tertiary referral center in Vietnam for three separate years during an 18-year period to examine the impact of tetanus prevention programs, namely the Expanded Program on Immunization (EPI) and the Maternal and Neonatal Tetanus (MNT) initiative. Most cases were born before the initiation of EPI. Median age increased from 33 (interquartile range: 20–52) in 1994, to 46 (32–63) in 2012 (P < 0.001). Birth-year distribution was unchanged, indicating the same birth cohorts presented with tetanus in 1994, 2003, and 2012. Enzyme-linked immunosorbent assay measurements in 90 men and 90 women covered by MNT but not EPI showed 73.3% (95% confidence interval [CI]: 62.9–82.1%) of women had anti-tetanus antibody compared with 24.4% (95% CI: 15.9–34.7%) of men, indicating continued tetanus vulnerability in older men in Vietnam. PMID:27821690

Tetanus in Southern Vietnam: Current Situation.

PubMed

Thuy, Duong Bich; Campbell, James I; Thanh, Tran Tan; Thuy, Cao Thu; Loan, Huynh Thi; Hao, Nguyen Van; Minh, Yen Lam; Tan, Le Van; Boni, Maciej F; Thwaites, C Louise

2017-01-11

In Vietnam, there are no accurate data on tetanus incidence to allow assessment of disease burden or vaccination program efficacy. We analyzed age structure of 786 tetanus cases admitted to a tertiary referral center in Vietnam for three separate years during an 18-year period to examine the impact of tetanus prevention programs, namely the Expanded Program on Immunization (EPI) and the Maternal and Neonatal Tetanus (MNT) initiative. Most cases were born before the initiation of EPI. Median age increased from 33 (interquartile range: 20-52) in 1994, to 46 (32-63) in 2012 (P < 0.001). Birth-year distribution was unchanged, indicating the same birth cohorts presented with tetanus in 1994, 2003, and 2012. Enzyme-linked immunosorbent assay measurements in 90 men and 90 women covered by MNT but not EPI showed 73.3% (95% confidence interval [CI]: 62.9-82.1%) of women had anti-tetanus antibody compared with 24.4% (95% CI: 15.9-34.7%) of men, indicating continued tetanus vulnerability in older men in Vietnam. © The American Society of Tropical Medicine and Hygiene.

Combat and herbicide exposures in Vietnam among a sample of American Legionnaires

DOE Office of Scientific and Technical Information (OSTI.GOV)

Stellman, S.D.; Stellman, J.M.; Sommer, J.F. Jr.

A cross-sectional survey of 6,810 randomly selected members of The American Legion in six states who served in the US Armed Forces during the Vietnam Era was conducted by a mailed questionnaire. Combat stress was evaluated by a previously validated eight-item scale. Exposure to Agent Orange and other herbicides was estimated via exposure probability index previously developed by the authors which uses an algorithm based on the combined Air Force and Joint Services HERBS files of spray data. Two-fifths of the men had served in Southeast Asia, generally at the same time during which the major proportion of herbicides weremore » used; the remaining subjects served elsewhere. Both combat and Agent Orange exposure exhibited distinct, meaningful distributions among Vietnam veterans with service in Southeast Asia and were also correlated with each other. Our analysis demonstrates conclusively that mere presence in Vietnam cannot be used as a proxy for exposure to Agent Orange. Categorization of Vietnam veterans according to herbicide exposure can be successfully accomplished, based on an existing detailed herbicide application data base. This analysis, together with the consistent dose-related results obtained in this series of papers on health and behavioral effects, demonstrates the utility of questionnaire-derived herbicide and combat exposure measures for epidemiologic study of Vietnam veterans.« less

Regional Differences in the Growing Incidence of Dengue Fever in Vietnam Explained by Weather Variability

PubMed Central

Vu, Ha Hai; Okumura, Junko; Hashizume, Masahiro; Tran, Duong Nhu; Yamamoto, Taro

2014-01-01

Dengue fever is a major health problem in Vietnam, but its incidence differs from province to province. To understand this at the local level, we assessed the effect of four weather components (humidity, rainfall, temperature and sunshine) on the number of dengue cases in nine provinces of Vietnam. Monthly data from 1999 to 2009 were analysed by time-series regression using negative binomial models. A test for heterogeneity was applied to assess the weather-dengue association in the provinces. Those associations were significantly heterogeneous (for temperature, humidity, and sunshine: P < 0.001 heterogeneity test; for rainfall: P = 0.018 heterogeneity test). This confirms that weather components strongly affect dengue transmission at a lag time of 0 to 3 months, with considerable variation in their influence among different areas in Vietnam. This finding may promote the strategic prevention of dengue disease by suggesting specific plans at the local level, rather than a nationally unified approach. PMID:24808744

Stratification and the Emergence of the Postsecondary Private Education Sector in Vietnam

ERIC Educational Resources Information Center

Goyette, Kimberly Ann

2012-01-01

Vietnam has a strong public postsecondary education sector that has only recently begun to experience growth in nonpublic institutions. I investigate how the growth of nonpublic institutions may be related to stratification in Vietnam. I find that these institutions are more likely to serve more advantaged students from South Vietnam. Students pay…

Vegetation fires and air pollution in Vietnam.

PubMed

Le, Thanh Ha; Thanh Nguyen, Thi Nhat; Lasko, Kristofer; Ilavajhala, Shriram; Vadrevu, Krishna Prasad; Justice, Chris

2014-12-01

Forest fires are a significant source of air pollution in Asia. In this study, we integrate satellite remote sensing data and ground-based measurements to infer fire-air pollution relationships in selected regions of Vietnam. We first characterized the active fires and burnt areas at a regional scale from MODIS satellite data. We then used satellite-derived active fire data to correlate the resulting atmospheric pollution. Further, we analyzed the relationship between satellite atmospheric variables and ground-based air pollutant parameters. Our results show peak fire activity during March in Vietnam, with hotspots in the Northwest and Central Highlands. Active fires were significantly correlated with UV Aerosol Index (UVAI), aerosol extinction absorption optical depth (AAOD), and Carbon Monoxide. The use of satellite aerosol optical thickness improved the prediction of Particulate Matter (PM) concentration significantly. Copyright © 2014 Elsevier Ltd. All rights reserved.

Exploration and development offshore southern Vietnam

DOE Office of Scientific and Technical Information (OSTI.GOV)

Ferguson, A.M.

1996-01-01

In Vietnam, the major focus of the oil and gas industry is on the Nam Con Son and Cuu Long Basins in the southern offshore area. Major licensing first occurred here in the early 1970s. Some exploration was also undertaken by foreign companies in the early 1980s. In 1981, the Soviet Union undertook to assist Vietnam with the development of oil and gas. Vietsovpetro, a joint venture between the then Soviet Oil and Gas Ministry and the Vietnam Oil and Gas Corporation was formed. Most of Vietsovpetro's efforts have been to develop the Bach Ho field in the Cuu Longmore » Basin. This now produces [approximately]130000 bopd. The most recent large scale licensing round occurred in 1992, and, at present, there are over thirty foreign companies active in these Basins' blocks . The first phase of exploration is ending and successes in the Nam Con Son Basin include the BP-led Lan Tay/Lan Do gas discoveries and Pedco's gas discoveries. Mitsubishi's and Petronas' oil discoveries in the Cuu Long Basin have attracted much attention also. The Dai Hung oil field (BHP-operated) has been producing since late 1994. Certain blocks are being appraised, and exploration work is also continuing. Areas of the Cuu Long Basin that were part of Vietsovpetro's acreage, but which may soon be re-licensed, have generated keen interest. The presence of an active upstream industry - exploring, appraising, developing and producing - indicates the emergence of Vietnam as an important East Asian oil and gas player.« less

Exploration and development offshore southern Vietnam

DOE Office of Scientific and Technical Information (OSTI.GOV)

Ferguson, A.M.

1996-12-31

In Vietnam, the major focus of the oil and gas industry is on the Nam Con Son and Cuu Long Basins in the southern offshore area. Major licensing first occurred here in the early 1970s. Some exploration was also undertaken by foreign companies in the early 1980s. In 1981, the Soviet Union undertook to assist Vietnam with the development of oil and gas. Vietsovpetro, a joint venture between the then Soviet Oil and Gas Ministry and the Vietnam Oil and Gas Corporation was formed. Most of Vietsovpetro`s efforts have been to develop the Bach Ho field in the Cuu Longmore » Basin. This now produces {approximately}130000 bopd. The most recent large scale licensing round occurred in 1992, and, at present, there are over thirty foreign companies active in these Basins` blocks . The first phase of exploration is ending and successes in the Nam Con Son Basin include the BP-led Lan Tay/Lan Do gas discoveries and Pedco`s gas discoveries. Mitsubishi`s and Petronas` oil discoveries in the Cuu Long Basin have attracted much attention also. The Dai Hung oil field (BHP-operated) has been producing since late 1994. Certain blocks are being appraised, and exploration work is also continuing. Areas of the Cuu Long Basin that were part of Vietsovpetro`s acreage, but which may soon be re-licensed, have generated keen interest. The presence of an active upstream industry - exploring, appraising, developing and producing - indicates the emergence of Vietnam as an important East Asian oil and gas player.« less

Inequity in maternal health care utilization in Vietnam

PubMed Central

2012-01-01

Introduction Vietnam has succeeded in reducing maternal mortality in the last decades. Analysis of survey data however indicate that large inequities exist between different segments of the population. We have analyzed utilization of antenatal care and skilled birth attendance among Vietnamese women of reproductive age in relation to social determinants with the aim to reveal health inequities and identify disadvantaged groups. Method Data on maternal health care utilization and social determinants were derived from the Multiple Indicator Cluster Survey (MICS) conducted in Vietnam in 2006, and analyzed through stratified logistic regressions and g-computation. Results Inequities in maternal health care utilization persist in Vietnam. Ethnicity, household wealth and education were all significantly associated with antenatal care coverage and skilled birth attendance, individually and in synergy. Although the structural determinants included in this study were closely related to each other, analysis revealed a significant effect of ethnicity over and above wealth and education. Within the group of mothers from poor households ethnic minority mothers were at a three-fold risk of not attending any antenatal care (OR 3.06, 95% CI 1.27–7.41) and six times more likely not to deliver with skilled birth attendance (OR 6.27, 95% CI 2.37–16.6). The association between ethnicity and lack of antenatal care and skilled birth attendance was even stronger within the non-poor group. Conclusions In spite of policies to out rule health inequities, ethnic minority women constitute a disadvantaged group in Vietnam. More efficient ways to target disadvantaged groups, taking synergy effects between multiple social determinants into consideration, are needed in order to assure safe motherhood for all. PMID:22587740

Child and Family Factors Associated With Child Maltreatment in Vietnam.

PubMed

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

2018-04-01

This study aims to explore possible risk factors for child maltreatment in Vietnam by investigating the association of child and family factors with different types of child maltreatment (i.e., sexual abuse, physical abuse, emotional abuse, witnessing parental conflict, and neglect) and the occurrence of multiple types of child maltreatment. Cross-sectional data of 1,851 secondary and high school students aged 12 to 17 years (47.3% boys) in four provinces of Northern Vietnam were obtained using self-report questionnaires. Results indicated that the likelihood of emotional abuse, witnessing parental conflict, and experiencing multiple types of child maltreatment during lifetime increased with age. Boys had a higher risk than girls on lifetime sexual abuse, and past year and lifetime physical abuse. Living in a single parent family was the risk factor related to most types of child maltreatment including lifetime sexual abuse, neglect, and multiple types of child maltreatment, and both past year and lifetime witnessing parental conflict. Interestingly, low socioeconomic status (SES) and parental unemployment were associated with a decreased risk on experiencing emotional abuse in the past year and during lifetime, respectively. "Tiger parenting," a parenting style observed frequently in East Asian parents, may be more common in families with high SES and might explain this finding. This study highlights the importance of prioritizing single parent families in parenting programs and implementing child maltreatment interventions early because of the risk on child maltreatment increased with age. More research on emotional abuse and "Tiger parenting" in Vietnam could clarify the association of emotional abuse with high SES and parental employment. Finally, the underlying mechanisms of the risk factors in Vietnam should be studied more to inform interventions.

The History and Future of Community Colleges in Vietnam

ERIC Educational Resources Information Center

Le, Anh T.

2013-01-01

Since 1986, with the creation of the Renovation ("Doi moi") policy, Vietnam has demonstrated a strong commitment to the improvement of its higher education system. After 25 years of opening its doors to the global educational environment, Vietnam has achieved some notable accomplishments. The country's higher educational system has…

Are Vietnam and Chinese stock markets out of the US contagion effect in extreme events?

NASA Astrophysics Data System (ADS)

Nguyen, Cuong; Ishaq Bhatti, M.; Henry, Darren

2017-08-01

This paper employs Chi-plots, Kendall (K)-plots and three different copula functions to empirically examine the tail dependence between the US stock market and stock markets in Vietnam and China in order to test contagion effects pre- and post- the US subprime mortgage crisis. The results based on data between 2003 and 2011 indicate the presence of left tail dependence before and after the crisis suggesting no change in dependence structure, but there exists stronger left tail dependence between the US and Vietnam stock markets. It is observed that the US and Vietnam stock markets are more prone to crashing than booming together. For the Chinese market, the US and Shanghai stock markets exhibit left tail dependence before the crisis, but no evidence of post-crisis tail dependency. On the contrary, the Shenzhen stock market is independent of the US market before and after the crisis which implies that an extreme event in the US market is less likely to influence the Shenzhen stock market. This suggests that there is significant potential for risk diversification by investing in the Shenzhen market by US investors after the financial crisis. These results have not been documented in the existing literature and provide a new insight into risk diversification between the two important Asian emerging stock markets.

Thermal resistance, developmental rate and heat shock proteins in Artemia franciscana, from San Francisco Bay and southern Vietnam.

PubMed

Clegg; Jackson; Van Hoa N; Sorgeloos

2000-09-05

Cysts (encysted gastrula embryos) of Artemia franciscana collected from salterns in San Francisco Bay, California, USA (SF) were inoculated into much warmer growth ponds in the Mekong Delta region of Vietnam (V) in 1996. V adults arising directly from these cysts during 17 April to 15 May produced their own cysts, which were collected, processed and stored until shipped to the USA for study. Adults grown in the laboratory from SF cysts (those used for the inoculation) were less resistant to high temperature than adults cultured from V cysts. V cysts produced heat-resistant adults, even though cultured under the same laboratory conditions as SF animals, at much lower temperatures than they ever experienced in Vietnam. Differences in thermal performance between SF and V adults were retained in the second generation, cultured from cysts produced in the laboratory by first generation adults, suggesting a genetic basis for the better heat resistance of V adults. We propose that the operation of natural selection in the Vietnam growth ponds produced adults with improved thermal tolerance, and that the basis for this tolerance was incorporated into the developmental program of their cysts. Surprisingly, differences in heat resistance of laboratory reared animals were not reflected in constitutive levels of the hsp70 family which were similar in first generation SF and V adults. A conditioning heat shock (HS, 37 degrees C, 30 min) led to the same level of induced thermotolerance in SF and V first generation adults when evaluated 24 h post-HS. Levels of hsp70 were also up-regulated at that time, but to about the same extent in SF and V adults. Developmental rates of SF cysts used for the inoculation were faster than those of cysts produced in Vietnam when both were incubated at 21+/-1 degrees C, suggesting that V cysts have become adapted to develop at higher temperatures.

Anisotropic Rayleigh-wave Phase-velocity Maps in Northern Vietnam

NASA Astrophysics Data System (ADS)

Zhao, L.; Legendre, C. P.; Huang, W.; Huang, B.

2013-12-01

Northern Vietnam is the location of both the Song Ma Complex, the suture between the Indochina and South China Blocks, and the southern end of the giant Red River Shear Zone. Lithospheric structure provides important clues to the evolutions of the tectonic boundary zone and the interaction between the Indochina and South China Blocks. During 2006-2008, an array of 24 broadband stations were deployed in northern Vietnam in a collaborative project between the Institute of Geophysics of the Vietnam Academy of Science and Technology and the Institute of Earth Sciences of Academic Sinica in Taiwan. In this study, we use Rayleigh waveforms recorded at those stations from globally distributed earthquakes to construct the regional isotropic and azimuthally anisotropic phase velocity maps. Rayleigh-wave dispersion curves in the period range of 10-200 sec are obtained manually by the two-station method using vertical-component broadband waveforms. The dispersion curves along the densely distributed crossing paths are inverted via the LSQR algorithm for the isotropic and azimuthally anisotropic phase-velocity maps at a number of periods. Results will be compared with previous studies in this region based on body-wave traveltimes, SKS splitting observations and receiver functions, and with the tectonic features observed in the region.

Morphological and molecular characterization of lymnaeid snails and their potential role in transmission of Fasciola spp. in Vietnam.

PubMed

Dung, Bui Thi; Doanh, Pham Ngoc; The, Dang Tat; Loan, Ho Thi; Losson, Bertrand; Caron, Yannick

2013-12-01

Freshwater snails of the family Lymnaeidae play an important role in the transmission of fascioliasis worldwide. In Vietnam, 2 common lymnaeid species, Lymnaea swinhoei and Lymnaea viridis, can be recognized on the basis of morphology, and a third species, Lymnaea sp., is known to exist. Recent studies have raised controversy about their role in transmission of Fasciola spp. because of confusion in identification of the snail hosts. The aim of this study is, therefore, to clarify the identities of lymnaeid snails in Vietnam by a combination of morphological and molecular approaches. The molecular analyses using the second internal transcribed spacer (ITS2) of the nuclear ribosomal DNA clearly showed that lymnaeids in Vietnam include 3 species, Austropeplea viridis (morphologically identified as L. viridis), Radix auricularia (morphologically identified as L. swinhoei) and Radix rubiginosa (morphologically identified as Lymnaea sp.). R. rubiginosa is a new record for Vietnam. Among them, only A. viridis was found to be infected with Fasciola spp. These results provide a new insight into lymnaeid snails in Vietnam. Identification of lymnaeid snails in Vietnam and their role in the liver fluke transmission should be further investigated.

Morphological and Molecular Characterization of Lymnaeid Snails and Their Potential Role in Transmission of Fasciola spp. in Vietnam

PubMed Central

Doanh, Pham Ngoc; The, Dang Tat; Loan, Ho Thi; Losson, Bertrand; Caron, Yannick

2013-01-01

Freshwater snails of the family Lymnaeidae play an important role in the transmission of fascioliasis worldwide. In Vietnam, 2 common lymnaeid species, Lymnaea swinhoei and Lymnaea viridis, can be recognized on the basis of morphology, and a third species, Lymnaea sp., is known to exist. Recent studies have raised controversy about their role in transmission of Fasciola spp. because of confusion in identification of the snail hosts. The aim of this study is, therefore, to clarify the identities of lymnaeid snails in Vietnam by a combination of morphological and molecular approaches. The molecular analyses using the second internal transcribed spacer (ITS2) of the nuclear ribosomal DNA clearly showed that lymnaeids in Vietnam include 3 species, Austropeplea viridis (morphologically identified as L. viridis), Radix auricularia (morphologically identified as L. swinhoei) and Radix rubiginosa (morphologically identified as Lymnaea sp.). R. rubiginosa is a new record for Vietnam. Among them, only A. viridis was found to be infected with Fasciola spp. These results provide a new insight into lymnaeid snails in Vietnam. Identification of lymnaeid snails in Vietnam and their role in the liver fluke transmission should be further investigated. PMID:24516270

A list of oribatid mites (Acari, Oribatida) of Vietnam

PubMed Central

Ermilov, Sergey G.

2015-01-01

Abstract A species list of identified oribatid mite taxa (Acari, Oribatida) in the fauna of Vietnam is provided. During 1967–2015, a total of 535 species/subspecies from 222 genera and 81 families was registered. Of these, 194 species/subspecies were described as new for science from Vietnam. PMID:26798306

Motorcycle helmets in Vietnam: ownership, quality, purchase price, and affordability.

PubMed

Hung, Dang Viet; Stevenson, Mark R; Ivers, Rebecca Q

2008-06-01

This study investigated motorcycle helmet ownership, quality, purchase price, and affordability in Vietnam. A random sample of motorcyclists was interviewed to investigate aspects of helmet ownership, the purchase price, and affordability of a motorcycle helmet. Multivariate modeling conducted to determine factors associated with the purchase price and affordability of motorcycle helmets. Helmet quality was assessed based on current legal requirements in Vietnam. The prevalence of helmet use in Vietnam remains low (23.3%) despite a high level of helmet ownership (94%), indicating that this is an important area for public health intervention. Overall the quality of helmets appeared to be good; however, few helmets displayed legally required information. Motorcyclists with a high income purchase more helmets for their household rather than more expensive helmets. To ensure that helmets are accessible to the community, policy-makers need to consider pricing motorcycle helmets at a price indicated by the results of this study. Prior to universal motorcycle helmet legislation, the government will also need to ensure that standard helmets are available and that enforcement is at a level to ensure that motorcycle helmets are actually used.

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

PubMed

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.

78 FR 45271 - Welded Stainless Steel Pressure Pipe From Malaysia, Thailand, and Vietnam

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-26

... Stainless Steel Pressure Pipe From Malaysia, Thailand, and Vietnam Determination On the basis of the record... reason of imports from Malaysia, Thailand, and Vietnam of welded stainless steel pressure pipe, provided... pipe from Malaysia, Thailand, and Vietnam. Accordingly, effective May 16, 2013, the Commission...

75 FR 22424 - Frozen Warmwater Shrimp From Brazil, China, India, Thailand, and Vietnam

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-28

... Warmwater Shrimp From Brazil, China, India, Thailand, and Vietnam AGENCY: United States International Trade... antidumping duty orders on frozen warmwater shrimp from Brazil, China, India, Thailand, and Vietnam. SUMMARY... duty orders on frozen warmwater shrimp from Brazil, China, India, Thailand, and Vietnam would be likely...

75 FR 1078 - Frozen Warmwater Shrimp From Brazil, China, India, Thailand, and Vietnam

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-08

... Warmwater Shrimp From Brazil, China, India, Thailand, and Vietnam AGENCY: United States International Trade... warmwater shrimp from Brazil, China, India, Thailand, and Vietnam. SUMMARY: The Commission hereby gives... shrimp from Brazil, China, India, Thailand, and Vietnam would be likely to lead to continuation or...

75 FR 48724 - Frozen Warmwater Shrimp From Brazil, China, India, Thailand, and Vietnam

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-11

... Warmwater Shrimp From Brazil, China, India, Thailand, and Vietnam AGENCY: United States International Trade... warmwater shrimp from Brazil, China, India, Thailand, and Vietnam. SUMMARY: The Commission hereby gives... warmwater shrimp from Brazil, China, India, Thailand, and Vietnam would be likely to lead to continuation or...

75 FR 57501 - Frozen Warmwater Shrimp From Brazil, China, India, Thailand, and Vietnam

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-21

... Warmwater Shrimp From Brazil, China, India, Thailand, and Vietnam AGENCY: United States International Trade... warmwater shrimp from Brazil, China, India, Thailand, and Vietnam. SUMMARY: The Commission hereby gives... warmwater shrimp from Brazil, China, India, Thailand, and Vietnam would be likely to lead to continuation or...

Molecular evolution of respiratory syncytial virus subgroup A genotype NA1 and ON1 attachment glycoprotein (G) gene in central Vietnam.

PubMed

Yoshihara, Keisuke; Le, Minh Nhat; Nagasawa, Koo; Tsukagoshi, Hiroyuki; Nguyen, Hien Anh; Toizumi, Michiko; Moriuchi, Hiroyuki; Hashizume, Masahiro; Ariyoshi, Koya; Dang, Duc Anh; Kimura, Hirokazu; Yoshida, Lay-Myint

2016-11-01

We performed molecular evolutionary analyses of the G gene C-terminal 3rd hypervariable region of RSV-A genotypes NA1 and ON1 strains from the paediatric acute respiratory infection patients in central Vietnam during the 2010-2012 study period. Time-scaled phylogenetic analyses were performed using Bayesian Markov Chain Monte Carlo (MCMC) method, and pairwise distances (p-distances) were calculated. Bayesian Skyline Plot (BSP) was constructed to analyze the time-trend relative genetic diversity of central Vietnam RSV-A strains. We also estimated the N-glycosylation sites within G gene hypervariable region. Amino acid substitutions under positive and negative selection pressure were examined using Conservative Single Likelihood Ancestor Counting (SLAC), Fixed Effects Likelihood (FEL), Internal Fixed Effects Likelihood (IFEL) and Mixed Effects Model for Episodic Diversifying Selection (MEME) models. The majority of central Vietnam ON1 strains detected in 2012 were classified into lineage 1 with few positively selected substitutions. As for the Vietnamese NA1 strains, four lineages were circulating during the study period with a few positive selection sites. Shifting patterns of the predominantly circulating NA1 lineage were observed in each year during the investigation period. Median p-distance of central Vietnam NA1 strains was wider (p-distance=0.028) than that of ON1 (p-distance=0.012). The molecular evolutionary rate of central Vietnam ON1 strains was estimated to be 2.55×10 -2 (substitutions/site/year) and was faster than NA1 (7.12×10 -3 (substitutions/site/year)). Interestingly, the evolutionary rates of both genotypes ON1 and NA1 strains from central Vietnam were faster than the global strains respectively. Furthermore, the shifts of N-glycosylation pattern within the G gene 3rd hypervariable region of Vietnamese NA1 strains were observed in each year. BSP analysis indicated the rapid growth of RSV-A effective population size in early 2012. These results

The Future of Patriotism: The War Film, The Cinema Industry, and the Vietnam Veteran Movement.

ERIC Educational Resources Information Center

Camacho, Paul

1990-01-01

Examines the media's effect on attitudes about Vietnam veterans. Discusses the relationship between media and culture. Analyzes the film industry's ideological battle over Vietnam. Critiques the media's treatment of the Vietnam experience, and considers the impact of media portrayals of the war on the Vietnam Veteran's movement. (RW)

Determinants and impacts of international remittances on household welfare in Vietnam.

PubMed

Pfau, Wade Donald; Giang, Long Thanh

2009-01-01

Remittances can potentially help to promote economic development by providing a mechanism to share risks, reduce poverty and improve equality. However, from the viewpoint of economic theory the overall impacts of remittances are uncertain, as different mechanisms lead to opposite impacts. Since the 1990s Vietnam has experienced a dramatic growth in remittance flows from abroad. Vietnam is a unique case for study, as economic motives historically played a smaller role in outward migration than in other countries. Fortunately, household survey data are available for this time period, allowing for a detailed analysis of the impacts of international remittances on Vietnam. Specifically, we examine the characteristics of recipients and the impacts of international remittances on economic inequality and poverty. We conclude that international remittances are helping to improve equality. For this reason, new development policies must also account for their potential impacts on remittance flows.

The Making of "The Lessons of the Vietnam War."

ERIC Educational Resources Information Center

Starr, Jerold M.

1988-01-01

Traces the development of "The Lessons of the Vietnam War," a set of units which cover legal, cultural, and historical questions of the war in greater depth than do survey textbooks. Examples of the 12 topics are "Introduction to Vietnam: Land, Culture, and History" and "Taking Sides: The War at Home." (GEA)

Teaching English in Primary Schools in Vietnam: An Overview

ERIC Educational Resources Information Center

Hoa, Nguyen Thi Mai; Tuan, Nguyen Quoc

2007-01-01

This paper examines the English language situation at primary school level in Vietnam from a language planning perspective. It examines language policy for foreign language teaching in Vietnam to provide a picture of the role of English in foreign language education. It analyses language-in-education policy, curriculum and teaching materials, and…

Highly Pathogenic H5N1 Avian Influenza Viruses Exhibit Few Barriers to Gene Flow in Vietnam

PubMed Central

Carrel, Margaret; Wan, Xiu-Feng; Nguyen, Tung; Emch, Michael

2013-01-01

Locating areas where genetic change is inhibited can illuminate underlying processes that drive evolution of pathogens. The persistence of highly pathogenic H5N1 avian influenza in Vietnam since 2003, and the continuous molecular evolution of Vietnamese avian influenza viruses, indicates that local environmental factors are supportive not only of incidence but also of viral adaptation. This article explores whether gene flow is constant across Vietnam, or whether there exist boundary areas where gene flow exhibits discontinuity. Using a dataset of 125 highly pathogenic H5N1 avian influenza viruses, principal components analysis and wombling analysis are used to indicate the location, magnitude, and statistical significance of genetic boundaries. Results show that a small number of geographically minor boundaries to gene flow in highly pathogenic H5N1 avian influenza viruses exist in Vietnam, but that overall there is little division in genetic exchange. This suggests that differences in genetic characteristics of viruses from one region to another are not the result of barriers to H5N1 viral exchange in Vietnam, and that H5N1 avian influenza is able to spread relatively unimpeded across the country. PMID:22350419

A Map Exercise for Teaching About the War in Vietnam.

ERIC Educational Resources Information Center

Heath, Douglas E.

1981-01-01

This paper describes a two-part exercise exploring Vietnam's ethnic and political geography as a way for college geography students to examine the lessons of Vietnam. Students analyze maps for geographic factors affecting nationalism and political changes between 1946-68. (AM)

Biliary atresia in Vietnam: Management and the burden of disease.

PubMed

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 <2 months, 2 to <3 months, 3 to <4 months, 4-6 months, and >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 < .001), respectively. The group treated without the Kasai procedure had 1- and 2-year survivals of 52% and 28%, respectively (median survival 6.6 months); in contrast, the group treated with the Kasai procedure had 1- and 2-year transplant-free survivals of 84% and 71%. No patients were treated by liver transplantation because of lack of a liver transplantation program in 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.

Drinking and driving in Vietnam: public knowledge, attitudes, and practices.

PubMed

Tran, Nhan T; Bachani, Abdulgafoor M; Pham, V Cuong; Lunnen, Jeffrey C; Jo, Youngji; Passmore, Jonathon; Nguyen, Phuong N; Hyder, Adnan A

2012-01-01

Injuries are among the 10 leading causes of death for all ages in Vietnam, and road traffic fatalities account for approximately half of those deaths. Despite having what is considered to be one of the most stringent alcohol legislations in the region, alcohol involvement in road traffic crashes remains high. This study aims to illustrate the knowledge, attitudes, and practices around alcohol use and drinking and driving by age and sex in 3 provinces in Vietnam. This study was conducted between January and February 2011, surveying randomly selected road users over the age of 17 years at gas stations in 3 provinces: Ha Nam, Ninh Binh, and Bac Giang, Vietnam. Data were collected for one week at each gas station. A knowledge, attitudes, and practices (KAPs) survey was administered in 7 time blocks of 90 min throughout the day, from 07:30 am to 9:30 pm. There were a total of 633 respondents almost evenly divided among the 3 provinces. Males accounted for 69.1 percent of respondents; the majority were 36 years of age or younger. Despite the belief that drinking and driving will increase the risk of a crash, a significant proportion of respondents (44.9%) reported drinking and driving; 56.7 percent admitted to drinking and driving within the last month. Drinking and driving was more common among males, with approximately 60.2 percent indicating a history of drinking and driving. This proportion was particularly high among males aged 17 to 26 (71.4%). It was found that preferred alternatives to drinking and driving when available were leaving with a nondrinker (42%), resting until "feeling conscious" (23%), and drinking less (20%). This study shows that, in general, alcohol use and drinking and driving remain a problem in Vietnam, a major concern given that the country is rapidly motorizing and likewise increasing the likelihood of road traffic crashes in the absence of effective interventions. To target drinking and driving in Vietnam we call for a multifaceted approach

Community preferences for a social health insurance benefit package: an exploratory study among the uninsured in Vietnam.

PubMed

Nguyen, Hoa Thi; Luu, Tinh Viet; Leppert, Gerald; De Allegri, Manuela

2017-01-01

Understanding public preferences in terms of health benefit packages (HBPs) remains limited, yet gathering community insights is an important endeavour when developing people-centred health systems and moving towards universal health coverage. Our study aimed to address this gap in knowledge by eliciting community preferences for the social health insurance benefit package among the uninsured in Vietnam. We adopted a mixed methods approach that included a ranking exercise followed by focus group discussions. We collected quantitative and qualitative data from 174 uninsured people in Bac Giang, a province in northern Vietnam. Study participants were purposively selected from 12 communities and assembled in 14 group sessions that entailed three stages: participants first selected and ranked benefit items individually, then in groups and finally they engaged in a discussion regarding their decisions. The majority of respondents (both as individuals and as groups) preferred an HBP that covers both curative and preventive care, with a strong preference for the inclusion of high-cost care, resulting from rare and costly events (inpatient care), as well as frequent and less costly events (drugs, tests and outpatient care). The process of group discussion highlighted how individual choices could be modified in the context of group negotiation. The shift in preferences was motivated by the wish to protect low-income people from catastrophic expenditure while maximising community access to vital yet costly healthcare services. Future research, interventions and policies can built on this initial exploration of preferences to explore how stakeholders can engage communities and support greater public involvement in the development of HBPs in Vietnam and other low-income and middle-income countries.

Prospective Study of Externalizing and Internalizing Subtypes of Posttraumatic Stress Disorder and their Relationship to Mortality among Vietnam Veterans

PubMed Central

Flood, Amanda M.; Boyle, Stephen H.; Calhoun, Patrick S.; Dennis, Michelle F.; Barefoot, John C.; Moore, Scott D.; Beckham, Jean C.

2010-01-01

PTSD is also a complex disorder, and some studies have found that samples of individuals with PTSD contain subtypes that may relate to health outcomes. The goals were to replicate previously identified PTSD subtypes and examine how subtype membership relates to mortality. Data from the Vietnam Experience Study and a clinical sample of Vietnam veterans were combined (n = 5248) to address these research questions. Consistent with previous studies, three PTSD subtypes emerged: externalizers (n=317), internalizers (n=579), and low pathology (n=280). PTSD diagnosis was associated with increased risk of all cause and behavioral cause (e.g., homicide, suicide) mortality. Both externalizing and internalizing subtypes had higher mortality and were more likely to die from cardiovascular causes than those without PTSD. Externalizers were more likely to die from substance-related causes than those without PTSD. The value of considering possible PTSD subtypes is significant in that it may contribute to identifying more specific targets for treatment and rehabilitation in veterans with PTSD. PMID:20399332

Socio-ecological risk factors for prime-age adult death in two coastal areas of Vietnam.

PubMed

Kim, Deok Ryun; Ali, Mohammad; Thiem, Vu Dinh; Wierzba, Thomas F

2014-01-01

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. 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. 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.

Characterisation of Phytophthora capsici isolates from black pepper in Vietnam.

PubMed

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.

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

PubMed Central

Lee, Jung-Seok

2015-01-01

Background 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. Methodology/Principal Findings 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. Conclusions/Significance 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. PMID:26030922

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

PubMed

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.

U.S.-Vietnam Military Relations: Game Theory Perspective

DTIC Science & Technology

2012-06-01

the resource-rich Spratly and Paracel Islands in the South China Sea. These islands are also being claimed by five other countries: Brunei, Malaysia ...other countries: Brunei, Malaysia , the Philippines, Taiwan, and Vietnam. Currently China claims the entire South China Sea as its territorial waters... Malaysia , the Philippines, Taiwan, and Vietnam.1 The U.S. has great interest in this issue because its trade routes with Southeast Asia go through

Community response to noise in Vietnam: exposure-response relationships based on the community tolerance level.

PubMed

Gjestland, Truls; Nguyen, Thu Lan; Yano, Takashi

2015-05-01

Social surveys on noise annoyance have been conducted in five different cities in Vietnam. The surveys included both aircraft noise (three airports) and road traffic noise (five cities). The main objective for these studies was to establish dose-response functions that were representative for Vietnam. The results have been compared with results from similar surveys from other regions. Dose-response functions for aircraft noise in Vietnam showing the percentage of highly annoyed people versus the noise level are nearly identical to those presented in the European Noise Directive [European Commission (2002). http://ec.europa.eu/environment/noise/directive.htm]. For road traffic noise, however, the results indicate that people in Vietnam are more tolerant. The noise levels can be increased by 5-10 dB in order to have a response similar to the curve recommended by the European Commission.

75 FR 38716 - Safety Zone; Vietnam Veterans of America Fireworks Display, Brookings, OR

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-06

...-AA00 Safety Zone; Vietnam Veterans of America Fireworks Display, Brookings, OR AGENCY: Coast Guard, DHS... waters of Pelican Bay and the Pacific Ocean for the Vietnam Veterans of America Fireworks Display near... period will have passed. Basis and Purpose The Vietnam Veterans of America are holding a fireworks...

78 FR 64009 - Frozen Warmwater Shrimp From China, Ecuador, India, Malaysia, and Vietnam

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-25

... Warmwater Shrimp From China, Ecuador, India, Malaysia, and Vietnam Determinations On the basis of the record... from China, Ecuador, India, Malaysia, and Vietnam of frozen warmwater shrimp, provided for in... China, Ecuador, India, Malaysia, and Vietnam.\\2\\ \\1\\ The record is defined in sec. 207.2(f) of the...

Changing Views of Teachers and Teaching in Vietnam

ERIC Educational Resources Information Center

Nguyen, Huong Thi Mai; Hall, Christine

2017-01-01

In order for Vietnam to seek better international integration into an increasingly globalised world, the Vietnamese Government has launched educational reforms requiring teachers to adopt "Western" constructivist pedagogies. This paper reports on an action research study in a Vietnamese teacher training institution which found that…

77 FR 60675 - Certain Frozen Fish Fillets From the Socialist Republic of Vietnam: Initiation of Antidumping...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-04

... From the Socialist Republic of Vietnam: Initiation of Antidumping Duty New Shipper Review AGENCY... fillets (``fish'') from the Socialist Republic of Vietnam (``Vietnam''). The Department has determined...: 202-482-0238. SUPPLEMENTARY INFORMATION: Background The antidumping duty order on fish from Vietnam...

Household utilization and expenditure on private and public health services in Vietnam.

PubMed

Ha, Nguyen Thi Hong; Berman, Peter; Larsen, Ulla

2002-03-01

The private provision of health services in Vietnam was legalized in 1989 as one of the country's means to mobilize resources and improve efficiency in the health system. Ten years after its legalization, the private sector has widely expanded its activities and become an important provider of health services for the Vietnamese people. However, little is known about its contribution to the overall objectives of the health system in Vietnam. This paper assesses the role of the private health care provider by examining utilization patterns and financial burden for households of private, as compared with public, services. We found that the private sector provided 60% of all outpatient contacts in Vietnam. There was no difference by education, sex or place of residence in the use of private ambulatory health care. Although there was evidence suggesting that rich people use private care more than the poor, this finding was not consistent across all income groups. The private sector served young children in particular. Also, people in households with several sick members at the same time relied more on private than public care, while those with severe illnesses tended to use less private care than public. The financial burden for households from private health care services was roughly a half of that imposed by the public providers. Expenditure on drugs accounted for a substantial percentage of household expenditure in general and health care expenditure in particular. These findings call for a prompt recognition of the private sector as a key player in Vietnam's health system. Health system policies should mobilize positive private sector contributions to health system goals where possible and reduce the negative effects of private provision development.

Modeling the impact of rubella vaccination in Vietnam.

PubMed

Vynnycky, Emilia; Yoshida, Lay Myint; Huyen, Dang Thi Thanh; Trung, Nguyen Dac; Toda, Kohei; Cuong, Nguyen Van; Thi Hong, Duong; Ariyoshi, Koya; Miyakawa, Masami; Moriuchi, Hiroyuki; Tho, Le Huu; Nguyen, Hien Anh; Duc Anh, Dang; Jit, Mark; Hien, Nguyen Tran

2016-01-01

Supported by GAVI Alliance, measles-rubella vaccination was introduced in Vietnam in 2014, involving a mass campaign among 1-14 year olds and routine immunization of children aged 9 months. We explore the impact on the incidence of Congenital Rubella Syndrome (CRS) during 2013-2050 of this strategy and variants involving women aged 15-35 years. We use an age and sex-structured dynamic transmission model, set up using recently-collected seroprevalence data from Central Vietnam, and also consider different levels of transmission and contact patterns. If the serological profile resembles that in Central Vietnam, the planned vaccination strategy could potentially prevent 125,000 CRS cases by 2050 in Vietnam, despite outbreaks predicted in the meantime. Targeting the initial campaign at 15-35 year old women with or without children aged 9 months-14 years led to sustained reductions in incidence, unless levels of ongoing transmission were medium-high before vaccination started. Assumptions about contact greatly influenced predictions if the initial campaign just targeted 15-35 year old women and/or levels of ongoing transmission were medium-high. Given increased interest in rubella vaccination, resulting from GAVI Alliance funding, the findings are relevant for many countries.

Tropical Storm Gaemi approaching Vietnam

NASA Image and Video Library

2017-12-08

It is easy to see the effect of the strong northeasterly wind shear battering Tropical Storm Gaemi in satellite imagery from NASA. This true-color image acquired on Oct. 5 shows a large oval-shaped area of showers and thunderstorms associated with the storm, southwest of the exposed center of circulation. NASA's Aqua satellite passed over Tropical Storm Gaemi as it was approaching Vietnam on Oct. 5, 2012 at 0550 UTC (1:50 a.m. EDT). A true-color image of the storm was captured by the Moderate Resolution Imaging Spectroradiometer (MODIS) instrument and shows bulk of showers and thunderstorms were clearly to the southwest of the center. The circulation center appears as a ring of concentric bands of clouds northeast of the large rounded area of clouds and showers associated with the storm. On Tuesday, October 5, 2012 at 1500 UTC (11 a.m. EDT), Tropical Storm Gaemi still had maximum sustained winds near 35 knots (40 mph/65 km/h) as it did 24 hours before. It was located 425 nautical miles (489 miles/787 km) east of Hue, Vietnam near 14.7 North latitude and 117.7 East longitude. Early on October 7, Tropical Storm Gaemi made landfall over Vietnam with wind speeds reported at 34 mph (55 mph), and bringing rainfall of more than 4 inches in some areas of Vietnam. Once ashore, the storm quickly moved inland and rapidly weakened as it headed towards Cambodia. With winds reduced, Gaemi served primarily as a rainmaker, but the rain may bring flooding and landslides to the region. Credit: NASA/GSFC/Jeff Schmaltz/MODIS Land Rapid Response Team NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Tobacco Control Policies in Vietnam: Review on MPOWER Implementation Progress and Challenges.

PubMed

Minh, Hoang Van; Ngan, Tran Thu; Mai, Vu Quynh; My, Nguyen Thi Tuyet; Chung, Le Hong; Kien, Vu Duy; Anh, Tran Tuan; Ngoc, Nguyen Bao; Giap, Vu Van; Cuong, Nguyen Manh; Manh, Pham Duc; Giang, Kim Bao

2016-01-01

In Vietnam, the WHO Framework Convention on Tobacco Control (WHO FCTC) took effect in March 2005 while MPOWER has been implemented since 2008. This paper describes the progress and challenges of implementation of the MPOWER package in Vietnam. We can report that, in term of monitoring, Vietnam is very active in the Global Tobacco Surveillance System, completing two rounds of the Global Adult Tobacco Survey (GATS) and three rounds of the Global Youth Tobacco Survey (GYTS). To protect people from tobacco smoke, Vietnam has issued and enforced a law requiring comprehensive smoking bans at workplaces and public places since 2013. Tobacco advertising and promotion are also prohibited with the exception of points of sale displays of tobacco products. Violations come in the form of promotion girls, corporate social responsibility activities from tobacco manufacturers and packages displayed by retail vendors. Vietnam is one of the 77 countries that require pictorial health warnings to be printed on cigarette packages to warn about the danger of tobacco and the warnings have been implemented effectively. Cigarette tax is 70% of factory price which is equal to less than 45% of retail price and much lower than the recommendation of WHO. However, Vietnam is one of the very few countries that require manufacturers and importers to make "compulsory contributions" at 1-2% of the factory price of cigarettes sold in Vietnam for the establishment of a Tobacco Control Fund (TCF). The TCF is being operated well. In 2015, 67 units of 63 provinces/cities, 22 ministries and political-social organizations and 6 hospitals received funding from TCF to implement a wide range of tobacco control activities. Cessation services have been starting with a a toll-free quit-line but need to be further strengthened. In conclusion, Vietnam has constantly put efforts into the tobacco control field with high commitment from the government, scientists and activists. Though several remarkable achievements

Shaping the Health Policy Agenda: The Case of Safe Motherhood Policy in Vietnam

PubMed Central

Ha, Bui Thi Thu; Mirzoev, Tolib; Mukhopadhyay, Maitrayee

2015-01-01

Background: Maternal health remains a central policy concern in Vietnam. With a commitment to achieving the Millennium Development Goal (MDG) 5 target of maternal mortality rate (MMR) of 70/100 000 by 2015, the Ministry of Health (MoH) issued the National Plan for Safe Motherhood (NPSM) 2003-2010. In 2008, reproductive health, including safe motherhood (SM) became a national health target program with annual government funding. Methods: A case study of how SM emerged as a political priority in Vietnam over the period 2001-2008, drawing on Kingdon’s theory of agenda-setting was conducted. A mixed method was adopted for this study of the NPSM. Results: Three related streams contributed to SM priority in Vietnam: (1) the problem of high MMR was officially recognized from high-quality research, (2) the strong roles of policy champion from MoH in advocating for the needs to reducing MMR as well as support from government and donors, and (3) the national and international events, providing favorable context for this issue to emerge on policy agenda. Conclusion: This paper draws on the theory of agenda-setting to analyze the Vietnam experience and to develop guidance for SM a political priority in other high maternal mortality communities. PMID:26673334

The Empirical Analysis of Cigarette Tax Avoidance and Illicit Trade in Vietnam, 1998-2010

PubMed Central

Nguyen, Minh Thac; Denniston, Ryan; Nguyen, Hien Thi Thu; Hoang, Tuan Anh; Ross, Hana; So, Anthony D.

2014-01-01

Illicit trade carries the potential to magnify existing tobacco-related health care costs through increased availability of untaxed and inexpensive cigarettes. What is known with respect to the magnitude of illicit trade for Vietnam is produced primarily by the industry, and methodologies are typically opaque. Independent assessment of the illicit cigarette trade in Vietnam is vital to tobacco control policy. This paper measures the magnitude of illicit cigarette trade for Vietnam between 1998 and 2010 using two methods, discrepancies between legitimate domestic cigarette sales and domestic tobacco consumption estimated from surveys, and trade discrepancies as recorded by Vietnam and trade partners. The results indicate that Vietnam likely experienced net smuggling in during the period studied. With the inclusion of adjustments for survey respondent under-reporting, inward illicit trade likely occurred in three of the four years for which surveys were available. Discrepancies in trade records indicate that the value of smuggled cigarettes into Vietnam ranges from $100 million to $300 million between 2000 and 2010 and that these cigarettes primarily originate in Singapore, Hong Kong, Macao, Malaysia, and Australia. Notable differences in trends over time exist between the two methods, but by comparison, the industry estimates consistently place the magnitude of illicit trade at the upper bounds of what this study shows. The unavailability of annual, survey-based estimates of consumption may obscure the true, annual trend over time. Second, as surveys changed over time, estimates relying on them may be inconsistent with one another. Finally, these two methods measure different components of illicit trade, specifically consumption of illicit cigarettes regardless of origin and smuggling of cigarettes into a particular market. However, absent a gold standard, comparisons of different approaches to illicit trade measurement serve efforts to refine and improve

The empirical analysis of cigarette tax avoidance and illicit trade in Vietnam, 1998-2010.

PubMed

Nguyen, Minh Thac; Denniston, Ryan; Nguyen, Hien Thi Thu; Hoang, Tuan Anh; Ross, Hana; So, Anthony D

2014-01-01

Illicit trade carries the potential to magnify existing tobacco-related health care costs through increased availability of untaxed and inexpensive cigarettes. What is known with respect to the magnitude of illicit trade for Vietnam is produced primarily by the industry, and methodologies are typically opaque. Independent assessment of the illicit cigarette trade in Vietnam is vital to tobacco control policy. This paper measures the magnitude of illicit cigarette trade for Vietnam between 1998 and 2010 using two methods, discrepancies between legitimate domestic cigarette sales and domestic tobacco consumption estimated from surveys, and trade discrepancies as recorded by Vietnam and trade partners. The results indicate that Vietnam likely experienced net smuggling in during the period studied. With the inclusion of adjustments for survey respondent under-reporting, inward illicit trade likely occurred in three of the four years for which surveys were available. Discrepancies in trade records indicate that the value of smuggled cigarettes into Vietnam ranges from $100 million to $300 million between 2000 and 2010 and that these cigarettes primarily originate in Singapore, Hong Kong, Macao, Malaysia, and Australia. Notable differences in trends over time exist between the two methods, but by comparison, the industry estimates consistently place the magnitude of illicit trade at the upper bounds of what this study shows. The unavailability of annual, survey-based estimates of consumption may obscure the true, annual trend over time. Second, as surveys changed over time, estimates relying on them may be inconsistent with one another. Finally, these two methods measure different components of illicit trade, specifically consumption of illicit cigarettes regardless of origin and smuggling of cigarettes into a particular market. However, absent a gold standard, comparisons of different approaches to illicit trade measurement serve efforts to refine and improve

Cost of treatment for breast cancer in central Vietnam

PubMed Central

Hoang Lan, Nguyen; Laohasiriwong, Wongsa; Stewart, John Frederick; Tung, Nguyen Dinh; Coyte, Peter C.

2013-01-01

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. PMID:23394855

Toxic metal levels in children residing in a smelting craft village in Vietnam: a pilot biomonitoring study.

PubMed

Sanders, Alison P; Miller, Sloane K; Nguyen, Viet; Kotch, Jonathan B; Fry, Rebecca C

2014-02-04

In Vietnam, environmental pollution caused by small-scale domestic smelting of automobile batteries into lead ingot is a growing concern. The village of Nghia Lo is a smelting craft village located roughly 25 km southeast of Hanoi in the Red River Delta. Despite the concern of toxic metal exposure in the village, biomonitoring among susceptible populations, such as children, has not been previously conducted. The aim of this study was to determine the body burden of toxic metals in children residing in a smelting craft village. Twenty children from Nghia Lo, Vietnam, ages 18 months to four years were selected for capillary whole blood and toenail biomonitoring. Whole blood lead levels (BLLs) were measured using a portable lead analyzer, and toenail levels of arsenic, cadmium, chromium, lead, manganese, and mercury were analyzed with inductively coupled plasma-mass spectrometry. The findings show that all of the 20 children had detectable BLLs, and every child had levels that exceeded the Centers for Disease Control and Prevention guideline level of 5 μg/dL. Eighty percent of tested subjects had BLLs higher than 10 μg/dL. Five children (25%) had BLLs greater than 45 μg/dL, the level of recommended medical intervention. In addition to blood lead, all of the children had detectable levels of arsenic, cadmium, chromium, lead, manganese, and mercury in toenail samples. Notably, average toenail lead, manganese, and mercury levels were 157 μg/g, 7.41 μg/g, and 2.63 μg/g respectively, well above levels previously reported in children. Significant Spearman's rank correlations showed that there were relationships between blood and toenail lead levels (r = 0.65, p < 0.05), toenail levels of lead and cadmium (r = 0.66, p < 0.05), and toenail levels of manganese and chromium (r = 0.72, p < 0.001). Linear regression showed that reducing the distance to the nearest active smelter by half was associated with a 116% increase in BLL (p < 0

Toxic metal levels in children residing in a smelting craft village in Vietnam: a pilot biomonitoring study

PubMed Central

2014-01-01

Background In Vietnam, environmental pollution caused by small-scale domestic smelting of automobile batteries into lead ingot is a growing concern. The village of Nghia Lo is a smelting craft village located roughly 25 km southeast of Hanoi in the Red River Delta. Despite the concern of toxic metal exposure in the village, biomonitoring among susceptible populations, such as children, has not been previously conducted. The aim of this study was to determine the body burden of toxic metals in children residing in a smelting craft village. Methods Twenty children from Nghia Lo, Vietnam, ages 18 months to four years were selected for capillary whole blood and toenail biomonitoring. Whole blood lead levels (BLLs) were measured using a portable lead analyzer, and toenail levels of arsenic, cadmium, chromium, lead, manganese, and mercury were analyzed with inductively coupled plasma-mass spectrometry. Results The findings show that all of the 20 children had detectable BLLs, and every child had levels that exceeded the Centers for Disease Control and Prevention guideline level of 5 μg/dL. Eighty percent of tested subjects had BLLs higher than 10 μg/dL. Five children (25%) had BLLs greater than 45 μg/dL, the level of recommended medical intervention. In addition to blood lead, all of the children had detectable levels of arsenic, cadmium, chromium, lead, manganese, and mercury in toenail samples. Notably, average toenail lead, manganese, and mercury levels were 157 μg/g, 7.41 μg/g, and 2.63 μg/g respectively, well above levels previously reported in children. Significant Spearman’s rank correlations showed that there were relationships between blood and toenail lead levels (r = 0.65, p < 0.05), toenail levels of lead and cadmium (r = 0.66, p < 0.05), and toenail levels of manganese and chromium (r = 0.72, p < 0.001). Linear regression showed that reducing the distance to the nearest active smelter by half was associated with a 116

78 FR 72635 - Certain Frozen Warmwater Shrimp From the Socialist Republic of Vietnam: Rescission of Antidumping...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-03

... Shrimp From the Socialist Republic of Vietnam: Rescission of Antidumping Duty New Shipper Review AGENCY... certain frozen warmwater shrimp from the Socialist Republic of Vietnam (``Vietnam'') covering the period... respect to Goldenquality. \\1\\ See Certain Frozen Warmwater Shrimp from the Socialist Republic of Vietnam...

76 FR 16384 - Certain Frozen Warmwater Shrimp From the Socialist Republic of Vietnam: Initiation of Antidumping...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-23

... Shrimp From the Socialist Republic of Vietnam: Initiation of Antidumping Duty New Shipper Review AGENCY... (``shrimp'') from the Socialist Republic of Vietnam (``Vietnam''), received on February 28, 2011, meets the... INFORMATION: Background The notice announcing the antidumping duty order on shrimp from Vietnam was published...

76 FR 17837 - Certain Frozen Fish Fillets From the Socialist Republic of Vietnam: Initiation of Antidumping...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-31

... From the Socialist Republic of Vietnam: Initiation of Antidumping Duty New Shipper Review AGENCY... fillets'') from the Socialist Republic of Vietnam (``Vietnam''), received on February 28, 2011, meets the... INFORMATION: Background The notice announcing the antidumping duty order on fish fillets from Vietnam was...

Constructions of gender in Vietnam: in pursuit of the 'Three Criteria'.

PubMed

Schuler, Sidney Ruth; Hoang, Tu Anh; Vu, Song Ha; Tan, Hung Minh; Bui, Thi Thanh Mai; Pham, Vu Thien

2006-01-01

Vietnam has advanced far beyond most other developing countries and, indeed, surpasses many developed countries in adopting a legal framework based on gender equality, and in creating institutions and programmes to support women's advancement. Inegalitarian gender norms have also persisted, however. The Vietnam Women's Union promotes women's educational, political and economic advancement but simultaneously exhorts women to pay attention to their Confucian role of maintaining family hierarchy and harmony. This paper presents findings from qualitative research examining gender relations at the grassroots level in central Vietnam. It argues that the Vietnam Women's Union could support women more effectively by promoting greater diversity in gender norms and by initiating a public discussion to address the pressures women face in trying to achieve ideals that are often experienced as contradictory and unattainable.

A qualitative study of stigma and discrimination against people living with HIV in Ho Chi Minh City, Vietnam.

PubMed

Thi, Mai Doan Anh; Brickley, Deborah Bain; Vinh, Dang Thi Nhat; Colby, Donn J; Sohn, Annette H; Trung, Nguyen Quang; Giang, Le Truong; Mandel, Jeffrey S

2008-07-01

Stigma and discrimination against people living with HIV/AIDS (PLHIV) are a pressing problem in Vietnam, in particular because of propaganda associating HIV with the "social evils" of sex work and drug use. There is little understanding of the causes and sequelae of stigma and discrimination against PLHIV in Vietnam. Fifty-three PLHIV participated in focus group discussions in Ho Chi Minh City. Nearly all participants experienced some form of stigma and discrimination. Causes included exaggerated fears of HIV infection, misperceptions about HIV transmission, and negative representations of PLHIV in the media. Participants faced problems getting a job, perceived unfair treatment in the workplace and experienced discrimination in the healthcare setting. Both discrimination and support were reported in the family environment. There is a need to enforce laws against discrimination and provide education to decrease stigma against PLHIV in Vietnam. Recent public campaigns encouraging compassion toward PLHIV and less discrimination from healthcare providers who work with PLHIV have been encouraging.

Ubiquitous Detection of Artificial Sweeteners and Iodinated X-ray Contrast Media in Aquatic Environmental and Wastewater Treatment Plant Samples from Vietnam, The Philippines, and Myanmar.

PubMed

Watanabe, Yuta; Bach, Leu Tho; Van Dinh, Pham; Prudente, Maricar; Aguja, Socorro; Phay, Nyunt; Nakata, Haruhiko

2016-05-01

Water samples from Vietnam, The Philippines, and Myanmar were analyzed for artificial sweeteners (ASs) and iodinated X-ray contrast media (ICMs). High concentrations (low micrograms per liter) of ASs, including aspartame, saccharin, and sucralose, were found in wastewater treatment plant (WWTP) influents from Vietnam. Three ICMs, iohexol, iopamidol, and iopromide were detected in Vietnamese WWTP influents and effluents, suggesting that these ICMs are frequently used in Vietnam. ASs and ICMs were found in river water from downtown Hanoi at concentrations comparable to or lower than the concentrations in WWTP influents. The ASs and ICMs concentrations in WWTP influents and adjacent surface water significantly correlated (r (2) = 0.99, p < 0.001), suggesting that household wastewater is discharged directly into rivers in Vietnam. Acesulfame was frequently detected in northern Vietnamese groundwater, but the concentrations varied spatially by one order of magnitude even though the sampling points were very close together. This implies that poorly performing domestic septic tanks sporadically leak household wastewater into groundwater. High acesulfame, cyclamate, saccharin, and sucralose concentrations were found in surface water from Manila, The Philippines. The sucralose concentrations were one order of magnitude higher in the Manila samples than in the Vietnamese samples, indicating that more sucralose is used in The Philippines than in Vietnam. Acesulfame and cyclamate were found in surface water from Pathein (rural) and Yangon (urban) in Myanmar, but no ICMs were found in the samples. The ASs concentrations were two-three orders of magnitude lower in the samples from Myanmar than in the samples from Vietnam and The Philippines, suggesting that different amounts of ASs are used in these countries. We believe this is the first report of persistent ASs and ICMs having ubiquitous distributions in economically emerging South Asian countries.

Drug abuse in Vietnam: a critical review of the literature and implications for future research.

PubMed

Nguyen, Van T; Scannapieco, Maria

2008-04-01

To provide an overall picture of drug abuse in Vietnam, its prevalence, correlates and patterns. Studies addressing the drug abuse problem in Vietnam are reviewed. Attention is paid to studies conducted from 1993 onwards. The reviewed studies were collected from both refereed and non-refereed sources. Drug abuse is rising sharply in Vietnam: almost threefold over the past 10 years. From a predominantly rural-mountainous phenomenon, illicit drug abuse spread rapidly to urban areas. Meanwhile, the average age of drug users has declined and more women have been engaging in drug consumption. At the same time, heroin has replaced opium as the most preferred drug in the country's illicit drug market, especially among young users in urban areas. At the national level, the second main route of drug administration, injecting, has exceeded smoking and taken precedence in the country's drug abuse culture, especially among heroin users. Drug abuse in Vietnam has changed radically over the past decade, which has implications for the national and international community and requires further research to fill the knowledge gap and to inform intervention policy for better drug control policy.

75 FR 15416 - Certain Frozen Fish Fillets From the Socialist Republic of Vietnam: Initiation of Antidumping...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-29

... From the Socialist Republic of Vietnam: Initiation of Antidumping Duty New Shipper Reviews AGENCY... fillets'') from the Socialist Republic of Vietnam (``Vietnam''), received on February 19, 2010, and... order on fish fillets from Vietnam was published in the Federal Register on August 12, 2003. See Notice...

77 FR 20008 - Certain Frozen Fish Fillets From the Socialist Republic of Vietnam: Initiation of Antidumping...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-03

... From the Socialist Republic of Vietnam: Initiation of Antidumping Duty New Shipper Reviews AGENCY... (``fish'') from the Socialist Republic of Vietnam (``Vietnam'') meet the statutory and regulatory... antidumping duty order on fish from Vietnam was published in the Federal Register on August 12, 2003.\\1\\ On...

31 CFR 500.577 - Authorization of bank transactions with respect to Vietnam by certain international organizations.

Code of Federal Regulations, 2010 CFR

2010-07-01

... with respect to Vietnam by certain international organizations. 500.577 Section 500.577 Money and... Licensing Policy § 500.577 Authorization of bank transactions with respect to Vietnam by certain... reference to Vietnam are authorized. Example: A transfer to Vietnam or a Vietnamese national of funds from...

Social science research on HIV in Vietnam: a critical review and future directions.

PubMed

Dao, Amy; Hirsch, Jennifer S; Giang, Le Minh; Parker, Richard G

2013-01-01

Social science research can enhance the response to Vietnam's growing HIV epidemic by capturing the country's rapidly changing social and political context. The present paper reviews the published, peer-reviewed and English-language social science literature on HIV in Vietnam in order to identify critical theoretical and substantive gaps, while laying the groundwork for future research. We found four broad foci for work on the social context of HIV and AIDS in Vietnam: the cultural meanings and social relationships that shape Vietnam's HIV epidemic; stigma and discrimination; social inequality and structural violence as contributors to HIV risk; and, finally, how broader global and social systems shape Vietnam's HIV epidemic. We signal the particular need for additional research on the effects of the media on attitudes towards HIV and AIDS, on social movements, and on health systems, as well as on a number of other key areas. Work along these lines, in addition to more effective communication of policy-relevant findings to those responsible for the development and implementation of policies and programmes, will strengthen Vietnam's response to HIV and AIDS.

Authoritative Voices and the Vietnam Experience: Teaching about Vietnam during the Gulf War.

ERIC Educational Resources Information Center

Sears, Laurie J.

1991-01-01

Experiences of a college teacher teaching a course on the Vietnam War during the Persian Gulf Crisis illustrate the impact that teaching history can have on the consciousness of students. Respect for other cultures and other races are essential before students can stop glorifying war. (SLD)

Community Colleges: Key to Vietnam Era GI Bill Shortfall.

ERIC Educational Resources Information Center

Horan, J. Michael

The Vietnam Era GI Bill was clearly influenced by the social and educational success of World War II veterans, but also reflected the policy objectives of equity and access of the 1960's. A 1987 monograph by the U.S. Department of Veterans Affairs reported that 60% of all Vietnam Era veterans received some training benefit from the GI Bill, but…

The Prevalence of Helicobacter pylori Virulence Factors in Bhutan, Vietnam, and Myanmar Is Related to Gastric Cancer Incidence

PubMed Central

Trang, Tran Thi Huyen; Shiota, Seiji; Matsuda, Miyuki; Binh, Tran Thanh; Suzuki, Rumiko; Vilaichone, Ratha-korn; Mahachai, Varocha; Tshering, Lotay; Dung, Ho D. Q.; Uchida, Tomohisa; Matsunari, Osamu; Myint, Thein; Khien, Vu Van; Yamaoka, Yoshio

2015-01-01

Gastric cancer is a significant health problem in Asia. Although the prevalence of Helicobacter pylori infection is similar in Bhutan, Vietnam, and Myanmar, the incidence of gastric cancer is highest in Bhutan, followed by Vietnam and Myanmar. We hypothesized that H. pylori virulence factors contribute to the differences. The status of cagA, vacA, jhp0562, and β-(1,3)galT(jhp0563) was examined in 371 H. pylori-infected patients from Bhutan, Vietnam, and Myanmar. Each virulence factor could not explain the difference of the incidence of gastric cancer. However, the prevalence of quadruple-positive for cagA, vacA s1, vacA m1, and jhp0562-positive/β-(1,3)galT-negative was significantly higher in Bhutan than in Vietnam and Myanmar and correlated with gastric cancer incidence. Moreover, gastritis-staging scores measured by histology of gastric mucosa were significantly higher in quadruple-positive strains. We suggest that the cagA, vacA s1, vacA m1, and jhp0562-positive/β-(1,3)galT-negative genotype may play a role in the development of gastric cancer. PMID:26090448

76 FR 16384 - Certain Frozen Warmwater Shrimp From the Socialist Republic of Vietnam: Extension of Preliminary...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-23

... Shrimp From the Socialist Republic of Vietnam: Extension of Preliminary Results of Antidumping Duty New... Republic of Vietnam (``Vietnam''). The period of review for this review is February 1, 2010, through July... antidumping duty order on shrimp from Vietnam for Quoc Viet Seaproducts Processing Trading and Import-Export...

75 FR 20563 - Certain Frozen Warmwater Shrimp from the Socialist Republic of Vietnam: Extension of Final...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-20

... Shrimp from the Socialist Republic of Vietnam: Extension of Final Results of Antidumping Duty New Shipper... Vietnam (``Vietnam''). This review covers the period February 1, 2008 through January 31, 2009. EFFECTIVE... preliminary intent to rescind the new shipper review in the antidumping duty order on shrimp from Vietnam for...

75 FR 844 - Certain Frozen Warmwater Shrimp From the Socialist Republic of Vietnam: Extension of Preliminary...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-06

... Shrimp From the Socialist Republic of Vietnam: Extension of Preliminary Results of Antidumping Duty New... Republic of Vietnam (``Vietnam''). This review covers the period February 1, 2008 through January 31, 2009... of initiation of the new shipper review in the antidumping duty order on shrimp from Vietnam for Nhat...

75 FR 27705 - Certain Frozen Warmwater Shrimp from the Socialist Republic of Vietnam: Extension of Final...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-18

... Shrimp from the Socialist Republic of Vietnam: Extension of Final Results of Antidumping Duty New Shipper... Vietnam (``Vietnam''). This review covers the period February 1, 2008 through January 31, 2009. EFFECTIVE... preliminary intent to rescind the new shipper review in the antidumping duty order on shrimp from Vietnam for...

3 CFR - Presidential Determination on a U.S. Export-Import Bank Transaction With Vietnam

Code of Federal Regulations, 2013 CFR

2013-01-01

... Bank Transaction With Vietnam Presidential Documents Other Presidential Documents Presidential... With Vietnam Memorandum for the Secretary of State Pursuant to section 2(b)(2)(D) of the Export-Import...,890 to the Vietnam Post and Telecommunications Group, a wholly state-owned company, for the purchase...

Monitoring Antibiotic Use and Residue in Freshwater Aquaculture for Domestic Use in Vietnam.

PubMed

Pham, Dang Kim; Chu, Jacqueline; Do, Nga Thuy; Brose, François; Degand, Guy; Delahaut, Philippe; De Pauw, Edwin; Douny, Caroline; Nguyen, Kinh Van; Vu, Ton Dinh; Scippo, Marie-Louise; Wertheim, Heiman F L

2015-09-01

Vietnam is an important producer of aquaculture products, and aquatic products are essential to the Vietnamese diet. However, Vietnam also has very little enforced regulation pertaining to antibiotic usage in domestic aquaculture, which raises concerns for antibiotic resistance in pathogenic bacteria. In this study, analysis was conducted on the presence of antibiotic residues in domestically sold fish and shrimp raised in freshwater farms in Vietnam, and an assessment of farmers' knowledge of proper antibiotics usage was performed. The results indicated that a quarter of tested aquaculture products were antibiotic screening test positive, and there is a general lack of knowledge about the purpose and proper usage of antibiotics by aquaculture producers. Farmers' decision-making processes about antimicrobial use are influenced by biased sources of information, such as drug manufacturers and sellers, and by financial incentives.

The China Factor in U.S.-Vietnam Relations

DTIC Science & Technology

2012-03-01

James Shoal off Malaysian Borneo. Vietnam also claims a sizeable portion of the South China Sea, including the Paracel and Spratly islands in their...rattled Hanoi in recent years include:  Asserting China’s ‘historic’ claim over the South China Sea: In May 2009, China rejected a joint Malaysian ...cooperate with Hanoi in offshore drilling, with a state-owned Indian firm buying out part of BP’s stake in a South China Sea joint venture with PetroVietnam

Health Care Payments in Vietnam: Patients' Quagmire of Caring for Health versus Economic Destitution.

PubMed

Pekerti, Andre; Vuong, Quan-Hoang; Ho, Tung Manh; Vuong, Thu-Trang

2017-09-25

In the last three decades many developing and middle-income nations' health care systems have been financed via out-of-pocket payments by individuals. User fees charges, however, may not be the best approach or thenmost equitable approach to finance and/or reform health services in developing nations. This study investigates the status of Vietnam's current health system as a result of implementing user fees policies. A recent mandate by the government to increase the universal cover to 100% attempts to tackle inadequate insurance cover, one of the four major factors contributing to the high and increasing probability of destitution for Vietnamese patients (the other three being: non-residency, long stay in hospital, and high cost of treatment). Empirical results however suggest that this may be catastrophic for low-income earners: if insurance cover reimbursement decreases below 50% of actual health expenditures, the probability of Vietnamese falling into destitution will rise further. Our findings provide policy implications and directions to improve Vietnam's health care system, in particular by ensuring the utilization of health services and financial protection for the people.

Toxic Epidemics: Agent Orange Sickness in Vietnam and the United States.

PubMed

Uesugi, Tak

2016-01-01

Social scientists studying toxic epidemics have often endeavored to shed light on the differences between scientists' and nonscientists' epistemic perspectives. Yet, little attention has been paid to the processes through which a toxic epidemic emerges as a phenomenon. A Luoi Valley of Central Vietnam was extensively sprayed with chemical defoliants (including Agent Orange) during the Vietnam War. The latent toxic effects of these chemicals, however, went largely unnoticed until the late 1990s. By juxtaposing the history through which the notion of "Agent Orange Sickness" emerged in the United States with an ethnographic study of A Luoi, I explore the notion of poison under which Agent Orange became recognizable as a poison.

Antenatal and early infant predictors of postnatal growth in rural Vietnam: a prospective cohort study.

PubMed

Hanieh, Sarah; Ha, Tran T; De Livera, Alysha M; Simpson, Julie A; Thuy, Tran T; Khuong, Nguyen C; Thoang, Dang D; Tran, Thach D; Tuan, Tran; Fisher, Jane; Biggs, Beverley-Ann

2015-02-01

To determine which antenatal and early-life factors were associated with infant postnatal growth in a resource-poor setting in Vietnam. Prospective longitudinal study following infants (n=1046) born to women who had previously participated in a cluster randomised trial of micronutrient supplementation (ANZCTR:12610000944033), Ha Nam province, Vietnam. Antenatal and early infant factors were assessed for association with the primary outcome of infant length-for-age z scores at 6 months of age using multivariable linear regression and structural equation modelling. Mean length-for-age z score was -0.58 (SD 0.94) and stunting prevalence was 6.4%. Using structural equation modelling, we highlighted the role of infant birth weight as a predictor of infant growth in the first 6 months of life and demonstrated that maternal body mass index (estimated coefficient of 45.6 g/kg/m(2); 95% CI 34.2 to 57.1), weight gain during pregnancy (21.4 g/kg; 95% CI 12.6 to 30.1) and maternal ferritin concentration at 32 weeks' gestation (-41.5 g per twofold increase in ferritin; 95% CI -78 to -5.0) were indirectly associated with infant length-for-age z scores at 6 months of age via birth weight. A direct association between 25-(OH) vitamin D concentration in late pregnancy and infant length-for-age z scores (estimated coefficient of -0.06 per 20 nmol/L; 95% CI -0.11 to -0.01) was observed. Maternal nutritional status is an important predictor of early infant growth. Elevated antenatal ferritin levels were associated with suboptimal infant growth in this setting, suggesting caution with iron supplementation in populations with low rates of iron deficiency. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Real life is different: a qualitative study of why women delay abortion until the second trimester in Vietnam.

PubMed

Gallo, Maria F; Nghia, Nguyen C

2007-05-01

Although legal and safe-induced abortion services are available on request in Vietnam, second-trimester abortion still occurs. Given the increased risks and higher costs associated with later-term abortions, we conducted a qualitative study to understand the determinants of delaying abortion until the second trimester. We used purposive sampling to conduct semi-structured face-to-face interviews with 60 women aged 14-47 receiving an abortion at 13-24 weeks of gestation in 5 health facilities in 3 provinces in Vietnam. We also interviewed 6 providers from the study facilities. Three broad categories for factors influencing delays in obtaining abortions emerged: most women failed to recognize their pregnancy during the first trimester; women described structural barriers to accessing services earlier; and some women either needed time to make a decision or only decided to abort after other events had transpired. A richer understanding of the factors that prevent women from obtaining an abortion during the first trimester could be useful for informing interventions that support women in receiving care earlier during their pregnancies.

Socio-Ecological Risk Factors for Prime-Age Adult Death in Two Coastal Areas of Vietnam

PubMed Central

Kim, Deok Ryun; Ali, Mohammad; Thiem, Vu Dinh; Wierzba, Thomas F.

2014-01-01

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. PMID:24587031

U.S.-Vietnam Relations: Background and Issues for Congress

DTIC Science & Technology

2006-11-28

Asian Nations (ASEAN — then made up of Indonesia, Malaysia , the Philippines, Singapore, and Thailand) to condemn and contain the Vietnamese expansion...from Vietnam and have the Commerce Department self-initiate antidumping investigations when warranted. U.S. clothing importers and retailers , along...textile and apparel products for WTO members. Because Vietnam is not a WTO member, its clothing industry generally is considered to be at a disadvantage

Dengue Dynamics in Binh Thuan Province, Southern Vietnam: Periodicity, Synchronicity and Climate Variability

PubMed Central

Thai, Khoa T. D.; Cazelles, Bernard; Nguyen, Nam Van; Vo, Long Thi; Boni, Maciej F.; Farrar, Jeremy; Simmons, Cameron P.; van Doorn, H. Rogier; de Vries, Peter J.

2010-01-01

Background Dengue is a major global public health problem with increasing incidence and geographic spread. The epidemiology is complex with long inter-epidemic intervals and endemic with seasonal fluctuations. This study was initiated to investigate dengue transmission dynamics in Binh Thuan province, southern Vietnam. Methodology Wavelet analyses were performed on time series of monthly notified dengue cases from January 1994 to June 2009 (i) to detect and quantify dengue periodicity, (ii) to describe synchrony patterns in both time and space, (iii) to investigate the spatio-temporal waves and (iv) to associate the relationship between dengue incidence and El Niño-Southern Oscillation (ENSO) indices in Binh Thuan province, southern Vietnam. Principal Findings We demonstrate a continuous annual mode of oscillation and a multi-annual cycle of around 2–3-years was solely observed from 1996–2001. Synchrony in time and between districts was detected for both the annual and 2–3-year cycle. Phase differences used to describe the spatio-temporal patterns suggested that the seasonal wave of infection was either synchronous among all districts or moving away from Phan Thiet district. The 2–3-year periodic wave was moving towards, rather than away from Phan Thiet district. A strong non-stationary association between ENSO indices and climate variables with dengue incidence in the 2–3-year periodic band was found. Conclusions A multi-annual mode of oscillation was observed and these 2–3-year waves of infection probably started outside Binh Thuan province. Associations with climatic variables were observed with dengue incidence. Here, we have provided insight in dengue population transmission dynamics over the past 14.5 years. Further studies on an extensive time series dataset are needed to test the hypothesis that epidemics emanate from larger cities in southern Vietnam. PMID:20644621

Dengue dynamics in Binh Thuan province, southern Vietnam: periodicity, synchronicity and climate variability.

PubMed

Thai, Khoa T D; Cazelles, Bernard; Nguyen, Nam Van; Vo, Long Thi; Boni, Maciej F; Farrar, Jeremy; Simmons, Cameron P; van Doorn, H Rogier; de Vries, Peter J

2010-07-13

Dengue is a major global public health problem with increasing incidence and geographic spread. The epidemiology is complex with long inter-epidemic intervals and endemic with seasonal fluctuations. This study was initiated to investigate dengue transmission dynamics in Binh Thuan province, southern Vietnam. Wavelet analyses were performed on time series of monthly notified dengue cases from January 1994 to June 2009 (i) to detect and quantify dengue periodicity, (ii) to describe synchrony patterns in both time and space, (iii) to investigate the spatio-temporal waves and (iv) to associate the relationship between dengue incidence and El Niño-Southern Oscillation (ENSO) indices in Binh Thuan province, southern Vietnam. We demonstrate a continuous annual mode of oscillation and a multi-annual cycle of around 2-3-years was solely observed from 1996-2001. Synchrony in time and between districts was detected for both the annual and 2-3-year cycle. Phase differences used to describe the spatio-temporal patterns suggested that the seasonal wave of infection was either synchronous among all districts or moving away from Phan Thiet district. The 2-3-year periodic wave was moving towards, rather than away from Phan Thiet district. A strong non-stationary association between ENSO indices and climate variables with dengue incidence in the 2-3-year periodic band was found. A multi-annual mode of oscillation was observed and these 2-3-year waves of infection probably started outside Binh Thuan province. Associations with climatic variables were observed with dengue incidence. Here, we have provided insight in dengue population transmission dynamics over the past 14.5 years. Further studies on an extensive time series dataset are needed to test the hypothesis that epidemics emanate from larger cities in southern Vietnam.

Risk factors for Entamoeba histolytica infection in an agricultural community in Hanam province, Vietnam

PubMed Central

2011-01-01

Background Entamoeba histolytica is an important protozoan intestinal infection in resource-poor settings, including Vietnam. The study objective was to assess risk factors of E. histolytica infection in a community in Vietnam, where wastewater and human excreta are used in agriculture. A case-control study was conducted among residents of Hanam province, Northern Vietnam. Cases (n = 46) infected with E. histolytica and non-infected controls (n = 138) were identified in a cross-sectional survey among 794 randomly selected individuals and matched for age, sex and place of residence. Potential risk factors including exposure to human and animal excreta and household wastewater were assessed with a questionnaire. Results People from households with an average socio-economic status had a much higher risk of E. histolytica infection (odds ratio [OR]=4.3, 95% confidence interval [CI]: 1.3-14.0) compared with those from households with a good socioeconomic status. Those individuals who never or rarely used soap for hand washing had a 3.4 times higher risk for infection (OR=3.4, 95% CI: 1.1-10.0), compared to those who used always soap. In contrast, none of the factors related to use of human or animal excreta was statistically significant associated with E. histolytica infection. People having close contact with domestic animals presented a greater risk of E. histolytica infection (OR = 5.9, 95% CI: 1.8-19.0) than those without animal contact. E. histolytica infection was not associated with direct contact with Nhue river water, pond water and household's sanitary conditions, type of latrine or water source used. Conclusions Our study suggests that in settings where human and animal excreta and Nhue River water are intensively used in agriculture, socio-economic and personal hygiene factors determine infection with E. histolytica, rather than exposure to human and animal excreta in agricultural activities. PMID:21663665

Antibiotics in the aquatic environment of Vietnam: Sources, concentrations, risk and control strategy.

PubMed

Binh, Vu Ngan; Dang, Nhung; Anh, Nguyen Thi Kieu; Ky, Le Xuan; Thai, Phong K

2018-04-01

The presence of antibiotics in the aquatic environment is a serious concern because it may lead to the emergence of antibiotic resistance, thus lowering the therapeutic effect of antibiotics. In Vietnam, the problem is aggravated by the irrational use of antibiotics in different sectors of agriculture and human health service. Moreover, the residues of antibiotics in the aquatic environment can be spread widely due to the lack of proper wastewater treatment systems. In this paper, we aim to comprehensively review all relevant sources that discharge antibiotics to the aquatic environment in Vietnam. Apart from the common source of antibiotics from aquaculture, other activities that release considerable amounts of antibiotics into water environment are also included. Environmental concentrations of antibiotics related to those sources are studied to demonstrate their contributions to the presence of antibiotics in the aquatic environment in Vietnam. As antibiotic-contained water may be used as water supply for irrigation and even human consumption in rural areas, the essence of wastewater treatment is highlighted. Finally, we also discuss the new National Action plan from the Ministry of Health for controlling the issue of antibiotic resistance in Vietnam. Copyright © 2018 Elsevier Ltd. All rights reserved.

Using pedometers to estimate ambulatory physical activity in Vietnam.

PubMed

Thuy, Au Bich; Blizzard, Leigh; Schmidt, Michael; Magnussen, Costan; Hansen, Emily; Dwyer, Terence

2011-01-01

Pedometer measurement of physical activity (PA) has been shown to be reliable and valid in industrialized populations, but its applicability in economically developing Vietnam remains untested. This study assessed the feasibility, stability and validity of pedometer estimates of PA in Vietnam. 250 adults from a population-based survey were randomly selected to wear Yamax pedometers and record activities for 7 consecutive days. Stability and concurrent validity were assessed using intraclass correlation coefficients (ICC) and Spearman correlation coefficients. Overall, 97.6% of participants provided at least 1 day of usable recordings, and 76.2% wore pedometers for all 7 days. Only 5.2% of the sample participants were involved in work activities not measurable by pedometer. The number of steps increased with hours of wear. There was no significant difference between weekday and weekend in number of steps, and at least 3 days of recordings were required (ICC of the 3 days of recordings: men 0.96, women 0.97). Steps per hour were moderately correlated (men r = .42, women r = .26) with record estimates of total PA. It is feasible to use pedometers to estimate PA in Vietnam. The measure should involve at least 3 days of recording irrespective of day of the week. ©2011 Human Kinetics, Inc.

Low efficacy of mebendazole against hookworm in Vietnam: two randomized controlled trials.

PubMed

Flohr, Carsten; Tuyen, Luc Nguyen; Lewis, Sarah; Minh, Truong Tan; Campbell, Jim; Britton, John; Williams, Hywel; Hien, Tran Tinh; Farrar, Jeremy; Quinnell, Rupert J

2007-04-01

Vietnam is participating in a global de-worming effort that aims to treat 650 million school children regularly by 2010. The treatment used in Vietnam is single dose oral mebendazole (Phardazone) 500 mg. We tested the efficacy of single dose mebendazole 500 mg in the therapy of hookworm infection in a randomized double-blind placebo-controlled trial among 271 Vietnamese schoolchildren. The treatment efficacy of single dose mebendazole in children did not differ significantly from placebo, with a reduction in mean eggs per gram of feces relative to placebo of 31% (95% CI -9 to 56%, P = 0.1). In light of these findings we then carried out a similar randomized trial comparing triple dose mebendazole, single dose albendazole, and triple dose albendazole against placebo in 209 adults in the same area. The estimated reduction in mean post-treatment eggs per gram of feces relative to placebo was 63% (95% CI 30-81%) for triple mebendazole, 75% (47-88%) for single albendazole, and 88% (58-97%) for triple albendazole. Our results suggest that single dose oral mebendazole has low efficacy against hookworm infection in Vietnam, and that it should be replaced by albendazole. These findings are of major public health relevance given the opportunity costs of treating entire populations with ineffective therapies. We recommend that efficacy of anti-helminth therapies is pilot tested before implementation of national gut worm control programs.

The Vietnam Petroleum Industry: Positioned for Growth but Ripe for Regional Complications

DTIC Science & Technology

2013-10-30

monopolistic character of PVN means the Vietnamese government is a major part of all aspects of the industry. Secondly, faced with increasing demand for...2013, JSTOR. 17 “U.S. EIA, “Vietnam” 20 18 Trong Vu and Simon Hall, “Oil Market Changes as Vietnam Build Another Refinery,” The Wall...Vietnam to Push Ahead with Offshore Exploration.” 23 Ibid. 24 Ibid. 25 Vu and Hall, “Oil Market Changes as Vietnam Build Another Refinery

78 FR 39708 - Certain Frozen Fish Fillets From the Socialist Republic of Vietnam: Final Results of Antidumping...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-02

... From the Socialist Republic of Vietnam: Final Results of Antidumping Duty New Shipper Reviews; 2011... frozen fish fillets (``frozen fish fillets'') from the Socialist Republic of Vietnam (``Vietnam'').\\1...'' section of this notice. \\1\\ See Certain Frozen Fish Fillets From the Socialist Republic of Vietnam...

A Failure in Strategy: America and the Vietnam War 1965-1968

DTIC Science & Technology

2001-04-01

5 Robert S. McNamara, Argument Without End : In Search of Answers to the Vietnam Tragedy (New...McNamara, Robert S. Argument Without End : In Search of Answers to the Vietnam Tragedy . New York: Public Affairs, 1999. McNamara, Robert S. In Retrospect

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

ERIC Educational Resources Information Center

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…

Assessment of systems for paying health care providers in Vietnam: implications for equity, efficiency and expanding effective health coverage.

PubMed

Phuong, Nguyen Khanh; Oanh, Tran Thi Mai; Phuong, Hoang Thi; Tien, Tran Van; Cashin, Cheryl

2015-01-01

Provider payment arrangements are currently a core concern for Vietnam's health sector and a key lever for expanding effective coverage and improving the efficiency and equity of the health system. This study describes how different provider payment systems are designed and implemented in practice across a sample of provinces and districts in Vietnam. Key informant interviews were conducted with over 100 health policy-makers, purchasers and providers using a structured interview guide. The results of the different payment methods were scored by respondents and assessed against a set of health system performance criteria. Overall, the public health insurance agency, Vietnam Social Security (VSS), is focused on managing expenditures through a complicated set of reimbursement policies and caps, but the incentives for providers are unclear and do not consistently support Vietnam's health system objectives. The results of this study are being used by the Ministry of Health and VSS to reform the provider payment systems to be more consistent with international definitions and good practices and to better support Vietnam's health system objectives.

Teaching the New Vietnam: It's a Country, Not a War

ERIC Educational Resources Information Center

McCornac, Dennis C.

2008-01-01

Vietnam has made remarkable progress over the past two decades in its transition to a market economy resulting in numerous changes to both its social and economic institutions. It is a nation at peace focusing on economic development and integrating into the world economy. Although the tragic events in Vietnam's history cannot be forgotten, the…

Primary English Language Education Policy in Vietnam: Insights from Implementation

ERIC Educational Resources Information Center

Nguyen, Hoa Thi Mai

2011-01-01

The introduction of English in primary education curricula is a phenomenon occurring in many non-English-speaking countries in Asia, including Vietnam. Recently, the Ministry of Education and Training (MOET) in Vietnam issued guidelines for the piloting of an English as a foreign language (EFL) primary curriculum in which English is taught as a…

Factors associated with job satisfaction among district hospital health workers in Northern Vietnam: a cross-sectional study.

PubMed

Nguyen, Huy Van; Duong, Huong Thao; Vu, Toan Thinh

2017-04-01

In many developing countries, including Vietnam, little is known about job satisfaction among lower level-health staff. The purpose of this study was to assess job satisfaction and its determinants among district hospital health staff. In a cross-sectional quantitative study, 128 health staff from a rural district hospital in Northern Vietnam were approached for data collection. Regression techniques were adopted to assess factors associated with several types of job satisfaction. Overall job satisfaction was moderately high, ranging from 69% to 91%. Across all dimensions, health workers showed their highest satisfaction with co-worker relationships, while, in comparison, it was much lower for their supervisor's style and relationship. However, they claimed their lowest satisfaction with compensation and benefits. In final multivariate models, females and those satisfied with knowledge, skills and job performance were most likely to be satisfied with relationships with co-workers. Staff who were married, received a low pay, who were not satisfied with supervisor style and relationships and who were not satisfied with staff training, development opportunities were least likely to be satisfied with compensation and benefits. The study findings highlight an important need for designing an intervention program that considers organizational factors. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

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

PubMed

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

Malaria risk factors and care-seeking behaviour within the private sector among high-risk populations in Vietnam: a qualitative study.

PubMed

Chen, Ingrid; Thanh, Huong Ngo Thi; Lover, Andrew; Thao, Phung Thi; Luu, Tang Viet; Thang, Hoang Nghia; Thang, Ngo Duc; Neukom, Josselyn; Bennett, Adam

2017-10-16

Vietnam has successfully reduced malaria incidence by more than 90% over the past 10 years, and is now preparing for malaria elimination. However, the remaining malaria burden resides in individuals that are hardest to reach, in highly remote areas, where many malaria cases are treated through the informal private sector and are not reported to public health systems. This qualitative study aimed to contextualize and characterize the role of private providers, care-seeking behaviour of individuals at high risk of malaria, as well as risk factors that should be addressed through malaria elimination programmes in Vietnam. Semi-structured qualitative interviews were conducted with 11 key informants in Hanoi, 30 providers, 9 potential patients, and 11 individuals at risk of malaria in Binh Phuoc and Kon Tum provinces. Audio recorded interviews were transcribed and uploaded to Atlas TI™, themes were identified, from which programmatic implications and recommendations were synthesized. Qualitative interviews revealed that efforts for malaria elimination in Vietnam should concentrate on reaching highest-risk populations in remote areas as well their care providers, in particular private pharmacies, private clinics, and grocery stores. Among these private providers, diagnosis is currently based on symptoms, leaving unconfirmed cases that are not reported to public health surveillance systems. Among at-risk individuals, knowledge of malaria was limited, and individuals reported not taking full courses of treatment, a practice that threatens selection for drug resistance. Access to insecticide-treated hammock nets, a potentially important preventive measure for settings with outdoor biting Anopheles vectors, was also limited. Malaria elimination efforts in Vietnam can be accelerated by targeting improved treatment, diagnosis, and reporting practices to private pharmacies, private clinics, and grocery stores. Programmes should also seek to increase awareness and

A Study of Strategic Lessons Learned in Vietnam. Volume 7. The Soldier

DTIC Science & Technology

1980-04-11

problems, the nature of society, and the quality of training. Other factors affecting mental health which were unique to or especially significant in...the drug abuse problem, especially its increasing rate after 1968. Initiatives at drug education/ orientation programs had little effect because of... especially for duty in Vietnam. 46/ CONARC established the initial ccurses at Fort Knox and Fort Sill, and instruction *:n 13 separate military occupation

Assessing potential impacts of the EVFTA on Vietnam's pharmaceutical imports from the EU: an application of SMART analysis.

PubMed

Vu, Huong Thanh

2016-01-01

This paper by adopting the Software on Market Analysis and Restrictions on Trade assessed the ex-ante impact of tariff elimination under the European-Vietnam free trade agreement (EVFTA) on Vietnam's pharmaceutical imports from the EU based on two scenarios. The results showed that although Vietnam's tariff removal for the EU's medicines would not result in a significant increase in Vietnam's imports from the EU, Vietnam's deeper integration with ASEAN + 3 and TPP (the Trans-Pacific Partnership) nations would affect quite slightly on its imports from the EU. Therefore, the EU would be still the most important and biggest source of pharmaceuticals for Vietnam in the near future. In addition, there might be an uneven distribution in Vietnam's import increases by the EU nation, pharmaceutical group and product. The simulation results also pointed out that the EVFTA's trade creation effect would be higher than trade diversion effect and therefore the agreement would improve welfare of Vietnam. When Vietnam extends its coverage of tariff elimination to also TPP and ASEAN + 3, Vietnam's welfare would potentially increase more but Vietnam would face with the relatively high increases of pharmaceutical imports from not only the EU but also the US, Australia, South Korea, Thailand and China. Bases on these results, the paper argued that both the Vietnamese government and pharmaceutical enterprises should not neglect the EVFTA and its impacts on the pharmaceutical sector, and perceive clearly the uneven distribution of Vietnam's import changes from the EU by nation and by product to design appropriate business and investment strategy. In addition, Vietnam should take measures to diversify its European import markets to be less dependent on the traditional ones in the current context of the EU. Finally, Vietnam should promote the integration in the pharmaceutical sector with all three groups of nations, especially ASEAN and ASEAN's key partners, to reduce trade diversion

Contact Investigation in Households of Patients with Tuberculosis in Hanoi, Vietnam: A Prospective Cohort Study

PubMed Central

Fox, Gregory James; Nhung, Nguyen Viet; Sy, Dinh Ngoc; Lien, Luu Thi; Cuong, Nguyen Kim; Britton, Warwick John; Marks, Guy Barrington

2012-01-01

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. PMID:23166785

78 FR 57352 - Certain Frozen Warmwater Shrimp From the Socialist Republic of Vietnam: Preliminary Results of Re...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-18

... Shrimp From the Socialist Republic of Vietnam: Preliminary Results of Re-conducted Administrative Review of Grobest & I-Mei Industrial (Vietnam) Co., Ltd. and Intent Not To Revoke; 2008-2009 AGENCY: Import... frozen warmwater shrimp from the Socialist Republic of Vietnam (``Vietnam''). The period of review (``POR...

When History Talks Back: Teaching Nonfiction Literature of the Vietnam War.

ERIC Educational Resources Information Center

Johannessen, Larry R.

2002-01-01

Presents student responses to nonfiction literature of the Vietnam War. Describes reasons for teaching the nonfiction literature of the Vietnam War. Concludes that this literature is accessible and engaging to students, and it deals with issues that speak to students in powerful ways. (SG)

Quantile Mapping Bias correction for daily precipitation over Vietnam in a regional climate model

NASA Astrophysics Data System (ADS)

Trinh, L. T.; Matsumoto, J.; Ngo-Duc, T.

2017-12-01

In the past decades, Regional Climate Models (RCMs) have been developed significantly, allowing climate simulation to be conducted at a higher resolution. However, RCMs often contained biases when comparing with observations. Therefore, statistical correction methods were commonly employed to reduce/minimize the model biases. In this study, outputs of the Regional Climate Model (RegCM) version 4.3 driven by the CNRM-CM5 global products were evaluated with and without the Quantile Mapping (QM) bias correction method. The model domain covered the area from 90oE to 145oE and from 15oS to 40oN with a horizontal resolution of 25km. The QM bias correction processes were implemented by using the Vietnam Gridded precipitation dataset (VnGP) and the outputs of RegCM historical run in the period 1986-1995 and then validated for the period 1996-2005. Based on the statistical quantity of spatial correlation and intensity distributions, the QM method showed a significant improvement in rainfall compared to the non-bias correction method. The improvements both in time and space were recognized in all seasons and all climatic sub-regions of Vietnam. Moreover, not only the rainfall amount but also some extreme indices such as R10m, R20mm, R50m, CDD, CWD, R95pTOT, R99pTOT were much better after the correction. The results suggested that the QM correction method should be taken into practice for the projections of the future precipitation over Vietnam.

78 FR 764 - Frozen Warmwater Shrimp From China, Ecuador, India, Indonesia, Malaysia, Thailand, and Vietnam...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-04

... Shrimp From China, Ecuador, India, Indonesia, Malaysia, Thailand, and Vietnam; Institution of..., Thailand, and Vietnam of frozen warmwater shrimp, provided for in subheadings 0306.17.00, 1605.21.10 and... the Governments of China, Ecuador, India, Indonesia, Malaysia, Thailand, and Vietnam. Unless the...

Immunotoxicological effects of Agent Orange exposure to the Vietnam War Korean veterans.

PubMed

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.

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

ERIC Educational Resources Information Center

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…

Exploring Cultural Context and School Leadership: Conceptualizing an Indigenous Model of Có Uy School Leadership in Vietnam

ERIC Educational Resources Information Center

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…

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

PubMed

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

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 from a socio-ecological perspective. From September through December, 2014, 622 MSM were recruited in Hanoi and Ho Chi Minh City, Vietnam. We collected information on demographic characteristics, HIV testing behaviours, use of ATS and other recreational drugs (ever and recently), sexual sensation seeking, depressive mood, experienced and internalized stigma related to homosexuality, social involvement with other MSM, and perceptions of ATS use in MSM networks. We performed descriptive statistics to describe ATS use patterns and multivariate logistic regression to establish independent correlates of recent methamphetamine use. Nearly one-third (30.4%) had ever used ATS, including 23.6% who had used methamphetamine, 4.3% who had used amphetamine ('speed') and 20.9% who had used ecstasy. 20.1% and 11.9% had ever used methamphetamine and ecstasy, respectively, during sex. Eighteen percent of methamphetamine users were classified as engaged in high-risk use. Recent methamphetamine use (in the last 3 months) was associated with participants perceiving more methamphetamine use in their MSM network, recent sex work, and higher sexual sensation seeking scores. ATS use is relatively prevalent among MSM sampled in Vietnam's main cities. Interventions to address methamphetamine are warranted for MSM in Vietnam. Methamphetamine treatments are needed for high-risk users. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Exclusive breastfeeding in Vietnam: an attainable goal.

PubMed

Almroth, Stina; Arts, Maaike; Quang, Nguyen Dinh; Hoa, Pham Thi Thuy; Williams, Carol

2008-08-01

To explore community views on the feasibility of exclusive breastfeeding in Vietnam. A total of 118 interviews were conducted with mothers, grandmothers, fathers, health workers and 'oldest women' in rural and urban areas in the north and south of Vietnam. Special issues were further examined through 12 'strategic interviews'. Exclusive breastfeeding was rare because it was poorly understood and little appreciated, by health professionals as well as lay persons, as the best way to feed an infant during the first 6 months. Early fluid supplementation was the rule and most infants received water and milk in addition to breast milk. While a majority of the women worked, they had found ways to manage their work so that it did not need to interfere with exclusive breastfeeding. Family members expressed a readiness to support exclusive breastfeeding when it was explained to them. Exclusive breastfeeding in Vietnam, while currently uncommon, is an attainable goal. Establishing exclusive breastfeeding as the norm in the general population would make it easier for HIV-infected women, for whom replacement feeding is not acceptable, feasible, affordable, sustainable and safe, to breastfeed exclusively.

78 FR 11221 - Frozen Warmwater Shrimp From China, Ecuador, India, Indonesia, Malaysia, Thailand, and Vietnam

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-15

... Shrimp From China, Ecuador, India, Indonesia, Malaysia, Thailand, and Vietnam Determination On the basis... injured by reason of imports from China, Ecuador, India, Indonesia, Malaysia, Thailand, and Vietnam of... China, Ecuador, India, Indonesia, Malaysia, Thailand, and Vietnam.\\2\\ \\1\\ The record is defined in sec...

Female breast cancer in Vietnam: a comparison across Asian specific regions.

PubMed

Trieu, Phuong Dung Yun; Mello-Thoms, Claudia; Brennan, Patrick C

2015-09-01

Breast cancer is one of the most commonly diagnosed malignancies and the leading cause of cancer death of women over the world. A large number of females with breast cancer in Vietnam and other Southeast Asian (SEA) countries present at an early age with more aggressive tumors compared with women in Australia. Despite experiencing a low incidence rate, the increasing incidence rate among SEA countries exceeds that of the Westernized world. Changes in reproductive factors, environmental exposures, and lifestyle are the possible causes of this trend. However, limited evidence shows that these factors are associated with breast cancer in the Vietnamese population. Breast cancer incidence rates within Vietnam are not uniform and appear to be dependent on geographic location. Findings from this review have important implications for breast cancer control and treatment in Vietnam. A good understanding of the morphology of the breast and the type and nature of breast cancers presenting in Vietnam is required to facilitate the introduction of an effective national breast screening program.

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

PubMed Central

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 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 their profession, and lower

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

PubMed

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

The Vietnam Drug User Returns. Final Report. Special Action Office Monograph, Series A, Number 2, May 1974.

ERIC Educational Resources Information Center

Robins, Lee N.

This report, based upon case records and follow-up interviews with 965 U.S. Servicemen returning from Vietnam investigates: (1) the availability and utilization of narcotics, marihuana and alcohol in Vietnam; (2) the psychosocial and demographic predictors of pre- and post-Vietnam narcotic use; and (3) the post-Vietnam adjustment difficulties of…

Images of Inherited War: Three American Presidents in Vietnam

DTIC Science & Technology

2014-02-01

famous for his strong stance against Communism . Comparatively, Kennedy seemed a squire taking on a seasoned statesman. On the radio , the outcome was...REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR’S ACRONYM(S) 11 . SPONSOR/MONITOR’S REPORT NUMBER(S) 12...action and the enemy’s goals [the] decisive error” in Vietnam (emphasis in original). 11 Undoubtedly, a litany of perspectives and nuances on Vietnam is

Civil-Military Relations: From Vietnam to Operation Iraqi Freedom

DTIC Science & Technology

2009-05-01

Robert F. Baumann, Ph.D. Graduate Degree Programs ii Abstract CIVIL-MILITARY RELATIONS: FROM VIETNAM TO OPERATION IRAQI FREEDOM by MAJOR Brandon...Oxford: Oxford University Press, 2007), 285-324. 43 Ibid. 44 Robert M. Gates, 2008 National Defense Strategy (Washington D.C.: Department Of Defense...Dereliction of Duty: Lyndon Johnson, Robert McNamara, the Joint Chiefs of Staff, and the Lies That Led to Vietnam (New York: HarperCollins, 1997), 13. 60

The Vietnam Vet's Battle--Unemployment

ERIC Educational Resources Information Center

Werner, Wayne E.; Radcliff, Jo Ann

1973-01-01

The purpose of this article was to survey the employment situation of returning Vietnam veterans. The picture appears to be one of frustration. There are a number of programs available but a communications gap seems to exist between the programs and the veterans. (Author)

77 FR 73430 - Steel Wire Garment Hangers From the Socialist Republic of Vietnam: Preliminary Affirmative...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-10

... DEPARTMENT OF COMMERCE International Trade Administration [C-552-813] Steel Wire Garment Hangers... respect to imports of steel wire garment hangers from the Socialist Republic of Vietnam (Vietnam) with the... Department of Commerce building. \\3\\ See Steel Wire Garment Hangers From the Socialist Republic of Vietnam...

Posttraumatic stress disorder and interpersonal functioning in Vietnam War veterans: a mediational model.

PubMed

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.

The Assessment of Post-Traumatic Stress Disorder among Minority Vietnam Veterans.

ERIC Educational Resources Information Center

LaDue, Robin A.

Vietnam veterans from racial or ethnic minority groups have a "double minority" status; clinicians treating these veterans should distinguish between behaviors resulting from experiences in Vietnam and those due to experiences as members of minority groups. Post-Traumatic Stress Disorder (PTSD) affects an estimated 20% of all Vietnam…

Poverty reduction by improving health and social services in Vietnam.

PubMed

Gien, Lan; Taylor, Sharon; Barter, Ken; Tiep, Nguyen; Mai, Bui X; Lan, Nguyen T

2007-12-01

This article describes the development and implementation of a five-year plan for the reduction of poverty and the enhancement of human development through improving public health and social services in rural Vietnam. This plan was achieved by training the trainers and building capacity for the social workers. The project was a collaborative effort between the Schools of Nursing and Social Work at Memorial University, Newfoundland and Labrador, Canada and the University of Labor and Social Affairs, Hanoi, Vietnam. The collaboration was also committed to improving the quality of social work education and training in Vietnam. All the project's objectives were achieved beyond original expectations. The actual outcomes are sustainable and in addition gender equality has been a cross-cutting theme.

Performance of American POWs in the Vietnam War: Adequate Training or Creative Leadership?

DTIC Science & Technology

2005-04-01

training could have fully prepared these airmen for the grueling captivity they faced as POWs in North Vietnam, but rather it was their heroism...intends to show that no amount of training could have fully prepared these airmen for the grueling captivity they faced as POWs in North Vietnam, but...training could have fully prepared our men for the grueling captivity they faced in North Vietnam, but rather it was their heroism, innovation

Vietnam and the Soviet Union: Implications for Europe and American Foreign Policy Options.

DTIC Science & Technology

1983-03-01

Vietnamese daily newspaper, in May 1981. CEMA members were specifically congratulated for their part in constructing the trans -Vietnam railroad. [FBIS, 27 May...constructing the trans -Vietnam railroad. [FBIS, 27 May 1981:K7] As early as June 1978 the East European countries had provided significant aid to...reform fiasco of the fifties, the leadership placed at least part of the blame for Vietnam’s many internal problems on Party shortcomings. In Le Duc

Cultural shift in mental illness: a comparison of stress responses in World War I and the Vietnam War.

PubMed

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.

Rape disclosure: the interplay of gender, culture and kinship in contemporary Vietnam.

PubMed

Huong, Nguyen Thu

2012-01-01

This paper examines the social management of rape within kin groups in contemporary Vietnam, with a particular focus on the decision whether or not to seek legal redress. Post-rape management entails negotiations among families on matters such as apology and compensation before a decision is made about whether to report the incident to the authorities. By drawing on an ethnographic study of a limited number of respondents, this paper highlights how rape disclosure is often bound up with notions of family honour, with assumptions about kinship, gender relations, social belonging and shared responsibility in a collective society such as Vietnam.

Virological characterization of influenza H1N1pdm09 in Vietnam, 2010-2013.

PubMed

Nguyen, Hang K L; Nguyen, Phuong T K; Nguyen, Thach C; Hoang, Phuong V M; Le, Thanh T; Vuong, Cuong D; Nguyen, Anh P; Tran, Loan T T; Nguyen, Binh G; Lê, Mai Q

2015-07-01

Influenza A/H1N1pdm09 virus was first detected in Vietnam on May 31, 2009, and continues to circulate in Vietnam as a seasonal influenza virus. This study has monitored genotypic and phenotypic changes in this group of viruses during 2010-2013 period. We sequenced hemagglutinin (HA) and neuraminidase (NA) genes from representative influenza A/H1N1pdm09 and compared with vaccine strain A/California/07/09 and other contemporary isolates from neighboring countries. Hemagglutination inhibition (HI) and neuraminidase inhibition (NAI) assays also were performed on these isolates. Representative influenza A/H1N1pdm09 isolates (n = 61) from ILI and SARI surveillances in northern Vietnam between 2010 and 2013. The HA and NA phylogenies revealed six and seven groups, respectively. Five isolates (8·2%) had substitutions G155E and N156K in the HA, which were associated with reduced HI titers by antiserum raised against the vaccine virus A/California/07/2009. One isolate from 2011 and one isolate from 2013 had a predicted H275Y substitution in the neuraminidase molecule, which was associated with reduced susceptibility to oseltamivir in a NAI assay. We also identified a D222N change in the HA of a virus isolated from a fatal case in 2013. Significant genotypic and phenotypic changes in A/ H1N1pdm09 influenza viruses were detected by the National Influenza Surveillance System (NISS) in Vietnam between 2010 and 2013 highlighting the value of this system to Vietnam and to the region. Sustained NISS and continued virological monitoring of seasonal influenza viruses are required for vaccine policy development in Vietnam. 3. © 2015 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd.

Description of a new tick species, Ixodes collaris n. sp. (Acari: Ixodidae), from bats (Chiroptera: Hipposideridae, Rhinolophidae) in Vietnam.

PubMed

Hornok, Sándor; Görföl, Tamás; Estók, Péter; Tu, Vuong Tan; Kontschán, Jenő

2016-06-10

In a recent study on ixodid bat ticks from Eurasia, a high genetic difference was found between Ixodes vespertilionis from Europe and Vietnam. Accordingly, it was proposed that I. vespertilionis is a species complex, with at least one additional, hitherto undescribed species. The aim of the present study was to investigate the morphology of bat ticks from Vietnam and to assess their taxonomic status in comparison with those collected in Europe. Ixodid bat ticks (two females and two nymphs) collected from the pomona leaf-nosed bat (Hipposideros pomona) (Hipposideridae) and intermediate horseshoe bat (Rhinolophus affinis) (Rhinolophidae) in Vietnam showed major morphological differences from European isolates of I. vespertilionis, including the shape of the scutum, the enclosure and shape of porose areas, the presence of a caudo-lateral collar-like ridge ventrally on the basis capituli, polytrich coxae with short setae, and grouped (non-linear) arrangement of anterior pit sensillae in Haller's organ. In this study the female and the nymph of an ixodid bat tick species from Vietnam are described for the first time. The genetic and morphological differences between I. vespertilionis Koch, 1844 and these bat ticks from Vietnam justify the status of the latter as a distinct species, Ixodes collaris Hornok n. sp.

Age and tectonic implications of Paleoproterozoic Deo Khe Granitoids within the Phan Si Pan Zone, Vietnam

NASA Astrophysics Data System (ADS)

Anh, Hoang Thi Hong; Hieu, Pham Trung; Tu, Vu Le; Son, La Mai; Choi, Sung Hi; Yu, Yongjae

2015-11-01

We report the first U-Pb zircon ages of 1855-1873 Ma for the Deo Khe Granitoids (DKG) in the Phan Si Pan Zone (PSPZ) of northern Vietnam. The DKG are medium-grained two-mica granitoids predominantly composed of quartz, K-feldspar, and muscovite. Trace element analyses indicate that the DKG are enriched in large ion lithophile elements but depleted in high field strength elements. Zircons from the granitoids have negative εHf(t) values ranging from -23.6 to -17.5. The magmatic zircons from the DKG have single-stage Hf model ages (TDM1) that range from 3.3 to 2.8 Ga and their εHf(t) data all plot well below the evolution trend of 2800 Ma average juvenile mantle. Observed Hf model ages are contemporaneous with the emplacement of 2.90-2.84 Ga tonalite-trondhjemite-granodiorite (TTG) gneiss observed in a nearby Ca Vinh Complex, suggesting that PSPZ in northern Vietnam is a product of partial melting of Archean crust. A sequence of similar tectonic events including initial emplacement of TTG protolith at 2.8-2.9 Ga, metamorphic development of TTG gneiss at 1.9-2.0 Ga, and magmatic activity at 1.8-2.0 Ga are now recognized both in northern Vietnam and Yangtze block which we interpret to indicate basement rocks in northern Vietnam are similar to those found along southern China.

31 CFR 500.560 - Bank accounts of official representatives of foreign governments in North Korea, North Viet-Nam...

Code of Federal Regulations, 2010 CFR

2010-07-01

... representatives of foreign governments in North Korea, North Viet-Nam, Cambodia, or South Viet-Nam. 500.560... governments in North Korea, North Viet-Nam, Cambodia, or South Viet-Nam. Specific licenses are issued authorizing payments from accounts of official representatives of foreign governments in North Korea, North...

Prevalence of tobacco smoking in Vietnam: findings from the Global Adult Tobacco Survey 2015.

PubMed

Van Minh, Hoang; Giang, Kim Bao; Ngoc, Nguyen Bao; Hai, Phan Thi; Huyen, Doan Thi Thu; Khue, Luong Ngoc; Lam, Nguyen Tuan; Nga, Pham Thi Quynh; Quan, Nguyen The; Xuyen, Nguyen Thi

2017-02-01

We report the prevalence of tobacco smoking among adult populations in Vietnam, 2015. The Vietnam GATS 2015 was a nationally representative survey. 9513 households were selected using two-stage random systematic sampling method. Handheld computers were used for capturing data. Data collection was carried-out by National Statistics Office of Vietnam in 2015. Weight was used in all estimates. The Vietnam GATS 2015 found that the prevalence of smoking in Vietnam was 22.5% overall, 45.3% among men, and 1.1% among women. The overall 2015-2010 reduction in prevalence of any tobacco product was 5.3%. However, the reduction was not statistically significant. The significant reduction in prevalence of tobacco smoking was found for any type of cigarette (-8.4%), and especially for hand-rolled cigarettes (-38.3%). The use of cigarettes significantly decreased in urban areas (-14.7%). The reduction in the prevalence of tobacco smoking in Vietnam during the last 5 years (2010-2015) has not been as high as expected, especially in rural areas. Further efforts are needed to continue to reduce the harms caused by tobacco smoking.

Epidemiology of forest malaria in Central Vietnam: the hidden parasite reservoir.

PubMed

Thanh, Pham Vinh; Van Hong, Nguyen; Van Van, Nguyen; Van Malderen, Carine; Obsomer, Valérie; Rosanas-Urgell, Anna; Grietens, Koen Peeters; Xa, Nguyen Xuan; Bancone, Germana; Chowwiwat, Nongnud; Duong, Tran Thanh; D'Alessandro, Umberto; Speybroeck, Niko; Erhart, Annette

2015-02-19

After successfully reducing the malaria burden to pre-elimination levels over the past two decades, the national malaria programme in Vietnam has recently switched from control to elimination. However, in forested areas of Central Vietnam malaria elimination is likely to be jeopardized by the high occurrence of asymptomatic and submicroscopic infections as shown by previous reports. This paper presents the results of a malaria survey carried out in a remote forested area of Central Vietnam where we evaluated malaria prevalence and risk factors for infection. After a full census (four study villages = 1,810 inhabitants), the study population was screened for malaria infections by standard microscopy and, if needed, treated according to national guidelines. An additional blood sample on filter paper was also taken in a random sample of the population for later polymerase chain reaction (PCR) and more accurate estimation of the actual burden of malaria infections. The risk factor analysis for malaria infections was done using survey multivariate logistic regression as well as the classification and regression tree method (CART). A total of 1,450 individuals were screened. Malaria prevalence by microscopy was 7.8% (ranging from 3.9 to 10.9% across villages) mostly Plasmodium falciparum (81.4%) or Plasmodium vivax (17.7%) mono-infections; a large majority (69.9%) was asymptomatic. By PCR, the prevalence was estimated at 22.6% (ranging from 16.4 to 42.5%) with a higher proportion of P. vivax mono-infections (43.2%). The proportion of sub-patent infections increased with increasing age and with decreasing prevalence across villages. The main risk factors were young age, village, house structure, and absence of bed net. This study confirmed that in Central Vietnam a substantial part of the human malaria reservoir is hidden. Additional studies are urgently needed to assess the contribution of this hidden reservoir to the maintenance of malaria transmission. Such

U.S.-Vietnam Economic and Trade Relations: Issues for the 111th Congress

DTIC Science & Technology

2010-05-03

contributing factor is over 20 years of rapid economic growth in Vietnam, ushered in by a 1986 shift to a more market -oriented economic system. Bilateral...the United States officially recognize it as a market economy. There have also been problems with U.S. imports of specific products from Vietnam. In...111th Congress may also weigh in on clothing and fish imports from Vietnam, or its designation as a market or non- market economy. Finally, if

Anisotropic Rayleigh-wave phase velocities beneath northern Vietnam

NASA Astrophysics Data System (ADS)

Legendre, Cédric P.; Zhao, Li; Huang, Win-Gee; Huang, Bor-Shouh

2015-02-01

We explore the Rayleigh-wave phase-velocity structure beneath northern Vietnam over a broad period range of 5 to 250 s. We use the two-stations technique to derive the dispersion curves from the waveforms of 798 teleseismic events recoded by a set of 23 broadband seismic stations deployed in northern Vietnam. These dispersion curves are then inverted for both isotropic and azimuthally anisotropic Rayleigh-wave phase-velocity maps in the frequency range of 10 to 50 s. Main findings include a crustal expression of the Red River Shear Zone and the Song Ma Fault. Northern Vietnam displays a northeast/southwest dichotomy in the lithosphere with fast velocities beneath the South China Block and slow velocities beneath the Simao Block and between the Red River Fault and the Song Da Fault. The anisotropy in the region is relatively simple, with a high amplitude and fast directions parallel to the Red River Shear Zone in the western part. In the eastern part, the amplitudes are generally smaller and the fast axis displays more variations with periods.

New light on the health of Vietnam veterans

DOE Office of Scientific and Technical Information (OSTI.GOV)

Gochfield, M.

1988-12-01

This editorial describes the controversy between the Department of Defense, the Veterans Administration, and veterans exposed to the herbicide Agent Orange. Although Congress has mandated that epidemiologic studies of adverse health effects be performed in Vietnam veterans, the Centers for Disease Control has declined to perform the studies because of lack of documentation of exposure.This issue provides epidemiological studies which will redirect attention to the veterans, their health and their exposures.

Violence against women in intimate relationships: explanations and suggestions for interventions as perceived by healthcare workers, local leaders, and trusted community members in a northern district of Vietnam.

PubMed

Jonzon, Robert; Vung, Nguyen Dang; Ringsberg, Karin C; Krantz, Gunilla

2007-01-01

This study explored professionals' and trusted community inhabitants' explanations of the violence between intimate partners and their suggestions for preventive activities. It was performed in a rural district in northern Vietnam. A total of 20 men and 20 women were strategically selected for focus-group discussions and the analyses followed the procedure for qualitative thematic content analysis. It was pointed out that violence against women was not discussed openly in the community and women subjected to violence kept silent and avoided seeking help in order not to reveal what was happening in the family. The informants perceived the violence as an interplay between individual and family-related factors and sociocultural norms and practices where Confucian ideology exerted a strong influence. When it came to prevention, there was a strong belief in educating the people and in enforcing policy and law. As described by the informants, traditional attitudes to gender roles and women's power disadvantage are found to be behind most of the explanations for intimate partner violence. Collaboration between sectors at local level, between the health sector and other bodies, and with community leaders as spokesmen would help to improve openness and reduce society's tolerance of violence against women. The mass media also have an important role to play.

Vietnam’s Drive to Modernize Militarily - Causes and Implications

DTIC Science & Technology

2014-12-01

56 Clearly, Vietnam has a fear of Chinese aggression and competes with China over maritime claims; however, with Indonesia, Malaysia , Singapore...value of naval expenditures to increase.142 Vietnam has joined Singapore, Indonesia, and Malaysia as ASEAN’s best navies. Regarding submarines, Thayer...frigates will likely outperform Indonesia’s and rival Singapore’s.145 Regarding trends, Bob Nugent writes, “In Malaysia and Indonesia…each

77 FR 9700 - Utility Scale Wind Towers From China and Vietnam

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-17

...)] Utility Scale Wind Towers From China and Vietnam Determinations On the basis of the record \\1\\ developed... threatened with material injury by reason of imports from China of utility scale wind towers, provided for in... with material injury by reason of imports from Vietnam of utility scale wind towers, provided for in...

Thirty years of vaccination in Vietnam: Impact and cost-effectiveness of the national Expanded Programme on Immunization

PubMed Central

Jit, Mark; Huyen, Dang Thi Thanh; Friberg, Ingrid; Van Minh, Hoang; Kiet, Pham Huy Tuan; Walker, Neff; Van Cuong, Nguyen; Duong, Tran Nhu; Toda, Kohei; Hutubessy, Raymond; Fox, Kimberley; Hien, Nguyen Tran

2015-01-01

Introduction Countries like Vietnam transitioning to middle-income status increasingly bear the cost of both existing and new vaccines. However, the impact and cost-effectiveness of the Expanded Programme on Immunization (EPI) as a whole has never been assessed on a country level. Methods Data on vaccine-preventable disease incidence and mortality from Vietnam's national surveillance was analysed to estimate the likely impact that vaccination in 1980–2010 may have had. Adjustment for under-reporting was made by examining trends in reported mumps incidence and in case-fatality risks for each disease. The same data were separately analysed using the Lives Saved Tool (LiST) to give an alternative estimate of impact. The financial cost of EPI in 1996–2010 was also estimated from the perspective of service provider. Results National surveillance data suggests that up to 5.7 million diseases cases and 26,000 deaths may have been prevented by EPI. Analysis using LiST suggests that even more deaths (370,000) may have been prevented by measles and pertussis vaccination alone. The cost-effectiveness of EPI is estimated to be around $1000–$27,000 per death prevented. Conclusion Two separate approaches to assessing EPI impact in Vietnam give different quantitative results but a common conclusion: that EPI has made a substantial impact on mortality and represents good value for money. PMID:25919167

77 FR 39613 - Presidential Determination on a U.S. Export Import Bank Transaction with Vietnam

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-03

...-10 of June 25, 2012--Presidential Determination on a U.S. Export-Import Bank Transaction With Vietnam... with Vietnam Memorandum for the Secretary of State Pursuant to section 2(b)(2)(D) of the Export Import...,890 to the Vietnam Post and Telecommunications Group, a wholly state-owned company, for the purchase...

Multiple impacts of epilepsy and contributing factors: findings from an ethnographic study in Vietnam

PubMed Central

Aydemir, Nuran; Vu Trung, Dang; Snape, Dee; Baker, Gus A; Jacoby, Ann

2009-01-01

We investigated issues related to treatment, impact of epilepsy, attitudes toward epilepsy and disclosure in Vietnam by using in depth interviews with people with epilepsy (PWE) and their family members. We found that although participants prefer Western treatment methods more than traditional ones, they experience problems in accessing different kinds of anti-epileptic drugs (AEDs) and higher-level treatment facilities and with respect to treatment expenses. The impact of epilepsy can be observed in a wide range of daily living activities which include working, education, marriage prospects and family formation. Although both families and society at large do not hold negative attitudes toward epilepsy, most PWE reported a sense of burden to others. Both PWE and family members generally prefer disclosing epilepsy rather than concealing it from others. Our findings strongly suggest a need for different types of AEDs, and supporting information for PWE, family members and general public about epilepsy. PMID:19800851

77 FR 20356 - Certain Frozen Fish Fillets From the Socialist Republic of Vietnam: Extension of Preliminary...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-04

... DEPARTMENT OF COMMERCE International Trade Administration [A-552-801] Certain Frozen Fish Fillets... frozen fish fillets (``fish fillets'') from the Socialist Republic of Vietnam (``Vietnam''). These... on fish fillets from Vietnam.\\1\\ On October 3, 2011 the Department published a notice of initiation...

76 FR 65178 - Certain Frozen Warmwater Shrimp From the Socialist Republic of Vietnam: Extension of Preliminary...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-20

... Shrimp From the Socialist Republic of Vietnam: Extension of Preliminary Results of Antidumping Duty... antidumping duty order on certain frozen warmwater shrimp (``shrimp'') from the Socialist Republic of Vietnam... warmwater shrimp from Vietnam. See Initiation of Antidumping Duty Administrative Reviews, Requests for...

Prevalence and causes of blindness in children in Vietnam.

PubMed

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 <3/60 in one or both eyes, the child was examined by an ophthalmologist. All children in blind schools were examined by a pediatric ophthalmologist. Blindness was defined as PVA <3/60 in the better eye. Causes of visual loss were classified using the World Health Organization classification. In the population-based study, 22 children had a PVA <3/60 in the better eye, a prevalence of 7.6/10 000 children (95% confidence interval [CI], 4.9-11.8/10 000). Fourteen children had a pinhole visual acuity <3/60 in the better eye, a prevalence of 4.9/10 000 (95% CI, 2.8-8.4/10 000). An estimated 16 400 (95% CI, 10 500-25 300), children were blind from all causes, with 36.4% from uncorrected refractive errors. In the blind schools, 411 children had a PVA <3/60 in the better eye and 55.5% were male. Conditions of the retina (24.6%) and cornea (24.0%) predominated. Retinopathy of prematurity (ROP) caused 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

Hydropower generation, flood control and dam cascades: A national assessment for Vietnam

NASA Astrophysics Data System (ADS)

Nguyen-Tien, Viet; Elliott, Robert J. R.; Strobl, Eric A.

2018-05-01

Vietnam is a country with diverse terrain and climatic conditions and a dependency on hydropower for a significant proportion of its power needs and as such, is particularly vulnerable to changes in climate. In this paper we apply SWAT (Soil and Water Assessment Tool) derived discharge simulation results coupled with regression analysis to estimate the performance of hydropower plants for Vietnam between 1995 and mid-2014 when both power supply and demand increased rapidly. Our approach is to examine the watershed formed from three large inter-boundary basins: The Red River, the Vietnam Coast and the Lower Mekong River, which have a total area of 977,964 km2. We then divide this area into 7,887 sub-basins with an average area of 131.6 km2 (based on level 12 of HydroSHEDS/HydroBASINS datasets) and 53,024 Hydrological Response Units (HRUs). Next we simulate river flow for the 40 largest hydropower plants across Vietnam. Our validation process demonstrates that the simulated flows are significantly correlated with the gauged inflows into these dams and are able to serve as a good proxy for the inflows into hydropower dams in our baseline energy regression, which captures 87.7% of the variation in monthly power generation. In other results we estimate that large dams sacrifice on average around 18.2% of their contemporaneous production for the purpose of flood control. When we assess Vietnam's current alignment of dams we find that the current cascades of large hydropower dams appear to be reasonably efficient: each MWh/day increase in upstream generation adds 0.146 MWh/day to downstream generation. The study provides evidence for the multiple benefits of a national system of large hydropower dams using a cascade design. Such a system may help overcome future adverse impacts from changes in climate conditions. However, our results show that there is still room for improvement in the harmonization of cascades in some basins. Finally, possible adverse hydro

The effectiveness of a Supported Self-management task-shifting intervention for adult depression in Vietnam communities: study protocol for a randomized controlled trial.

PubMed

Murphy, Jill; Goldsmith, Charles H; Jones, Wayne; Oanh, Pham Thi; Nguyen, Vu Cong

2017-05-05

Depressive disorders are one of the leading causes of disease and disability worldwide. In Vietnam, although epidemiological evidence suggests that depression rates are on par with global averages, services for depression are very limited. In a feasibility study that was implemented from 2013 to 2015, we found that a Supported Self-management (SSM) intervention showed promising results for adults with depression in the community in Vietnam. This paper describes the Mental Health in Adults and Children: Frugal Innovations (MAC-FI) trial protocol that will assess the effectiveness of the SSM intervention, delivered by primary care and social workers, to community-based populations of adults with depression in eight Vietnamese provinces. The MAC-FI program will be assessed using a stepped-wedge, randomized controlled trial. Study participants are adults aged 18 years and over in eight provinces of Vietnam. Study participants will be screened at primary care centres and in the community by health and social workers using the Self-reporting Questionnaire-20 (SRQ-20). Patients scoring >7, indicating depression caseness, will be invited to participate in the study in either the SSM intervention group or the enhanced treatment as usual control group. Recruited participants will be further assessed using the World Health Organization's Disability Assessment Scale (WHODAS 2.0) and the Cut-down, Annoyed, Guilty, Eye-opener (CAGE) Questionnaire for alcohol misuse. Intervention-group participants will receive the SSM intervention, delivered with the support of a social worker or social collaborator, for a period of 2 months. Control- group participants will receive treatment as usual and a leaflet with information about depression. SRQ-20, WHODAS 2.0 and CAGE scores will be taken by blinded outcome assessors at baseline, after 1 month and after 2 months. The primary analysis method will be intention-to-treat. This study has the potential to add to the knowledge base about

Education and Earnings in a Transition Economy: The Case of Vietnam.

ERIC Educational Resources Information Center

Moock, Peter R.; Patrinos, Harry Anthony; Venkataraman, Meera

2003-01-01

Analyzes the return to education of liberalization of the labor market in Vietnam. Finds, for example, that private rate of return to schooling is greater for primary education than for either secondary or higher education. Overall, estimated returns to schooling in Vietnam are low compared with those for other developing countries. (Contains 6…

Sampling and Analysis of Atmospheric Pcdd/fs in South China Sea and Background Area in Vietnam

NASA Astrophysics Data System (ADS)

Chi, K.; Thuan, N. T.; Anh, N. X.; Lin, N.

2011-12-01

During the Vietnam conflict, United States (US) forces sprayed a greater volume of defoliant (Agent Orange) with higher PCDD/F content in central Vietnam. The Vietnamese have been exposed to these levels during spraying primarily through contact with former US military infrastructure. In this study, the concentrations of atmospheric PCDD/Fs observed at three background stations (Fig. 1) at Dongsha Island (Sites A) in South China Sea, Da Nang (Site B) city and Son La (Site C) in central and northern Vietnam, respectively, to further understand the PCDD/F contamination in Vietnam. The Measurements indicated that the atmospheric PCDD/F concentrations at Sites A, B and C were 1.66~10.8, 23.4~146 and 11.1~59.5 fg I-TEQ/m3, respectively, during the spring season in 2010 and 2011. The significantly lower PCDD/F concentrations and contents in suspended particles (23.7~33.9 pg I-TEQ/g-TSP) measured at Site A in the South China Sea can be attributed to the lack of any combustion sources within almost 300 km of this island. However, the significantly higher PCDD/F contents in suspended particles (270~300 pg I-TEQ/g-TSP) were measured at Site B in central Vietnam. In addition, Fig. 2 shows that the distribution of PCDD/F congeners measured at Da Nang station was quite different from those measured at other station with high PCDD distribution (>85%) especially in OCDD (>70%). We consider that the high fraction of PCDDs observed at Da Nang probably originated as anthropogenic emission from specific source in Vietnam.

75 FR 60730 - Certain Frozen Warmwater Shrimp From the Socialist Republic of Vietnam: Initiation of Antidumping...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-01

... Shrimp From the Socialist Republic of Vietnam: Initiation of Antidumping Duty New Shipper Review AGENCY... new shipper review (``NSR'') of the antidumping duty order on certain frozen warmwater shrimp (``shrimp'') from the Socialist Republic of Vietnam (``Vietnam''), received on August 26, 2010, meets the...

76 FR 36519 - Certain Frozen Warmwater Shrimp From the Socialist Republic of Vietnam: Extension of Final...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-22

... Shrimp From the Socialist Republic of Vietnam: Extension of Final Results of Antidumping Duty... the administrative review of certain frozen warmwater shrimp from the Socialist Republic of Vietnam (``Vietnam''). The review covers the period February 1, 2009, through January 31, 2010. DATES: Effective Date...

77 FR 2958 - Certain Frozen Warmwater Shrimp From the Socialist Republic of Vietnam: Extension of Preliminary...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-20

... Shrimp From the Socialist Republic of Vietnam: Extension of Preliminary Results of Antidumping Duty... duty order on certain frozen warmwater shrimp (``shrimp'') from the Socialist Republic of Vietnam (``Vietnam'') to February 28, 2012. The period of review (``POR'') is February 1, 2010, through January 31...

Three new species of the water strider genus Rhyacobates Esaki, 1923 (Hemiptera: Gerridae) from Vietnam.

PubMed

Tran, A D; Nguyen, X Q

2016-06-13

Three new species: Rhyacobates zetteli sp.n., R. angustus sp.n., and R. constrictus sp.n., all from mountainous areas of northern Vietnam, are described. With these new taxa, a total of six species of Rhyacobates has been recorded from       Vietnam. A key to species of Rhyacobates occurring in Vietnam is provided.

Molecular characterization of hepatitis B virus in Vietnam.

PubMed

Bui, Thi Ton Taht; Tran, Tan Thanh; Nghiem, My Ngoc; Rahman, Pierre; Tran, Thi Thanh Thanh; Dinh, Man Nguyen Huy; Le, Manh Hung; Nguyen, Van Vinh Chau; Thwaites, Guy; Rahman, Motiur

2017-08-31

Hepatitis B virus (HBV) infection is a major public health problem globally. HBV genotypes and subgenotypes influence disease transmission, progression, and treatment outcome. A study was conducted among treatment naive chronic HBV patients in southern Vietnam to determine the genotypes and subgenotypes of HBV. A prospective, exploratory study was conducted among treatment naïve chronic HBV patients attending at the Hospital for Tropical Diseases, in Ho Chi Minh City, Vietnam during 2012, 2014 and 2016. HBV DNA positive samples (systematically selected 2% of all treatment naïve chronic patients during 2012 and 2014, and 8% of all treatment naïve chronic patients during 2016) were subjected to whole genome sequencing (WGS) either by Sanger or Illumina sequencing. WGS was used to define genotype, sub-genotype, recombination, and the prevalence of drug resistance and virulence-associated mutations. One hundred thirty five treatment naïve chronic HBV patients including 18 from 2012, 24 from 2014, and 93 from 2016 were enrolled. Of 135 sequenced viruses, 72.6% and 27.4% were genotypes B and C respectively. Among genotype B isolates, 87.8% and 12.2% were subgenotypes B4 and B2 respectively. A G1896A mutation in the precore gene was present in 30.6% of genotype B isolates. The genotype C isolates were all subgenotype C1 and 78.4% (29/37) of them had at least one basal core promoter (BCP) mutation. A1762T and G1764 T mutations and a double mutation (A1762T and G1764 T) in the BCP region were significantly more frequent in genotype C1 isolates (p < 0.001). HBV genotype B including subgenotype B4 is predominant in southern Vietnam. However, one fourth of the chronic HBV infections were caused by subgenotype C1.

Transforming Hearts and Minds with the Literature of the Vietnam War.

ERIC Educational Resources Information Center

Johannessen, Larry R.

Noting that the literature of the Vietnam War can have a powerful impact on students, this paper discusses why such literature should be taught, what types of literature should be taught, and how teachers might go about teaching some of the literature. The paper begins by presenting numerous student responses to various novels on the Vietnam War,…

Reasons for not reporting deaths: a qualitative study in rural Vietnam.

PubMed

Huy, Tran Quang; Johansson, Annika; Long, Nguyen Hoang

2007-01-01

This qualitative study explores socio-cultural and health systems factors that may impact on death reporting by lay people to registry systems at the commune level. Information on local perceptions of death and factors influencing death reporting were gathered through nine focus group discussions with people of different religions and ethnic affiliations in a rural district of northern Vietnam. Participants classified deaths as "elderly deaths," "young deaths," and "child deaths." Child deaths, including newborn deaths, used to be considered punishment for sins committed by ancestors, but this is no longer the case. Concepts of the human soul and afterlife differ between the Catholic and Buddhist groups, influencing funeral rituals and reporting, especially of infant deaths. Participants regarded elderly deaths as "natural" and "deserved," while young deaths were seen as either "good deaths" or "bad deaths." "Bad deaths" were defined as deaths of "dishonourable" persons who had led a "bad life" involving activities such as gambling, drinking or stealing. The causes of "bad deaths" and deaths due to stigmatized diseases (e.g., HIV/AIDS, tuberculosis and leprosy) were often concealed by the family. The study suggests that the risk of under-reporting deaths seems to be largest for deaths of infants and "bad deaths." Little awareness of regulations and lack of incentives for reporting or lack of sanctions for not reporting deaths also result in under-reporting of deaths. Therefore, education programs and enforcement of legal regulations on death notification should be emphasized. The risk of misreporting the real causes of "bad deaths" and deaths due to stigmatized diseases should be considered in verbal autopsy interviews. Using different sources of information (triangulation) is useful in order to minimize both under-registration and misreporting causes of death.

Impact of deforestation on local precipitation patterns over the Da River basin, Vietnam

NASA Astrophysics Data System (ADS)

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

76 FR 41760 - Certain Frozen Warmwater Shrimp From the Socialist Republic of Vietnam: Extension of Final...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-15

... Shrimp From the Socialist Republic of Vietnam: Extension of Final Results of Antidumping Duty New Shipper... new shipper review of certain frozen warmwater shrimp from the Socialist Republic of Vietnam (``Vietnam''). The review covers the period February 1, 2010, through July 31, 2010. DATES: Effective Date...

An Integrative Analysis of Foot-and-Mouth Disease Virus Carriers in Vietnam Achieved Through Targeted Surveillance and Molecular Epidemiology.

PubMed

de Carvalho Ferreira, H C; Pauszek, S J; Ludi, A; Huston, C L; Pacheco, J M; Le, V T; Nguyen, P T; Bui, H H; Nguyen, T D; Nguyen, T; Nguyen, T T; Ngo, L T; Do, D H; Rodriguez, L; Arzt, J

2017-04-01

Foot-and-mouth disease (FMD) is a major constraint to transboundary trade in animal products, yet much of its natural ecology and epidemiology in endemic regions is still poorly understood. To address this gap, a multidisciplinary, molecular and conventional epidemiological approach was applied to an investigation of endemic FMD in Vietnam. Within the study space, it was found that 22.3% of sampled ruminants had previously been infected with FMD virus (FMDV), of which 10.8% were persistent, asymptomatic carriers (2.4% of the total population). Descriptive data collected from targeted surveillance and a farm questionnaire showed a significantly lower prevalence of FMDV infection for dairy farms. In contrast, farms of intermediate size and/or history of infection in 2010 were at increased risk of FMD exposure. At the individual animal level, buffalo had the highest exposure risk (over cattle), and there was spatial heterogeneity in exposure risk at the commune level. Conversely, carrier prevalence was higher for beef cattle, suggesting lower susceptibility of buffalo to persistent FMDV infection. To characterize virus strains currently circulating in Vietnam, partial FMDV genomic (VP1) sequences from carrier animals collected between 2012 and 2013 (N = 27) and from FMDV outbreaks between 2009 and 2013 (N = 79) were compared by phylogenetic analysis. Sequence analysis suggested that within the study period, there were two apparent novel introductions of serotype A viruses and that the dominant lineage of serotype O in Vietnam shifted from SEA/Mya-98 to ME-SA/PanAsia. FMDV strains shared close ancestors with FMDV from other South-East Asian countries indicating substantial transboundary movement of the predominant circulating strains. Close genetic relationships were observed between carrier and outbreak viruses, which may suggest that asymptomatic carriers of FMDV contribute to regional disease persistence. Multiple viral sequences obtained from carrier cattle

US firms in middle of Vietnam, China oil battle

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kaplan, D.

1994-04-21

U.S. oil companies Crestone Energy and Mobil are developing oil fields in the South China Sea and are in the middle of a dispute between China and Vietnam over ownership of two large fields. The two fields together contain an estimated 1.1 billion barrels of petroleum. Vietnam maintains they own both fields since they are located on the Vietnamese continental shelf, while China says they own them historically. Companies from Australia, Japan, and Indonesia are also involved in developing the two fields.

Southeast Asia’s Relations with Taiwan, 2000-2016: An Assessment of Vietnam and Singapore

DTIC Science & Technology

2017-09-01

were considered good during Taiwan president Lee Teng-hui’s terms (1988–2000) with robust economic ties and de facto diplomatic relations. Studies of...the post -Lee period have described a state of deteriorated relations between Taiwan and Southeast Asian countries when Chen Shui-bian succeeded Lee...Taiwan set up its de facto embassy in Ho Chi Minh City in 1992, and Vietnam set up its own representative office in Taipei in 1993. Vietnam continued to

Intelligence Operations In Small Wars: A Comparison Of The Malayan Emergency And Vietnam War

DTIC Science & Technology

2013-04-01

Effect, 18. 41 Spencer C. Tucker, David Coffey, Nguyen Cong Luan, Nike Nichols, and Sandra Wittman, eds, Encyclopedia of the Vietnam War Volume One: A...War: The Unexamined Victories and Final Tragedy of America’s Last Years in Vietnam, (Orlando, FL :Harcourt, Inc ., 1999), 72-73. 91 Sorley, A Better...Victories and Final Tragedy of America’s Last Years in Vietnam. Orlando, FL: Harcourt, Inc ., 1999. Stubbs, Richard. Hearts and Minds in

Race and incarceration in an aging cohort of Vietnam veterans in treatment for post-traumatic stress disorder (PTSD).

PubMed

Coker, Kendell L; Rosenheck, Robert

2014-03-01

Cross sectional studies have addressed the incarceration of Vietnam veterans with post-traumatic stress disorder (PTSD), but no studies have examined changes in incarceration as they age. This study examines patterns of incarceration among Vietnam veterans treated in specialized veterans affairs (VA) intensive PTSD programs over time. Data was drawn from admission data from the initial episode of treatment of Caucasian and African American Vietnam veterans entering VA specialized intensive PTSD programs between 1993 and 2011 (N = 31,707). Bivariate correlations and logistic regression were used to examine associations among race and incarceration over time and the potentially confounding influence of demographic and clinical covariates on this relationship. Rates of reported incarceration declined from 63 to 43%. Over time, African American veterans were 34% more likely than Caucasian veterans to have a lifetime history of incarceration while interaction analysis showed steeper declines for Caucasians than African Americans. Rates of incarceration among these Vietnam veterans declined as they aged. Furthermore, African American veterans were substantially more likely than Caucasian veterans to have been incarcerated and showed less decline as the cohort aged. While reduced, needs for clinical PTSD services remain among aging combat veterans.

Genotypic characterization and species identification of Fasciola spp. with implications regarding the isolates infecting goats in Vietnam.

PubMed

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.

75 FR 22842 - Polyethylene Retail Carrier Bags From Indonesia, Taiwan, and Vietnam

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-30

...)] Polyethylene Retail Carrier Bags From Indonesia, Taiwan, and Vietnam Determinations On the basis of the record... material injury by reason of imports from Indonesia, Taiwan, and Vietnam of PRCBs that have been found by... notification of preliminary determinations by Commerce that imports of PRCBs from Indonesia, Taiwan, and...

The Economic Impact of Land Use Rights in Rural Vietnam

DTIC Science & Technology

2013-11-01

Vietnam’s agricultural sector. 16 NOTES 1 Quy‐ Toan Do and Lakshmi Iyer. "Land Titling and Rural Transition in Vietnam." Economic Development And...pdf 5 5 Quy‐ Toan Do and Lakshmi Iyer. "Land Titling and Rural Transition in Vietnam." Economic Development And Cultural Change no. 3 (2008...accessed October 18, 2013, http://www.ifpri.org/sites/default/files/publications/ifpridp00927.pdf 1 17 10 Quy‐ Toan Do and Lakshmi Iyer

Armor in Vietnam

DTIC Science & Technology

1976-05-01

battles a-Riuot the insurgent enemy, especially with armor. French contingents were present in Tndo Chinh P-w early as 1852, but it was not until 1884...committed to Vietnam were straight infantry. These troons er•A tran -norted in hn4±{ copters and usually airlifted to the battle zone; however, once...0STAINf0 FROM VKTNAM NATIONAL MAP SERVICE (NOS) PHU-YEN OCTOBER 19665 OARLAC ......... KKAN1+ HOA QLWA- DUC TUYEN- DUC PHUOC- NINH_ C;ry OF -10 T CAM RANK TAY

Posttraumatic stress disorder among black Vietnam veterans.

PubMed

Allen, I M

1986-01-01

Because of racism in the military and racial and social upheaval in the United States during the Vietnam War years, as well as limited opportunities for blacks in the postwar period, black veterans of the Vietnam War often harbor conflicting feelings about their wartime experiences and have difficulty rationalizing brutality against the Vietnamese. As a result, black veterans suffer from posttraumatic stress disorder (PTSD) at a higher rate than white veterans. Diagnosis and treatment of PTSD in black veterans is complicated by the tendency to misdiagnose black patients, by the varied manifestations of PTSD, and by patients' frequent alcohol and drug abuse and medical, legal, personality, and vocational problems. The author presents his and others' recommendations about ways to treat black veterans with PTSD.

Stepchildren of Archaoes: An Ethnography of a Support Group for Vietnam Veterans at the Florida State University Campus.

ERIC Educational Resources Information Center

Horan, Michael

A study of a subculture of Vietnam veterans on the Florida State University campus in 1989 uncovered a small, informal, and low-key group of men and women. The literature showed that the returning Vietnam veteran faced negative images and was a student misfit; the college experience of many was one of quiet desperation as they attempted to escape…

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.

PubMed

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.

Predictors of men's acceptance of modern contraceptive practice: study in rural Vietnam.

PubMed

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

2005-12-01

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 participants. Cons of IUD use for men in precontemplation and contemplation/preparation were significantly higher than those in the action/maintenance stages, whereas the reverse was true for pros of IUD. The self-efficacy for convincing wife to have IUD in precontemplation was significantly lower than for those in higher stages. Women's education and ages, spontaneous recall of modern contraceptive method, cons for IUD, and self-efficacy for contraception and for convincing wives to get IUD inserted (or continue use) were significant predictors of men's readiness to accept IUD. Interventions are targeted to reduce cons and increase self-efficacy for IUD use.

Determinants of breast-feeding within the first 6 months post-partum in rural Vietnam.

PubMed

Duong, Dat V; Lee, Andy H; Binns, Colin W

2005-07-01

This study explored the determinants of breast-feeding practices within the first 6 months post-partum among women residing in rural Vietnam. The study was conducted in Quang Xuong district, in the Thanh Hoa Province of Vietnam. In the first phase, 463 women were prospectively studied at weeks 1, 16 and 24 post-partum. During the second phase, 16 focus group discussions were undertaken to obtain complementary information. Exclusive breast-feeding dropped from 83.6% at week 1 to 43.6% at week 16 and by week 24, no infant was exclusively breast-fed. A logistic regression analysis found 'mother's education level', 'mother's decision-making on breast-feeding', 'mother's comfort to breast-feed in public places', 'father's occupation', 'feeding preference of father' and 'having sufficient food for the family' significantly influenced the exclusive breast-feeding practice. Qualitative data provided in-depth information on factors relating to mother, infant, close relatives and providers. Providing appropriate training and supportive supervision on breast-feeding counselling to health workers and supporting working mothers to exclusively breast-feed their infants through community mobilization were recommended to improve breast-feeding in rural Vietnam.

Criteria for Accreditation in Vietnam's Higher Education: Focus on Input or Outcome?

ERIC Educational Resources Information Center

Nguyen, Kim D.; Oliver, Diane E.; Priddy, Lynn E.

2009-01-01

The purpose of this article is to analyse the development of accreditation standards and processes in Vietnam and to offer recommendations for the further progress of Vietnam's accreditation model. The authors first provide contextual details of the higher education system and then present the conceptual framework of quality assurance in relation…

Distribution of Salmonella Serovars and Antimicrobial Susceptibility from Poultry and Swine Farms in Central Vietnam.

PubMed

Lettini, A A; Vo Than, T; Marafin, E; Longo, A; Antonello, K; Zavagnin, P; Barco, L; Mancin, M; Cibin, V; Morini, M; Dang Thi Sao, M; Nguyen Thi, T; Pham Trung, H; Le, L; Nguyen Duc, T; Ricci, A

2016-11-01

This study was conducted to estimate the prevalence of Salmonella spp. and their antimicrobial susceptibilities on poultry and swine farms, sampled in 2 regions in Central Vietnam. A total of 67 poultry farms and 46 swine farms were sampled in a period of 5 months (from September 2012 to January 2013). Salmonella spp. was prevalent in 46.3% and 71.7% of poultry and swine farms, respectively. Altogether, 99 non-typhoidal Salmonella were isolated and the most common serovars were Salmonella Weltevreden (19%), followed by Salmonella Typhimurium (12%) and Salmonella 4,[5],12:i:- (11%). Overall, 71 of 99 (72%) Salmonella isolates were resistant to at least one of the 14 antimicrobial agents tested. Both in poultry and swine farms, high levels of resistance were observed for ampicillin, chloramphenicol, ciprofloxacin, sulphamethoxazole and tetracycline. The presence of Salmonella isolates from poultry and swine farms which were resistant to different classes of antimicrobials suggests that alternative control measures to antimicrobials should be implemented. Moreover, an effective policy should be promoted to encourage a prudent use of these agents in animal farming in Vietnam. © 2016 Blackwell Verlag GmbH.

Changes in Underlying Determinants Explain Rapid Increases in Child Linear Growth in Alive & Thrive Study Areas between 2010 and 2014 in Bangladesh and Vietnam.

PubMed

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

Difficulties in getting treatment for injuries in rural Vietnam.

PubMed

Hang, H M; Byass, P

2009-01-01

Knowledge about the health-seeking behaviour of injury patients is important for the improvement of community health services. The aims of this study were: (1) to describe the healthcare-seeking behaviour of injury patients; (2) to examine factors associated with injury patients seeking care at health facilities; and (3) to describe the costs of health care for injury patients. This study took place in Bavi District, northern Vietnam within a longitudinal community surveillance site (FilaBavi). All non-fatal unintentional injuries occurring in a sample of 24,776 people during 2000 were recorded. The injury questionnaire included information on care-seeking behaviour, severity and consequences of injury. Both univariate and multivariate logistic regression models were used to find associations between sociodemographic factors and utilization of any health services, as well as for each type of health service used, compared with the group who did not use any health services. Of 24,776 persons living in the study area, 1917 reported 2079 new non-fatal debilitating injuries during the four 3-month periods of observation. Health-seeking behaviour relating to the first 1917 injuries was analysed. Self-treatment was most common (51.7%), even in cases of severe injury. There was low usage of public health services (23.2%) among injury patients. Long distances, poor economic status and residence in difficult geographic areas such as highlands and mountains were barriers for seeking health services. A large proportion of household income was spent on treating injury patients. Poor people spent a greater proportion of their income on health care than the rich, and often used less qualified or untrained private providers. These results demonstrate the logistical and financial difficulties associated with the treatment of injuries in rural Vietnam. This suggests the need to make public health subsidies available more efficiently and equitably. Whilst this study looked at the

The Educational Realities of Hmong Communities in Vietnam: The Voices of Teachers

ERIC Educational Resources Information Center

Lavoie, Constance

2011-01-01

This article presents the language policy and sociolinguistic realities of Hmong people in Lao Cai province, Vietnam. Minority children, who have their own mother tongue, are educated in Vietnamese, a language that few understand. In response to this situation, the Ministry of Education and Training of Vietnam in collaboration with UNICEF,…

77 FR 28356 - Steel Wire Garment Hangers From the Socialist Republic of Vietnam and Taiwan: Postponement of...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-14

... DEPARTMENT OF COMMERCE International Trade Administration [A-552-812, A-583-849] Steel Wire... investigations of steel wire garment hangers from the Socialist Republic of Vietnam (``Vietnam'') and Taiwan.\\1...\\ See Steel Wire Garment Hangers From the Socialist Republic of Vietnam and Taiwan: Initiation of...

Lack of SARS transmission among public hospital workers, Vietnam.

PubMed

Le, Dang Ha; Bloom, Sharon A; Nguyen, Quang Hien; Maloney, Susan A; Le, Quynh Mai; Leitmeyer, Katrin C; Bach, Huy Anh; Reynolds, Mary G; Montgomery, Joel M; Comer, James A; Horby, Peter W; Plant, Aileen J

2004-02-01

The severe acute respiratory syndrome (SARS) outbreak in Vietnam was amplified by nosocomial spread within hospital A, but no transmission was reported in hospital B, the second of two designated SARS hospitals. Our study documents lack of SARS-associated coronavirus transmission to hospital B workers, despite variable infection control measures and the use of personal protective equipment.

Autism in Vietnam: the case for the development and evaluation of an information book to be distributed at the time of diagnosis.

PubMed

Ying, Ko Chung; Browne, Graeme; Hutchinson, Marie; Cashin, Andrew; Binh, Bui Vu

2012-05-01

Autism is not generally well understood by the community in the West or in Asia. A diagnosis of autism is distressing for all families. When families receive the diagnosis they are often not able to fully appreciate what it means or process the information given to them. Booklets exist in English that contain relevant autism related information but few have been evaluated. In Vietnam, parents do not have ready access to autism related information. This paper makes the case for offering a Vietnamese language information resource/booklet for parents to be distributed at the beginning of the diagnostic process and evaluating its usefulness. In developed countries autism has been recognised since the 1940s (Kanner, 1943). More recently it is being increasingly recognised in children with average and above intelligence. In Vietnam, a Western view of autism is just developing. Consequently community resources are undeveloped. The community, in general, and health services for children, in particular, have a rudimentary understanding of autism. This paper discusses a Western understanding of autism, autism in Vietnam, and suggests one possible strategy for addressing the educational needs around autism in Vietnam.

Molecular Epidemiology of Helicobacter pylori Infection in a Minor Ethnic Group of Vietnam: A Multiethnic, Population-Based Study.

PubMed

Binh, Tran Thanh; Tuan, Vo Phuoc; Dung, Ho Dang Quy; Tung, Pham Huu; Tri, Tran Dinh; Thuan, Ngo Phuong Minh; Tam, Le Quang; Nam, Bui Chi; Giang, Do Anh; Hoan, Phan Quoc; Uchida, Tomohisa; Trang, Tran Thi Huyen; Khien, Vu Van; Yamaoka, Yoshio

2018-03-01

The Helicobacter pylori -induced burden of gastric cancer varies based on geographical regions and ethnic grouping. Vietnam is a multiethnic country with the highest incidence of gastric cancer in Southeast Asia, but previous studies focused only on the Kinh ethnic group. A population-based cross-sectional study was conducted using 494 volunteers (18-78 years old), from 13 ethnic groups in Daklak and Lao Cai provinces, Vietnam. H. pylori status was determined by multiple tests (rapid urease test, culture, histology, and serology). cagA and vacA genotypes were determined by PCR-based sequencing. The overall H. pylori infection rate was 38.1%. Multivariate analysis showed that variations in geographical region, age, and ethnicity were independent factors associated with the risk of H. pylori acquisition. Therefore, multicenter, multiethnic, population based study is essential to assess the H. pylori prevalence and its burden in the general population. Only the E De ethnicity carried strains with Western-type CagA (82%) and exhibited significantly lower gastric mucosal inflammation compared to other ethnic groups. However, the histological scores of Western-type CagA and East-Asian-type CagA within the E De group showed no significant differences. Thus, in addition to bacterial virulence factors, host factors are likely to be important determinants for gastric mucosal inflammation and contribute to the Asian enigma.

New marine data from Vietnam Margin limit the amount of extrusion of Indochina during the opening of the South China Sea

DOE Office of Scientific and Technical Information (OSTI.GOV)

Huchon, P.; Le Pichon, X.; Rangin, C.

1994-07-01

A total of 9300 km of high resolution, wide coverage multibeam (Simrad EM12) bathymetric data have been acquired offshore Vietnam during the Ponaga cruise of the R/V L'Atalante in May 1993. Gravity and magnetic measurements, 6-channel seismic data, as well as 6 dredges also have been obtained. East of central Vietnam, the margin displays northeast-southwest tectonic structures typical of a passive margin. The depth of the basement of the Nha Trang basin suggests that it could be of oceanic nature, with a 20 to 30 Ma age compatible with the age of the South China Sea oceanic crust located furthermore » east. Southeast of South Vietnam, the authors identified the western tip of the fossil axis of the South China Sea. It constitutes a propagating ridge into a highly stretched continental crust, partly intruded by volcanics. East of 110[degrees]30[prime]E, tilted blocks are symmetric with respect to the oceanic axis, whereas west of 110[degrees]30[prime]E they are mostly tilted toward the south, which suggests the occurrence a large listric normal fault associated with a large amount of extension. The normal faults bend progressively to a more northerly direction when approaching the north-south scarp that bounds the Conson basin. This geometry is compatible with a right-lateral motion, and the normal faults associated with the oceanic propagator suggest that the dextral motion is synchronous with at least the last phase of spreading in the South China Sea (23-16 Ma). Since recent offshore oil data have established that the prolongation of the Red River fault within the Gulf of Tonkin was affected by left-lateral motion from the Oligocene to the upper Miocene, the results suggest that the change from left-lateral motion in the Gulf of Tonkin to right-lateral motion along the Vietnam margin occurs because the South China Sea basin opens more rapidly than the extrusion of Indochina. Thus, the total amount of extrusion of Indochina probably does not exceed 100 or 200 km.« less

An eye for inequality: how trachoma relates to poverty in Tanzania and Vietnam.

PubMed

Jansen, Evertjan; Baltussen, Rob M P M; van Doorslaer, Eddy; Ngirwamungu, Edith; Nguyen, Mai P; Kilima, Peter M

2007-01-01

An important challenge for trachoma control strategies is to break the circle of poverty, poor hygiene and poor health by bringing its benefits to the poor. This article aims to assess to what extent trachoma is a disease of the poor, and trachoma services reach the poor in Tanzania and Vietnam. Individual level data on trachoma prevalence (active trachoma and trichiasis) and utilization of trachoma-related services were collected in both countries in 2004. Prevalence data were also available for Vietnam in 2001. We used household level data to construct an asset index as our living standards measure. Next, we related trachoma prevalence and service use to living standards, and used concentration indices to summarize and test the degree of inequality. Trachoma prevalence was higher among the poorest groups in Tanzania. No such relation could be established in Vietnam where prevalence declined over the period 2001-2004 and particularly so among the least poor. Antibiotics were used more by the poorest in Tanzania and by the less poor in Vietnam. In both countries, there was no unequivocal pattern for the relation between living standards and the use of trachoma services. Trachoma is found to be a disease of the poorest in Tanzania, but not in Vietnam. In the latter country there are indications that district characteristics have an important impact on trachoma prevalence. The higher use of antibiotics among the better-off in Vietnam may have contributed to their larger decline in active trachoma prevalence between 2001 and 2004 compared to the poorer segments.

PV technology and success of solar electricity in Vietnam

DOE Office of Scientific and Technical Information (OSTI.GOV)

Dung, T.Q.

1997-12-31

Since 1990 the PV Technology and the Solar electricity have been strongly developed in Vietnam. The PV experts of Solarlab have studied and set up an appropriate PV Technology responding to local Market needs. It has not only stood well but has been also transferred to Mali Republic and Lao P.D.R. The PV off grid systems of Solarlab demonstrate good efficiency and low prices. Over 60 solar stations and villages have been built to provide solar lighting for about 3000 families along the country in remote, mountainous areas and islands. 400 families are using stand-alone Solar Home Systems. The Solarmore » electricity has been chosen for Rural Electrification and National Telecommunication Network in remote and mountainous regions. Many International projects in cooperation with FONDEM-France, SELF USA and Governmental PV projects have been realized by Solarlab. The experiences of maintenance, management and finance about PV development in Vietnam are also mentioned.« less

Exploring the influence of context in a community-based facilitation intervention focusing on neonatal health and survival in Vietnam: a qualitative study.

PubMed

Duong, Duc M; Bergström, Anna; Wallin, Lars; Bui, Ha T T; Eriksson, Leif; Eldh, Ann Catrine

2015-08-22

In the Neonatal health - Knowledge into Practice (NeoKIP) trial in Vietnam, local stakeholder groups, supported by trained laywomen acting as facilitators, promoted knowledge translation (KT) resulting in decreased neonatal mortality. In general, as well as in the community-based NeoKIP trial, there is a need to further understand how context influences KT interventions in low- and middle-income countries (LMICs). Thus, the objective of this study was to explore the influence of context on the facilitation process in the NeoKIP intervention. A secondary content analysis was performed on 16 Focus Group Discussions with facilitators and participants of the stakeholder groups, applying an inductive approach to the content on context through naïve understanding and structured analysis. The three main-categories of context found to influence the facilitation process in the NeoKIP intervention were: (1) Support and collaboration of local authorities and other communal stakeholders; (2) Incentives to, and motivation of, participants; and (3) Low health care coverage and utilization. In particular, the role of local authorities in a KT intervention was recognized as important. Also, while project participants expected financial incentives, non-financial benefits such as individual learning were considered to balance the lack of reimbursement in the NeoKIP intervention. Further, project participants recognized the need to acknowledge the needs of disadvantaged groups. This study provides insight for further understanding of the influence of contextual aspects to improve effects of a KT intervention in Vietnam. We suggest that future KT interventions should apply strategies to improve local authorities' engagement, to identify and communicate non-financial incentives, and to make disadvantaged groups a priority. Further studies to evaluate the contextual aspects in KT interventions in LMICs are also needed.

38 CFR 21.8012 - Vocational training program for certain children of Vietnam veterans-spina bifida and covered...

Code of Federal Regulations, 2010 CFR

2010-07-01

... program for certain children of Vietnam veterans-spina bifida and covered birth defects. 21.8012 Section... REHABILITATION AND EDUCATION Vocational Training and Rehabilitation for Certain Children of Vietnam Veterans... children of Vietnam veterans—spina bifida and covered birth defects. VA will provide an evaluation to an...

76 FR 61088 - Certain Frozen Fish Fillets From the Socialist Republic of Vietnam: Initiation of New Shipper...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-03

... From the Socialist Republic of Vietnam: Initiation of New Shipper Reviews AGENCY: Import Administration... antidumping duty order on certain frozen fish fillets from the Socialist Republic of Vietnam, received between... on certain frozen fish fillets from the Socialist Republic of Vietnam was published in the Federal...

76 FR 68208 - Circular Welded Carbon-Quality Steel Pipe From India, Oman, United Arab Emirates, and Vietnam...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-03

... (Preliminary)] Circular Welded Carbon-Quality Steel Pipe From India, Oman, United Arab Emirates, and Vietnam... carbon-quality steel pipe from India, Oman, United Arab Emirates, and Vietnam, provided for in... Governments of India, Oman, United Arab Emirates, and Vietnam. Unless the Department of Commerce extends the...

Relative benefits of on-plot water supply over other 'improved' sources in rural Vietnam.

PubMed

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.

Molecular Diagnosis of an Ocular Toxocariasis Patient in Vietnam

PubMed Central

Trung, Nguyen Vu; Duyet, Le Van; Chai, Jong-Yil

2013-01-01

An ocular Toxocara canis infection is reported for the first time in Vietnam. A 34-year-old man residing in a village of Son La Province, North Vietnam, visited the National Eye Hospital (NEH) in August 2011. He felt a bulge-sticking pain in his left eye and loss of vision occurred over 3 months before visiting the hospital. The eye examination in the hospital showed damage of the left eye, red eye, retinal fibrosis, retinal detachment, inflammation of the eye tissues, retinal granulomas, and a parasitic cyst inside. A larva of Toxocara was collected with the cyst by a medical doctor by surgery. Comparison of 264 nucleotides of internal transcribed spacer 2 (ITS2) of ribosomal DNA was done between our Vietnamese Toxocara canis and other Toxocara geographical isolates, including Chinese T. canis, Japanese T. canis, Sri Lankan T. canis, and Iranian T. canis. The nucleotide homology was 97-99%, when our T. canis was compared with geographical isolates. Identification of a T. canis infection in the eye by a molecular method was performed for the first time in Vietnam. PMID:24327783

Molecular diagnosis of an ocular toxocariasis patient in Vietnam.

PubMed

Van De, Nguyen; Trung, Nguyen Vu; Duyet, Le Van; Chai, Jong-Yil

2013-10-01

An ocular Toxocara canis infection is reported for the first time in Vietnam. A 34-year-old man residing in a village of Son La Province, North Vietnam, visited the National Eye Hospital (NEH) in August 2011. He felt a bulge-sticking pain in his left eye and loss of vision occurred over 3 months before visiting the hospital. The eye examination in the hospital showed damage of the left eye, red eye, retinal fibrosis, retinal detachment, inflammation of the eye tissues, retinal granulomas, and a parasitic cyst inside. A larva of Toxocara was collected with the cyst by a medical doctor by surgery. Comparison of 264 nucleotides of internal transcribed spacer 2 (ITS2) of ribosomal DNA was done between our Vietnamese Toxocara canis and other Toxocara geographical isolates, including Chinese T. canis, Japanese T. canis, Sri Lankan T. canis, and Iranian T. canis. The nucleotide homology was 97-99%, when our T. canis was compared with geographical isolates. Identification of a T. canis infection in the eye by a molecular method was performed for the first time in Vietnam.

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

PubMed

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.

The Impact of Post Traumatic Stress Disorder in Vietnam Veterans on Marital Satisfaction and Spouse/Partner Depression and the Role of Attributions

DTIC Science & Technology

2011-01-01

Terrorism as well as directing treatment efforts for both the service member and their S/Ps. 4 IMPACT OF PTSD ON VIETNAM VETERANS PTSD and Spouse... treatment for Vietnam-related 20 IMPACT OF PTSD ON VIETNAM VETERANS problems. This group may not be representative of the population. This study used a...model. Journal of Social and Personal Relationships, 20 (3), 355-371. Beach, S.R.H., & O’Leary, K.D. (1993). Marital discord and dysphoria : For whom

Can rural health insurance improve equity in health care utilization? a comparison between China and Vietnam

PubMed Central

2012-01-01

Introduction Health care financing reforms in both China and Vietnam have resulted in greater financial difficulties in accessing health care, especially for the rural poor. Both countries have been developing rural health insurance for decades. This study aims to evaluate and compare equity in access to health care in rural health insurance system in the two countries. Methods Household survey and qualitative study were conducted in 6 counties in China and 4 districts in Vietnam. Health insurance policy and its impact on utilization of outpatient and inpatient service were analyzed and compared to measure equity in access to health care. Results In China, Health insurance membership had no significant impact on outpatient service utilization, while was associated with higher utilization of inpatient services, especially for the higher income group. Health insurance members in Vietnam had higher utilization rates of both outpatient and inpatient services than the non-members, with higher use among the lower than higher income groups. Qualitative results show that bureaucratic obstacles, low reimbursement rates, and poor service quality were the main barriers for members to use health insurance. Conclusions China has achieved high population coverage rate over a short time period, starting with a limited benefit package. However, poor people have less benefit from NCMS in terms of health service utilization. Compared to China, Vietnam health insurance system is doing better in equity in health service utilization within the health insurance members. However with low population coverage, a large proportion of population cannot enjoy the health insurance benefit. Mutual learning would help China and Vietnam address these challenges, and improve their policy design to promote equitable and sustainable health insurance. PMID:22376290

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

ERIC Educational Resources Information Center

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,…

Health insurance drop-out among adult population: findings from a study in a Health and demographic surveillance system in Northern Vietnam 2006-2013.

PubMed

Minh, Hoang Van; Anh, Tran Quynh; Nga, Nguyen Thi Thuy

2016-01-01

The coverage of health insurance as measured by enrollment rates has increased significantly in Vietnam. However, maintaining health insurance to the some groups such as the farmer, the borderline poor and informal workers, etc. has been very challenging. This paper examines the situation of health insurance drop-out among the adult population in sub-rural areas of Northern Vietnam from 2006 to 2013, and analyzes several socio-economic correlates of the health insurance drop-out situation. Data used in this paper were obtained from Health and Demographic Surveillance System located in Chi Linh district, an urbanizing area, in a northern province of Vietnam. Descriptive analyses were used to describe the level and distribution of the health insurance drop-out status. Multiple logistic regressions were used to assess associations between the health insurance drop-out status and the independent variables. A total of 32 561 adults were investigated. We found that the cumulative percentage of health insurance drop-out among the study participants was 21.2%. Health insurance drop-out rates were higher among younger age groups, people with lower education, and those who worked as small trader and other informal jobs, and belonged to the non-poor households. Given the findings, further attention toward health insurance among these special populations is needed.

How might the Trans-Pacific Partnership impact on the pharmaceutical sector in Vietnam?

PubMed

Binh, Nguyen Hoa; Anh, Pham Ngoc Kieu; Phuong, Nguyen Minh

2016-07-01

Ratification of the Trans-Pacific Partnership (TPP) will attract a large number of foreign drug companies in the coming years to Vietnam. It is anticipated to bring investment to Vietnam's pharmaceutical industries, lead to increased infrastructure and enable the use of more sophisticated technologies for the discovery, development and manufacture of drugs. However, with respect to pharmaceutical companies, which are producing generic drugs primarily, the availability of biologic will be reduced. Thus, the consequence is, an increase in drug cost resulting in difficulties for patients wishing to procure these drugs. This will be particularly detrimental for developing countries, such as Vietnam and Malaysia.

Determining the full costs of medical education in Thai Binh, Vietnam: a generalizable model.

PubMed

Bicknell, W J; Beggs, A C; Tham, P V

2001-12-01

We summarize a model for determining the full cost of educating a medical student at Thai Binh Medical School in Vietnam. This is the first full-cost analysis of medical education in a low-income country in over 20 years. We emphasize policy implications and the importance of looking at the educational costs and service roles of the major health professions. In Vietnam fully subsidized medical education has given way to a system combining student-paid tuition and fees with decreased government subsidies. Full cost information facilitates resource management, setting tuition charges at a school and adjusting budget allocations between medical schools, teaching hospitals, and health centres. When linked to quality indicators, trends within and useful comparisons between schools are possible. Cost comparisons between different types of providers can assist policy-makers in judging the appropriateness of expenditures per graduate for nursing and allied health education versus physician education. If privatization of medical education is considered, cost analysis allows policy-makers to know the full costs of educating physicians including the subsidies required in clinical settings. Our approach is intuitively simple and provides useful, understandable new information to managers and policy-makers. The full cost per medical graduate in 1997 was 111 462 989 Vietnamese Dong (US$9527). The relative expenditure per Vietnamese physician educated was 2.8 times the expenditure in the United States when adjusted for GNP per capita. Preliminary findings suggest that, within Vietnam, the cost to educate a physician is 14 times the cost of educating a nurse. Given the direct costs of physician education, the lifetime earnings of physicians and the costs that physicians generate for the use of health services and supplies, it is remarkable that so little attention is paid to the costs of educating physicians. Studies of this type can provide the quantitative basis for vital human

Collaborative Disaster Preparedness: Vietnam, the United States, and Regional Experiences (Proceedings from Da Nang, Vietnam, August 1820, 2015)

DTIC Science & Technology

2016-05-19

August 18 –20, 2015) Sarah Weilant Limited Print and Electronic Distribution Rights This document and trademark(s) contained herein are protected by...from Da Nang, Vietnam, August 18 –20, 2015) Operation Damayan... 18 Operation Sahayogi Haat

Authoritarianism as a Driver of U.S. Foreign Policy: The Cases of Myanmar, Vietnam, and North Korea

DTIC Science & Technology

2016-12-01

environments. E. RESEARCH DESIGN The methodology of this paper employs statistical analysis and comparative case studies. With proxy scales that...U.S. FOREIGN POLICY: THE CASES OF MYANMAR, VIETNAM, AND NORTH KOREA by Rang Lee December 2016 Thesis Co-Advisor: Tristan Mabry Thesis Co-Advisor...COVERED Master’s thesis 4. TITLE AND SUBTITLE AUTHORITARIANISM AS A DRIVER OF U.S. FOREIGN POLICY: THE CASES OF MYANMAR, VIETNAM, AND NORTH KOREA 5

Evaluation of the Progress and Challenges facing the Ponseti Method Program in Vietnam

PubMed Central

Wu, Vincent; Nguyen, Michelle; Nhi, Huynh Manh; Thanh, Do Van; Oprescu, Florin; Cook, Thomas; Morcuende, Jose A.

2012-01-01

Introduction In 2003, an ICRC-SFD Ponseti program was introduced in southern Vietnam. Additional programs were introduced by the Prosthetics Outreach Foundation and independently by physicians trained at our center. The purpose of this study was to evaluate the impact, progress and challenges facing Ponseti practitioners and patients' family members in Vietnam. In addition, web-conferencing (Ponseti Virtual Forum) for continued medical education in the method was also assessed. Methods Multiple questionnaires were developed to conduct face-to-face practitioner interviews, focus group interviews, and parental interviews. Observation was done at multiple site clinics to determine or confirm additional challenges faced by practitioners. Web conferencing was introduced to sites in Ho Chi Minh City and Da Nang City. Results The number of clubfoot patients treated with the Ponseti method has increased over time with approximately 1,252 infants treated between 2003 and 2010. Specific challenges were identified relating to communication, networking, distance and transportation, and finances for both practitioners and parents. The PVF was not only found to facilitate rapid, relevant dissemination of medical knowledge – thus increasing physician and patient satisfaction – but it may also be found to act as an interface in which medical culture, insight, and compassion are shared benefiting all virtual forum participants. Conclusion The identified progress and challenges mirrored that of similar studies done in other countries with several factors affecting progress. Focusing on improving communication channels and networking while working with the ministry of health may improve the facilitation of the Ponseti method in Vietnam. Further implementation and evaluation of the PVF may act as a guide for current and future programs in Vietnam or other countries. PMID:23576933

77 FR 50713 - Steel Wire Garment Hangers From Taiwan and Vietnam; (Corrected Notice) Scheduling of the Final...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-22

...)] Steel Wire Garment Hangers From Taiwan and Vietnam; (Corrected Notice) Scheduling of the Final Phase of... the United States is materially retarded, by reason of subsidized imports from Vietnam of steel wire garment hangers and less- than-fair-value imports from Taiwan and Vietnam of steel wire garment hangers...

38 CFR 21.8012 - Vocational training program for certain children of Vietnam veterans and veterans with covered...

Code of Federal Regulations, 2014 CFR

2014-07-01

... program for certain children of Vietnam veterans and veterans with covered service in Korea-spina bifida... Rehabilitation for Certain Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida... Vietnam veterans and veterans with covered service in Korea—spina bifida and covered birth defects. VA...

38 CFR 21.8012 - Vocational training program for certain children of Vietnam veterans and veterans with covered...

Code of Federal Regulations, 2013 CFR

2013-07-01

... program for certain children of Vietnam veterans and veterans with covered service in Korea-spina bifida... Rehabilitation for Certain Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida... Vietnam veterans and veterans with covered service in Korea—spina bifida and covered birth defects. VA...

38 CFR 21.8012 - Vocational training program for certain children of Vietnam veterans and veterans with covered...

Code of Federal Regulations, 2012 CFR

2012-07-01

... program for certain children of Vietnam veterans and veterans with covered service in Korea-spina bifida... Rehabilitation for Certain Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida... Vietnam veterans and veterans with covered service in Korea—spina bifida and covered birth defects. VA...

38 CFR 21.8012 - Vocational training program for certain children of Vietnam veterans and veterans with covered...

Code of Federal Regulations, 2011 CFR

2011-07-01

... program for certain children of Vietnam veterans and veterans with covered service in Korea-spina bifida... Rehabilitation for Certain Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida... Vietnam veterans and veterans with covered service in Korea—spina bifida and covered birth defects. VA...

Ethnicity, education attainment, media exposure, and prenatal care in Vietnam.

PubMed

Trinh, Ha Ngoc; Korinek, Kim

2017-02-01

Prenatal care coverage in Vietnam has been improving, but ethnic minority women still lag behind in receiving adequate level and type of care. This paper examines ethnic disparities in prenatal care utilization by comparing two groups of ethnic minority and majority women. We examine the roots of ethnic disparity in prenatal care utilization, focusing on how education and media exposure change health behaviours and lessen disparities. We rely on the 2002 Vietnam Demographic and Health Survey to draw our sample, predictors and the three dimensions of prenatal care, including timing of onset, frequency of visits, and type of provider. Results from multinomial-, and binary-logistic regression provide evidence that ethnic minority women are less likely to obtain frequent prenatal care and seek care from professional providers than their majority counterparts. However, we find that ethnic minority women are more likely to obtain early care compared to ethnic majority women. Results for predicted probabilities suggest that education and media exposure positively influenced prenatal care behaviours with higher level of education and media exposure associating with accelerated probability of meeting prenatal care requirements. Our results imply the needs for expansion of media access and schools as well as positive health messages being broadcasted in culturally competent ways.

[The current situation and agendas in the prevention and control of non-communicable diseases in Vietnam].

PubMed

Hattori, Kiyoko; Uda, Hidenori; Hitomi, Yoshiaki; Yano, Ryosuke; Saijo, Takao; Watanabe, Naoyuki; Satomi, Maki; Yoshida, Aya; Oishi, Osamu; Yamashita, Tsuyoshi; Kamenosono, Akira

2018-01-01

Objectives　In Vietnam, the number of patients with non-communicable diseases (NCDs) has been increasing in recent years in association with the country's remarkable economic growth and corresponding changes in its population's lifestyle. The purposes of this research were to identify the challenges in the prevention and control of NCDs in Vietnam and to discuss countermeasures for NCDs in Vietnam and Japan.Methods　As a 2015 Regional Public Health Overall Promotion Project, an investigation team consisting of 11 public health physicians visited Hanoi, the capital of Vietnam, and its vicinities from January 11, 2016 to January 15, 2016. In Hanoi and its vicinities, we visited local healthcare institutions, such as the World Health Organization(WHO) Representative Office in Vietnam and Ministry of Health of Vietnam, and discussed the prevention and control of NCDs in Vietnam and Japan.Results　According to a survey in 2014, 73% of people of all age groups in Vietnam died from NCDs and the number of people suffering from NCDs has been sharply increasing in recent years. Major behavioral risk factors are dietary risks, tobacco smoke, alcohol use, and physical inactivity. There are four main problems with prevention and control of NCDs: 1) low awareness among the people of NCDs, 2) regional disparity of medical services, 3) shortage of healthcare staff members with professional knowledge, and 4) poor NCD surveillance.　In Vietnam, an NCD program with screening methods and medical guidelines for respective diseases was developed in 2002. However, it only covered tertiary prevention and did not fully describe the primary and secondary prevention measures. Currently, with the technical assistance of the WHO, the implementation of countermeasures emphasizing prevention and control to reduce NCD risk factors has only just begun.Conclusion　It was considered that educating each person in Vietnam on NCD prevention measures would be necessary and that a national policy