Indoor PM₀.₁ and PM₂.₅ in Hanoi: Chemical characterization, source identification, and health risk assessment

This study attempted to provide comprehensive insights into the chemical composition, source identification, and health risk assessment of indoor particulate matter (PM) in urban areas of Vietnam. Three hundred and twenty daily samples of PM₀.₁ and PM₂.₅ were collected at three different types of dwellings in Hanoi in two seasons, namely summer and winter. The samples were analyzed for 10 trace elements (TEs), namely Cr, Mn, Co, Cu, Ni, Zn, As, Cd, Sn, and Pb. The daily average concentrations of indoor PM₀.₁ and PM₂.₅ in the city were in the ranges of 7.0–8.9 μg/m³ and 43.3–106 μg/m³, respectively. The average concentrations of TEs bound to indoor PM ranged from 66.2 ng/m³ to 216 ng/m³ for PM₀.₁ and 391 ng/m³ to 2360 ng/m³ for PM₂.₅. Principle component analysis and enrichment factor were applied to identify the possible sources of indoor PM. Results showed that indoor PM₂.₅ was mainly derived from outdoor sources, whereas indoor PM₀.₁ was derived from indoor and outdoor sources. Domestic coal burning, industrial and traffic emissions were observed as outdoor sources, whereas household dust and indoor combustion were found as indoor sources. 80% of PM₂.₅ was deposited in the head airways, whereas 75% of PM₀.₁ was deposited in alveolar region. Monte Carlo simulation indicated that the intake of TEs in PM₂.₅ can lead to high carcinogenic risk for people over 60 years old and unacceptable non-carcinogenic risks for all ages at the roadside house in winter

Studying Magnetic Fields and Dust in M17 Using Polarized Thermal Dust Emission Observed by SOFIA/HAWC

We report on the highest spatial resolution measurement to date of magnetic fields (B-fields) in M17 using thermal dust polarization measurements taken by SOFIA/HAWC+ centered at a wavelength of 154 μm. Using the Davis–Chandrasekhar–Fermi method, in which the polarization angle dispersion calculated using the structure function technique is the quantity directly observed by SOFIA/HAWC+, we found the presence of strong B-fields of 980 ± 230 and 1665 ± 885 μG in the lower-density M17-N and higher-density M17-S regions, respectively. The B-field morphology in M17-N possibly mimics the fields in gravitationally collapsing molecular cores, while in M17-S the fields run perpendicular to the density structure. M17-S also displays a pillar feature and an asymmetric large-scale hourglass-shaped field. We use the mean B-field strengths to determine Alfvénic Mach numbers for both regions, finding that B-fields dominate over turbulence. We calculate the mass-to-flux ratio, λ, finding λ = 0.07 for M17-N and 0.28 for M17-S. These subcritical λ values are consistent with the lack of massive stars formed in M17. To study dust physics, we analyze the relationship between dust polarization fraction, p, emission intensity, I, gas column density, N(H2), polarization angle dispersion function, S, and dust temperature, T d. p decreases with intensity as I −α with α = 0.51. p tends to first increase with T d, but then decreases at higher T d. The latter feature, seen in M17-N at high T d when N(H2) and S decrease, is evidence of the radiative torque disruption effect

Pharmacists’ Perspectives on the Use of Telepharmacy in Response to COVID-19 Pandemic in Ho Chi Minh City, Vietnam

Introduction: Telepharmacy, the application of information and communication technologies in healthcare services, has been adopted in many countries to provide patients with pharmaceutical care. However, it has yet to be widely used in Vietnam. This study was conducted to assess the current status of use and the factors associated with the willingness to use telepharmacy of pharmacists in Vietnam. Methods: A descriptive cross-sectional study was conducted from February to July 2021; 414 pharmacists were recruited to fill in an online survey. Results: Overall, 86.7% of participants have used telepharmacy application and 87.2% of them were willing to apply telepharmacy in pharmacy practice. According to our multivariate analysis, the level of readiness was associated with positive attitude (odds ratio [OR] = 4.67; 95% confidence interval [CI]: 2.26-9.66), and a good behavior (OR = 11.34; 95% CI: 3.84-33.45). Discussion: Developing a telepharmacy system with appropriate features is essential to meet the requirements of pharmacy practice amid the spread of the COVID-19 pandemic

Spatiotemporal evolution of SARS-CoV-2 Alpha and Delta variants during large nationwide outbreak of COVID-19, Vietnam, 2021

We analyzed 1,303 SARS-CoV-2 whole-genome sequences from Vietnam, and found the Alpha and Delta variants were responsible for a large nationwide outbreak of COVID-19 in 2021. The Delta variant was confined to the AY.57 lineage and caused >1.7 million infections and >32,000 deaths. Viral transmission was strongly affected by nonpharmaceutical interventions

An Outbreak of Severe Infections with Community-Acquired MRSA Carrying the Panton-Valentine Leukocidin Following Vaccination

Background: Infections with community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) are emerging worldwide. We investigated an outbreak of severe CA-MRSA infections in children following out-patient vaccination. Methods and Findings: We carried out a field investigation after adverse events following immunization (AEFI) were reported. We reviewed the clinical data from all cases. S. aureus recovered from skin infections and from nasal and throat swabs were analyzed by pulse-field gel electrophoresis, multi locus sequence typing, PCR and microarray. In May 2006, nine children presented with AEFI, ranging from fatal toxic shock syndrome, necrotizing soft tissue infection, purulent abscesses, to fever with rash. All had received a vaccination injection in different health centres in one District of Ho Chi Minh City. Eight children had been vaccinated by the same health care worker (HCW). Deficiencies in vaccine quality, storage practices, or preparation and delivery were not found. Infection control practices were insufficient. CA-MRSA was cultured in four children and from nasal and throat swabs from the HCW. Strains from children and HCW were indistinguishable. All carried the Panton-Valentine leukocidine (PVL), the staphylococcal enterotoxin B gene, the gene complex for staphylococcal-cassette-chromosome mec type V, and were sequence type 59. Strain HCM3A is epidemiologically unrelated to a strain of ST59 prevalent in the USA, althoughthey belong to the same lineage. Conclusions. We describe an outbreak of infections with CA-MRSA in children, transmitted by an asymptomatic colonized HCW during immunization injection. Consistent adherence to injection practice guidelines is needed to prevent CA-MRSA transmission in both in- and outpatient settings

New Technologies in Travelling and Tourism

Cílem téhle bakalářské práce je prozkoumat transformující dopad nových technologií na odvětví cestovního ruchu se zaměřením na informační a komunikační technologie (ICT), E-turismus, umělou inteligenci (AI), rozšířenou realitu (AR) a virtuální realitu (VR). S důrazem na zvýšenou dostupnost informací je probírána historie přechodu od tradičních způsobů dopravy k integraci moderní přepravy a internetu. Práce se zabývá definicí, funkčností a praktickým využitím umělé inteligence, rozšířené reality a virtuální reality a zkoumá jejich výhody a problémy. Jsou představeny praktické implementace v cestovním ruchu, jako jsou prohlídky muzeí s podporou AR a virtuální prohlídky destinací. Adaptabilita těchto technologií a jejich role při obnově turistického odvětví ukazuje, že se dokážou vypořádat s pandemií COVID-19. Jsou zdůrazněna etická dilemata, jejich vhodná implementace a potřeba regulace pro udržitelný růst v tomto novém prostředí, neboť zavádění těchto inovací nadále mění cestovní ruch, jak jej známe

New Technologies in Travelling and Tourism

Cílem téhle bakalářské práce je prozkoumat transformující dopad nových technologií na odvětví cestovního ruchu se zaměřením na informační a komunikační technologie (ICT), E-turismus, umělou inteligenci (AI), rozšířenou realitu (AR) a virtuální realitu (VR). S důrazem na zvýšenou dostupnost informací je probírána historie přechodu od tradičních způsobů dopravy k integraci moderní přepravy a internetu. Práce se zabývá definicí, funkčností a praktickým využitím umělé inteligence, rozšířené reality a virtuální reality a zkoumá jejich výhody a problémy. Jsou představeny praktické implementace v cestovním ruchu, jako jsou prohlídky muzeí s podporou AR a virtuální prohlídky destinací. Adaptabilita těchto technologií a jejich role při obnově turistického odvětví ukazuje, že se dokážou vypořádat s pandemií COVID-19. Jsou zdůrazněna etická dilemata, jejich vhodná implementace a potřeba regulace pro udržitelný růst v tomto novém prostředí, neboť zavádění těchto inovací nadále mění cestovní ruch, jak jej známe.This bachelor´s thesis aims to explore the transformative impact of emerging technologies on the tourism industry, with a focus on Information and Communication Technology (ICT), E-tourism, Artificial Intelligence (AI), Augmented Reality (AR), and Virtual Reality (VR). Emphasising the increased availability of information, the history of the transition from traditional methods of transport to the integration of modern transportation and the Internet is discussed. The paper discusses the definition, functionality and practical application of artificial intelligence, augmented reality, and virtual reality to examine their advantages and challenges. It is important to note that while these technologies offer immense potential, their implementation is not without difficulties. The challenges of implementing these technologies in tourism, such as high initial costs and the need for skilled personnel, are discussed. The adaptability of these technologies and their role in rebuilding the industry shows that they managed to cope with the COVID-19 pandemic. Ethical dilemmas, appropriate implementation and the need for regulations are highlighted for sustainable growth in this new landscape, as the introduction of these innovations continues to shape tourism as we know it.

Thread-embedding acupuncture may improve symptom resolution in patients with gastroesophageal reflux disease: A randomized controlled trial

Background: Various traditional medicine treatments have been investigated to treat GERD. Among those, thread-embedding acupuncture (TEA) has the advantage that patients need to undergo the procedure infrequently; however, its efficacy is unclear. This study evaluated the efficacy of TEA in treating GERD. Methods: A randomized controlled trial was conducted with 66 participants with GERD: 33 received two sessions of TEA + standard therapy (proton-pump inhibitor [PPI]) (TEA+PPI group) and 33 received PPI alone (PPI group). Primary outcomes included GerdQ score and heartburn and regurgitation resolution. Secondary outcomes were antacids requirement, the Frequency Scale for Symptoms of GERD (FSSG) score, and Gastroesophageal Reflux Disease-Health Related Quality of Life (GERD-HRQL) score. The safety outcome was adverse events (AEs). Results: After four weeks of treatment, the TEA+PPI group significantly reduced the GerdQ score (mean difference [MD] and 95% confidence interval [CI]: -1.8 [-2.4, -1.1]) and increased the rate of heartburn and regurgitation resolution compared to PPI (54.5% versus 9.1%, respectively) compared to PPI. The TEA+PPI group also significantly reduced the number of antacid packs used (MD [95%-CI]: -9.4 [-12.1, -6.7]), FSSG score (MD [95%-CI]: -9.4 [-11.0, -7.8]), and GERD-HRQL score (MD [95%-CI]: -5.6 [-7.7, -3.5]) compared to PPI. Five patients experienced AEs, which were mild local complications at the acupoints. Conclusion: TEA combined with PPI is more effective than PPI alone in treating GERD. Further studies with longer follow-ups are required to confirm these findings. Clinical trials registration information: ClinicalTrials.gov, NCT05353933

Adding thread-embedding acupuncture to auricular acupuncture enhances short-term weight reduction in overweight and obesity: A double-blinded, randomized, sham-controlled trial

Background: Auricular acupuncture (AA) has been widely used in overweight and obesity management due to its safety and effectiveness. The combination of other acupuncture therapies with thread-embedding acupuncture (TEA) has shown enhanced effects. However, there is a lack of evidence regarding AA plus TEA for overweight and obesity. This study was conducted to address this question. Methods: A randomized placebo-controlled trial was conducted involving 66 overweight or obese participants, divided into two groups: 33 received AA plus TEA, and 33 received AA plus sham TEA over eight weeks. The primary outcome was body weight (BW) reduction. Secondary outcomes included changes in body mass index (BMI) and waist circumference (WC), hip circumference (HC), waist-hip ratio (WHR), food cravings questionnaire-trait-reduced (FCQ-Tr) and food craving visual analog scale (VAS) scores. Safety outcomes were adverse events (AEs). Results: After eight weeks, BW decreased by a mean (SD) of -4.45 (1.29) kg and -2.05 (1.33) kg in the AA plus TEA and AA plus sham TEA groups, respectively (MD [95 % CI]: 2.40 [1.75; 3.05]). BMI, WC, WHR, and food craving VAS score decreased significantly more in the AA plus TEA group than in the AA plus sham TEA group. No significant differences were found in FCQ-Tr and HC between groups. Seven AEs were recorded that were mild and resolved without treatment. Conclusion: The addition of TEA to AA is a safe and effective management of overweight and obesity. Further studies should incorporate dietary and lifestyle modifications and follow-up after the intervention to assess long-term effectiveness. Trial registration: The study protocol had been registered on ClinicalTrials.gov (NCT06091761)