Segmenting Visitors to Battlefield Sites: International Visitors to the Former DMZ in Vietnam

Vietnam is an emerging tourist destination with rapid development in the tourism industry over the last decade. Well-known for the Vietnam War, it is expected that battlefield sites are among the country's main attractions for international tourists. However, to date, there has been no research examining visitors to battlefield sites in Vietnam. This study aims to contribute to filling this perceived gap by examining the visitors to the former Vietnamese De-militarised Zone (DMZ). Its objectives are: (1) to identify tourist motivations for visiting the DMZ, (2) to segment the DMZ visitors based on motivations, and (3) to determine the importance of battlefield sites in tourists' decision to travel to Vietnam. International visitors to the Vinh Moc Tunnels, a site often included in the DMZ tour, were chosen as a study sample. Data in this study was collected in an intercept self-completed questionnaire survey, which resulted in a sample of 481 respondents. Statistical analysis of the data was supplemented by content analysis of qualitative findings where appropriate. The findings show that respondents visited the DMZ for a variety of motivations. Five motivations were generated from the factor analysis of 22 quantitative motivational items namely: Personal involvement, Interest in war related sites and exhibitions, Education and exploration, Location and convenience, and Novelty seeking. These delineated motivations were supported and extended by respondents' self-expressed motivations. Based on these motivations, three groups of visitors to the DMZ were identified using cluster analysis: the Battlefield Tourism Enthusiast, the Opportunist, and the Passive Tourist. These three visitors segments differed significantly in terms of socio-demographic characteristics, trip related characteristics, and especially travel decision-making. The Enthusiasts had the highest interest in visiting battlefield sites in Vietnam. The Opportunists tended to visit sites based on location and convenience, and the Passive Tourists indicated relatively low rankings for all reasons for visiting battlefield sites. This study also found that battlefield sites only played a small role in tourists' decision to visit Vietnam and that most tourists visited Vietnam for its culture, landscape and history. Several implications and recommendations arise from this study, including the need for continuing research on motivations for battlefield tourism in other countries. In addition, it is suggested that the educative function should be emphasised in developing battlefield sites as tourist attractions

A multi-scale agent-based modelling framework for urban freight distribution

Comprehensive modelling of urban freight operations remains a challenge in transportation research. This is partly due to the diversity of commodities transported, shipment units, vehicle types used, stakeholders’ objectives (e.g. suppliers, carriers, receivers), and to the limited availability of data. Thus, existing modelling efforts require several assumptions yet have limited behavioral foundations and minimal interaction between agents. This paper proposes a new agent-based modelling framework, which considers the heterogeneity of urban freight agents and their interactions. Agents include establishments (suppliers, carriers, and receivers) and freight vehicle drivers. Agents’ decisions are structured in three temporal resolutions: strategic, tactical, and operational. A single set of agents is represented throughout all modelling levels ensuring a consistent and sequential flow of information. At the strategic level, establishments’ characteristics and strategic decisions are modelled. These include location choices, fleet constitution, annual production/consumption of commodities, and establishment-to-establishment commodity flows. At the tactical level, shipments are assigned to carriers, who in turn plan their operations in terms of vehicle-driver-route assignments. Finally, at the operational level, the interactions between daily operational demands and transportation network supply are simulated. The supply representation has two different resolution levels (micro or meso) allowing for either detailed or computational efficient simulation. The simulation platform is distinct from previous works, as it explicitly considers planning horizons, replicates agent decision makings/interactions and involves a structure that allows for the propagation of influences bottom-up (e.g., prior simulation travel times on future route choice). The paper describes the simulation platform, constituent models, and illustrates its capabilities using an application of the modelling framework to the city of Singapore. Keywords: freight transport; city logistics; commodity flow; freight tours; simulation; AB

Para-Social Interaction and Trust in Live-Streaming Sellers

Live streaming is one of the modern methods that allows sellers to create, transmit, or broadcast some content on the internet in real-time, and it has been used by many small individual merchants. Understanding how live streaming contributes to online consumption is becoming increasingly important in social commerce as the live-streaming industry has grown more and more popular. However, the number of studies on live streaming is still quite limited in Vietnam. Therefore, this research will look at the mechanism that enables live streaming to boost customer trust in streamers. Using PLS-SEM on a sample of 360 respondents who viewed selling live streams on social network sites in Vietnam, we discovered that other members' endorsement, value similarity, hedonic value, and utilitarian value contribute to good para-social interaction. Next, utilitarian and hedonic values, streamer product expertise, and para-social interaction all positively affect trust in the streamers. The findings could help live-streaming sellers better understand their social interactions with viewers, resulting in increased customer trust. Doi: 10.28991/ESJ-2023-07-03-06 Full Text: PD

Environmental allergen reduction in asthma management: an overview

Asthma is a prevalent non-communicable disease that affects both children and adults. Many patients with severe, uncontrolled asthma could not achieve total control despite using anti-asthmatic drugs. There is increasing evidence that allergy to environmental allergens, including both indoor and outdoor allergens, is associated with asthma symptoms and severe asthma. Frequently reported sensitized allergens were dust mites, cockroaches, grass pollens, molds, pets, and rodents in allergic asthma patients, although the patterns of widespread allergens differed from each country. Allergen avoidance is the cornerstone of asthma management, especially in sensitized subjects. This review summarizes environmental allergen avoidance and clarifies their effects on asthma control. Despite contrasting results about the impact of allergen exposure reduction on asthma control, several studies supported the beneficial effects of reducing asthma-related symptoms or risk of exacerbations as a nondrug therapy. Identifying environmental allergens is helpful for asthma patients, and further studies on clinically effective avoidance methods are required

STRESS AND COPING STRATEGIES OF SECONDARY SCHOOL TEACHERS IN TRA CU DISTRICT, TRA VINH PROVINCE, VIETNAM

By using a cross-sectional study, this study aimed to determine the ratio of occupational stress, stress levels and the relationship between stress status and social characteristics of the sample, factors at work, as well as how secondary school teachers respond to stress in Tra Cu District, Tra Vinh Province. The study conducted a survey to investigate 466 teachers currently teaching at 14 secondary schools in Tra Cu District, Tra Vinh Province, from May 2020 to June 2020. Research results showed that the percentage of teachers who suffered mild stress and severe stress was 18.9% and 8.1%, respectively. The signs of stress in teachers correlated with several factors such as job demand, work control and ways of coping at work. When the average score of the assessment “job demand” or “work control” increased by one point, the rate of stress on teachers was reduced by 23% (95% CI: 0.73 – 0.81) and 12% (95% CI: 0.84 – 0.93) respectively. By contrast, the average score of “confrontation” increased by one point  leading to 3.21 times higher (95% CI: 2.61 – 3.96) possibility of causing stress. As well as the average score of "avoidance" increased by one point, the possibility of causing stress in teachers increased 3.03 times (95% CI: 2.45 – 3.74). The findings showed that mental health problems in teachers at secondary schools, in general and in Tra Cu District, Tra Vinh Province in particular, had not received sufficient attention. Therefore, the problems should be taken seriously not only by teachers school administration

Acceptance and user experiences of a wearable device for the management of hospitalized patients in COVID-19–designated wards in Ho Chi Minh City, Vietnam: action learning project

Background: Wearable devices have been used extensively both inside and outside of the hospital setting. During the COVID-19 pandemic, in some contexts, there was an increased need to remotely monitor pulse and saturated oxygen for patients due to the lack of staff and bedside monitors. Objective: A prototype of a remote monitoring system using wearable pulse oximeter devices was implemented at the Hospital for Tropical Diseases in Ho Chi Minh City, Vietnam, from August to December 2021. The aim of this work was to support the ongoing implementation of the remote monitoring system. Methods: We used an action learning approach with rapid pragmatic methods, including informal discussions and observations as well as a feedback survey form designed based on the technology acceptance model to assess the use and acceptability of the system. Based on these results, we facilitated a meeting using user-centered design principles to explore user needs and ideas about its development in more detail. Results: In total, 21 users filled in the feedback form. The mean technology acceptance model scores ranged from 3.5 (for perceived ease of use) to 4.4 (for attitude) with behavioral intention (3.8) and perceived usefulness (4.2) scoring in between. Those working as nurses scored higher on perceived usefulness, attitude, and behavioral intention than did physicians. Based on informal discussions, we realized there was a mismatch between how we (ie, the research team) and the ward teams perceived the use and wider purpose of the technology. Conclusions: Designing and implementing the devices to be more nurse-centric from their introduction could have helped to increase their efficiency and use during the complex pandemic period

Evaluation of awake prone positioning effectiveness in moderate to severe COVID-19

Evidence mainly from high income countries suggests that lying in the prone position may be beneficial in patients with COVID-19 even if they are not receiving invasive ventilation. Studies indicate that increased duration of prone position may be associated with improved outcomes, but achieving this requires additional staff time and resources. Our study aims to support prolonged (≥ 8hours/day) awake prone positioning in patients with moderate to severe COVID-19 disease in Vietnam. We use a specialist team to support prone positioning of patients and wearable devices to assist monitoring vital signs and prone position and an electronic data registry to capture routine clinical data

Лексические средства связности в речи телеведущего в жанре интерактивной белорусскоязычной телебеседы

Материалы XII Междунар. науч. конф. студентов, магистрантов, аспирантов и молодых ученых, Гомель, 16–17 мая 2019 г

Safety and efficacy of fluoxetine on functional outcome after acute stroke (AFFINITY): a randomised, double-blind, placebo-controlled trial

Background Trials of fluoxetine for recovery after stroke report conflicting results. The Assessment oF FluoxetINe In sTroke recoverY (AFFINITY) trial aimed to show if daily oral fluoxetine for 6 months after stroke improves functional outcome in an ethnically diverse population. Methods AFFINITY was a randomised, parallel-group, double-blind, placebo-controlled trial done in 43 hospital stroke units in Australia (n=29), New Zealand (four), and Vietnam (ten). Eligible patients were adults (aged ≥18 years) with a clinical diagnosis of acute stroke in the previous 2–15 days, brain imaging consistent with ischaemic or haemorrhagic stroke, and a persisting neurological deficit that produced a modified Rankin Scale (mRS) score of 1 or more. Patients were randomly assigned 1:1 via a web-based system using a minimisation algorithm to once daily, oral fluoxetine 20 mg capsules or matching placebo for 6 months. Patients, carers, investigators, and outcome assessors were masked to the treatment allocation. The primary outcome was functional status, measured by the mRS, at 6 months. The primary analysis was an ordinal logistic regression of the mRS at 6 months, adjusted for minimisation variables. Primary and safety analyses were done according to the patient's treatment allocation. The trial is registered with the Australian New Zealand Clinical Trials Registry, ACTRN12611000774921. Findings Between Jan 11, 2013, and June 30, 2019, 1280 patients were recruited in Australia (n=532), New Zealand (n=42), and Vietnam (n=706), of whom 642 were randomly assigned to fluoxetine and 638 were randomly assigned to placebo. Mean duration of trial treatment was 167 days (SD 48·1). At 6 months, mRS data were available in 624 (97%) patients in the fluoxetine group and 632 (99%) in the placebo group. The distribution of mRS categories was similar in the fluoxetine and placebo groups (adjusted common odds ratio 0·94, 95% CI 0·76–1·15; p=0·53). Compared with patients in the placebo group, patients in the fluoxetine group had more falls (20 [3%] vs seven [1%]; p=0·018), bone fractures (19 [3%] vs six [1%]; p=0·014), and epileptic seizures (ten [2%] vs two [<1%]; p=0·038) at 6 months. Interpretation Oral fluoxetine 20 mg daily for 6 months after acute stroke did not improve functional outcome and increased the risk of falls, bone fractures, and epileptic seizures. These results do not support the use of fluoxetine to improve functional outcome after stroke