Properties of traditional bamboo carrying poles have implications for user interactions

Compliant bamboo poles have long been used for load carriage in Asian cultures. Although this custom differs from Western conventions of rigid body attachments (e.g. backpack), potential benefits include reduced peak shoulder forces as well as metabolic transport cost savings. Evidence that carrying a flexible pole benefits locomotion remains mixed, perhaps in part because the properties of pole design (e.g. bamboo material, structural geometry, etc.) have largely been neglected. These properties influence vibrational forces and consequently, the energy required by the user to manage the oscillations. We collected authentic bamboo poles from northern Vietnam and characterized their design parameters. Four poles were extensively studied in the lab (load-deflection testing, resonance testing, and computed tomography scans of three-dimensional geometry), and 10 others were tested at a rural Vietnamese farm site (basic measures of form and resonance). A mass-spring-damper model was used to characterize a relationship between resonant frequency (which affects the energetics of the pole-carrier system) and pole properties concerning stiffness, damping, etc. Model predictions of resonant frequencies agreed well with empirical data. Although measured properties suggest the poles are not optimally designed to reduce peak oscillation forces, resonant frequencies are within range of a typical human walking cadence, and this is likely to have a consequence on locomotion energetics

The evolution of social health insurance in Vietnam and its role towards achieving universal health coverage

Our research examines the development of social health insurance (SHI) in Vietnam between 1992 and 2016 and SHI's role as a financial mechanism towards achieving universal health coverage (UHC). We reviewed and analysed legislation from the Government of Vietnam (GoV) and performance data from the GoV and the World Bank. Stages of development were identified from legislative change leading to change in SHI functioning as a public financing mechanism: revenue collection, pooling of risk, and purchasing. Movement towards UHC was assessed relative to: population coverage, benefit coverage, and financial protection. Vietnam has implemented SHI through five stages: Stage I (1992–1998), Stage II (1998–2005), Stage III (2005–2008), Stage IV (2008–2014), and Stage V (2014 onwards). Coverage has widened from a compulsory scheme for civil servants and pensioners and a voluntary scheme for others, to a scheme that targets the entire population. However, UHC has not been achieved with 19% of the population uninsured in 2016 and high out-of-pocket payments. The benefit package includes a wide range of services and many expensive medications and considered to be generous. It is recommended that Vietnam focus on improving population coverage rather than further expanding the benefit package to achieve UHC

Assessment of Aspergillus flavus Infection and Aflatoxin Contamination in Groundnut in Southern Vietnam

Groundnut is an important food and cash crop in Vietnam with a high export potential. Limited studies of foods in the country have indicated that aflatoxin contamination is a problem in groundnut and maize. Vietnam considers the aflatoxin problem in groundnut to be of great importance, especially in view of Vietnam's expanding trade in this commodity, and the increasing use of groundnut cake as animal feed, Systematic surveys were conducted to assess Aspergillus flevus infection and aflatoxin contamination in groundnuts from farmers' fields and marketsloil mills in the major groundnut-growing areas of southern Vietnam. Results indicated that preharvest aflatoxin contamination is not likely to be a serious problem in adequately irrigated groundnuts. However, groundnuts grown under residual moisture or limited irrigation can be contaminated under conducive environmental conditions prevailing in the winter-spring season as evidenced by moderate to high aflatoxin levels found in some samples. Soilborne diseases such as stemlpod rot and bacterial wilt prevalent in many parts of southern Vietnam are likely to encourage A. flavus invasion of podlseed in the field. It is emphasized that the aflatoxin problem should be viewed holistically as contamination can be pre- and postharvest with many factors influencing, e,g., the crop rotation, soil moisture, soilborne pests and diseases, crop produce drying and storage conditions. A brochure on "Aflatoxin contamination problems in groundnuts and groundnut products" was prepared (in English and Vietnamese) and distributed to many farmers, traders, and extension and research workers to enhance awareness of the aflatoxin problem and management option

Occurrence of White Grubs in Groundnut Crop in Uplands of South Vietnam: A New Report

Groundnut (Arachis hypogaea) is an important crop in South Vietnam covering more than 125,000 ha under different cropping systems. Crop surveys, and the onfarm research organized in Trang Bang, Cuchi, Duc Hoa and Go Dau during the past (until 2000), brought out the importance of the foliage feeding insect pests (Spodoptera, Helicoverpa) as economically important in farmers’ fields (Ranga Rao 1995). Field visits during the last week of May 2004 and interactions with the farmers in Tra Vinh province, villages around Cau Ngang town revealed the occurrence and importance of white grubs in this region. This soil-inhabiting pest is a menace in this area, which is in the heart of Mekong delta mostly covered by irrigated rice (Oryza sativa) cultivation with multiple cropping system

Conquering hypertension in Vietnam-solutions at grassroots level: study protocol of a cluster randomized controlled trial

BACKGROUND: Vietnam has been experiencing an epidemiologic transition to that of a lower-middle income country with an increasing prevalence of non-communicable diseases. The key risk factors for cardiovascular disease (CVD) are either on the rise or at alarming levels in Vietnam, particularly hypertension (HTN). Inasmuch, the burden of CVD will continue to increase in the Vietnamese population unless effective prevention and control measures are put in place. The objectives of the proposed project are to evaluate the implementation and effectiveness of two multi-faceted community and clinic-based strategies on the control of elevated blood pressure (BP) among adults in Vietnam via a cluster randomized trial design. METHODS: Sixteen communities will be randomized to either an intervention (8 communities) or a comparison group (8 communities). Eligible and consenting adult study participants with HTN (n = 680) will be assigned to intervention/comparison status based on the community in which they reside. Both comparison and intervention groups will receive a multi-level intervention modeled after the Vietnam National Hypertension Program including education and practice change modules for health care providers, accessible reading materials for patients, and a multi-media community awareness program. In addition, the intervention group only will receive three carefully selected enhancements integrated into routine clinical care: (1) expanded community health worker services, (2) home BP self-monitoring, and (3) a storytelling intervention, which consists of interactive, literacy-appropriate, and culturally sensitive multi-media storytelling modules for motivating behavior change through the power of patients speaking in their own voices. The storytelling intervention will be delivered by DVDs with serial installments at baseline and at 3, 6, and 9 months after trial enrollment. Changes in BP will be assessed in both groups at several follow-up time points. Implementation outcomes will be assessed as well. DISCUSSION: Results from this full-scale trial will provide health policymakers with practical evidence on how to combat a key risk factor for CVD using a feasible, sustainable, and cost-effective intervention that could be used as a national program for controlling HTN in Vietnam. TRIAL REGISTRATION: ClinicalTrials.gov NCT03590691 . Registered on July 17, 2018. Protocol version: 6. Date: August 15, 2019

All-sky search for time-integrated neutrino emission from astrophysical sources with 7 years of IceCube data

Since the recent detection of an astrophysical flux of high energy neutrinos, the question of its origin has not yet fully been answered. Much of what is known about this flux comes from a small event sample of high neutrino purity, good energy resolution, but large angular uncertainties. In searches for point-like sources, on the other hand, the best performance is given by using large statistics and good angular reconstructions. Track-like muon events produced in neutrino interactions satisfy these requirements. We present here the results of searches for point-like sources with neutrinos using data acquired by the IceCube detector over seven years from 2008--2015. The discovery potential of the analysis in the northern sky is now significantly below $E_\nu^2d\phi/dE_\nu=10^{-12}\:\mathrm{TeV\,cm^{-2}\,s^{-1}}$, on average $38\%$ lower than the sensitivity of the previously published analysis of four years exposure. No significant clustering of neutrinos above background expectation was observed, and implications for prominent neutrino source candidates are discussed.Comment: 19 pages, 17 figures, 3 tables; ; submitted to The Astrophysical Journa