Forager and farmer evolutionary adaptations to malaria evidenced by 7000 years of thalassemia in Southeast Asia

Thalassemias are inherited blood disorders that are found in high prevalences in the Mediterranean, Southeast Asia and the Pacific. These diseases provide varying levels of resistance to malaria and are proposed to have emerged as an adaptive response to malaria in these regions. The transition to agriculture in the Holocene has been suggested to have influenced the selection for thalassemia in the Mediterranean as land clearance for farming encouraged interaction between Anopheles mosquitos, the vectors for malaria, and human groups. Here we document macroscopic and microscopic skeletal evidence for the presence of thalassemia in both hunter-gatherer (Con Co Ngua) and early agricultural (Man Bac) populations in northern Vietnam. Firstly, our findings demonstrate that thalassemia emerged prior to the transition to agriculture in Mainland Southeast Asia, from at least the early seventh millennium BP, contradicting a long-held assumption that agriculture was the main driver for an increase in malaria in Southeast Asia. Secondly, we describe evidence for significant malarial burden in the region during early agriculture. We argue that the introduction of farming into the region was not the initial driver of the selection for thalassemia, as it may have been in other regions of the world

Forager and farmer evolutionary adaptations to malaria evidenced by 7000 years of thalassemia in Southeast Asia.

Funder: Royal Society of New Zealand Skinner FundFunder: University of Otago Doctoral ScholarshipThalassemias are inherited blood disorders that are found in high prevalences in the Mediterranean, Southeast Asia and the Pacific. These diseases provide varying levels of resistance to malaria and are proposed to have emerged as an adaptive response to malaria in these regions. The transition to agriculture in the Holocene has been suggested to have influenced the selection for thalassemia in the Mediterranean as land clearance for farming encouraged interaction between Anopheles mosquitos, the vectors for malaria, and human groups. Here we document macroscopic and microscopic skeletal evidence for the presence of thalassemia in both hunter-gatherer (Con Co Ngua) and early agricultural (Man Bac) populations in northern Vietnam. Firstly, our findings demonstrate that thalassemia emerged prior to the transition to agriculture in Mainland Southeast Asia, from at least the early seventh millennium BP, contradicting a long-held assumption that agriculture was the main driver for an increase in malaria in Southeast Asia. Secondly, we describe evidence for significant malarial burden in the region during early agriculture. We argue that the introduction of farming into the region was not the initial driver of the selection for thalassemia, as it may have been in other regions of the world

Associations of Underlying Health Conditions With Anxiety and Depression Among Outpatients: Modification Effects of Suspected COVID-19 Symptoms, Health-Related and Preventive Behaviors

Objectives: We explored the association of underlying health conditions (UHC) with depression and anxiety, and examined the modification effects of suspected COVID-19 symptoms (S-COVID-19-S), health-related behaviors (HB), and preventive behaviors (PB).Methods: A cross-sectional study was conducted on 8,291 outpatients aged 18–85 years, in 18 hospitals and health centers across Vietnam from 14th February to May 31, 2020. We collected the data regarding participant's characteristics, UHC, HB, PB, depression, and anxiety.Results: People with UHC had higher odds of depression (OR = 2.11; p < 0.001) and anxiety (OR = 2.86; p < 0.001) than those without UHC. The odds of depression and anxiety were significantly higher for those with UHC and S-COVID-19-S (p < 0.001); and were significantly lower for those had UHC and interacted with “unchanged/more” physical activity (p < 0.001), or “unchanged/more” drinking (p < 0.001 for only anxiety), or “unchanged/healthier” eating (p < 0.001), and high PB score (p < 0.001), as compared to those without UHC and without S-COVID-19-S, “never/stopped/less” physical activity, drinking, “less healthy” eating, and low PB score, respectively.Conclusion: S-COVID-19-S worsen psychological health in patients with UHC. Physical activity, drinking, healthier eating, and high PB score were protective factors

Prevalence and Risk Factors for Tuberculosis Infection among Hospital Workers in Hanoi, Viet Nam

BACKGROUND: Transmission of tuberculosis (TB) to health care workers (HCWs) is a global issue. Although effective infection control measures are expected to reduce nosocomial TB, HCWs' infection has not been assessed enough in TB high burden countries. We conducted a cross-sectional study to determine the prevalence of TB infection and its risk factors among HCWs in Hanoi, Viet Nam. METHODOLOGY/PRINCIPAL FINDINGS: A total of 300 HCWs including all staff members in a municipal TB referral hospital received an interferon-gamma release assay (IGRA), QuantiFERON-TB Gold In-Tube(TM), followed by one- and two-step tuberculin skin test (TST) and a questionnaire-based interview. Agreement between the tests was evaluated by kappa statistics. Risk factors for TB infection were analyzed using a logistic regression model. Among the participants aged from 20 to 58 years (median = 40), prevalence of TB infection estimated by IGRA, one- and two-step TST was 47.3%, 61.1% and 66.3% respectively. Although the levels of overall agreement between IGRA and TST were moderate, the degree of agreement was low in the group with BCG history (kappa = 0.29). Working in TB hospital was associated with twofold increase in odds of TB infection estimated by IGRA. Increased age, low educational level and the high body mass index also demonstrated high odds ratios of IGRA positivity. CONCLUSIONS/SIGNIFICANCE: Prevalence of TB infection estimated by either IGRA or TST is high among HCWs in the hospital environment for TB care in Viet Nam and an infection control program should be reinforced. In communities with heterogeneous history of BCG vaccination, IGRA seems to estimate TB infection more accurately than any other criteria using TST

Idraulica postmoderna, amnesie fluviali e luoghi ritrovati: il Contratto di Fiume come strategia per il recupero di qualità urbanistica.

The main goal of this article is to point out the way to recovery the meaningful cultural and symbolic heritage related to the prolonged history of European waterscapes formation. Today water has to be considered more and more not only as a common good but also as a strategic tool in order to plan an overall and more effectual territorial governance. A challenging and, to some extent, alarming future is demanding a new hydraulic humanism in which it could be possible to foster innovative interconnections among water engineering, anthropology, historical geography, environmental psychology, sustainable recreation. In this research the Italian case will be dealt with, trying to focus on the delays and struggles which are preventing a good synergy between legislation and practical action. The Contract of River can therefore be seen as a significant opportunity to implement the most relevant paradigms of the Humanistic Geography, in which “places” are soundly embedded in social and symbolic involvement of its inhabitants

Opportunities for farmers: 'Safe' vegetables for Hanoi

Vietnamese boeren gebruiken voor de intensieve groententeelt veel verschillende pesticiden, waaronder zeer gevaarlijke. Nieuwe, winstgevende markten zijn een stimulans om over te gaan op meer duurzame productie. Het huidige marketing systeem maakt het moeilijk een 100 procent waterdichte "veilige" groentenafzetketen te ontwikkelen. De nieuwe marketingkanalen van "veilige" groentencoöperaties naar kantines, restaurants, winkels en supermarkten lijken goede kansen te biede

Combined steam and CO2 reforming of methane for syngas production over carbon-resistant boron-promoted Ni/SBA-15 catalysts

The unpromoted and B-promoted 10%Ni/SBA-15 catalysts synthesized via sequential incipient wetness impregnation approach were assessed for combined steam and CO2 reforming of methane (CSCRM) at various reaction temperatures of 973–1073 K and stoichiometric feed composition. An expected and noteworthy drop in mean NiO crystallite size and BET surface area with boron promotion from 1% to 5%B loading could be due to the agglomeration of B2O3 particles and deboration reaction during calcination and hence blocking mesopores of SBA-15 support at elevated B composition. The complete NiO reduction to metallic Ni0 form was achieved during H2 activation and the reduction temperature of NiO phase was shifted towards higher temperature with B-addition owing to enhancing interaction between the acidic B2O3 and basic NiO phases. For all reaction temperature employed, 3%B appeared to be the optimal promoter loading in terms of reactant conversions and 3%B-10%Ni/SBA-15 catalyst revealed the greatest H2 yield (69.4%) at 1073 K. In addition, CH4 and CO2 conversions were enhanced about 23.2% and 32.4%, correspondingly with rising reaction temperature from 973 to 1073 K. Ratio of H2 to CO varied from 1.26 to 2.71 and the desired H2/CO ratio of about 2 favored for Fischer-Tropsch synthesis was achieved on 3%B-10%Ni/SBA-15 sample at 973 K. Boron promoter suppressed graphitic carbon formation and the amount of carbonaceous deposition was reduced about 4 times. Noticeably, 3%B-10%Ni/SBA-15 was also resilient to metallic Ni0 re-oxidation throughout CSCRM

Size-dependent nonlinear analysis and damping responses of FG-CNTRC micro-plates

This paper presents a nonlinear numerical model, which is based on the modified couple stress theory (MCST), and trigonometric shear deformation theory coupled with isogeometric analysis. The present approach captures the small scale effects on the geometrically nonlinear behaviors of functionally graded carbon nanotube reinforced composite (FG-CNTRC) micro-plate with four patterns distribution. The equations of motion are established based on a Galerkin weak form associated with von-Kármán nonlinear strains. The MCST utilizes only one material length scale parameter to predict the size effect in FG-CNTRC micro-plate, for which its material properties are derived from an extended rule of mixture. The solutions of nonlinear static equation are obtained by using the Newton–Raphson technique and the Newmark time iteration procedure in association with Picard method is assigned to get responses of the nonlinear dynamic problems. In addition, the Rayleigh damping is applied to consider the influence of damping characteristic on the oscillation of FG-CNTRC micro-plates. Comparisons are performed to verify the proposed approach. Afterward, the numerical examples are used to show the effects of the distribution of carbon nanotubes (CNT), their volume fraction, the material length scale parameter and the boundary conditions on the nonlinear static and dynamic behaviors of FG-CNTRC micro-plates.Peer reviewe