Bacterial atmospheric contamination during routine dental activity

Routine dental procedures cause atmospheric bacterial contamination in the dental clinic and laboratory. This environmental hazard, quantified by the Air Microbial Index, was shown in our study to be directly related to aerosol creating instruments and ventilation.peer-reviewe

Bacterial cross-contamination between the dental clinic and laboratory during prosthetic treatment

Prosthetic treatment involves various stages in construction. This may result in cross-contamination between the dental clinic and laboratory. According to results obtained from the study, recommendations were made so as to reduce as much as possible cross-contamination, making a safer environment for the dental team and patient.peer-reviewe

Modeling predictors of risky drug use behavior among male street laborers in urban Vietnam

BACKGROUND: The application of theoretical frameworks for modeling predictors of drug risk among male street laborers remains limited. The objective of this study was to test a modified version of the IMB (Information-Motivation-Behavioral Skills Model), which includes psychosocial stress, and compare this modified version with the original IMB model in terms of goodness-of-fit to predict risky drug use behavior among this population. METHODS: In a cross-sectional study, social mapping technique was conducted to recruit 450 male street laborers from 135 street venues across 13 districts of Hanoi city, Vietnam, for face-to-face interviews. Structural equation modeling (SEM) was used to analyze data from interviews. RESULTS: Overall measures of fit via SEM indicated that the original IMB model provided a better fit to the data than the modified version. Although the former model was able to predict a lesser variance than the latter (55% vs. 62%), it was of better fit. The findings suggest that men who are better informed and motivated for HIV prevention are more likely to report higher behavioral skills, which, in turn, are less likely to be engaged in risky drug use behavior. CONCLUSIONS: This was the first application of the modified IMB model for drug use in men who were unskilled, unregistered laborers in urban settings. An AIDS prevention program for these men should not only distribute information and enhance motivations for HIV prevention, but consider interventions that could improve self-efficacy for preventing HIV infection. Future public health research and action may also consider broader factors such as structural social capital and social policy to alter the conditions that drive risky drug use among these men

Cache-affinity scheduling for fine grain multithreading

Cache utilisation is often very poor in multithreaded applications, due to the loss of data access locality incurred by frequent context switching. This problem is compounded on shared memory multiprocessors when dynamic load balancing is introduced and thread migration disrupts cache content. In this paper, we present a technique, which we refer to as ‘batching’, for reducing the negative impact of fine grain multithreading on cache performance. Prototype schedulers running on uniprocessors and shared memory multiprocessors are described, and finally experimental results which illustrate the improvements observed after applying our techniques are presented.peer-reviewe

Vietnam’s healthcare system decentralization : how well does it respond to global health crises such as COVID-19 pandemic?

This article discussed Vietnam’s ongoing efforts to decentralize the health system and its fitness to respond to global health crises as presented through the Covid-19 pandemic. We used a general review and expert’s perspective to explore the topic. We found that the healthcare system in Vietnam continued to decentralize from a pyramid to a wheel model. This system shifts away from a stratified technical hierarchy of higher- and lower-level health units (pyramid model) to a system in which quality healthcare is equally expected among all health units (wheel model). This decentralization has delivered more quality healthcare facilities, greater freedom for patients to choose services at any level, a more competitive environment among hospitals to improve quality, and reductions in excess capacity burden at higher levels. It has also enabled the transformation from a patient-based traditional healthcare model into a patient-centered care system. However, this decentralization takes time and requires long-term political, financial commitment, and a working partnership among key stakeholders. This perspective provides Vietnam’s experience of the decentralization of the healthcare system that may be consider as a useful example for other countries to strategically think of and to shape their future system within their own socio-political context. Copyright © 2020 Via Medic

HIV risks and prevention: themes from a community forum among African community members in Queensland

Introduction: Significant health disparities persist regarding new/late HIV diagnoses among HIV sub-Saharan African communities in Australia . A wide range of personal and cultural beliefs and practices significantly influence HIV risk and prevention both within Australia and during return visits to countries of origin. Method: A community forum was conducted which included 23 male and female adult members of African community agencies/networks and stakeholders. The forum was facilitated by cultural workers and an experienced clinician/researcher. The forum consisted of small and large group discussions regardingkey topics with responses transcribed verbatim. Thematic analysis was utilised to analyse data collected at the forum. Ethics approval was obtained. Results: Issues of stigma and denial, social norms, tradition and culture permeated perceptions and beliefs regarding HIV prevention and transmission among African Australians, particularly in relation to return travel to countries of origin. Conclusions: The role of international travel as a risk factor for HIV acquisition requires increased examination and review, as do the role of the GP and Pre-exposure prophylaxis (PrEP) as responses to that risk. Further assessment of PrEP as an appropriate and feasible intervention within the community is needed with careful attention given to negative community perceptions and its potential impact on individuals

Comparison of government and non-government alcohol and other drug (AOD) treatment service delivery for the lesbian, gay, bisexual, and transgender (LGBT) community

Background: Lesbian, gay, bisexual, and transgender (LGBT) populations are more likely to misuse alcohol and other drugs (AOD), compared to the general population. However, LGBT engagement with AOD treatment is often precluded by insensitivity and misunderstanding of LGBT issues. These treatment barriers may be a consequence of either worker attitudes, organizational factors or a combination of both. Few studies have compared service context as an impediment to AOD treatment. Objectives: This pilot study sought to examine and compare staff attitudes, knowledge and awareness of LGBT issues in two state-wide AOD services within Australia. One organization was a government service, whilst the other was faith based. Methods: A cross-sectional study of a convenience sample (N = 130) of workers employed in a state-wide government AOD service (n = 65), and a state-wide non-government service (n = 65) was conducted. Participants self-completed a questionnaire comprising tools previously used to assess staff attitudes, knowledge and awareness of LGBT issues. Results: Few significant differences in attitudes and awareness of LGBT issues between government and non-government respondents were found. Nearly all respondents were supportive of LGBT persons irrespective of organizational context, with a small number of negative views. Although most respondents demonstrated awareness of organizational policies and practices relating to LGBT clients, many were “unsure” or “neutral” of what these might be. Conclusion: It is confirming that the majority of staff report supportive attitudes towards LGBT clients. Findings suggest that organizations need to continue to take leadership to strengthen organizational training and capacity to deliver LGBT friendly AOD treatment practices

Medical students need a core curriculum based on CEFR (Common European Framework of Reference for Languages)

Literature Review: The traditional approach to teaching English in Vietnamese medical schools prioritises grammar over communication skills, the effectiveness of which is increasingly under consideration. The objective of this study was to assess undergraduate medical students' satisfaction and needs with their current English training in order to evaluate the appropriateness of a training program based on CEFR. Methods: In a crosssectional survey utilizing a self-reported structured questionnaire, a sample of 487 students was selected from the students of Hanoi Medical University. Results: Forty-two percent of students reported they were not satisfied with the existing English curriculum with 77.2% and 55.4% of students identifying a disproportionate focus on medical terminology and grammar respectively, rather than on listening and communication skills. Most (83%) preferred a CEFR-based English program with extra course focusing on medical disciplines in active manners (pair work, group work, role play). All undergraduate student groups preferred CEFR-based training (ranging from 77.92% among general medical doctors up to 94.44% among bachelor of public health). The perceived need for English language skills was high with almost 60% of students wanting English courses focusing on the communication skills of reading, listening, speaking and writing. Conclusions: The results of this study highlight the need for a review and revision of the English language curriculum as taught within Vietnamese Medical Schools with an emphasis on the design of new teaching materials that meet the needs of both medical students and society. The curriculum should prioritize the communication skills of reading, listening, speaking and writing. It should cover topics related to medicine such as human anatomy, surgery and medical advances and offer learners a wide range of exercises including true/false, matching, multiple choice and gap-filling questions

The role of density breaks in driving spiral structure in disc galaxies

It is well established that stellar discs are destabilized by sharp features in their phase space, driving recurrent spiral modes. We explore the extent to which surface-density breaks in disc galaxies - which represent sharp changes in the gradient of the disc density - drive new spiral modes. We employ linear perturbation theory to investigate how disc breaks alter the eigenmode spectrum of an otherwise pure exponential disc. We find that the presence of a density break gives rise to a set of new, vigorously growing, modes. For a given multiplicity, these edge modes occur in pairs, with closely separated resonances between each pair. The growth rate of edge modes decreases when the break is weakened or moved outward to lower-density regions of the disc. Both down- and up-bending profiles excite edge modes, whose origin can be best understood via the gravitational torques they exert on the underlying disc. When the profile is down-bending (Type II) the faster growing mode is the inner one while in the up-bending (Type III) case the outer mode is faster growing. In both cases the faster growing mode has a corotation almost coincident with the break. We show that the torques of the edge modes tend to smoothen the break

Interaction of microbiology and pathology in women undergoing investigations for infertility.

BACKGROUND: Cases of endometriosis with no tubal damage are associated with infertility, suggesting an immunological rather than mechanical barrier to reproduction. Laparoscopy and falloposcopy results of clinically asymptomatic women undergoing investigation of infertility were correlated with the outcomes of microbiological screening for Chlamydia trachomatis, Mycoplasma pneumoniae, Mycoplasma hominis, ureaplasma species, Neisseria gonorrhoeae, Neisseria meningitidis and Chlamydia pneumoniae. METHODS: A total of 44 women presenting to a hospital IVF service for laparoscopic or laparoscopic/falloposcopic investigation of infertility provided endocervical swabs, fallopian tube washings, and peripheral whole blood for analysis. RESULTS: Of these 44 women, 15.9% (7) showed evidence of C. trachomatis infection as detected by either PCR or EIA serology. Of these 7 women, 5 (71%) had no or mild endometriosis and 2 (29%) had moderate or severe endometriosis. Of the remaining 37 women who showed no evidence of chlamydial infection, 15 (40.5%) had no or mild endometriosis. CONCLUSION: Women with infertility, but without severe endometriosis at laparoscopy, showed a trend towards tubal damage and a higher rate of previous C. trachomatis infection. Although not statistically significant, this trend would suggest that, where moderate to severe tubal damage is found to be the primary cause of infertility, C. trachomatis infection could be a likely cause for such tubal damage