Alcohol Use, Risk Taking, Leisure Activities and Health Care Use Among Young People in Northern Vietnam

Alcohol consumption is associated with a wide range of health and social consequences. It is also associated with a number of risk taking behaviours. These include illicit drug use and unsafe sex.  Alcohol consumption appears to be increasing in Vietnam. The purpose of this paper is to examine the patterns of alcohol consumption and its relationship with a number of other risk taking behaviours amongst young people.  Information was also obtained concerning leisure activities and use of health care. The paper also sets out to examine possible gender differences in relation to alcohol consumption and risk behaviour and to propose the development and implementation of alcohol monitoring and prevention programs in Vietnam.  The study involved a cross-sectional, community survey using a standardised interview.  This was conducted during face-to-face interviews with 1,408 young people aged 10-19 years.  Respondents were recruited randomly through the lists of the households from 12 selected communes in three areas in Northern Vietnam. The findings presented here were part of a larger health risk behaviour survey.  Levels of alcohol use were low. Overall, 16.5% of participants were experienced drinkers, and only 4% of them were current drinkers. Males were significantly more likely than females to report drinking. This study also showed that rates of alcohol consumption were associated with age, education, geographical area, gender, tobacco smoking, involvement in violence, watching television, computer use and playing computer games, wearing safety helmets and use of health services. Alcohol consumption tended to increase with age for both males and females.  Alcohol and its effects on young people are clearly a growing public health issue in Vietnam.  Because of this, more detailed behavioral research should be conducted into the relationship between alcohol consumption and other risky behaviours amongst young people.  It is also recommended that alcohol harm reduction policies should be implemented and integrated into measures to reduce levels of other health problems such as HIV/AIDS and non communicable diseases. Such policies should ideally be evidence-based and evaluated

Direct costs of hypertensive patients admitted to hospital in Vietnam:a bottom-up micro-costing analysis

Background: There is an economic burden associated with hypertension both worldwide and in Vietnam. In Vietnam, patients with uncontrolled high blood pressure are hospitalized for further diagnosis and initiation of treatment. Because there is no evidence on costs of inpatient care for hypertensive patients available yet to inform policy makers, health insurance and hospitals, this study aims to quantify direct costs of inpatient care for these patients in Vietnam. Methods: A retrospective study was conducted in a hospital in Vietnam. Direct costs were analyzed from the health-care provider's perspective. Hospital-based costing was performed using both bottom-up and micro-costing methods. Patients with sole essential or primary hypertension (ICD-code I10) and those comorbid with sphingolipid metabolism or other lipid storage disorders (ICD-code E75) were selected. Costs were quantified based on financial and other records of the hospital. Total cost per patient resulted from an aggregation of laboratory test costs, drug costs, inpatient-days' costs and other remaining costs, including appropriate allocation of overheads. Both mean and medians, as well as interquartile ranges (IQRs) were calculated. In addition to a base-case analysis, specific scenarios were analyzed. Results: 230 patients were included in the study (147 cases with I10 code only and 83 cases with I10 combined with E75). Median length of hospital stay was 6 days. Median total direct costs per patient were US$65 (IQR: 37 -95). Total costs per patient were higher in the combined hypertensive and lipid population than in the sole hypertensive population at US$78 and US$53, respectively. In all scenarios, hospital inpatient days' costs were identified as the major cost driver in the total costs. Conclusions: Costs of hospitalization of hypertensive patients is relatively high compared to annual medication treatment at a community health station for hypertension as well as to the total health expenditure per capita in Vietnam. Given that untreated/undetected hypertension likely leads to more expensive treatments of complications, these findings may justify investments by the Vietnamese health-care sector to control high blood pressure in order to save downstream health care budgets

A voltage electrical distance application for power system load shedding considering the primary and secondary generator controls

This paper proposes a method for determining location and calculating the minimum amount of power load needed to shed in order to recover the frequency back to the allowable range. Based on the consideration of the primary control of the turbine governor and the reserve power of the generators for secondary control, the minimum amount of load shedding was calculated in order to recover the frequency of the power system. Computation and analysis of the voltage electrical distance between the outage generator and the loads to prioritize distribution of the amount power load shedding at load bus positions. The nearer the load bus from the outage generator is, the higher the amount of load shedding will shed and vice versa. With this technique, a large amount of load shedding could be avoided, hence, saved from economic losses, and customer service interruption. The effectiveness of the proposed method tested on the IEEE 37 bus 9 generators power system standard has demonstrated the effectiveness of this method

Assessing Dietary Branched-Chain Amino Acids to Achieve Linear Programming Goals through Model Extrapolation and Empirical Research

Renewed interest, especially in the United States, has sparked in assessing branched-chain amino acid interactions in practical diets for broilers. Indeed, as L-valine enters formulation bird nitrogen excesses are reduced as diet protein falls to the new first limiting amino acid (e.g., isoleucine, arginine, or tryptophan). For a United States based example, the result is less oilseeds and more gains, which typically result in increased inclusions in corn or corn by-products, coupled with a concomitant increase in dietary leucine. The proceedings outline the foundations of the branched-chain amino acid early research, antagonism studies, and a meta-analysis conducted on publications with Cobb and Ross birds from 2000 to present. Results indicate that branched-chain amino acid interactions can occur in broilers fed on practical diets, and that responses vary by strain

Is Vietnam in need of supportive policies for promoting roots and tubers development? Insights from Quang Binh province

Despite their relative importance to the Vietnamese agri-food system, root and tuber crops are under-represented in terms of supportive policies at national level. The case of Quang Binh province shows the existence of potentially more conducive frameworks at provincial level, recognizing cassava as one the three provincial strategic crops and highlighting the roles of root and tuber crops in general in replacing other crops vulnerable to climate change

A Time to Mourn: Cultural Considerations and Community Preferences for Verbal Autopsy in Vietnam

Reliable mortality data becomes necessary to realise the full functioning of national health systems. Verbal autopsy (VA) is a viable tool to identify cause-of-death in Vietnam and has already utilised in a number of studies. This qualitative study (in-depth interviews and focus group discussions) had been done with the aim to examine the views of six ethnic groups in Vietnam on the suitable timing for implementing VA after a death. Recommendations on what were the suitable timing varied significantly between minorities ethnic groups, reflecting their particular cultural beliefs and burial practices. For the dominant Kinh people, the suitable timing for VA was around 49-100 days after the funeral. By providing better understanding of the best timing for VA interview, our study enables researchers to optimally use VA methods, producing more reliable data for mortality rates and cause of death in the lack of a complete vital registration in Vietnam

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