Interregional Input-Output Analysis between the Mekong Delta Region (MDR) and the Rest of Vietnam (ROV)

The Mekong Delta is an important economic area, located in the southern part of Vietnam. The Mekong Delta has many potential and opportunities for development, but also new challenges in the context of global climate change, sea level rise, as well as the consequences of blocking the river and the Mekong countries also need to increase competition in international integration. In addition to these challenges, the region also has new opportunities when implementing economic restructuring in line with the policy of restructuring the economy in new conditions, including the establishment of special economic zones as PhuQuoc Resort. Besides analysis based on modern economic theory, this paper uses the input-output framework (I/O Inter-sect oral Scope Model) updated in 2016 for two areas: by the Mekong River and the Rest of Vietnam (ROV) to find inter-regional impacts and to calculate some impact assessments of climate change. The study also analyzes some other factors related to the viewpoint of sustainable regional development in new conditions, income distribution and social security

Quy trình gia công và phân tích hóa thạch Tảo vôi, áp dụng cho các trầm tích ven biển tỉnh Sóc Trăng

Calcareous nannofossils are very small microfossils composed of calcium carbonate. They are very good biostratigraphic markers within marine sediments by covering the Jurassic to present. The standard preparation of a sample for nannofossil analysis requires the collection of the largest quantity and the best fossils. Sample preparation accords to the following steps: i. Pounding sample; ii. Eliminating organic matter; iii. Washing sample; iv. Filter sample through the sieve; v. Eliminating clay; vi. Drying sample in an incubator; vii. Packing sample. Sample analysis accords to the following steps: i. Preparation of smear - slide; ii. Observation of morphology; iii. Determination; iv. Taking photo; v. Evaluating overall preservation and abundance of fossils; vi. Making analysis result sheet. This process is applied to study calcareous nannofossils within marine sediments in Soc Trang province. It makes much clear to understand middle Pleistocene-early Holocene ecosystem of calcareous nannofossil. In conclusion, this assemblage belongs to NN21 zone by the present of Emiliania huxleyi and Gephyrocapsa oceanica.Hóa thạch Tảo vôi có kích thước rất nhỏ, thành phần chính là canxi carbonat. Chúng là hóa thạch định tầng rất tốt cho các trầm tích biển có tuổi từ Jura đến nay. Để nghiên cứu hóa thạch Tảo vôi, cần tiến hành gia công và phân tích mẫu theo đúng quy trình để thu được lượng hóa thạch nhiều nhất và bảo tồn tốt nhất. Quy trình gia công gồm các bước sau: i. giã mẫu; ii. tẩy keo hữu cơ; iii. rửa mẫu; iv. lọc mẫu; v. tẩy sét; vi. sấy mẫu; vii. đóng gói. Quy trình phân tích tiến hành theo những bước sau: i. chuẩn bị tiêu bản; ii. nghiên cứu đặc điểm hình thái của hóa thạch; iii. xác định hóa thạch; iv. chụp ảnh hóa thạch; v. đánh giá mức độ bảo tồn và phong phú của hóa thạch; vi. lập phiếu kết quả phân tích. Kết quả áp dụng quy trình cho các trầm tích ven biển tỉnh Sóc Trăng đã góp phần làm sáng tỏ hệ sinh thái Tảo vôi ở khu vực nghiên cứu trong Pleistocen giữa - Holocen sớm. Tập hợp hóa thạch ở khu vực ven biển Sóc Trăng thuộc sinh đới NN21 với bằng chứng là sự xuất hiện của Emiliania huxleyi và Gephyrocapsa oceanica

Lung Volume Reduction Surgery in Patients with Heterogenous Emphysema: Selecting Perspective

BACKGROUND: Lung volume reduction surgery (LVRS) was introduced to alleviate clinical conditions in selected patients with heterogenous emphysema. Clarifying the most suitable patients for LVRS remained unclear. AIM: This study was undertaken to specifically analyze the preoperative factor affecting to LVRS. METHODS: The prospective study was conducted at 103 Military Hospital between July 2014 and April 2016. Severe heterogenous emphysema patients were selected to participate in the study. The information, spirometry, and body plethysmographic pulmonary function tests in 31 patients who underwent LVRS were compared with postoperative outcomes (changing in FEV1 and CAT scale). RESULTS: Of the 31 patients, there was statistically significant difference in the outcome of functional capacity, lung function between two groups (FEV1 ≤ 50% and > 50%) (∆FEV1: 22.46 vs 18.32%; p = 0.042. ∆CAT: 6.85 vs 5.07; p = 0.048). Changes of the FEV1 and CAT scale were no statistically significant differences in three groups residual volume. Patients with total lung capacity < 140% had more improved than others (∆FEV1: 23.81 vs 15.1%; p = 0.031). CONCLUSION: Preoperative spirometry and body plethysmographic pulmonary function tests were useful measures to selected severe heterogenous emphysema patients for LVRS. Patients with FEV1 ≤ 50%, TLC in the range of 100-140% should be selected

Effects of Electroporation on Biological Membranes Exposed to High Potentials

This study first considers that voltages of cellular organelle membranes could significanly surpass these of plasma membranes under the influence of ultrashort and high-intensity electric pulse. This is due to the voltages induced on the membrane. Using an approximate theory coordinated with the Kotnik's analytical method, considering the electroporation, we focus on the reactions of cell membranes placed in a trapezoidal pulse. Then, we discuss conductive power dissipations of normal cell and cancer cell generated by a sinusoidal exposure which include dielectric relaxation effects. In comparison with  the complex numerical calculations of Joshi \textit{et al}, our results are in very good agreement

Chronic Pulmonary Aspergillosis Situation among Post Tuberculosis Patients in Vietnam: An Observational Study

From MDPI via Jisc Publications RouterHistory: accepted 2021-06-28, pub-electronic 2021-06-30Publication status: PublishedThis study provides a brief view of chronic pulmonary aspergillosis (CPA) in the post-tuberculosis treatment community in Vietnam, a high burden tuberculosis (TB) country. In three months in late 2019, 70 post-TB patients managed at Vietnam National Lung Hospital were enrolled. Of these, 38 (54.3%) had CPA. The male/female ratio was 3/1 (28 males and ten females). CPA patients had a mean age of 59 ± 2.3 years (95%CI 54.4–63.6). The mean Body mass index (BMI) was 19.0 ± 0.5 (18.0–20.0) and 16 of 38 (42.1%) patients had concurrent diseases, the most common of which were chronic obstructive pulmonary disease (COPD) and diabetes. Twenty-six patients (68.4%) developed hemoptysis, 21 (55.3%) breathlessness, and weight loss was seen in 30 (78.9%). Anaemia was seen in 15 (39.5%) and 27 of 38 (71.1%) patients had an elevated C-reactive protein (CRP). The most common radiological findings were multiple cavities (52.6%) and pleural thickening (42.7%), followed by aspergilloma (29.0%) and non-specific infiltrates. There were five of 38 patients (13.2%) with a cavity containing a fungal ball on the chest X-ray, but when the high resolution computed tomography (HRCT) was examined, the number of patients with fungal balls rose to 11 (28.9%). Overall, 34 of 38 (89.5%) cases had an elevated Aspergillus IgG with an optical density ≥ 1, and in 2 cases, it was 0.9–1.0 (5%), borderline positive. In nine patients (23.7%) Aspergillus fumigatus was cultured from sputum. CPA is an under-recognised problem in Vietnam and other high burden TB countries, requiring a different diagnostic approach and treatment and careful management. HRCT and Aspergillus IgG serum test are recommended as initial diagnostic tools for CPA diagnosis

A comparative impact evaluation of two human resource models for community-based active tuberculosis case finding in Ho Chi Minh City, Viet Nam

Background: To achieve the WHO End TB Strategy targets, it is necessary to detect and treat more people with active TB early. Scale–up of active case finding (ACF) may be one strategy to achieve that goal. Given human resource constraints in the health systems of most high TB burden countries, volunteer community health workers (CHW) have been widely used to economically scale up TB ACF. However, more evidence is needed on the most cost-effective compensation models for these CHWs and their potential impact on case finding to inform optimal scale-up policies. Methods: We conducted a two-year, controlled intervention study in 12 districts of Ho Chi Minh City, Viet Nam. We engaged CHWs as salaried employees (3 districts) or incentivized volunteers (3 districts) to conduct ACF among contacts of people with TB and urban priority groups. Eligible persons were asked to attend health services for radiographic screening and rapid molecular diagnosis or smear microscopy. Individuals diagnosed with TB were linked to appropriate care. Six districts providing routine NTP care served as control area. We evaluated additional cases notified and conducted comparative interrupted time series (ITS) analyses to assess the impact of ACF by human resource model on TB case notifications. Results: We verbally screened 321,020 persons in the community, of whom 70,439 were eligible for testing and 1138 of them started TB treatment. ACF activities resulted in a + 15.9% [95% CI: + 15.0%, + 16.7%] rise in All Forms TB notifications in the intervention areas compared to control areas. The ITS analyses detected significant positive post-intervention trend differences in All Forms TB notification rates between the intervention and control areas (p = 0.001), as well as between the employee and volunteer human resource models (p = 0.021). Conclusions: Both salaried and volunteer CHW human resource models demonstrated additionality in case notifications compared to routine case finding by the government TB program. The salaried employee CHW model achieved a greater impact on notifications and should be prioritized for scale-up, given sufficient resources