Using penalty method in identification of elastic fixed stiffness of frame structure

This paper studies a method to identify the elastic fixed stiffness of the frame structure. The model of the problem is three dimensional structure, linear elastic deformation, pile - soil link is replaced by elastic fixed with stiffness. The problem will be solve by the penalty function method - the minimum of the objective function (which is the total squared error between the measured value and the calculated values particular) - combined with the finite element method. The numerical calculations show that the model, algorithm and calculation program are reliable. The program can be used to identify the elastic fixed stiffness of the frame structure in three dimension, serving to determine the actual working state of the structure, to propose solutions for reinforcement, repairing, improving bearing capacity, prolonging the life of the structure

An efficient adaptive fuzzy hierarchical sliding mode control strategy for 6 degrees of freedom overhead crane

The paper proposes a new approach to efficiently control a three-dimensional overhead crane with 6 degrees of freedom (DoF). Most of the works proposing a control law for a gantry crane assume that it has five output variables, including three positions of the trolley, bridge, and pulley and two swing angles of the hoisting cable. In fact, the elasticity of the hoisting cable, which causes oscillation in the cable direction, is not fully incorporated into the model yet. Therefore, our work considers that six under-actuated outputs exist in a crane system. To design an efficient controller for the 6 DoF crane, it first employs the hierarchical sliding mode control approach, which not only guarantees stability but also minimizes the sway and oscillation of the overhead crane when it transports a payload to a desired location. Moreover, the unknown and uncertain parameters of the system caused by its actuator nonlinearity and external disturbances are adaptively estimated and inferred by utilizing the fuzzy inference rule mechanism, which results in efficient operations of the crane in real time. More importantly, stabilization of the crane controlled by the proposed algorithm is theoretically proved by the use of the Lyapunov function. The proposed control approach was implemented in a synthetic environment for the extensive evaluation, where the obtained results demonstrate its effectiveness. © 2022 by the authors. Licensee MDPI, Basel, Switzerland

The Effect of ENSO on Hydrological Structure and Environment in the South Central Coast – Vietnam

ENSO (El Niño-Southern Oscillation) phenomena have impacted on the hydrodynamic regime and environmental factors of the tropical ocean in general. In case of Vietnamese South-Central Waters, impacts of ENSO only focused on issues of changing seasonal wind, seawater temperature anomalies, changing of water masses as the air-sea interaction. Based on several data sets collecting in the period of 2003-2017, new finding of seawater temperature, salinity and environmental factors was identified in the water masses of Vietnamese South-Central Waters. The highest salinity was 35.4 ‰. During the El Nino event, increasing water temperature and salinity caused to move the deeper water masses to be closer to the sea surface than that initial depth in the neutral period. During the La Nina event, the temperature of most water masses reduced by 0.1-3°C, and then these water masses could be affected to the deeper layer. During the phase from strong ENSO event towards the neutral time, nutrient salts of the 4 water masses were lower concentration in the neutral year, causing the lack of phosphorus in sea surface water masses

Graphene Effect on Efficiency of TiO2-based Dye Sensitized Solar Cells (DSSC)

Colloidal paste of TiO2 embedded with graphene (GS) was fabricated and used to spread TiO$_2$ film photo-electrode of DSSC solar cells. The dye N179 and Iodine-based electrolyte were used in the DSSC solar cells. Raman scattering, SEM images were used to identify the material phases and microstructure of the film photo-electrode. I/V characteristics of the DSSC cells were recorded at room temperature. Open-circuit voltage Voc, short-current $J_{sc}$ and efficiency η of the DSSC cells were estimated. It shows that graphene addition has affected on $V_{oc}$,$J_{sc}$ and $\eta$. The $V_{oc}$,$J_{sc}$ and $\eta$ abnormally depend on graphene content. The efficiency reached a maximal value with graphen concentration of 0.005 wt %, after that decreased. It is supposed to be related with an improving the charge transfer in the working photo-electrode of DSSC

Dry Eyes Status on Des Scale and Related Factors in Outpatients at Vietnam National Institute of Ophthalmology

BACKGROUND: Dry eye (DE) can effect on quality of life by pain, inability to perform certain activities that require prolonged attention (driving, reading,…) and productivity at work and finally effect to Q0L associated with DE. OSDI is scale questionnaire is created team to measure the quality of life related to ocular surface disease. AIM: To describe the dry eye disease according to OSDI scale and related factors of this disease. METHODS: A cross-sectional descriptive study was carried out on outpatients (≥ 16-year-old) who were examined and diagnosed with dry eyes at Vietnam National Institute Of Ophthalmology from April to July 2018. Data was collected using the OSDI questionnaire. RESULTS: The average age of participants was 44.6 years; 80.9% of patients were female; 39.9% were identified having mild dry eye. The related factors have been identified that associated with severe dry eye, including age OR = 1.03 (95%CI: 1.01-1.05, p = 0.005), binocular good vision OR = 0.11 (95%CI: 0.05-0.23; p < 0.0001), medical history OR = 17.09 (95%CI: 2.24-130.25; p < 0.0001), chronic conjunctivitis OR = 0.36 (95%CI: 0.14-0.91; p = 0.027), refractive errors OR = 0.14 (95%CI: 0.04-0.48; p < 0.0001), Sjogren's syndrome OR = 31.13 (95%CI: 7.08-136.76; p < 0.0001). CONCLUSION: Several related factors have been identified associated with severe dry eye, including: age, binocular good vision, medical history, chronic conjunctivitis, refractive errors, Sjogren's syndrome

Long short-term memory (LSTM) neural networks for short-term water level prediction in Mekong river estuaries

This study firstly adopts a state-of-the-art deep learning approach based on a Long Short-Term Memory (LSTM) neural network for predicting the hourly water level of Mekong estuaries in Vietnam. The LSTM models were developed from around 8,760 hourly data points within 2018 and were evaluated using the Nash-Sutcliffe efficiency coefficient (NSE), mean absolute error (MAE), and root mean square error (RMSE). The results showed that the NSE values for the training and testing steps were both above 0.98, which can be regarded as very good performance. Furthermore, the RMSE were between 0.09 and 0.11 m for the training and between 0.10 and 0.12 m for the testing, while MAE for the training ranged from 0.07 to 0.08 m and varied from 0.08 to 0.10 m for the testing. The LSTM networks appear to enable high precision and robustness in water level time series prediction. The outcomes of this research have crucial implications in river water level predictions, especially from the viewpoint of employing deep learning algorithms

‘When I tried to explain, they shouted back at me!’: exploring how community pharmacists navigate tensions implementing antimicrobial stewardship in Vietnam

Antimicrobial resistance is a major global and national health challenge, accelerated by ‘irrational’ antibiotic use. In response, Vietnam has been implementing a public health plan of antimicrobial stewardship since 2013 to reduce antibiotic sales in community pharmacies, although it has had limited effect. Given that private pharmacies are increasingly the entry point to access healthcare, reflective of the inhibited accessibility of primary healthcare, understanding how the positioning of community pharmacists shapes the delivery of antimicrobial stewardship plans warrant further investigation. This qualitative analysis draws on data from 24 in-depth interviews with licensed community pharmacists in Vietnam. Interviewees described being constrained in rationing the sale of antibiotics by tensions within their professional role, in which the delivery of antimicrobial stewardship within their public health commitments rubs up against commercial and social obligations to their livelihoods and communities respectively. The concept of ‘resistance’ provides insight into what obstructs the integration of national antimicrobial stewardship guidance and policy, hindering the transformation of local practices concerning antibiotic sales at the community level. Findings reveal opportunities to recast community pharmacists as ‘productive anchors’ who can facilitate the appropriate use of antibiotics and strengthen links to primary care within the local context. Structural changes are needed, however, so that people do not use antibiotics as a proxy for health care. Improving the accessibility of primary healthcare would also curtail the reliance on community pharmacists’ to dispense antibiotics as a local mechanism of financial protection and social care within community

Multiple Recurrent Acute Ischemic Strokes Treated by Thrombectomy in a Patient with Acute Pulmonary Embolism

BACKGROUND: Thrombectomy is recommended to treat for an acute ischemic stroke (AIS) patient with anterior large vessel occlusion. However, there were neither detailed guidelines nor systematic reviews of acute ischemic stroke patients having multiple times or re-occluded arteries. CASE REPORT: In our case report, we struggled a multiple (4-times) AIS patient underwent by one intravenous r-tpA and 3 remaining of endovascular treatment of thrombectomy. Especially, the finding of both pulmonary embolism and cerebral arteries occlusion in this patient made us difficult to decide the appropriate treatment plan. The patient was considered having multiple cardiac thrombi pumping out to the brain and pulmonary vessels even in treatment with NOAC (New Oral Anticoagulant). Our priority, normally, was to recanalize the brain vessels compared to the pulmonary arteries. CONCLUSION: In conclusion, based on this noticed case study, we want to share our experiences on the diagnosis of ischemic stroke, the strategy in treatment and prevention with anticoagulant therapy

Apramycin susceptibility of multidrug-resistant Gram-negative blood culture isolates in five countries in South-East Asia

Bloodstream infections (BSIs) are a leading cause of sepsis, a life-threatening condition that contributes significantly to the mortality of bacterial infections. Aminoglycoside antibiotics such as gentamicin or amikacin are essential medicines in the treatment of BSIs, but their clinical efficacy is increasingly compromised by antimicrobial resistance. The aminoglycoside apramycin has demonstrated preclinical efficacy against aminoglycoside- and multidrug-resistant (MDR) Gram-negative bacilli (GNB) and is currently in clinical development for the treatment of critical systemic infections. Here, we collected a panel of 470 MDR GNB isolates from health care facilities in Cambodia, Laos, Singapore, Thailand, and Vietnam for a multi-centre assessment of their antimicrobial susceptibility to apramycin in comparison to other aminoglycosides and colistin by broth microdilution assays. Apramycin and amikacin MICs ≤ 16 µg/mL were found for 462 (98.3%) and 408 (86.8%) GNB isolates, respectively. Susceptibility to gentamicin and tobramycin (MIC ≤ 4 µg/mL) was significantly lower at 122 (26.0%) and 101 (21.5%) susceptible isolates, respectively. Of note, all carbapenem- and third-generation cephalosporin (3GC) resistant Enterobacterales, all Acinetobacter baumannii, and all Pseudomonas aeruginosa isolates tested in this study appeared to be susceptible to apramycin. Of the 65 colistin-resistant isolates tested, only four (6.2%) had an apramycin MIC > 16 µg/mL. Apramycin demonstrated best-in-class activity against a panel of GNB isolates with resistances to other aminoglycosides, carbapenems, 3GC, and colistin, warranting continued consideration of apramycin as a drug candidate for the treatment of multidrug-resistant BSIs. Keywords: Bloodstream infection; Gram negative; aminoglycoside; antimicrobial resistance; apramycin; blood culture isolates

Antibiotic use and prescription and its effects on Enterobacteriaceae in the gut in children with mild respiratory infections in Ho Chi Minh City, Vietnam. A prospective observational outpatient study.

BACKGROUND AND OBJECTIVES: Treatment guidelines do not recommend antibiotic use for acute respiratory infections (ARI), except for streptococcal pharyngitis/tonsillitis and pneumonia. However, antibiotics are prescribed frequently for children with ARI, often in absence of evidence for bacterial infection. The objectives of this study were 1) to assess the appropriateness of antibiotic prescriptions for mild ARI in paediatric outpatients in relation to available guidelines and detected pathogens, 2) to assess antibiotic use on presentation using questionnaires and detection in urine 3) to assess the carriage rates and proportions of resistant intestinal Enterobacteriaceae before, during and after consultation. MATERIALS AND METHODS: Patients were prospectively enrolled in Children's Hospital 1, Ho Chi Minh City, Vietnam and diagnoses, prescribed therapy and outcome were recorded on first visit and on follow-up after 7 days. Respiratory bacterial and viral pathogens were detected using molecular assays. Antibiotic use before presentation was assessed using questionnaires and urine HPLC. The impact of antibiotic usage on intestinal Enterobacteriaceae was assessed with semi-quantitative culture on agar with and without antibiotics on presentation and after 7 and 28 days. RESULTS: A total of 563 patients were enrolled between February 2009 and February 2010. Antibiotics were prescribed for all except 2 of 563 patients. The majority were 2nd and 3rd generation oral cephalosporins and amoxicillin with or without clavulanic acid. Respiratory viruses were detected in respiratory specimens of 72.5% of patients. Antibiotic use was considered inappropriate in 90.1% and 67.5%, based on guidelines and detected pathogens, respectively. On presentation parents reported antibiotic use for 22% of patients, 41% of parents did not know and 37% denied antibiotic use. Among these three groups, six commonly used antibiotics were detected with HPLC in patients' urine in 49%, 40% and 14%, respectively. Temporary selection of 3rd generation cephalosporin resistant intestinal Enterobacteriaceae during antibiotic use was observed, with co-selection of resistance to aminoglycosides and fluoroquinolones. CONCLUSIONS: We report overuse and overprescription of antibiotics for uncomplicated ARI with selection of resistant intestinal Enterobacteriaceae, posing a risk for community transmission and persistence in a setting of a highly granular healthcare system and unrestricted access to antibiotics through private pharmacies. REGISTRATION: This study was registered at the International Standard Randomised Controlled Trials Number registry under number ISRCTN32862422: http://www.isrctn.com/ISRCTN32862422