Characterization of cassava production systems in Vietnam.

Using a nationally representative survey of cassava-growing households in Vietnam and a robust method of varietal identification based on DNA fingerprinting, this paper provides a broad picture of cassava production and socio-economic characteristics of cassava producers in the country. It presents a descriptive analysis of cassava production practices, varietal use, varietal preferences, as well as cassava utilization, and marketing. Results indicate that more than 85% of the cassava area in Vietnam is planted to improved varieties. The average yield at national level is 19 tons per hectare. About 69% of total cassava produced per household is sold as either fresh roots and/or dried chips. The remaining 31% is either for own consumption or for livestock feed. Of all the six regions surveyed, the Southeast is characterized by the most intensive cassava production practices. It also has the largest average cassava area per household, the highest percentage of tractor use, and a higher percentage of fertilizer application on cassava fields. The findings suggest that there are huge challenges for sustainable cassava intensification, specifically in identifying the needs for market diversification, dealing with emerging pests and diseases, and implementing adequate soil management practices. This is particularly challenging in a system that is driven by the need to maximize output with minimum investment. Future research and development should focus on integrated value chain development with multiple actors focusing attention on integrated pest and disease management, seed systems development, breeding for resistance and earliness, and climate change adaptation, among others

Attitudes About Sex and Marital Sexual Behavior in Hai Duong Province, Vietnam

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/74926/1/j.1728-4465.2005.00047.x.pd

Is home-based administration of prostaglandin safe and feasible for medical abortion? Results from a multisite study in Vietnam

Objectives: To study the efficacy and acceptability of a simplified medical abortion regimen in Vietnam. Design: Open-label study. Setting: One peri-urban and three urban hospitals and four urban maternal-child health family planning clinics located in Northern, Central and Southern Vietnam. Sample: A total of 1601 women seeking abortion services from January 2001 to December 2001. Methods: Consenting women presenting for abortion services with gestations less than 56 days LMP who met the inclusion criteria were given 200 mg mifepristone and offered the choice of either home or clinic administration of 400 μg oral misoprostol two days later. Main outcome measure: Complete abortion rate of 89.2% (n = 1395), with 1.5% (n = 24) of the women lost to follow up. The majority of women (\u3e 90%) reported that their medical abortion experience was either \u27very satisfactory\u27 or \u27satisfactory\u27. Results: There was a strong preference for home administration of misoprostol, with more than four-fifths of the study population selecting to administer the prostaglandin at home. Location of misoprostol administration did not affect efficacy rate. Regardless of location selected, women expressed a high degree of satisfaction with the medical abortion experience. Conclusions: Medical abortion with the option of home administration of misoprostol is safe and feasible for introduction into the Vietnamese healthcare system

Improving Efficacy of Endoscopic Diagnosis of Early Gastric Cancer: Gaps to Overcome from the Real-World Practice in Vietnam

Objective. To identify factors associated with increased proportion of early gastric cancer to total detected gastric cancer among patients undergoing diagnostic esophagogastroduodenoscopy. Methods. A nationwide survey was conducted across 6 central-type and 6 municipal-type Vietnamese hospitals. A questionnaire regarding annual esophagogastroduodenoscopy volume, esophagogastroduodenoscopy preparation, the use of image-enhanced endoscopy, and number of gastric cancer diagnosed in 2018 was sent to each hospital. Results. The total proportion of early gastric cancer was 4.0% (115/2857). Routine preparation with simethicone and the use of image-enhanced endoscopy were associated with higher proportion of early gastric cancer (OR 1.9, 95% CI: 1.1–3.2, p=0.016; OR 2.7, 95% CI: 1.8–4.0, p60.000–100.000 (OR 2.7, 95% CI: 1.7–4.2, p<0.001). Only four (33.3%) hospitals reported all endoscopic types of early gastric cancer. Conclusions. The detection of early gastric cancer is still challenging even for endoscopists working in regions with relatively high prevalence. The real-world evidence showed that endoscopic detection of early gastric cancer could potentially improve with simple adjustments of esophagogastroduodenoscopy protocols

A Review of the Effectiveness, Feasibility, and Acceptability of Art Therapy for Children and Adolescents during the COVID-19 Pandemic

Art therapy has been widely offered to reduce symptoms of psychological disturbance. Pooled evidence about its effectiveness in epidemic contexts, particularly during the COVID-19 pandemic, has not been yet established. This study reviewed the effectiveness, feasibility, and acceptability of art therapy on children and adolescents during the COVID-19 pandemic and past epidemics. We searched PubMed/Medline, PsycINFO, CENTRAL (Cochrane Library), and CINAHL for articles on art therapy during COVID-19. Included studies reported improvements in measures of mental health, sleep quality, and psychological well-being in children with or without disabilities in the epidemic context. Results also showed that art therapy was highly feasible and accepted by children and adolescents as well as their families during epidemics in reviewed studies. Art therapy can be effective at improving various aspects of mental health, sleep quality, and psychological well-being. More empirical evidence is needed with larger sample sizes and longer duration of interventions

Enterovirus A71 Phenotypes Causing Hand, Foot and Mouth Disease, Vietnam

We investigated enterovirus A71–associated hand, foot and mouth disease in Vietnam and found that, after replacing subgenogroup C4 in 2013, B5 remained the leading cause of this disease. In contrast with previous observations, this switch did not result in an explosive outbreak, and B5 evolution was driven by negative selection

Clinical and aetiological study of hand, foot and mouth disease in southern Vietnam, 2013–2015: Inpatients and outpatients

Background: Hand, foot and mouth disease (HFMD) has been associated with large outbreaks among young children in the Asia-Pacific Region since 1997, including cases of severe illness and death. Severe illness is often associated with enterovirus A71 (EV-A71). Vietnam experienced a large sustained outbreak of 200 000 hospitalized cases and over 200 deaths in 2011–12, the large majority occurring in southern Vietnam. Methods: A prospective observational study was conducted in the outpatient clinics, infectious diseases wards, and paediatric intensive care units of the three main referral centres for the treatment of HFMD in southern Vietnam. Demographic data, basic laboratory parameters, and clinical data were recorded, and molecular diagnostic tests were performed. Results: Between July 2013 and July 2015, a total of 1547 children were enrolled. Four serotypes of enterovirus A (EV-A71, Coxsackievirus (CV) A6, A10, and A16) were responsible for 1005 of 1327 diagnosed cases (75.7%). An unexpected dominance of EV-A71 was found among both inpatients and outpatients, as well as a strong association with severe illness. CV-A6 and CV-A10 emerged in Vietnam during the study period and replaced CV-A16. CV-A10 was associated with different clinical and laboratory characteristics. During admission, 119 children developed a more severe illness. It was found that children with a skin rash showed less progression of severity, but when a rash was present, a macular rash was significantly associated with an increased risk of progression. Conclusions: This study represents the most comprehensive descriptive HFMD study from Vietnam to date. Co-circulation and replacement of different serotypes has implications for vaccine development and implementation. These findings from a severely affected country add to our understanding of the presentation, progression, and aetiology of HFMD. Keywords: Hand, Foot and mouth disease, Enterovirus, Vietnam, Enterovirus A71, Coxsackieviru