Required flows for aquatic ecosystems in Ma River, Vietnam

Ecological flow requirements for the Ma River in dry season were assessed in three reaches of Ma – Buoi, Ma – Len and Ma – Chu. 5 indictor fish species was chosen based on biodiversity survey and roles of those species in aquatic ecosystem as well as local communities. Biological and hydrological data (dry season of 2016- 2017) and 35 year recorded hydrological data were collected and analyzed as input data for a physical habitat model River HYdraulic and HABitat SImulation Model – RHYHABSIM. Model results shown that the optimal flows of the reaches were very much higher compare with the minimum annual low flow - MALF. In this study, MALF7day were applied to calculate the recommended minimum flows of the three reaches. The recommended required minimum flows for Ma – Buoi, Ma – Len and Ma – Chu reaches were 51 m3/s, 49 m3/s and 61 m3/s, respectively. It must be stressed that this study only assessed whether or not there is enough habitat available for the river to sustain a healthy ecosystem

Conquering hypertension in Vietnam-solutions at grassroots level: study protocol of a cluster randomized controlled trial

BACKGROUND: Vietnam has been experiencing an epidemiologic transition to that of a lower-middle income country with an increasing prevalence of non-communicable diseases. The key risk factors for cardiovascular disease (CVD) are either on the rise or at alarming levels in Vietnam, particularly hypertension (HTN). Inasmuch, the burden of CVD will continue to increase in the Vietnamese population unless effective prevention and control measures are put in place. The objectives of the proposed project are to evaluate the implementation and effectiveness of two multi-faceted community and clinic-based strategies on the control of elevated blood pressure (BP) among adults in Vietnam via a cluster randomized trial design. METHODS: Sixteen communities will be randomized to either an intervention (8 communities) or a comparison group (8 communities). Eligible and consenting adult study participants with HTN (n = 680) will be assigned to intervention/comparison status based on the community in which they reside. Both comparison and intervention groups will receive a multi-level intervention modeled after the Vietnam National Hypertension Program including education and practice change modules for health care providers, accessible reading materials for patients, and a multi-media community awareness program. In addition, the intervention group only will receive three carefully selected enhancements integrated into routine clinical care: (1) expanded community health worker services, (2) home BP self-monitoring, and (3) a storytelling intervention, which consists of interactive, literacy-appropriate, and culturally sensitive multi-media storytelling modules for motivating behavior change through the power of patients speaking in their own voices. The storytelling intervention will be delivered by DVDs with serial installments at baseline and at 3, 6, and 9 months after trial enrollment. Changes in BP will be assessed in both groups at several follow-up time points. Implementation outcomes will be assessed as well. DISCUSSION: Results from this full-scale trial will provide health policymakers with practical evidence on how to combat a key risk factor for CVD using a feasible, sustainable, and cost-effective intervention that could be used as a national program for controlling HTN in Vietnam. TRIAL REGISTRATION: ClinicalTrials.gov NCT03590691 . Registered on July 17, 2018. Protocol version: 6. Date: August 15, 2019

Improved Dynamical Constraints on the Masses of the Central Black Holes in Nearby Low-mass Early-type Galactic Nuclei And the First Black Hole Determination for NGC 205

We improve the dynamical black hole (BH) mass estimates in three nearby low-mass early-type galaxies--NGC 205, NGC 5102, and NGC 5206. We use new \hst/STIS spectroscopy to fit the star formation histories of the nuclei in these galaxies, and use these measurements to create local color--mass-to-light ratio (\ml) relations. We then create new mass models from \hst~imaging and combined with adaptive optics kinematics, we use Jeans dynamical models to constrain their BH masses. The masses of the central BHs in NGC 5102 and NGC 5206 are both below one million solar masses and are consistent with our previous estimates, $9.12_{-1.53}^{+1.84}\times10^5$\Msun~and $6.31_{-2.74}^{+1.06}\times10^5$\Msun~(3$\sigma$ errors), respectively. However, for NGC 205, the improved models suggest the presence of a BH for the first time, with a best-fit mass of $6.8_{-6.7}^{+95.6}\times10^3$\Msun~(3$\sigma$ errors). This is the least massive central BH mass in a galaxy detected using any method. We discuss the possible systematic errors of this measurement in detail. Using this BH mass, the existing upper limits of both X-ray, and radio emissions in the nucleus of NGC 205 suggest an accretion rate $\lesssim$$10^{-5}$ of the Eddington rate. We also discuss the color--\mleff~relations in our nuclei and find that the slopes of these vary significantly between nuclei. Nuclei with significant young stellar populations have steeper color--\mleff~relations than some previously published galaxy color--\mleff~relations.Comment: 31 pages, 19 figures, 6 tables, Accepted to Ap

Evaluating the Effectiveness of the Utilization of Transport Infrastructure Stock in Vietnam

Vietnam's good performing economy is characterized by the rehabilitation and modernization of transport infrastructure. The large scale of construction activities for expansion and maintenance of the road network has required huge amounts of construction materials and posed environmental problems. In the attempt to support the development of sustainable transport in Vietnam, this study investigates the material stocks of road network and subsequently evaluates the effectiveness of stock utilization regarding its provided services. Based on the statistical data of sixty-one provinces/cities in 2014, the results show that, (1) nearly 2800 million tons of construction materials was stocked in the road infrastructure in Vietnam in 2014, (2) when evaluating the effectiveness of transportation infrastructure's stock utilization basing on the relation between traffic flows and road stock, the urban areas, especially municipalities experienced the high value of service effectiveness indicators. The outcomes of this research are intended to assist the future development strategies, particularly the Green Growth Strategy in Vietnam

Impact of the COVID-19 pandemic on clinical research activities: Survey of study participants and health care workers participating in a hypertension trial in Vietnam

BACKGROUND: The COVID-19 pandemic has had a profound worldwide impact. Vietnam, a lower middle-income country with limited resources, has successfully slowed this pandemic. The objectives of this report are to explore the impact of the COVID-19 pandemic on the research activities of an ongoing hypertension trial using a storytelling intervention in Vietnam. METHODS: Data were collected in a mixed-methods study among 86 patients and 10 health care workers participating in a clinical trial designed to improve hypertension control. Several questions related to the impact of COVID-19 on patient\u27s daily activities and adherence to the study interventions were included in the follow-up visits. A focus group discussion was conducted among health care workers to discuss the impact of COVID-19 on research related activities. RESULTS: Fewer patients in the intervention group reported that they faced difficulties in adhering to prescribed study interventions, wanted to receive a call from a dedicated hotline, or have a visit from a community health worker as compared with those in the comparison group. Most study patients are willing to participate in future health research studies. When asked about the potential use of mobile phones in health research studies, fewer patients in the intervention group felt comfortable using a mobile phone for the delivery of intervention and interviews compared with those in the comparison condition. Community health workers shared that they visited patient\u27s homes more often than previously due to the pandemic and health care workers had to perform more virus containment activities without a corresponding increase in ancillary staff. CONCLUSIONS: Both patients and health care workers in Vietnam faced difficulties in adhering to recommended trial interventions and procedures. Multiple approaches for intervention delivery and data collection are needed to overcome these difficulties during future health crises and enhance the implementation of future research studies. TRIAL REGISTRATION: ClinicalTrials.gov. Registration number: https://clinicaltrials.gov/ct2/show/NCT03590691 (registration date July 17, 2018)

AIDS-Associated Penicillium marneffei Infection of the Central Nervous System

Penicillium marneffei is an important human immunodeficiency virus-associated opportunistic infection endemic in Southeast Asia. Central nervous system infection has not been described. We report the first case series of 21 human immunodeficiency virus-infected patients who presented with a syndrome consistent with acute central nervous system infection and who had Penicillium marneffei isolated from cerebrospinal fluid