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The erosion and deposition are occurring more complex and unpredictable in the long coastline country like Vietnam. This study using numerical model method to investigate the erosion and deposition possibilities in Binh Thuan coastal areas, an area located in south-central of Vietnam. By utilizing MIKE 21/3 Coupled Model FM, we compared the current situation with the simulation of erosion and accretion under two extreme conditional scenarios: wave with 1% frequency, and sea level rise (SLR). The study simulated the semidiurnal tide, a featured characteristic of Binh Thuan coastal areas during the southwest (SW) and northeast (NE) monsoon, results seafloor changes overs 15 days. The first scenario shows that in SW monsoon, the coastal sediment in the southern part of Binh Thuan is being carried away, and deposit in the northern coastline, especially at Phan southern coastline. The SLR scenario results erosion in both monsoons at the rate of 8 − 15 mm^−1 day^ −1, but with higher erosion rate in SW. However, there is an exception where the information, can be used for management to protect the human-induced activities as well as preparation adaptation plan for upcoming climate change not only in Binh Thuan province but also in entire Vietnam.

Abstract Immunization via the respiratory route is predicted to increase the effectiveness of a SARS-CoV-2 vaccine. Here, we evaluate the immunogenicity and protective efficacy of one or two doses of a live-attenuated murine pneumonia virus vector expressing SARS-CoV-2 prefusion-stabilized spike protein (MPV/S-2P), delivered intranasally/intratracheally to male rhesus macaques. A single dose of MPV/S-2P is highly immunogenic, and a second dose increases the magnitude and breadth of the mucosal and systemic anti-S antibody responses and increases levels of dimeric anti-S IgA in the airways. MPV/S-2P also induces S-specific CD4+ and CD8+ T-cells in the airways that differentiate into large populations of tissue-resident memory cells within a month after the boost. One dose induces substantial protection against SARS-CoV-2 challenge, and two doses of MPV/S-2P are fully protective against SARS-CoV-2 challenge virus replication in the airways. A prime/boost immunization with a mucosally-administered live-attenuated MPV vector could thus be highly effective in preventing SARS-CoV-2 infection and replication.

This study used the contingent valuation method (CVM) to investigate and analyse the current status of household solid waste management and evaluate people’s consensus and willingness to pay (WTP) for household solid waste collection, transportation, and treatment services among urban, rural, and mountainous areas in Hanoi. It also utilised regression analysis to assess factors affecting people’s WTP. The study surveyed a sample size of 405 households. To ensure a basis for comparison among urban, rural, and mountainous areas, the study distributed and conducted an equal number of 135 surveys in each area through random sampling. The research results indicate that the average household solid waste in Hanoi is highest in urban areas at 1.27 kg/ household/day, followed by rural areas at 1.21 kg/household/day, and mountainous areas at 1.067 kg/household/day. However, most household solid waste has not been classified at the source. Regarding WTP for household solid waste collection, transportation, and treatment services, the results show that 85% of urban households agreed to pay higher than the proposed price, with an average WTP of 1,136 VND/kg. In rural households, 47% agreed to pay 778.96 VND/kg, and 11% of mountainous households agreed to pay an average of 673.04 VND/kg. These insights can guide tailored waste management pricing strategies across diverse urban and rural settings.

Background Hepatic stellate cells (HSCs) are the major cells which play a pivotal role in liver fibrosis. During injury, extracellular stimulators can induce HSCs transdifferentiated into active form. Phloretin showed its ability to protect the liver from injury, so in this research we would like to investigate the effect of phloretin on succinate-induced HSCs activation in vitro and liver fibrosis in vivo study. Methods In in vitro, succinate was used to induce HSCs activation, and then the effect of phloretin on activated HSCs was examined. In in vivo, succinate was used to generated liver fibrosis in mouse and phloretin co-treated to check its protection on the liver. Results Phloretin can reduce the increase of fibrogenic markers and inhibits the proliferation, migration, and contraction caused by succinate in in vitro experiments. Moreover, an upregulation of proteins associated with aerobic glycolysis occurred during the activation of HSCs, which was attenuated by phloretin treatment. In in vivo experiments, intraperitoneal injection of phloretin decreased expression of fibrotic and glycolytic markers in the livers of mice with sodium succinate diet-induced liver fibrosis. These results suggest that aerobic glycolysis plays critical role in activation of HSCs and succinate can induce liver fibrosis in mice, whereas phloretin has therapeutic potential for treating hepatic fibrosis. Conclusion Intraperitoneal injection of phloretin attenuated succinate-induced hepatic fibrosis and alleviates the succinate-induced HSCs activation.

The alkylation reaction was used to couple zerumbone with the 3-substituted quinazolinone-4(3H)-ones and quinolines, resulting in the formation of 11 new conjugates. Their structures were fully characterized by 1D-, 2D-NMR, and HRMS spectral data. The evaluation of their anti-inflammatory activity was examined by inhibiting NO production in RAW 267.4 cells. Screening for their cytotoxic activity was performed using three human cancer cell lines HepG2, SK-LU-1, and MCF-7. The results indicated that all 11 novel conjugates exhibited potent cytotoxic activity against the tested cell lines with IC50 values in the range of 1.01–9.86 µg/mL, which were stronger than those of the parent compound zerumbone. In silico EGFR inhibitory activity was also performed by docking and molecular dynamics simulation studies to find out the most potent compounds based on the main interactions of zerumbone derivatives 16a-k with important amino acids of EGFR (PDB ID 4HJO) protein in its active site.

Abstract Introduction Inhaled corticosteroid (ICS) is the most widely used and effective treatment of asthma. However, some patients do not respond to ICS, which might be due to various genetic factors. Hence, understanding the genetic factors involved in the ICS response could help physicians to individualize their treatment decision and action plans for given patients. This study aimed to analyze the characteristics of corticotropin-releasing hormone receptor 1 (CRHR1) genotypes in children with asthma and the correlation between rs242941 polymorphism of CRHR1 gene and ICS responsiveness. Methods This prospective study included children with uncontrolled asthma, assessing their eosinophil count, IgE concentration, lung function, and fractional concentration of nitric oxide in exhaled breath (FENO) and performing CRHR1 polymorphism sequencing. The level of asthma control was assessed by asthma control test (ACT); the responsiveness of asthma treatment with ICS was evaluated by measuring the change of ACT and forced expiratory volume in 1 s (FEV1) after treatment versus at inclusion. Results In total, 107 patients were analyzed for CRHR1 at rs242941. Among these, 86 (80.3%) had homozygous wild-type GG, 20 (18.7%) had heterozygous GT genotypes, and 1 (1.0%) had a homozygous variant for TT. Children with personal and family history of atopy were more likely to have GT and TT genotypes. The severity of asthma was similar between children with asthma in the three groups of GG, GT, and TT genotypes of CRHR1 at rs242941. FENO level, total IgE concentration, and eosinophilic count in children with asthma were not significantly different between GG and GT genotypes. The patient with a TT homozygous variant genotype had a higher level of FENO. There was no correlation between CRHR1 polymorphism at rs242941 and asthma control evaluated by asthma control test and lung function parameters. Conclusion TT genotype of rs242941 in the CRHR1 gene is not frequent. Clinical and functional characteristics of children with asthma with rs242941 polymorphism of CRHR1 gene remain homogeneously similar. There is no correlation between rs242941 polymorphism and ACT or FEV1.

Materials play an important role in determining the quality and cost of a building, especially in the context of Vietnam’s rapid urbanization today. This study aims to analyze the status quo for supplier selection for construction projects in a developing country, Vietnam. Questionnaires are designed to conduct a survey among several contractors to assess the current situation of how Vietnamese construction enterprises select their material suppliers. Senior managers, project managers, site commanders, site engineers, foreman, office staff of contractors were interviewed. Based on result analysis of 117 valid responses, the most important criteria to consider when selecting material suppliers have been identified, with the most influential ones being price, delivery time, and material quality. However, the supply of materials still reveals some constraints that must be overcome. Vietnamese construction firms should pay more attention to supplier selection to optimize material delivery efficiency. This research contributes to the understanding of the status quo for supplier selection for construction projects in a developing country. This means contractors can adopt suitable measures to select material suppliers for construction projects.

Abstract The compound extreme weather event that impacted northern Queensland in February 2019 featured record-breaking rainfall, persistent high wind gusts and relatively cold day-time temperatures. This caused livestock losses numbering around 500,000 in the northwest Queensland Gulf region. In this study, we examine the livestock chill conditions associated with this week-long compound weather event and its potential for prediction from eleven world-leading sub-seasonal to seasonal (S2S) forecast systems. The livestock chill index combines daily rainfall, wind and surface temperature data. Averaged over the event week, the potential heat loss of livestock was in the moderate to high category, with severe conditions on the day of peak rainfall (5 February). Using calibrated forecasts from the Bureau of Meteorology's S2S forecast system, ACCESS-S1, a 1-week lead prediction showed a 20–30% probability of extreme livestock chill conditions over the northwest Queensland Gulf region, however the highest probabilities were located to the west of where the greatest livestock impacts were observed. Of the remaining ten S2S systems, around half predicted a more than 20% chance of extreme conditions, more than twice the climatological probability. It appears that the prediction accuracy arose from the skilful forecasts of extreme rainfall, as opposed to cold day-time temperature and strong wind forecasts. Despite a clear association between the observed extreme weather conditions and an active Madden–Julian Oscillation (MJO) event stalling in the western Pacific, the majority of 1-week lead S2S forecasts showed little indication of a slow-down in the MJO. As the livestock chill index was developed for southern Australian sheep, it may not be the best metric to represent the effects of exposure on tropical cattle breeds. Hence, this study draws attention to the need for tailored diagnostics that better represent the cold effects of summer tropical cyclones and tropical depressions on northern Australian livestock.

The postharvest preservation of Ngoc Linh ginseng (NL ginseng) is essential to retain its quality and sensory values for prolonged storage. In this study, the efficacy of NL ginseng preservation by coating chitosan derivatives in combination with polyvinyl alcohol (PVA) solutions was investigated under refrigeration conditions (~3 °C; ~40% RH) for 56 days. The effect of the chitosan–based solutions, including N,O–carboxymethyl chitosan (NOCC), chitosan oligomer saccharide (COS), or chitosan (CS), and the blend solutions (NOCC–PVA or COS–PVA) on the coated NL ginsengs was observed during storage. The pH values, viscosity, and film-forming capability of the coating solutions were determined, while the visual appearance, morphology, and mechanical properties of the films formed on glass substrates as a ginseng model for coating were also observed. The appearance, skin lightness, weight loss, sensory evaluation, total saponin content (TSC), total polyphenol content (TPC), and total antioxidant capacity (TAC) of the coated NL ginsengs were evaluated. The findings showed that the observed values of the coated NL ginsengs were better than those of the non-coated samples, with the exception of the COS–coated samples, which had completely negative results. Furthermore, the NOCC–PVA solution exhibited a better preservation effect compared with the COS–PVA one based on the observed indices, except for TPC and TAC, which were not impacted by the coating. Notably, the optimal preservation time was determined to be 35 days. This study presents promising preservation technology using the coating solution of NOCC–PVA, harnessing the synergistic effect of pH 7.4 and the form–firming capacity, to maintain the shelf life, medicinal content, and sensory attributes of NL ginseng.

The monitoring of ecosystem dynamics utilises time and resources from scientists and land-use managers, especially in wetland ecosystems in islands that have been affected significantly by both the current state of oceans and human-made activities. Deep-learning models for natural and anthropogenic ecosystem type classification, based on remote sensing data, have become a tool to potentially replace manual image interpretation. This study proposes a U-Net model to develop a deep learning model for classifying 10 island ecosystems with cloud- and shadow-based data using Sentinel-2, ALOS and NOAA remote sensing data. We tested and compared different optimiser methods with two benchmark methods, including support vector machines and random forests. In total, 48 U-Net models were trained and compared. The U-Net model with the Adadelta optimiser and 64 filters showed the best result, because it could classify all island ecosystems with 93 percent accuracy and a loss function value of 0.17. The model was used to classify and successfully manage ecosystems on a particular island in Vietnam. Compared to island ecosystems, it is not easy to detect coral reefs due to seasonal ocean currents. However, the trained deep-learning models proved to have high performances compared to the two traditional methods. The best U-Net model, which needs about two minutes to create a new classification, could become a suitable tool for island research and management in the future.

Russia’s unprovoked attack against Ukraine entails significant implications to Japan’s security and its surrounding environment. How is Japan responding to Russia’s use of force? What are the drivers of its responses? This case study examines official speeches by Japanese leaders and government senior officials, government announcements, opinion polls, and analyses by Japan experts to understand Tokyo’s perceptions and responses to Moscow’s military attack against Kiev. Seen from Tokyo, the invasion of Ukraine is not only an attack against the rules-based international order but also a manifestation of Japan’s security concerns regarding China’s growing military capabilities and closer Russia-China alignment, especially the potential use of military force to change the Indo-Pacific region’s power balance. This article also finds that Tokyo’s response to Russia-China alignment and the Ukraine invasion continues to be wedded to an approach is characterized by a mixture of engagement, resilience, and deterrence, aiming at both Russia and the growing Russia-China alignment.

BackgroundObstructive sleep apnea (OSA) is the most common form of respiratory disorders during sleep in children, especially those with severe asthma. However, optimal treatment of asthma might significantly improve OSA severity.MethodsIt was a cohort study including children aged >5 years old and diagnosed with asthma according to GINA (Global Initiative for Asthma). The data related to age, gender, height, weight, body mass index (BMI), clinical symptoms and medical history of asthma, spirometry (FEV1: forced expiratory in 1 s), and exhaled nitric oxide (FENO) were recorded for analysis. Respiratory polygraphy (RPG) was done for each study subject to diagnose OSA and its severity.ResultsAmong 139 asthmatic children, 99 patients with OSA (71.2%) were included in the present study (9.3 ± 0.2 years): 58.6% with uncontrolled asthma and 32.3% with partial controlled asthma. The mean ACT (asthma control testing) score was 19.0 ± 3.4. The most frequent night-time symptoms were restless sleep (76.8%), snoring (61.6%), sweating (52.5%), and trouble breathing during sleep (48.5%). The common daytime symptoms were irritable status (46.5%) and abnormal behavior (30.3%). The mean AHI (apnea-hypopnea index) was 3.5 ± 4.0 events/h. There was a significant correlation between BMI and snoring index (R = 0.189 and P = 0.027), bronchial and nasal FENO with AHI (R = 0.046 and P < 0.001; R = 0.037 and P < 0.001; respectively). There was no significant correlation between asthma level, FEV1 and AHI. The severity of asthma and respiratory function were improved significantly after 3 months and 6 months of asthma treatment in combination with leukotriene receptor antagonist (LRA) treatment. The symptoms related to OSA were significantly improved after treatment with LRA. The severity of OSA was decreased significantly after 3 months and 6 months of treatment.ConclusionThe treatment of asthmatic children with comorbid OSA by LRA in combination with standard therapy for asthma could improve the control of asthma and the symptoms and severity of OSA.

Abstract Background Biological mutagens (such as transposon) with sequences inserted, play a crucial role to link observed phenotype and genotype in reverse genetic studies. For this reason, accurate and efficient software tools for identifying insertion sites based on the analysis of sequencing reads are desired. Results We developed a bioinformatics tool, a Finder, to identify genome-wide Insertions in Mutagenesis (named as “InMut-Finder”), based on target sequences and flanking sequences from long reads, such as Oxford Nanopore Sequencing. InMut-Finder succeeded in identify > 100 insertion sites in Medicago truncatula and soybean mutants based on sequencing reads of whole-genome DNA or enriched insertion-site DNA fragments. Insertion sites discovered by InMut-Finder were validated by PCR experiments. Conclusion InMut-Finder is a comprehensive and powerful tool for automated insertion detection from Nanopore long reads. The simplicity, efficiency, and flexibility of InMut-Finder make it a valuable tool for functional genomics and forward and reverse genetics. InMut-Finder was implemented with Perl, R, and Shell scripts, which are independent of the OS. The source code and instructions can be accessed at https://github.com/jsg200830/InMut-Finder .

In plants, the actin cytoskeleton plays a critical role in defense against diverse pathogens. The formation of actin patches is essential for the intracellular transport of organelles and molecules toward pathogen penetration sites and the formation of papillae for an early cellular response to powdery mildew attack in Arabidopsis thaliana. This response process is regulated by the actin-related protein (ARP)2/3 complex and its activator, the WAVE/SCAR complex (W/SRC). The ARP2/3 complex is also required for maintaining steady-state levels of the defense-associated protein, PENETRATION 1 (PEN1), at the plasma membrane and for its deposition into papillae. However, specific ARP2 functionalities in this context remain unresolved, as knockout mutants expressing GFP-PEN1 reporter constructs could not be obtained by conventional crossing approaches. In this study, employing a CRISPR/Cas9 multiplexing-mediated genome editing approach, we produced an ARP2 knockout expressing the GFP-PEN1 marker in Arabidopsis. This study successfully identified diallelic somatic mutations with both ARP2 alleles edited among the primary T1 transgenic plants, and also obtained independent lines with stable arp2/arp2 mutations in the T2 generation. Further analyses on these arp2/arp2 mutants showed similar biological functions of ARP2 to ARP3 in the accumulation of PEN1 against fungal invasion. Together, this CRISPR/Cas9-based approach offers highly efficient simultaneous disruption of the two ARP2 alleles in GFP-PEN1-expressing lines, and a rapid method for performing live-cell imaging to facilitate the investigation of important plant–pathogen interactions using a well-established and widely applied GFP marker system, thus gaining insights and elucidating the contributions of ARP2 upon fungal attack.

Abstract Introduction Patient‐reported outcomes (PROs) are direct reports from patients about the status of their health condition without amendment or interpretation by others. Patient‐reported outcome measures (PROMs) are the tools used to measure PROs; they are usually validated questionnaires patients complete by self‐assessing their health status. Whilst the benefits of using PROs and PROMs to guide real‐time patient care are well established, they have not been adopted by many oncology institutions worldwide. This literature review aimed to examine the barriers associated with using PROs and PROMs in routine oncology care. Methods A literature search was conducted across EMBASE, Medline and CINAHL databases. Studies detailing barriers to routine PRO use for real‐time patient care were included; those focusing on PRO collection in the research setting were excluded. Results Of 1165 records captured, 14 studies informed this review. At the patient level, patient time, incapacity and difficulty using electronic devices to complete PROMs were prominent barriers. At the health professional level, major barriers included health professionals’ lack of time and knowledge to meaningfully interpret and integrate PRO data into their clinical practice and the inability for PRO data to be acted upon. Prominent barriers at the service level included difficulties integrating PROs and PROMs into clinical workflows and inadequate information technology (IT) infrastructures for easy PRO collection. Conclusion This review has outlined potential barriers to routine PRO use in the oncology setting. Such barriers should be considered when implementing PROs into routine clinical practice.

Abstract Background Pediatric tuberculosis (TB), human immunodeficiency virus (HIV), and TB-HIV co-infection are health problems with evidence-based diagnostic and treatment algorithms that can reduce morbidity and mortality. Implementation and operational barriers affect adherence to guidelines in many resource-constrained settings, negatively affecting patient outcomes. This study aimed to assess performance in the pediatric HIV and TB care cascades in Mozambique. Methods A retrospective analysis of routine PEPFAR site-level HIV and TB data from 2012 to 2016 was performed. Patients 0–14 years of age were included. Descriptive statistics were used to report trends in TB and HIV indicators. Linear regression was done to assess associations of site-level variables with performance in the pediatric TB and HIV care cascades using 2016 data. Results Routine HIV testing and cotrimoxazole initiation for co-infected children in the TB program were nearly optimal at 99% and 96% in 2016, respectively. Antiretroviral therapy (ART) initiation was lower at 87%, but steadily improved from 2012 to 2016. From the HIV program, TB screening at the last consultation rose steadily over the study period, reaching 82% in 2016. The percentage of newly enrolled children who received either TB treatment or isoniazid preventive treatment (IPT) also steadily improved in all provinces, but in 2016 was only at 42% nationally. Larger volume sites were significantly more likely to complete the pediatric HIV and TB care cascades in 2016 (p value range 0.05 to

Background Hepatic stellate cells (HSCs) are known to play a fundamental role in the progression of liver fibrosis. Once HSCs are activated, they are involved in proliferation, migration, and contractility which are characteristics of liver fibrogenesis. Recent studies have shown that irisin, a myokine secreted during physical exercise, has a protective effect in various metabolic diseases, especially in renal fibrosis. However, whether irisin is involved in HSC activation and other processes associated with liver fibrosis has not yet been investigated. In this study, we reveal the role of irisin in HSC activation as well as in proliferation, migration, and contractile properties of HSCs in vitro. Methods LX-2 cells, immortalized human HSCs, were treated with transforming growth factor beta 1 (TGF-β1), a core regulator of HSC fibrosis, with or without irisin, and markers of the aforementioned processes were analyzed. Further, an inflammatory response was stimulated with TGF-β1 and lipopolysaccharide (LPS) in combination with irisin and the expression of cytokines was measured. Results Recombinant irisin significantly suppressed the expression of TGF-β1-stimulated fibrosis markers including alpha-smooth muscle actin and collagen type 1 alpha 1 and prevented the TGF-β1-induced proliferation, migration, and contractility of LX-2 cells. Additionally, irisin ameliorated the production of interleukin-6 (IL-6) and IL-1β induced by TGF-β1 and LPS treatments. Conclusion These findings suggested that irisin potently improved the progression of hepatic fibrosis by regulating HSC activation, proliferation, migration, contractility, and HSC-mediated production of inflammatory cytokine.

Topic Modelling has been successfully applied in many text mining applications such as natural language processing, information retrieval, information filtering, etc. In information filtering systems (IFs), user interest representation is the core part which determines the success of the system. Topics in a topic model generated from a user’s documents can be used to represent the user’s information interest. However, the quality of a topic model generated from a document collection is not always accurate because the topics of the topic model might contain meaningless or ambiguous words. This ambiguity problem can affect the performance of IFs which use a topic model to represent user information interest. Hence, a topic evaluation method to assess the quality of topics in a topic model is important for ensuring the effectiveness of utilizing the topic model in text mining applications. One method in measuring the quality of a topic model is to match the topical words of the model to concepts in an ontology. However, a limitation of this method is that some topical words in an examined topic cannot be found in the mapping ontology. In this study, we propose a new model to evaluate the quality of topics by matching concepts in an ontology. In particular, word embedding technique is applied to dealing with the ambiguity problem by finding similar concept words based on word embeddings. The assessed topics are then used in an information filtering system for filtering relevant documents for a user. The proposed model was evaluated against some state-of-the-art baseline models in terms of term-based, phrase-based, and topic-based user interest representations, and also some topic evaluation models. The result of the evaluation shows that the new proposed model outperforms the state-of-the-art baseline models

While poverty-targeted subsidies have shown promise as a means of reducing financial constraints on low-income populations to invest in new latrines, concerns have been raised about whether they may reduce demand for new latrines among non-eligible, non-poor populations, especially in geographically limited or closed markets. Using quasi experimental methods, we investigate the interaction effects of the "CHOBA" subsidy, a partial poverty-targeted monetary incentive to build a toilet, and a sanitation marketing program (SanMark) on new latrine uptake among households from different income segments in 110 rural villages across six Cambodian provinces. These programs were implemented either jointly with or independently. Overall, we find strong complementarity of the CHOBA subsidy with SanMark where the coupled implementation of the programs increased latrine uptake across all households as compared to exclusive deployment of the programs independently. Additionally, the CHOBA subsidy alone resulted in higher gains among the poor compared to SanMark suggesting that financial constraint is indeed a significant demand barrier for new latrines. The presence of the poverty-targeted subsidies did not reduce demand for new latrine purchases among ineligible households. Instead, we find some evidence for a positive spillover effect of subsidies on uptake of latrines among ineligible households in villages where both programs were implemented indicating that the presence of sanitation subsidies and the decision to purchase latrines among non-beneficiaries can be viewed as complements. We employ multivariate logistic regressions as well as further robustness checks to estimate the effects of the different interventions, with qualitatively consistent results.

Summary: We compared the functional properties of spike (S) glycoproteins from the original SARS-CoV-2 strain (D614) (Wuhan, China), the globally dominant D614G strain, and emerging geographic variants: B.1.1.7 (United Kingdom), B.1.351 (South Africa), P.1 (Brazil), and B.1.1.248 (Brazil/Japan). Compared with D614G, the emerging variants exhibited an increased affinity for the receptor, ACE2, and increased ability to infect cells with low ACE2 levels. All variants lost infectivity similarly at room temperature and 37°C; however, in the cold, B.1.1.7 was more stable, and P.1 and B.1.1.248 were less stable. Shedding of the S1 glycoprotein from the S contributed to virus inactivation in the cold. B.1.351, P.1, and B.1.1.248 were neutralized by convalescent and vaccinee sera less efficiently than the other variants. S glycoprotein properties such as requirements for ACE2 levels on the target cell, functional stability in the cold, and resistance to host neutralizing antibodies potentially contribute to the outgrowth of emerging SARS-CoV-2 variants.

This paper studies several key metrics for COVID-19 using a public surveillance system data set. It compares the difference between two case fatality rates: the naive case fatality rate, which has been frequently mentioned in media outlets, and one which is the sample estimate for the mortality rate. A logistic regression model is applied to modeling the daily mortality rate. The conclusion is that time, gender, age and some of their interactions, appear to have a significant impact on the mortality rate; the daily mortality rate has been decreasing since the outbreak; males older than 60 has been the most vulnerable group. The receiver operating characteristics curve and the curve under the area show that the proposed logistic model is capable of predicting the outcome of a reported case with accuracy as high as 89%. These findings are helpful in assessing the magnitude of the risk posed by the COVID-19 virus to certain groups, predicting outcome severity, and optimally allocating medical resources such as intensive care units and ventilators.

During 2017–2019, drought existed in many parts of Australia with varying degrees of severity and varied timing of development and intensification. In a broad sense, the surface climate conditions went from anomalously wet in 2016 to an official government-declared drought from the end of 2017. The drought subsequently intensified further to become most severe in mid to late 2019. Here we explore the more detailed evolution of the 2019 conditions over subtropical eastern Australia and infer its predictability through linear relationships with large-scale climate drivers. To monitor the detailed drought evolution, we use the Evaporative Stress Index (ESI) computed over a 4-week running window on a 5 km grid. Flash drought onset is defined as when there is a rapid decline in the ESI that is sustained over at least 2 weeks which ends in drought conditions. For the Central Slopes area of the upper Darling River basin, flash drought onset occurred in June, persisted over 6 months, and rapidly terminated through a flash recovery in February 2020. In the far east of Australia (East Coast regions), flash drought onset was identified later, in November and December. For the Central Slopes area, less than half the magnitude of the flash drought development in June could be explained through linear relationships with the positive Indian Ocean Dipole mode (IOD) and the central Pacific El Niño, together with the long-term trend in ESI in the region. Similarly, only about half the magnitude of the East Coast flash drought developments in November and December could be explained by the ongoing positive IOD, central Pacific El Niño, negative Southern Annular Mode, and ongoing global warming trend. Therefore, although these large-scale drivers set the stage for the likelihood of drought, successful prediction of flash drought will require more local and current information than those large-scale climate drivers alone.

Abstract Modern plant breeding increasingly relies on genomic information to guide crop improvement. Although some genes are characterized, additional tools are needed to effectively identify and characterize genes associated with crop traits. To address this need, the mPing element from rice was modified to serve as an activation tag to induce expression of nearby genes. Embedding promoter sequences in mPing resulted in a decrease in overall transposition rate; however, this effect was negated by using a hyperactive version of mPing called mmPing20. Transgenic soybean events carrying mPing‐based activation tags and the appropriate transposase expression cassettes showed evidence of transposition. Expression analysis of a line that contained a heritable insertion of the mmPing20F activation tag indicated that the activation tag induced overexpression of the nearby soybean genes. This represents a significant advance in gene discovery technology as activation tags have the potential to induce more phenotypes than the original mPing element, improving the overall effectiveness of the mutagenesis system.

The effectiveness of peroxymonocarbonate (HCO4−) on the degradation of Reactive Blue 19 (RB19) textile dye was investigated in this study. The formation kinetics of HCO4− produced in situ in a H2O2−HCO3− system was studied to control the experimental conditions for the investigation of RB19 degradation at mild conditions. The effects of metallic ion catalysts, the pH, the input HCO3− and Co2+ concentrations, and UV irradiation were studied. The obtained result showed that Co2+ ion gave the highest efficiency on accelerating the rate of RB19 degradation by the H2O2–HCO3− system. In the pH range of 7–10, the higher pH values resulted in faster dye degradation. The reaction orders of the RB19 degradation with respect to Co2+ and HCO3– were determined to be 1.2 and 1.7, respectively. The UV irradiation remarkably enhanced the radical formation in the oxidation system, which led to high degradation efficiencies. The COD, TOC removal, and HPLC results clearly revealed complete mineralization of RB19 by the H2O2−HCO3−−Co2+ system.

ABSTRACT Historical studies conducted in chimpanzees gave us the opportunity to investigate the basis for the different severities of liver damage and disease outcome associated with infection with wild-type hepatitis B virus (HBV) versus a precore HBV mutant, HBV/hepatitis D virus (HDV) coinfection, and HDV superinfection. Weekly samples from 9 chimpanzees were studied for immune responses by measuring plasma levels of 29 cytokines in parallel with alanine aminotransferase (ALT) levels and viral kinetics. Comparison of classic acute hepatitis B (AHB) with severe or progressive AHB and HBV/HDV coinfection or superinfection identified distinct cytokine profiles. Classic AHB (mean ALT peak, 362 IU/liter) correlated with an early and significant induction of interferon alpha-2 (IFN-α2), IFN-γ, interleukin-12 p70 (IL-12 p70), and IL-17A. In contrast, these cytokines were virtually undetectable in severe AHB (mean ALT peak, 1,335 IU/liter), characterized by significant elevations of IL-10, tumor necrosis factor alpha (TNF-α), and MIP-1β. In progressive AHB (mean ALT peak, 166 IU/liter), there was a delayed and lower-magnitude induction of cytokines. The ALT peak was also delayed (mean, 23.5 weeks) compared to those of classic (13.5 weeks) and severe AHB (7.5 weeks). HBV/HDV coinfection correlated with significantly lower levels of IFN-α2, IFN-γ, and IL-17A, associated with the presence of multiple proinflammatory cytokines, including IL-1α, IL-1β, IL-2, IL-4, IL-5, IL-6, IL-10, and IL-15. Conversely, HDV superinfection induced the highest ALT peak (1,910 IU/liter) and was associated with a general suppression of cytokines. Our data demonstrate that the most severe liver damage, caused by an HBV precore mutant and HDV, correlated with restricted cytokine expression and lack of Th1 response, raising the question of whether these viruses are directly cytopathic. IMPORTANCE Studies performed in chimpanzees at the National Institutes of Health (NIH) demonstrated a significant difference in ALT levels during acute hepatitis of different viral etiologies, with a hierarchy in the extent of liver damage according to the infecting virus: the highest level was in HDV superinfection, followed by infection with a precore HBV mutant, HBV/HDV coinfection, and, lastly, wild-type HBV infection. Our study demonstrates that both the virus and host are important in disease pathogenesis and offers new insights into their roles. We found that distinct cytokine profiles were associated with disease severity and clinical outcome. In particular, resolution of classic acute hepatitis B (AHB) correlated with a predominant Th1 response, whereas HBV/HDV coinfection showed a predominant proinflammatory response. Severe AHB and HDV superinfection showed a restricted cytokine profile and no evidence of Th1 response. The lack of cytokines associated with adaptive T-cell responses toward the precore HBV mutant and HDV superinfection argues in favor of a direct cytopathic effect of these viruses.

Transmission to chimpanzees of a precore hepatitis B virus (HBV) mutant implicated in acute liver failure (ALF) in humans did not cause ALF nor the classic form of acute hepatitis B (AHB) seen upon infection with the wild-type HBV strain, but rather a severe AHB with distinct disease features. Here, we investigated the viral and host immunity factors responsible for the unusual severity of AHB associated with the precore HBV mutant in chimpanzees. Archived serial serum and liver specimens from two chimpanzees inoculated with a precore HBV mutant implicated in ALF and two chimpanzees inoculated with wild-type HBV were studied. We used phage-display library and next-generation sequencing (NGS) technologies to characterize the liver antibody response. The results obtained in severe AHB were compared with those in classic AHB and HBV-associated ALF in humans. Severe AHB was characterized by: (i) the highest alanine aminotransferase (ALT) peaks ever seen in HBV transmission studies with a significantly shorter incubation period, compared to classic AHB; (ii) earlier HBsAg clearance and anti-HBs seroconversion with transient or undetectable hepatitis B e antigen (HBeAg); (iii) limited inflammatory reaction relative to hepatocellular damage at the ALT peak with B-cell infiltration, albeit less extensive than in ALF; (iv) detection of intrahepatic germline antibodies against hepatitis B core antigen (HBcAg) by phage-display libraries in the earliest disease phase, as seen in ALF; (v) lack of intrahepatic IgM anti-HBcAg Fab, as seen in classic AHB, but at variance with ALF; and (vi) higher proportion of antibodies in germline configuration detected by NGS in the intrahepatic antibody repertoire compared to classic AHB, but lower than in ALF. This study identifies distinct outcome-specific features associated with severe AHB caused by a precore HBV mutant in chimpanzees, which bear closer resemblance to HBV ALF than to classic AHB. Our data suggest that precore HBV mutants carry an inherently higher pathogenicity that, in addition to specific host factors, may play a critical role in determining the severity of acute HBV disease.

Any sexually active person has the possibility of contracting the human papillomavirus (HPV) sometime in their lifetime. HPV vaccines are effective in preventing HPV if obtained prior to viral exposure. Research on knowledge and beliefs of HPV and HPV vaccination among college students in Vietnam is significantly scarce. The purpose of this study is to examine the knowledge and beliefs about HPV among college students in Vietnam compared to college students in the US. This cross-cultural comparison will fill a void in current research on this subject. Over 900 college students (N = 932: n = 495 in Vietnam and n = 437 in the US) participated in a self-administered survey on the knowledge and beliefs about HPV in September and October 2016. Vietnamese participants reported lower levels of knowledge and experiences with the HPV virus and vaccines (p

Flash droughts are characterized by a period of rapid intensification over sub-seasonal time scales that culminates in the rapid emergence of new or worsening drought impacts. This study presents a new flash drought intensity index (FDII) that accounts for both the unusually rapid rate of drought intensification and its resultant severity. The FDII framework advances our ability to characterize flash drought because it provides a more complete measure of flash drought intensity than existing classification methods that only consider the rate of intensification. The FDII is computed using two terms measuring the maximum rate of intensification (FD_INT) and average drought severity (DRO_SEV). A climatological analysis using soil moisture data from the Noah land surface model from 1979–2017 revealed large regional and interannual variability in the spatial extent and intensity of soil moisture flash drought across the US. Overall, DRO_SEV is slightly larger over the western and central US where droughts tend to last longer and FD_INT is ~75% larger across the eastern US where soil moisture variability is greater. Comparison of the FD_INT and DRO_SEV terms showed that they are strongly correlated (r = 0.82 to 0.90) at regional scales, which indicates that the subsequent drought severity is closely related to the magnitude of the rapid intensification preceding it. Analysis of the 2012 US flash drought showed that the FDII depiction of severe drought conditions aligned more closely with regions containing poor crop conditions and large yield losses than that captured by the intensification rate component (FD_INT) alone.

Abstract Soluble CD40 ligand (sCD40L) has been implicated in the development of renal injury. The CD40 receptor exists in a soluble form, sCD40R, and has been shown to function as a competitive antagonist against CD40 activation. We analyzed whether plasma levels of sCD40L and sCD40R predict changes in renal function in an all-cause chronic kidney disease (CKD) cohort. Stratification of subjects based on sCD40L and sCD40R individually, as well as in combination, demonstrated that sCD40L was directly associated with declines in estimated glomerular filtration rate (eGFR). sCD40R was negatively associated with declines in eGFR. Baseline characteristics following stratification, including systolic blood pressure, history of diabetes mellitus or peripheral vascular disease, primary renal disease classification, and angiotensin converting enzyme inhibitor or angiotensin receptor blocker usage were not significantly different. High sCD40L and low sCD40R were both found to be independent predictors of a decline in eGFR at 1-year follow-up (−7.57%, p = 0.014; −6.39%, p = 0.044). Our data suggest that circulating levels of sCD40L and sCD40R are associated with changes in renal function in patients with CKD. The CD40 decoy receptor, sCD40R, may serve as a potential therapeutic target to attenuate renal function decline.

Objectives Influenza is a significant worldwide public health issue. Knowledge and perceptions regarding the flu vaccination are associated with whether individuals obtain the vaccination. The purpose of this study was to examine how such perceptions were related to knowledge and self-efficacy regarding influenza and the flu vaccination in Vietnam and the US. Methods College students (n=932) in Vietnam (n=495) and the US (n=437) completed a self-administered survey regarding knowledge and perceptions of influenza vaccinations in September and October 2016. Results Vietnamese participants reported significantly lower levels of awareness about flu risk, higher levels of negative attitudes toward flu vaccination, lower levels of knowledge about the flu and vaccination, and lower levels of self-efficacy than US participants. Higher levels of flu and flu vaccination knowledge and self-efficacy regarding general responsible health practices were associated with lower levels of negative perceptions of flu risk and attitudes toward vaccination. At the same time, self-efficacy regarding responsible health practices was associated with higher levels of awareness of flu risk and lower levels of negative attitudes toward vaccination. Self-efficacy regarding exercise was associated with lower levels of perceptions of flu risk and higher levels of negative attitudes toward vaccination. Conclusions Vietnam could benefit from influenza education based on this comparison with the US. In both countries, knowledge and self-efficacy were found to be important factors influencing perceptions of influenza risk and vaccination.

Background Early rapid declines of kidney function may occur in patients with atherosclerotic renal artery stenosis with institution of medical therapy. The causes and consequences are not well understood. Methods and Results Patients enrolled in the medical therapy–only arm of the CORAL (Cardiovascular Outcomes With Renal Artery Lesions) study were assessed for a rapid decline (RD) in estimated glomerular filtration rate (eGFR), defined as a ≥30% decrease from baseline to either 3 months, 6 months, or both. In the medical therapy–only cohort, eGFR was available in 359 subjects at all time points, the subjects were followed for a median of 4.72 years, and 66 of 359 (18%) subjects experienced an early RD. Baseline log cystatin C (odds ratio, 1.78 [1.11–2.85]; P=0.02), age (odds ratio, 1.04 [1.00–1.07]; P

BACKGROUND:Although QuantiFERON-TB Gold Plus (QFT-Plus), a new interferon-gamma release assay, has shown good performance in adults, little data is available in children. METHODS:De-identified data from TB-suspected patients age

Correct segregation of meiotic chromosomes depends on DNA crossovers (COs) between homologs that culminate into visible physical linkages called chiasmata. COs emerge from a larger population of joint molecules (JM), the remainder of which are repaired as noncrossovers (NCOs) to restore genomic integrity. We present evidence that the RNF212-like C. elegans protein ZHP-4 cooperates with its paralog ZHP-3 to enforce crossover formation at distinct steps during meiotic prophase: in the formation of early JMs and in transition of late CO intermediates into chiasmata. ZHP-3/4 localize to the synaptonemal complex (SC) co-dependently followed by their restriction to sites of designated COs. RING domain mutants revealed a critical function for ZHP-4 in localization of both proteins to the SC and for CO formation. While recombination initiates in zhp-4 mutants, they fail to appropriately acquire pro-crossover factors at abundant early JMs, indicating a function for ZHP-4 in an early step of the CO/NCO decision. At late pachytene stages, hypomorphic mutants exhibit significant levels of crossing over that are accompanied by defects in localization of pro-crossover RMH-1, MSH-5 and COSA-1 to designated crossover sites, and by the appearance of bivalents defective in chromosome remodelling required for segregation. These results reveal a ZHP-4 function at designated CO sites where it is required to stabilize pro-crossover factors at the late crossover intermediate, which in turn are required for the transition to a chiasma that is required for bivalent remodelling. Our study reveals an essential requirement for ZHP-4 in negotiating both the formation of COs and their ability to transition to structures capable of directing accurate chromosome segregation. We propose that ZHP-4 acts in concert with ZHP-3 to propel interhomolog JMs along the crossover pathway by stabilizing pro-CO factors that associate with early and late intermediates, thereby protecting designated crossovers as they transition into the chiasmata required for disjunction.

Background and challenges to implementation Vietnam ranks fifteenth in the world by the number of smokers. The government aims to reduce smoking prevalence among men from 47% (2010) to 39% by 2020 but is reluctant to adopt a strong tobacco tax policy. The main challenges are low awareness of the benefits of increased taxes, and misconception among decision makers of the impacts of tax and price policy, led by the tobacco industry (TI). Intervention or response HealthBridge works with the WHO, government and civil society in this campaign. Our approaches are: 1) Generate evidence on the benefits and best practices of tobacco taxation by conducting literature reviews and research; ii) Deliver evidence to policy makers, media, and people through workshops, articles and IEC; iii) Build capacity through technical workshops, involving government officers, and study tours; iv) Provide critical comments on the draft Excise Tax Law and guiding documents. Results and lessons learnt The 2014 Excise Tax Law was passed with an increased tax rate to 70% (from 65%) on Jan 1st 2016, and to be increased to 75% on Jan 1st 2019; this led to an increase of retail price, revenue and some decrease of consumption in 2016, however the affordability has continued to rise due to inflation. The higher tax base revised in 2016 with improved definition of the payees in the distribution system is expected to reduce the risk of price transfer and the loss of government revenue. There is improved awareness among policy makers and the media on the positive impacts of higher tobacco tax. Conclusions and key recommendations 2014 & 2016 tax revision has positive impacts on retail price, revenue and consumption, but did not reduce affordability. Vietnam needs further tax reform. The implementation of FCTC article 5.3 by the country is urgent to reduce tobacco industry interference in tobacco control.

Background and challenges to implementation The Vietnam Tobacco Control Law, effective since May 2013, requires all indoor public places including restaurants and cafeterias be 100% smoke-free. However, GATS 2015 findings showed the highest prevalence and the most modest reduction of second-hand smoke exposure in restaurants during 2010-2015 (80.7% and 84.9% respectively) compared to other settings. The challenges were low political commitment and reluctance of authorities to implement smoke-free policies in restaurants, the resistance of business owners due to concerns about losing profits and competitive edge, and high public acceptability of smoking. Intervention or response In 2015-2016, HealthBridge worked with the Hanoi city and districts´ Health Departments and other partners on “Strengthening implementation of smoke-free restaurants (SFR) in Hanoi”. The project's strategies were: i) Advocacy to add SFR implementation into the Hanoi city action plan; ii) Facilitate the role of local authorities at district level in managing, training, monitoring, and enforcing the implementation of SFR instead of focusing authorities at city level; iii) Peer education to engage managers of compliant SFR to share their experience to create the trust and motivation of restaurant owners; iv) Media campaigns to raise public awareness and support. Results and lessons learnt Managers of 600 restaurants were trained on SFR implementation. 400 of them signed a commitment to be smoke-free. Monitoring visits of authorities at district level was established for the first time and deployed regularly. This proved to be a sustainable enforcement mechanism because of its simple administrative procedure for setting up when compare to interdisciplinary team of authorities at city level. The rate of restaurants going smoke-free increased from 25% to 44% (pre-post intervention survey). The knowledge and support from customers and restaurant owners on SFR policy also increased significantly. Conclusions and key recommendations The project's strategies have proven to be effective in improving the implementation of smoke-free policy in restaurants. These strategies should be scaled up to other areas.

The periodic rise in seawater temperature is one of the main environmental determinants of coral bleaching. However, the direct incidence of these episodic thermal anomalies on coral-associated microbiota and their subsequent effects on coral health are still not completely understood. In this study, we investigated the dynamics of three main microbial communities of the coral holobiont (e.g., Symbiodinium, bacteria and viruses), during an experimental thermal stress (+4 °C) conducted on the scleractinian Fungia repanda. The heat-treatment induced coral bleaching after 11 days and resulted in a final elevation of ca. 9, 130 and 250-fold in the abundance of mucosal viruses, bacteria, and Symbiodinium, respectively. On the contrary, the proportion of actively respiring bacterial cells declined by 95% in heat-stressed corals. The community composition of epibiotic bacteria in healthy corals also greatly differed from bleached ones, which also exhibited much higher production rates of viral epibionts. Overall, our results suggest that the shift in temperature induced a series of microbial changes, including the expulsion and transfer of Symbiodinium cells from the coral polyps to the mucus, the collapse of the physiological state of the native bacterial associates, a substantial alteration in their community structure, and accompanied by the development of a cortege of highly active virulent phages. Finally, this study provides new insights into the environmentally-driven microbial and viral processes responsible for the dislocation of the coral holobiont.

A rapid diagnosis of drug-resistant tuberculosis (TB) is critical for early initiation of effective therapy. Molecular testing with line probe assays (MTBDRplus and MTBDRsl) on culture isolates has been available for some time and significantly reduces the time to diagnosis of drug resistance. However, routine use of this test directly on sputum is less common. As part of enrollment screening procedures for tuberculosis clinical trials conducted in Hanoi, Vietnam, we evaluated the feasibility and performance of line probe assay (LPA) testing directly on sputum samples from 315 participants with no prior history of TB treatment. Test performance characteristics for the detection of rifampin (RIF) and isoniazid (INH) drug resistance as compared to culture-based drug susceptibility testing (DST) reference standard were calculated. LPA demonstrated high sensitivity and specificity for the diagnosis of drug resistance. Scaling up molecular testing on sputum as part of time-sensitive clinical trial screening procedures in high TB burden settings is feasible and will reduce both time to initiation of appropriate therapy and the risk of late exclusions due to microbiologic ineligibility.

Flash drought is a term and concept that has gained increasing attention in the research literature and media since it was first coined in the United States in the early 2000s to describe a drought that has undergone rapid intensification. In Australia the term has recently been used in reference to the 2017/18 drought in eastern Australia. Due to its rapid intensification, the impacts of flash droughts will likely occur too quickly for many of the usual drought-coping mechanisms to be deployed. This study proposes the use of the evaporative stress index (ESI), the standardized anomaly of the actual evapotranspiration to potential evapotranspiration ratio, to identify flash droughts in Australia computed using daily outputs from the Bureau of Meteorology’s land surface water balance model AWRA-L. The case study of the January 2018 flash drought in eastern Australia is used to assess and demonstrate the suitability of the ESI. Results show that the ESI accurately highlighted the event and offered potential for flash drought pre-warning by a few weeks. In addition, the availability of long term high-resolution outputs from AWRA-L offers the ability to investigate multiple flash drought events in detail for greater understanding and to inform stakeholders.

This study presented the theoretical model applied to the research design with descriptions of the overall sample, survey sample, research location, etc. The main contents of the design and research organization and the results obtained in theory have been applied in practice. The results have fully met the scientific and technical requirements of the research nature of the major Measure and Evaluate in education. At the same time, the results obtained from this article hope to help standardize the toolkit to assess the influence of the accreditation of higher education institutions in general and the pedagogical training program in Vietnam, which is convenient, accurate and objective.