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Bor-Shiunn Lee,1,2 Hong-Ping Lin,3 Jerry Chun-Chung Chan,4 Wei-Chuan Wang,2 Ping-Hsuan Hung,2 Yu-Hsin Tsai,4 Yuan-Ling Lee1,2 1Graduate Institute of Oral Biology, 2Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University and Hospital, Taipei, 3Department of Chemistry, National Cheng Kung University, Tainan, 4Department of Chemistry, National Taiwan University, Taipei, Taiwan, Republic of China Abstract: Mineral trioxide aggregate (MTA) is the most frequently used repair material in endodontics, but the long setting time and reduced mechanical strength in acidic environments are major shortcomings. In this study, a novel sol-gel-derived calcium silicate cement (sCSC) was developed using an initial Ca/Si molar ratio of 3, with the most effective mixing orders of reactants and optimal HNO3 catalyst volumes. A Fourier transform infrared spectrometer, scanning electron microscope with energy-dispersive X-ray spectroscopy, and X-ray powder diffractometer were used for material characterization. The setting time, compressive strength, and microhardness of sCSC after hydration in neutral and pH 5 environments were compared with that of MTA. Results showed that sCSC demonstrated porous microstructures with a setting time of ~30 min, and the major components of sCSC were tricalcium silicate, dicalcium silicate, and calcium oxide. The optimal formula of sCSC was sn200, which exhibited significantly higher compressive strength and microhardness than MTA, irrespective of neutral or pH 5 environments. In addition, both sn200 and MTA demonstrated good biocompatibility because cell viability was similar to that of the control. These findings suggest that sn200 merits further clinical study for potential application in endodontic repair of perforations. Keywords: acidic environment, compressive strength, mesoporous, mineral trioxide aggregate, mixing order, sol-gel reaction

Xuan Lien Nature Reserve was established in 1999 to protect important habitats and wildlife in the northern part of the Annamites in Vietnam. While Xuan Lien is home to many threatened species, it has experienced a high level of human disturbance over the last decades. To document and provide baseline data on the status and distribution of the terrestrial vertebrate fauna community in the region, we conducted a systematic camera trapping survey in Xuan Lien Nature Reserve in 2023. The data collected during the survey will help design proper conservation measures to better conserve the remaining species.Our study investigates and updates the species richness of mid- to large-sized terrestrial vertebrates, thus providing essential information for developing conservation strategies in Xuan Lien Nature Reserve, Vietnam. As camera traps were set up in a grid-based design, our survey also generated the first-ever systematic data for terrestrial vertebrate fauna in the area. The study covers approximately 21,000 hectares (about 77% of the area), using 35 camera trap stations; each station consists of two cameras. In total, the final dataset consists of 6,276 trap nights, recording at least 46 species in 39 genera. The results suggest that Xuan Lien is a key stronghold for small carnivores, based on the diversity of such species groups in the Reserve. We failed to detect the previously documented Roosevelt’s muntjac (Muntiacus rooseveltorum Osgood, 1932) and we only documented a single record of the northern red muntjac (Muntiacus vaginalis Boddaert, 1785). Our survey confirms the severity of overhunting and other anthropogenic threats to the mammal fauna, especially ungulates, in the Reserve.

Abstract Background The increasing incidence and prevalence of childhood overweight (OW) and obesity (OB) are major global health challenges. This study aimed to evaluate the effectiveness of a 2-year healthy lifestyle intervention program in reducing the incidence of OW and OB among schoolchildren aged 11–12 years in Vietnam. Methods Study design: Randomized controlled trial. Participants and interventions: In total, 733 students participated in this study. Participants were included from four schools in Hanoi based on a random cluster sampling method. Students’ health outcomes were assessed at baseline and after 2 years. Main outcomes: The primary outcomes were the incidence of OW and OB, and the secondary outcomes were the prevalence and remission of OW and OB. Generalized estimating equations (GEEs) were used to determine the outcomes and risk factors. Results After the intervention, the prevalence of OW decreased by 9.24% in the intervention group and 3.01% in the control group. After adjustment for age and sex, the odds of overweight were 36.7% lower in the intervention group than in the control group (OR = 0.633; 95% CI: 0.434–0.925; P = 0.018). The incidence of OW was 1.31% in the intervention group compared with 5.33% in the control group. After adjustment for age and sex, the odds of incident overweight in the intervention group were 77.4% lower than in the control group (OR = 0.226; 95% CI: 0.063–0.813; P = 0.023). The proportion of patients who achieved OW remission was 41.22% in the intervention group and 28.68% in the control group. After adjustment for age and sex, the odds of OW remission of overweight were 2.219 times greater in the intervention group than in the control group (OR = 2.219; 95% CI: 1.220–4.036; P = 0.009). For most OB-related factors, there were no significant differences between the intervention and control groups. Conclusion A multicomponent healthy lifestyle intervention was effective in reducing the incidence of OW; however, it had no significant effect on OB among children aged 11–12 years in Hanoi, Vietnam. Trial registration Retrospectively registered number: UMIN000014992, 20/08/2023.

IntroductionBreeding programs have developed high-yielding Coffea arabica F1-hybrids as an adaptation against adverse conditions associated with climate change. However, theresponse to drought of coffee F1 hybrids has seldom been assessed.MethodsA trial was established with five C. arabica genotypes (2 pure lines: Catimor and Marsellesa and 3 F1 hybrids: Starmaya, Centroamericano and Mundo Maya) planted under the leguminous tree species Leuceana leucocephala. Coffee growth, yield and physiological responses were assessed under a rain-fed (control: CON) and a rainfall reduction treatment (RR) for 2 years.ResultsThe RR treatment created a long-term rainfall deficit in a region with suboptimal temperature similar to those predicted by climate change scenarios. Moreover, the RR treatment reduced soil water content by 14% over 2 successive years of production and increased hydric stress of the three F1-hybrids (leaf water potentials averaged -0.8 MPa under RR compared with -0.4 MPa under CON). Under RR, coffee yields were reduced from 16 to 75% compared to CON. Mundo Maya F1 hybrid was the sole high-yielding genotype apable of sustaining its yield under RR conditions. Our results suggested that its significant increase in fine root density (CON = 300 and RR = 910 root.m-2) and its maintenance of photosynthetic rate (2.5 – 3.5 mmol CO2 m-2 s-1) at high evaporative demand might explain why this genotype maintained high yield under RR condition.DiscussionThis work highlights a possible drought tolerance mechanism in fruit bearing adult coffee trees where the plant fine root number increases to intake more water in order to preserve turgor and sustainphotosynthesis at high ETo and therefore conserves high yield in dry conditions.

BackgroundUniversal screening for depression and anxiety in pregnancy has been recommended by several leading medical organizations, but the implementation of such screening protocols may overburden health care systems lacking relevant resources. Text message screening may provide a low-cost, accessible alternative to in-person screening assessments. However, it is critical to understand who is likely to participate in text message–based screening protocols before such approaches can be implemented at the population level. ObjectiveThis study aimed to examine sources of selection bias in a texting–based screening protocol that assessed symptoms of depression and anxiety across pregnancy and into the postpartum period. MethodsParticipants from the Montreal Antenatal Well-Being Study (n=1130) provided detailed sociodemographic information and completed questionnaires assessing symptoms of depression (Edinburgh Postnatal Depression Scale [EPDS]) and anxiety (State component of the State-Trait Anxiety Inventory [STAI-S]) at baseline between 8 and 20 weeks of gestation (mean 14.5, SD 3.8 weeks of gestation). Brief screening questionnaires, more suitable for delivery via text message, assessing depression (Whooley Questions) and anxiety symptoms (Generalized Anxiety Disorder 2-Item questionnaire) were also collected at baseline and then via text message at 14-day intervals. Two-tailed t tests and Fisher tests were used to identify maternal characteristics that differed between participants who responded to the text message screening questions and those who did not. Hurdle regression models were used to test if individuals with a greater burden of depression and anxiety at baseline responded to fewer text messages across the study period. ResultsParticipants who responded to the text messages (n=933) were more likely than nonrespondents (n=114) to self-identify as White (587/907, 64.7% vs 39/96, 40.6%; P

Contamination by heavy metals in coastal and marine environments is an increasingly serious threat to both marine ecosystems and humans. The numerous marine cultivation and industrial zones along the coast of Khanh Hoa may influence the heavy metal contamination in the seawater and marine sediments. In this study, 36 seawater and 36 marine sediment samples were collected along the coast of Khanh Hoa to evaluate the levels of eight heavy metal elements. The results indicated that heavy metal concentrations in the surface seawater at Khanh Hoa were much lower than the national technical regulatory limits. The comprehensive pollution index of the heavy metals averaged less than 1. Therefore, heavy metal pollution in the seawater along the coast of Khanh Hoa is slight. Among the eight heavy metals (Cd, Co, Cu, Cr, Mn, Ni, Pb, and Zn) analyzed in the sediments, Cu concentration in the sediment at Cam Ranh Bay is much higher than the national technical regulatory limit. Ecological risk assessment of the sediments also indicated a possible combined biological effect of Cu, Pb, and Zn at Cam Ranh. Therefore, heavy metals in the marine environment at Khanh Hoa should be monitored yearly. Decision-makers should consider the Cu content in seafood because bioaccumulation of heavy metals may occur in marine organisms.

Abstract Introduction Staphylococcus aureus (S. aureus) is an important pathogen in both community-acquired and hospital-acquired pneumonia. S. aureus pneumonia has a high mortality rate and serious complications. Resistance to multiple antibiotics is a major challenge in the treatment of S. aureus pneumonia. Understanding the antibiotic resistance profile of S. aureus and the risk factors for mortality can help optimize antibiotic regimens and improve patient outcomes in S. aureus pneumonia. Methods A prospective cohort study of 118 patients diagnosed with S. aureus pneumonia between May 2021 and June 2023 was conducted, with a 30-day follow-up period. Demographic information, comorbidities, Charlson Comorbidity Index, clinical characteristics, outcomes, and complications were collected for each enrolled case. The data were processed and analyzed using R version 3.6.2. Results S. aureus pneumonia has a 30-day mortality rate of approximately 50%, with complication rates of 22% for acute respiratory distress syndrome (ARDS), 26.3% for septic shock, and 14.4% for acute kidney injury (AKI). Among patients with methicillin-resistant S. aureus (MRSA) pneumonia treated with vancomycin (n = 40), those with a vancomycin minimum inhibitory concentration (MIC) ≤ 1 had significantly higher cumulative survival at day 30 compared to those with MIC ≥ 2 (log-rank test p = 0.04). The prevalence of MRSA among S. aureus isolates was 84.7%. Hemoptysis, methicillin resistance, acidosis (pH

BackgroundIatrogenic left main coronary artery (LMCA) dissection resulting from cardiac surgery is a rare complication. Its early detection is challenging and often poses a significant threat to the patient's life. However, evidence regarding the most effective management strategy for this condition remains limited at present.Case presentationWe present a case of 65-year-old female patient who developed cardiogenic shock after mechanical aortic valve replacement surgery associated acute myocardial infraction. Despite concurrent coronary artery bypass graft (CABG) surgery, the patient's condition remained unimproved. Subsequent coronary angiography revealed extensive LMCA dissection involving the left circumflex (LCx) artery. Percutaneous coronary intervention (PCI) guided by intravascular ultrasound (IVUS) led to an immediate improvement in hemodynamic status. The patient was successfully discharged after 22 days of treatment.ConclusionsIatrogenic LMCA dissection is an uncommon complication following cardiac surgery. It can manifest in a variety of ways, including as incidental findings, cardiogenic shock or sudden cardiac arrest. The precise prevalence rates of causes linked to cardiac surgery remain largely unknown due to the scarcity of reported cases and the absence of research on this issue. Currently, a definitive management strategy for this condition has not been established. However, previous reported clinical cases provide insight that CABG could be considered if coronary artery dissection is detected during cardiac surgery. Upon postoperative identification, diagnostic coronary angiography and PCI may be feasible alternatives.

Ballast water management is an effective measure to ensure that organisms, bacteria and viruses do not migrate with the ballast water to other areas. In 2004, the International Maritime Organization adopted the International Convention on the Control and Management of Ballast Water and Ship Sediments, which regulates issues related to ballast water management. Many technologies have been researched and developed, and of these, the use of UV rays in combination with filter membranes has been shown to have many advantages and to meet the requirements of the Convention. However, the use of UV furnaces in ballast water treatment systems requires a very large capacity, involving the use of many high-power UV lamps. This not only consumes large amounts of electrical energy, but is also expensive. It is therefore necessary to find an optimal algorithm to enable the UV radiation for the UV controller in the ballast water sterilisation process to be controlled in a reasonable and effective manner. This controller helps to prolong the life of the UV lamp, reduce power consumption and ensure effective sterilisation. This paper presents a UV control algorithm and a controller for a UV furnace for a ballast water treatment system installed on a ship. The results of tests on vessels illustrate the effect of the proposed UV controller.

This paper introduces the design of a circularly polarized metasurface-based antenna array for C-band satellite applications that owns broadband operation and high gain characteristics. The single radiating element comprises a Y-shape patch and an above-placed 2 × 2 unit-cell metasurface. Further improvement in operating bandwidth and broadside gain is achieved by arranging four single elements in a 2 × 2 configuration and a sequential-phase feed network. A prototype has been fabricated and measured to validate the feasibility of the proposed antenna array. The measured operating bandwidth is 20% (4.50–5.50 GHz), which is an overlap between a −10 dB impedance bandwidth of 29.8% (4.50–5.99 GHz) and a 3 dB axial ratio bandwidth of 20% (4.50–5.50 GHz). Across this operating band, the peak broadside gain is 10.5 dBi. Compared with the recently published studies, the proposed array is a prominent design for producing a wide operating bandwidth and relatively high gains while maintaining the overall compact dimensions.

Abstract Background Mitochondrial diseases often require multiple years and clinicians to diagnose. We lack knowledge of the stages of this diagnostic odyssey, and factors that affect it. Our goals are to report the results of the 2018 Odyssey2 (OD2) survey of patients with a medical diagnosis of mitochondrial disease; and to propose steps to reduce the odyssey going forward, and procedures to evaluate them. Methods Data are from the NIH-funded NAMDC-RDCRN-UMDF OD2 survey (N = 215). The main outcomes are Time from symptom Onset to mitochondrial disease Diagnosis (TOD) and Number of Doctors Seen during this diagnostic process (NDOCS). Results Expert recoding increased analyzable responses by 34% for final mitochondrial diagnosis and 39% for prior non-mitochondrial diagnosis. Only one of 122 patients who initially saw a primary care physician (PCP) received a mitochondrial diagnosis, compared to 26 of 86 (30%) who initially saw a specialist (p

This study assessed the goat-fattening system among households, its economic efficiency, and farmers` constraints in goat fattening. A survey was conducted with 30 goat farmers randomly 21 selected in Nghe An province. The results showed that goats are kept confined and fed a high level of commercial concentre (46-60%) in the diet. Two types of goats have been used for fattening: growing goats and culled female goats and two types of breeds (Co breed/Lao goat and Boer crossbred). The average fattening farm size was 88.2 goats/period. The weight of fattened goats for selling was from 29.0 to 38.3kg/head and live weight gain was from 3.7-5.4 kg/head/month. The profit of goat fattening was relatively good, from 494-590.8 thousand VND/goat/period (2-4 months). The goat fattening was a profitable alternative income opportunity for farmers in the study areas. Most of the farmers are facing difficulties in disease control, high prices of commercial concentrate, and unstable markets. The study suggests that extension programs need to improve the capacity of farmers in goat fattening techniques and disease management, as well as establish a sustainable linkage in the goat value chains for the sustainable development of goat farming.

BackgroundEarly detection and localization of myocardial infarction (MI) can reduce the severity of cardiac damage through timely treatment interventions. In recent years, deep learning techniques have shown promise for detecting MI in echocardiographic images. Existing attempts typically formulate this task as classification and rely on a single segmentation model to estimate myocardial segment displacements. However, there has been no examination of how segmentation accuracy affects MI classification performance or the potential benefits of using ensemble learning approaches. Our study investigates this relationship and introduces a robust method that combines features from multiple segmentation models to improve MI classification performance by leveraging ensemble learning.Materials and MethodsOur method combines myocardial segment displacement features from multiple segmentation models, which are then input into a typical classifier to estimate the risk of MI. We validated the proposed approach on two datasets: the public HMC-QU dataset (109 echocardiograms) for training and validation, and an E-Hospital dataset (60 echocardiograms) from a local clinical site in Vietnam for independent testing. Model performance was evaluated based on accuracy, sensitivity, and specificity.ResultsThe proposed approach demonstrated excellent performance in detecting MI. It achieved an F1 score of 0.942, corresponding to an accuracy of 91.4%, a sensitivity of 94.1%, and a specificity of 88.3%. The results showed that the proposed approach outperformed the state-of-the-art feature-based method, which had a precision of 85.2%, a specificity of 70.1%, a sensitivity of 85.9%, an accuracy of 85.5%, and an accuracy of 80.2% on the HMC-QU dataset. On the external validation set, the proposed model still performed well, with an F1 score of 0.8, an accuracy of 76.7%, a sensitivity of 77.8%, and a specificity of 75.0%.ConclusionsOur study demonstrated the ability to accurately predict MI in echocardiograms by combining information from several segmentation models. Further research is necessary to determine its potential use in clinical settings as a tool to assist cardiologists and technicians with objective assessments and reduce dependence on operator subjectivity. Our research codes are available on GitHub at https://github.com/vinuni-vishc/mi-detection-echo.

Abstract This study investigates Vietnamese university EFL teachers’ and students’ beliefs and teachers’ practices regarding classroom assessment. Data were collected from a questionnaire administered to 455 participants (104 teachers and 351 students), interviews with nine teachers and twelve students, and 18 observations of 90-min lessons in five universities in Vietnam. In general, the teachers were aware of all assessment types in the current literature. They dominantly used interactive scaffolding and performance assessment. They also denoted some contextual factors as barriers to their assessment practices, leading to their seeming negligence of other classroom assessment types in their practices. The students preferred formative assessment and some assessment tasks (e.g., group work), while the teachers believed that summative assessment could engage students in learning and associated performance assessment with a summative assessment. Implications for L2 classroom assessment practices are discussed.

Abstract Background During surgery, any mismatch between oxygen delivery (DO2) and consumption (VO2) can promote the development of postoperative complications. The respiratory exchange ratio (RER), defined as the ratio of carbon dioxide (CO2) production (VCO2) to VO2, may be a useful noninvasive tool for detecting inadequate DO2. The primary objective of this study was to test the hypothesis that RER measured during liver transplantation may predict postoperative morbidity. Secondary objectives were to assess the ability of other variables used to assess the DO2/VO2 relationship, including arterial lactate, mixed venous oxygen saturation, and veno-arterial difference in the partial pressure of carbon dioxide (VAPCO2gap), to predict postoperative complications. Methods This retrospective study included consecutive adult patients who underwent liver transplantation for end stage liver disease from June 27th, 2020, to September 5th, 2021. Patients with acute liver failure were excluded. All patients were routinely equipped with a pulmonary artery catheter. The primary analysis was a receiver operating characteristic (ROC) curve constructed to investigate the discriminative ability of the mean RER measured during surgery to predict postoperative complications. RER was calculated at five standardized time points during the surgery, at the same time as measurement of blood lactate levels and arterial and mixed venous blood gases, which were compared as a secondary analysis. Results Of the 115 patients included, 57 developed at least one postoperative complication. The mean RER (median [25–75] percentiles) during surgery was significantly higher in patients with complications than in those without (1.04[0.96–1.12] vs 0.88[0.84–0.94]; p

Abstract Background In patients with end stage liver disease (ESLD) scheduled for liver transplantation (LT), an intraoperative incidental finding of elevated mean pulmonary arterial pressure (mPAP) may be observed. Its association with patient outcome has not been evaluated. We aimed to estimate the effects of an incidental finding of a mPAP > 20 mmHg during LT on the incidence of pulmonary complications. Methods We examined all patients who underwent a LT at Paul-Brousse hospital between January 1,2015 and December 31,2020. Those who received: a LT due to acute liver failure, a combined transplantation, or a retransplantation were excluded, as well as patients for whom known porto-pulmonary hypertension was treated before the LT or patients who underwent a LT for other etiologies than ESLD. Using right sided pulmonary artery catheterization measurements made following anesthesia induction, the study cohort was divided into two groups using a mPAP cutoff of 20 mmHg. The primary outcome was a composite of pulmonary complications. Univariate and multivariable logistic regression analyses were performed to identify variables associated with the primary outcome. Sensitivity analyses of multivariable models were also conducted with other mPAP cutoffs (mPAP ≥ 25 mmHg and ≥ 35 mmHg) and even with mPAP as a continuous variable. Results Of 942 patients who underwent a LT, 659 met our inclusion criteria. Among them, 446 patients (67.7%) presented with an elevated mPAP (mPAP of 26.4 ± 5.9 mmHg). When adjusted for confounding factors, an elevated mPAP was not associated with a higher risk of pulmonary complications (adjusted OR: 1.16; 95%CI 0.8–1.7), nor with 90 days-mortality or any other complications. In our sensitivity analyses, we observed a lower prevalence of elevated mPAP when increasing thresholds (235 patients (35.7%) had an elevated mPAP when defined as ≥ 25 mmHg and 41 patients (6.2%) had an elevated mPAP when defined as ≥ 35 mmHg). We did not observe consistent association between a mPAP ≥ 25 mmHg or a mPAP ≥ 35 mmHg and our outcomes. Conclusion Incidental finding of elevated mPAP was highly prevalent during LT, but it was not associated with a higher risk of postoperative complications.

Abstract Background A mismatch between oxygen delivery (DO2) and consumption (VO2) is associated with increased perioperative morbidity and mortality. Hyperlactatemia is often used as an early screening tool, but this non-continuous measurement requires intermittent arterial line sampling. Having a non-invasive tool to rapidly detect inadequate DO2 is of great clinical relevance. The respiratory exchange ratio (RER) can be easily measured in all intubated patients and has been shown to predict postoperative complications. We therefore aimed to assess the discriminative ability of the RER to detect an inadequate DO2 as reflected by hyperlactatemia in patients having intermediate-to-high risk abdominal surgery. Methods This historical cohort study included all consecutive patients who underwent intermediate-to-high risk surgery from January 1st, 2014, to April 30th, 2019 except those who did not have RER and/or arterial lactate measured. Blood lactate levels were measured routinely at the beginning and end of surgery and RER was calculated at the same moment as the blood gas sampling. The present study tested the hypothesis that RER measured at the end of surgery could detect hyperlactatemia at that time. A receiver operating characteristic (ROC) curve was constructed to assess if RER calculated at the end of the surgery could detect hyperlactatemia. The chosen RER threshold corresponded to the highest value of the sum of the specificity and the sensitivity (Youden Index). Results Among the 996 patients available in our study cohort, 941 were included and analyzed. The area under the ROC curve was 0.73 (95% CI: 0.70 to 0.76; p 1.5 mmol/L with a sensitivity of 87.5% and a specificity of 49.5%. Conclusion In mechanically ventilated patients undergoing intermediate to high-risk abdominal surgery, the RER had moderate discriminative abilities to detect hyperlactatemia. Increased values should prompt clinicians to investigate for the presence of hyperlactatemia and treat any potential causes of DO2/VO2 mismatch as suggested by the subsequent presence of hyperlactatemia.

Recent research has shown writing strategies to have a substantial impact on language learners' writing performance but little is known about what strategies EFL learners use and how they use them in writing academic texts such as reports, final assignments, and project papers. The study reported in this paper extends this line of research by investigating the strategies Vietnamese EFL pre-service teachers use in academic writing. Data included document analysis of 17 pre-service teachers' final assignment papers (one paper per teacher) and individual semi-structured interviews with ten teachers. The study adopted a content-based approach to qualitative data analysis with reference to a comprehensive research-based taxonomy for L2 academic writing strategies, including rhetorical, metacognitive, cognitive, and social affective strategies. The results show that rhetorical, metacognitive, and cognitive strategies were most frequently used by the teacher participants. The results further show that self-efficacy and self-regulation determined the teachers' use of strategies during the writing process. Implications for the L2 writing classroom focused on academic writing strategies to enhance pre-service teachers’ writing quality will be discussed.

Effective teaching of English for Occupational Purposes (EOP) is considered to enhance workers’ performance, efficacy, and professional development. Thus, what students and teachers believe to lead to effective EOP teaching is worth exploring. This study set out to compare students’ and teachers’ beliefs about effective EOP teaching. It employed a sequential mixed-methods design with a questionnaire initially administered to 306 voluntary participants, including 108 teachers and 198 sophomore and junior students who participated in teaching and learning EOP. Subsequently, semi-structured interviews with 30 voluntary participants selected from the first stage sample were conducted. The findings showed that students and teachers generally indicated their high agreement with communicative language teaching strategies in EOP. However, discrepancies were found in most observed factors of EOP teaching, including language skills, communicative language teaching, content and language integrated learning, and assessment, except technology integration. From the findings, it is suggested that both EOP students and teachers should be informed of what constitutes effective EOP teaching.

This article examines the non-linear relationship between financial leverage and cash holdings in the emerging market context—Vietnam. We use the dynamic model with the system generalized method of moments (SGMM) estimator and the comprehensive data set of stocks listed on the Vietnamese stock market from 2007 to 2019. The database is collected from accounting data related to 513 Vietnamese firms’ characteristics and provided by Fiin Pro. We indicate that financial leverage exerts a negative impact on cash holdings at low levels, but the relationship becomes positive at high levels of financial leverage. We further find that short-term and long-term debt are non-linearly related to cash holdings. Our findings offer implications for managers to operate their firms at different levels of financial leverage. Firms at low levels of financial leverage should tend to hold less cash and issue debt since the addition of debt to adapt investment and operation could maximize corporate value. In contrast, firms at high levels of financial leverage could hoard cash to mitigate the likelihood of financial distress, bankruptcy and to reserve borrowing capacity because such firms are more likely to experience financial distress and go bankrupt. Policymakers could draw up policies to reduce the likelihood of experiencing financial distress and bankruptcy, such as the decrease of the debt financing and the increase of the likelihood of equity financing.

Presently reported study examined the length–weight relations for 11 goby species collected from a mangrove estuary of the Red River, Vietnam. A total of 1097 individuals of the following species, representing three goby families, were analyzed: Butis butis (Hamilton, 1822); Butis koilomatodon (Bleeker, 1849); Acentrogobius moloanus (Herre, 1927); Acentrogobius viridipunctatus (Valenciennes, 1837); Apocryptodon madurensis (Bleeker, 1849); Aulopareia unicolor (Valenciennes, 1837); Glossogobius giuris (Hamilton, 1822); Gobiopsis macrostoma Steindachner, 1861; Mugilogobius abei (Jordan et Snyder, 1901); Tridentiger barbatus (Günther, 1861); and Tridentiger trigonocephalus (Gill, 1859). The regression slope values (b) ranged from 2.909 to 3.621. The majority of species had positive allometric or isometric growth pattern with b ≥ 3, except for only one species (G. giuris) which had a negative allometric growth with b = 2.909. This study provided the first LWR information of four gobies that have not been reported in FishBase yet. Besides, the reference for LWRs of other gobies at an ecologically important area like Ba Lat Estuary is also provided.

As part of a larger project, this study explores Vietnamese college students’ use and concepts of cohesive devices in writing. Cohesion is a crucial element that ties components of a text together. Although the use of cohesive devices in L2 writing has been investigated by a large body of research, there is no such study exploring the effects of L2 learners’ misconceptions of this word class. One hundred sixty-eight academic reports of totally 67,400 words written by Vietnamese final-year English-majored undergraduate students were collected for data analysis. An email invitation was sent, and 23 students accepted to participate in semi-structured interviews which were audio-recorded for analysis. The findings showed that the students employed references, conjunctions, and lexical items the most frequently in writing. Interestingly, the students’ cohesion use and errors had similar patterns. The transcript analysis showed that the students’ misconceptions of some language items and writing requirements affected their choice of cohesive devices. The current study gives implications for teaching and learning of this word class in L2 contexts.

Given the importance of ESP teaching, this study explores and compares students' and teachers' perceptions of effective ESP teaching. The researcher administered a 32-item Likert-scale questionnaire to 248 participants (216 students and 32 teachers) at five universities in Vietnam. The participants were then stratified to select 20 participants (fifteen students and five teachers) for interviews. Results showed that there were significant discrepancies between students and teachers' perceptions of four categories: task-based language teaching, corrective feedback and assessment, discipline specifications, and culture integration. However, students' and teachers' perceptions of three categories, namely language use, application of technologies, and grammar teaching, were aligned. Interview data generally confirmed the quantitative results and provided more insights into what the participants thought. It might be important for teachers to present their concerns about ESP teaching to students and understand students' needs and expectations to bridge the gaps.

Gender influences participation in food value chains (VCs) with implications for VC upgrading. This study investigated roles as well as differences in production activities, awareness, training, and attitudes between men and women in Vietnam's smallholder pig VCs. Data were gathered from a survey of 1,014 actors in different nodes along the chain, and the results showed that both men and women participated in all nodes of the VCs. Women were mainly in charge of routine husbandry activities (e.g., preparing feed, feeding animals, and cleaning pig pens) and participated in input supply (34.7%), pig production (60.2%), pork processing (63.6%), retailing (93.1%), and home preparation and cooking (100%). Men were more often responsible for tasks requiring strength, knowledge, and skills (e.g., disease management) and had greater involvement in larger-scale farming (60–80%) and slaughtering activities (98.0%). Selling of pigs was handled by both genders, but mainly men (73–80%), especially in larger farms. Likely challenges for upgrading pig VCs include limited training for producers, low concern for occupational health risks in all nodes, and misperceptions about food safety. In general, this study found no clear evidence of perceived gender inequality in the smallholder pig VCs in lowland Vietnam. Gendered upgrading in pig VCs should focus on improving women's ability to access veterinary services and animal disease management and on educating relevant VC actors about occupational health risks.

Study of fluidic molecule ejection through nozzle diameters of 27.5, 30 and 40 Angstrom (Å) at temperatures of 310, 315 and 333 Kelvin (K) is performed by using the molecular dynamics simulation method. The results show that almost all molecules were ejected out through the nozzle and formed up the fluidic jets on the nozzle’s surfaces for all above cases. However, a fluidic jet was not separated out from the nozzle’s surface for the case of the 310 K temperature and 27.5 Å diameter under any the pushing force values and ejection time. Otherwise, the jets separate out from the nozzle’s surface to produce the fluidic nanodroplets when increasing either the nozzle diameter to 30 Å or the temperature magnitude to 315 K. These demonstrate the nozzle size and temperature magnitude decide to the fluidic ejection and nanodroplet formation.

In recent years, activities related to socio-economic development have led to land cover (LC) changes in the upper part of the Dong Nai river basin. The use of remote sensing applications to analyse the impacts of these changes plays an important role in the managing the sustainability of the river basin. This paper introduces a solution for analysing the impacts of LC changes on the water balance in the upstream catchment of the Dong Nai river in Lam Dong province. Landsat images were used for mapping and monitoring major changes over the last 20 years. Rainfall and water discharge data was collected from the local hydrometeorological stations to identify the impacts of the LC changes on the runoff in the catchment area. The results show that the forest area was reduced by more than 223,576 ha (23%). The main changes were an increase in the agricultural area from 18.2 to 31.3% and in water bodies from 0.9 to 2.2%. The latter was due to hydropower development projects in the catchment area. The LC changes caused by the changes in the hydrological conditions of the river basin have had a significant impact on water resources. The identification of the main LC changes in the catchment area could be useful for establishing a policy to protect the headwater forests and mitigate against future impacts.

Transarterial chemoembolization is a standard locoregional therapy for intermediate stage hepatocellular carcinoma. The tumour is typically supplied by the hepatic arteries, however, extrahepatic collateral arteries may significantly contribute parasitic blood supply to the tumour. Large and exophytic tumour, subcapsular location, direct invasion and adhesion to adjacent organs, hepatic artery dissection, stenosis and occlusion resulting from multiple embolizations are risk factors of extrahepatic collateral arteries. Understanding the prevalence and prediction of these parasitic supplies on pre-procedural imaging is of utmost importance for optimizing technical and clinical outcomes.

Haemophilus parasuis (H. parasuis) is one of the bacterial pathogens of great concern as it causes huge economic losses to the swine industry worldwide. One of the reasons why the control of H. parasuis has failed is the increase in antimicrobial resistance (AMR). The country of Vietnam has the second-largest pig production in Asia. However, there is still a lack of data about the AMR prevalence of H. parasuis in Vietnam. The purpose of this study is to investigate the prevalence of AMR and analyze the association between AMR and AMR genes (ARGs). The H. parasuis strains used in this research were isolated from swine in the Quang Binh and Thua Thien Hue Provinces, Central Vietnam, as reported in our previous study. All of the strains were tested for AMR against 25 antibacterial agents using the broth microdilution method and for the presence of ARGs using the polymerase chain reaction (PCR) method. The tested strains were shown to have a high frequency of resistance to trimethoprim/sulfamethoxazole (94.6%), followed by resistance to colistin, chloramphenicol, gentamicin, penicillin, lincomycin, and amoxicillin. The most prevalent ARGs in these strains were blaTEM-1 (94.6%), int (76.8%), gyrA (58.9%), and rmtD (50.0%). Cefuroxime, chloramphenicol, and tobramycin resistances were strongly correlated with the presence of the ARGs blaROB-1 (odds ratio (OR) = 26.3, 95% confidence interval (CI) 2.7–255.7, p = 0.002), catl (OR = 25.1, 95% CI 2.4–258.9, p = 0.004), and strB (OR = 23.5, 95% CI 2.6–212.6, p = 0.001), respectively. This study reveals for the first time the current situation of H. parasuis AMR in Central Vietnam, which is helpful for the clinical control of this disease, as well as for the development of policies and clinical practice guidelines to reduce AMR in swine production in Central Vietnam. Keywords: Haemophilus parasuis, Antimicrobial resistance, Antimicrobial resistance gene, Vietnam

Radio direction finding system is a system that determines the direction or coordinates of radio signal sources. The main function of this system is to determine the direction of arrival (DOA) of an incident radio wave. DOA information plays an important role in array signal processing and has many applications in communications, radar, seismic survey, etc. In this study, we propose a method to estimate the DOA by using the simulated signal dataset obtained at the linear antenna array (ULA) and the suitable Long Short-Term Memory (LSTM) network model. The performance of the method is evaluated based on the root mean square error (RMSE) parameter and then is compared with 2 other algorithms, multiple signal classification (MUSIC) and deep neural network (DNN) in different cases such as deviation of incoming signals, variation of signal-to-noise ratio (SNR), and coherent incoming signals. The obtained results have shown that the proposed method has significantly improved accuracy compared to other methods.

Many One Health programs are inherently complex, characterized by multiple perspectives from multiple sectors, delivery across various scales, and a focus on complex problems at the convergence of people, animals, and the environment. This complexity makes them difficult to conceptualize, requiring frameworks to organize the different program components. Evaluation frameworks that unpack the sequence of events linking program activities to outcomes (e.g., Theory of Change) and track outcomes (e.g., Outcome Mapping) show promise in supporting the development of One Health programs. While widely used in international development and health contexts, there has been little reflection on the use of Theory of Change and Outcome Mapping within One Health efforts. This paper reflects on the process of applying these frameworks to conceptualize a One Health food safety program in Vietnam. We find Theory of Change fostered the characterization of a change pathway toward safer pork, while Outcome Mapping kept us informed of where along the change pathway we were. One Health programs considering evaluation frameworks should adopt elements that make sense to them, be intentional about co-designing the evaluation, and view evaluation as a process, not a product.

Few point prevalence surveys (PPS) have been conducted in Vietnam on Surgical Site Infections (SSI) or antimicrobial use in surgery. The objective of this study was to evaluate the PPSs of SSI before and after implementation of antibiotic stewardship programs (ASP) and infection control (IC) in a Vietnamese tertiary care hospital. ASP and IC practices were implemented in operating rooms and the orthopedic department, including antibiotic training, skin preparation, hand hygiene, gloves and sterile instruments, and SSIs risk factors. A PPS of SSIs and antimicrobial use was performed in January 2016 according to methods from the Centers for Disease Control and Prevention, before ASP and IC, and in December 2019. Information recorded included surgical data, antibiotic prophylaxis, microorganisms, and SSI risk factors. Skin preparation compliance assessed preoperative washing and antisepsis. SSI prevalence was 7.8% in 2016 versus 5.4% in 2019 (p = 0.7). The use of prophylactic antibiotics decreased from 2016 to 2019. A third-generation cephalosporin was prescribed more than 48 h after surgery for most patients. Skin preparation compliance increased from 54.4% to 70.5% between assessments. The decreased SSI, although non-statistically significant, warrants continuing this program. Vietnamese hospitals must provide comprehensive IC education to healthcare workers to address the prevention of SSI and establish IC policies.

Hyperhomocysteinemia (HHcy) is an established and potent independent risk factor for degenerative diseases, including cardiovascular disease (CVD), Alzheimer disease, type II diabetes mellitus, and chronic kidney disease. HHcy has been shown to inhibit proliferation and promote inflammatory responses in endothelial cells (EC), and impair endothelial function, a hallmark for vascular injury. However, metabolic processes and molecular mechanisms mediating HHcy-induced endothelial injury remains to be elucidated. This study examined the effects of HHcy on the expression of microRNA (miRNA) and mRNA in human aortic EC treated with a pathophysiologically relevant concentration of homocysteine (Hcy 500 μM). We performed a set of extensive bioinformatics analyses to identify HHcy-altered metabolic and molecular processes. The global functional implications and molecular network were determined by Gene Set Enrichment Analysis (GSEA) followed by Cytoscape analysis. We identified 244 significantly differentially expressed (SDE) mRNA, their relevant functional pathways, and 45 SDE miRNA. HHcy-altered SDE inversely correlated miRNA-mRNA pairs (45 induced/14 reduced mRNA) were discovered and applied to network construction using an experimentally verified database. We established a hypothetical model to describe the biochemical and molecular network with these specified miRNA/mRNA axes, finding: 1) HHcy causes metabolic reprogramming by increasing glucose uptake and oxidation, by glycogen debranching and NAD+/CoA synthesis, and by stimulating mitochondrial reactive oxygen species production via NNT/IDH2 suppression-induced NAD+/NADP-NADPH/NADP+ metabolism disruption; 2) HHcy activates inflammatory responses by activating inflammasome-pyroptosis mainly through ↓miR193b→↑CASP-9 signaling and by inducing IL-1β and adhesion molecules through the ↓miR29c→↑NEDD9 and the ↓miR1256→↑ICAM-1 axes, as well as GPCR and interferon α/β signaling; 3) HHcy promotes cell degradation by the activation of lysosome autophagy and ubiquitin proteasome systems; 4) HHcy causes cell cycle arrest at G1/S and S/G2 transitions, suppresses spindle checkpoint complex and cytokinetic abscission, and suppresses proliferation through ↓miRNA335/↑VASH1 and other axes. These findings are in accordance with our previous studies and add a wealth of heretofore-unexplored molecular and metabolic mechanisms underlying HHcy-induced endothelial injury. This is the first study to consider the effects of HHcy on both global mRNA and miRNA expression changes for mechanism identification. Molecular axes and biochemical processes identified in this study are useful not only for the understanding of mechanisms underlying HHcy-induced endothelial injury, but also for discovering therapeutic targets for CVD in general.

Abstract Background Postprandial hypotension (PPH) occurs frequently in the elderly and patients with type 2 diabetes, and lacks a satisfactory treatment. Gastric distension and the α-glucosidase inhibitor, acarbose, may attenuate the postprandial fall in blood pressure (BP) by complementary mechanisms. We aimed to determine whether gastric distension and acarbose have additive effects to attenuate the fall in BP induced by oral sucrose. Methods Ten healthy older adults (74.0 ± 1.4 yr) had measurements of BP and superior mesenteric artery (SMA) blood flow for 120 min after receiving either (i) the ‘study drink’ of 100 g sucrose in 300 mL of water (control treatment), (ii) a 300 mL water ‘preload’ 15 min before the ‘study drink’ (distension treatment), (iii) 100 mg acarbose dissolved in the ‘study drink’ (acarbose treatment) or (iv) a 300 ml water ‘preload’ 15 min before 100 mg acarbose dissolved in the ‘study drink’ (acarbose and distension treatment). Results The area under the curve (AUC)0–120min for mean arterial pressure (MAP) was greater (P = 0.005) and the maximum fall in MAP was less (P = 0.006) during treatments with acarbose. Gastric distension did not affect the MAP-AUC0–120min response to acarbose (P = 0.44) and there was no effect of gastric distension alone (P = 0.68). Both acarbose treatments attenuated the rise in SMA blood flow (P = 0.003), whereas gastric distension had no effect. Conclusions In healthy older adults, acarbose (100 mg), but not gastric distension, attenuates the fall in BP and rise in SMA blood flow after oral sucrose. The observations support the use of acarbose, but not gastric distension, to attenuate a postprandial fall in BP. Trial registration The study was retrospectively registered at (ACTRN12618000152224) on February 02nd 2018.

This study investigated the possibility of using a phase separation, mixing, and enzymatic gelation approach to construct seafood analogs from plant protein-polysaccharide mixtures with properties mimicking real seafood. Heat-denatured pea protein (10%, w/w) and pectin (0–1%, w/w) were mixed to produce phase separated biopolymer blends. These blends were then subjected to mild shearing (350 rpm) to obtain fiber-like structures, which were then placed in molds and set by gelling the pea proteins using transglutaminase (2%, w/w). The appearance, texture, and cooking properties of the resulting scallop analogs were characterized and compared to those of real scallop. The presence of the pectin promoted the formation of a honeycomb structure in the scallop analogs, and microscopic orientation of the proteins was observed in the plane parallel to the applied shear flow. Lower pectin concentrations (0.5%, w/w) led to stronger gels with better water holding capacity than higher ones (1.0%, w/w). The appearance and texture of the plant-based scallop analogs were like those of real scallop after grilling, indicating the potential of using this soft matter physics approach to create plant-based seafood analogs. One of the main advantages of this method is that it does not require any expensive dedicated equipment, such as an extruder or shear cell technology, which may increase its commercial viability.

This article describes Viet Nam Ministry of Health’s (VMoH) activities to prepare for and respond to the threat Zika virus (ZIKV), including the adaptation of existing surveillance systems to encompass ZIKV surveillance.

Although LDA has many successes in dimensionality reduction and data separation, it also has disadvantages, especially the small sample size problem in training data because the "within-class scatter" matrix may not be accurately estimated. Moreover, this algorithm can only operate correctly with labeled data in supervised learning. In practice, data collection is very huge and labeling data requires high-cost, thus the combination of a part of labeled data and unlabeled data for this algorithm in Manifold subspace is a novelty research. This paper reports a study that propose a semi-supervised method called DSLM, which aims at overcoming all these limitations. The proposed method ensures that the discriminative information of labeled data and the intrinsic geometric structure of data are mapped to new optimal subspace. Results are obtained from the experiments and compared to several related methods showing the effectiveness of our proposed method.

Glucagon-like peptide-1 receptor agonists induce weight loss, which has been suggested to relate to the slowing of gastric emptying (GE). In health, energy intake (EI) is more strongly related to the content of the distal, than the total, stomach. We evaluated the effects of lixisenatide on GE, intragastric distribution, and subsequent EI in 15 healthy participants and 15 patients with type 2 diabetes (T2D). Participants ingested a 75-g glucose drink on two separate occasions, 30 min after lixisenatide (10 mcg) or placebo subcutaneously, in a randomised, double-blind, crossover design. GE and intragastric distribution were measured for 180 min followed by a buffet-style meal, where EI was quantified. Relationships of EI with total, proximal, and distal stomach content were assessed. In both groups, lixisenatide slowed GE markedly, with increased retention in both the proximal (p < 0.001) and distal (p < 0.001) stomach and decreased EI (p < 0.001). EI was not related to the content of the total or proximal stomach but inversely related to the distal stomach at 180 min in health on placebo (r = −0.58, p = 0.03) but not in T2D nor after lixisenatide in either group. In healthy and T2D participants, the reduction in EI by lixisenatide is unrelated to changes in GE/intragastric distribution, consistent with a centrally mediated effect.

Eumycetoma is a chronic infectious disease characterized by a large subcutaneous mass, often caused by the fungus Madurella mycetomatis. A combination of surgery and prolonged medication is needed to treat this infection with a success rate of only 30%. There is, therefore, an urgent need to find more effective drugs for the treatment of this disease. In this study, we screened 800 diverse drug-like molecules and identified 215 molecules that were active in vitro. Minimal inhibitory concentrations were determined for the 13 most active compounds. One of the most potent compounds, a fenarimol analogue for which a large analogue library is available, led to the screening of an additional 35 compounds for their in vitro activity against M. mycetomatis hyphae, rendering four further hit compounds. To assess the in vivo potency of these hit compounds, a Galleria mellonella larvae model infected with M. mycetomatis was used. Several of the compounds identified in vitro demonstrated promising efficacy in vivo in terms of prolonged larval survival and/or reduced fungal burden. The results presented in this paper are the starting point of an Open Source Mycetoma (MycetOS) approach in which members of the global scientific community are invited to participate and contribute as equal partners. We hope that this initiative, coupled with the promising new hits we have reported, will lead to progress in drug discovery for this most neglected of neglected tropical diseases.