Introduction The HIV/AIDS epidemic in Vietnam is concentrated in groups including men who have sex with men (MSM). Pre-exposure prophylaxis (PrEP) is a viable strategy for HIV prevention, but knowledge about and preferences for PrEP delivery among Vietnamese MSM are not well understood. Methods In 2015, an online survey was conducted via social networking websites for MSM and by peer recruitment. A description of daily oral, long-acting injectable, and rectal microbicide formulations of PrEP was provided to participants. Participants were asked about their prior awareness of and interest in PrEP, and ranked their most preferred PrEP modality. Multivariable logistic regression models were used to assess factors associated with having heard of PrEP, and with preference for each PrEP modality. Results Of 548 participants who answered demographic and PrEP-related questions, 26.8% had previously heard of PrEP, and most (65.7%) endorsed rectal microbicides as their most preferred PrEP delivery modality. Commonly-cited perceived barriers to uptake of PrEP included concern about side-effects, perception about being HIV positive, and family/friends finding out about sexual behavior. In multivariable models, older participants less often endorsed rectal microbicides (aOR 0.95 per year, 95% CI 0.91–0.99) and more often endorsed long-acting injectables (aOR 1.08 per year, 95% CI 1.03 to 1.14) as their preferred PrEP modality. Participants who were willing to pay more for PrEP less often endorsed rectal microbicides (aOR 0.81, 95% CI 0.72–0.92) and more often endorsed long-acting injectables (aOR 1.17, 95% CI 1.01–1.35) and daily oral pills (aOR 1.16, 95% CI 1.00–1.35) as their preferred form of PrEP. Conclusions A variety of PrEP modalities were acceptable to MSM in Vietnam, but low knowledge of PrEP may be a barrier to implementation.
The dynamic vibration absorber (DVA) has attracted attention since its invention. This paper deals with the optimization problems of the standard DVA and two other models of DVA called three-element DVA and non-traditional DVA for damped primary structures. Unlike the standard configuration, the three-element DVA contains two spring elements in which one is connected to a dashpot in a series and the other is placed in parallel. Meanwhile the non-traditional DVA has a linear viscous damper connecting the absorber mass directly to the ground. There have been some studies on the design of three-element and non-traditional dynamic vibration absorbers in the case of undamped primary structures. These studies have shown that both three-element and non-traditional DVAs perform better than the standard DVA. When the primary structure is damped, there are very few studies on the three-element and non-traditional DVAs in the literature. This article proposes a global-local approach to give approximate analytical solutions of the [Formula: see text] optimization for all standard, three-element and non-traditional DVAs attached to damped primary structures. The main idea of the study is based on the global-local criterion of the equivalent linearization method in order to replace approximately the original damped structure by an equivalent undamped one. Afterwards, the already derived expressions of the optimal parameters for the undamped primary system case are used with the equivalent undamped structure that was just obtained. The numerical simulations are carried out to verify the effectiveness of the obtained results. Additionally, design aids, which show the variation of the optimal design quantities for various DVA mass ratios and inherent structural damping ratios are also provided.
Dengue fever is perhaps the most important viral re-emergent disease especially in tropical and sub-tropical countries, affecting about 50 million people around the world every year. In the Central Highlands regions of Vietnam, dengue fever still remains as a major public health issue. Although four viral serotypes have been currently identified, dengue virus type 2 (DENV-2) was involved in the most important outbreaks during 2010-2012, especially, 2010 when the fatality rate highly increased. Detection of genotype of DENV-2 provided information on origin, distribution and genotype of the virus. In this study, DEN-2 isolated from dengue patients during the 2010-2012 epidemics was amplified and sequenced with E gene. The consensus sequences were aligned with reference E gene sequences of globally available Genbank. Phylogenetic analysis was performed using Neighbor-joining and Kimura 2-parameter model to construct phylogenetic tree. A total of 15 isolates (seven from 2010; one from 2011 and seven from 2012) were obtained from human serum samples. Phylogenetic analysis revealed that Asian genotype 1 is currently circulating locally in Central Highlands region. Isolates of this genotype were closely related to viruses from Thailand, Laos, and Cambodia. It indicated that these epidemics maybe imported into the Central Highlands region from South-East Asia neighbor countries. The study results would help in planning for prevention and control of dengue virus in Vietnam. Continuous monitoring of DENV genotypes is necessary to confirm the current findings and detect possible genotype shifts within the dengue viruses in the future. Rev. Biol. Trop. 65 (2): 819-826. Epub 2017 June 01.
In this paper, we develop a numerical approach to simulate the 2D complex damage and fracture process of quasi-brittle concrete materials. Based on the phase field theory for the case of elastic isotropic multicomponent materials and the generation process based upon Monte Carlo’s simulation method, we construct a numerical procedure to solve complex damage thermodynamic problems. The diffusive phase field variable obtained from this calculation can be used to represent the crack nucleation and propagation within 2D complex mesostructure. Some factors that affect the numerical result (type of crack density function and type of split decomposition of strain energy) are accounted to make the predictions more accurate for the case of concrete material. Some new numerical examples are provided to show the usefulness of the approach.
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