The coronavirus disease 2019 (COVID-19) epidemic affects people’s health and health-related quality of life (HRQoL), especially in those who have suspected COVID-19 symptoms (S-COVID-19-S). We examined the effect of modifications of health literacy (HL) on depression and HRQoL. A cross-sectional study was conducted from 14 February to 2 March 2020. 3947 participants were recruited from outpatient departments of nine hospitals and health centers across Vietnam. The interviews were conducted using printed questionnaires including participants’ characteristics, clinical parameters, health behaviors, HL, depression, and HRQoL. People with S-COVID-19-S had a higher depression likelihood (OR, 2.88; p < 0.001), lower HRQoL-score (B, −7.92; p < 0.001). In comparison to people without S-COVID-19-S and low HL, those with S-COVID-19-S and low HL had 9.70 times higher depression likelihood (p < 0.001), 20.62 lower HRQoL-score (p < 0.001), for the people without S-COVID-19-S, 1 score increment of HL resulted in 5% lower depression likelihood (p < 0.001) and 0.45 higher HRQoL-score (p < 0.001), while for those people with S-COVID-19-S, 1 score increment of HL resulted in a 4% lower depression likelihood (p = 0.004) and 0.43 higher HRQoL-score (p < 0.001). People with S-COVID-19-S had a higher depression likelihood and lower HRQoL than those without. HL shows a protective effect on depression and HRQoL during the epidemic.
Land cover maps are a critical component to make informed policy, development, planning, and resource management decisions. However, technical, capacity, and institutional challenges inhibit the creation of consistent and relevant land cover maps for use in developing regions. Many developing regions lack coordinated capacity, infrastructure, and technologies to produce a robust land cover monitoring system that meets land management needs. Local capacity may be replaced by external consultants or methods which lack long-term sustainability. In this study, we characterize and respond to the key land cover mapping gaps and challenges encountered in the Lower Mekong (LMR) and Hindu Kush-Himalaya (HKH) region through a needs assessment exercise and a collaborative system design. Needs were assessed using multiple approaches, including focus groups, user engagement workshops, and online surveys. Efforts to understand existing limitations and stakeholder needs resulted in a co-developed and modular land cover monitoring system which utilizes state-of-the-art cloud computing and machine learning which leverages freely available Earth observations. This approach meets the needs of diverse actors and is a model for transnational cooperation.
In this study, we develop a vegetation monitoring framework which is applicable at a planetary scale, and is based on the BACI (Before-After, Control-Impact) design. This approach utilizes Google Earth Engine, a state-of-the-art cloud computing platform. A web-based application for users named EcoDash was developed. EcoDash maps vegetation using Enhanced Vegetation Index (EVI) from Moderate Resolution Imaging Spectroradiometer (MODIS) products (the MOD13A1 and MYD13A1 collections) from both Terra and Aqua sensors from the years 2000 and 2002, respectively. to detect change in vegetation, we define an EVI baseline period, and then draw results at a planetary scale using the web-based application by measuring improvement or degradation in vegetation based on the user-defined baseline periods. We also used EcoDash to measure the impact of deforestation and mitigation efforts by the Vietnam Forests and Deltas (VFD) program for the Nghe An and Thanh Hoa provinces in Vietnam. Using the period before 2012 as a baseline, we found that as of March 2017, 86% of the geographical area within the VFD program shows improvement, compared to only a 24% improvement in forest cover for all of Vietnam. Overall, we show how using satellite imagery for monitoring vegetation in a cloud-computing environment could be a cost-effective and useful tool for land managers and other practitioners
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