Central Vietnam is characterized by severe flooding associated with heavy rainfall events caused by interactions between multiscale atmospheric circulations and the complex local terrain. Previous studies believed rainfall in central Vietnam is closely related to the cold surge; however, it fails to explain the cause of the early rainfall occurrence in August in the subregion. For the first time, this study investigates the detailed atmospheric mechanisms associated with rainfall variations in central Vietnam using the empirical orthogonal function (EOF) applied to the recently developed high-resolution Vietnam gridded precipitation (VnGP) dataset. Reanalysis data NCEP/NCAR is used to associate the rainfall changes with respective atmospheric mechanisms. EOF analysis detected two dominant rainfall modes. The primary mode explains the rainfall variation from October to November over the central and is directly related to the interaction of cold surges and tropical disturbances. The second mode accounts for rainfall occurring in north central from September to mid-October, which is attributed to the westerly summer monsoon activities. Also, we revealed that, while the first mode exhibits a significant correlation with El Niño-southern oscillation, the second depends highly on the contrast of sea surface temperature in the northern and southern Hemispheres. This different oceanic forcing and the local topological effect of Truong Son mountain range reasonably explain the opposite rainfall pattern in central Vietnam in early fall.

Objective: The research was conducted to identify and assess the unmet supportive care needs of patients with cancer after a first-time hospital discharge.Material and Methods: This was a cross-sectional study using the Cancer Survivors’ Unmet Need (the CaSUN). A total of 163 cancer patients of Danang Oncology hospital were invited to the study after they were discharged from the hospital for the first-time. Data was entered and analyzed using SPSS version 20.0.Results: In total 68.7% of participants expressed at least one unmet supportive care need after a first-time hospital discharge. Specifically, 13.7% showed their unmet needs at a weak level, 31.3% had a moderate level and 23.7% a high level. However, the common unmet supportive care needs domain concerned Information and medical care (75.1%); Life perspective (70.8%); Emotions and relationships (64.2%) and Quality of life (63.6%). Conclusion: Most cancer patients indicated one or more unmet supportive care needs after first-time hospital discharge. This result will support improving healthcare service quality and raising awareness of nursing when providing care for cancer patients in the community.

Bài báo cung cấp dẫn liệu về đặc điểm hình thái và bổ sung vùng phân bố của loài Thạch sùng đuôi dẹp Hemidactylus garnotii Duméril et Bibron, 1836 cho khu hệ lưỡng cư, bò sát Thanh Hóa. Đây cũng là lần đầu tiên ghi nhận phân bố của loài này ở khu vực Bắc Trung Bộ. Loài Thạch sùng đuôi dẹp Hemidactylus garnotii đặc trưng bởi đuôi dẹp, có khía răng cưa nhỏ hai bên; vảy trên lưng nhỏ, đồng dạng; cặp tấm sau cằm thứ hai không tiếp xúc với các tấm mép dưới.

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Background: Myocardial infarction is the most common cause of the morbidity and mortality in noncardiac surgery. High-sensitivity Troponin T (hs-Troponin T) assay has been reported to increase the myocardial injury after non-cardiac surgery (MINS). The objective of this study was to study the change of hs-Troponin T in elderly patients after laparoscopic surgery and to determine the related factors. Materials and Method: Cross - sectional study of 117 patients ≥ 60 years old undergo laparoscopy surgery. hs-Troponin T was measured before surgery and at day 1, 2, and 3 after surgery. MINS was defined as an absolute hs-Troponin T increase of ≥ 14 ng/L from preoperative to postoperative measurements. Results: hs-Troponin T increase of ≥ 14 ng/L was detected in 29.9%. Myocardial injury occurred in 7.7% cases. RCRI ≥ 2, intraoperative heart rate > 100/min or < 50/min, intraoperative hypotension were independent risk factors for myocardial injury. Conclusion: There's elevated hs-Troponin T inelderly patients after laparoscopy