Trends in overweight by socio-economic status in Vietnam: 1992 to 2002

OBJECTIVE: To explore socio-economic factors associated with rising rates of overweight among Vietnamese adults. DESIGN: The study was based on three national surveys of socio-economic factors and health conducted over a 10-year period. The studies were: the Vietnamese Living Standard Survey 1992-1993 (11 982 participants); the Vietnamese Living Standard Survey 1997-1998 (15 975 participants); and the Vietnamese National Health Survey 2001-2002 (94 656 participants). SUBJECTS: Male and female adults >18 years old were stratified by gender, age group, area of residence, occupation, education and relative food expenditures. Overweight was defined using body mass index (BMI) > or = 25 kg m(-2). RESULTS: Overweight rates in Vietnam more than doubled between 1992 and 2002 (from 2.0 to 5.7%). Significant increases were observed for men and women, in urban and rural areas, and for all age groups. In univariate analyses, both age and higher socio-economic status were associated with higher rates of overweight. Using the most recent survey, urban populations were more likely to be overweight than rural ones (odds ratio (OR) = 1.79), white-collar workers were more likely to be overweight than manual labourers (OR = 1.95) and persons in the top level of food expenditures were more likely to be overweight than persons in the bottom level (OR = 4.96) after adjustment for other factors. Education was inversely associated with overweight after adjusting for covariates. CONCLUSION: Economic growth and improved standard of living are associated with higher rates of overweight in nations in early stages of economic development. In Vietnam, higher rates of overweight were observed among the higher income and occupation groups.     

Hepatic myelolipoma incarcerated in a peritoneopericardial diaphragmatic hernia in a cat

Hepatic myelolipoma incarcerated in a peritoneopericardial diaphragmatic hernia was diagnosed in an 11-year-old, desexed female Persian cat. The cat was initially referred for investigation of tachypnoea and dyspnoea. Peritoneopericardial diaphragmatic hernia is a common incidental finding in cats and is usually asymptomatic. Myelolipoma is an extremely rare benign tumour, composed of extramedullary haematopoietic cells and adipose tissue. Myelolipomas are hypothesised to result from metaplastic alteration, rather than a neoplastic process, although this theory cannot be substantiated. The present case is only the fourth report of such an unusual occurrence in cats and displays significant differences to previous reports. Hepatic entrapment and burgeoning of the mass within the pericardial sac resulted in cardiac tamponade and overt signs of right-sided cardiac failure. Surgical intervention was successful and despite concerns regarding the cat's clinical presentation and the gross appearance of the lesion(s), a good long-term outcome is anticipated.     

Successful treatment of a pancreatic pseudocyst by omentalisation in a dog

CASE HISTORY A 3-year-old male Labrador retriever was presented with a history of dietary indiscretion followed by vomiting and abdominal pain.

CLINICAL FINDINGS AND TREATMENT: Abdominal ultrasonography revealed the presence of a fluid-filled cystic structure in the region of the pancreas. Flocculent, dark fluid was drained from the cystic structure during exploratory celiotomy prior to resection of the lateral cystic wall. Omentum was sutured into the cystic cavity to provide drainage and enhance immune response. A jejunostomy feeding tube was placed. Post-surgical care consisted of antibiotic therapy. The dog was clinically normal at 1 and 7 months post-operatively and the pancreas appeared normal on final ultrasonographic examination.

CLINICAL RELEVANCE: This case describes the use of omentum to provide physiological drainage of a pancreatic pseudocyst. This surgical technique may help clinicians manage patients with this condition in the future.     

Male pseudohermaphroditism in a Labrador Retriever,and a review of mammalian sexual differentiation

CASE HISTORY: An 8-month-old Labrador Retriever was referred with a history of ambiguous external genitalia.

CLINICAL FINDINGS AND TREATMENT: Clitoromegaly within apparent vulval folds, and an adjacent subcutaneous mass were noticed on external examination. An intra-abdominal testicle, with epididymis and suspected vas deferens ducts, was found during exploratory celiotomy. Incision over the subcutaneous mass revealed the accompanying testicle. Clitoridectomy was performed and an os clitoris removed. Normal juvenile testes were diagnosed on histology of the gonads. Chromosomal studies revealed a normal 78, XY male chromosomal constitution. Due to the combination of a male karyotype (78, XY), the presence of testicular tissue in the gonads, and the appearance of the external genitalia, a diagnosis of male pseudohermaphroditism (MPH) was made.

CLINICAL RELEVANCE: This case presents the first report of MPH in a Labrador Retriever, and highlights the diagnostic steps recommended when confronted with a dog with ambiguous external genitalia.     

Use of a spectrum model and satellite cloud data in the simulation of wheat stripe rust (Puccinia striiformis) dispersal across the Tasman Sea in 1980

Long distance dispersal of plant pathogens has been simulated using different approaches. Models to predict dispersal of airborne spores often use simplified methods to estimate solar radiation in order to estimate mortality of spores. We incorporated a spectrum model into a Lagrangian approach to simulate dispersal of wheat stripe rust from Australia to New Zealand across the Tasman Sea. To estimate cloud cover conditions, satellite data were also used in our study. The combination of a spectrum model and satellite cloud data made it easy to identify sites at which viable spores were deposited. In our study, 0.6% of deposition near New Zealand followed exposure to UV radiation less than our mortality threshold (0.9 MJ m⁻²). Model spores of wheat stripe rust arrived at sites within 40 km from Otama, New Zealand, where wheat stripe rust was first reported in November 1980. It appeared that the uredospores were transported under an overcast cloud condition, which would increase the chance of successful infection on host crops. Further studies on the relationship between solar UV radiation and mortality of pathogen uredospores would facilitate the use of the spectrum model and satellite data to predict dispersal of airborne spores.     

Deposition of aerially applied tebufenozide (RH5992) on balsam fir (Abies balsamea) and its control of spruce budworm (Choristoneura fumiferana [Clem.])

A field trial was conducted in 1994 to determine the foliar deposit of tebufenozide (RH5992), applied aerially, and its efficacy against spruce budworm, Choristoneura fumiferana (Clem.). A commercial 240 g litre^-1 formulation of the insecticide (Mimic 240LV) was mixed with water, dyed with a tracer dye (Rhodamine WT) and sprayed with a light fixed-wing aircraft. Six application strategies were tested. Five used 70 g AI ha^-1 in a spray volume of 1 or 2 litre^-1 ha^-1 with single or double applications; the sixth was an unsprayed control. Results show that the spectra of the spray applications were, with one exception, fairly uniform. Volume and number median diameters ranged from 100 to 130 μm and 27 to 72 μm, respectively. Mean number of drops cm^-2 on Kromekote cards were <2·0 for strategies where either 1 or 2 litre ha^-1 were sprayed. Nevertheless no one strategy produced droplet densities that were significantly different (P<0·05) from the other strategies. Tebufenozide recovered from foliage averaged 2·5 to 5·9 μg g foliage^-1 when 1 litre ha^-1 was sprayed and 5·8 to 6·8 μg g foliage^-1 after 2 litre ha^-1 were sprayed. When a single application was the strategy used, the mean number of droplets cm^-2 and μg tebufenozide g foliage^-1 ranged from 1·2 to 1·4 and 2·5 to 5·9, respectively. With double applications, the same response parameters ranged from 0·3 to 1·9 and 2·5 to 6·8, respectively. Budworm population reductions (%) and the number of larvae that survived tebufenozide treatments were significantly different (P<0·05) from the controls. After strategies that used 1 litre spray ha^-1, mean percentage population reductions ranged from 61·4 to 93·6 whereas populations were reduced by 85·6 to 98·3% when 2 litre ha^-1 were sprayed. After double applications the mean percentage population reductions ranged from 93·6 to 98·3, but single application strategies resulted in mean reductions of 61 to 86%. Mean population reductions in the controls were 61%. The mean number of larvae per branch that survived spray strategies of 1 litre ha^-1 ranged from 1·3 to 7·4, and from 0·4 to 1·3 when 2 litre ha^-1 was the spray volume. In the controls an average of 10·2 larvae survived. With one exception, mean percentage defoliation in the treated areas was also significantly less (P<0·05) than that in the control. Mean defoliation in trees sprayed at 1 litre spray ha^-1 ranged from 40 to 62·8% whereas those treated at 2 litre ha^-1 had mean defoliation levels from 31·5 to 62·8%. In contrast, average defoliation in the controls was 92·1%. When a single application was the spray strategy, mean defoliation ranged from 31·5 to 62·8%. These data imply that a double application of tebufenozide at 70 g in 2 litre ha^-1 was the most efficacious strategy. However, analyses of the data also show that the primary influence on deposits and defoliation was interactions between number of applications and spray. Nevertheless the two independent variables acted without significant interactions when influencing percentage reductions of spruce budworm populations. © 1998 SCI