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Vietnam, or Viet Nam (Vietnamese: Vit Nam, [vt nm] ()), officially the Socialist Republic of Vietnam, is a country in Southeast Asia, at the eastern edge of mainland Southeast Asia, with an area of 311,699 square kilometres (120,348 sq mi) and population of 96 million, making it the world's fifteenth-most populous country.Vietnam borders China to the north, and Laos and Human impact on the environment (or anthropogenic impact) refers to changes to biophysical environments and to ecosystems, biodiversity, and natural resources caused directly or indirectly by humans. Articular cartilage lesions are prevalent and affect one out of seven American adults and many young patients. 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