In this study, biochar derived from spent coffee grounds (SCGB) was used to adsorb norfloxacin (NOR) in water. The biochar properties were interpreted by analysis of the specific surface area, ...morphology, structure, thermal stability, and functional groups. The impacts of pH, NOR, and ion's present on SCGB performance were examined. The NOR adsorption mode of SCGB is best suited to the Langmuir model (R2 = 0.974) with maximum absorption capacity (69.8 mg g−1). By using a Response Surface Method (RSM), optimal adsorption was also found at pH of 6.26, NOR of 24.69 mg L−1, and SCGB of 1.32 g L−1. Compared with biochars derived from agriculture such as corn stalks, willow branches, potato stem, reed stalks, cauliflower roots, wheat straw, the NOR adsorption capacity of SCGB was 2–30 times higher, but less than 3–4 times for biochars made from Salix mongolica, luffa sponge and polydopamine microspheres. These findings reveal that spent coffee grounds biochar could effectively remove NOR from aqueous solutions. Approaching biochar derived from coffee grounds would be a promising eco-friendly solution because it utilizes solid waste, saves costs, and creates adsorbents to deal with emerging pollutants like antibiotics.
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•Norfloxacin was removed using biochar derived from spent coffee grounds (SCGB).•pH significantly influenced the Norfloxacin (NOR) adsorption of the SCGB.•Based on Langmuir model, the maximum absorption capacity was 69.8 mg g−1 at pH 6.•The adsorption process was optimized by using the response surface methodology.•Optimal adsorption conditions were achieved at pH of 6.26 and SCGB of 1.32 g L−1.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
Sepsis is the most common cause of in-hospital deaths, especially from low-income and lower-middle-income countries (LMICs). This study aimed to investigate the mortality rate and associated factors ...from sepsis in intensive care units (ICUs) in an LMIC. We did a multicenter cross-sectional study of septic patients presenting to 15 adult ICUs throughout Vietnam on the 4 days representing the different seasons of 2019. Of 252 patients, 40.1% died in hospital and 33.3% died in ICU. ICUs with accredited training programs (odds ratio, OR: 0.309; 95% confidence interval, CI 0.122-0.783) and completion of the 3-h sepsis bundle (OR: 0.294; 95% CI 0.083-1.048) were associated with decreased hospital mortality. ICUs with intensivist-to-patient ratio of 1:6 to 8 (OR: 4.533; 95% CI 1.621-12.677), mechanical ventilation (OR: 3.890; 95% CI 1.445-10.474) and renal replacement therapy (OR: 2.816; 95% CI 1.318-6.016) were associated with increased ICU mortality, in contrast to non-surgical source control (OR: 0.292; 95% CI 0.126-0.678) which was associated with decreased ICU mortality. Improvements are needed in the management of sepsis in Vietnam such as increasing resources in critical care settings, making accredited training programs more available, improving compliance with sepsis bundles of care, and treating underlying illness and shock optimally in septic patients.
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IZUM, KILJ, NUK, PILJ, PNG, SAZU, UL, UM, UPUK
Abstract
There are growing concerns on stress among nurses in low- and middle-income countries (LMICs) in South-East Asia. It is important to improve mental health among nurses in these countries. ...The objective of this study was to examine the efficacy of two types of newly developed smartphone-based stress management programs in improving depressive and anxiety symptoms among hospital nurses in Vietnam. This study was a three-arm (including two intervention groups and one control group) randomized trial. Participants were recruited from nurses in a large general hospital in Hanoi, Vietnam. Two types (free-choice and fixed sequential order) of smartphone-based stress management programs were developed. Participants were randomly allocated to Program A (a free-choice, multimodule stress management), Program B (a fixed-order, internet cognitive behavioral therapy, iCBT), or a control group (treatment as usual). The depressive and anxiety symptoms were measured by using the Depression Anxiety and Stress Scales at baseline, 3-, and 7-month follow-up surveys. 951 participants were randomly allocated to each of the three groups. Program B showed a statistically significant effect on improving depressive symptoms at 3-month (p = 0.048), but not at 7-month (p = 0.92); Cohen’s d was − 0.18 (95% CI − 0.34 to − 0.02) and 0.03 (95% CI − 1.00 to 1.05), respectively. Program A failed to show a significant intervention effect on any of the outcomes at 3- or 7-month follow-up (p > 0.05). Despite the small effect size, the present fixed-order iCBT program seems effective in improving depression of hospital nurses in Vietnam. A public health impact of the intervention can be scalable, when considering its accessibility and minimal cost.
Trial registration number: The study protocol is registered at the UMIN Clinical Trials Registry (UMINCTR; ID = UMIN000033139). Registered date of the protocol is 1st Jul. 2018.
https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000037796
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IZUM, KILJ, NUK, PILJ, PNG, SAZU, UL, UM, UPUK
The insect bacterium Wolbachia pipientis is being introgressed into Aedes aegypti populations as an intervention against the transmission of medically important arboviruses. Here we compare Ae. ...aegypti mosquitoes infected with wMelCS or wAlbB to the widely used wMel Wolbachia strain on an Australian nuclear genetic background for their susceptibility to infection by dengue virus (DENV) genotypes spanning all four serotypes. All Wolbachia-infected mosquitoes were more resistant to intrathoracic DENV challenge than their wildtype counterparts. Blocking of DENV replication was greatest by wMelCS. Conversely, wAlbB-infected mosquitoes were more susceptible to whole body infection than wMel and wMelCS. We extended these findings via mosquito oral feeding experiments, using viremic blood from 36 acute, hospitalised dengue cases in Vietnam, additionally including wMel and wildtype mosquitoes on a Vietnamese nuclear genetic background. As above, wAlbB was less effective at blocking DENV replication in the abdomen compared to wMel and wMelCS. The transmission potential of all Wolbachia-infected mosquito lines (measured by the presence/absence of infectious DENV in mosquito saliva) after 14 days, was significantly reduced compared to their wildtype counterparts, and lowest for wMelCS and wAlbB. These data support the use of wAlbB and wMelCS strains for introgression field trials and the biocontrol of DENV transmission. Furthermore, despite observing significant differences in transmission potential between wildtype mosquitoes from Australia and Vietnam, no difference was observed between wMel-infected mosquitoes from each background suggesting that Wolbachia may override any underlying variation in DENV transmission potential.
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DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Background
The simple scoring systems for predicting the outcome of sepsis in intensive care units (ICUs) are few, especially for limited-resource settings. Therefore, this study aimed to evaluate ...the accuracy of the quick Sequential (Sepsis-Related) Organ Failure Assessment (qSOFA) score in predicting the mortality of ICU patients with sepsis in Vietnam.
Methods
We did a multicenter cross-sectional study of patients with sepsis (≥18 years old) presenting to 15 adult ICUs throughout Vietnam on the specified days (i.e., 9th January, 3rd April, 3rd July, and 9th October) representing the different seasons of 2019. The primary and secondary outcomes were the hospital and ICU all-cause mortalities, respectively. The area under the receiver operating characteristic curve (AUROC) was calculated to determine the discriminatory ability of the qSOFA score for deaths in the hospital and ICU. The cut-off value of the qSOFA scores was determined by the receiver operating characteristic curve analysis. Upon ICU admission, factors associated with the hospital and ICU mortalities were assessed in univariable and multivariable logistic models.
Results
Of 252 patients, 40.1% died in the hospital, and 33.3% died in the ICU. The qSOFA score had a poor discriminatory ability for both the hospital (AUROC: 0.610 95% CI: 0.538 to 0.681; cut-off value: ≥2.5; sensitivity: 34.7%; specificity: 84.1%; P
AUROC
= 0.003) and ICU (AUROC: 0.619 95% CI: 0.544 to 0.694; cutoff value: ≥2.5; sensitivity: 36.9%; specificity: 83.3%; P
AUROC
= 0.002) mortalities. However, multivariable logistic regression analyses show that the qSOFA score of 3 was independently associated with the increased risk of deaths in both the hospital (adjusted odds ratio, AOR: 3.358; 95% confidence interval, CI: 1.756 to 6.422) and the ICU (AOR: 3.060; 95% CI: 1.651 to 5.671).
Conclusion
In our study, despite having a poor discriminatory value, the qSOFA score seems worthwhile in predicting mortality in ICU patients with sepsis in limited-resource settings.
Clinical trial registration
Clinical trials registry–India:
CTRI/2019/01/016898
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DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
The wMel strain of Wolbachia can reduce the permissiveness of Aedes aegypti mosquitoes to disseminated arboviral infections. Here, we report that wMel-infected Ae. aegypti (Ho Chi Minh City ...background), when directly blood-fed on 141 viremic dengue patients, have lower dengue virus (DENV) transmission potential and have a longer extrinsic incubation period than their wild-type counterparts. The wMel-infected mosquitoes that are field-reared have even greater relative resistance to DENV infection when fed on patient-derived viremic blood meals. This is explained by an increased susceptibility of field-reared wild-type mosquitoes to infection than laboratory-reared counterparts. Collectively, these field- and clinically relevant findings support the continued careful field-testing of wMel introgression for the biocontrol of Ae. aegypti-born arboviruses.
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BFBNIB, NMLJ, NUK, PNG, SAZU, UL, UM, UPUK
•The min-cost parallel drone scheduling vehicle routing problem (PDSVRP) is introduced.•A mixed integer linear program and a Ruin and Recreate (R&R) algorithm are proposed.•Extensive experiments are ...carried out to investigate the performance of the methods.•CART method is used to perform a sensitivity analysis on the impact of drone delivery.•R&R dominates other algorithms proposed for the PDSTSP in terms of solution quality.
Adopting unmanned aerial vehicles (UAV), also known as drones, into the last-mile-delivery sector and having them work alongside trucks with the aim of improving service quality and reducing the transportation cost gives rise to a new class of Vehicle Routing Problems (VRPs). In this paper, we introduce a new optimization problem called the min-cost Parallel Drone Scheduling Vehicle Routing Problem (PDSVRP). This problem is a variant of the well-known Parallel Drone Scheduling Traveling Salesman Problem (PDSTSP) recently introduced in the literature in which we allow multiple trucks and consider the objective of minimizing the total transportation costs. We formulate the problem as a Mixed Integer Linear Program and then develop a Ruin and Recreate (R&R) algorithm. Exploiting PDSVRP solution characteristics in an effective manner, our heuristic manages to introduce “sufficient” rooms to a solution via new removal operators during the ruin phase. It is expected to enhance the possibilities for improving solutions later in the recreate phase. Multiple experiments on a new set of randomly generated instances confirm the performance of our approach. To explore the benefits of drone delivery as well as the insight into the impact of related factors on the contribution of drones’ use to operational cost, a sensitivity analysis is conducted. We also adapt the proposed algorithm to solve the PDSTSP and validate it via benchmarks available in the literature. It is shown that our algorithm outperforms state-of-the-art algorithms in terms of solution quality. Out of 90 considered instances, it finds 26 new best known solutions.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
ObjectivesTo compare the accuracy of the Sequential Organ Failure Assessment (SOFA) and Acute Physiology and Chronic Health Evaluation II (APACHE II) Scores in predicting mortality among intensive ...care unit (ICU) patients with sepsis in a low-income and middle-income country.DesignA multicentre, cross-sectional study.SettingA total of 15 adult ICUs throughout Vietnam.ParticipantsWe included all patients aged ≥18 years who were admitted to ICUs for sepsis and who were still in ICUs from 00:00 to 23:59 of the specified study days (ie, 9 January, 3 April, 3 July and 9 October of the year 2019).Primary and secondary outcome measuresThe primary outcome was hospital all-cause mortality (hospital mortality). We also defined the secondary outcome as all-cause deaths in the ICU (ICU mortality).ResultsOf 252 patients, 40.1% died in hospitals, and 33.3% died in ICUs. SOFA Score (areas under the receiver operating characteristic curve (AUROC): 0.688 (95% CI 0.618 to 0.758); cut-off value≥7.5; PAUROC<0.001) and APACHE II Score (AUROC: 0.689 (95% CI 0.622 to 0.756); cut-off value ≥20.5; PAUROC<0.001) both had a poor discriminatory ability for predicting hospital mortality. However, the discriminatory ability for predicting ICU mortality of SOFA (AUROC: 0.713 (95% CI 0.643 to 0.783); cut-off value≥9.5; PAUROC<0.001) was fair and was better than that of APACHE II Score (AUROC: 0.672 (95% CI 0.603 to 0.742); cut-off value≥18.5; PAUROC<0.001). A SOFA Score≥8 (adjusted OR (AOR): 2.717; 95% CI 1.371 to 5.382) and an APACHE II Score≥21 (AOR: 2.668; 95% CI 1.338 to 5.321) were independently associated with an increased risk of hospital mortality. Additionally, a SOFA Score≥10 (AOR: 2.194; 95% CI 1.017 to 4.735) was an independent predictor of ICU mortality, in contrast to an APACHE II Score≥19, for which this role did not.ConclusionsIn this study, SOFA and APACHE II Scores were worthwhile in predicting mortality among ICU patients with sepsis. However, due to better discrimination for predicting ICU mortality, the SOFA Score was preferable to the APACHE II Score in predicting mortality.Clinical trials registry – India: CTRI/2019/01/016898.
The present study focused on investigating the contamination and risk assessment for 16 metals in street dust from Ha Noi highway, Ho Chi Minh City. The results indicated that the concentrations of ...metals (mg/kg) were found, in decreasing order, to be Ti (676.3 ± 155.4) > Zn (519.2 ± 318.9) > Mn (426.6 ±113.1) > Cu (144.7 ± 61.5) > Cr (81.4 ± 22.6) > Pb (52.2 ± 22.9) > V (35.5 ± 5.6) > Ni (30.9 ± 9.5) > Co (8.3 ± 1.2) > As (8.3 ± 2.5) > Sn (7.0 ± 3.6) > B (5.7 ± 0.9) > Mo (4.1 ± 1.7) > Sb (0.8 ± 0.3) > Cd (0.6 ± 0.2) > Se (0.4 ± 0.1). The geo-accumulation index (Igeo) showed moderate contamination levels for Pb, Cd, Cu, Sn, Mo, and Zn. The enrichment factor (EF) values revealed moderate levels for Cd, Cu, Mo, and Sn but moderate–severe levels for Zn. The pollution load index of the heavy metals was moderate. The potential ecological risk (207.43) showed a high potential. Notably, 40.7% and 33.5% of the ecological risks were contributed by Zn and Mn, respectively. These findings are expected to provide useful information to decision-makers about environmental quality control strategies.
A unique nanomaterial platform was developed for trace detection and efficient degradation of triclosan (TCS). A facile spectroscopic technique for surface-enhanced Raman scattering (SERS)-supported ...identification and ultraviolet (UV) degradation of TCS using a SERS template based on silver spherical nanoparticle (AgNP)-modified ZnO multipods (ZnO@Ag) is reported. Core-shell composite materials of ZnO multipods with a dimension of around 3 μm and AgNPs with an average diameter of ∼27 nm was designed not only as a substrate for TCS degradation up to ∼92% upon UV irradiation (λ = 365 mm, 300 μW/cm2) but also as a monitoring platform sensitive to TCS at a detection limit as low as 10−9 M (≈0.3 ppb). Herein, the first investigation into ZnO@Ag bimetallic composites is established for both the SERS-based detection and UV-assisted degradation of environmental TCS pollutants. The calibration curve was estimated to be linear at R2 > 0.97. The validated technology was successfully used to determine the antibacterial agent and TCS in distilled or river water. The advantages of the ZnO@Ag template are highlighted over conventional detection and excellent degradation.
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•Triclosan pollutant levels could be monitored using a spectroscopic technique.•Ag nanoparticle-decorated ZnO multipod composites were introduced as a substrate.•Subppb level detection limit was reached for triclosan (10−9 M ≈ 0.3 ppb).•UV irradiation at 365 nm could remove up to ∼92% of triclosan on glass surfaces.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
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