TEACHER TALK IN EFL SPEAKING LESSONS AND IMPLICATIONS FOR LEARNER INVOLEMENT: A CASE STUDY AT A FOREIGN ENGLISH CENTER IN THE MEKONG DELTA, VIETNAM

In English teaching classrooms, teacher talk plays as a communicative tool to help language learners to communicate effectively. Studies (Walsh, 2002; Xiao Yan, 2006; Cullen, 1998) have been carried out to investigate the essential role of teacher talk. This paper focuses on the purpose, frequency, and teacher talking time in speaking English language lessons. This study aimed at investigating features of teacher talk constructing and obstructing learner speaking involvement. The results show that teacher talk plays as an important role in language teaching including giving instruction and classroom management, however, the use of language in both L1 and L2 should be taken into consideration in order to maximize student learning involvement.  Article visualizations

Safety and efficacy of fluoxetine on functional outcome after acute stroke (AFFINITY): a randomised, double-blind, placebo-controlled trial

Background Trials of fluoxetine for recovery after stroke report conflicting results. The Assessment oF FluoxetINe In sTroke recoverY (AFFINITY) trial aimed to show if daily oral fluoxetine for 6 months after stroke improves functional outcome in an ethnically diverse population. Methods AFFINITY was a randomised, parallel-group, double-blind, placebo-controlled trial done in 43 hospital stroke units in Australia (n=29), New Zealand (four), and Vietnam (ten). Eligible patients were adults (aged ≥18 years) with a clinical diagnosis of acute stroke in the previous 2–15 days, brain imaging consistent with ischaemic or haemorrhagic stroke, and a persisting neurological deficit that produced a modified Rankin Scale (mRS) score of 1 or more. Patients were randomly assigned 1:1 via a web-based system using a minimisation algorithm to once daily, oral fluoxetine 20 mg capsules or matching placebo for 6 months. Patients, carers, investigators, and outcome assessors were masked to the treatment allocation. The primary outcome was functional status, measured by the mRS, at 6 months. The primary analysis was an ordinal logistic regression of the mRS at 6 months, adjusted for minimisation variables. Primary and safety analyses were done according to the patient's treatment allocation. The trial is registered with the Australian New Zealand Clinical Trials Registry, ACTRN12611000774921. Findings Between Jan 11, 2013, and June 30, 2019, 1280 patients were recruited in Australia (n=532), New Zealand (n=42), and Vietnam (n=706), of whom 642 were randomly assigned to fluoxetine and 638 were randomly assigned to placebo. Mean duration of trial treatment was 167 days (SD 48·1). At 6 months, mRS data were available in 624 (97%) patients in the fluoxetine group and 632 (99%) in the placebo group. The distribution of mRS categories was similar in the fluoxetine and placebo groups (adjusted common odds ratio 0·94, 95% CI 0·76–1·15; p=0·53). Compared with patients in the placebo group, patients in the fluoxetine group had more falls (20 [3%] vs seven [1%]; p=0·018), bone fractures (19 [3%] vs six [1%]; p=0·014), and epileptic seizures (ten [2%] vs two [<1%]; p=0·038) at 6 months. Interpretation Oral fluoxetine 20 mg daily for 6 months after acute stroke did not improve functional outcome and increased the risk of falls, bone fractures, and epileptic seizures. These results do not support the use of fluoxetine to improve functional outcome after stroke

Monitoring riverine traffic from space: The untapped potential of remote sensing for measuring human footprint on inland waterways

Mass urbanisation and intensive agricultural development across river deltas have driven ecosystem degradation, impacting deltaic socio-ecological systems and reducing their resilience to climate change. Assessments of the drivers of these changes have so far been focused on human activity on the subaerial delta plains. However, the fragile nature of deltaic ecosystems and the need for biodiversity conservation on a global scale require more accurate quantification of the footprint of anthropogenic activity across delta waterways. To address this need, we investigated the potential of deep learning and high spatiotemporal resolution satellite imagery to identify river vessels, using the Vietnamese Mekong Delta (VMD) as a focus area. We trained the Faster R-CNN Resnet101 model to detect two classes of objects: (i) vessels and (ii) clusters of vessels, and achieved high detection accuracies for both classes (f-score = 0.84–0.85). The model was subsequently applied to available PlanetScope imagery across 2018–2021; the resultant detections were used to generate monthly, seasonal and annual products mapping the riverine activity, termed here the Human Waterway Footprint (HWF), with which we showed how waterborne activity has increased in the VMD (from approx. 1650 active vessels in 2018 to 2070 in 2021 - a 25 % increase). Whilst HWF values correlated well with population density estimates (R 2 = 0.59–0.61, p &lt; 0.001), many riverine activity hotspots were located away from population centres and varied spatially across the investigated period, highlighting that more detailed information is needed to fully evaluate the extent, and type, of human footprint on waterways. High spatiotemporal resolution satellite imagery in combination with deep learning methods offers great promise for such monitoring, which can subsequently enable local and regional assessment of environmental impacts of anthropogenic activities on delta ecosystems around the globe. </p

Exploring Students’ Engagement of Using Mediating Tools in E-Learning

People are looking for flexible learning ways to meet educational needs in today's world context. There is an increasing need and expectation for universities to incorporate technologies into the design and delivery. It is of significant interest whether the increased use of electronic tools and the provision of online teaching resources positively impact students. The function and influence that a mediation tool can have should be evaluated more closely, rather than viewing them as just assistance. Student involvement is generally regarded as an important benchmark and indication of the quality of the student experience in higher education. Still, the idea is challenging to define and is interpreted in various ways throughout the literature. Hence, this study explores how students experience online learning using the mediating tool. Semi-structured interviews were applied to determine the types of student engagement. The interviews were recorded and transcribed by thematic analysis (Braun and Clarke, 2006). The results showed that the mediating tool positively supports social engagement, behavioral engagement, collaborative engagement, emotional engagement, and cognitive engagement. Implications shed light on teachers, designers, and students when using the mediating tool in online learning

Separation of Spherical Nanosilica from Agricultural Wastes in Vietnam via Ultrasonic-Assisted Precipitation and Application for Effective Removal of Methylene Blue from Aqueous Solution

Agricultural wastes including bagasse and rice husk ashes are employed for synthesizing spherical nanosilica materials via the ultrasonic-assisted precipitation process in the present study. The comparison between them and nanosilica prepared from pure sodium silicate is also carried out. The role of the NH4OH : ethanol volume ratio is demonstrated. The obtained nanosilica is characterized by modern methods including X-ray diffraction (XRD), energy-dispersive X-ray spectroscopy (EDS), infrared spectroscopy (IR), scanning electron microscopy (SEM), and nitrogen adsorption/desorption isotherms (BET). The nanosilica material is employed as an effective adsorbent for the removal of methylene blue (MB) from an aqueous solution. The suitable pH and adsorbent dosage are determined at 8 and 0.375 g·L−1. The adsorption isotherm study is surveyed based on Langmuir and Freundlich isotherm models. Pseudo-second-order kinetic model and Weber–Morris intraparticle diffusion model well describe the chemical nature of the adsorption. The thermodynamic parameters of the reaction are determined based on the Van’t Hoff equation

Baseline Marine Litter Surveys along Vietnam Coasts Using Citizen Science Approach

Marine litter is a significant threat to the marine environment, human health, and the economy. In this study, beach litter surveys along Vietnamese coasts were conducted in a local context to quantify and characterize marine litter using the modified GESAMP marine litter monitoring guideline. A total of 21,754 items weighing 136,820.2 g was recorded across 14 surveys from September 2020 to January 2021. Plastic was the most abundant type of litter by both quantity (20,744 items) and weight (100,371.2 g). Fishing gear 1 (fishing plastic rope, net pieces, fishing lures and lines, hard plastic floats) and soft plastic fragments were the most frequently observed items (17.65% and 17.24%, respectively). This study not only demonstrates the abundance and composition of marine litter in Vietnam, it also provides valuable information for the implementation of appropriate preventive measures, such as the redesign of collection, reuse, and recycling programs, and informs policy and priorities, with a focus on action and investment in Vietnam. Moreover, insights from this study indicate that citizen science is a useful approach for collecting data on marine litter in Vietnam

Effect of the Optimize Heart Failure Care Program on clinical and patient outcomes – The pilot implementation in Vietnam

Background: The Ho-Chi-Minh-city Heart Institute in Vietnam took part in the Optimize Heart Failure (OHF) Care Program, designed to improve outcomes following heart failure (HF) hospitalization by increasing patient awareness and optimizing HF treatment. Methods: HF patients hospitalized with left ventricular ejection-fraction (LVEF) <50% were included. Patients received guideline-recommended HF treatment and education. Clinical signs, treatments and outcomes were assessed at admission, discharge, 2 and 6 months (M2, M6). Patients' knowledge and practice were assessed at M6 by telephone survey. Results: 257 patients were included. Between admission and M2 and M6, heart rate decreased significantly, and clinical symptoms improved significantly. LVEF increased significantly from admission to M6. 85% to 99% of patients received education. At M6, 45% to 78% of patients acquired knowledge and adhered to practice regarding diet, exercise, weight control, and detection of worsening symptoms. High use of renin-angiotensin-aldosterone-system inhibitors (91%), mineralocorticoid-receptor-antagonists (77%) and diuretics (85%) was noted at discharge. Beta-blocker and ivabradine use was less frequent at discharge but increased significantly at M6 (from 33% to 51% and from 9% to 20%, respectively, p < 0.001). There were no in-hospital deaths. Readmission rates at 30 and 60 days after discharge were 8.3% and 12.5%, respectively. Mortality rates at 30 days, 60 days and 6 months were 1.2%, 2.5% and 6.4%, respectively. Conclusions: The OHF Care Program could be implemented in Vietnam without difficulty and was associated with high usage of guideline-recommended drug therapy. Although education was delivered, patient knowledge and practice could be further improved at M6 after discharge. Keywords: Heart failure, Optimize, Education, Knowledge, Mortality, Readmissio

Cerebrospinal fluid MinION sequencing of 16S rRNA gene for rapid and accurate diagnosis of bacterial meningitis: Letter to the Editor

Analysis of angiotensin-converting enzyme 2 (ACE2) from different species sheds some light on cross-species receptor usage of a novel coronavirus 2019-nCo

Human versus equine intramuscular antitoxin, with or without human intrathecal antitoxin, for the treatment of adults with tetanus: a 2 × 2 factorial randomised controlled trial

Background Intramuscular antitoxin is recommended in tetanus treatment, but there are few data comparing human and equine preparations. Tetanus toxin acts within the CNS, where there is limited penetration of peripherally administered antitoxin; thus, intrathecal antitoxin administration might improve clinical outcomes compared with intramuscular injection. Methods In a 2  × 2 factorial trial, all patients aged 16 years or older with a clinical diagnosis of generalised tetanus admitted to the intensive care unit of the Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam, were eligible for study entry. Participants were randomly assigned first to 3000 IU human or 21 000 U equine intramuscular antitoxin, then to either 500 IU intrathecal human antitoxin or sham procedure. Interventions were delivered by independent clinicians, with attending clinicians and study staff masked to treatment allocations. The primary outcome was requirement for mechanical ventilation. The analysis was done in the intention-to-treat population. The study is registered at ClinicalTrials.gov, NCT02999815; recruitment is completed. Findings 272 adults were randomly assigned to interventions between Jan 8, 2017, and Sept 29, 2019, and followed up until May, 2020. In the intrathecal allocation, 136 individuals were randomly assigned to sham procedure and 136 to antitoxin; in the intramuscular allocation, 109 individuals were randomly assigned to equine antitoxin and 109 to human antitoxin. 54 patients received antitoxin at a previous hospital, excluding them from the intramuscular antitoxin groups. Mechanical ventilation was given to 56 (43%) of 130 patients allocated to intrathecal antitoxin and 65 (50%) of 131 allocated to sham procedure (relative risk [RR] 0·87, 95% CI 0·66–1·13; p=0·29). For the intramuscular allocation, 48 (45%) of 107 patients allocated to human antitoxin received mechanical ventilation compared with 48 (44%) of 108 patients allocated to equine antitoxin (RR 1·01, 95% CI 0·75–1·36, p=0·95). No clinically relevant difference in adverse events was reported. 22 (16%) of 136 individuals allocated to the intrathecal group and 22 (11%) of 136 allocated to the sham procedure experienced adverse events related or possibly related to the intervention. 16 (15%) of 108 individuals allocated to equine intramuscular antitoxin and 17 (16%) of 109 allocated to human antitoxin experienced adverse events related or possibly related to the intervention. There were no intervention-related deaths. Interpretation We found no advantage of intramuscular human antitoxin over intramuscular equine antitoxin in tetanus treatment. Intrathecal antitoxin administration was safe, but did not provide overall benefit in addition to intramuscular antitoxin administration