22 research outputs found

    Targeting effect of folate on cancer cell through curcumin carrier nano-system

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    Folate receptor (FR) is well known for its overexpression on surface of various cancer cell lines, which is identical to normal tissue. Folic-based targeting drug delivery systems, therefore, are one of the most effective targeting carriers that effectively bind to FR up-regulated cancer cells. Curcumin was used both for labeling and chemotherapy. The materials were characterized and structurally confirmed by FT-IR spectra, fluorescent images and FE-SEM images. Bioassays were conducted on HeLa and HT29 cancer cell lines after 4 and 12 hours. Results show that folic acid significantly enhanced both targeting efficiency and internalization of curcumin to FR-expressing cancer cells

    Targeting effect of folate on cancer cell through curcumin carrier nano-system

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    Folate receptor (FR) is well known for its overexpression on surface of various cancer cell lines, which is identical to normal tissue. Folic-based targeting drug delivery systems, therefore, are one of the most effective targeting carriers that effectively bind to FR up-regulated cancer cells. Curcumin was used both for labeling and chemotherapy. The materials were characterized and structurally confirmed by FT-IR spectra, fluorescent images and FE-SEM images. Bioassays were conducted on HeLa and HT29 cancer cell lines after 4 and 12 hours. Results show that folic acid significantly enhanced both targeting efficiency and internalization of curcumin to FR-expressing cancer cells

    Prevalence of carbapenem resistance and its potential association with antimicrobial use in humans and animals in rural communities in Vietnam

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    Background Vietnam and Southeast Asia are hotspots for antimicrobial resistance; however, little is known on the prevalence of carriage of carbapenem resistance in non-hospitalized humans and in animals. Carbapenem-resistant Enterobacteriaceae (CRE), particularly Escherichia coli (CREC) and Klebsiella pneumoniae (CRKP) and also Acinetobacter baumannii (CRAB) are emerging threats worldwide. Methods We investigated healthy humans (n = 652), chickens (n = 237), ducks (n = 150) and pigs (n = 143) in 400 small-scale farms in the Mekong Delta of Vietnam. Samples (rectal swabs, faecal swabs) were investigated for carriage of CRE/CRAB and were further characterized phenotypically and genotypically. Results In the Mekong Delta of Vietnam, the prevalence of CRE isolates in human rectal swabs was 0.6%, including 4 CREC and 1 CRKP. One pig was infected with CREC (prevalence 0.7%). CRAB was isolated from chickens (n = 4) (prevalence 2.1%) and one duck (prevalence 0.7%). CRKP was isolated from a human who was also colonized with CREC. The CRKP strain (ST16), from an 80 year-old person with pneumonia under antimicrobial treatment, genetically clustered with clinical strains isolated in a hospital outbreak in southern Vietnam. The prevalence of CRE was higher among humans that had used antimicrobials within 90 days of the sampling date than those had not (4.2% versus 0.2%) (P = 0.005). All CRE/CRAB strains were MDR, although they were susceptible to colistin and neomycin. The carbapenemase genes identified in study strains were blaNDM and blaOXA. Conclusions The finding of a CRKP strain clustering with previous hospital outbreak raises concerns about potential transmission of carbapenem-resistant organisms from hospital to community settings or vice-versa

    COVID-19 Social Science and Public Engagement Action Research in Vietnam, Indonesia and Nepal (SPEAR): Protocol for a mixed methods study exploring the experiences and impacts of COVID-19 for healthcare workers and vulnerable communities

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    Background: When the novel coronavirus – SARS-CoV-2 – started to spread globally, there was a call for social and behavioral scientists to conduct research to explore the wider socio-cultural contexts of coronavirus disease 2019 (COVID-19), to understand vulnerabilities, as well as to increase engagement within communities to facilitate adoption of public health measures. In this manuscript, we describe the protocol for a study conducted in Indonesia, Nepal, and Vietnam. In the study, we explore how the COVID-19 pandemic is affecting individuals and their communities. We focus on the wider health and economic impacts of COVID-19, in particular emerging and increased burden on mental health, as well as new or deepened vulnerabilities in the communities. The introduction of vaccines has added another layer of complexity and highlights differences in acceptance and inequalities around access.  Methods: We use mixed methods, combining survey methods and social media surveillance to gain a picture of the general situation within each country, with in-depth qualitative methods to gain a deeper understanding of issues, coupled with a synergistic engagement component. We also include an exploration of the role of social media in revealing or driving perceptions of the pandemic more broadly. Participants include health workers and members of communities from 13 sites across the three countries. Data collection is spread across two phases. Phase 1 is concerned with exploring lived experiences, impacts on working lives and livelihoods, mental health and coping strategies. Phase 2 is concerned with acceptance of COVID-19 vaccines, factors that increase and reduce acceptance, and factors that influence access. Conclusions: We will disseminate findings in multiple ways including short reports and policy briefs, articles in peer-reviewed journals, and digital diaries will be edited into short films and uploaded onto social media sites.</ns3:p

    Emergence of colistin-resistant Escherichia coli clinical isolates harboring mcr-1 in Vietnam

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    The mcr-1 was first detected on a plasmid in colistin-resistant Escherichia coli from livestock and patients in China. We described here the emergence of colistin-resistant E. coli clinical isolates harboring mcr-1 on the chromosomes in Vietnam. To our knowledge, this is the first report of hospital-acquired E. coli isolates harboring mcr-1 in a medical setting in Vietnam

    Optimizing the Conditions of Cationic Polyacrylamide Inverse Emulsion Synthesis Reaction to Obtain High&ndash;Molecular&ndash;Weight Polymers

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    Cationic polyacrylamide (CPAM) emulsifier is widely applied in the wastewater treatment industry, mining industry, paper industry, cosmetic chemistry, etc. However, optimization of input parameters in the synthesis of CPAM by using the traditional approach (i.e., changing one factor while leaving the others fixed at a particular set of conditions) would require a long time and a high cost of input materials. Onsite mass production of CPAM requires fast optimization of input parameters (i.e., stirring speed, reaction temperature and time, the amount of initiator, etc.) to minimize the production cost of specific&ndash;molecular&ndash;weight CPAM. Therefore, in this study, we synthesized CPAM using reverse emulsion copolymerization, and proposed response surface models for predicting the average molecular weight and reaction yield based on those input parameters. This study offers a time&ndash;saving tool for onsite mass production of specific&ndash;molecular&ndash;weight CPAM. Based on our response surface models, we obtained the optimal conditions for the synthesis of CPAM emulsions, which yielded medium&ndash;molecular&ndash;weight polymers and high conversion, with a reaction temperature of 60&ndash;62 &deg;C, stirring speed of 2500&ndash;2600 rpm, and reaction time of 7 h. Quadratic models showed a good fit for predicting molecular weight (Adj.R2 = 0.9888, coefficient of variation = 2.08%) and reaction yield (Adj.R2 = 0.9982, coefficient of variation = 0.50%). The models suggested by our study would benefit the cost&ndash;minimization of CPAM mass production, where one could find optimal conditions for synthesizing different molecular weights of CPAM more quickly than via the traditional approach

    Impact of Freeze Storage on the Estimation of Phenotypic Antimicrobial Resistance Prevalence in Escherichia coli Collected from Faecal Samples from Healthy Humans and Chickens

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    Many studies on phenotypic antimicrobial resistance (AMR) of bacteria from healthy populations are conducted on freeze-stored samples. However, the impact of this practice on phenotypic AMR is not known. We investigated the prevalence of phenotypic AMR in Escherichia coli from chicken (n = 10) and human (n = 11) faecal samples collected from healthy subjects, subject to freeze storage (&minus;20 &deg;C and &minus;80 &deg;C) for 1, 2, 3, and 6 months. We compared counts of E. coli and prevalence of phenotypic resistance against five antimicrobials commonly used in chicken farming (ciprofloxacin, enrofloxacin, doxycycline, gentamicin, and florfenicol) with samples processed within 24 h of collection. Prevalence of phenotypic AMR was estimated by performing differential counts on agar media with and without antimicrobials. At &minus;20 &deg;C, there was a considerable reduction in E. coli counts over time, and this reduction was greater for human samples (&minus;0.630 log10 units per 100 days) compared with chicken samples (&minus;0.178 log10 units per 100 days). For most antimicrobials, AMR prevalence estimates decreased in freeze-stored samples both in humans and chickens over time. Based on these results, we conclude that results on the prevalence of phenotypic AMR on samples from freeze-stored samples are unreliable, and only fresh samples should be used in such studies

    Enhanced mechanical properties and wear resistance of cold-rolled carbon nanotubes reinforced copper matrix composites

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    Multi-walled carbon nanotube (MWCNT)/Cu composite containing 0.5 vol% MWCNTs were prepared by a high energy ball milling followed by conventional sintering and finally cold rolling. Microstructure studies showed that MWCNTs were uniformly dispersed and implanted inside the Cu matrix. The MWCNT/Cu composites showed an improvement in hardness and tensile strength up to 37% and 44% respectively compared to those of pure Cu. The enhancement is attributed to the uniform dispersion and strengthening due to the addition of MWCNTs. The yield strength of the composite has been quantified by several strengthening mechanisms including grain boundary strengthening, dislocation strengthening, Orowan strengthening and load transfer. The calculated results indicated that the load transfer strengthening has the largest contribution to the yield strength of the composite which implied the key role of the interfacial bond strength between MWCNTs and Cu matrix on the strengthening behaviors. The friction coefficient and specific wear rate of the composites were reduced with the addition of MWCNT content due to the self-lubrication effect of CNTs and high mechanical properties

    Factors affecting healthcare pathways for chronic lung disease management in Vietnam: a qualitative study on patients’ perspectives

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    Abstract Background Chronic obstructive pulmonary disease (COPD) and asthma rank among the leading causes of respiratory morbidity, particularly in low- and middle-income countries. This qualitative study aimed to explore the healthcare pathways of patients with chronic respiratory disease, and factors influencing their ability to access healthcare in Vietnam, where COPD and asthma are prevalent. Methods We conducted 41 in-depth interviews among patients, including 31 people with COPD, eight with asthma and two with asthma-COPD overlap syndrome. Participants were recruited at provincial- or national-level health facilities in two urban and two rural provinces in Vietnam. The interviews were audio-recorded, transcribed, and analysed using thematic analysis. Results Patients’ healthcare pathways were complex and involved visits to multiple health facilities before finally obtaining a definitive diagnosis at a provincial- or national-level hospital. Access to healthcare was affected considerably by participants’ limited knowledge of their respiratory conditions, the availability of social support, especially from family members, the costs of healthcare as well as health system factors (including the coverage of public health insurance, the distance to health facilities, and attitude of healthcare providers). Conclusion The study demonstrated the need for improved access to timely diagnosis and treatment of chronic lung disease within the lower level of the health system. This can be achieved by enhancing the communication skills and diagnostic capacity of local healthcare workers. Health education programmes for patients and caregivers will contribute to improved control of lung disease
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