Treatment Costs of Pneumonia, Meningitis, Sepsis, and Other Diseases among Hospitalized Children in Viet Nam

The aim of this study was to estimate the costs of treatment of children who present with the signs and symptoms of invasive bacterial diseases in Khanh Hoa province, Viet Nam. The study was an incidence-based cost-of-illness analysis from the health system perspective. The hospital costs included labour, materials and capital costs, both direct and indirect. Costs were determined for 980 children, with an average age of 12.67 months (standard deviation±11.38), who were enrolled in a prospective surveillance at the Khanh Hoa General Hospital during 2005-2006. Of them, 57% were male. By disease-category, 80% were suspected of having pneumonia, 8% meningitis, 3% very severe disease consistent with pneumococcal sepsis, and 9% other diseases. Treatment costs for suspected pneumonia, meningitis, very severe disease, and other diseases were US$31, US$ 57, US$73, and US$ 24 respectively. Costs ranged from US$24 to US$ 164 across different case-categories. Both type of disease and age of patient had statistically significant effects on treatment costs. The results showed that treatment costs for bacterial diseases in children were considerable and might differ by as much as seven times among invasive pneumococcal diseases. Changes in costs were sensitive to both age of patient and case-category. These cost-of-illness data will be an important component in the overall evidence base to guide the development of vaccine policy in Viet Nam

Fuel injection responses and particulate emissions of a crdi engine fueled with cocos nucifera biodiesel

The objective of this paper is to study the effect of coconut oil biodiesel (COB)-diesel blends on exhaust particulate matter (PM) emissions and fuel injection responses in an unmodified turbocharged four-stroke common-rail direct injection (CRDI) diesel engine. Characterization of COB and their blends has been conducted to ascertain the applicability of these fuels for the existing engine. The test fuels used were fossil diesel fuel, COB10, COB20, COB30 and COB50 of biodiesel-diesel fuels. A test cycle which composed of 16 different steady-state modes at various loads and speed conditions was followed. Generally, the results showed a marginally advanced SOI timing and longer injection duration with increasing COB blends at higher load as compared to diesel fuel. Additionally, the lower calorific value (CV) and higher viscosity of the COB fuel blends have resulted in reduced turbo boost pressure and increased common-rail fuel injection pressure, respectively, across all engine speeds and loads. On the aspects of PM emissions characterization, results indicated that the blending of COB with conventional diesel had benefits over diesel in PM reduction. In fact, the largest achievable PM mass reduction of 38.55% was attained with COB50. In addition, it was noticed that the size of PM particles accumulated such that the granular size increased with higher diesel content in the blend. Additionally, the composition analysis on the PM collected by EDX spectroscopy has revealed that the C, O and Si as three main elements that made up the PM particles in descending order. Overall, the results indicated that COB biodiesel is a clean-burning alternative fuel and can be used satisfactorily in an unmodified diesel engine without the needs for engine remapping

Healthcare use for diarrhoea and dysentery in actual and hypothetical cases, Nha Trang, Viet Nam.

To better understand healthcare use for diarrhoea and dysentery in Nha Trang, Viet Nam, qualitative interviews with community residents and dysentery case studies were conducted. Findings were supplemented by a quantitative survey which asked respondents which healthcare provider their household members would use for diarrhoea or dysentery. A clear pattern of healthcare-seeking behaviours among 433 respondents emerged. More than half of the respondents self-treated initially. Medication for initial treatment was purchased from a pharmacy or with medication stored at home. Traditional home treatments were also widely used. If no improvement occurred or the symptoms were perceived to be severe, individuals would visit a healthcare facility. Private medical practitioners are playing a steadily increasing role in the Vietnamese healthcare system. Less than a quarter of diarrhoea patients initially used government healthcare providers at commune health centres, polyclinics, and hospitals, which are the only sources of data for routine public-health statistics. Given these healthcare-use patterns, reported rates could significantly underestimate the real disease burden of dysentery and diarrhoea

Optimization of fuel injection parameters of moringa oleifera biodiesel-diesel blend for engine-out-responses improvements

Biodiesel has gained popularity in diesel engines as a result of the rapid decline of fossil fuels and population growth. The processing of biodiesel from non-edible Moringa Oleifera was investigated using a single-step transesterification technique. Both fuels had their key physicochemical properties measured and investigated. In a common-rail diesel engine, the effects of MB50 fuel blend on the symmetric characteristics of engine-out responses were evaluated under five load settings and at 1000 rpm. As compared to standard diesel, MB50 increased brake thermal efficiency (BTE), and nitrogen oxides (NOx) emissions while lowering brake specific fuel consumption (BSFC), and smoke emissions for all engine loads. A further study of injection pressure and start of injection (SOI) timing for MB50 fuel was optimized using response surface methodology (RSM). The RSM optimization resulted in improved combustion dynamics due to symmetry operating parameters, resulting in a simultaneous decrease in NOx and smoke emissions without sacrificing BTE. RSM is an efficient optimization method for achieving optimal fuel injection parameter settings, as can be deduced. As a result, a clearer understanding of the use of MB50 fuel in diesel engines can be given, allowing for the best possible engine efficiency

Evaluation of Three Adolescent Sexual Health Programs in Ha Noi and Khanh Hoa Province, Vietnam

With an increase in sexual activity among young adults in Vietnam and associated risks, there is a need for evidence-based sexual health interventions. This evaluation of three sexual health programs based on the Protection Motivation Theory (PMT) was conducted in 12 communes in Ha Noi, Nha Trang City, and Ninh Hoa District. Inclusion criteria included unmarried youth 15–20 years residing in selected communes. Communes were randomly allocated to an intervention, and participants were randomly selected within each commune. The intervention programs included Vietnamese Focus on Kids (VFOK), the gender-based program Exploring the World of Adolescents (EWA), and EWA plus parental and health provider education (EWA+). Programs were delivered over a ten-week period in the communities by locally trained facilitators. The gender-based EWA program with parental involvement (EWA+) compared to VFOK showed significantly greater increase in knowledge. EWA+ in comparison to VFOK also showed significant decrease at immediate postintervention for intention to have sex. Sustained changes are observed in all three interventions for self-efficacy condom use, self-efficacy abstinence, response efficacy for condoms, extrinsic rewards, and perceived vulnerability for HIV. These findings suggest that theory-based community programs contribute to sustained changes in knowledge and attitudes regarding sexual risk among Vietnamese adolescents

Sintering behavior and physical properties of Bi0.5(Na1–xKx)0.5SnO3 lead-free ceramics

In this study, Bi0.5(Na1–xKx)0.5SnO3 (BNKS) ceramics (x = 0, 0.1, 0.2, 0.3, and 0.4) were fabricated via ultrasound wave before milling. The time of ball milling decreased from 20 to 1 h. The X-ray diffraction patterns show that the BNKS has a single-phase structure. When the potassium content increases, the phase structure of the ceramics changes from rhombohedral to tetragonal. When sintered at 1100 °C and x = 0.2, the ceramics’ physical properties are the best with the mass density of 5.59 g/cm3, the electromechanical coupling constants kp of 0,31 and kt of 0.27, the remanent polarization of      11.9 µC/cm; the dielectric constant εr of 1131, and the highest dielectric constant emax of 4800

Treatment costs of pneumonia, meningitis, sepsis, and other diseases among hospitalized children in Viet Nam

The aim of this study was to estimate the costs of treatment of children who present with the signs and symptoms of invasive bacterial diseases in Khanh Hoa province, Viet Nam. The study was an incidence-based cost-of-illness analysis from the health system perspective. The hospital costs included labour, ma-terials and capital costs, both direct and indirect. Costs were determined for 980 children, with an average age of 12. 67 months (standard deviation\ub1 11. 38), who were enrolled in a prospective surveillance at the Khanh Hoa General Hospital during 2005- 2006. Of them, 57% were male. By disease-category, 80% were suspected of having pneumonia, 8% meningitis, 3% very severe disease consistent with pneumococcal sep-sis, and 9% other diseases. Treatment costs for suspected pneumonia, meningitis, very severe disease, and other diseases were US$31, US$ 57, US$73, and US$ 24 respectively. Costs ranged from US$24 to US$ 164 across different case-categories. Both type of disease and age of patient had statistically significant effects on treatment costs. The results showed that treatment costs for bacterial diseases in children were consid-erable and might differ by as much as seven times among invasive pneumococcal diseases. Changes in costs were sensitive to both age of patient and case-category. These cost-of-illness data will be an important component in the overall evidence base to guide the development of vaccine policy in Viet Nam

A novel ontology framework supporting model-based tourism recommender

In this paper, we present a tourism recommender framework based on the cooperation of ontological knowledge base and supervised learning models. Specifically, a new tourism ontology, which not only captures domain knowledge but also specifies knowledge entities in numerical vector space, is presented. The recommendation making process enables machine learning models to work directly with the ontological knowledge base from training step to deployment step. This knowledge base can work well with classification models (e.g., k-nearest neighbours, support vector machines, or naıve bayes). A prototype of the framework is developed and experimental results confirm the feasibility of the proposed framework. © 2021, Institute of Advanced Engineering and Science. All rights reserved

Author Correction: Exposure to paternal tobacco smoking increased child hospitalization for lower respiratory infections but not for other diseases in Vietnam.

An amendment to this paper has been published and can be accessed via a link at the top of the paper

Prevalence of Antibodies against Avian Influenza A (H5N1) Virus among Cullers and Poultry Workers in Ho Chi Minh City, 2005

Background: Between 2003 and 2005, highly pathogenic avian influenza A (H5N1) viruses caused large scale outbreaks in poultry in the Ho Chi Minh City area in Vietnam. We studied the prevalence of antibodies against H5N1 in poultry workers and cullers who were active in the program in Ho Chi Minh City in 2004 and 2005. Methodology/Principal Findings: Single sera from 500 poultry workers and poultry cullers exposed to infected birds were tested for antibodies to avian influenza H5N1, using microneutralization assays and hemagglutination inhibition assay with horse blood. All sera tested negative using microneutralization tests. Three samples showed a 1:80 titer in the hemagglutination inhibition assay. Conclusions/Significance: This study provides additional support for the low transmissibility of clade 1 H5N1 to humans, but limited transmission to highly exposed persons cannot be excluded given the presence of low antibody titers in some individuals. © 2009 Schultsz et al.published_or_final_versio