Understanding food safety awareness and practices along smallholder pig value chains in Vietnam using participatory approaches

Pig production plays an important role in both food supply and economic development in Vietnam. We assessed the food safety awareness and practice of involved key actors along the smallholder pig value chains in Hung Yen, Vietnam using participatory approaches. Data collection included quantitative (checklists, questionnaires) and qualitative (in-depth interviews and focus group discussions-FGD) tools and was done in three districts of Hung Yen. All survey tools were developed and pre-tested. Checklists (n=22) and questionnaires (n=12) followed random sampling procedures. The respondents for in-depth interviews (n=24) were randomly selected, while the participants for FGDs (n=5) were recruited by convenience. Data collection was done between January and June, 2013. Descriptive statistic was used for quantitative data, while content analysis was used for qualitative data. The outline for data collection for included groups and stakeholders (slaughterhouse workers, pork sellers, veterinary and public health staff, people living around slaughterhouses, pork consumers) was structured around food safety, diseases and health risks. Differences in what some groups found important or unsafe, based on their occupational priorities or labour focus were identified by using ranking tables and analysed accordingly. Analyses show that for slaughterhouse workers and pork sellers the food safety risks were highest and linked to lack of training, or relying only on “learning by doing” an experience provided by other workers or sellers. People living around slaughterhouses expressed concerns about health effects but also pointed out the advantages of their proximity to slaughterhouses, such as job opportunities and easy access to fresh pork. Pork consumer groups were more concerned about sensorial criteria (e.g. freshly looking, bright red colour) and expressed also some awareness on pork quality. Veterinary and public health staff emphasised the gap between existing legislation and food safety practices. Findings provide information on food safety awareness and practices along various actors and stakeholders. There is a need for improved standards, targeted training and collaborative mechanisms between veterinary and public health authorities to better manage the food production chain

Designing a novel heterostructure AgInS₂@MIL-101(Cr) photocatalyst from PET plastic waste for tetracycline degradation

Semiconductor-containing porous materials with a well-defined structure could be unique scaffolds for carrying out selective organic transformations driven by visible light. We herein introduce for the first time a heterostructure of silver indium sulfide (AgInS(2)) ternary chalcogenide and a highly porous MIL-101(Cr) metal–organic framework (MOF) synthesised from polyethylene terephthalate plastic waste. Our results demonstrate that AgInS(2) nanoparticles were uniformly attached to each lattice plane of the octahedral MIL-101(Cr) structure, resulting in a nanocomposite with a high distribution of semiconductors in a porous media. We also demonstrate that the nanocomposite with up to 40% of AgInS(2) doping exhibited excellent catalytic activity for tetracycline degradation under visible light irradiation (∼99% tetracycline degraded after 4 h) and predominantly maintained its performance after five cycles. These results could promote a new material circularity pathway to develop new semiconductors that can be used to protect water from further pollution

One-pot preparation of alumina-modified polysulfone-graphene oxide nanocomposite membrane for separation of emulsion-oil from wastewater

In recent years, polysulfone-based nanocomposite membranes have been widely used for contaminated water treatment because they comprise properties such as high thermal stability and chemical resistance. In this study, a polysulfone (PSf) nanocomposite membrane was fabricated using the wet-phase inversion method with the fusion of graphene oxide (GO) and alumina (Al2O3) nanoparticles. We also showed that GO-Al2O3 nanoparticles were synthesised successfully by using a one-pot hydrothermal method. The nanocomposite membranes were characterised by Fourier transform infrared (FT-IR), scanning electron microscopy (SEM), nitrogen adsorption-desorption isotherms, energy-dispersive X-ray spectroscopy (EDX), thermogravimetric analysis (TGA), and water contact angle. The loading of GO and Al2O3 was investigated to improve the hydrophilic and oil rejection of the matrix membrane. It was shown that by using 1.5 wt.% GO-Al2O3 loaded in polysulfone, ~74% volume of oil was separated from the oil/water emulsion at 0.87 bar and 30 min. This figure was higher than that of the process using the unmodified membrane (PSf/GO) at the same conditions, in which only ~60% volume of oil was separated. The pH, oil/water emulsion concentration, separation time, and irreversible fouling coefficient (FRw) were also investigated. The obtained results suggested that the GO-Al2O3 nanoparticles loaded in the polysulfone membrane might have potential use in oily wastewater treatment applications

Assimilation of SMAP products for improving streamflow simulations over tropical climate region — is spatial information more important than temporal information?

Streamflow is one of the key variables in the hydrological cycle. Simulation and forecasting of streamflow are challenging tasks for hydrologists, especially in sparsely gauged areas. Coarse spatial resolution remote sensing soil moisture products (equal to or larger than 9 km) are often assimilated into hydrological models to improve streamflow simulation in large catchments. This study uses the Ensemble Kalman Filter (EnKF) technique to assimilate SMAP soil moisture products at the coarse spatial resolution of 9 km (SMAP 9 km), and downscaled SMAP soil moisture product at the higher spatial resolution of 1 km (SMAP 1 km), into the Soil and Water Assessment Tool (SWAT) to investigate the usefulness of different spatial and temporal resolutions of remotely sensed soil moisture products in streamflow simulation and forecasting. The experiment was set up for eight catchments across the tropical climate of Vietnam, with varying catchment areas from 267 to 6430 km2 during the period 2017–2019. We comprehensively evaluated the EnKF-based SWAT model in simulating streamflow at low, average, and high flow. Our results indicated that high-spatial resolution of downscaled SMAP 1 km is more beneficial in the data assimilation framework in aiding the accuracy of streamflow simulation, as compared to that of SMAP 9 km, especially for the small catchments. Our analysis on the impact of observation resolution also indicates that the improvement in the streamflow simulation with data assimilation is more significant at catchments where downscaled SMAP 1 km has fewer missing observations. This study is helpful for adding more understanding of performances of soil moisture data assimilation based hydrological modelling over the tropical climate region, and exhibits the potential use of remote sensing data assimilation in hydrology

Multichannel Photon Counting Lidar Measurements Using USB-based Digital Storage Oscilloscope

We present a simple method of making multichannel photon counting measurements of weak lidar signal from large ranges, using commonly available USB-based digital storage oscilloscopes. The single photon pulses from compact photomultiplier tubes are amplified and stretched so that the pulses are large and broad enough to be sampled efficiently by the USB oscilloscopes. A software interface written in Labview is then used to count the number of photon pulses in each of the prescribed time bins to form the histogram of LIDAR signal. This method presents a flexible alternative to the modular multichannel scalers and facilitate the development of sensitive lidar systems

Prevalence and Determinants of Medication Adherence among Patients with HIV/AIDS in Southern Vietnam

This study was conducted to determine the prevalence and determinants of medication adherence among patients with HIV/AIDS in southern Vietnam. METHODS: A cross-sectional study was conducted in a hospital in southern Vietnam from June to December 2019 on patients who began antiretroviral therapy (ART) for at least 6 months. Using a designed questionnaire, patients were considered adherent if they took correct medicines with right doses, on time and properly with food and beverage and had follow-up visits as scheduled. Multivariable logistic regression was used to identify determinants of adherence. KEY FINDINGS: A total of 350 patients (from 861 medical records) were eligible for the study. The majority of patients were male (62.9%), and the dominant age group (≥35 years old) accounted for 53.7% of patients. Sexual intercourse was the primary route of transmission of HIV (95.1%). The proportions of participants who took the correct medicine and at a proper dose were 98.3% and 86.3%, respectively. In total, 94.9% of participants took medicine appropriately in combination with food and beverage, and 75.7% of participants were strictly adherent to ART. The factors marital status (odds ratio (OR) = 2.54; 95%CI = 1.51-4.28), being away from home (OR = 1.7; 95%CI = 1.03-2.78), substance abuse (OR = 2.7; 95%CI = 1.44-5.05), general knowledge about ART (OR = 2.75; 95%CI = 1.67-4.53), stopping medication after improvement (OR = 4.16; 95%CI = 2.29-7.56) and self-assessment of therapy adherence (OR = 9.83; 95%CI = 5.44-17.77) were significantly associated with patients' adherence. CONCLUSIONS: Three-quarters of patients were adherent to ART. Researchers should consider these determinants of adherence in developing interventions in further studies

Rapid integrated assessment of food safety and nutrition related to pork consumption of regular consumers and mothers with young children in Vietnam

Pork is the most common and widely consumed meat product in Vietnam. The study aimed to assess nutrition and food safety risks and opportunities associated with pork value chains in Vietnam. Twenty-nine focus group discussions (FGD) were conducted in Hung Yen and Nghe An provinces with 164 participants who were both regular pork consumers and mothers with young children. In each province, three districts were selected, and in each district we selected one commune. To assess the quality of pork, we took 30 swab samples of pig carcasses at slaughterhouses, 90 pork samples at slaughterhouses and markets and analysed all samples for total bacterial count (TBC), coliforms, water holding capacity and pH. The results showed that pork was the main livestock product consumed and women are responsible for buying and preparing food for daily meals. Pork was the main animal sourced food (ASF) for Vietnamese consumers, for 50–60% of ASF. There was little knowledge of zoonotic diseases. The findings suggest further studies to address consumers’ concern on chemical contamination. Most market pork samples were not within the allowable range of limits standards of Vietnam for bacterial contamination: 90% of samples were above the official permissible limit for TBC and 98% did not meet standards for coliforms. Fifty percent of samples had acceptable pH but only 5% had acceptable water holding capacity. There were no significant differences in pork quality between intensifying Hung Yen and traditional Nghe An provinces, although there was a tendency for samples from Hung Yen to have better compliance. This rapid assessment revealed considerable interest and knowledge on pork nutrition and safety and found some behavioural but few quality and safety differences between traditional and intensifying systems. This indicated marketed pork is of low quality and safety, and a lack of support to consumers in making good choices

Improved Outcomes Associated With the Use of Intravenous Acetaminophen for Management of Acute Post-Surgical Pain in Cesarean Sections and Hysterectomies

Background: Post-surgical pain impacts many patient outcomes. Effective pain management increasingly relies on multimodal analgesia regimens in which acetaminophen (APAP) is a key component. The aim of our study was to examine the impact of oral APAP versus intravenous (IV) APAP as a component of post-surgical pain management after Cesarean sections and hysterectomies. Methods: A retrospective analysis of the Cerner HealthFacts® database (from January, 2011 to December, 2015) was conducted to compare outcomes of Cesarean section and hysterectomy surgery patients who received oral APAP to those who received IV APAP post-surgically. Length of stay (LOS), daily morphine milligram equivalent (MME) consumption, the presence of potential opioid-related adverse events (ORADEs), and total pharmacy costs were assessed. Adjusted results were derived using inverse probability weighted regression adjustment (IPW-RA) estimators based on covariates that included demographics, comorbidities, patient clinical characteristics, and hospital characteristics. Results: The study identified 29,124 Cesarean section patients (24,612 oral APAP; 4,512 IV APAP) and 9,767 hysterectomy surgery patients (5,586 oral APAP; 4,181 IV APAP). Compared to the oral APAP group, the IV APAP group had reductions in adjusted LOS (Cesarean section: -11.7% days (P < 0.001), hysterectomy: -11.8% days (P = 0.005)), lowered adjusted daily MME consumption from day 0 to day 3 (Cesarean section: -1.6 mg (P < 0.001), hysterectomy: -1.7 mg (P = 0.014)), and reduced risk of ORADEs for Cesarean sections (relative risk of 0.45, P < 0.001). Total pharmacy costs were not significantly different between the two APAP groups. Conclusions: Post-surgical pain managed with IV APAP in patients undergoing Cesarean section or hysterectomy was associated with shorter LOS, reduced risk of ORADEs, and lower opioid consumption compared to patients managed with oral APAP, without adversely impacting total pharmacy costs

Impact of Education and Network for Avian Influenza H5N1 in Human: Knowledge, Clinical Practice, and Motivation on Medical Providers in Vietnam

BACKGROUND: Knowledge, clinical practice, and professional motivation of medical providers relating to H5N1 infection have an important influence on care for H5N1 patients who require early diagnosis and early medical intervention. METHODS/PRINCIPAL FINDINGS: Novel educational programs including training and workshops for medical providers relating to H5N1 infection in Vietnam were originally created and implemented in 18 provincial hospitals in northern Vietnam between 2008 and 2010. A self-administered, structured questionnaire survey was conducted in 8 provincial hospitals where both educational training and workshops were previously provided. A total of 326 medical providers, including physicians, nurses, and laboratory technicians who attended or did not attend original programs were enrolled in the survey. Knowledge, clinical attitudes and practice (KAP), including motivation surrounding caring for H5N1 patients, were evaluated. The study indicated a high level of knowledge and motivation in all professional groups, with especially high levels in laboratory technicians. Conferences and educational programs were evaluated to be the main scientific information resources for physicians, along with information from colleagues. The chest radiographs and the initiation of antiviral treatment in the absence of RT-PCR result were identified as gaps in education. Factors possibly influencing professional motivation for caring for H5N1 patients included healthcare profession, the hospital where the respondents worked, age group, attendance at original educational programs and at educational programs which were conducted by international health-related organizations. CONCLUSIONS: Educational programs provide high knowledge and motivation for medical providers in Vietnam caring for H5N1 patients. Additional educational programs related to chest radiographs and an initiation of treatment in the absence of RT-PCR are needed. Networking is also necessary for sharing updated scientific information and practical experiences. These enhanced KAPs by educational programs and integrated systems among hospitals should result in appropriate care for H5N1 patients and may reduce morbidity and mortality