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

Helminth eggs die-off and nutrients : human excreta storage experiment

Are the current practices of handling human excreta for agricultural purposes by farmers in Vietnam good enough?This study set up an excreta storage experiment to research how to inactivate Ascaris lumbricoides eggs and stillmaintain the nutrient value of human excreta

What should accountable care organizations learn from the failure of health maintenance organizations? A theory based systematic review of the literature

Background: Health Maintenance Organization (HMO), were once viewed as the most cost-effective model for achieving such efficient high-quality health care. A decade after the decline of HMOs a similar idea evolves and continues to proliferate under the rubric of Accountable Care Organizations (ACOs).Methods: We performed a systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses to identify the reasons for the decline of HMOs, with the ultimate goal of extrapolating findings from HMOs experiences onto ACOs. We searched PubMed, Web of Science, and EMBASE to select original research and reports related to the decline of HMOs in the U.S. Using organizational evolving theory the contents of selected studies were analyzed and categorized according to common characteristics.Results: Although the decline of HMOs varies somewhat from case to case, it follows a fairly consistent pattern with similar causes. These factors were related to wrong ethos, mismanagement, failing to control costs, resistance from provider groups, increased competition, and inadequate IT infrastructure leading to patient dissatisfaction. Patient dissatisfaction in turn led to a managed care backlash, which stimulated the enactment of new restrictive legislation. Restrictive legislation not only negatively impacted the continued growth of HMOs but also accelerated the speed of their decline.Conclusion: ACOs should set realistic goals, align the incentives for physicians and hospitals via shared savings, use non-physician providers such as nurse practitioners, invest on health information technology, practice patient centered approach, make provider and patients accountable, use efficient management methods and improve care coordination

Интеллектуальная радиосеть с нечеткой конфигурацией

В статье обсуждаются возможности применения одноранговой радиосети стандарта IEEE 802.15.4 (ZigBee) диапазона 2,4 ГГц для работы системы, состоящей из группы малогабаритных мобильных роботов и одного командного пункта. Основная задача группы роботов – проведение разведки во время спасательных операций после техногенных и природных катастроф и аварий. Для сохранения управляемости отдельными роботами и системой в целом предлагается повысить «интеллект» системы связи за счет гибкой маршрутизации каналов между командным пунктом и конкретным мобильным роботом с тем, чтобы иметь систему с автоматическим, интеллектуальным восстановлением канала обмена данных.У статті обговорюються можливості застосування однорангової радіомережі стандарту ІЕЕ 802.15.4 (ZigBee) діапазону 2,4 Ггу для роботи системи, що складається з групи малогабаритних мобільних роботів та одного командного пункту. Основна задача групи роботів – проведення розвідки під час рятувальних операцій після техногенних та природних катастроф і аварій. Для збереження керованості окремими ротами та системою в цілому пропонується підвищити інтелект системи зв’язку за рахунок гнучкої маршрутитизації каналів між командним пунктом та конкретним мобільним роботом з тим, щоб мати систему з автоматичним, інтелектуальним відновлюванням каналу обміну даних.In the article the possibilities of application peer-to-peer radio networks of standard IEEE 802.15.4 (ZigBee) a range of 2,4 GHz for work of the system consisting of small-sized mobile robots group and one command point are discussed. The primary goal of group of robots – is carrying out of investigation during rescue operations after technogenic and natural accidents and failures. For controllability preservation by separate robots and system as a whole, it is offered to raise “intelligence” of a communication system at the expense of flexible routeing of channels between command point and the concrete mobile robot to have system with automatic, intellectual restoration of the channel of data exchange

Evaluating the impacts of rice-based protection dykes on floodwater dynamics in the vietnamese mekong delta using geographical impact factor (Gif)

This study aims at evaluating the geographical influences of rice-based protection dykes on floodwater regimes along the main rivers, namely the Mekong and the Bassac, in the Vietnamese Mekong Delta (VMD). Specifically, numerous low dykes and high dykes have been constructed particularly in the upper delta’s floodplains to protect the double and triple rice cropping against the annual flooding. For the whole deltaic domain, a 1D-quasi-2D hydrodynamic model setup was used to simulate seventy-two (72) scenarios of dyke construction development in the context of low, medium, and high floods that occurred in the VMD to examine the effects of different flood magnitudes on a certain dyke construction area. Based on the model simulation results, we established an evaluation indicator, the so-called Geographical Impact Factor (GIF), to evaluate the impacts of zone-based dyke compartments on the floodwater regimes along the main rivers for different kinds of floods. Our findings revealed different rates of influences on the floodwater levels along the Mekong and Bassac Rivers under different scenarios of zone-based high-dyke developments. GIF is a useful index for scientists and decision-makers in land use planning, especially in rice intensification, in conjunction with flood management for the VMD and for similar deltas worldwide

Point-of-care C-reactive protein testing to reduce inappropriate use of antibiotics for non-severe acute respiratory infections in Vietnamese primary health care: a randomised controlled trial

Background Inappropriate antibiotic use for acute respiratory tract infections is common in primary health care, but distinguishing serious from self-limiting infections is diffi cult, particularly in low-resource settings. We assessed whether C-reactive protein point-of-care testing can safely reduce antibiotic use in patients with non-severe acute respiratory tract infections in Vietnam. Method We did a multicentre open-label randomised controlled trial in ten primary health-care centres in northern Vietnam. Patients aged 1–65 years with at least one focal and one systemic symptom of acute respiratory tract infection were assigned 1:1 to receive either C-reactive protein point-of-care testing or routine care, following which antibiotic prescribing decisions were made. Patients with severe acute respiratory tract infection were excluded. Enrolled patients were reassessed on day 3, 4, or 5, and on day 14 a structured telephone interview was done blind to the intervention. Randomised assignments were concealed from prescribers and patients but not masked as the test result was used to assist treatment decisions. The primary outcome was antibiotic use within 14 days of follow-up. All analyses were prespecifi ed in the protocol and the statistical analysis plan. All analyses were done on the intention-totreat population and the analysis of the primary endpoint was repeated in the per-protocol population. This trial is registered under number NCT01918579. Findings Between March 17, 2014, and July 3, 2015, 2037 patients (1028 children and 1009 adults) were enrolled and randomised. One adult patient withdrew immediately after randomisation. 1017 patients were assigned to receive C-reactive protein point-of-care testing, and 1019 patients were assigned to receive routine care. 115 patients in the C-reactive protein point-of-care group and 72 patients in the routine care group were excluded in the intention-to-treat analysis due to missing primary endpoint. The number of patients who used antibiotics within 14 days was 581 (64%) of 902 patients in the C-reactive protein group versus 738 (78%) of 947 patients in the control group (odds ratio [OR] 0·49, 95% CI 0·40–0·61; p<0·0001). Highly signifi cant diff erences were seen in both children and adults, with substantial heterogeneity of the intervention eff ect across the 10 sites (I²=84%, 95% CI 66–96). 140 patients in the C-reactive protein group and 137 patients in the routine care group missed the urine test on day 3, 4, or 5. Antibiotic activity in urine on day 3, 4, or 5 was found in 267 (30%) of 877 patients in the C-reactive protein group versus 314 (36%) of 882 patients in the routine treatment group (OR 0·78, 95% CI 0·63–0·95; p=0·015). Time to resolution of symptoms was similar in both groups. Adverse events were rare, with no deaths and a total of 14 hospital admissions (six in the C-reactive protein group and eight in the control group). Interpretation C-reactive protein point-of-care testing reduced antibiotic use for non-severe acute respiratory tract infection without compromising patients’ recovery in primary health care in Vietnam. Health-care providers might have become familiar with the clinical picture of low C-reactive protein, leading to reduction in antibiotic prescribing in both groups, but this would have led to a reduction in observed eff ect, rather than overestimation. Qualitative analysis is needed to address diff erences in context in order to implement this strategy to improve rational antibiotic use for patients with acute respiratory infection in low-income and middle-income countries