Impacts of saltwater intrusion on soil nematodes community in alluvial and acid sulfate soils in paddy rice fields in the Vietnamese Mekong Delta

© 2020 Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license. https://creativecommons.org/licenses/by-nc-nd/4.0/Saltwater intrusion is a potential risk damaging crop diversity and productivity due to degraded soil physicochemical properties. However, little is known about how salinity affects the structure and function of soil nematodes community in intensive rice cultivated area. This study aimed (1) to assess the impacts of saltwater intrusion on the nematode community in alluvial and acid sulfate soils; and (2) to evaluate its relation with soil conditions. Saltwater intrusion reduced the abundance of both free-living nematodes (FLN) and plant-parasitic nematodes (dominated by Hirschmanniella) in soils. FLN community was different among sites with different physicochemical properties. The omnivorous genera Aporcelaimellus and Thornenema were only found in non-salt-affected alluvial soil, whilst Mesodorylaimus was dominant in salt-affected acid sulfate soil, suggesting that this genus might be tolerant to higher EC and soluble Na+, K+, Ca2+. The bacterivorous nematodes (dominant taxa Chronogaster, Rhabdolaimus) were dominant in both non-salt affected and salt-affected alluvial soils, which accounted for 48% and 40%, respectively, whilst it accounted for 21% in salt-affected acid sulfate soil. The abundance of fungivorous nematodes (Aphelenchoides, Ditylenchus, Filenchus) were greater in salt-affected alluvial soil in contrast to the other treatments, suggesting that these might be tolerant to salinity and low pH. Saltwater intrusion reduced biological diversity (Margalef, Shannon-Wiener, and Hill’s indices), maturity index (∑MI, MI25), and clearly affected functional guilds of nematode community, especially c-p 5 group was reduced in both salt-affected soils. This study suggests that saltwater intrusion showed a potential risk in the degradation of soil properties, as indicated by the altered nematode community, trophic structure, functional guilds and their ecological indices in paddy fields.Peer reviewedFinal Published versio

Dexamethasone and long-term outcome of tuberculous meningitis in Vietnamese adults and adolescents.

BACKGROUND: Dexamethasone has been shown to reduce mortality in patients with tuberculous meningitis but the long-term outcome of the disease is unknown. METHODS: Vietnamese adults and adolescents with tuberculous meningitis recruited to a randomised, double-blind, placebo-controlled trial of adjunctive dexamethasone were followed-up at five years, to determine the effect of dexamethasone on long-term survival and neurological disability. RESULTS: 545 patients were randomised to receive either dexamethasone (274 patients) or placebo (271 patients). 50 patients (9.2%) were lost to follow-up at five years. In all patients two-year survival, probabilities tended to be higher in the dexamethasone arm (0.63 versus 0.55; p = 0.07) but five-year survival rates were similar (0.54 versus 0.51, p = 0.51) in both groups. In patients with grade 1 TBM, but not with grade 2 or grade 3 TBM, the benefit of dexamethasone treatment tended to persist over time (five-year survival probabilities 0.69 versus 0.55, p = 0.07) but there was no conclusive evidence of treatment effect heterogeneity by TBM grade (p = 0.36). The dexamethasone group had a similar proportion of severely disabled patients among survivors at five years as the placebo group (17/128, 13.2% vs. 17/116, 14.7%) and there was no significant association between dexamethasone treatment and disability status at five years (p = 0.32). CONCLUSIONS: Adjunctive dexamethasone appears to improve the probability of survival in patients with TBM, until at least two years of follow-up. We could not demonstrate a five-year survival benefit of dexamethasone treatment which may be confined to patients with grade 1 TBM. TRIAL REGISTRATION: ClinicalTrials.gov NCT01317654

Replacement of freshwater small-size fish by formulated feed in snakehead (Channa striata) aquaculture: Experimental and commercial-scale pond trials, with economic analysis

Traditional snakehead culture in Southeast Asia relies on use of small-size (trash) fish as food, an unsustainable practice. Following development of weaning methods and testing of formulated feed (FF) in laboratory experiments, we conducted feeding trials of FF vs. trash fish (TF) in experimental ponds at Can Tho University (CTU), followed by similar trials on commercial farms in two provinces in Vietnam. CTU pond trials consisted of five treatments (in triplicate), in which TF was replaced by FF in increasing percentages: 0 (control), 25, 50, 75, and 100% replacement of TF by FF (i.e., three treatments had mixed TF/FF diets). Although survival was significantly reduced in the 100% replacement treatment, and growth was significantly reduced in the 75% and 100% replacement treatments, the cost per kg of fish produced was 28–35% less in those high-replacement treatments compared to the 0% replacement treatment. On-farm trials were then conducted at two farms in An Giang and Dong Thap provinces for 6 months with snakehead fed TF only or FF only. At both farms, survival (73–80%) was not significantly different, but growth was significantly better on FF diet at both; however, FF-fed fish at the An Giang farm showed significantly higher levels of abnormal development. Overall production was about twice as high at the An Giang farm as at Dong Thap, but significantly greater production by FF-fed fish vs. TF-fed fish was only seen at Dong Thap. Sensory evaluation by a tasting panel found no difference in product quality between FF-fed fish, TF-fed fish, and a commercial sample bought in the market. Economic analysis indicated that profits were higher for FF-fed fish from both farms, although production costs and sales varied greatly, reflecting market differences in the two provinces

Evaluation of the MODS Culture Technique for the Diagnosis of Tuberculous Meningitis

Tuberculous meningitis (TBM) is a devastating condition. The rapid instigation of appropraite chemotherapy is vital to reduce morbidity and mortality. However rapid diagnosis remains elusive; smear microscopy has extremely low sensitivity on cerebrospinal fluid (CSF) in most laboratories and PCR requires expertise with advanced infrastructure and has sensitivity of only around 60% under optimal conditions. Neither technique allows for the microbiological isolation of M. tuberculosis and subsequent drug susceptibility testing. We evaluated the recently developed microscopic observation drug susceptibility (MODS) assay format for speed and accuracy in diagnosing TBM.Two hundred and thirty consecutive CSF samples collected from 156 patients clinically suspected of TBM on presentation at a tertiary referal hospital in Vietnam were enrolled into the study over a five month period and tested by Ziehl-Neelsen (ZN) smear, MODS, Mycobacterial growth Indicator tube (MGIT) and Lowenstein-Jensen (LJ) culture. Sixty-one samples were from patients already on TB therapy for >1day and 19 samples were excluded due to untraceable patient records. One hundred and fifty samples from 137 newly presenting patients remained. Forty-two percent (n = 57/137) of patients were deemed to have TBM by clinical diagnostic and microbiological criteria (excluding MODS). Sensitivity by patient against clinical gold standard for ZN smear, MODS MGIT and LJ were 52.6%, 64.9%, 70.2% and 70.2%, respectively. Specificity of all microbiological techniques was 100%. Positive and negative predictive values for MODS were 100% and 78.7%, respectively for HIV infected patients and 100% and 82.1% for HIV negative patients. The median time to positive was 6 days (interquartile range 5-7), significantly faster than MGIT at 15.5 days (interquartile range 12-24), and LJ at 24 days (interquartile range 18-35 days) (P<0.01).We have shown MODS to be a sensitive, rapid technique for the diagnosis of TBM with high sensitivity, ease of performance and low cost (0.53 USD/sample)

Assisting Vietnamese Mango Farmers to Capture Greater Benefi ts through Improved Supply Chain Management

In the developing countries, traditional supply chains for fresh produce are giving way to new supermarket-led supply chains. The rapid transformation in the fruit and vegetable sector is due to the meteoric rise of supermarkets, hypermarkets, superstores, neighbourhood stores, convenience stores, and discount stores, which are impacting on smallholder farmers. This change is also impacting on both upstream and downstream market intermediaries through the demand for safe, high-quality produce that has been produced in a sustainable manner. Problems with procurement in traditional supply chains include few product standards, inconsistent supply, highly variable transaction costs, and limited market information. Supermarkets are now setting new procurement practices and supply systems which focus on reducing costs and improving quality to enable them to sell at lower prices. This will allow them to win over consumers and to obtain a larger market share. However, the ability of smallholder farmers, collector agents, and wholesalers in the Mekong Delta to meet safe food levels and the quality demands of domestic and overseas supermarkets can only be obtained through improving their production and supply chain practices. The implementation of new production and postharvest practices and the modernization of these supply chains may preclude many smallholder farmers from participating. Smallholder farmers must develop risk minimization strategies, such as forming collaborative marketing groups, implementing new crop management and production systems, improving the packaging, and creating more efficient transport methods and handling practices to provide a safe, competitively priced, high-quality product. Understanding the supply chain and where to intervene are essential if farmers and all supply chain participants are to benefit. In this paper, we describe mango supply chains in the Mekong Delta, provide empirical data collected from surveys, and highlight improvements smallholder farmers have been making to achieve greater benefits

Multilocus sequence typing of Cryptococcus neoformans var. grubii from Laos in a regional and global context.

Cryptococcosis causes approximately 180 000 deaths each year in patients with human immunodeficiency virus (HIV). Patients with other forms of immunosuppression are also at risk, and disease is increasingly recognized in apparently immunocompetent individuals. Cryptococcus neoformans var. grubii, responsible for the majority of cases, is distributed globally. We used the consensus ISHAM Multilocus sequence typing (MLST) scheme to define the population structure of clinical C. neoformans var. grubii isolates from Laos (n = 81), which we placed into the global context using published MLST data from other countries (total N = 1047), including a reanalysis of 136 Vietnamese isolates previously reported. We observed a phylogeographical relationship in which the Laotian population was similar to its neighbor Thailand, being dominated (83%) by Sequence Types (ST) 4 and 6. This phylogeographical structure changed moving eastwards, with Vietnam's population consisting of an admixture of isolates dominated by the ST4/ST6 (35%) and ST5 (48%) lineages. The ST5 lineage is the predominant ST reported from China and East Asia, where it accounts for >90% of isolates. Analysis of genetic distance (Fst) between different populations of C. neoformans var. grubii supports this intermediate structure of the Vietnamese population. The pathogen and host diversity reported from Vietnam provide the strongest epidemiological evidence of the association between ST5 and HIV-uninfected patients. Regional anthropological genetic distances suggest diversity in the C. neoformans var. grubii population across Southeast Asia is driven by ecological rather than human host factors. Where the ST5 lineage is present, disease in HIV-uninfected patients is to be expected

The Seroprevalence and Seroincidence of Enterovirus71 Infection in Infants and Children in Ho Chi Minh City, Viet Nam

Enterovirus 71 (EV71)-associated hand, foot and mouth disease has emerged as a serious public health problem in South East Asia over the last decade. To better understand the prevalence of EV71 infection, we determined EV71 seroprevalence and seroincidence amongst healthy infants and children in Ho Chi Minh City, Viet Nam. In a cohort of 200 newborns, 55% of cord blood samples contained EV71 neutralizing antibodies and these decayed to undetectable levels by 6 months of age in 98% of infants. The EV71 neutralizing antibody seroconversion rate was 5.6% in the first year and 14% in the second year of life. In children 5–15 yrs of age, seroprevalence of EV71 neutralizing antibodies was 84% and in cord blood it was 55%. Taken together, these data suggest EV71 force of infection is high and highlights the need for more research into its epidemiology and pathogenesis in high disease burden countries