Towards Green Tourism Development: Customers’ Perception of Using Plastic Products in the 5-star Hotels in Ho Chi Minh City

In recent years, green tourism has become a development trend, attracting the attention of the community, tourism businesses and tourists in many countries around the world. However, the approach of green tourism development in Vietnam is still limited in terms of scale and participants. This article examines the situation of using plastic products and the plastic waste treatment in the 5-star hotels in Ho Chi Minh City. Specifically, this study aims to explore the perception of customers of the use of plastic products. By doing so, the study contributes to clarifying the current situation of green tourism development in the hotel sector in the study area. The authors used the research methods of questionnaire, semi-structured interview and non-participant observation to conduct this study. Research results show that although the use of plastic products in hotels is still high, the plastic waste treatment is not thorough because of high treatment costs. But, the hotels tend to change policy on the treatment of plastic waste in an environmentally friendly manner. Besides, customers’ perception of plastic products is completely positive related to their attitudes when using, the willingness to pay and the desire to access more environmentally friendly services and products in the hotel sector. Based on the results, the article also discusses and suggests implications and approaches to developing products and services in hotels towards the development of green tourism and sustainable tourism in the future

Microscopic Observation Drug Susceptibility Assay (MODS) for Early Diagnosis of Tuberculosis in Children

MODS is a novel liquid culture based technique that has been shown to be effective and rapid for early diagnosis of tuberculosis (TB). We evaluated the MODS assay for diagnosis of TB in children in Viet Nam. 217 consecutive samples including sputum (n = 132), gastric fluid (n = 50), CSF (n = 32) and pleural fluid (n = 3) collected from 96 children with suspected TB, were tested by smear, MODS and MGIT. When test results were aggregated by patient, the sensitivity and specificity of smear, MGIT and MODS against “clinical diagnosis” (confirmed and probable groups) as the gold standard were 28.2% and 100%, 42.3% and 100%, 39.7% and 94.4%, respectively. The sensitivity of MGIT and MODS was not significantly different in this analysis (P = 0.5), but MGIT was more sensitive than MODS when analysed on the sample level using a marginal model (P = 0.03). The median time to detection of MODS and MGIT were 8 days and 13 days, respectively, and the time to detection was significantly shorter for MODS in samples where both tests were positive (P<0.001). An analysis of time-dependent sensitivity showed that the detection rates were significantly higher for MODS than for MGIT by day 7 or day 14 (P<0.001 and P = 0.04), respectively. MODS is a rapid and sensitive alternative method for the isolation of M.tuberculosis from children

Safety and efficacy of fluoxetine on functional outcome after acute stroke (AFFINITY): a randomised, double-blind, placebo-controlled trial

Background Trials of fluoxetine for recovery after stroke report conflicting results. The Assessment oF FluoxetINe In sTroke recoverY (AFFINITY) trial aimed to show if daily oral fluoxetine for 6 months after stroke improves functional outcome in an ethnically diverse population. Methods AFFINITY was a randomised, parallel-group, double-blind, placebo-controlled trial done in 43 hospital stroke units in Australia (n=29), New Zealand (four), and Vietnam (ten). Eligible patients were adults (aged ≥18 years) with a clinical diagnosis of acute stroke in the previous 2–15 days, brain imaging consistent with ischaemic or haemorrhagic stroke, and a persisting neurological deficit that produced a modified Rankin Scale (mRS) score of 1 or more. Patients were randomly assigned 1:1 via a web-based system using a minimisation algorithm to once daily, oral fluoxetine 20 mg capsules or matching placebo for 6 months. Patients, carers, investigators, and outcome assessors were masked to the treatment allocation. The primary outcome was functional status, measured by the mRS, at 6 months. The primary analysis was an ordinal logistic regression of the mRS at 6 months, adjusted for minimisation variables. Primary and safety analyses were done according to the patient's treatment allocation. The trial is registered with the Australian New Zealand Clinical Trials Registry, ACTRN12611000774921. Findings Between Jan 11, 2013, and June 30, 2019, 1280 patients were recruited in Australia (n=532), New Zealand (n=42), and Vietnam (n=706), of whom 642 were randomly assigned to fluoxetine and 638 were randomly assigned to placebo. Mean duration of trial treatment was 167 days (SD 48·1). At 6 months, mRS data were available in 624 (97%) patients in the fluoxetine group and 632 (99%) in the placebo group. The distribution of mRS categories was similar in the fluoxetine and placebo groups (adjusted common odds ratio 0·94, 95% CI 0·76–1·15; p=0·53). Compared with patients in the placebo group, patients in the fluoxetine group had more falls (20 [3%] vs seven [1%]; p=0·018), bone fractures (19 [3%] vs six [1%]; p=0·014), and epileptic seizures (ten [2%] vs two [<1%]; p=0·038) at 6 months. Interpretation Oral fluoxetine 20 mg daily for 6 months after acute stroke did not improve functional outcome and increased the risk of falls, bone fractures, and epileptic seizures. These results do not support the use of fluoxetine to improve functional outcome after stroke

Optimization of the calcination and two-step sintering temperatures of (K0.48Na0.48Li0.04)(Nb0.95Sb0.05)O3 ceramics

Lead-free (K _0.48 Na _0.48 Li _0.04 )(Nb _0.95 Sb _0.05 )O _3 (KNLNS) ceramics have been successfully optimized for the calcination and two-step sintering temperatures. The experimental results reveal that the KNLNS powder calcined at 850 or 900 °C presented a pure perovskite phase with an orthorhombic phase. The particle size was in the range of 0.1–0.4 μ m. The two-step sintering temperature (range: 950 to 1100 °C) significantly affects the structure, microstructure, and electrical properties of KNLNS ceramics. The presence of a pure perovskite phase with good crystallization is observed in all samples. The microstructure was researched by varying the two-step sintering temperature to obtain a dense microstructure and a clear grain boundary in order to optimize their piezoelectric properties. The best electrical properties of KNLNS ceramics were recorded at the optimized temperature of 1050 °C (density ( ρ ): 4,35 g cm ^−3 ; electromechanical coupling factor ( k _p ): 0.33, k _t : 0.35; dielectric constant ( ε _r ): 849; dielectric loss (tan δ ): 0.073; maximum dielectric constant ( ε _max at T _C ): 6659; piezoelectric constant ( d _33 ): 195 pC N ^−1 ; remanent polarization ( P _r ): 16.1 μ C cm ^−2 ; energy storage density ( W _rec ): 0.36 J cm ^−3 ; energy storage efficiency ( η ): 48.1%; t _2 = 4 h), proving the efficacy of the two-step sintering technique

Insights into Molten Salts Induced Structural Defects in Graphitic Carbon Nitrides for Piezo-Photocatalysis with Multiple H2O2 Production Channels

Recently, the production of hydrogen peroxide (H2O2) from water (H2O) and oxygen (O2) in the presence of graphitic carbon nitrides (g-C3N4) via a piezo-photocatalytic process has considerably ignited global interest in achieving sustainability. To fabricate porous g-C3N4, soft templates are frequently employed, leading to structural modifications originating from heteroatoms. However, many recent reports have ignored the roles of trace quantity of heteroatoms. Hence, to understand the impacts of the mentioned factors, we fabricated g-C3N4 containing oxygen and halogen atoms in the structures for piezo-photosynthesis of H2O2. Based on our analyzed results, oxygen atoms might be inserted into g-C3N4 in-plane structures, while halogen atoms tend to become intercalated between g-C3N4 layers. Furthermore, the presence of ammonium molten salts during the synthesis alters the concentration of mono and cluster vacancies of carbon and nitrogen in the materials. These defective contributions would meaningfully accelerate catalytic performance by providing trapping states. From the mechanistic view, different reduction and oxidation channels would play a pivotal role in generating H2O2. Thus, this study highlights the importance of modulating in-plane and out-of-plane structures of g-C3N4, benefiting catalytic properties under simultaneous irradiation

Demographic characteristics of patients.

<p>Summary measure is n (%) for all categorical characteristics.</p><p>(*). Scar or parent report.</p><p>P value for comparison of all three groups. If P<0.05, P1, P2, P3 will be calculated.</p><p>P1: for comparison between confirmed TB and probable TB; P2: for between probable TB and TB unlikely and P3: for between TB unlikely and confirmed TB.</p

Time-dependent sensitivity of smear, MODS and MGIT.

<p>In the 73 samples which were both MGIT and MODS positive, the time dependent sensitivities of MODS were higher than MGIT on both day 7 (P<0.001) and day 14 (P = 0.04).</p

Time to MGIT positive and MODS positive in relation to smear grade.

<p>Filled dots are samples positive by either MGIT or MODS, lines are scatter plot smoothers. Both MGIT and MODS had a negative Spearman rank correlation with smear grade (P<0.001).</p