Preschool STEM Activities and Associated Outcomes: A Scoping Review

This review highlights the need for further investigation into the benefits of STEM activities in preschool children’s learning, girls’ engagement and learning of children with disabilities in the STEM field. The review process involved accessing 19 relevant studies from Scopus, ERIC and Google Scholar databases in March 2023. Through the synthesis of information from these studies, seven STEM activities were identified as effective in enhancing preschool children’s learning: educational robots, educational games, argumentative interactions, inquiry-based learning and engineering design, drawing and telling about engineers, free play and pretend play, and group membership. Each of these activities contributes to different learning outcomes for children. Moreover, the review emphasizes the importance of role-playing activities ‘as if’ engineers and scientists, facilitated by teachers, in fostering girls’ motivation and engagement in the STEM field from an early age. Long-term scientific interventions at home have a significant positive impact on the science literacy skills of deaf children. The implications of this review are particularly relevant for early childhood educators, as it provides valuable insights into the use of STEM activities to enhance children’s learning outcomes

Factors Affecting Cooperation in the International Supply Chain of Seafood Enterprises: the Case of Vietnamese

Purpose: The purpose of this research is to analyze and evaluate factors affecting cooperation in the international supply chain of Vietnamese seafood enterprises.   Theoretical framework: Operations in international business context are associated with high risks, so cooperation in supply chain helps to improve management flexibility. On the other hand, acccording to the theory of resource dependency, resource sharing and information sharing strategies can affect the quality and the level of cooperation among supply chain partners.   Design/methodology/approach: To achieve the aim of this study, a literature survey related to supply chain and supply chain cooperation is carried out, and empirical analysis is conducted among 327 partners in seafood industry with the results analyzed using Cronbach’s Alpha analysis, exploratory factor analysis (EFA), and linear regression analysis (RA).   Findings: Research results have confirmed that there are six main factors directly affecting the international supply chain cooperation of Vietnamese seafood enterprises including: (1) Trust; (2) Power; (3) Distance; (4) Government policy; (5) Cooperation strategies and (6) Information sharing.   Research/Practical & Social implication: The encouraging policies and simplified export regulations are to be implemented by the government, VASEP and enterprises so the knowledge about international supply chain cooperation will be promoted with the help of comprehensive future research directions.   Originality/value: This is literally one of the first research works in Vietnam to incorporate the information sharing component into the model of affecting factors for international supply chain cooperation. Regardless of business uncertainties, the study shed new light on supply chain cooperation and promote firms to gain an edge in the global marketplace

Effects of oil and grape seed tannin extract on intakes, digestibility, milk yield and composition of Saanen goats

An experiment was conducted as a 4×4 Latin square design using 4 lactating Saanen goats, 19 months old and 47.9±1.04 kg of body weight, to evaluate the effect of oil and grape seed tannin extract (GSTE) supplementation on feed intake, digestibility, milk yield and milk composition. Each experimental period lasted for 21 days including 16 days for adjustment and 5 days for sampling. Goats were fed a control diet (Ctrl) consisting of 60% concentrate and 40% fresh Para grass (dry matter, DM, basis) while other 3 treatments were supplementation of 2.5% soybean oil (SO); 2.5% soybean oil + tuna fish oil at 3:2 w:w (SFO); 2.5% soybean oil + tuna fish oil at 3:2 w:w + 0.8% GSTE (OCT). The results showed that oil and GSTE did not affect feed intake, digestibility, milk yield and composition of goats (P > 0.05). However, digestibility of EE was higher (P < 0.05) in SFO and OCT diets (85.4% and 84.7%, respectively) compared with Ctrl (76.2%). Combined data suggested that feeding 2.5% oil blend with or without 0.8% GSTE increased EE digestibility in goats without affecting intake, animal performance and milk composition

Catalytic Dye Oxidation over CeO2 Nanoparticles Supported on Regenerated Cellulose Membrane

A novel regenerated cellulose (RC) membrane containing cerium oxide (CeO2) nanoparticles is described in detail. In this work, CeO2 nanoparticles with high surface area and mesoporosity were prepared by a modified template-assisted precipitation method. Successful synthesis was achieved using cerium nitrate as a precursor, adjusting the final pH solution to around 11 by ammonium hydroxide and ethylene diamine, and annealing at 550 °C for 3 hours under a protective gas flow. This resulted in a surface area of 55.55 m².g–1 for the nanoparticles. The regenerated cellulose membrane containing CeO2 particles was synthesized by the novel and environmentally friendly method. The catalyst CeO2 and cellulose/CeO2 membrane were characterized by Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), Electron paramagnetic resonance (EPR), and Brunauer-Emmett-Teller (BET) measurements. The g-value of 2.276 has confirmed the presence of the surface superoxide species of CeO2 nanoparticles in EPR. The photocatalytic activity of the catalyst and the membrane containing the catalyst was evaluated through the degradation of methylene blue under visible light irradiation by UV-VIS measurements. The cellulose/CeO2 membrane degraded 80% of the methylene blue solution in 120 minutes, showing a better photocatalytic activity than the CeO2 catalyst, which degraded approximately 62% in the same period. It has been proven that the RC membrane is not only a good transparent supporting material but also a good adsorption for high-performance of CeO2 catalyst. Copyright © 2022 by Authors, Published by BCREC Group. This is an open access article under the CC BY-SA License (https://creativecommons.org/licenses/by-sa/4.0).

HIV-Associated TB in An Giang Province, Vietnam, 2001–2004: Epidemiology and TB Treatment Outcomes

BACKGROUND: Mortality is high in HIV-infected TB patients, but few studies from Southeast Asia have documented the benefits of interventions, such as co-trimoxazole (CTX), in reducing mortality during TB treatment. To help guide policy in Vietnam, we studied the epidemiology of HIV-associated TB in one province and examined factors associated with outcomes, including the impact of CTX use. METHODOLOGY/PRINCIPAL FINDINGS: We retrospectively abstracted data for all HIV-infected persons diagnosed with TB from 2001-2004 in An Giang, a province in southern Vietnam in which TB patients receive HIV counseling and testing. We used standard WHO definitions to classify TB treatment outcomes. We conducted multivariate analysis to identify risk factors for the composite outcome of death, default, or treatment failure during TB treatment. From 2001-2004, 637 HIV-infected TB patients were diagnosed in An Giang. Of these, 501 (79%) were male, 321 (50%) were aged 25-34 years, and the most common self-reported HIV risk factor was sex with a commercial sex worker in 221 (35%). TB was classified as smear-positive in 531 (83%). During TB treatment, 167 (26%) patients died, 9 (1%) defaulted, and 6 (1%) failed treatment. Of 454 patients who took CTX, 116 (26%) had an unsuccessful outcome compared with 33 (70%) of 47 patients who did not take CTX (relative risk, 0.4; 95% confidence interval [CI], 0.3-0.5). Adjusting for male sex, rural residence, TB smear status and disease location, and the occurrence of adverse events during TB treatment in multivariate analysis, the benefit of CTX persisted (adjusted odds ratio for unsuccessful outcome 0.1; CI, 0.1-0.3). CONCLUSIONS/SIGNIFICANCE: In An Giang, Vietnam, HIV-associated TB was associated with poor TB treatment outcomes. Outcomes were significantly better in those taking CTX. This finding suggests that Vietnam should consider applying WHO recommendations to prescribe CTX to all HIV-infected TB patients

A Multi-Center Randomised Controlled Trial of Gatifloxacin versus Azithromycin for the Treatment of Uncomplicated Typhoid Fever in Children and Adults in Vietnam

BACKGROUND: Drug resistant typhoid fever is a major clinical problem globally. Many of the first line antibiotics, including the older generation fluoroquinolones, ciprofloxacin and ofloxacin, are failing. OBJECTIVES: We performed a randomised controlled trial to compare the efficacy and safety of gatifloxacin (10 mg/kg/day) versus azithromycin (20 mg/kg/day) as a once daily oral dose for 7 days for the treatment of uncomplicated typhoid fever in children and adults in Vietnam. METHODS: An open-label multi-centre randomised trial with pre-specified per protocol analysis and intention to treat analysis was conducted. The primary outcome was fever clearance time, the secondary outcome was overall treatment failure (clinical or microbiological failure, development of typhoid fever-related complications, relapse or faecal carriage of S. typhi). PRINCIPAL FINDINGS: We enrolled 358 children and adults with suspected typhoid fever. There was no death in the study. 287 patients had blood culture confirmed typhoid fever, 145 patients received gatifloxacin and 142 patients received azithromycin. The median FCT was 106 hours in both treatment arms (95% Confidence Interval [CI]; 94-118 hours for gatifloxacin versus 88-112 hours for azithromycin), (logrank test p = 0.984, HR [95% CI] = 1.0 [0.80-1.26]). Overall treatment failure occurred in 13/145 (9%) patients in the gatifloxacin group and 13/140 (9.3%) patients in the azithromycin group, (logrank test p = 0.854, HR [95% CI] = 0.93 [0.43-2.0]). 96% (254/263) of the Salmonella enterica serovar Typhi isolates were resistant to nalidixic acid and 58% (153/263) were multidrug resistant. CONCLUSIONS: Both antibiotics showed an excellent efficacy and safety profile. Both gatifloxacin and azithromycin can be recommended for the treatment of typhoid fever particularly in regions with high rates of multidrug and nalidixic acid resistance. The cost of a 7-day treatment course of gatifloxacin is approximately one third of the cost of azithromycin in Vietnam. TRIAL REGISTRATION: Controlled-Trials.com ISRCTN67946944

An open label randomized controlled trial of tamoxifen combined with amphotericin B and fluconazole for cryptococcal meningitis

Background: Cryptococcal meningitis has high mortality. Flucytosine is a key treatment but is expensive and rarely available. The anti-cancer agent tamoxifen has synergistic anti-cryptococcal activity with amphotericin in vitro. It is off-patent, cheap, and widely available. We performed a trial to determine its therapeutic potential. Methods:Open label randomized controlled trial. Participants received standard care - amphotericin combined with fluconazole for the first two weeks - or standard care plus tamoxifen 300mg/day. The primary end point was Early Fungicidal Activity (EFA) - the rate of yeast clearance from cerebrospinal fluid (CSF). Trial registration https://clinicaltrials.gov/ct2/show/NCT03112031 . Results: 50 patients were enrolled, (median age 34 years, 35 male). Tamoxifen had no effect on EFA (- 0.48log10 colony-forming units/mL/CSF control arm versus -0.49 tamoxifen arm, difference - 0.005log10CFU/ml/day, 95%CI: -0.16, 0.15, P=0.95). Tamoxifen caused QTc prolongation. Conclusion: High dose tamoxifen does not increase the clearance rate of Cryptococcus from CSF. Novel, affordable therapies are needed. Funding:The trial was funded through the Wellcome Trust Asia Programme Vietnam Core Grant 106680 and a Wellcome Trust Intermediate Fellowship to JND grant number WT097147MA

Ventilator-associated respiratory infection in a resource-restricted setting: impact and etiology.

BACKGROUND: Ventilator-associated respiratory infection (VARI) is a significant problem in resource-restricted intensive care units (ICUs), but differences in casemix and etiology means VARI in resource-restricted ICUs may be different from that found in resource-rich units. Data from these settings are vital to plan preventative interventions and assess their cost-effectiveness, but few are available. METHODS: We conducted a prospective observational study in four Vietnamese ICUs to assess the incidence and impact of VARI. Patients ≥ 16 years old and expected to be mechanically ventilated > 48 h were enrolled in the study and followed daily for 28 days following ICU admission. RESULTS: Four hundred fifty eligible patients were enrolled over 24 months, and after exclusions, 374 patients' data were analyzed. A total of 92/374 cases of VARI (21.7/1000 ventilator days) were diagnosed; 37 (9.9%) of these met ventilator-associated pneumonia (VAP) criteria (8.7/1000 ventilator days). Patients with any VARI, VAP, or VARI without VAP experienced increased hospital and ICU stay, ICU cost, and antibiotic use (p < 0.01 for all). This was also true for all VARI (p < 0.01 for all) with/without tetanus. There was no increased risk of in-hospital death in patients with VARI compared to those without (VAP HR 1.58, 95% CI 0.75-3.33, p = 0.23; VARI without VAP HR 0.40, 95% CI 0.14-1.17, p = 0.09). In patients with positive endotracheal aspirate cultures, most VARI was caused by Gram-negative organisms; the most frequent were Acinetobacter baumannii (32/73, 43.8%) Klebsiella pneumoniae (26/73, 35.6%), and Pseudomonas aeruginosa (24/73, 32.9%). 40/68 (58.8%) patients with positive cultures for these had carbapenem-resistant isolates. Patients with carbapenem-resistant VARI had significantly greater ICU costs than patients with carbapenem-susceptible isolates (6053 USD (IQR 3806-7824) vs 3131 USD (IQR 2108-7551), p = 0.04) and after correction for adequacy of initial antibiotics and APACHE II score, showed a trend towards increased risk of in-hospital death (HR 2.82, 95% CI 0.75-6.75, p = 0.15). CONCLUSIONS: VARI in a resource-restricted setting has limited impact on mortality, but shows significant association with increased patient costs, length of stay, and antibiotic use, particularly when caused by carbapenem-resistant bacteria. Evidence-based interventions to reduce VARI in these settings are urgently needed