3D reconstruction of coronary artery using Feldkamp-Davis-Kress algorithm

An important cause of death in industrialized countries is coronary heart diseases. To treat those pathologies, a percutaneous intervention that consists in inserting a catheter in the femoral artery is performed. The instrument is directed to the affected arteries, and coronary angiography is used to lead the surgeon in an interventional context. However, 2D angiography which is frequently used during an intervention, does not consider depth, resulting in high doses of contrast agent and an extended exposure to X-ray. To mitigate the impact of these problems, medical imaging techniques such as 3D coronary artery imaging are used to assist surgeons during the intervention. Many imaging modalities are used to acquire the sequences, but the rotational angiography is favored due to its lower contrast agent use and its ease of use in an interventional context. This imaging technique allows the surgeon to guide the catheter in 3D in a clear manner, and limit the use of X-rays and contrast agent by reducing the duration of the intervention. In this thesis, we present a flexible algorithm, Feldkamp-Davis-Kress (FDK), to reconstruct 3D model of coronary artery in multiple angle views. The dual-axis rotational coronary artery angiography is proposed to use along with this algorithm. The cameras parameters are first calibrated by a nonlinear optimization where the reprojection error is minimized. Then the optimal working view is calculated to avoiding the vessel overlap and foreshortening effects. To reduce the cardiac motion effect, ECG-gated is applied into the reconstruction algorithm. The proposed method can be used in the framework to improve 3D navigation guidance in surgery. It could be a good tool for clinicians in coronary artery disease

Students’ Perceived Well-Being and Online Preference : Evidence from Two Universities in Vietnam during COVID-19

University education is still being impacted two years after the COVID-19 outbreak. We performed a rapid survey in February 2022 at two public universities in Vietnam to examine the effects of the pandemic on well-being and the factors that may associate with online class preference among university students as well as to investigate the need for support to improve resilience. A web-based survey included 1589 undergraduate students in total. Both quantitative and qualitative data analysis was carried out. Overall, approximately a quarter of respondents said that they perceived an influence on their health, 42.9% expressed stress, and more than 70% reported worrying about the future. In total, 61.9% of the respondents reported having satisfaction with online classes, while over half of them preferred a program of 50% online classes. Students who live in an urban area, are female, have had pre-COVID-19 campus life experience, have decreased income, and/or experience low online satisfaction and over-information may be in need of more support. The results show implications for universities to consider policies addressing well-being and post-pandemic online education. Providing support to university students to improve their resilience against the impact on their studying, campus life, health, and well-being should be prioritized during and post-pandemic

Risk Factors for Human Infection with Avian Influenza A H5N1, Vietnam, 2004

TOC Summary: Risk factors include direct or household contact with sick or dead poultry and absence of an indoor water source

ĐIỆN CỰC NANO CẤU TRÚC 3D - PHÂN LỚP DỊ THỂ CỦA CdS/ZnO/Pt/WO3 TRONG VIỆC NÂNG CAO HIỆU SUẤT TÁCH NƯỚC QUANG ĐIỆN HÓA

In this work, we report the synthesis of the hierarchical structure of a CdS/ZnO/Pt/WO3 electrode for photoeletrochemical water splitting application. The photoanode was synthesized via the hydrothermal and atomic layer deposition methods. The morphological and structural properties of CdS/ZnO/Pt/WO3 nanoplates were carefully investigated by using SEM, TEM, and XRD techniques. The CdS/ZnO/Pt/WO3-based photoelectrode has a photocurrent density of 8,5 mA·cm-2 and a photoconversion efficiency of 7.9% at a supplied potential of –0,85 V in a 0.5 M Na2S solution. This photocurrent density is twice higher than that of the CdS/ZnO/FTO electrode. Due to built-in potential and efficiently collecting the photo-carriers generated from the ZnO/CdS heterojunction under illumination, the CdS/ZnO/Pt/WO3 electrode exhibits enhanced performance of the photoelectrochemical cell. This is a promising approach to the synthesis of heterojunction layers of semiconductor together with nanostructures for fabricating photoelectrodes of the photoelectrochemical cell to enhance hydrogen production efficiency.Trong bài báo này, chúng tôi nghiên cứu chế tạo điện cực có cấu trúc 3D phân lớp dị thể (cây – cành – nhánh) CdS/ZnO/Pt/WO3 ứng dụng cho tách nước quang điện hóa. Điện cực được tổng hợp bằng phương pháp thủy nhiệt và lắng đọng lớp nguyên tử. Hình thái học, cấu trúc tinh thể, và thành phần nguyên tố của điện cực này được nghiên cứu bằng kính hiển vi điện tử quét (FE–SEM), kính hiển vị điện tử truyền qua (HR–TEM) và nhiễu xạ tia X (XRD). Nghiên cứu tính chất quang điện hóa của cấu trúc CdS/ZnO/Pt/WO3, chúng tôi thu được mật độ dòng quang điện là 8,5 mA·cm-2 và hiệu suất chuyển đổi năng lượng ánh sáng mặt trời thành năng lượng hydro 7,9 %% tại thế cung cấp –0,85 V trong dung dịch chất điện ly Na2S với nồng độ 0,5 mol/L. Cấu trúc 3D phân lớp này có mật độ dòng quang điện của điện cực cao hơn gấp hai lần so với các cấu trúc CdS/ZnO trên điện cực thủy tinh phủ oxit thiếc pha tạp bằng flo. Đây là một hướng tiếp cận rất hứa hẹn tổng hợp các cấu trúc nano phân lớp dị thể nhằm nâng cao hiệu quả sản xuất hydro

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

The role of nutritional risk evaluation in predicting adverse outcomes among patients with severe COVID-19 in Vietnam

IntroductionAs sufficient nutrition helps alleviate catabolic stress and modulate the systemic inflammatory response of the body, it plays an indispensable role in the good prognosis of critically ill patients. Thus, this study aimed to investigate the malnutrition of patients with severe COVID-19 and its association with adverse treatment outcomes.MethodsWe conducted a retrospective cross-sectional study in two provincial hospitals in Hanoi from February to April 2022. Participants were patients with severe COVID-19 admitted to the Intensive Care Unit (ICU). Malnutrition risk were evaluated by Nutritional Risk Screening-2002 (NRS), Global Leadership Initiative on Malnutrition (GLIM), Prognostic Nutritional Index (PNI), and the adverse prognosis was assessed by Acute Physiology and Chronic Health Evaluation II (APACHE II). The multivariate receiver-operating characteristic (ROC) curve was applied to estimate the predictive ability of those criteria regarding worse treatment results.ResultsThe percentages of malnutrition measured by NRS, GLIM, PNI, and BMI were 62.6, 51.5, 42.9, and 16.6%, respectively. Patients with more severe malnutrition assessed by GLIM, PNI, and having above target fasting blood glucose (FBG) (≥10.0 mmol/L) were more likely to have higher APACHE scores. PNI had a better diagnostic performance than NRS and BMI (AUC = 0.84, 0.81, and 0.82, respectively). In addition, FBG revealed a good prognostic implication (AUC = 0.84).ConclusionA relatively high percentage of patients experienced moderate and severe malnutrition regardless of screening tools. Individuals at higher risk of malnutrition and high FBG were predicted to have more adverse treatment outcomes. It is recommended that nutritional screening should be conducted regularly, and personalizing nutritional care strategies is necessary to meet patients’ nutrient demands and prevent other nutrition-related complications