Etiology and epidemiology of diarrhea in children in Hanoi, Vietnam

SummaryObjectivesThis paper provides a preliminary picture of diarrhea with regards to etiology, clinical symptoms, and some related epidemiologic factors in children less than five years of age living in Hanoi, Vietnam.MethodsThe study population included 587 children with diarrhea and 249 age-matched healthy controls. The identification of pathogens was carried out by the conventional methods in combination with ELISA, immunoseparation, and PCR. The antibiotic susceptibility was determined by MIC following the NCCLS recommendations.ResultsOf those with diarrhea, 40.9% were less than one year old and 71.0% were less than two years old. A potential pathogen was identified in 67.3% of children with diarrhea. They were group A rotavirus, diarrheagenic Escherichia coli, Shigella spp, and enterotoxigenic Bacteroides fragilis, with prevalences of 46.7%, 22.5%, 4.7%, and 7.3%, respectively. No Salmonella spp or Vibrio cholerae were isolated. Rotavirus and diarrheagenic E. coli were predominant in children less than two years of age, while Shigella spp, and enterotoxigenic B. fragilis were mostly seen in the older children. Diarrheagenic E. coli and Shigella spp showed high prevalence of resistance to ampicillin, chloramphenicol, and to trimethoprim/sulfamethoxazole. Children attending the hospitals had fever (43.6%), vomiting (53.8%), and dehydration (82.6%). Watery stool was predominant with a prevalence of 66.4%, followed by mucous stool (21.0%). The mean episodes of stools per day was seven, ranging from two to 23 episodes. Before attending hospitals, 162/587 (27.6%) children had been given antibiotics. Overall, more children got diarrhea in (i) poor families; (ii) families where piped water and a latrine were lacking; (iii) families where mothers washed their hands less often before feeding the children; (iv) families where mothers had a low level of education; (v) families where information on health and sanitation less often reached their households.ConclusionsGroup A rotavirus, diarrheagenic Escherichia coli, Shigella spp, and enterotoxigenic Bacteroides fragilis play an important role in causing diarrhea in children in Hanoi, Vietnam. Epidemiological factors such as lack of fresh water supply, unhygienic septic tank, low family income, lack of health information, and low educational level of parents could contribute to the morbidity of diarrhea in children

Depression, anxiety, and stress among frontline health workers during the second wave of COVID-19 in southern Vietnam: a cross-sectional survey

Health workers around the world have taken on massive frontline roles in the fight against COVID-19, often under intense pressure and in the face of uncertainty. In this study, we determined the rates of depression, anxiety, stress and related factors among health workers in COVID-19 designated hospitals in southern Vietnam during the second wave of COVID-19. From July-September 2020, we collected self-administered surveys from 499 health workers in 14 hospitals that were designated for the care and treatment of patients with COVID-19. The survey included sections on demographics, co-morbid health conditions, symptoms experienced during patient care, a depression, anxiety and stress assessment (DASS-21), and other related factors. We used logistic regression models to identify factors associated with depression, anxiety and stress, and adjusted for confounding factors. 18%, 11.5%, 7.7% of participants had symptoms of depression, anxiety, and stress, respectively with the majority at mild and moderate levels. The risk factors for increased mental health impact included long working hours, experiencing physical symptoms, fear of transmission to family, COVID-19 related stigma, and worry when watching media about COVID-19. Psychological counseling and training in infection prevention were protective factors that reduced the risk of mental health problems. Further exploration of the association between physical symptoms experienced by health workers and mental health may guide interventions to improve health outcomes. More routine COVID-19 testing among health workers could reduce anxieties about physical symptoms and alleviate the fear of transmitting COVID-19 to family and friends. Medical institutions need to ensure that health workers have access to basic trainings prior to initiation of work, and mental health support during the pandemic and into the future

Assessing the efficacy of online applications in enhancing classroom teaching: A comprehensive evaluation of execution and effectiveness

This study explores the practical application of online applications in innovating the organization of teaching activities within public schools in Hue City, Vietnam. The research investigates the nuanced dynamics of execution and efficiency in using online applications across various teaching categories. The study employs a systematic approach to participant selection using stratified sampling based on geographical criteria to ensure representation from both the northern and southern regions of the city. A total of 192 teacher survey questionnaires were distributed focusing on the execution and efficiency of online applications in categories such as warm-up activities, knowledge building, review and consolidation, practice activities and testing and assessment. The commitment to data quality is demonstrated by the high response rate with 187 valid questionnaires collected (97.3% of the expected sample). Statistical analyses including mean scores, standard deviations and correlation coefficients were employed to provide a comprehensive evaluation of the current state of online application integration in teaching activities. The findings reveal varying levels of execution and efficiency across different teaching categories emphasizing the need for targeted improvement strategies. Strong positive correlations were observed in specific categories such as practice activities highlighting a consistent association between effective execution and efficiency. The study contributes valuable insights to the discourse on technology integration in education, offering recommendations for teachers, administrators and policymakers seeking to optimize the impact of online applications on teaching practices in the Vietnamese educational context

Pro-poor intervention strategies in irrigated agriculture in Asia: poverty in irrigated agriculture: issues and options: Vietnam

Irrigated farming / Poverty / Farm income / Irrigation management / Institutions / Legal aspects / Water rates / User charges / Participatory management / Privatization / Participatory rural appraisal / Performance indexes / Irrigation programs / Irrigation systems / Pumping / Irrigation canals / Social aspects / Economic aspects / Rivers / Hydrology / Dams / Households / Income / Regression analysis / Drainage / Cooperatives / Water delivery / Water distribution / Rice / Financing / Drought / Vietnam / Red River Delta / Nam Duong Irrigation System / Nam Thach Han Irrigation System / Han River

Genetic diversity of Panax vietnamensis var. fuscidiscus K. Komatsu, s. Zhu & S.Q. cai population in western north of vietnam detected by inter simple sequence repeat markers

Panax vietnamensis var. fuscidiscus is a precious medicinal plant which was recently discovered in Sin Ho and Muong Te district, Lai Chau province of Vietnam. Over exploitation of the species in the native habitat poses a serious threat to its existence. Adequate information on the nature and the extent of genetic diversity in this important species is required for developing suitable strategy for its conservation. In this study, inter simple sequence repeat markers were employed to investigate the genetic diversity and variability of 46 individuals belonging to a naturally distributed population of this variety in Vietnam. Genetic diversity at the population level was high (He = 0.2300, I = 0.3665, and PPB = 96.98 %). The group of mature individuals possessed the higher genetic diversity (HeO = 0.2291, IO = 0.3563, and PPBO = 84.34 %) as compared to group of young individuals (HeY = 0.2086, Iy = 0.3291, and PPBY = 81.5 %). The intergroup gene differentiation was high (GST = 0.0499) with the genetic distance among groups was 0.0298. The similarity coefficient among mature individuals was more moderate (Maximum = 0.873, Minimum = 0.614 and Average = 0.741) than among young individuals (Maximum = 0.916, Minimum = 0.596 and Average = 0.759). Otherwise, the number of discovered individuals was small, distribution area is narrow habitats, and the population showed the reduction in genetic diversity due to the human affects in the habitat and over-exploitation. Results on genetic diversity and variability showed that the investigated population has coped with the risk of decline and needed to be protected

Novel exopolysaccharide produced from fermented bamboo shoot-isolated Lactobacillus fermentum

This study aimed at providing a route towards the production of a novel exopolysaccharide (EPS) from fermented bamboo shoot-isolated Lactobacillus fermentum. A lactic acid bacteria strain, with high EPS production ability, was isolated from fermented bamboo shoots. This strain, R-49757, was identified in the BCCM/LMG Bacteria Collection, Ghent University, Belgium by the phenylalanyl-tRNA synthetase gene sequencing method, and it was named Lb. fermentum MC3. The molecular mass of the EPS measured via gel permeation chromatography was found to be 9.85 × 104 Da. Moreover, the monosaccharide composition in the EPS was analyzed by gas chromatography–mass spectrometry. Consequently, the EPS was discovered to be a heteropolysaccharide with the appearance of two main sugars—D-glucose and D-mannose—in the backbone. The results of one-dimensional (1D) and two-dimensional (2D) nuclear magnetic resonance spectroscopy analyses prove the repeating unit of this polysaccharide to be [→6)-β-D-Glcp-(1→3)-β-D-Manp-(1→6)-β-D-Glcp-(1→]n, which appears to be a new EPS. The obtained results open up an avenue for the production of novel EPSs for biomedical applications

In vitro antioxidant activity and bioactive compounds from Calocybe indica

Nowadays, the use of mushrooms in medicine is ubiquitous and has achieved particular success. The antioxidants in mushrooms can deactivate free radicals. This study assesses the antioxidant potential of mushroom Calocybe indica with the 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical and 2,2′-azino-bis(3-ethylbenzthiazoline-6-sulfonic acid) (ABTS) radical scavenging methods and the total antioxidant capacity. The mushroom’s ethanol extract exhibits acceptable activity with a low IC50 value (240.11 μg/mL), approximately 2.9 times lower than that of the mushroom Ophiocordyceps sobolifera extract. The ABTS scavenging rate of the extract is around 60% at 500 µg/mL, and the total antioxidant capacity is equivalent to 64.94 ± 1.03 mg of GA/g or 77.42 ± 0.42 μmol of AS/g.  The total phenolics, flavonoids, polysaccharides, and triterpenoids are equivalent to 29.33 ± 0.16 mg of GAE/g, 17.84 ± 0.11 mg of QUE/g (5.04 ± 0.04%), and 4.96 ± 0.04 mg of oleanolic acid/g, respectively. Specifically, the total triterpenoid content has been reported for the first time. The mushroom can have potential biomedical applications

Decoding the capability of Lactobacillus plantarum W1 isolated from soybean whey in producing an exopolysaccharide

This study aims at producing exopolysaccharides (EPS) from a lactic acid bacterial strain. The soybean whey-isolated Lactobacillus plantarum W1 (EPS-W1), which belongs to genus Lactobacillus, is identified using the phenylalanyl-tRNA sequencing method. Of all the examined strains, R-49778 (as numbered by BCCM/LMG Bacteria Collection, Ghent University, Belgium) showed the highest capability of producing exopoly-saccharides. Structural characterization revealed a novel exopolysaccharide consisting of repeating units of -> 6)-D-Glcp-(1 ->; -> 3)-D-Manp-(1 ->; -> 3)-6-Glcp-(1 -> and a branch of -> 6)-D-Manp-(1 ->; -> 2)-D-Glcp-(1 ->. This discovery opens up avenues for the production of EPS for food industries, functional foods, and biomedical applications

Tannins: Extraction from Plants

The chapter presents mainly on different extraction methods of tannin. Some technical means required for effective extraction are also presented, for example, collection and treatment of plant and drying and storage of plant. Opportunity and challenges in application of extraction methods are also exhibited in the chapter