Search Results (87)

Background: Dengue is a global health concern, with half of the world’s population at risk and no antiviral treatment available. This Phase 0 study investigated dengue infections among household contacts (HHCs) of dengue index cases (ICs) and assessed the feasibility of conducting a Phase 2 trial for a novel antiviral. Methods: Participants were enrolled in Nha Trang, Vietnam, from April 2022 to February 2023. Dengue ICs were identified within 72 h of fever onset, and their healthy adult HHCs enrolled within 48 h. Blood samples and questionnaires were collected bi-weekly for four weeks, with a follow-up visit on day 40. DENV RT-qPCR, NS1, and anti-DENV IgM/IgG ELISAs were performed. Results: Overall, 130 dengue ICs and 301 HHCs were enrolled, with 91.7% (276/301) completing all follow-up visits. Baseline anti-DENV IgG showed prior dengue infections in 262/301 HHCs (87.0%). Fifty HHCs were excluded from the HHC infection analysis based on evidence of a DENV infection (viral load [VL], NS1, IgM, and IgG results) at enrollment. During follow-up, 2.0% of HHCs (5/251) had DENV infections based on virological parameters (DENV RNA and/or NS1 positivity), and anti-DENV IgG/IgM seroconversion was detected in 7.2% (18/251). Conclusions: This study demonstrated the operational feasibility of a dengue IC-HHC design for a Phase 2 trial. Full article

Neisseria meningitidis is a pathogenic bacterial agent that causes meningococcal meningitis in humans. Developing a rapid and low-cost N. meningitidis detection method is crucial, especially for developing countries. This study focuses on the development of an efficient loop-mediated isothermal amplification (LAMP) method for accurate N. meningitidis identification. A new LAMP primer set was designed, and a LAMP reaction was optimized. The colorimetric detection method was also applied, and the assay characteristics were evaluated using clinical samples. The results demonstrated a specific LAMP reaction for N. meningitidis detection of genotypes A, B, and C, with a limit of detection of 10² cfu/mL, 100% specificity and sensitivity, and a rapid detection time of only 40 min by colorimetric visual inspection. No cross-reactivity with reference strains of Streptococcus pneumoniae, Staphylococcus aureus, Neisseria lactamica, Mycobacterium tuberculosis, and Haemophilus influenzae type b was observed in the LAMP reaction with the new primer set. This result suggests that the LAMP reaction could be a promising tool for developing a rapid N. meningitidis detection method suitable for use in Vietnam and other developing countries. Full article

The Mekong Delta, an important agricultural and economic hub in Vietnam, has suffered from severe water quality issues caused by both natural and anthropogenic forces. This paper aims to conduct a rational statistical approach to evaluate the current situation of surface water quality in the Mekong Delta, applying Factor Analysis (FA), Principal Component Analysis (PCA), and Agglomerative Hierarchical Clustering (AHC) to a database of 3117 samples collected by national and provincial monitoring stations. The results revealed significant contamination with organic pollutants (BOD5: 3.50–172.870 mg/L, COD: 6.493–472.984 mg/L), pesticides (e.g., DDTs: n.d to 1.227 mg/L), trace metals (As: 0.006–0.046 mg/L, Cr: n.d–1.960 mg/L), and microbial indicators (Coliforms: n.d–45,100 MPN/100 mL), often higher than the WHO drinking water threshold. PCA/AHC analysis identified the following five major pollution components: (1) organic pollution and sewage/industrial and deposited chemicals (PCA1—23.08% variance); (2) pesticide and agricultural runoff derived contamination with Hg (PCA2—15.44%); (3) microbial pollution of the water was found to correlate positively with Zn and Cu content (PCA3—8.90%); (4) salinity was found to mobilize As and Cr (PCA4—8.00%); (5) nutrient/microbial pollution presumably from agricultural and sewage inputs (PCA5—7.22%). AHC showed some spatial variability that grouped samples in urban/industrial (Cluster 1), rural/agricultural (Cluster 2), and a highly contaminated one, where water was toxic and presented with microbial and Cd contamination (Cluster 3). Levels of pesticides, Cr, and microbial pollution were higher than reported in previous Mekong Delta studies and exceeded regional trends. These results emphasize the importance of holistic water management strategies, including better wastewater treatment, pesticide control, sustainable farming, and climate-adaptive measures to reduce saltwater intrusion and safeguard drinking water quality for the Mekong Delta. Full article

Synchronous colorectal cancer (SCRC) is characterized by the simultaneous occurrence of two or more primary colorectal malignancies, diagnosed either preoperatively, intraoperatively, or within six months postoperatively. The rare prevalence of SCRC makes it an uncommon scenario among colorectal malignancies. Since the majority of SCRC patients have been reported to have two concurrent malignancies, triple synchronous malignancies are extremely rare. We report the case of a 65-year-old male individual presenting with a history of abdominal pain, anemia, anorexia, and unintentional weight loss. He was diagnosed with synchronous colorectal cancer with three distinct tumors: two located in the splenic flexure and sigmoid colon, respectively, and another in the rectum that caused partial obstruction. This case highlights the importance of intraoperative evaluation and an appropriate choice of surgical intervention in colorectal cancer. The early identification and proper management of multiple colorectal cancers remain essential for better survival rates. Full article

Investment casting is a precision casting technology that can produce complex shapes from various materials, particularly difficult-to-cast and difficult-to-machine metallic alloys. Meanwhile, electrical discharge machining (EDM) is a well-known technique for producing ultra-precise mechanical parts, and electrode quality is crucial. Few studies have explored how rapid prototyping (RP) pattern generation and investment casting influence the final product’s shape, dimensions, and surface roughness. This study investigates EDM electrode fabrication using investment casting and RP-generated epoxy resin patterns. We examine the effects of electrode materials (CuZn5, CuZn30, and FeCr24) on surface roughness, alongside the impact of ceramic shell thickness and RP pattern shrinkage on electrode quality. The EDM electrodes have a shrinkage of 0.8–1.9% and a surface roughness of 3.20–6.35 μm, depending on the material selections. Additionally, the probability of shell cracking decreases with increasing shell thickness, achieving stability at 16.00 mm. This research also applies investment casting electrodes to process DC53 steel. The results indicate that the surface roughness of the workpiece after EDM machining with different electrode materials is in the range of 4.71 µm to 9.88 µm. The result expands the use of investment casting in electrode fabrication, enabling the production of high-precision electrodes with complex profiles and challenging materials, potentially reducing both time and cost. Full article

The Modified Maximum Force Criterion (MMFC) and Marciniak–Kuczynski (MK) models were initially developed to evaluate strain localization in sheet metals. This study investigates their use in predicting the forming limit diagram (FLD) of a tubular material, specifically C1100 pure-copper tubes. To achieve this, uniaxial tensile tests were performed to develop a robust constitutive model, capturing the material’s hardening behavior with a combined Swift–Voce hardening law. A MATLAB code was then developed to theoretically predict the FLD using an enhanced MMFC model, termed MMFC2, alongside the established MK model. These predictions were validated against experimental results from tube expansion tests. Additionally, the theoretical FLDs were integrated into finite element simulations of the tube expansion test to forecast tube bursting behavior. The comparisons reveal that the MMFC2 model’s predictions align more closely with experimental outcomes than those of the MK model, highlighting MMFC2’s superior potential for predicting FLDs in tubular materials. Full article

This research evaluates the quality of high-impact rainfall forecasts across Vietnam and its sub-climate regions. The 3-day rainfall forecast products evaluated include the European Centre for Medium-Range Weather Forecasts (ECMWF) High-Resolution Integrated Forecasting System (IFS) and its downscaled outputs using the Weather Research and Forecasting (WRF) model with the Advanced Research WRF core (WRF-ARW): direct downscaling and downscaling with data assimilation. A full 5-year validation period from 2019 to 2025 was processed. The validation focused on basic rainfall thresholds and also considered the distribution of skill scores for intense events and extreme events. The validations revealed systematic errors (bias) in the models at low rainfall thresholds. The forecast skill was the lowest for northern regions, while the central regions exhibited the highest. For regions strongly affected by terrain, high-resolution downscaling with local observation data assimilation is necessary to improve the detectability of extreme events. Full article

The escalating presence of antibiotic-resistant bacteria (ARB) in food systems presents a pressing challenge, particularly in preventing contamination and ensuring food safety. Traditional sanitation methods, such as cooking and chemical disinfectants, provide effective means to reduce ARB, yet there is a growing need for additional preventive measures directly on food surfaces. This review explores the potential of chitosan–phytochemical composites (CPCs) as surface coatings to prevent the initial contamination of food by ARB, thereby offering a novel complementary approach to conventional food safety practices. Chitosan, combined with active plant-derived metabolites (phytochemicals), forms composites with notable antibacterial and antioxidant properties that enhance its protective effects. We examine CPC synthesis methodologies, including chemical modifications, free radical-induced grafting, and enzyme-mediated techniques, which enhance the stability and activity of CPCs against ARB. Highlighting recent findings on CPCs’ antibacterial efficacy through minimum inhibitory concentrations (MIC) and zones of inhibition, this review underscores its potential to reduce ARB contamination risks on food surfaces, particularly in seafood, meat, and postharvest products. The insights provided here aim to encourage future strategies leveraging CPCs as a preventative surface treatment to mitigate ARB in food production and processing environments. Full article

Vibration-assisted machining, known as hybrid processing technology, offers several benefits over conventional machining methods. However, developing mechanical structure designs to generate a non-resonant frequency source remains challenging. The objective of this study is to propose a novel design for an XY flexure positioner by combining the pseudo-rigid-body model with the Lagrange technique, finite element analysis and Crayfish optimization algorithm. Firstly, the mechanism was designed by combining a hybrid amplifier and parallel driving mechanism integrated with right circular hinges to increase the natural frequency and precision for potential application to VAM CNC milling. Then, the analytical model was established by the pseudo-rigid-body and Lagrange method. Next, the theoretical result was verified by finite element analysis. The first natural frequency results of theory and FEM methods were found at 990.74 Hz and 1058.5 Hz, respectively. The error between the two methods was 6.4%, demonstrating a reliable modeling approach. Based on the analytical equations, the Crayfish optimization algorithm was utilized for optimizing the main design variables of the mechanism. Next, the prototype was fabricated. The results showed that the experimental and simulated frequencies were 1127.62 Hz and 1216.6 Hz, with an error between the two methods of 7.31%. Finally, the workpiece was installed on the prototype and a real vibration-assisted CNC milling process was carried out in the frequency range [700 Hz, 1000 Hz]. The best surface roughness of the specimen was achieved at a frequency of 900 Hz with a Ra of 0.287 µm. This demonstrates that the proposed XY mechanism is an effective structure for generating a non-resonant frequency source for vibration-assisted machining. Full article

Objective: This study aims to evaluate the safety and immunogenicity of the SKYVaricella vaccine in healthy Vietnamese children aged 12 months to 12 years. Methods: This open-label, single-arm study involved 201 children divided into two groups: 60 children aged 12 months to 5 years and 141 children aged 6 to 12 years. Safety was assessed through immediate reactions, solicited adverse events within 7 days, and unsolicited events up to Day 42. Immunogenicity was evaluated by seroconversion rates (SCR) and geometric mean titer (GMT) increments using fluorescent antibody-to-membrane antigen (FAMA) on the day of vaccination (D0) and 42 days after vaccination (D42). Results: All participants completed the follow-up. Immediate adverse events included pain (8.0%), redness (8.0%), and swelling (20.9%) at the injection site. Within 7 days, pain (17.9%) and swelling (12.4%) were mild and self-resolving. Unsolicited adverse events were infrequent and mild. Both age groups achieved 100% SCR. GMT of varicella-zoster virus antibodies increased from 1.37 (SD 1.97) at D0 to 18.02 (SD 2.22) at D42, a 13.12-fold rise. No Grade 3 adverse events were observed. Conclusion: The SKYVaricella vaccine shows a robust immunogenic response and favorable safety profile in Vietnamese children aged 12 months to 12 years. These findings endorse its potential inclusion in pediatric vaccination programs as a reliable preventive option against varicella. Full article

Background: People living with dementia (PLWD) may experience substantial cognitive decline as the disease progresses, which interferes with their daily activities. This study aimed to assess physical activity (PA) performance and care dependency (CD) and identify factors related to PA among PLWD. Methods: We conducted a cross-sectional study in 63 PLWD from National Geriatrics Hospital, Vietnam, from 2021 to 2023. We used the Mini Nutritional Assessment (MNA), International Physical Activity Questionnaire (IPAQ), and Care Dependency Scale (CDS) to assess the nutritional status and the levels of PA and CD, respectively. We used the Mann–Whitney test to compare the differences in the PA types and CD levels between dementia levels and a multivariable logistics regression model to analyze factors related to PA. Results: More than half of the subjects had mild dementia. In total, 35% of the PLWD had a low level of PA, and 46.3% were completely independent of care. The mean score in each CDS aspect of the subjects with moderate/severe dementia was statistically significantly lower than that of those with mild dementia (p ≤ 0.05). Lower dependency (OR = 0.9; 95% CI = 0.88–0.99) and malnutrition (OR = 15.4; 95% CI = 1.18–20.21) were associated with insufficient PA in the PLWD. Conclusion: Formal caregivers and healthcare workers should encourage PLWD to perform physical activities at any level and personalize the development of tailored and nutritional care strategies for each individual. Full article

Background and Objectives: Drug resistant epilepsy (DRE) is a major hurdle in epilepsy, which hinders clinical care, patients’ management and treatment outcomes. DRE may partially result from genetic variants that alter proteins responsible for drug targets and drug transporters in the brain. We aimed to examine the relationship between SCN1A, GABRA1 and ABCB1 polymorphism and drug response in epilepsy children in Vietnam. Materials and Methods: In total, 213 children diagnosed with epilepsy were recruited in this study (101 were drug responsive and 112 were drug resistant). Sanger sequencing had been performed in order to detect six single nucleotide polymorphisms (SNPs) belonging to SCN1A (rs2298771, rs3812718, rs10188577), GABRA1 (rs2279020) and ABCB1 (rs1128503, rs1045642) in study group. The link between SNPs and drug response status was examined by the Chi-squared test or the Fisher’s exact test. Results: Among six investigated SNPs, two SNPs showed significant difference between the responsive and the resistant group. Among those, heterozygous genotype of SCN1A rs2298771 (AG) were at higher frequency in the resistant patients compared with responsive patients, playing as risk factor of refractory epilepsy. Conversely, the heterozygous genotype of SCN1A rs3812718 (CT) was significantly lower in the resistant compared with the responsive group. No significant association was found between the remaining four SNPs and drug response. Conclusions: Our study demonstrated a significant association between the SCN1A genetic polymorphism which increased risk of drug-resistant epilepsy in Vietnamese epileptic children. This important finding further supports the underlying molecular mechanisms of SCN1A genetic variants in the pathogenesis of drug-resistant epilepsy in children. Full article

Rotavin-M1 (POLYVAC) was licensed in Vietnam in 2012. The association of Rotavin-M1 with intussusception, a rare adverse event associated with rotavirus vaccines, and with adverse events following immunization (AEFI) have not been evaluated and monitored under conditions of routine use. From February 2017 to May 2021, we conducted a pilot introduction of Rotavin-M1 into the routine vaccination program in two provinces. Surveillance for intussusception was conducted at six sentinel hospitals. AEFI reports at 30 min and 7 days after vaccination were recorded. Among 443 children <12 months of age admitted for intussusception, most (92.3%) were children ≥ 6 months. Of the 388 children who were age-eligible to receive Rotavin-M1, 116 (29.9%) had received ≥1 dose. No intussusception cases occurred in the 1–21 days after dose 1 and one case occurred on day 21 after dose 2. Among the 45,367 children who received ≥1 dose of Rotavin-M1, 9.5% of children reported at least one AEFI after dose 1 and 7.3% after dose 2. Significantly higher AEFI rates occurred among children given Rotavin-M1 with pentavalent vaccines (Quinvaxem^®, ComBE Five^®) compared to Rotavin-M1 without pentavalent vaccines. There was no association between intussusception and Rotavin-M1. The vaccine was generally safe when administered alone and when co-administered with other vaccines. Full article

COVID-19 significantly disrupted tuberculosis (TB) services in Vietnam. In response, the National TB Program (NTP) integrated TB screening using mobile chest X-rays into COVID-19 vaccination events. This prospective cohort study evaluated the integrated model’s yield, treatment outcomes, and costs. We further fitted regressions to identify risk factors and conduct interrupted time-series analyses in the study area, Vietnam’s eight economic regions, and at the national level. At 115 events, we conducted 48,758 X-ray screens and detected 174 individuals with TB. We linked 89.7% to care, while 92.9% successfully completed treatment. The mean costs per person diagnosed with TB was $547. TB risk factors included male sex (aOR = 6.44, p < 0.001), age of 45–59 years (aOR = 1.81, p = 0.006) and ≥60 years (aOR = 1.99, p = 0.002), a history of TB (aOR = 7.96, p < 0.001), prior exposure to TB (aOR = 3.90, p = 0.001), and symptomatic presentation (aOR = 2.75, p < 0.001). There was a significant decline in TB notifications during the Delta wave and significant increases immediately after lockdowns were lifted (IRR(γ₁) = 5.00; 95%CI: (2.86, 8.73); p < 0.001) with a continuous upward trend thereafter (IRR(γ₂) = 1.39; 95%CI: (1.22, 1.38); p < 0.001). Similar patterns were observed at the national level and in all regions but the northeast region. The NTP’s swift actions and policy decisions ensured continuity of care and led to the rapid recovery of TB notifications, which may serve as blueprint for future pandemics. Full article

This research focuses on developing an adaptive fuzzy-neural control system to manage and maintain temperature in brick tunnel kilns. The problem is how to optimize performance and energy consumption in the brick production process. A control algorithm using a combination of a fuzzy logic system and neural network is proposed to automatically adjust temperature parameters, optimize production efficiency, and reduce energy consumption. Simulation and experimental results demonstrate the outstanding performance of the presented system, with significant improvements in energy efficiency and product quality compared to traditional control methods. Moreover, the obtained results exhibit the potential for wide application of the adaptive neuro-fuzzy control method in academic study or industrial production processes. Full article