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Cenozoic basalt regions contain various natural resources that can be used for socio-economic development. Different quantitative and qualitative methods have been applied to understand the geological and geomorphological characteristics of basalt formations. Nowadays the integration of remote sensing and geographic information systems (GIS) has become a powerful method to distinguish geological formations. In this paper, authors combined satellite and fieldwork data to analyze the structure and morphology of highland geological formations in order to distinguish two main volcanic eruption episodes. Based on remote sensing analysis in this study, different spectral band ratios were generated to select the best one for basalt classification. Lastly, two spectral combinations (including band ratios 4/3, 6/2, 7/4 in Landsat 8 and 3/2, 5/1, 7/3 in Landsat 7) were chosen for the Maximum Likelihood classification. The final geological map based on the integration of Landsat 7 and 8 outcomes shows precisely the boundary of the basalt formations with the accuracy up to 93.7%. This outcome contributed significantly to the correction of geological maps. In further studies, authors suggest the integration of Landsat 7 and 8 data in geological studies and natural resource and environmental management at both local and regional scales.

Land use change due to the development of agriculture and community-based tourism has resulted in an increase in natural hazards (e.g. erosion and landslides) that affect sustainability in the Sapa mountainous area in northern Vietnam. Natural hazard regulating ecosystem services have protected the local people from the destruction of their villages, goods and natural resources, especially in the rainy season. However, it is difficult to identify which kinds of anthropogenic constructions support a co-production of regulating services in human-influenced social–ecological systems and in which specific types of land use and land cover the supply of such services takes place, especially in heterogeneous mountainous areas. Therefore, this research attempts to (1) distinguish between the potential and actual use (flow) of natural hazard regulating ecosystem services and (2) understand how soil erosion and landslide regulating ecosystem services can contribute to a sustainable management of different ecosystems, especially in rice fields and forest areas. Two models (InVEST for soil erosion, Analytic Hierarchy Process for landslide analysis) were used to analyze and map the contributions of natural versus anthropogenic components for regulating natural hazards in Sapa. The results show the incoherent distribution of erosion regulating services and low capacities of landslide regulating services in areas that have seriously been affected by human activities, especially forestry and agricultural development. The contribution of rice ecosystems to soil erosion mitigation is higher than in the case of landslides. Nevertheless, one-third of the area of paddy fields in the case study area have “no” capacity to supply natural hazard regulating ecosystem services and should therefore be re-forested.

The increase of coastal erosion due to intense tropical storms and unsustainable urban development in Vietnam demands vulnerability assessments at different research scales. This study proposes (1) a new approach to classify coastlines and (2) suitable criteria to evaluate coastal vulnerability index (CVI) at national and regional/local scales. At the national scale, the Vietnamese coastline was separated into 72 cells from 8 coast types based on natural features, whereas the Center region of Vietnam was separated into 495 cells from 41 coast types based on both natural and socio-economic features. The assessments were carried out by using 17 criteria related to local land use/cover, socio-economic, and natural datasets. Some simplified variables for CVI calculation at the national scale were replaced by quantitative variables at regional/local scales, particularly geomorphology and socio-economic variables. As a result, more than 20% of Vietnam’s coastline has high CVI values, significantly more than 350 km of the coasts in the center part. The coastal landscapes with residential and tourism lands close to the beaches without protection forests have been strongly affected by storms’ erosion. The new approach is cost-effective in data use and processing and is ideal for identifying and evaluating the CVI index at different scales.

Bone marrow mesenchymal stem/stromal cells (BMSCs), which are known as multipotent cells, are widely used in the treatment of various diseases via their self-renewable, differentiation, and immunomodulatory properties. In-vitro and in-vivo studies have supported the understanding mechanisms, safety, and efficacy of BMSCs therapy in clinical applications. The number of clinical trials in phase I/II is accelerating; however, they are limited in the size of subjects, regulations, and standards for the preparation and transportation and administration of BMSCs, leading to inconsistency in the input and outcome of the therapy. Based on the International Society for Cellular Therapy guidelines, the characterization, isolation, cultivation, differentiation, and applications can be optimized and standardized, which are compliant with good manufacturing practice requirements to produce clinical-grade preparation of BMSCs. This review highlights and updates on the progress of production, as well as provides further challenges in the studies of BMSCs, for the approval of BMSCs widely in clinical application.

Xpert MTB/RIF Ultra (Xpert Ultra) might have higher sensitivity than its predecessor, Xpert MTB/RIF (Xpert), but its role in tuberculous meningitis diagnosis is uncertain. We aimed to compare Xpert Ultra with Xpert for the diagnosis of tuberculous meningitis in HIV-uninfected and HIV-infected adults. In this prospective, randomised, diagnostic accuracy study, adults (≥16 years) with suspected tuberculous meningitis from a single centre in Vietnam were randomly assigned to cerebrospinal fluid testing by either Xpert Ultra or Xpert at baseline and, if treated for tuberculous meningitis, after 3–4 weeks of treatment. Test performance (sensitivity, specificity, and positive and negative predictive values) was calculated for Xpert Ultra and Xpert and compared against clinical and mycobacterial culture reference standards. Analyses were done for all patients and by HIV status. Between Oct 16, 2017, and Feb 10, 2019, 205 patients were randomly assigned to Xpert Ultra (n=103) or Xpert (n=102). The sensitivities of Xpert Ultra and Xpert for tuberculous meningitis diagnosis against a reference standard of definite, probable, and possible tuberculous meningitis were 47·2% (95% CI 34·4–60·3; 25 of 53 patients) for Xpert Ultra and 39·6% (27·6–53·1; 21 of 53) for Xpert (p=0·56); specificities were 100·0% (95% CI 92·0–100·0; 44 of 44) and 100·0% (92·6–100·0; 48 of 48), respectively. In HIV-negative patients, the sensitivity of Xpert Ultra was 38·9% (24·8–55·1; 14 of 36) versus 22·9% (12·1–39·0; eight of 35) by Xpert (p=0·23). In HIV co-infected patients, the sensitivities were 64·3% (38·8–83·7; nine of 14) for Xpert Ultra and 76·9% (49·7–91·8; ten of 13) for Xpert (p=0·77). Negative predictive values were 61·1% (49·6–71·5) for Xpert Ultra and 60·0% (49·0–70·0) for Xpert. Against a reference standard of mycobacterial culture, sensitivities were 90·9% (72·2–97·5; 20 of 22 patients) for Xpert Ultra and 81·8% (61·5–92·7; 18 of 22) for Xpert (p=0·66); specificities were 93·9% (85·4–97·6; 62 of 66) and 96·9% (89·5–91·2; 63 of 65), respectively. Six (22%) of 27 patients had a positive test by Xpert Ultra after 4 weeks of treatment versus two (9%) of 22 patients by Xpert. Xpert Ultra was not statistically superior to Xpert for the diagnosis of tuberculous meningitis in HIV-uninfected and HIV-infected adults. A negative Xpert Ultra or Xpert test does not rule out tuberculous meningitis. New diagnostic strategies are urgently required. Wellcome Trust and the Foundation for Innovative New Diagnostics.

Curcumin (CUR) is a natural compound extracted from turmeric (Curcuma longa L.) used to cure acne, wound healing, etc. Its disadvantages, such as poor solubility and permeability, limit its efficacy. Nanoemulsion (NE)-based drug delivery systems have gained popularity due to their advantages. This study aimed to optimize a CUR-NE-based gel and evaluate its physicochemical and biological properties. A NE was prepared using the catastrophic phase inversion method and optimized using the Design Expert 12.0 software. The CUR-NE gel was characterized in terms of visual appearance, pH, drug release, antibacterial and wound healing effects. The optimal formulation contained CUR, Capryol 90 (oil), Labrasol:Cremophor RH40 (1:1) (surfactants), propylene glycol (co-surfactant), and water. The NE had a droplet size of 22.87 nm and a polydispersity index of 0.348. The obtained CUR-NE gel had a soft, smooth texture and a pH of 5.34 ± 0.05. The in vitro release of CUR from the NE-based gel was higher than that from a commercial gel with nanosized CUR (21.68 ± 1.25 µg/cm2, 13.62 ± 1.63 µg/cm2 after 10 h, respectively). The CUR-NE gel accelerated in vitro antibacterial and in vivo wound healing activities as compared to other CUR-loaded gels. The CUR-NE gel has potential for transdermal applications.

The insufficient and unspecific target of traditional therapeutic approaches in cancer treatment often leads to therapy resistance and cancer recurrence. Over the past decades, accumulating discoveries about stem cell biology have provided new potential approaches to cure cancer patients. Stem cells possess unique biological actions, including self-renewal, directional migration, differentiation, and modulatory effects on other cells, which can be utilized as regenerative medicine, therapeutic carriers, drug targeting, and generation of immune cells. In this review, we emphasize the mechanisms underlying the use of various types of stem cells in cancer treatment. In addition, we summarize recent progress in the clinical applications of stem cells, as well as common risks of this therapy. We finally give general directions for future studies, aiming to improve overall outcomes in the fight against cancer.

Pesticide residue in food, especially in vegetables, is one of the important parameters to assess food safety. This study evaluates the pesticide use in vegetables from two provinces in Central Vietnamand and present data on pesticides detected in vegetables sampled from the sites. The potential health risk associated with the contamination of four commonly used pesticides in different vegetables is also discussed. Both household surveys and monitoring campaigns were conducted. The survey showed that improper pesticide application, storage, and waste disposal prevailed at the study sites. Only 20% of the respondent were aware of pesticide toxicity. As a result, pesticides were detected in 81% out of 290 vegetable samples collected at harvesting time. Up to 23% of samples had pesticide residues above the Maximum Residue Limit values. The highest total pesticide concentration quantified in vegetables in Thua Thien Hue was 11.9 mg/kg (green onions), and in Quang Binh was 38.6 mg/kg (mustard greens). Median residue levels of individual pesticides in vegetables ranged from 0.007 to 0.037 mg/kg. Among the ten target pesticides, cypermethrin, difenoconazole, and fenobucarb were detected at the highest frequencies (72%, 41%, and 37%, respectively). Pesticide residues varied between seasons at both study provinces. Pesticide contamination in the wet season was significantly higher than in the dry season. This study also discovered a potential health risk associated with fipronil residues in vegetables in Thua Thien Hue province. The paper provides recommendations for mitigation measures (both technological and social) in reducing potential health risks linked to pesticide use in vegetables in the region.

Background Carbapenem resistance among gram-negative bacilli is a major threat worldwide, particularly in Vietnam. The study aimed to evaluate the magnitude of carbapenem resistance in gram-negative bacilli in intensive care units (ICU) in Vietnam and evaluate the impact of a screening and isolation strategy on their epidemiology. Methods A before-after study was performed where patients were screened for digestive carriage of carbapenem-resistant and carbapenemase-producing gram-negative (CRGN) bacilli at ICU admission and weekly thereafter during a reference period and an intervention period. The intervention consisted of the implementation of isolation precautions for carriers throughout their ICU hospitalization. Results The proportion of CRGN digestive carriers at admission was 31.1% in the reference period and 32.6% in the intervention period. The characteristics associated with admission carriage were antibiotic treatment before ICU admission (OR 3.5) and a prior history of hospitalization (OR 1.7). The acquisition rate at ICU discharge was lower in the intervention period (2.79/100 patient-days) than in the reference period (6.85/100 patient-days; P  < 0.001). The intervention period was the only characteristic associated with a lower hazard of CRGN bacilli acquisition during the ICU stay (hazard ratio: 0.27, 95%CI 0.21–0.35) in a multivariable Cox model. In addition, the overall compliance with hand hygiene increased significantly in the intervention period (80.0%) as compared to the reference period (52.8%, P  < 0.001). Conclusions The proportions of carriers of CRGN bacilli at ICU admission and during the ICU stay were very high. The intervention, which included active screening and isolation precautions, along with increased hand hygiene, proved to be efficient in decreasing the CRGN bacilli acquisition rate.

Vietnam is a lower middle-income country with no national surveillance system for hospital-acquired infections (HAIs). We assessed the prevalence of hospital-acquired infections and antimicrobial use in adult intensive care units (ICUs) across Vietnam. Monthly repeated point prevalence surveys were systematically conducted to assess HAI prevalence and antimicrobial use in 15 adult ICUs across Vietnam. Adults admitted to participating ICUs before 08:00 a.m. on the survey day were included. Among 3287 patients enrolled, the HAI prevalence was 29.5% (965/3266 patients, 21 missing). Pneumonia accounted for 79.4% (804/1012) of HAIs Most HAIs (84.5% [855/1012]) were acquired in the survey hospital with 42.5% (363/855) acquired prior to ICU admission and 57.5% (492/855) developed during ICU admission. In multivariate analysis, the strongest risk factors for HAI acquired in ICU were: intubation (OR 2.76), urinary catheter (OR 2.12), no involvement of a family member in patient care (OR 1.94), and surgery after admission (OR 1.66). 726 bacterial isolates were cultured from 622/1012 HAIs, most frequently Acinetobacter baumannii (177/726 [24.4%]), Pseudomonas aeruginosa (100/726 [13.8%]), and Klebsiella pneumoniae (84/726 [11.6%]), with carbapenem resistance rates of 89.2%, 55.7%, and 14.9% respectively. Antimicrobials were prescribed for 84.8% (2787/3287) patients, with 73.7% of patients receiving two or more. The most common antimicrobial groups were third generation cephalosporins, fluoroquinolones, and carbapenems (20.1%, 19.4%, and 14.1% of total antimicrobials, respectively). A high prevalence of HAIs was observed, mainly caused by Gram-negative bacteria with high carbapenem resistance rates. This in combination with a high rate of antimicrobial use illustrates the urgent need to improve rational antimicrobial use and infection control efforts.