Demand for mental health support services among health professionals in Vietnam: Lesson from COVID-19 Pandemic.

BACKGROUND: This study aimed to measure the preferences for mental health support among health professionals, their willingness to support the mental health of colleagues and associated factors. METHOD: A descriptive cross-sectional study was performed from August to October 2022 within five hospitals located in Hanoi, Vietnam. A total of 244 health professionals participated in the study. Data on socio-economic status, health and COVID-19-related characteristics, Depression Anxiety Stress Scale (DASS-21); and preferences for mental health support services were collected by using a structured self-reported questionnaire. Multivariate logistic regression models were utilized to identify associated factors with the demand for mental support services. RESULTS: 13.9%, 17.1% and 8.6% reported having at least mild depression, anxiety and stress, respectively. There 13.9% did not seek any mental health support during the COVID-19 pandemic. The most common support included talking with friends (52.9%), family (50.8%), colleagues (47.6%) and using social networks/Internet (43.5%). There 31.1% had been aware of mental health services, but only 18.0% used this service at least once. Regarding preferences, 47.3% had a demand for mental support services, and the most preferred service was providing coping skills (25.9%), followed by skills to support others against mental problems (22.2%). Major sources of support included psychiatrists (34.4%), colleagues (29.1%) and family (27.9%). The main preferred channels for support included telephone/mobile phone (35.7%) and Internet (20.9%). Only 12.3% were willing to provide mental support for colleagues during the pandemic. Age, education, perceived mental health status, ever seeking any mental service, and DASS-21 depression score were associated with demand for mental support services. CONCLUSION: This study found a lack of awareness of mental health services for health professionals, as well as moderate levels of demand for this service in this population. Raising awareness and developing tailored mental health support services are important to enhancing the mental well-being of health professionals in Vietnam to prepare for the next pandemic.

Antibiotic use for empirical therapy in the critical care units in primary and secondary hospitals in Vietnam: a multicenter cross-sectional study.

BACKGROUND: The high rate of infections among patients admitted to critical care units (CCUs) is associated with high rate of antibiotic consumption, especially broad-spectrum antibiotics. This study is to describe the antibiotics use in CCUs in primary and secondary hospitals in Vietnam, a setting with high burden of antibiotic resistance. METHODS: This was a 7-day observational study in 51 CCUs in hospitals from 5 provinces in Vietnam from March to July 2019. Patients aged ≥ 18 years admitted to the participating CCUs was enrolled consecutively. We collected data on patient's demographics, initial diagnosis and antibiotic therapy within the first 24 hours. Antibiotic therapy was classified by the Anatomical Therapeutic Chemical (ATC) Index and the 2019 WHO Access, Watch, Reserve (AWaRe) groups. FINDINGS: Out of 1747 enrolled patients, empirical antibiotic treatments were initiated in 1112 (63.6%) patients. The most frequently prescribed antibiotics were cefotaxime (22.3%), levofloxacin (19%) and ceftazidime (10.8%). Antibiotics were given in 31.5% of patients without diagnosis of infection. Watch and/or Reserve group antibiotic were given in 87.3% of patients and associated with patient's age (aOR 1.01 per 1-year increment, 95%CI 1.00-1.02) and the presence of SIRS on admission (aOR 2.1, 95%CI 1.38-3.2). INTERPRETATION: We observed a high frequency use and a substantial variation in patterns of empirical antibiotic use in the CCUs in Vietnam. It highlights the importance of continuous monitoring antibiotic consumption in CCUs.

Photocatalytic degradation of methyl orange dye by Ti3C2-TiO2 heterojunction under solar light.

Photocatalytic activity is a feasible solution to tackle environmental pollution caused by industrial pollutants. In this research, Ti3C2-TiO2 composite with a unique structure was fabricated successfully via a hydrothermal method. Especially, the in-situ transformation of TiO2 from Ti3C2 MXene creates an intimate heterostructure, which leads to prolonging separation and migration of charged carriers. Thus, this Ti3C2-TiO2 composite enhances effectively methyl orange (MO) degradation efficiency (around 99%) after 40 light-exposed minutes. Besides, the optimal concentration of MO solution was estimated at 40 mg/L and Ti3C2-TiO2 photocatalyst also exhibited good stability after five runs. Moreover, the radical trapping test and the MO photodegradation mechanism over Ti3C2-TiO2 system were also demonstrated. This research illustrates the potential of MXenes as effective co-catalysts for photocatalysis and extends the applications of two-dimensional materials.

TiO2/Ti3C2/g-C3N4 ternary heterojunction for photocatalytic hydrogen evolution.

Photocatalytic hydrogen (H2) generation derived by water has been considered as a renewable energy to solve environmental problems and global energy crises. Thus, it is necessary to explore the most effective photocatalysts by using multi-cocatalysts, due to an intimate interaction between different components. Therefore, we already synthesized the TiO2/Ti3C2/g-C3N4 (TTC) photocatalyst from g-C3N4 and Ti3C2 MXene via a calcination technique, and applied this composite for H2 evolution. By making use of titanium atom from Ti3C2 MXene, titanium dioxide (TiO2) was in-body developed, which leads to form a close heterostructure between metallic material and semiconductors. Besides, g-C3N4 amorphous with highly surface area also contributes to harvest light irradiation during photocatalytic activity. The optimized TTC-450 heterostructure showed a super H2 generation efficiency than those of pure g-C3N4 and other samples. Besides, TTC-450 sample also exhibited great recyclability after 4 runs. The proposed mechanism illustrates the efficient movement of generated electrons in TTC system, which leads to high H2 evolution efficiency. Moreover, the obtained results consistently emphasize the TiO2/Ti3C2/g-C3N4 composite would be a unique material for H2 production and broaden applications of MXene materials.