Determination of drug-related problems among type 2 diabetes outpatients in a hospital in Vietnam: A cross-sectional study.

INTRODUCTION: Drug-related problems (DRPs) are common in clinical practice and occur at all stages of the medication process. The major factor contributing to DRPs is prescription, although patients' poor adherence to treatment is also a significant factor. This study evaluated type 2 diabetes outpatients in a hospital in Vietnam for drug-related problems (DRPs) and related variables. METHODS: A cross-sectional descriptive study was conducted on 495 outpatients who met the criteria and 157 people agreed to participate in the interview. Medication order review and medication adherence review were used to identify DRPs. The types of DRP were based on the Pharmaceutical Care Network Europe (PCNE) categories version 9.0. The identification and assessment DRPs were carried out by clinical pharmacists and get agreed upon by physicians who had not directly prescribed patients who participated in the study. RESULTS: A total of 762 DRPs were identified via prescribing review process, the average number of DRP on each prescription was 1.54±1.07, while 412 DRPs were determined through patient interviewing. The most frequent DRPs were "ADR (Adverse Drug Reaction) occurring" (68.8%). The main causes were "patient is unable to understand instructions properly" or "patient is not properly instructed", "patient stores insulin inappropriately", "patient decides to use unnecessary drugs" and "patient intentionally uses/takes less drug than prescribed or does not take the drug at all for whatever reason" which accounted for 65.0%, 41.4%, 38.2%, and 28.7%, respectively. From the prescribing review, the most observed DRPs were "Inappropriate drug according to guidelines/formulary" and "No or incomplete drug treatment in spite of existing indication", accounting for 45.0% and 42.9%, respectively. There was a significant association between age (OR 3.38, 95% CI: 1.01-11.30), duration of diabetes (OR 3.61, 95%CI: 1.11-11.74), presence of comorbidity (OR 5.31, 95%CI: 1.97-14.30), polypharmacy (OR: 2.95, 95%CI: 1.01-8.72) and DRPs. In patients, poor knowledge of antidiabetic agents was the main reason to lack adherence and occurring ADR (OR 2.73, 95%CI: 1.32-5.66, p = 0.007 and OR 2.49, 95%CI: 1.54-4.03, p = 0.001 respectively). CONCLUSION: DRPs occurred in the prescribing stage and relating to patient's behavior of drug administration was high. Clear identification of DRPs and the associated factors are essential for building the intervention process to improve effectiveness and safety in the treatment of type 2 diabetes mellitus patients.

Stable biogenic silver nanoparticles from Syzygium nervosum bud extract for enhanced catalytic, antibacterial and antifungal properties.

In the present study, the biosynthesis of stable silver nanoparticles (BioAgNPs) was accomplished successfully for the first time by using an aqueous extract derived from the buds of Syzygium nervosum (SN) as both a reducing and a stabilizing agent. Transmission electron microscopy (TEM) and high-resolution transmission electron microscopy (HR-TEM) investigations revealed that the biosynthesized BioAgNPs were predominantly spherical with an average size of 10-30 nm. It was found that the outstanding stability of the BioAgNPs colloidal solution was assigned to the additive effect of the surrounding protective organic layer and the highly negatively charged surface of the nanoparticles. Consequently, good antibacterial activity was demonstrated by the colloidal BioAgNPs solution against four distinct bacterial strains, including Gram-positive S. aureus and B. subtilis as well as Gram-negative E. coli and S. typhi. Interestingly, the biosynthesized BioAgNPs displayed greater antibacterial activity even when tested at low doses against Gram-negative S. typhi. In addition, the biogenic AgNPs demonstrated a significant level of catalytic activity in the process of converting 2-NP, 3-NP, and 4-NP into aminophenols within 15 min, with reaction rate constants of 9.0 × 10-4, 10 × 10-4, and 9.0 × 10-4 s-1, respectively. BioAgNPs formulations were assessed against anthracnose disease in tea plants and were found to be as effective as the positive control at a dose of 20-fold dilution, but less effective at a dose of 30-fold dilution. Both doses of BioAgNPs formulations significantly suppressed Colletotrichum camelliae (anthracnose disease) without affecting the growth of the tea plants.

Polycyclic Aromatic Hydrocarbons from Domestic Solid Waste Incinerators in Nam Dinh Province, Northern Area of Vietnam: A Comprehensive Assessment of Emission, Source Markers and Human Health Risk.

A comprehensive research of the polycyclic aromatic hydrocarbons (PAHs) emission from domestic waste incinerators in northern areas of Vietnam, were investigated. Sixty-four samples from two domestic waste incinerators were collected and analyzed for PAHs. The PAHs concentrations in the samples were determined using gas chromatography coupled with mass spectrometry. In April, June, September, and November 2021, Σ16PAHs mean concentrations in chimney air samples were 970.9 ± 57.4, 1061.9 ± 49.8, 1070.7 ± 41.3 and 1136.1 ± 136.5 µg m-3, respectively. The mean emission factors of Σ16PAHs were 7.5 mg/kg. The mean percentages of low molecular weight PAHs were predominant in the analyzed air samples. The toxic equivalent quotient of samples ranged from 30.7 to 41.7 mg/kg, whereas the incremental lifetime cancer risk exceeded 10- 3. This results implied a high level of concern with potentially negative health consequences. The four diagnostic ratios of PAHs were found and can be used for identification of sources markers from domestic waste incinerators.

Level of BTEX in the Areas of Domestic Waste Incinerators in Northern Vietnam: A Comprehensive Assessment of Contamination, Composition and Human Health Risk.

The trend of the treatment of solid domestic waste by the domestic waste incinerator system is an option to improve waste management and to reduce the negative impacts on the environment and human health. Benzene, toluene, ethylbenzene, and xylenes (o-, m- and p-) (BTEX) are toxic chemical environmental contaminants that are released from different sources such as the domestic waste incinerator system. To determine the concentration of BTEX in the ambient air from these incinerator areas, the research team conducted four sampling campaigns in April, June, September, and November 2021, with a total of 80 samples collected. Concentrations of benzene, toluene, (m,p)-xylenes, o- xylenes and ethylbenzene ranged from 4.53 to 36.75 µg/m3, from 16.29 µg/m3 to 125.36 µg/m3, from 2.82 µg/m3 to 31.45 µg/m3, from 1.42 µg/m3 to 25.61 µg/m3, from 1.32 µg/m3 to 10.79 µg/m3, respectively. As a result of the risk assessment, it was determined that the incinerator's exhaust gas caused secondary environmental damage, impacting the health of not only workers but also people living in nearby communities. On that basis, the article recommends applying a number of management measures to minimize the negative impacts of the operation of the solid waste incinerator on the environment and the health of the workers operating the incinerator.

Glycoside constituents from Miliusa sinensis leaves and their anti-inflammatory and acetylcholine protective effects.

Repeated column chromatography resulted in the isolation of two new glycosides, miliusides A-B (1 and 7), along with six known metabolites (2-6, and 8) from the leaves of Miliusa sinensis Finet and Gagnep. The structures of the purified phytochemicals were elucidated by interpreting their spectroscopic data (NMR, HRMS), as well as comparison with the previous literature. The biological evaluation of acetylcholinesterase (AChE) inhibitory effects and anti-inflammatory activity by measuring nitric oxide (NO) production in lipopolysaccharide (LPS)-induced RAW264.7 mouse macrophage cells, were also conducted. Among them, compounds 5 and 7 exhibited significant AChE inhibitory activities (IC50 = 53.36 ± 4.20 and 88.50 ± 8.79 µM, respectively), compared with the positive control (Galanthamine, IC50 = 1.65 ± 0.15 µM). Only the MeOH extract showed suppression effects on NO production in LPS-induced RAW264.7 cells (IC50 = 38.18 ± 3.25 µg/mL) comparable to that of the positive control, l-NMMA (IC50 = 2.21 ± 0.56 µg/mL).

Adipogenesis of ear mesenchymal stem cells (EMSCs): adipose biomarker-based assessment of genetic variation, adipocyte function, and brown/brite differentiation.

Ear mesenchymal stem cells (EMSCs) have been investigated to differentiate into adipocytes, chondrocytes, and muscle cells in vitro. However, the factors controlling adipogenesis of this stem cell population in vitro, function, and type of adipocytes raised from them are still unclear. Here we found that genetics have a modest effect on adipogenic capacity of EMSCs. Adipocytes differentiated from EMSCs have a potential function in lipid metabolism as indicated by expression of lipogenic genes and this function of EMSC adipocytes is regulated by genetics. EMSCs failed to be differentiated into brite/brown adipocytes due to their lack of a thermogenic program, but adipocytes raised from EMSCs showed a fate of white adipocytes. Overall, our data suggest that EMSCs differentiate into functional white adipocytes in vitro and this is genetic-dependent.

Effective reduction of nitrophenols and colorimetric detection of Pb(ii) ions by Siraitia grosvenorii fruit extract capped gold nanoparticles.

This study presents a simple and green approach for the synthesis of Siraitia grosvenorii fruit extract capped gold nanoparticles (SG-AuNPs). The SG-AuNPs samples prepared under the optimized conditions were characterized by various techniques (UV-Vis, XRD, FTIR, HR-TEM, EDX, DLS). The biosynthesized nanoparticles were then studied for the reduction of 2-nitrophenol (2-NP) and 3-nitrophenols (3-NP) and for colorimetric detection of Pb2+ ions. The characterization results revealed that the crystals of SG-AuNPs were spherical with an average size of 7.5 nm. The FTIR and DLS analyses proved the presence of the biomolecule layer around AuNPs, which played an important role in stabilizing the nanoparticles. The SG-AuNPs showed excellent catalytic activity in the reduction of 3-NP and 2-NP, achieving complete conversion within 14 min. The catalytic process was endothermic and followed pseudo-first-order kinetics. The activation energy was determined to be 10.64 and 26.53 kJ mol-1 for 2-NP and 3-NP, respectively. SG-AuNPs maintained high catalytic performance after five recycles. The fabricated material was also found to be highly sensitive and selective to Pb2+ ions with the detection limit of 0.018 µM in a linear range of 0-1000 µM. The practicality of the material was validated through the analyses of Pb2+ in mimic pond water samples. The developed nanoparticles could find tremendous applications in environmental monitoring.

Endocrine disrupting compounds in sediment from KimNguu river, Northern area of Vietnam: a comprehensive assessment of seasonal variation, accumulation pattern and ecological risk.

This research presents the assessment of seasonal variation, accumulation pattern and ecological risk of selected endocrine disrupting compounds (S-EDCs) in sediment samples covering six sites in KimNguu river, Hanoi, Northern area of Vietnam. Selected EDCs compose polychlorinated biphenyls (PCBs), polycyclic aromatic hydrocarbons (PAHs) and polybrominated diphenyl ethers (PBDEs). Sediment sampling was carried out in dry season (April) and wet season (October) in 2018. Results pointed out a significant contamination with ∑6PCBs, ∑16PAHs and ∑7PBDE concentrations ranging from 4.73 to 36.34 ng g-1 dw, from 3.57 to 84.39 ng g-1 dw and from 4.49 to 12.49 ng g-1 dw, respectively. Composition analyses indicated the predominance of PCB 138, PCB 153, M-PAHs (Middle molecular weight PAHs: BaA, Chr, Pyr, Flt), BDE-47, BDE-99 and BDE-209. The values of TEQDL-PCBs, TEQ∑8PAHs and TEQ∑16PAHs range from 4.6 to 10.4 ng kg-1 dw, from 0.28 to 1.28 ng g-1 dw and from 0.29 to 1.38 ng g-1 dw, respectively. Ecological risks of S-EDCs range from very low to medium levels in the sediment of KimNguu river.