Information needs of informal caregivers in caring and rehabilitation for dioxin victims in Vietnam.

BACKGROUND: Health outcomes among Agent Orange/dioxin (dioxin) victims are significant due to many individuals requiring daily assistance, informal care, and rehabilitation support. This study aimed to identify the information needs of informal caregivers of dioxin victims in Vietnam. METHODS: A cross-sectional study was conducted in Quynh Phu district, Thai Binh province - an area with a large number of dioxin victims, from June 2019 to June 2020. Quantitative data were collected from 124 caregivers of victims via structured interviews. Qualitative data were collected using semi-structured interview guides with in-depth interviews (IDI) (n = 36) and two focus group discussions (FGD) (n = 12). RESULTS: The results demonstrated that all caregivers of dioxin victims were family members, predominantly older (71.8%), 61.5 years old on average, living on low incomes (87.9%), and were farmers (80.7%). Almost all participants (96.8%) reported having information needs, particularly concerning dioxin's harms, nutrition, dioxin-related policies and rehabilitation, and psychological support for patients. Caregivers reported that they would like to receive information via health staff counselling (85.0%), television (75.0%), and community loudspeaker (65.8%). Notably, the majority of caregivers reported the need for information regarding psychological support (70.0%). These findings are consistent with qualitative data, which identify an urgent need to provide information, especially through health staff and digital resources. CONCLUSION: Many families with dioxin victims lived with little support and information, highlighting their high demand for information about care and rehabilitation. Thus, the healthcare system should promote information support, policy, and psychological support for caregivers and victims. An online support system for caregivers and victims is also recommended.

Functionalization of epoxy-based monoliths for ion exchange chromatography of proteins.

Macroporous epoxy-based monoliths prepared by emulsion polymerization have been modified for use in ion exchange chromatography (IEC) of proteins. Strong anion exchange functionality was established by iodomethane quaternization of tertiary amine present on the monolith surface as a part of the polymer backbone. The modification pathway to cation exchange materials was via incorporation of glycidyl methacrylate (GMA) brushes which were coated using atom transfer radical polymerization (ATRP). Strong (SO(3)(-)) and weak (COO(-)) cation exchange groups were thereafter introduced onto the GMA-grafted monoliths by reactions with sodium hydrogen sulfite and iminodiacetic acid, respectively. Grafting was confirmed by XPS, gravimetric measurement, and chromatographic behavior of the modified materials toward model proteins. In incubation experiments the proteins were recovered quantitatively with no obvious signs of unfolding after contact with the stationary phase for >2 h. Chromatographic assessments on the functionalized columns as well as problems associated with flow-through modification by ATRP are discussed.

Preparation and characterization of sizable macroporous epoxy resin-based monolithic supports for flow-through systems.

This paper presents further results from our efforts to prepare sizable macroporous monolithic materials from epoxy resins and polyamines by emulsion polymerization. For their uses as supports in flow systems, the study aimed at developing materials possessing maximum fluid permeability, high mechanical stability, and a controlled porosity and surface area. Characterization of the materials has been carried out using different techniques, focusing on morphological and mechanical features, and on the surface chemistry. Morphology and porosity were studied with SEM, nitrogen adsorption/desorption, mercury intrusion porosimetry (MIP), and (2)H NMR cryoporosimetry. The chemical composition of the bulk structures and their surfaces was studied by means of bulk elemental analysis and X-ray photoelectron spectroscopy, and potentiometric titration was used to assess the relative amounts of amines and epoxy groups. Essentially, the morphological features were a high fluid permeability, but rather low specific surface area. Convective flow was facilitated by large, interconnected, and evenly spaced macropores which were formed by nonporous skeletons of the connected-rod type. Despite the interfacial nature of the polymerization, the bulk and the surface of the fully cured materials showed similar elemental compositions. All materials were found to have a high surface density of hydroxyl groups, which facilitates functionalization reactions.

Thermally induced dissolution/precipitation--a simple approach for the preparation of macroporous monoliths from linear aliphatic polyamides.

A versatile way of preparing macroporous monolithic materials from linear aliphatic polyamides is presented. Simply, polyamide pellets were treated in benzyl alcohol (BA) at elevated temperature, causing dissolution by interchain hydrogen bond disruption. Subsequent cooling below the upper critical solution temperature (UCST) resulted in precipitation and partial restoration of the semicrystalline polymer, which is organized into network structures. The final steps were a solvent exchange of BA for methanol, followed by drying to form monolithic entities. A number of polyamides ranging from hydrophilic to hydrophobic were tested and under the experimental conditions, poly(1-aza-2-cycloheptanone (PA6) and (poly-[imino-1,6-hexanediylimino{1,10-dioxo-1,10-decanediyl}] (PA610) yielded entities with macroporous properties that were deemed useful for liquid chromatography. The morphological features and porous properties of the monoliths produced by this dissolution-precipitation procedure were studied by scanning electron microscopy, adsorption/desorption of N(2)(g) according to the Brunauer-Emmett-Teller (BET) principle, and mercury intrusion porosimetry. Degradation of the polymer backbone was noticeable when the dissolution time was extended and shortening of the polymer chains was confirmed by MALDI-MS, viscosity measurements, X-ray photoelectron spectroscopy (XPS), and potentiometric titration. When the heating was limited to the time it took to dissolve the polymers, mechanically stable monoliths could be obtained. The dissolution/heat treatment time further seemed to be useful for controlling the macroporous morphology.