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The desired performance of nucleic acid testing (NAT) may vary if used for disease diagnosis or for the evaluation of the therapeutic efficacy of a treatment, although in most cases, the same assay is used. However, these tests may not be affordable in many situations including in low/middle income countries that in response have developed domestic assays. Given the example of HCV NAT among people who inject drugs in Vietnam, we aimed at evaluating a domestic assay versus an FDA- and CE-approved assay. This cross-evaluation revealed that (i) the domestic assay had a poorer sensitivity with a threshold of detection above 104 IU/mL, and (ii) the FDA-approved assay had a percentage of false negative results close to 1%. Together, in the present study, the domestic assay had a performance compatible with diagnosis purposes (given that this population was 70% HCV seropositive) but not compatible with HCV treatment monitoring (given that treatment failures are rare and the observed viremia frequently below the threshold of detection). This study highlights the need for a proper evaluation of HCV RNA domestic assays in order to efficiently contribute to the WHO HCV elimination target by 2030.

BackgroundChronic granulomatous disease (CGD) is an inborn error of immunity (IEI) disorder that results from defects in the respiratory burst activity in phagocytes, leading to the inability to kill bacterial and fungal microorganisms. CGD patients usually have a high incidence of morbidity such as infections and autoinflammatory diseases and a high mortality rate. Allogeneic bone marrow transplantation (BMT) is the only definitive cure for patients who suffer from CGD.Case presentationWe report the first transplant case of chronic granulomatous disease in Vietnam. A 25-month-old boy with X-linked CGD underwent bone marrow transplantation from his 5-year-old, full-matched human leukocyte antigen (HLA)-carrier sibling after myeloablative conditioning regimen with busulfan 5.1 mg/kg/day for 4 days, fludarabine 30 mg/m2/day for 5 days, and rATG (Grafalon-Fresenius) 10 mg/kg/day for 4 days. Neutrophil was engrafted on day 13 posttransplant, donor chimerism was 100% on day 30 with the dihydrorhodamine-1,2,3 (DHR 123) flow cytometric assay test that reached 38% of the normal 45 days posttransplant. Five months after transplant, the patient was free of infection with stable DHR 123 assay at 37%, and donor chimerism remained 100%. No sign of a graft-versus-host disease had been observed posttransplant.ConclusionWe suggest that bone marrow transplantation is a safe and effectual cure for CGD patients, especially for patients with HLA-identical siblings.

Soil salinity has a major impact on agricultural production. In a changing climate with rising sea-levels, low-lying coastal areas are increasingly inundated whereby saltwater gradually contaminates the soil. Drought prone areas may suffer from salinity due to high evapotranspiration rates in combination with the use of saline irrigation water. Salinity is difficult to monitor because soil moisture affects the soil's spectral signature. We conducted Fourier-transform infrared spectroscopy on alluvial and sandy soil samples in the coastal estuary of the Red River Delta. The soils are contaminated with NaCl, Na2CO3 and Na2SO4 salts. In an experiment of salt contamination, we established that three ranges of the spectrum were strongly influenced by both salt and moisture content in the soil, at wavenumbers 3200–3400 cm−1 (2.9–3.1 µm); 1600–1700 cm−1 (5.9–6.3 µm); 900–1100 cm−1 (9.1–11.1 µm). The Na2CO3 contaminated soil and the spectral value had a linear relationship between wavelengths 6.9 and 7.4 µm. At wavelength 6.99 µm, there was no relationship between absorbance and soil moisture, but the absorbance was proportional to the salt content (R2 = 0.85; RMSE = 0.68 g) and electrical conductivity (R2 = 0.50; RMSE = 3.8 dS/m). The relationship between soil moisture and spectral absorbance value was high at wavelengths below 6.7 µm, resulting in a quadratic relation between soil moisture and absorbance at wavelength 6.13 µm (R2 = 0.80; RMSE = 5.2%). The spectral signatures and equations might be useful for mapping salt-affected soils, particularly in difficult to access locations. Technological advances in thermal satellite sensors may offer possibilities for monitoring soil salinity. [ABSTRACT FROM AUTHOR]

Background: Amid the global transition to treat opioid addiction as an illness, many people who inject drugs (PWID) face heterogeneous legal environments that include both punitive and harm reduction measures. In Vietnam, many PWID, who have a high burden of HIV, are sent to drug treatment centers, or "06 centers", for compulsory detoxification, vocational training, and labor for up to four years. This study investigates the challenges and facilitators of reentry into community and family life among men who are released from "06 centers" and provides insights and recommendations for developing policies and interventions that address special needs of this vulnerable population.Methods: In-depth interviews were conducted in 2011 by trained interviewers among a sample of 43 male PWID released within the past 2 years from "06 centers" in Hanoi, Vietnam to investigate the above issues and to recommend potential interventions. Participants were recruited from outpatient HIV clinics that serve PWID (n=22) and through peer referral from self-help groups for PWID (n=21). Interviews were audiotaped, transcribed, translated, entered into Atlas.TI qualitative data analysis software and analyzed for key themes.Results: The interviews revealed persistent drug-related stigmatization, frequently paired with HIV-related stigmatization and discrimination, which hindered employment, increased participants' social isolation and exacerbated their struggles with addiction. Families were participants' primary source of financial, employment, and emotional support, but addiction-related family tensions also had negative psychological effects. Participants identified methadone maintenance treatment as an effective means of overcoming addiction, yet few could fully benefit from this treatment due to its limited availability.Conclusion: Our study suggests that PWID released from "06 centers" would greatly benefit from the scale-up of community-based harm reduction measures that include addiction and HIV treatment, coupled with employment-support and family centered mental health services. [ABSTRACT FROM AUTHOR]