ABSTRACT
OBJECTIVE: This research was conducted to identify the prevalence and associated factors of depressive disorders, as well as evaluate the recognition rate of general practitioners in detecting these mental health issues in primary care. METHOD: Five hundred and twelve participants (55.3% female, mean age = 46.35 years) were assessed by psychiatrists based on the DSM-5 clinical procedures over a two-month survey in a primary care facility in Ho Chi Minh City, Vietnam. RESULTS: There were 15.8% (95% confidence interval [CI] 12.9-19.2) of the population having depressive disorders, with major depressive disorder being the most prevalent subtype at 8% (95% CI 5.9-10.6). General practitioners could detect depressive disorders in 2.5% of all cases (95% CI .5-7.7). Significantly linked with depressive disorders in multivariable analysis were Chinese ethnic or other minority races (adjusted odds ratios [aOR] = 4.10, 95% CI 1.04-16.12), and low economic status (aOR = 5.41, 95% CI 1.29-22.59). CONCLUSIONS: The high prevalence of depressive disorders in outpatients of primary care clinics may raise the awareness of the practitioners about screening and other appropriate actions to tackle the issue.
Subject(s)
Depressive Disorder, Major , Humans , Female , Middle Aged , Male , Depressive Disorder, Major/diagnosis , Depressive Disorder, Major/epidemiology , Vietnam/epidemiology , Cross-Sectional Studies , Prevalence , Primary Health CareABSTRACT
In this work, a numerical study of polymer flow behaviors in a lid-driven cavity, which is inspired by the coating process, at a broad range of Oldroyd numbers (0≤Od≤50), is carried out. The Reynolds number is height-based and kept at Re=0.001. The fluid investigated is of Carbopol gel possessing yield stress and shear-thinning properties. To express rheological characteristics, the Herschel-Bulkley model cooperated with Papanastasiou's regularization scheme is utilized. Results show that the polymer flow characteristics, i.e., velocity, viscosity, and vortex distributions, are considerably influenced by viscoplastic behaviors. Additionally, there exist solid-like regions which can be of either moving rigid or static dead types in the flow patterns; they become greater and tend to merge together to construct larger ones when Od increases. Furthermore, various polymer flow aspects in different cavity configurations are discussed and analyzed; the cavity width/aspect ratio and skewed angle are found to have significant impacts on the vortex structures and the formation of solid-like regions. Moreover, results for the critical aspect ratio at which the static dead zone is broken into two parts and the characteristic height of this zone are also reported in detail.
ABSTRACT
A series of indolo[3,2-c]quinolines were synthesized by modifying the side chains of the ω-aminoalkylamines at the C6 position and introducing substituents at the C2 position, such as F, Cl, Br, Me, MeO and NO2, and a methyl group at the N11 position for an SAR study. The in vitro antiplasmodial activities of the derivative agents against two different strains (CQS: NF54 and CQR: K1) and the cytotoxic activity against normal L6 cells were evaluated. The test results showed that compounds 6k and 6l containing the branched methyl groups of 3-aminopropylamino at C6 with a Cl atom at C2 exhibited a very low cytotoxicity with IC50 values above 4000 nM, high antimalarial activities with IC50 values of about 11 nM for CQS (NF54), IC50 values of about 17 nM for CQR (K1), and RI resistance indices of 1.6. Furthermore, the compounds were tested for ß-haematic inhibition, and QSAR revealed an interesting linear correlation between the biological activity of CQS (NF54) and three contributing factors, namely solubility, hydrophilic surface area, and ß-haematin inhibition for this series. In vivo testing of 6l showed a reduction in parasitaemia on day 4 with an activity of 38%.
Subject(s)
Antimalarials/chemical synthesis , Hemin/antagonists & inhibitors , Indole Alkaloids/chemistry , Quinolines/chemistry , Animals , Antimalarials/chemistry , Antimalarials/toxicity , Cell Line , Cell Survival/drug effects , Hemin/metabolism , Humans , Indole Alkaloids/chemical synthesis , Indole Alkaloids/toxicity , Indoles/chemistry , Mice , Plasmodium falciparum/drug effects , Quantitative Structure-Activity Relationship , Quinolines/chemical synthesis , Quinolines/toxicity , Rats , Structure-Activity RelationshipABSTRACT
Among 685 patients diagnosed and treated at the centre of Hematology and blood transfusion of HCM city, from 6/95 to 6/98 has included as ALL (258 cases) and AML (376 cases). However, only 175 of them have followed a full-term treatment applied at the centre (fralle protocol for ALL children. BGMT for ALL adults and 3-7 for AML). The percentage of ALL patients achieving CR was 88.33% and of AML ones was 78.43%. The average survival time of ALL patients was 24 months and 12 months for AML. The current protocol applied at the Center had relatively good results especially in the ALL children.
