Antrodia cinnamomea is a highly valued folk medicine used for liver cancer, a disease often caused by the long term infection of hepatitis C virus (HCV). In the present study, the maleic and succinic acid constituents (antrodins A-E) of this medicinal fungus, the in vivo metabolites of antrodin C and the analogue of one of the metabolites were tested for their inhibitory activity on HCV protease. Most of the compounds showed potent inhibitory activity, with antrodin A being the most potent (IC(50) = 0.9 microg/mL). Antrodin A was isolated as one of the constituents of A. cinnamomea and was also detected as an in vivo metabolite of the major constituent antrodin C. The mode of inhibition for antrodin A on HCV protease was revealed by a Lineweaver-Burk plot as competitive inhibition. These results strongly support the use of this folk medicine for liver cancer and HCV infection which is a global problem.

Development of a robust technical assistance system is an essential component of a sustainable HIV response. Vietnam’s National HIV Program is transitioning from a largely donor-funded programme to one primarily supported by domestic resources. Telehealth interventions are increasingly being used for training, mentoring and expert consultation in high-resource settings and hold significant potential for use as a tool to build HIV health worker capacity in low and middle-income countries. We designed, implemented and scaled up a novel HIV telehealth programme for Vietnam, with the goal of building a sustainable training model to support the country’s HIV workforce needs. Over a 4-year period, HIV telehealth programmes were initiated in 17 public institutions with participation of nearly 700 clinical sites across 62 of the 63 provinces in the country. The telehealth programme was used to deliver certificate training courses, provide clinical mentoring and case-based learning, support programme implementation, provide coaching in quality improvement and disseminate new guidelines and policies. Programme evaluation demonstrated improved health worker self-reported competence in HIV care and treatment and high satisfaction among the programme participants. Lessons learnt from Vietnam’s experience with telehealth can inform country programmes looking to develop a sustainable approach to HIV technical assistance and health worker capacity building.

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In this study, shrimp shell-derived chitosan (CS) and rice husk-derived biochar (RHB) were produced; CS and RHB were then used to synthesize chitosan-modified biochar (CSBC) hydrogel beads. N2 adsorption (77K), SEM-EDX and FT-IR techniques were used to evaluate the physicochemical properties of the adsorbents. A batch experiment was conducted to test the methyl orange (MO) adsorption performance of RHB and CSBC. The results showed that the MO adsorption process was strongly pH-dependent. The kinetics were well described by the pseudo-second-order and intra-particle diffusion models, assuming the chemisorption and intraparticle diffusion mechanisms govern the adsorption process. Homogeneous adsorption for MO on the surface of RHB and CSBC was also assumed since the isotherm data showed the best-fit to the Langmuir model. Under the experimental conditions of initial pH 3, dosage 0.2 g, contact time 240 min and temperature 298K, the maximum adsorption capacity of CSBC and RHB for MO dye adsorption was 38.75 mg.g−1 and 31.63 mg.g−1, respectively. This result demonstrated that biochar had better performance after modification with chitosan, which provided more functional groups (i.e., −NH2 and −OH groups) for enhanced electrostatic interactions and complexation between MO and CSBC. Overall, CSBC is an effective adsorbent for the removal of MO from aqueous solution.