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  • Hue University of Medicine and Pharmacy  (5)
  • 1
    Online Resource
    Online Resource
    PREVALENCE OF DEPRESSION AND THE ASSOCIATED FACTORS AMONG THE ELDERLY IN SOME COMMUNITIES OF THUA THIEN HUE PROVINCE
    Hue University of Medicine and Pharmacy ; 2021
    In:  Journal of Medicine and Pharmacy
    Details
    In: Journal of Medicine and Pharmacy, Hue University of Medicine and Pharmacy
    Abstract: Introduction: Currently, Vietnam is entering the aging population stage and is one of the fastest aging countries worldwide. Old age increases the risk of chronic diseases, particularly mental health disorders. Objective: investigated the prevalence of depression and examined the associated factors with depression among older people. Methods: A cross-sectional study was implemented in 760 older people in some communities of Thua Thien Hue province from January to August 2020. Data were collected by directinterviewing based on a structured questionnaire, including demographic, socio-economic, geriatric Depression scale with 30 questions (GDS-30), health status and physical activities. The GDS-30 was used to evaluate the prevalence of depression. The multiple logistic regression model was applied to exam the associated factors with depression. Results: Our findings indicated that the prevalence of depression among elderly people was 28.6%, comprising mild (23.6%) and seveve (5%). The higher Odds of depression was observed in the low economic status (poor/near-poor) (OR= 2.51; 95% CI: 1.15 – 5.48), live alone (OR= 2.43; 95% CI: 1.02-5.78), co-morbidities chronic disease(OR =1,59; 95% CI: 1.01 – 2.52), self-evaluation not good in overall health status (OR =2.34; 95% CI: 1,50 – 3,66), dissatisfaction in health (OR = 2.55; 95% CI:1.59 – 4.08), lack of physical activities (OR =2.79; 95% CI: 1.83 - 4.27), and low quality of life (OR = 2.79; 95% CI: 1.84-4.24). Conclusions: This research suggests that older people are commonly exposing to depression in the communities. Therefore, the priority strategies for reducing depression should be implemented, particularly in the high-risk groups.
    Type of Medium: Online Resource
    ISSN: 1859-3836
    URL: Journal
    URL: Article
    DOI: 10.34071/jmp
    DOI: 10.34071/jmp.2021.2.9
    Language: Vietnamese
    Publisher: Hue University of Medicine and Pharmacy
    Publication Date: 2021
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  • 2
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    ASSESSMENT OF PATIENT SATISFACTION OF OUT-PATIENT SERVICES AT SOME HEALTH CARE FACILITIES IN THUA THIEN HUE PROVINCE
    Hue University of Medicine and Pharmacy ; 2021
    In:  Journal of Medicine and Pharmacy
    Details
    In: Journal of Medicine and Pharmacy, Hue University of Medicine and Pharmacy
    Abstract: Patient satisfaction has been considered an important metric to measure and improve the quality of health care services. Aims: This study aimed to capture patient satisfaction of the quality of services and explore the disparities in patients’ satisfaction by different type of health facilities. Methods: A cross-sectional investigation was conducted in 886 participants following the guidelines of Ministry of Health on assessment of patients’ satisfaction of out-patient services with 5 main indices: the average patient satisfaction score (PSI), the average patient satisfaction percentage, comprehensive satisfaction index (CSI), percentage of continuing to utilize health services, and percentage of perceiving health care expectaion. Results: The PSI of outpatient services among all partcipants reached 3.75 out of 5 points, corresponding to a satisfaction percentage of 64.8%. Of which, the PSI on different attributes of healthcare settings varied from 3.69/5 (lowest for district-level health facilities) to 3.92/5 (highest for private health settings). CSI was at 13.5%, the percentage of continuing to utilize health services reached 96.2% and people perceived 81.5% of their expectation. Primary care facilities have lower levels of satisfaction than the provincial, central and private facilities (p 〈 0.05). Conclusion: Robust efforts should be taken in investing the infrastructure and performance of primary care settings, and improving the administrative procedures of public health settings. Furthermore, local authority should pay attention to promote the awareness of community to availability of health services at primary care settings.
    Type of Medium: Online Resource
    ISSN: 1859-3836
    URL: Journal
    URL: Article
    DOI: 10.34071/jmp
    DOI: 10.34071/jmp.2021.2.14
    Language: Vietnamese
    Publisher: Hue University of Medicine and Pharmacy
    Publication Date: 2021
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  • 3
    Online Resource
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    PATIENTS’ PERSPECTIVES AND EXPERIENCES OF PATIENT-CENTERED CARE IN SOME COMMUNES OF THUA THIEN HUE PROVINCE
    Hue University of Medicine and Pharmacy ; 2020
    In:  Journal of Medicine and Pharmacy
    Details
    In: Journal of Medicine and Pharmacy, Hue University of Medicine and Pharmacy
    Abstract: Patient-centered care is widely acknowledged as an important goal in healthcare delivery. Research has demonstrated that patient perceptions of patient-centred care can be linked to clinical and long-term outcomes in addition to being a useful metric for quality improvement efforts. Objectives: 1) To identify patients’ perspectives and experiences of patient-centerd care in some communes in Thua Thien Hue province; 2) To determine the association between the patients’ perspectives, experiences on patient-centered care and utilization of the health services. Methods: A cross sectional descriptive study was conducted in 313 patients living in Thua Thien Hue province. A structured questionnaire was use to investigate 4 main domains of patient-centered care: Information and Education, Relationships with doctors and other health professionals, making decisions, motivate patients about self-management. We used test ANOVA to analyze the association between patient-centered care and health care utilization among participants (p 〈 0.05). Results: The percentage of good patient-centered care (≥ 3.75 points) was 43.1% (Mean = 3.58 (0.57)). Patients using health services at the commune health centers had a higher experience in patient-centered care compared to district, province and central hospitals (p 〈 0.005). Domains “Encourage patients to take care of themselves” and “Relationship factor with doctors” were evaluated low. There were statistically significant associations between patient-centered care and primary health care facilities, quality of life utilization of periodic health checkup, and patient activation in health care (p 〈 0.05). Conclusion: Out study illustrates that patients’ perspectives and experiences of patient-centered care are still low. There is a need to improve communication and counseling skills of health care providers and increase patient motivation for self-care Key words: patient-centered care, primary care, health care utilization
    Type of Medium: Online Resource
    ISSN: 1859-3836
    URL: Journal
    URL: Article
    DOI: 10.34071/jmp
    DOI: 10.34071/jmp.2020.2.14
    Language: Vietnamese
    Publisher: Hue University of Medicine and Pharmacy
    Publication Date: 2020
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  • 4
    Online Resource
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    TO EVALUATE THE QUALITY OF CRYOPRESERVED GAMMA-STERILIZED DOG SKULL AT TISSUE CRYOPRESERVATION UNIT - HUE UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL
    Hue University of Medicine and Pharmacy ; 2019
    In:  Journal of Medicine and Pharmacy
    Details
    In: Journal of Medicine and Pharmacy, Hue University of Medicine and Pharmacy
    Abstract: Objective: To evaluate the effect of gamma sterilization and the changes in the durability and the histological structure of cryopreserved gamma-sterilized dog skull. Subjects and methods: 50 dog skull fragments had the same size (4 x 4 cm), which were taken at parieto-frontal region, symmetrically through the midline of the skull were divided into two lots. Evident lot consisting of 50 fragments were just cryopreserved, not irradiated by gamma rays. Experimental lot which composed of 50 fragments were cryopreserved and exposed to 25 kGy of gamma radiation. Afterwards, evaluating the changes in the durability, microscopic structure an d the effectiveness of sterilization on the dog skull after being cryopreserved at -85 0C in 3 months and exposed a gamma sterilization. Results: The durability was decreased of 8.28% compared with the lot of dog skull just cryopreserved at -85 0C and not exposed a gamma sterilization. On histological structure, no difference was found between the two lots and there was no structural change in the irradiated dog skull. All gamma-sterilized dog skull fragments were negative with bacteria culture test. The gamma ray had the ability to kill bacteria completely in the type of bacteria commonly infected tissue. Conclusion: After being cryopreserved at -85 0C in 3 months and exposed a gamma sterilization dose of 25 KGy, the durability of dog skull was insignificantly decreased and the microscopic structure was not changed. All irradiated dog skull fragments were negative with bacteria culture test. Key words: dog skull, gamma, durability, irradiated
    Type of Medium: Online Resource
    ISSN: 1859-3836
    URL: Journal
    URL: Article
    DOI: 10.34071/jmp
    DOI: 10.34071/jmp.2019.4.4
    Language: Vietnamese
    Publisher: Hue University of Medicine and Pharmacy
    Publication Date: 2019
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  • 5
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    Online Resource
    Study on molecular subtypes and correlation between molecular subtypes and histopathological features in invasive breast cancer
    Hue University of Medicine and Pharmacy ; 2022
    In:  Journal of Medicine and Pharmacy
    Details
    In: Journal of Medicine and Pharmacy, Hue University of Medicine and Pharmacy
    Abstract: Background: To determine the molecular subtypes and correlation between molecular subtypes and histopathological features in breast cancer in Vietnam and Italy. Material and method: 88 patients with invasive breast carcinoma (BC) in both Hue Central Hospital and Hue University Hospital in Vietnam during 1 year from April 2016 to April 2017 as well as 235 patients from the same category of women in Sassari University Hospital, Italy during the year 2016 were collected. All patients were examined for immunohistochemistry (IHC) with four markers ER, PR, HER2, and Ki67. The immunofluorescence in situ hybridization (FISH) test was applied for cases with HER2 (2+)/ IHC. Results: Breast cancer in Vietnam had the highest Luminal B (LB) rate, at 37.5%, followed by HER2 enrich (22.7%) and triple-negative breast cancer accounting for 21.6%. Luminal A (LA) accountd for the lowest proportion (18.2%). In contrast, breast cancer in Italy has the highest rate of Luminal A (54%), LB accounted for 34.5%, triple-negative occupied 10.6% and HER2 enrichment has a very low rate (0.9%). There was a statistically significant correlation between molecular subtypes and pathological features such as histologic grade, axillary lymph node, and stage of disease in both Vietnamese and Italian groups (p 〈 0.005). Most breast cancers in Vietnam and Italy belong to the Luminal A with low histologic grade, early-stage disease, and no metastasis. No statistically significant association was found between molecular subtypes and tumor size in the Vietnamese breast cancer group. By contrast, this association was statistically significant with p 〈 0.05 in Italy. Conclusion: There is a significant difference in the molecular subtypes and the correlation between molecular subtypes and histopathological features between Vietnamese and Italian breast cancers. The two more common subtypes in Vietnam are LB and HER2, while in Italy they are LA and LB. The rate of HER2 subtypes in Vietnam is much higher than in Italy Key words: Invasive breast carcinoma, molecular subtype, Vietnam, Italy
    Type of Medium: Online Resource
    ISSN: 1859-3836
    URL: Journal
    URL: Article
    DOI: 10.34071/jmp
    DOI: 10.34071/jmp.2022.5.25
    Language: Vietnamese
    Publisher: Hue University of Medicine and Pharmacy
    Publication Date: 2022
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