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  • 1
    Online Resource
    Online Resource
    CHI PHÍ PHẪU THUẬT Ổ BỤNG: NGHIÊN CỨU ĐA TRUNG TÂM VIỆT NAM
    Vietnam Medical Journal, Vietnam Medical Association ; 2022
    In:  Tạp chí Y học Việt Nam Vol. 516, No. 2 ( 2022-07-31)
    Details
    In: Tạp chí Y học Việt Nam, Vietnam Medical Journal, Vietnam Medical Association, Vol. 516, No. 2 ( 2022-07-31)
    Abstract: Mỗi năm, khoảng 3,7 triệu người có nguy cơ phải đối mặt với sự kiệt quệ kinh tế nếu họ phải phẫu thuật và 22% số người được tiếp cận điều trị bệnh tật gặp khó khăn tài chính trong việc chi trả các chi phí phẫu thuật. Do đó, nghiên cứu phân tích chi phí phẫu thuật tại Việt Nam là cần thiết, tạo cơ sở cho việc đưa ra các giải pháp phù hợp nhằm giảm thiểu gánh nặng kinh tế trong điều trị phẫu thuật cho cả người bệnh và hệ thống y tế. Nghiên cứu mô tả cắt ngang, đa trung tâm khảo sát chi phí trực tiếp và gián tiếp trong điều trị phẫu thuật bụng tại 5 bệnh viện tại Việt Nam trong thời gian từ tháng 3 – tháng 9 năm 2020 dựa trên phiếu khảo sát thông tin ca phẫu thuật và hồ sơ bệnh án. Dữ liệu được thống kê và xử lí bằng phần mềm SPSS 20.0 với độ tin cậy 95% và các phép kiểm thống kê phù hợp. Mẫu nghiên cứu bao gồm 361 người bệnh với độ tuổi trung bình 53,6 ± 17,7; tỉ lệ nam:nữ là 1,11:1 và thu nhập trung bình hàng tháng là 6.814.792 ± 362.608 VNĐ. Chi phí phẫu thuật toàn bộ có giá trị 13.627.112 ± 11.999.413 VNĐ chiếm 39,6% tổng chi phí điều trị. Trong đó, chi phí thuốc gây mê có giá trị 703.039 ± 340.901 VNĐ, chiếm 5,2% chi phí ca phẫu thuật và chiếm 2,0% chi phí toàn đợt điều trị. Chi phí thuốc gây mê sevoflurane theo phiếu thanh toán là 548.806 ± 312.921 VNĐ, chiếm 4,0% chi phí phẫu thuật và chiếm 1,6% chi phí toàn đợt điều trị. Chi phí thuốc sevoflurane thực tế sử dụng trong ca phẫu thuật có giá trị 371.383 ± 209.307 VNĐ.
    Type of Medium: Online Resource
    ISSN: 1859-1868
    URL: Article
    DOI: 10.51298/vmj.v516i2.3107
    Language: Unknown
    Publisher: Vietnam Medical Journal, Vietnam Medical Association
    Publication Date: 2022
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  • 2
    Online Resource
    Online Resource
    Thực trạng kiến thức về phòng và xử trí phản vệ của sinh viên Đại học Điều dưỡng chính quy năm thứ 4 Trường Đại học Điều dưỡng Nam Định
    Nam Dinh University of Nursing ; 2021
    In:  Tạp chí Khoa học Điều dưỡng Vol. 4, No. 3 ( 2021-09-30), p. 117-128
    Details
    In: Tạp chí Khoa học Điều dưỡng, Nam Dinh University of Nursing, Vol. 4, No. 3 ( 2021-09-30), p. 117-128
    Abstract: Mục tiêu: Mô tả thực trạng và tìm các yếu tố liên quan đến kiến thức về phòng và xử trí phản vệ của sinh viên đại học chính quy năm thứ 4 Trường Đại học Điều dưỡng Nam Định. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 270 sinh viên năm cuối (khóa 12) của Trường Đại học Điều dưỡng Nam Định. Sử dụng bộ câu hỏi được thiết kế sẵn dựa trên thông tư 51/2017/TT-BYT. Kết quả: Kiến thức về phòng phản vệ: 81,9% sinh viên cho rằng cần ghi chép các thông tin liên quan đến dị ứng của người bệnh vào bệnh án, giấy ra viện, chuyển viện. Tỷ lệ sinh viên biết khai thác rõ tiền sử dị ứng của người bệnh và chỉ định đường dùng thuốc phù hợp lần lượt chiếm 55,2% và 26,7%. Kiến thức về xử trí phản vệ: Phần lớn sinh viên biết cách xử trí ban đầu phản vệ là dừng ngay đường tiếp xúc với dị nguyên chiếm 85,6%. Tỷ lệ sinh viên trả lời đúng về bước cấp cứu tiếp theo sau khi xử lý ban đầu chiếm 30%; Có lần lượt 43,3% và 42,2% sinh viên cho rằng cách sử dụng Adrenalin là tiêm bắp, ngay khi chẩn đoán phản vệ từ độ 1 và độ 2 trở lên. Kết luận: Kiến thức về phòng và xử trí phản vệ của sinh viên còn hạn chế với 74,1% có kiến thức trung bình. Các yếu tố: đã được học; thời gian gần nhất tìm hiểu về phản vệ và nguồn hướng dẫn ban đầu có mối liên quan với kiến thức về phòng và xử trí phản vệ của sinh viên.
    Type of Medium: Online Resource
    ISSN: 2734-9632 , 2615-9589
    URL: Issue
    URL: Article
    DOI: 10.54436/jns.2021.3
    DOI: 10.54436/jns.2021.3.419
    Language: Unknown
    Publisher: Nam Dinh University of Nursing
    Publication Date: 2021
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  • 3
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    Online Resource
    High incidence of type 2 diabetes in a population with normal range body mass index and individual prediction nomogram in Vietnam
    Wiley ; 2022
    In:  Diabetic Medicine Vol. 39, No. 2 ( 2022-02)
    Details
    In: Diabetic Medicine, Wiley, Vol. 39, No. 2 ( 2022-02)
    Abstract: The study aimed at determining 5‐year incidence and prediction nomogram for new‐onset type 2 diabetes (T2D) in a middle‐aged population in Vietnam. Methods A population‐based prospective study was designed to collect socio‐economic, anthropometric, lifestyle and clinical data. Five‐year T2D incidence was estimated and adjusted for age and sex. Hazard ratio (HR) for T2D was investigated using discrete‐time proportional hazards model. T2D prediction model entering the most significant risk factors was developed using the multivariable logistic‐regression algorithm. The corresponding prediction nomogram was constructed and checked for discrimination, calibration and clinical usefulness. Results The age‐ and sex‐adjusted incidence was 21.0 cases (95% CI: 12.2−40.0) per 1000 person‐years in people with mean BMI of 22.2 (95% CI: 21.9−22.7 kg/m 2 ). The HRs (95% CI) for T2D were 1.14 (1.05−1.23) per 10 mmHg systolic blood pressure, 1.05 (1.03−1.08) per 1 cm waist circumference, 1.40 (1.13−1.73) per 1 mmol/L fasting blood glucose, 1.77 (1.15−2.71) per sleeping time ( 〈 6 h/day vs 6–7 h/day) and 2.12 (1.25−3.61) per residence (urban vs rural). The prediction nomogram for new‐onset T2D had a good discrimination (area under curve: 0.711, 95% CI: 0.666−0.755) and fit calibration (mean absolute error: 0.009). For the predicted probability thresholds between 0.03 and 0.36, the nomogram showed a positive net benefit, without increasing the number of false positives. Conclusion This study highlighted an alarmingly high incidence of T2D in a middle‐aged population with a normal range BMI in Vietnam. The individual prediction nomogram with decision curve analysis for new‐onset T2D would be valuable for early detection, intervention and treatment of the condition.
    Type of Medium: Online Resource
    ISSN: 0742-3071 , 1464-5491
    URL: Issue
    URL: Article
    DOI: 10.1111/dme.v39.2
    DOI: 10.1111/dme.14680
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 2019647-7
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  • 4
    Online Resource
    Online Resource
    The optimal protocol for analysis of single nucleotide polymorphism rs320 on Lipoprotein Lipase gene of Vietnamese populations
    Journal of Science, Hanoi National University of Education ; 2020
    In:  Journal of Science Natural Science Vol. 65, No. 3 ( 2020-3), p. 123-129
    Details
    In: Journal of Science Natural Science, Journal of Science, Hanoi National University of Education, Vol. 65, No. 3 ( 2020-3), p. 123-129
    Type of Medium: Online Resource
    ISSN: 2354-1059
    Uniform Title: TỐI ƯU QUY TRÌNH PHÂN TÍCH ĐA HÌNH ĐƠN NUCLEOTID RS320 THUỘC GEN LIPOPROTEIN LIPASE Ở NGƯỜI VIỆT NAM
    URL: Journal
    URL: Article
    DOI: 10.18173/2354-1059
    DOI: 10.18173/2354-1059.2020-0015
    Language: Unknown
    Publisher: Journal of Science, Hanoi National University of Education
    Publication Date: 2020
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  • 5
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    Online Resource
    POST-DURAL PUNCTURE HEADACHE AND RISK FACTORS IN WOMEN UNDERGOING CESAREAN SECTION WITH SPINAL ANESTHESIA
    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 estimate the incidence of post-dural puncture headache (PDPH) and risk factors in women underwent Cesarean section with spinal anesthesia. Materials and method: In a prospective descriptive study, parturients underwent Cesarean section with spinal anesthesia. Incidence of post-dural puncture headache, the history of spinal anesthesia and PDPH, presence of headache, preeclampsia, migraine, sinusitis, caffeine withdraw, insertion site, repeated puncture attempts, direction of the needle, size of the needle, local anesthesic, perioperative hypotension, nausea and vomiting, amount of intravenous fluid were recorded. Results: There were 389 patients in the study. The incidence of PDPH was 14.65% (mild and moderate pain: 75.44%; severe pain 21.05%; worst pain: 3.51%). The risk factors were history of PDPH (OR = 4.5; 95% CI: 1.8 - 11.09), sinusitis (OR = 2.65; 95% CI: 1.10 - 6.36), local anesthesia (Marcain spinal 0.5% heavy) (OR = 6.66; 95% CI: 2.25 - 19.11), perioperative hypotension (OR = 2.42; 95% CI: 1.25 - 4.70). Conclusion: The incident of PDPH in women undergoing Cesarean section with spinal anesthesia was 14.65%. Four risk factors were the history of PDPH, sinusitis, local anesthesia (Marcain spinal 0.5% heavy) and perioperative hypotension. Key words: post-dural puncture headache (PDPH), Cesarean section, spinal anesthesia
    Type of Medium: Online Resource
    ISSN: 1859-3836
    URL: Journal
    URL: Article
    DOI: 10.34071/jmp
    DOI: 10.34071/jmp.2019.4.5
    Language: Vietnamese
    Publisher: Hue University of Medicine and Pharmacy
    Publication Date: 2019
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  • 6
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    Multimodal analgesia using paracetamol combined with ketorolac after laparoscopic major surgery
    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: Effective postoperative pain relief is the cornerstone of enhanced postoperative recovery. Pain after laparoscopic surgery can be caused by many factors such as the trocar incision associated, the incision in the abdominal wall and manipulations in the peritoneal cavity. Therefore, it is necessary to apply multimodal analgesia. The research question is whether the pain after laparoscopic surgery is low level. Objective: To evaluate the effectiveness of multimodal analgesia using paracetamol combined with intravenous ketorolac and morphine rescue compared with intravenous paracetamol alone and morphine rescue after laparoscopic major surgery. Materials and methods: In a randomized controlled clinical trial, 70 patients aged 18 years and older, classified ASA I - III, undergoing laparoscopic surgery were randomly divided into two groups. The Para-Keto group received intravenous ketorolac and paracetamol, the Para group received intravenously paracetamol and both groups received patient-controlled intravenous morphine. VAS pain scores at rest, on movement, morphine consumption in 48 hours, flatus time, time to sit up, patient satisfaction and side effects. Results: The Para-Keto group had lower pain scores at rest and on movementand shorter flatus, sitting up time than the Para group (p 〈 0.05). “Very satisfied” in the Para-Keto group was statistically significantly higher than the Para group (71.4% vs 28.6%). The level of satisfaction in the Para group accounted for 60.0%, the average satisfaction rate accounted for 11.4%. The average total amount of morphine used in 48 hours in the Para-Keto group was significantly lower than that in the Para group (p 〈 0.05). The rates of itching, vomiting and nausea in the two groups were low and did not differ statistically between the two groups. No patient experienced respiratory depression. Conclusions: Multimodal analgesia by using paracetamol combined with intravenous ketorolac and rescue with intravenous morphine after laparoscopic major surgery was better than paracetamol combined with morphine rescue after laparoscopic surgery. Laparoscopic surgery still have severe pain and needed additional pain killer Key words: Laparoscopic surgery, multimodal analgesia.
    Type of Medium: Online Resource
    ISSN: 1859-3836
    URL: Journal
    URL: Article
    DOI: 10.34071/jmp
    DOI: 10.34071/jmp.2022.3.6
    Language: Vietnamese
    Publisher: Hue University of Medicine and Pharmacy
    Publication Date: 2022
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  • 7
    Online Resource
    Online Resource
    Dự báo khu vực lan truyền nhạy cảm Covid–19 dựa vào phương pháp hồi quy
    Vietnam Meteorological and Hydrological Administration ; 2022
    In:  Vietnam Journal of Hydrometeorology Vol. EME4, No. 1 ( 2022-4-25), p. 149-157
    Details
    In: Vietnam Journal of Hydrometeorology, Vietnam Meteorological and Hydrological Administration, Vol. EME4, No. 1 ( 2022-4-25), p. 149-157
    Type of Medium: Online Resource
    ISSN: 2525-2208
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.36335/VNJHM.2022(EME4)
    DOI: 10.36335/VNJHM
    DOI: 10.36335/VNJHM.2022(EME14).149-157
    Language: Unknown
    Publisher: Vietnam Meteorological and Hydrological Administration
    Publication Date: 2022
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  • 8
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    Capacity of Commune Health Stations in Chi Linh District, Hai Duong Province, for Prevention and Control of Noncommunicable Diseases
    SAGE Publications ; 2017
    In:  Asia Pacific Journal of Public Health Vol. 29, No. 5_suppl ( 2017-07), p. 94S-101S
    Details
    In: Asia Pacific Journal of Public Health, SAGE Publications, Vol. 29, No. 5_suppl ( 2017-07), p. 94S-101S
    Abstract: The primary health care system in Vietnam has been playing an important role in prevention and control of diseases. This study aimed to describe the capacity of commune health stations in Chi Linh district, Hai Duong province for prevention and control of noncommunicable diseases (NCDs). A mixed-methods (quantitative and qualitative approaches) approach was applied to collect data in 20 commune health stations. The participants, including health workers, stakeholders, and patients with NCDs, were selected for the study. The findings reported that the main activities of prevention and control of NCDs at commune health stations (CHSs) still focused on information-education-community (IECs), unqualified for providing screening, diagnosis, and treatments of NCDs. The capacity for prevention and control of NCDs in CHSs was inadequate to provide health care services related to prevention and control of NCDs and unmet with the community’s demands. In order to ensure the role and implementation of primary care level, there is an urgent need to improve the capacity of CHSs for prevention and control of NCDs, particularly a national budget for NCDs prevention and control, the essential equipment and medicines recommended by the World Health Organization should be provided and available at the CHSs.
    Type of Medium: Online Resource
    ISSN: 1010-5395 , 1941-2479
    URL: Article
    DOI: 10.1177/1010539517717020
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2017
    detail.hit.zdb_id: 2394975-2
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  • 9
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    Online Resource
    Soil salinity prediction using hybrid machine learning and remote sensing in Ben Tre province on Vietnam’s Mekong River Delta
    Springer Science and Business Media LLC ; 2023
    In:  Environmental Science and Pollution Research Vol. 30, No. 29 ( 2023-05-19), p. 74340-74357
    Details
    In: Environmental Science and Pollution Research, Springer Science and Business Media LLC, Vol. 30, No. 29 ( 2023-05-19), p. 74340-74357
    Type of Medium: Online Resource
    ISSN: 1614-7499
    URL: Article
    DOI: 10.1007/s11356-023-27516-x
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2014192-0
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  • 10
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    Online Resource
    DEVELOPMENT OF A METHOD FOR GENOTYPING THE 𝘔𝘛𝘏𝘍𝘙 RS1801133 POLYMORPHISM IN VIETNAMESE, USING THE POLYMERASE CHAIN REACTION WITH CONFRONTING TWO-PAIR PRIMERS
    Hoi Dinh duong VietNam ; 2023
    In:  Tạp chí Dinh dưỡng và Thực phẩm Vol. 19, No. 3E ( 2023-05-28), p. 16-22
    Details
    In: Tạp chí Dinh dưỡng và Thực phẩm, Hoi Dinh duong VietNam, Vol. 19, No. 3E ( 2023-05-28), p. 16-22
    Abstract: Aims: To develop a method using polymerase chain reaction with confronting two-pair primers (PCR-CTPP) to genotype MTHFR rs1801133 polymorphism in Vietnamese people. Methods: DNA samples from 15 Vietnamese people were used to evaluate this assay. The Sanger sequencing method was used to identify the standard genotypes of the rs1801133 polymorphism. Some bioinformatic softwares were used to design four a multiplex PCR-CTPP. Experimental procedures were conducted to verify the primers and components of the PCR method. Results: The protocol of the PCR-CTPP was successful developed with optimal inner/outer primers ratio, the melting temperature of primers, the components and the thermal cycling to identify MTHFR rs1801133 polymorphism. Conclusion: The PCR-CTPP protocol should be applied to genotyping MTHFR rs1801133 polymorphism in large cohorts to investigate the association between the polymorphism and metabolic syndrome in Vietnamese population.
    Type of Medium: Online Resource
    ISSN: 1859-0381 , 1859-0381
    URL: Issue
    URL: Article
    DOI: 10.56283/1859-0381/2023v19i3E
    DOI: 10.56283/1859-0381/433
    Language: Unknown
    Publisher: Hoi Dinh duong VietNam
    Publication Date: 2023
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