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Strengthening breast cancer services in Vietnam:a mixed-methods study

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Global Health Research and Policy 2019年第1期4卷 394-404页

作者： Chris Jenkins Tran Thu Ngan Nguyen Bao Ngoc Tran Bich Phuong Lynne Lohfeld Michael Donnelly hoang van minh Liam Murray Centre for Public Health Queen’s University BelfastRoyal Victoria Hospital SiteInstitute of Clinical Sciences Block BGrosvenor RoadBelfast BT126BJUK Centre for Population Sciences Hanoi University of Public HealthHanoiVietnam

Background:Incidence of breast cancer has increased in Vietnam over the past two decades,but little data exists to inform policy and *** study examined the organisation and delivery of breast cancer services in Vietnam in order to address the lack of data on detection,diagnosis and ***:We gathered quantitative and qualitative data using an adapted survey-based Service Availability and Readiness Assessment(SARA)tool and semi-structured interviews from healthcare providers in 69 healthcare facilities about the experience and challenges of delivering breast cancer *** conducted our study across four levels of the health system in three provinces in ***:The analysis of our data show that a number of areas require strengthening particularly in relation to service availability and service ***,healthcare providers across all levels of the health system reported that service provision was constrained by a lack of resources both in relation to health infrastructure and training for healthcare ***,access to timely diagnosis and treatment is limited due to services only being available at the top two levels of the health *** living outside the immediate vicinity of such facilities tend to find access more costly and time-consuming,and there is a need to investigate the social,economic,geographic and cultural barriers that may prevent women from accessing ***:Our study suggests that there is a need to strengthen lower levels of the Vietnamese health system in relation to the detection of breast *** of some services such as clinical breast examination,advice on self-examination,and conducting ultrasound tests(supported with appropriate training and capacity-building of healthcare providers)at commune and district levels of the health system may reduce the overcrowding and service-delivery burden experienced in provincial and national-level *** lower le

关键词： Breast Cancer Vietnam Health systems Cancer NCDs

Utilization and Satisfaction with HIV Services at 7 Provinces in Vietnam: A Cross-Sectional Study

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World Journal of AIDS 2022年第2期12卷 65-82页

作者： Le Bao Chau Pham Thi Huyen Chang Duong minh Duc hoang van minh Luu Quoc Toan Bui Thi Tu Quyen Le Thi Vui Bui Thi Thu Ha Hanoi University of Public Health Hanoi Vietnam

The study was carried out to determine utilization and satisfaction with essential HIV services from HIV individuals and high-risk populations in 7 socioeconomic provinces nationwide. A cross-sectional approach was applied in the study. Data were collected through face-to-face interviews using self-report questionnaires. Findings from 2380 respondents indicated a high percentage of utilization as well as a high level of satisfaction, in particular among men who have sex with men (MSM) and female sex worker (FSW) sub-group. Needle, syringe, and condom programs had lower usage and satisfaction mean scores in comparison with other services. The proportion of people who used drugs (PWID) and participated in the needle and syringe program was 53.6%. HIV counseling and testing uptake proportion of overall respondents in the last 12 months was 82.2% while the rate of antiretroviral treatment among infected PWID was 74.9%. The level of satisfaction with treatment services was found to be higher than preventive interventions (p < 0.05). Analysis using univariable logistic regression suggested an association between some socioeconomic factors such as income, employment, educational attainment, and marital status with subjects’ satisfaction with several HIV services. Preventive services, especially needle, syringe and condom programs should be prioritized to scale up the coverage and effectiveness. Innovative approaches targeting at PWID should be promoted to increase their access to prevention programs as well as HIV care when needed.

关键词： HIV Service Utilization Satisfaction

Feasibility assessment of invigorating grassrooTs primary healthcare for prevention and management of cardiometabolic diseases in resourcelimited settings in China,Kenya,Nepal,Vietnam(the FAITH study):rationale and design

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Global Health Research and Policy 2019年第1期4卷 59-67页

作者： Enying Gong Hongsheng Lu Shuai Shao Xuanchen Tao Nicholas Peoples Brandon AKohrt Shangzhi Xiong Catherine Kyobutungi Tilahun Nigatu Haregu Christopher Khayeka-Wandabwa hoang van minh Tran Thi Duc Hanh Suraj Koirala Kamal Gautam Lijing L.Yan Global Health Research Center Duke Kunshan UniversityNo.8 Duke AvenueKunshan 215316JiangsuChina Global Health Institute Duke UniversityDurhamNCUSA Department of Psychiatry George Washington UniversityWashingtonDCUSA African Population and Health Research Center NairobiKenya Hanoi University of Public Health HanoiVietnam Transcultural Psychosocial Organization Nepal KathmanduNepal

Background:Cardiometabolic diseases are the leading cause of death and disability in many low-and middleincome *** the already severe burden from these conditions continues to increase in low-and middleincome countries,cardiometabolic diseases introduce new and salient public health challenges to primary health care *** this mixed-method study,we aim to assess the capacity of grassroots primary health care facilities to deliver essential services for the prevention and control of cardiometabolic *** on this information,our goal is to propose evidence-based recommendations to promote a stronger primary health care system in resource-limited ***:The study will be conducted in resource-limited settings in China,Kenya,Nepal,and Vietnam using a mixed-method approach that incorporates a literature review,surveys,and in-depth *** literature,statistics,and document review will extract secondary data on the burden of cardiometabolic diseases in each country,the existing policies and interventions related to strengthening primary health care services,and improving care related to non-communicable disease prevention and *** will also conduct primary data *** each country,ten grassroots primary health care facilities across representative urban-rural regions will be *** care professionals and patients recruited from these facilities will be invited to participate in the facility assessment questionnaire and patients’***-including patients,health care professionals,policymakers at the local,regional,and national levels,and local authorities-will be invited to participate in indepth interviews.A standard protocol will be designed to allow for adaption and localization in data collection instruments and procedures within each ***:With a special focus on the capacity of primary health care facilities in resource-limited settings in lowand middle-income countries,this study

关键词： Cardiometabolic diseases Primary health care Developing countries Resource-limited settings

Pattern of smoking cessation and its associated factors in Vietnam

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Health 2012年第6期4卷 289-296页

作者： Le Thi Huong hoang van minh Kim Bao Giang Le Thi Thanh Xuan Vu Thi Thu Nga Pham Quynh Nga Phan Thi Hai Jason Hsia Center for Disease Control and Prevention Atlanta USA Institute for Preventive Medicine and Public Health Hanoi Medical University Hanoi Vietnam Vietnam Steering Committee on Smoking and Health (VINACOSH) Hanoi Vietnam World Health Organization Office in Vietnam Hanoi Vietnam

Background: Even though the number of research on tobacco in Vietnam has recently increased rapidly, there remains a lack of reporting on the pattern of quit smoking and its correlates. It is necessary to have scientific evidence on this issue to help the policy makers and the Public Health sector to have appropriate intervention program to enhance the smoke cessation smoke program and improve the health status of the smokers. This study aims to: (1) Describe the pattern of smoking cessation in Vietnam 2010. (2) Examine the association between smoking cessation with some associated factors in Vietnam 2010. Methods: Data used in this paper were obtained from the Global Adult Tobacco Survey (GATS) conducted in Vietnam in 2010. A total of 11,142 households were selected for this survey using a two-phase sampling design analogous to a three-stage stratified cluster sampling. Both descriptive and analytical statistical analyses were carried out. Multivariate logistic regression modeling was performed to examine the association between the patterns of quit daily;quit smoke;attempt to quit and intend to quit among smokers with relevant factors. Results: The prevalence of the different type of cessation among male and female were 23.3% and 28.6% for quit daily;19.1% and 1.0% for quit;55.6% and 44.4% for attempt to quit and 29.6% and 19.3% for intend to quit respectively. The prevalence of quit daily and quit increased with age whereas attempt to quit decreased with age. Prevalence of cessation was highest among the group who were asked about smoking tobacco by health care providers. Some determinants of quit daily and quit include age, area, and knowledge of illnesses caused by smoking. There was no association between attempt and intend to quit with any socio-characteristic except for area. People in rural area were 2.1 and 1.7 times more likely attempt to quit and intend to quit than those in urban area, respectively. Conclusion: The GATS Vietnam 2010 showed that the prev

关键词： Cessation Socio-Demographic Factors Global Adult Tobacco Use Survey Vietnam

Performance Comparison of Chemically Modified Sugarcane Bagasse for Removing Cd(II) in Water Environment

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Journal of Renewable Materials 2019年第5期7卷 415-428页

作者： Manh Khai Nguyen minh Trang hoang Thi Thuy Pham Bart van der Bruggen Falculty of Environmental Science VNU University of Science334 Nguyen TraiHanoiVietnam Laboratory for Process Engineering for Sustainable Systems Department of Chemical EngineeringKU LeuvenBelgiumCelestijnenlaan 200F3001 LeuvenBelgium

This paper evaluates the adsorption capacity of chemically sugarcane bagasses with sodium hydroxide(SHS),citric acid(CAS),tartaric acid(TAS)and unmodified sugarcane bagasse(SB)for cadmium adsorption in water *** results prove adsorption capacity for Cd(II)increases after chemical modification and the adsorption fits perfectly with the Langmuir *** had the highest maximum adsorption capacity of 45.45 mg/g followed by TAS with 38.46 mg/g and SHS with 29.41 at optimum pH 5.0 and 120 minutes equilibrium time while 1 g SB removed 18.8 mg Cd(II)in the same *** kinetics study of the process followed a pseudo-secondorder rate expression,that indicated a strong interaction between the biosorbents and *** sugarcane bagasse and modified sugarcane bagasse were characterized by scanning electron microscopy(SEM)and Fourier transform infrared spectroscopy(FTIR)*** chemical modification was confirmed by the presence of carboxyl and esters groups created at 1,738 *** estimation of acid groups in modified materials shows the enhancement of this group after *** the other hand,desorption studies showed the high leaching of cadmium ion from the biosorbent leading to the efficient reutilization of materials.

关键词： Cadmium chemical modification citric acid sugarcane bagasse

Calculation of the ex-core neutron noise induced by individual fuel assembly vibrations in two PWR cores

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Nuclear Science and Techniques 2016年第4期27卷 67-77页

作者： Kiet A.T.hoang van-Chung Cao van-Khanh hoang hoai-nam tran Institute of Research and Development Duy Tan University K7/25 Quang Trung Da Nang Vietnam American Polytechnic College Trung Son KDC Binh Chanh HCMC Vietnam Research and Development Center for Radiation Technology VINATOM Thu Duc HCMC Vietnam Faculty of Physics and Engineering Physics VNUHCM University of Science HCMC Vietnam Institute for Nuclear Science and Technology VINATOM 179 Hoang Quoc Viet Hanoi Vietnam

Calculation of the neutron noise induced by fuel assembly vibrations in two pressurized water reactor(PWR) cores has been conducted to investigate the effect of cycle burnup on the properties of the ex-core detector noise. An extension of the method and the computational models of a previous work have been applied to two different PWR cores to examine a hypothesis that fuel assembly vibrations cause the corresponding peak in the auto power spectral density(APSD) increase during the cycle. Stochastic vibrations along a random two-dimensional trajectory of individual fuel assemblies were assumed to occur at different locations in the cores. Two models regarding the displacement amplitude of the vibrating assembly have been considered to determine the noise source. Then, the APSD of the ex-core detector noise was evaluated at three burnup steps. The results show that there is no monotonic tendency of the change in the APSD of ex-core detector; however, the increase in APSD occurs predominantly for peripheral assemblies. When assuming simultaneous vibrations of a number of fuel assemblies uniformly distributed over the core, the effect of the peripheral assemblies dominates the ex-core neutron *** behaviour was found similar in both cores.

关键词：燃料组件随机振动中子噪声计算模型压水堆堆芯功率谱密度压水反应堆

The COVID-19 pandemic in the ASEAN: A preliminary report on the spread, burden and medical capacities

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Asian Pacific Journal of Tropical Medicine 2020年第6期13卷 247-251页

作者： minh van hoang Phuong Thi Ngoc Nguyen Thao Thi Phuong Tran Long Quynh Khuong An Thi minh Dao Huy van Nguyen Riyanti Djalante Hanh Thi Tuyet Tran Hanoi University of Public Health HanoiVietnam Hanoi Medical University HanoiVietnam Graduate School of Public Health St.Luke's International UniversityTokyoJapan United Nations University-Institute for the Advanced Study of Sustainability(UNU-IAS) TokyoJapan

Objective:To provide preliminary descriptions of the spread,burden and related medical capacity characteristics of the ASEAN ***:We utilized the data from four main official databases,including WHO reports,the Statistics and Research of the Coronavirus Disease,and the Southeast Asia Program of the Center for Strategic and International *** spread of the COVID-19 pandemic,current burden and the COVID-19 medical response capacities were extracted before April 11,***:As of April 13,2020,the ASEAN countries reported19547 COVID-19 positive cases with 817 deaths(case-facility rate of 4.2%).Thailand was the first country in the region that reported having the COVID-19 cases,while Laos was the last to report confirmed COVID-19 *** for the number of deaths to double were between 8-12 *** the testing and treatment capacities,the number of PCR tests provided to the populations was the highest in Vietnam,followed by Singapore,Malaysia,and ***,the percentage of the population being tested was the highest in Brunei(2.31%),followed by Singapore(1.30%).Conclusions:A wide range of interventions were taken into practice in response to the outbreak with an effort of curbing the rise of this ***,special care should not be overlooked as the pandemic is placing a huge impact on the population and becomes increasingly *** tackle the spread of the pandemic in the region,the ASEAN countries should work together as one community to provide better responses to future pandemics and other transboundary public health challenges.

关键词： COVID-19 SARS-CoV-2 ASEAN South-East Asia Epidemiology

Detection of decline in estimated glomerular filtration rate in patients with type 2 diabetes by cystatin C-based equations

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World Journal of Nephrology 2024年第4期13卷 103-116页

作者： Tam Thai Thanh Tran Tien Kim Ha Nhut minh Phan minh van Le Tin hoang Nguyen Department of Physiology Faculty of MedicineCan Tho University of Medicine and PharmacyCan Tho 900000Viet Nam Department of Functional Exploration Can Tho University of Medicine and Pharmacy HospitalCan Tho 900000Viet Nam School of Medicine and Pharmacy The University of Da NangDa Nang 550000Viet Nam Faculty of Medicine Can Tho University of Medicine and PharmacyCan Tho 900000Viet Nam

BACKGROUND Aging population is a significant issue in Viet Nam and across the *** individuals are at higher risk of chronic kidney disease(CKD),especially those with *** studies found that the estimated glomerular filtration rate(eGFR)determined using creatinine-based equations was not as accurate as that determined using cystatin C-based *** C-based equations may be beneficial in elderly patients with an age-associated decline in kidney *** determination of eGFR decline and associated factors would aid in appropriate interventions to improve kidney function in elderly patients with *** To determine the utility of cystatin C-based equations in early detection of eGFR decline and to explore factors associated with eGFR decline in elderly patients with *** This cross-sectional study included 93 participants aged≥60 years evaluated in Can Tho University of Medicine and Pharmacy Hospital between October 2022 and July 2023,including 47 and 46 participants with and without diabetes respectively,according to the American Diabetes Association criteria for *** kappa coefficient,Student’s t,Mann-Whitney,χ2,Pearson’s correlation,multivariate logistic regression,and multiple linear regression analyses were *** The eGFRs were lower with the cystatin C-based equations than with the creatinine-based *** agreement was found between the Modification of Diet in Renal Disease(MDRD)and CKD Epidemiology Collaboration(CKD-EPI)2021 creatinine-cystatin C equations(kappa=0.66).In the diabetes group,30%of the participants had low *** plasma glucose and glycated hemoglobin were associated with an increased risk of eGFR decline(P<0.05)and negatively correlated with eGFR(P=0.001).By multivariate logistic regression,total cholesterol,and exercise were independently associated with low *** multiple linear regression,higher plasma glucose levels were correlated with lower eGFR(P=0.026,

关键词： Cystatin C Estimated glomerular filtration rate Elderly Diabetes Nephrology Kidney function

Enhancing global hepatocellular carcinoma management:Bridging Eastern and Western perspectives on dexamethasone and Nacetylcysteine before transarterial chemoembolization

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World Journal of Gastroenterology 2024年第47期30卷 4983-4990页

作者： Thang Viet Luong Nam van Duc Nguyen Linh Duy Le Hieu Nguyen hoang minh Hai Nguyen Ngoc Dang Department of Internal Medicine University of Medicine and PharmacyHue UniversityHue 530000Viet Nam Department of Diagnostic Imaging University of Medicine and PharmacyHue UniversityHue 530000Viet Nam Faculty of Medicine Duy Tan UniversityDa Nang 550000Viet Nam

This article explores the integration of Eastern and Western perspectives on the use of dexamethasone and N-acetylcysteine as premedications in transarterial chemoembolization for hepatocellular carcinoma(HCC).By examining key concerns raised by Western researchers,particularly regarding the different etiologies of liver cirrhosis,and contrasting them with robust clinical data from Asia,this article highlights the necessity for region-specific research and proposes future directions for global HCC management.

关键词： Hepatocellular carcinoma Transarterial chemoembolization Dexamethasone N-acetylcysteine East-West perspectives Post-embolization syndrome