Determining the impacts of hospital cost-sharing on the uninsured near-poor households in Vietnam

Objectives: The study objective was to identify the size of different hospital financing sources for different hospital services and their impact on the uninsured. Methods: A panel dataset of 84 public general hospitals (2005–2008) with cross-section data on hospital activity and hospital revenue was created and used to calculate unit costs of different hospital services by applying multiple regression models. The resulting risk of catastrophic health expenditure (CHE) was estimated based on official income statistics. Results: Average user fees (UF) for outpatient visits and inpatient bed days were US$4.13 and US$20.27, while actual full costs (AFC) were US$8.41 and US$36.66, respectively. These unit costs were 2.5 times higher in hospitals at the central versus the provincial level. UF for surgical inpatient bed days were 3.6 times that of non-surgical treatments (US$47.50 vs. 12.87) and AFC 5.0 times (US$101.72 vs. 20.08). UF accounted for 44.6%-77.9% of the AFC, the rest (22.1%-55.4%) was provided by direct government support (DGS). One surgical inpatient treatment at either central or provincial hospital level and one non-surgical inpatient treatment at central hospital level, immediately pushed uninsured near-poor households at risk of CHE. Conclusions: Around 45% of hospital AFC was paid by DGS, the larger rest by UF. UF have become a great financial burden on the uninsured near-poor households, who have to pay for these out-of-pocket and therefore may not utilize even necessary services. If the rate of DGS were reduced, this would have the effect of increasing UF, but the savings to Government could be spent on subsidizing insurance to ensure that a larger part of the population can cover UF through insurance, especially the near-poor households

Applying the Theory of Planned Behavior (TPB) in Investigating Consumption Behavior in Vietnam

This study explored the consumer behavior based on TPB model in Vietnam. The hypotheses are empirically tested using survey data obtained from consumer who purchased green products of household appliances in Hanoi– the capital of Vietnam. During the study, the research team added the “trend” variable which is a characteristic variable in Vietnam. The results of the multiple regression analysis show that attitude, subjective norm, perceived behavioral control, trend have significant and positive effect on household appliances product. The research findings are discussed and implications for government, manufacturing businesses, retail businesses to embrace green consumption behavior Keywords: Consumption Behavior; Vietnam; TPB; Household appliances DOI: 10.7176/EJBM/12-18-16 Publication date:June 30th 202

CONTRIBUTION ESTIMATE OF PAHS TOXIC COMPOUNDS IN AIR ENVIRONMENT AT MAJOR TRAFFIC JOINTS OF HANOI, VIETNAM

Joint Research on Environmental Science and Technology for the Eart

Synthesis of Cu+^+/bipyridyl Based Complex Towards Dye Sensitized Solar Cell Application

This study aims to synthesize the Cu+/bipyridyl-based complex using Sonogashira cross coupling. The structure of the ligand and the complex were investigated by nuclear magnetic resonance spectroscopy; by single crystal X-ray diffraction and by UV-VIS absorption spectroscopy. The obtained experimental results were in good agreement with the theoretical calculations. The complex is a potential candidate to be the photo sensitizer in dye-sensitized solar cells.

Required flows for aquatic ecosystems in Ma River, Vietnam

Ecological flow requirements for the Ma River in dry season were assessed in three reaches of Ma – Buoi, Ma – Len and Ma – Chu. 5 indictor fish species was chosen based on biodiversity survey and roles of those species in aquatic ecosystem as well as local communities. Biological and hydrological data (dry season of 2016- 2017) and 35 year recorded hydrological data were collected and analyzed as input data for a physical habitat model River HYdraulic and HABitat SImulation Model – RHYHABSIM. Model results shown that the optimal flows of the reaches were very much higher compare with the minimum annual low flow - MALF. In this study, MALF7day were applied to calculate the recommended minimum flows of the three reaches. The recommended required minimum flows for Ma – Buoi, Ma – Len and Ma – Chu reaches were 51 m3/s, 49 m3/s and 61 m3/s, respectively. It must be stressed that this study only assessed whether or not there is enough habitat available for the river to sustain a healthy ecosystem

CAMELLIA SINENSIS VAR. MADOENSIS (SECT. THEA, THEACEAE), A NEW TAXON FROM VIETNAM

Camellia sinensis var. madoensis is described and illustrated as a new variety of Camellia sinensis (section Thea, Theaceae) from Xuan Loc Commune, Song Cau District, Phu Yen Province. The new variety is easily distinguishable from C. sinensis var. sinensis by style free ½ to the base. The ITS sequence of this variety is also different from that of Camellia sinensis and its other varieties, while the matK gene sequences are nearly identical among Camellia taxa

CAMELLIA SINENSIS VAR. MADOENSIS (SECT. THEA, THEACEAE), A NEW TAXON FROM VIETNAM

Camellia sinensis var. madoensis is described and illustrated as a new variety of Camellia sinensis (section Thea, Theaceae) from Xuan Loc Commune, Song Cau District, Phu Yen Province. The new variety is easily distinguishable from C. sinensis var. sinensis by style free ½ to the base. The ITS sequence of this variety is also different from that of Camellia sinensis and its other varieties, while the matK gene sequences are nearly identical among Camellia taxa.Camellia sinensis var. madoensis được mô tả và minh họa với vai trò là một thứ mới của Camellia sinensis (section Thea, Theaceae) ghi nhận tại xã Xuân Lộc, huyện Sông Cầu, tỉnh Phú Yên. Thứ mới này có thể dễ dàng phân biệt với C. sinensis var. sinensis bởi vòi nhụy rời ½ tính từ đế. Trình tự ITS của thứ này cũng khác với Camellia sinensis và các thứ khác của nó

Sex differences in total cholesterol of Vietnamese adults

Background The mid-life emergence of higher levels of total cholesterol (TC) for women than for men has been observed in different Western and Asian populations. The aim of this study was to investigate whether there is evidence of this in Vietnam and, if so, whether it can be explained by ageing, by body size and fatness, or by socio-demographic characteristics and behavioural factors.Methods Participants (n = 14706, 50.9% females) aged 25-64 years were selected by multi-stage stratified cluster sampling from eight provinces each representing one of the eight geographical regions of Vietnam. Measurements were made using the World Health Organization STEPS protocols. Linear regression was used to assess the independent contributions of potential explanatory factors to mean levels of TC. Data were analysed using complex survey methods.Results Men and women had similar mean levels of body mass index (BMI), and men had modestly higher mean levels of waist circumference (WC), in each 5-year age category. The mean TC of women increased more or less continuously across the age range but with a step-up at age 50 years to reach higher concentrations on average than those of their male counterparts. The estimated step-up was not eliminated by adjustment for anthropometric indices including BMI or WC, or by adjustment for socio-demographic characteristics or behavioural factors. The estimated step-up was least for women with the greatest weight.Conclusion There is a marked step-up in TC at age 50 years for Vietnamese women that cannot be explained by their age, or by their body fatness or its distribution, or by their socio-demographic characteristics or behavioural factors, and which results in greater mean levels of TC for middle-aged women than for their male counterparts in Vietnam.</p

IoHT-MBA: An Internet of Healthcare Things (IoHT) platform based on microservice and brokerless architecture

Internet of Thing (IoT), currently, is one of the technology trends that are most interested. IoT can be divided into five main areas including: Health-care, Environmental, Smart city, Commercial and Industrial. The IoHT-MBA Platform is considered the backbone of every IoT architecture, so the optimal design of the IoHT-MBA Platform is essential issue, which should be carefully considered in the different aspects. Although, IoT is applied in multiple domains, however, there are still three main features that are challenge to improve: i) data collection, ii) users, devices management, and iii) remote device control. Today's medical IoT systems, often too focused on the big data or access control aspects of participants, but not focused on collecting data accurately, quickly, and efficiently; power redundancy and system expansion. This is very important for the medical sector - which always prioritizes the availability of data for therapeutic purposes over other aspects. In this paper, we introduce the IoHT Platform for Healthcare environment which is designed by microservice and brokerless architecture, focusing strongly on the three aforementioned characteristics. In addition, our IoHT Platform considers the five other issues including (1) the limited processing capacity of the devices, (2) energy saving for the device, (3) speed and accurate of the data collection, (4) security mechanisms and (5) scalability of the system. Also, in order for the IoHT Platform to be suitable for the field of health monitoring, we also add realtime alerts for the medical team. In the evaluation section, moreover, we describe the evaluation to prove the effectiveness of the proposed IoHT Platform (i.e. the proof-of-concept) in the performance, non-error, and non affected by geographical distance. Finally, a complete code solution is publicized on the authors' GitHub repository to engage further reproducibility and improvement.Web of Science12760159

SIP-MBA: A secure IoT platform with brokerless and micro-service architecture

The Internet of Things is one of the most interesting technology trends today. Devices in the IoT network are often geared towards mobility and compact in size, thus having a rather weak hardware configuration. There are many light weight protocols, tailor-made suitable for limited processing power and low energy consumption, of which MQTT is the typical one. The current MQTT protocol supports three types of quality-of-service (QoS) and the user has to trade-off the security of the packet transmission by transmission rate, bandwidth and energy consumption. The MQTT protocol, however, does not support packet storage mechanisms which means that when the receiver is interrupted, the packet cannot be retrieved. In this paper, we present a broker-less SIP-MBA Platform, designed for micro-service and using gRPC protocol to transmit and receive messages. This design optimizes the transmission rate, power consumption and transmission bandwidth, while still meeting reliability when communicating. Besides, we implement users and things management mechanisms with the aim of improving security issues. Finally, we present the test results by implementing a collect data service via gRPC protocol and comparing it with streaming data by using the MQTT protocol.Web of Science12759358