Current medical product development for diagnosis, surgical planning and treatment in the areas of Neurosurgery, Orthopeadic and Dental-Cranio-Maxillofacial surgery in Vietnam

With the population of 86 million and good GDP growth in recent decades, the medical market in Vietnam is growing fast. However, most of the medical technology products are imported, and the number of locally manufactured ones is limited and they do not have the high competition capability in term of quality, quantity and types. In this paper, the current product development in Vietnam for diagnosis, surgical planning and treatment in the areas of Rehabilitation, Neurosurgery, Orthopeadic and Dental-Cranio-Maxillofacial surgery is presented. A roadmap for medical technology development in Vietnam is propose

Parental satisfaction with quality of neonatal care in different level hospitals: evidence from Vietnam

Most health systems provide the most specialized, and presumably also the highest quality of care at a central level. This study assessed parental satisfaction and its determinants in the context of neonatal care in a provincial as well as a national hospital of Vietnam.; In this cross-sectional quantitative study, parents of 340 preterm infants admitted to neonatal care units of a national and a provincial hospital in 2018 were interviewed using structured questionnaires. Unadjusted and adjusted linear regression models were used to assess the relationship between parental satisfaction and hospital rank.; The mean parental satisfaction score was 3.74 at the provincial, and 3.56 at the national hospital. These satisfaction differences persisted when parent and child characteristics were adjusted for in multivariate analysis. Longer length of stay and worsening infant health status were associated with parents reporting lower levels of satisfaction with the quality of care being provided at the healthcare facility.; This study suggests that parents of preterm infants admitted in a provincial hospital were more satisfied with the quality of care received than those in a specialized national hospital. Length of stay and infant health status were the two most important determinants of level of parental satisfaction

Universality in odd-even harmonic generation and application in terahertz waveform sampling

Odd-even harmonics emitted from a laser-target system imprint rich, subtle information characterizing the system's dynamical asymmetry, which is desirable to decipher. In this Letter, we discover a simple universal relation between the odd-even harmonics and the asymmetry of the THz-assisted laser-atomic system -- atoms in a fundamental mid-IR laser pulse combined with a THz laser. First, we demonstrate numerically and then analytically formulize the harmonic even-to-odd ratio as a function of the THz electric field, the source of the system's asymmetry. Notably, we suggest a scaling that makes the obtained rule universal, independent of the parameters of both the fundamental pulse and atomic target. This universality facilitates us to propose a general pump-probe scheme for THz waveform sampling from the even-to-odd ratio, measurable within a conventional compact setup

Habenaria diphylla (Nimmo) Dalzell (Orchidaceae), new record for the flora of Vietnam

Habenaria diphylla (Nimmo) Dalzell is reported for the first time as a new discovery for the flora of Vietnam based on the specimens collected in Binh Chau-Phuoc Buu Nature Reserve, Ba Ria-Vung Tau Province. The present study provided the detailed characteristics of the species including detailed photographs of the morphological characteristics, the cross section of the leaf, inflorescence axis and root. Furthermore, the information about the species, including distribution, habitat, ecology and conservation status were also provided

Chemical diversity of essential oils of rhizomes of six species of Zingiberaceae family

In this study, the essential oils from the rhizomes of six species belonging to the Zingiberaceae family, including Zingiber zerumbet, Curcuma pierreana, Globba macrocarpa, Alpinia conchigera, Stahlianthus campanulatus and Amomum sp., collected in Binh Chau-Phuoc Buu Nature Reserve were isolated using hydrodistillation, and their constituents were identified via Gas Chromatography-Mass Spectrometry. A total of 91 constituents have been identified from essential oils. These compounds were classified into 4 clusters by Agglomerative Hierarchical Clustering (AHC) and Principal Component Analysis (PCA) analysis. The principal constituents of the essential oils isolated from four species, C. pierreana, S. campanulatus, A. conchigera, and Z. zerumbet contained camphene (18.82%), α-copaene (11.75%), p-xylene (21.86%), and α-santalene (17.91%), which were significantly different from those in previous reports. Furthermore, this study revealed the chemical constituents of essential oils of G. macrocarpa and Amomum sp. for the first time. Accordingly, artemisia triene (22.21%), β-pinene (13.57%), 4,6,8-trimethylazulene (11.1%), 2-tert-butylquinoline (9.86%), β-patchoulene (7.06%), α-elemene (6.93%), and β-ocimene (6.0%) were the major compounds in essential oils of G. macrocarpa rhizomes whereas the oil of Amomum sp. was found to be rich in 2-carene (21.82%), fenchyl acetate (14.26%), 3-carene (8.28%), bornyl acetate (7.7%), and D-limonene (7.13%)

Smoke-free environment policy in Vietnam: What did people see and how did they react when they visited various public places?

Introduction: Since Vietnam has signed WHO framework on tobacco control (FCTC) in 2003 and has issued tobacco control law in 2013, there has been little research concerning about what impacts smoke-free regulations have had on public compliance. The objective of this study was to assess public exposure to secondhand smoke and reaction toward smoke-free policy regulations in Vietnam and the associated factor. Methods: Using the design of GATS (Global Adult Tobacco Survey), a nationally representative sample of 8,996 adults were approached for data collection. Logistic regression was used to examine the associated factor.Results: The study revealed that the prevalence of respondents exposed to secondhand smoke was much higher in bars/café/tea shops (90.07%) and restaurants (81.81%) than in any other public places, universities (36.70%), government buildings (31.12%), public transport (20.04%), healthcare facilities (17.85%) and schools (15.84%). 13.23% of respondents saw smokers violate smoke-free regulations. Among those who saw them violate smoke-free regulations, just one-third cautioned them to stop smoking. Strikingly, a higher rate of cautioning smokers to stop smoking was observed among the older, married, and better educated respondents. Respondents who were married, better educated and in lower economic status were more likely to remind smokers to stop smoking.Conclusions: The study has called for strengthening two of the six MPOWER (Monitor, Protect, Offer, Warn, Enforce and Raise) components of the tobacco free initiative introduced by WHO, Monitoring tobacco use and prevention policies and Protecting people from tobacco smoke

Neutrophil to lymphocyte with monocyte to lymphocyte ratio and white blood cell count in prediction of lung cancer

BackgroundLung cancer is the most common cause of cancer deaths in both sexes, while it is very difficult for screenings and early detection. AimsThis study aims to clarify the role of systematic inflammation markers, including white blood cell (WBC), neutrophil (NEU), monocyte (MONO), platelet (PLT), neutrophil to lymphocyte ratio (NLR), monocyte to lymphocyte ratio (MLR) and platelet to lymphocyte ratio (PLR) in prediction of lung cancer. Methods A case-control study was conducted on 1,315 primary lung cancer patients and 1,315 healthy adults with matched age and gender at Cho Ray hospital. NLR, MLR and PLR were calculated by using neutrophil, lymphocyte, monocyte and platelet count which were recalled from laboratory database. With 600 cases in the derivation set, the logistic regression with univariate analysis was used to identify the impacted marker, then developing the optimal prediction model for lung cancer by logistic regression with multivariate method. The diagnostic values of optimal model consisting of sensitivity (Sen), specificity (Spe), positive predictive value (PPV), negative predictive value (NPV) and the area under the ROC curve (AUC) value were extracted and verified on all data, in validation set. Results The median values of WBC, NEU, MONO, PLT, NLR, MLR and PLR in lung cancer were not significantly difference between histological subtypes and clinical stages (p > 0.05), but higher than the values in control group (p < 0.01). Multivariates analysis shows that NLR, MLR and WBC were three parameters that have the significant impact of the optimal prediction model (p < 0.01). The AUC value, sensitivity and specificity of the optimal model for lung cancer detection were 0.881, 73.5 per cent (95 per cent CI:70.3–76.6) and 87.7 per cent (95 per centCI:85.2–89.9), respectively. Whereas, the PPV and NPV values of prediction model were 85.7 per cent (95 per cent CI:82.8–88.2) and 76.8 (95 per centCI:73.9–79.5), respectively. Among three biomarkers, the AUC values of NLR (0.853) and MLR (0.842) were higher than the value of WBC (0.752) (p < 0.01).ConclusionThe results of this study show that NLR with MLR and WBC in optimal prediction model are promising biomarkers for lung cancer screening that could be applied in clinical practice with the advantage of convenience and low cost

Acceptance and user experiences of a wearable device for the management of hospitalized patients in COVID-19–designated wards in Ho Chi Minh City, Vietnam: action learning project

Background: Wearable devices have been used extensively both inside and outside of the hospital setting. During the COVID-19 pandemic, in some contexts, there was an increased need to remotely monitor pulse and saturated oxygen for patients due to the lack of staff and bedside monitors. Objective: A prototype of a remote monitoring system using wearable pulse oximeter devices was implemented at the Hospital for Tropical Diseases in Ho Chi Minh City, Vietnam, from August to December 2021. The aim of this work was to support the ongoing implementation of the remote monitoring system. Methods: We used an action learning approach with rapid pragmatic methods, including informal discussions and observations as well as a feedback survey form designed based on the technology acceptance model to assess the use and acceptability of the system. Based on these results, we facilitated a meeting using user-centered design principles to explore user needs and ideas about its development in more detail. Results: In total, 21 users filled in the feedback form. The mean technology acceptance model scores ranged from 3.5 (for perceived ease of use) to 4.4 (for attitude) with behavioral intention (3.8) and perceived usefulness (4.2) scoring in between. Those working as nurses scored higher on perceived usefulness, attitude, and behavioral intention than did physicians. Based on informal discussions, we realized there was a mismatch between how we (ie, the research team) and the ward teams perceived the use and wider purpose of the technology. Conclusions: Designing and implementing the devices to be more nurse-centric from their introduction could have helped to increase their efficiency and use during the complex pandemic period