Strategic Differentiation of High-Tech Services in Local Hospital Markets

This study assesses organizational and market factors related to high-tech service differentiation in local hospital markets. The sample includes 1704 nonfederal, general acute hospitals in urban counties in the United States. We relate organizational and market factors in 2011 to service differentiation in 2013, using ordinary least squares regression. Data are compiled from the American Hospital Association Annual Survey of Hospitals, Area Resource File, and Centers for Medicare and Medicaid Services. Results show that hospitals differentiate more services relative to market rivals if they are larger than the rival and if the hospitals are further apart geographically. Hospitals differentiate more services if they are large, teaching, and nonprofit or public and if they face more market competition. Hospitals differentiate fewer services from rivals if they belong to multihospital systems. The findings underscore the pressures that urban hospitals face to offer high-tech services despite the potential of high-tech services to drive hospital costs upward

The question of quality

Phuong-Thao T. Trinh, Thu-Hien T. Le, Thu-Trang Vuong, Phuong-Hanh Hoang (2019). Chapter 6. The question of quality. In Quan-Hoang Vuong, Trung Tran (Eds.), The Vietnamese Social Sciences at a Fork in the Road (pp. 121–142). Warsaw, Poland: De Gruyter. DOI:10.2478/9783110686081-011. Online ISBN: 9783110686081 © 2019 Sciendo / De Gruyte

Efficacy and Toxicity of Folfoxiri for Patients with Metastatic Colorectal Cancer

BACKGROUND: In recent times, scientists have found new treatments for colorectal cancer patients. AIM: The study is to evaluate the efficacy and toxicity of triplet combination chemotherapy of 5-fluorouracil/leucovorin, oxaliplatin, and irinotecan (FOLFOXIRI) for patients with metastatic colorectal cancer in stage IV. METHODS: Uncontrolled clinical trial carried on 39 stage IV colorectal cancer patients. RESULTS: The overall response rate of the treatment was 79.4%. The average progression-free survival was 13.4 ± 9 months. The overall survival rate at 12th month and 24th month were 90% and 76%, respectively. The proportion of granulocytopenia was 48.9%, no grade 3 or 4. Side effect beyond hematology was most seen in hepatic toxicity with 52.5%, mainly at grade 1. Vomiting was 18.3%, all at grade 1. Other adverse event was very low at percentage. CONCLUSIONS: The triplet combination FOLFOXIRI chemotherapy improves the outcome of patients with metastatic colorectal cancer regarding rate of response, overall survival rate and progression-free survival, and the level of toxicity was acceptable

APPLICATION OF AN AUTOMATED IDENTIFICATION AND QUANTIFICATION SYSTEM WITH A GC/MS DATABASE (AIQS-DB) FOR SIMULTANEOUS ANALYSIS OF PHTHALATE ESTERS AND STEROLS IN AIR PARTICLES

The aim of this study is to apply an automated identification and quantification system with a GC-MS database (AIQS-DB) for simultaneous analysis of phthalate esters (PAEs) and sterols in air particles. Air particles samples were collected on the roof of building located by the side of a busy street with heavy traffic load (Pham Van Dong street) (AP1) and in a highly populated residential area (Phu Do town) (AP2). At each sampling location, day and night samples were collected separately (around 10 h for each sample) continuously 6 d using a Kimoto high-volume air sampler. Air particle samples were then extracted by dichloromethane and determined and quantified by GC/MS instrument with the AIQS-DB. Analytical results of 12 PAEs and 13 sterols in air particles samples showed that five out of 12 PAEs and seven out of 13 sterols were detected. Di(2-ethylhexyl)phthalate (DEHP), di-n-butyl phthalate (DBP) and di-iso-butyl phthalate (DiBP) concentrations were highest, contributed 94% of the total detected phthalates concentration. Cholesterol and beta-sitosterol were detected in all the samples and accounted more than 70% of the total detected sterols concentration at Phu Do town. This is the first study on the application of AIQS-GC for simultaneous determination of PAE and sterols in the air particle, especially results obtained from this study provides new important information about the level and occurrence of sterol in air in Vietnam

THE AMOUNT AND SPECIATION OF TRACE ELEMENTS TRANSPORTED FROM RICE FIELD TO CANAL DURING A FLOODING EVENT

Trace element pollution of soils, sediments and surface water can pose a risk for the local population and the environment of Vietnam. Rice fields can be affected by storm events, which cause the release of trace elements into surface water and transport them into drinking wells. The aim of this study was to investigate if dissolved and suspended As, Pb and Zn concentrations in surface water of a paddy rice fields and an irrigation canals increased during a flooding event and exceed the Vietnamese Surface Water Quality Standards and WHO Guidelines for Drinking-water Quality. The study site is a rice field area in the Thanh Hoa province in Central Vietnam, which experiences an average of 2.4 storms every year causing overflow of streams and low-order canals. Concentrations of As increased during the flooding event with dissolved As being the prevailing fraction, which followed a late flush behavior. Lead showed no significant difference in concentration over time. Zn concentrations only increased significantly in the canal upstream the field in the morning of the first day. Suspended Zn dominated at that time, following the first flush behavior of TSS concentrations. Concentrations of As, Pb and Zn did not exceed the Vietnamese Surface Water Quality Standards or WHO Guidelines for Drinking-water Quality at any time and they are therefore of no concern for the health of the local populatio

Perceptions of Violence against Women among College Students in the United States, Japan, India, Vietnam and China

Violence against women is a global health issue that threatens the health and human rights of women. Intimate partner violence (IPV) and sexual violence are the most common forms of violence against women. While previous studies examined incidence of IPV and other forms of violence against women in the United States (US), little is known about variations in the perceptions of violence against women among college students in other countries. This study explored differences in perceptions of violence against women among college students in the US, Japan, India, Vietnam and China. A total of 1,136 college students from these countries participated in a self-administered survey in 2012-2013. The students’ perceptions about the prevalence of domestic violence is in their country varied across countries. Furthermore, more than half of the students across the countries perceived alcoholism and drug addiction to be causes of domestic violence against women. It was also found that the levels of knowledge about laws on domestic violence in their country varied among the students. These findings show the importance of understanding country level variations that may affect violence against women. The results of this study provide important insights by documenting cross country variations in students’ perceptions about violence against women that can provide helpful inputs in framing country-specific programs and policies to prevent violence against women. Keywords: Violence against women, perceptions, college students, the United States, Japan, India, Vietnam, Chin

Discorvery of Entomopathogenic fungi Cordyceps takaomontana at Langbian Mountain, Lam Dong, Vietnam

The stromata of Cordyceps takaomontana Y. Kobayashi (1941) were found on the Langbian Mountain, Da Lat, Vietnam at the height of 1.650 meter above sea level, on the larva of Lepidoptera. Stromata were lemon-yellow, clavate to enlongated clavate, arising from a white pseudosclerotium. The fertile head was on the top part of stromata, darker colored in comparison to the stipe. Perithecium was narrowly ovoid, superficial and forming dark yellow punctate on the surface of stromata. Ascus was cylindrical with semi-spherical cap. Ascospores were cylindrical, truncated and separately after discharge from the ascus. Pure culture was isolated on Potato Glucose Agar (PGA) medium: white colony in young and yellow in old. The isolated mycelium was not homogenous in thickness and in growth rate at the peripheral area. Conidiophores were phialide, tapering to both apexes. Conidia had elliptical shape and formed into chains after maturation. DNA was isolated, then purified from pure mycelium and used to amplifying the nrLSU (nuclear ribosomal large subunit) and rpb1 (RNA polymerase II largest subunit) genes. The amplified products were used for sequencing, proof-reading by some professional softwares before combining with other nrLSU and rpb1 sequences. Then this database was used to search for the suitable evolution model as well as to construct the phylogenetic trees. The results of phylogenetic analysis completely supported the morphological classification: DL0038A and DL0038B were Cordyceps takaomontana Y. Kobayashi (1941)

Detection of violations of open-pit mining lease boundaries using Sentinel-2 MSI data in the case of Lao Cai and Yen Bai provinces of North Vietnam

Illegal mining, including the violation of lease boundaries during the extraction of mineral deposits in Vietnam, has witnessed a significant surge in recent years, leading to substantial environmental degradation. Due to the remote locations of mining areas in relation to settlements, the detection of illegal mining activities using conventional methods poses considerable challenges. This study presents a methodology for identifying lease boundary violations in open-pit mining of mineral deposits by utilizing high-resolution satellite images from the Sentinel-2 MSI system. The proposed methodology involves overlaying Sentinel-2 MSI radar-acquired satellite images to identify disparities between approved lease boundaries and actual boundaries of mining areas. The research focuses on the mineral-rich provinces of Lao Cai and Yen Bai in North Vietnam. The findings of this research rhold great potential for effectively monitoring and promptly detecting violations of mining lease boundaries

Chemical profiles and biological activities of acetone extracts of nine Annonaceae plants

This study investigated the chemical components and bioactivities of acetone leaf extracts of nine Annonaceae plants collected in the Binh Chau-Phuoc Buu Nature Reserve, Vietnam. A total of 182 constituents were identified, with linolenic acid, diaeudesmin, germacrene D, 1-octadecenoic acid, 8-(3-octyl-2-oxiranyl)-1-octanol, oleic acid, and phenylmethyl ester being the major compounds. The antimicrobial activity of the extracts was evaluated using a disc diffusion assay. Eight of the nine extracts, except for the Mitrephora thorelii extract, showed an inhibition effect against Bacillus cereus and Staphylococcus aureus. The antioxidant activity of the extracts was determined using DPPH assay, and the cytotoxic activity was deter mined using SRB assay. The results showed that the acetone extracts of Artabotrys hexapetalus, Uvularia grandiflora, Polyalthia luensis, Xylopia pierrei, Sphaerocoryne affinis, Desmos cochinchinensis, Uvaria littoralis, Mitrephora thorelii, and Goniothalamus touranensis had significant activity with IC50 for the DPPH radical scavenging activity ranging from 18.56 to 702.33 μg/mL, and the IC50 for the cytotoxic effects ranged from 5.39 to 251.77 μg/mL. Overall, the results obtained provide experimental evidence for the potential use of these plants in medicine and other related fields

Synthesis, crystal structure and Hirshfeld surface analysis of 4-[3-(4-hy-droxy-phen-yl)-4,5-di-hydro-1H-pyrazol-5-yl]-2-meth-oxy-phenol monohydrate.

In the title pyrazoline derivative, C16H16N2O3·H2O, the pyrazoline ring has an envelope conformation with the substituted sp 2 C atom on the flap. The pyrazoline ring makes angles of 86.73 (12) and 13.44 (12)° with the tris-ubstituted and disubstituted benzene rings, respectively. In the crystal structure, the mol-ecules are connected into chains running in the b-axis direction by O-H⋯N hydrogen bonding. Parallel chains inter-act through N-H⋯O hydrogen bonds and π-π stacking of the tris-ubstituted phenyl rings. The major contribution to the surface contacts are H⋯H contacts (44.3%) as concluded from a Hirshfeld surface analysis