University of Medicine Pham Ngoc Thach

Ho Chi Minh City, Vietnam

University of Medicine Pham Ngoc Thach

Ho Chi Minh City, Vietnam
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Trevisanuto D.,University of Padua | Cavallin F.,Independent statistician | Arnolda G.,Thrive Networks | Arnolda G.,University of New South Wales | And 6 more authors.
BMC Pediatrics | Year: 2016

Background: Interventions to improve neonatal resuscitation are considered a priority for reducing neonatal mortality. In addition to training programs for health caregivers, the availability of adequate equipment in all delivery settings is crucial. In this study, we assessed the availability of equipment for neonatal resuscitation in a large sample of delivery rooms in Vietnam, exploring regional differences. Methods: In 2012, a structured questionnaire on 2011 neonatal resuscitation practice was sent to the heads of 187 health facilities, representing the three levels of hospital-based maternity services in eight administrative regions in Vietnam, allowing national and regional estimates to be calculated. Results: Overall the response rate was an 85.7 % (160/187 hospitals). There was a limited availability of equipment considered as "essential" in the surveyed centres: stethoscopes (68.0 %; 95 % CI: 60.3-75.7), clock (50.3 %; 42.0-58.7), clothes (29.5 %; (22.0-36.9), head covering (12.3 %; 7.2-17.4). The percentage of centres equipped with polyethylene bags (2.2 %; 0.0-4.6), pulse oximeter (9.4 %; 5.2-13.6) and room air source (1.9 %; 0.1-3.6) was very low. Conclusion: Adequate equipment for neonatal resuscitation was not available in a considerable proportion of hospitals in Vietnam. This problem was more relevant in some regions. The assessment strategy used in this study could be useful for organizing the procurement and distribution of supplies and equipment in other low and/or middle resource settings. © 2016 The Author(s).


Trevisanuto D.,University of Padua | Marchetto L.,University of Padua | Arnolda G.,East Meets West Productions | Arnolda G.,University of New South Wales | And 8 more authors.
Acta Paediatrica, International Journal of Paediatrics | Year: 2015

Aim Interventions that improve neonatal resuscitation are critical if we are to reduce perinatal mortality. We evaluated the consistency of resuscitation practices, and adherence to the international guidelines for neonatal resuscitation, in a large representative sample of hospitals in Vietnam. Methods A questionnaire was sent to 187 public central, provincial and district hospitals, representing the three levels of public hospital-based maternity services in Vietnam. Results The overall response rate was 85.7% (160/187 hospitals), and the response rate was 100%, 90.3% and 81.7% for central, provincial and district hospitals, respectively. There were 620 300 births in the surveyed hospitals during the year 2011, representing almost half of all inpatient births in Vietnam. Neonatal resuscitation was provided by obstetricians and, or, midwives at all levels. Half of the hospitals did not follow recommendations for delaying cord clamping. The majority of the hospitals did not have a wall thermometer in the delivery room (80.5%) and did not monitor neonatal temperature after birth (64.1%). A large proportion of hospitals (39.9%) used 100% oxygen to initiate resuscitation and only central hospitals avoided this practice. Conclusion Our survey identified significant variations in resuscitation practices between central, provincial and district hospitals and limited adherence to international recommendations. ©2015 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd.


PubMed | University of Padua, World Health Organization, Ministry of Health, Independent Statistician and 3 more.
Type: Journal Article | Journal: Acta paediatrica (Oslo, Norway : 1992) | Year: 2015

Interventions that improve neonatal resuscitation are critical if we are to reduce perinatal mortality. We evaluated the consistency of resuscitation practices, and adherence to the international guidelines for neonatal resuscitation, in a large representative sample of hospitals in Vietnam.A questionnaire was sent to 187 public central, provincial and district hospitals, representing the three levels of public hospital-based maternity services in Vietnam.The overall response rate was 85.7% (160/187 hospitals), and the response rate was 100%, 90.3% and 81.7% for central, provincial and district hospitals, respectively. There were 620300 births in the surveyed hospitals during the year 2011, representing almost half of all inpatient births in Vietnam. Neonatal resuscitation was provided by obstetricians and, or, midwives at all levels. Half of the hospitals did not follow recommendations for delaying cord clamping. The majority of the hospitals did not have a wall thermometer in the delivery room (80.5%) and did not monitor neonatal temperature after birth (64.1%). A large proportion of hospitals (39.9%) used 100% oxygen to initiate resuscitation and only central hospitals avoided this practice.Our survey identified significant variations in resuscitation practices between central, provincial and district hospitals and limited adherence to international recommendations.


Nhu Nguyet Dang L.,Catholic University of Louvain | Le Binh Doan T.,Childrens Hospital 2 | Doan N.H.,Can Gio District Hospital | Kim Hoa Pham T.,Centers for Disease Control and Prevention | And 4 more authors.
BMC Pediatrics | Year: 2013

Background: Recent studies on Vietnamese children have shown that kidney diseases are not detected early enough to prevent chronic renal failure. The dipstick test is a simple and useful tool for detecting urinary abnormalities, especially in isolated or remote areas of Vietnam, where children have limited access to health care.Methods: This cross-sectional study was conducted in 2011 at seven kindergartens in Can Gio district, Ho Chi Minh City, Vietnam. Two thousand and twelve children, aged 3 to 5, were enrolled. Morning mid-stream urine samples were examined by dipstick. Children with abnormal findings were re-examined with a second dipstick and underwent further investigations.Results: Urinalysis was available for 1,032 boys and 980 girls. Mean age was 4.4 ± 0.8 years. Urinary abnormalities were detected in 108 (5.5%) of the subjects. Among them, nitrituria and leucocyturia accounted for more than 50%. Positive fractions of proteinuria, hematuria, nitrituria, leucocyturia, and combined nitrituria and leucocyturia after two dipsticks were 0.1%, 0.1%, 2%, 1% and 0.3%, respectively. Abnormal findings were more common in girls than boys (p < 0.001), and higher in communes with very low (< 50 persons/km2) population density (14.3% vs 4.1%, p < 0.001). A renal ultrasound detected four cases of hydronephrosis and one case of duplication of ureter.Conclusions: The prevalence of urinary abnormalities in asymptomatic children in South Vietnam demonstrates the need for hygiene education among parents. Training for dipstick usage for all medical staff at health stations, especially in remote areas and in places with very low population density, is also clearly necessary. Routine urinalysis can be set up if a close control is conducted at locations. © 2013 Dang et al.; licensee BioMed Central Ltd.


PubMed | Saint Antoine Hospital, Pasteur Institute, Imperial College London, University of Medicine and Pharmacy and 5 more.
Type: Journal Article | Journal: PloS one | Year: 2016

Screening and treatment for chronic hepatitis C are very limited in Vietnam and clinical data on HCV-related liver disease in HIV-coinfected people are almost inexistent. This study aimed to assess the severity of liver fibrosis and its risk factors in HIV-HCV coinfected patients in Haiphong, Northern Vietnam.A cross-sectional study was conducted at a HIV outpatient clinic. Consecutive HIV treated adults with positive HCV serology completed a standardised epidemiological questionnaire and had a comprehensive liver assessment including hepatic elastography (Fibroscan, Echosens).From February to March 2014, 104 HIV-HCV coinfected patients receiving antiretroviral therapy (ART) were prospectively enrolled (99 males, median age: 35.8 (32.7-39.6) years, median CD4 count: 504 (361-624) /mm3. Of them, 93 (89.4%) had detectable HCV RNA (median 6.19 (4.95-6.83 Log10 IU/mL). Patients were mainly infected with genotypes 1a/1b (69%) and genotypes 6a/6e (26%). Forty-three patients (41.3%) had fibrosis F2 including 24 patients (23.1%) with extensive fibrosis (F3) and/or cirrhosis (F4). In univariate analysis, excessive alcohol consumption, estimated time duration from HCV infection, nevirapine and lopinavir-based ARV regimen and CD4 nadir were associated factors of extensive fibrosis/cirrhosis. Alcohol abuse was the only independent factor of extensive fibrosis in multivariate analysis. Using Fibroscan as a gold standard, the high thresholds of AST-to-platelet ratio index (APRI) and fibrosis-4 score (FIB-4) had very good performances for the diagnosis of extensive fibrosis/cirrhosis (Se: 90 and 100%, Sp:84 and 81%, AUROCs = 0.93, 95%CI: 0.86-0.99 and 0.96 (0.92-0.99), respectively).In this study, nearly 25% of HIV-HCV coinfected patients successfully treated with ART have extensive fibrosis or cirrhosis, and therefore require urgently HCV treatment.


Nguyen P.V.N.,University of Medicine Pham Ngoc Thach | Hong T.K.,University of Medicine Pham Ngoc Thach | Nguyen D.T.,University of Medicine Pham Ngoc Thach | Robert A.R.,Catholic University of Louvain
Asia Pacific Journal of Clinical Nutrition | Year: 2016

Background and Objectives: Screen time among youth has been increasingly recognized as a public health problem because of its link with obesity. This has been demonstrated in many studies conducted in developed countries but few studies have addressed the problem in developing countries, despite an increase literature about the emergence of obesity and a greater access to screen devices in a country like Vietnam. Our study aimed at assessing screen time and its relationship with BMI in adolescents of Ho Chi Minh City (HCMC), Vietnam. Methods and Study Design: In a cross-sectional study of 2024 junior high school students aged 11-14 of HCMC, students were measured for BMI and questioned on time spent watching television/Video/DVD or using computer for fun. High users were defined as time ≥ 2 h/d. International Obesity Task Force BMI cutoffs were used to define overweight and obesity. Results: Adolescents spent 2.2 h/d in screen time, with higher values for boys than girls (p < 0.001). 53.8% of the respondents were high users. Time spent using computers for fun increased with age, and with the household wealthy index. The overall prevalence of overweight and obesity was 21.1%. Using multiple logistic regression, overweight and obesity was higher in boys (adjusted OR=2.66, 95% CI: [2.06; 3.44], p < 0.001) and in children aged 11-12 who had a screen time ≥ 2 h/d (adjusted OR=1.48, 95% CI: [1.09; 1.99], p < 0.02). Conclusions: In HCMC, a majority of adolescents spent ≥ 2 h/d on screen time. High screen time is associated with an increased prevalence of overweight and obesity in young adolescents. Public health intervention programs are needed to reduce screen time among youth.


Ledinh H.,University of Medicine Pham Ngoc Thach
Transplantation Proceedings | Year: 2011

Renal transplantation was first performed in Vietnam in 1992. Up to the end of 2010, there have been 400 kidney and 16 liver transplantations from related and unrelated living donors. From 8 brain-dead donors between 2008 and 2010, we performed 15 kidney, 1 liver, and 1 heart transplantation. Few people agree to donate their own or their relatives' after death, mainly owing to the traditional belief of the Vietnamese that "as a man lives, so shall he die." The demand for organs for transplantation therefore exceeds the organ availability. This article sought to present some achievements and challenges in the field of solid organ transplantation in Vietnam as well as the necessary measures to develop this young promising specialty. © 2011 Published by Elsevier Inc.


PubMed | University of Medicine Pham Ngoc Thach
Type: Journal Article | Journal: Transplantation proceedings | Year: 2011

Renal transplantation was first performed in Vietnam in 1992. Up to the end of 2010, there have been 400 kidney and 16 liver transplantations from related and unrelated living donors. From 8 brain-dead donors between 2008 and 2010, we performed 15 kidney, 1 liver, and 1 heart transplantation. Few people agree to donate their own or their relatives after death, mainly owing to the traditional belief of the Vietnamese that as a man lives, so shall he die. The demand for organs for transplantation therefore exceeds the organ availability. This article sought to present some achievements and challenges in the field of solid organ transplantation in Vietnam as well as the necessary measures to develop this young promising specialty.

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