bluuebunny/crossref_metadata_2025 huggingface dataset:
A Critical Review of Micro-Management Practices: Constraints and Endorsed Measures in Selected Public Secondary Schools in Morogoro Municipal, Tanzania
Authors: Felician Maria , Amos Onesmo
Published: June 2024

The study aims to give a broad knowledge of Micro-Management Practices focusing on constraints and endorsed measures in public secondary schools in Morogoro Municipal. Tanzania. This study adopted a convergent design under a mixed research approach. The study also grounded on contingency theory advocated by Fred Fiedler in 1958 involved 5 heads of schools and 63 teachers. Self-distributed questionnaires and semi-structured interview guides were employed to collect reliable data from respondents. Validity and reliability were ensured through the involvement of three experts from JUCo, Cronbach Alpha technique, and member checking techniques. A simple linear regression was used to test the hypothesis. The study found a shortage of financial resources, technological-related constraints, resistance to changes among teachers, and ineffective communication between school management and teachers. The study also revealed the effective utilization of resources, government support, and regular meetings as strategies employed by heads of schools in resolving the constraints above. The tested hypothesis shows no significant relationship exists between micro-management constraints and measures taken to resolve the constraints facing heads of schools in fostering micro-management in Morogoro Municipal. The study concluded that limited leadership skills among the heads of schools and resource constraints are the main challenges impeding the implementation of micro-management in secondary schools for effective student achievement in the study area. Furthermore, the study recommended capacity-building programs that enhance heads of schools’ micro-management practices for quality teaching and learning.
Japanese University EFL Student Insights on the Emerging ChatGPT Phenomenon
Authors: Price Gregory
Published: June 2024

This study explores the perspectives of Japanese university students studying English as a foreign language (EFL) on the use of generative artificial intelligence (GenAI), with a specific focus on the ChatGPT model, for academic assignments. Through qualitative analysis of data collected from three participants engaged in writing and discussion assignments, themes such as efficiency, reliability, ethics, EFL utilization, and unique insights are examined. Drawing on contemporary literature, the research focuses on the broader context of the emerging influence of GenAI in education. Insights from student perspectives reveal complex attitudes toward the use of ChatGPT. Despite reported efficiency gains, concerns about reliability, ethical implications, and the need for human oversight emerge prominently. The study also delves into the multifaceted role of GenAI in EFL learning, showcasing its potential as a language learning aid. The paper underscores the necessity for ongoing dialogue and critical reflection among educators and students to navigate the evolving landscape of AI integration in education, ensuring ethical and pedagogically sound practices. As GenAI continues to shape educational paradigms, understanding student perspectives and addressing their concerns is imperative for fostering responsible and effective utilization of AI technologies in academia.
Capability of Amla Extract on Quality Retardation of Chilled Stored Indian White Prawn (Fenneropenaeus Indicus Milne Edwards, 1837)
Authors: Firdous Aimen , Elumalai Preetham
Published: June 2024

Capability of amla extract was investigated on Indian white prawn (Fenneropenaeus indicus) stored at 4°C for 28 days. FTIR was done to obtain distinctive molecular components of analysed extract. Amla ethanolic extract was assigned to total phenolic content , total flavonoid content and PPO inhibition assay to evaluate its potentiality. Biochemical parameters, total viable count, melanosis formation and sensory evaluation were performed to investigate efficacy of amla and to determine shelf-life stability of chilled shrimp. Present study found amla extract to be potent to retard quality loss by lowering the increasing biochemical indices, microbial load and black spot formation as well as by maintaining sensory quality compare to untreated group (p<0.05).
A Review on the Effect of Pandemic on Aquaculture Production: A Case Study of Covid-19 in Nigeria
Authors: Flourizel Igbani , Ukwubile Odekina Martins , Weapngong Tatah Gideon
Published: June 2024

Coronavirus 2019 was a global health concern that left most countries in a state of severe economic meltdown, most countries are still trying to bounce back economically. Scientific research has been done on the virus and its impact on various sectors but that of the Nigerian aquaculture industry has being missing. This paves the way for this review to consider the impact of the pandemic to fish farmers on the influence of the coronavirus on their activities, the challenges they faced during the period of the virus, and the strategies adopted to mitigate the impact of the virus. The review will look at cross sectional surveys carried out by the Nigeria government. During the pandemic, majority of fish farmers perceived demand decline, high cost of production, fish being more expensive, and reduction of manpower on the farm due to lockdown orders from the government. Reduction in walk-in customers to the farm was revealed as the major challenge posed by the pandemic, while the inability to get technical support as least. On coping strategies adopted, it was revealed that farmers have resorted to the development of their own feed. The COVID-19 has led to disruption of aquaculture practices worldwide. The pandemic has adversely affected the aquaculture input supply of fish stocking and feeding, which, in turn, has impacted aquaculture production. Moreover, the COVID-19 crisis has adverse effects on value addition to aquaculture products, through the restrictions of seafood marketing and exporting. Aquatic food production is vulnerable to the effects of COVID-19 outbreak; hence, adaptation strategies must be developed to cope with the challenges. Although, a handful of fish farmers were involved in small scale feed production to cushion the effect of high cost of commercial feed and fish-marketable-size cost production.
The Use of Larvivorous Fish Species to Control Malaria Transmission in Africa: A Review
Authors: Flourizel Igbani , Nake Nelson-Ebimie , Naomi Obadiah
Published: June 2024

Malaria is caused by the Plasmodium parasite, which is transmitted by female Anopheles mosquitoes. There are five Plasmodium species that cause disease in humans; however, the most important species in terms of disease burden are Plasmodium falciparum, which is prevalent in sub-Saharan Africa, and Plasmodium vivax, which is more common in Asia and South America. There were an estimated 219 million malaria cases and 435,000 deaths worldwide due to malaria in 2017; Sub-Saharan Africa carries a disproportionately high share of the malaria burden, with 92% of cases and 93% of malaria deaths in 2017. As well as direct effects on health, malaria is a major cause of poverty and underdevelopment in many countries, due to household and health system costs, absenteeism from school or work, reduced productivity, and premature death. The objectives of this review are to bring to the fore, “the use of larvivorous fish species (that is, fish that eats mosquito larvae, e.g. tilapias and others) to control malaria transmission in Africa. A handful of research works provide evidence that larvivorous fish species can decrease immature mosquito populations in defined water bodies altering mosquitos’ metamorphosis. This is not surprising as we know a lot of fish species eat larvae, and this can reduce the proliferation of mosquitos’ population and malaria occurrences. It is highly recommended that, the Federal Government of Nigeria (FGN) and the African Union (AU) should embark on a national and regional Malaria Control Using Biological Method (MCUBM) of Larvivorous Fish Species (especially Cichlids, they are found in almost every ecosystems). We all know that the Synthetic Drug Method of Controlling Malaria has not yielded much results, as millions of people (expectant mothers, infants, young ones, adults and the aged/olds) still die of malaria in Africa. Therefore, it is high time we applied this method just like the Kenyan Government tried it; believe me, it will work because mosquitos are always in the increase during the raining season and malaria patients are more during this period. The fish species will equally bridge the protein demand of some Africans in no distance time.
Fortalece tus habilidades motrices a través de actividades lúdicas en al UE ciudad de Azogues
Authors: Bonilla Aucay Angelica María
Published: June 2024

El estudio se centra en investigar la relación entre las actividades lúdicas y el desarrollo de las habilidades motrices en niños de 4-5 años en la Unidad Educativa “Ciudad de Azogues”, con el objetivo de determinar la incidencia de los ejercicios motrices en el desarrollo de la motricidad gruesa y mejorar la práctica docente en Educación Inicial. Para lograrlo, se implementó un enfoque cualitativo-cuantitativo, utilizando técnicas como entrevistas y encuestas a padres, docentes de educación inicial y autoridades la unidad educativa. Para respaldar la investigación se realizó una revisión bibliográfica utilizando estudios publicados en español e inglés de los últimos años desde repositorios relevantes. Se propone una guía de actividades para docentes basada en investigaciones previas que respaldan la importancia de las habilidades motrices en el desarrollo integral de los niños. Los resultados obtenidos indican que la implementación de habilidades o ejercicios motores en el aula es bien recibida, con la mayoría de los padres y personal educativo reconociendo la contribución positiva de estas actividades lúdicas al desarrollo holístico de los niños. La presente investigación contribuye a profundizar en el conocimiento de este tema y a proponer recomendaciones para mejorar las estrategias educativas en la enseñanza de la motricidad en la etapa inicial de la educación.
Pengujian Ergonomi Berdasarkan SNI 9011:2021 dan ROSA Serta Evaluasi Lingkungan Kerja Perkantoran Berdasarkan Peraturan Menteri Kesehatan Nomor 48 Tahun 2016 di Fakultas Teknik Unsoed
Authors: Widhia Putra Jonathan , Aulia Imran Rani , Waluyo Sugeng
Published: June 2024

Office environments, as one of workplace, are inherently associated with potential occupational hazards that may impact the health and safety of individuals within them. According to the Ministry of Health of Indonesia Regulation No. 48 of 2016, office spaces are required to meet specific physical conditions, taking into aspects such as lighting, noise levels, air temperature, and humidity within the work environment. Various issues have been identified at the Faculty of Engineering, Universitas Jenderal Soedirman, such as malfunctioning some of air condition units, inadequate lighting, noise pollution from vehicular traffic, and complaints regarding workers' postures. Office workers are susceptible to ergonomic risks, particularly musculoskeletal disorders due to work activities (GOTRAK). This research aims to evaluate the compliance with the Ministry of Health of Indonesia Regulation No. 48 of 2016 by assessing the work environment and adhering to the standards outlined in SNI 9011:2021, which pertains to the Measurement and Evaluation of Potential Ergonomic Hazards in the Workplace. To strengthen the data and ensure the identification of potential ergonomic hazards in office settings, ergonomic assessment methods such as the Rapid Office Strain Assessment (ROSA) can be employed. The objective of this study is to measure physical environmental parameters such as lighting intensity, noise levels, and air temperature, identify GOTRAK-related complaints based on SNI 9011:2021, and provide recommendations for improvements in accordance with the Ministry of Health of Indonesia Regulation No. 48 of 2016 and SNI 9011:2021.
Analisis Pemilihan Pemasok Cat pada UKM SBS Garage And Paint
Authors: Tambunan Juniansyah , Loyda Tarigan Elsya Paskaria
Published: June 2024

UKM SBS Garage and Paint is a workshop that operates in the field of motorbike and car body repaint services. The observation results show that this SME does not yet have the right supplier to become a supplier of epoxy paint and clear coat paint. The aim of this research is to determine the best supplier using the Analytical Hierarchy Process (AHP) method combined with the Expert Choice application. This method refers to the concept of pairwise comparisons that exist in a hierarchical structure. The criteria used in selecting suppliers include: Quality, Delivery, Responsibility and Flexibility. The research results show that the main priority in selecting a supplier is the Quality criterion with a weight of 0.517 in the AHP calculation while the Expert Choice has a weight of 0.525. The supplier that is the first priority in the AHP and Expert Choice calculation results is Triwana Color Center, second is the Daya Warna Paint Shop and the supplier that is third is U-pol Indonesia
Perbaikan Proses Produksi Sablon Gelas Minuman pada UKM Tornado Printing
Authors: Fermanda Bryan , Loyda Tarigan Elsya Paskaria
Published: June 2024

Tornado Printing merupakan salah satu UKM sablon gelas minuman yang berlokasi di kota Batam, proses produksi sering terjadi pemborosan (waste) sehingga mengalami kendala dalam proses produksi sablon gelas minuman 1 warna yaitu, adanya pada proses Waiting time afdruk yaitu menunggu sinar UV matahari untuk proses penyinaran sehingga pada proses selanjutnya mengalami delay, adanya penempatan alat-alat kerja yang tidak sesuai sehingga sulit untuk menemukannya. Penelitian ini bertujuan untuk mengetahui  penyebab dan cara mengurangi dari pemborosan (waste) yang terjadi pada proses produksi UKM Tornado Printing. Metode analisis yang digunakan adalah Lean Manufacturing dengan metode Value Stream Mapping, serta analisis akar masalah dengan fishbone diagram. Hasil analisa identifikasi waste tertinggi yang terjadi pada proses produksi UKM Tornado Printing adalah proses waiting dengan bobot 54,7%, Unnecessary Motion dengan bobot  45,3%. Usulan yang diberikan dengan memberikan pelatihan kepada karyawan tentang pentingnya disiplin dalam mengembalikan peralatan setelah digunakan juga sampaikan dampak negatif dari ketidakdisiplinan tersebut terhadap proses produksi dan produktivitas tim. Usulan berikutnya adalah perbaikan prosesnya adalah dengan mengganti metode teknologi dengan memakai lampu ultraviolet otomatis tanpa mengandalkan sinar UV matahari dan bisa dilakukan kapanpun agar mengurangi waiting time pada proses produksi sablon gelas minuman.
Analisis Pengurangan Waste Proses Produksi Pada PT SP Manufacturing
Authors: Simaremare Erna , Elsya Paskaria Loyda Tarigan
Published: June 2024

PT SP Manufacturing is a manufacturing company that operates in the field of wire harness production. When making wire harnesses at PT SP Manufacturing, waste still occurs. Waste in the production process is one of the biggest problems this company wants to solve. A defective product is a product that does not meet wire harness production standards so it cannot meet customer demand, and requires more space before rework is carried out, which causes inventory waste (Unnecessary Inventory). Reduced productivity and higher production costs are the result of this waste. The aim of this research is to use value stream mapping to identify waste in the production process and apply lean manufacturing techniques to reduce it. The results obtained are based on identification and analysis of existing problems as well as alternatives and improvements based on the formulation and objectives in the research. The largest waste in the wire harness production process of PT.SP Manufacturing is waste with a weight score of 60.89%, unknown inventory waste with a weight score of 39, 12%. The causal factors are workers who lack concentration, apply excess solder paste to the wire terminals, workers who pursue targets without paying attention to quality, resulting in defective products that require rework. The recommendations given to the company according to the fishbone diagram are proposed improvements to the wire harness production process to reduce defects and unnecessary inventory which refers to people, machines, methods and materials.
Optimasi Produksi pada UKM Rumah Dapoerabi
Authors: Fitri Fitri Janwarrizkika , Loyda Tarigan Elsya Paskaria
Published: June 2024

Produksi mengacu pada kegiatan manusia yang menghasilkan produk, baik  berupa barang maupun jasa, yang kemudian digunakan oleh konsumen. Dapoer Abi adalah UMKM di Tanjung Sengkuang yang bergerak di bidang produksi kue kering dan basah. Penelitian ini bertujuan untuk mengetahui bagaimana kombinasi jumlah produksi kue untuk mendapatkan keuntungan yang maksimal. Metode analisis yang digunakan adalah Linear Programming metode simpleks. Hasil analisis Linear Programming metode simpleks dengan bantuan aplikasi POM-QM For Windows bahwa untuk memperoleh keuntungan yang optimal maka Dapoer Abi harus memproduksi kue maksuba 122 loyang, kue lapis legit 40 loyang, kue engkak ketan 122 loyang dengan keuntungan optimal setiap bulannya Rp. 15.820.000dalam periode satu bulan. Agar Dapoer Abi dapat meraih laba maksimal, disarankan untuk menggunakan metode simpleks dalam analisis linear programming untuk mengoptimalkan hasil olahan produksinya.
Optimizing Application of Melaleuca Cajuputi Biochar on Removing H2S Odour from Poultry Manure
Authors: Marsita Abdul Ghani  , Norazlina Hashim  , Muhammad Fauzan Emran  , Mohd BadrulHaswan Besar
Published: June 2024

The chicken sector has grown quickly, which has resulted in the creation of a lot of manure, which produces gases like hydrogen sulfide (H2S) and contribute to odour pollution. H2S is a very unwanted gas component and must be removed from the environment. First, the current study focused on preparing the Melaleuca Cajuputi biochar at three temperatures: 300 oC, 400 oC, and 500 oC. The synthesized biochars were confirmed by FT-IR analysis. The effect of the biochar on H2S absorption were studied. The biochar that was prepared at 500 oC showed the most effective material in absorbing the odour gas after two days.
Đặc điểm thang điểm Syntax tồn dư ở bệnh nhân nhồi máu cơ tim cấp ST chênh lên được can thiệp động mạch vành qua da
Authors: Nguyễn Xuân
Published: June 2024

TÓM TẮT

Đặt vấn đề: Đánh giá kết quả điều trị bệnh lý thoát vị bẹn bằng phẫu thuật TEP và TAPP. Lợi ích của ứng dụng công nghệ 3D trong điều trị bệnh lý thoát vị bẹn.

Đối tượng, phương pháp: Nghiên cứu tiến cứu theo dõi dọc 100 bệnh nhân được chẩn đoán thoát vị bẹn, chia làm 2 nhóm: 50 bệnh nhân được phẫu thuật TAPP, 50 bệnh nhân được phẫu thuật TEP tại Bệnh viện Trung ương Huế từ tháng 8/2022 tới 3/2024.

Kết quả: Tuổi trung bình nhóm TAPP 56.4 ± 16.9, nhóm TEP 56.8 ± 15.8 (p = 0,59). Thoát vị bẹn gián tiếp nhóm TAPP 42 BN (84%), TEP 45 BN (90%); thoát vị bẹn trực tiếp nhóm TAPP 7BN (14%), TEP 3 BN (6%); thoát vị bẹn hỗn hợp TAPP 1 BN (2%), TEP 2 BN (4%). Thời gian phẫu thuật trung bình nhóm TAPP 52.7 ± 8.7 phút, TEP 50.4 ± 7.4 phút (p = 0,31). Thời gian tạo khoang trước phúc mạc TAPP 10,3 phút, TEP 11,7 phút. Thời gian nẳm viện sau phẫu thuật nhóm TAPP 2.2 ± 0.5 ngày, TEP 2.18 ± 0.4 ngày. Thang điểm VAS sau 1 ngày nhóm TAPP 5.2 ± 0.5, TEP 4.1 ± 0.4 (p = 0,02); VAS sau 2 ngày nhóm TAPP 3.08 ± 0.4, TEP 3.02 ± 0.1 (p = 0,04); VAS sau 3 ngày nhóm TAPP 2.44 ± 0.9 (n = 9), TEP 2.25 ± 0.5 (n = 8) (p = 0,12). Tụ dịch sau phẫu thuật nhóm TAPP 3 BN (6%), TEP 2 BN (4%). Đau mạn tính sau phẫu thuật TAPP 2 BN (4%), TEP 1 BN (2%).

Kết luận: Phẫu thuật nội soi điều trị bệnh lý thoát vị bẹn ứng dụng công nghệ 3D là phương pháp an toàn, hiệu quả. TEP và TAPP có kết quả như nhau khi theo dõi trong giai đoạn sớm

ABSTRACT

EVALUATING THE RESULTS OF LAPAROSCOPIC INGUINAL HERNIA REPAIR USING 3D TECHNOLOGY AT HUE CENTRAL HOSPITAL

Objectives: To evaluate the results of treatment of inguinal hernia with TEP and TAPP. Benefits of applying 3D technology in the treatment of inguinal hernia.

Methods: Prospective longitudinal study of 100 patients diagnosed with inguinal hernia, groups: 50 TAPP and 50 TEP at Hue Central Hospital from August 2022 to March /2024.

Results: Average age in TAPP group 56.4 ± 16.9, TEP group 56.8 ± 15.8 (p = 0.59). Indirect inguinal hernia in TAPP group 42 patients (84%), TEP group 45 patients (90%); Direct inguinal hernia in TAPP group 7 patients (14%), TEP group 3 patients (6%); Mixed inguinal hernia TAPP 1 patient (2%), TEP 2 patients (4%). The average surgery time in the TAPP group was 52.7 ± 8.7 minutes, TEP group, was 50.4 ± 7.4 minutes (p = 0.31). Preperitoneal cavity creation time TAPP 10.3 minutes, TEP 11.7 minutes. Hospital stay after surgery in TAPP group 2.2 ± 0.5 days, TEP group 2.18 ± 0.4 days. VAS score after 1 day in TAPP group 5.2 ± 0.5, TEP 4.1 ± 0.4 (p = 0.02); VAS after 2 days in TAPP group 3.08 ± 0.4, TEP 3.02 ± 0.1 (p = 0.04); VAS after 3 days TAPP group 2.44 ± 0.9 (n = 9), TEP 2.25 ± 0.5 (n = 8) (p = 0.12). Seroma after surgery in TAPP group: 3 patients (6%), TEP group: 2 patients (4%). Chronic pain after TAPP surgery 2 patients (4%), TEP 1 patient (2%).

Conclusions: Laparoscopic surgery to treat inguinal hernia using 3D technology is a safe and effective method. TEP and TAPP have similar results when followed in the early stages.
Learning strategies among nursing students at the University of Medicine and Pharmacy at Ho Chi Minh City
Authors: Nguyen Thi Lan
Published: June 2024

ABSTRACT

Background: Learning strategies play a crucial role in developing professional competencies and practice skills for nursing students. It is important for universities to understand students’ learning strategies in order to provide effective support. This study aims to examine the learning strategies of nursing students at the University of Medicine and Pharmacy at Ho Chi Minh city (UMP) and explore the relationship between educational environment factors and students’ learning strategies.

Methods: A descriptive cross-sectional study was conducted using the Motivated Strategies for Learning Questionnaire (MSLQ) and Dundee Ready Education Environment Measure (DREEM) questionnaires. The online survey involved 331 nursing students from year 1 to year 4. Pearson/Spearman correlation was used to analyze the relationship between educational environment factors and learning strategies.

Results: The mean score of students’ learning strategies ranged from 4.1 to 4.9. It was found that 98.2% of students had satisfactory learning strategies, with the highest rate in time management and learning environment (99.7%), and the lowest in critical thinking and studying with peers (73.4%). Most learning strategies showed moderate to very strong positive correlations with each other (r = 0.29 - 0.81, p < 0.001). Factors such as teaching methods, lecturers, and learning atmosphere had weak to moderate positive correlations with most students’ learning strategies (r = 0.15 - 0.45, p < 0.01).

Conclusions: Nursing students at UMP generally demonstrate effective learning strategies. However, interventions in teaching and learning environments are needed to enhance students’ critical thinking skills and promote collaborative learning. Developing these skills will improve education quality and prepare students for their future professional careers.
Effectiveness of the process of preparing for patients before laparoscopic colectomy surgery due to cancer
Authors: Nguyen Ly
Published: June 2024

ABSTRACT

Purpose: To build and assess the result of the implementation in the Mechanical Bowel Preparation (MBP) process for patients undergoing laparoscopic elective colorectal surgery for cancer at the General Surgery Department in the International Medical Centre of Hue Centre Hospital.

Method: 41 colorectal cancer patients had laparoscopic elective surgery from 01/2019 to 03/2020. To observe the performance of the preoperative preparation process for patients undergoing elective surgery and assess the effectiveness of treatment, the complication rate such as anastomotic leak, wound infection, and intra - abdominal abscess. Patients were followed up for 30 days after operation.

Results: 100% of patients completed the process, and the complication rate of anastomotic leak was 0%. Wound infection occupied 14,6%, including 6 patients; intra-abdominal abscess occupied 2,4%, including 1 patient; and early postoperative adhesive small bowel obstruction occupied 0%.

Conclusion: Non - mechanical bowel Preparation (MBP) reduces the amount of work for nurses, creates a good spirit for the patient before the operation, and doesn’t increase the complication rate
Inpatient experience and influencing factors at Ho Chi Minh city Blood Transfusion and Hematology hospital in 2022
Authors:   Ho Chi Minh city Blood Transfusion and Hematology hospital, Nguyen Van Dat , Nguyen Phuong Lien ,   Ho Chi Minh city Blood Transfusion and Hematology hospital, Pham Quynh Anh ,   Hanoi University of Public Health, Nguyen Trung Kien ,   Hanoi University of Public Health, Pham Phuong Lien ,   Viet Nam University of Traditional Medicine
Published: June 2024

Objective: Policymakers and healthcare managers globally are increasingly focused on collecting Patient Experience (PE) Data to identify information and issues that require improvement for enhancing service quality. For several years, the Ho Chi Minh City Blood Transfusion and Hematology Hospital has prioritized improving patient experience and satisfaction with its services. Methods: A cross-sectional study incorporating both quantitative and qualitative approaches. Quantitative data were gathered from 250 patients or their main caregivers in six inpatient departments. Quantitative data analysis employed descriptive statistics and non-parametric tests. Qualitative information was obtained through six in-depth interviews with customers (patients and their family members) and seven in-depth interviews with medical staff (hospital leader, 02 clinical department leaders, 02 doctors, and 02 nurses). Results: The overall Patient Experience (PE) score was 8.5 (median) on a 10-point scale. PED at admission: the waiting time for admission to the inpatient department had the lowest rate of positive experiences (48.8%). Internal Audit on Facilities and Utilities serving patients: the criterion for positive experiences regarding hospital quietness had the lowest rate (65.2%). Internal Audit on the attitude and spirit of service by medical staff, medical examination and treatment activities, and hospital fee payment: all criteria received a fairly high positive evaluation rate of over 86%. Internal accounts before discharge: over 12% of respondents reported difficulties in hospital discharge payment. Factors influencing Internal Revenue Service: Positive factors included the correct application of medical examination and treatment regulations according to the Ministry of Health, administrative procedure reform, new facilities and equipment, training on codes of conduct, and appropriate treatment method selection according to the diagnosis. Negative factors included an incomplete call center for medical examination and treatment, long waiting times for admission to the inpatient department and medical examination, and a lack of methods for patients to pay hospital fees directly in the department or treatment room. Conclusions: The hospital's overall PED score is 8.5 points. Develop a plan to adjust the process to reduce waiting time for admission from the medical examination department and discharge time; Increase medical human resources to support patient fee collection directly in the treatment department/room. Keywords: Patient experience, inpatients, patients, hematology blood transfusion.
Knowledge, attitude, and practices of mothers with children under 1-year-old regarding post-vaccination care and related factors in Quang Ngai City, Quang Ngai province, 2023
Authors:   Center for Disease Control of Quang Ngai Province, Ngo Thi Thuy , Duong Kim Tuan ,   Hanoi University of Public Health, Pham Quang Thai ,   National Institute of Hygiene and Epidemiology
Published: June 2024

Objectives: Describe the knowledge, attitudes, and practices of mothers with children under one year of age on post-vaccination care and some related factors in Quang Ngai City, Quang Ngai province, in 2023. Methods: A cross-sectional study, interviewing 345 mothers with children under 1-year-old in 08 communes and wards of Quang Ngai City, Quang Ngai province, from February to April 2023. Results: Good knowledge achieved by mothers of children under one year of age on childcare after vaccination was 62.0%. Good attitude and good practice of mothers on childcare after vaccination reached the rate of 89.0% and 74.0%, respectively. The study found an association between the mothers' good knowledge, attitudes and educational level of mothers (OR=2.49 (1.58-3.91)), the mothers whose children experienced adverse events after immunization (AEFI) (OR=2.57 (1.52-4.33)) or had siblings who had experienced AEFI have significantly better knowledge of post-vaccination care (OR=3.74 (1.41-9.95)), the number of communication channels also have positive influence to mother’s knowledge (OR=2.60 (1.23-5.52)). Conclusions: Diversify forms of communication and further promote the role of health workers in providing knowledge about the benefits of vaccination and how to detect and treat AEFI, focusing on mothers with low levels of education. Keywords: Knowledge, attitude, practice, adverse events after immunization.
Direct treatment cost of patients with psoriatic arthritis disease covered by the social health insurance at the National Hospital of Dermatology and Venereology from 2021 to 2022
Authors:   Ha Noi University Of Public Health, Nguyen Thi Mai Phuong , Hua Thanh Thuy ,   Hanoi University of Public Health, Vuong Trong Hieu ,   Ha Noi University of Pharmacy, Do Thi Thu Hien ,   National Hospital of Dermatology and Venereology, Nguyen Van Thanh ,   National Hospital of Dermatology and Venereology, Pham Nu Hanh Van ,   National Hospital of Dermatology and Venereology
Published: June 2024

Objective: Estimate the direct medical costs of treating psoriatic arthritis (PsA), including in-patient and out-patient treatment costs. Methods: The retrospective study follows a prevalence-based approach, collecting all patients with PsA undergoing treatment at the National Hospital of Dermatology and Venereology from July 1, 2021 to December 31, 2022. Data collected included demographic characteristics and costs covered by the social health insurance (SHI). Results: Among the 74 patients included in the study, 64 patients received outpatient treatment, eight patients received both outpatient and inpatient treatment, and two patients received inpatient treatment only. The average monthly cost of outpatient treatment was 1.7 ± 2.2 million VND, with an average of 0.7 ± 0.3 outpatient visits per month. The average cost for an inpatient treatment session was 6.8 ± 6.2 million VND, with an average duration of 16.2 ± 20.9 days. Conclusions: We have analyzed the economic burden of PsA from SHI perspective and shown medication costs accounted for the highest proportion of expenses in all cost categories. Keywords: Direct medical costs, Health insurance, Psoriatic arthritis
Knowledge, attitude, practice of cervical cancer screening and some factors related to practice in women aged 21 - 65 years old in Dan Quyen commune, Trieu Son district, Thanh Hoa province in 2023
Authors:   An Duc International Pharmaceutical Company limited, Truong Thi Anh Thu , Tran Thi Tuyet Hanh ,   Hanoi University of Public Health
Published: June 2024

Objective: To describe the knowledge, attitude, practice of cervical cancer screening and some factors related to practice among women aged 21 - 65 years old in Dan Quyen commune, Trieu Son district, Thanh Hoa province in 2023. Methods: This was a cross-sectional study, interviewed 315 females aged 21-65 in Dan Quyen commune, Trieu Son district, Thanh Hoa province in 2023. Results: The proportion of women with good knowledge was 44%, positive attitude was 61.3% and practicing cervical cancer screening was 42.9%. Women who were 31 years old or older, had a high school education or higher, has a job other than being a farmer, lived in good/rich economic conditions and had two children or less were 11.2, 6.3, 4.1, 4.7 and 2 times more likely to be screened for cervical cancer than the other groups, respectively (p<0.05). Women who had good knowledge, a positive attitude, had regular gynecological examinations and have had access to information about cervical cancer were 8.3, 1.9, 12.9 and 35.4 times more likely to go for screening, respectively compared to the other group (p<0.05). Conclusions: Women's knowledge, positive attitude and practice of cervical cancer screening were not high. Therefore, it is necessary to improve women's knowledge and attitudes, thereby increasing the rate of screening practice through appropriate communication and education measures. The communication content should focus on risk factors, signs and symptoms, cervical cancer prevention methods, age and time for regular cervical cancer screening. Keywords: Cervical cancer screening, knowledge, attitude, practice, Thanh Hoa province
First-year orientation activities for students in School of preventive medicine and public health- Hanoi Medical University in 2022
Authors:   Department of Health Economics, School of Preventive Medicine and Public Health, Nguyen Thi Thu Huong , Pham Bich Diep ,   Department of Health Education and Promotion, School of Preventive Medicine and Public Health, Le Dinh Luyen ,   Department of Training, Research Management and International Cooperation, School of Preventive Medicine and Public Health, Dam Thi Ngoc Anh ,   Department of Training, Research Management and International Cooperation, School of Preventive Medicine and Public Health, Tran Kim Thanh ,   Department of Training, Research Management and International Cooperation, School of Preventive Medicine and Public Health, Do Thi Thanh Toan ,   Department of Research Methodology and Biostatistics, School of Preventive Medicine and Public Health
Published: June 2024

Objective: The orientation activity at the beginning of the school year is one of the important sessions for medical students, especially first-year students. Well-oriented medical students will contribute to training appropriate future medical human resources, especially in preventive medicine and public health with the motto that prevention is better than cure. To describe career orientation and feedback on the first-year orientation activities of medical students at the School of Preventive Medicine and Public Health in 2022. Methods: A mix-method of quantitative and qualitative was conducted. We carried out quantitative interviews through self-completed questionnaires on 181 first-year students with three majors: Preventive Medicine Doctor, Bachelor of Public Health, and Bachelor of Nutrition. In addition, qualitative research was conducted through 3 focus group discussions on the above 3 majors. Results: Orientation information came mainly from parents, and family members (55.2%) and from social networks (56.9%). Students generally had an understanding of their major with 22.7% of students was full understanding and 74% of those was partial understanding. Out of 79.6% of students were satisfied with their major and the reason for choosing the major showed were their performance capacity (46.5%) and their favourite (44.2%). Out of 53% of students rated as satisfied and 12.2% rated as very satisfied with the contents of the first-year orientation activities. Conclusions: Students responded well to the orientation activities at the beginning of the year. Besides, further suggestions that it is necessary to have information shared by former graduates about job opportunities to access the realistic information and current sittuation. Key word: Orientation activities, first-year students, preventive medicine, public health
Factors affecting quality of life of hemodialysis patients at Binh Phuoc Hoan My hospital, Vietnam
Authors:   HCMC Hospital of Dermato Venereology, VietNam, Ngo Hoang Anh , Bui Thi Thanh Binh ,   Hoan My Binh Phuoc Hospital, BinhPhuoc, VietNam, Ho Thi Hien ,   Hanoi University of Public Health, Tran Diem Hang ,   VietNam Institute of Public Health Ho Chi Minh City, VietNam.
Published: June 2024

Object: Hemodialysis is the common treatment that causes different problems affecting the quality of life (QoL) of chronic kidney disease patients. This study aims to examine the associated factors related to QoL in patients with end-stage kidney disease (ESKD). Methods: The study employed a cross-sectional design and was conducted from January- November 2022. Data was collected from 78 patients who have hemodialysis using a validated KDQOL-SFTM questionnaire version 1.3 often used to assess the QoL for patients on hemodialysis (HD). There was 01 focus group discussion with Chronic Kidney Disease (CKD) patients and 04 in-depth interviews with management staff. T-test and ANOVA were conducted to analyze quantitative variables. Results: Among the 78 study patients, the total QoL in the patients as shown by KDQOL-SFTM was 54.28 ± 4.98. In which, the SF-36 score was 51,27 ± 7,15 and the KDQOL score was 57.29 ± 5.98. Some demographic characteristics were associated with the low QoL score among ESKD patients such as elderly people (aged 60 years old or over), occupation pensioner/elderly, unemployment (p<0.001, t=4.3, 95%Cl: 2.4 to 6.4), and some other characteristics of diseases are longer duration of disease >5 years (p=0.006), duration of HD >3 years (p=0.001); Family factors were also associated with QoL: distance from home to hospital over 5km (p=0.014, t = 2.5, 95% CI: 0.6 to 5.1), family income (poor and near-poor households) (p<0.001, t=-3.7, 95% Cl: -10.4 to -3.1), and Social factors: health insurance benefits 95%, no social support (p<0.001). Management factors: The health insurance's payment policy affects the QoL of CKD patients. Conclusion: The QoL score of patients with ESKD is relatively higher compared with previous studies. Some demographic, disease-related characteristics (duration of disease and treatment), family factors (distance, income), social factors (health insurance, community support), and health insurance payment policy were associated with lower patient of QoL. Keywords: Chronic kidney disease, end-stage kidney disease, hemodialysis, quality of life.
Direct non-medical cost and associated factors in treatment of type 2 diabetes with complications at several hospitals in Ho Chi Minh city
Authors:   Thong Nhat Hospital, Ho Chi Minh City, Vietnam, Pham Thi Thu Hien , Le Dinh Thanh ,   Thong Nhat Hospital, Ho Chi Minh City, Vietnam, Nguyen Thu Thao ,   Nguyen Tri Phuong Hospital, Ho Chi Minh City, Vietnam, Nguyen Tran Khuong Bac ,   Department of Pharmaceutical Administration,  University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam, Hoang Ngoc Tram ,   Department of Pharmaceutical Administration,  University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam, Nguyen Kim Triet ,   Department of Pharmaceutical Administration,  University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam, Dang Thi Kieu Nga ,   Department of Pharmaceutical Administration,  University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam, Nguyen Thi Hai Yen ,   Department of Pharmaceutical Administration,  University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam, Nguyen Thi Quynh Nga ,   Department of Pharmaceutical Administration,  University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
Published: June 2024

Introduction: Type 2 diabetes mellitus (T2DM), especially those with complications, requires lifelong care and incurs substantial expenses. In order to reduce out-of-pocket costs borne by patients, understanding costs including direct non-medical cost is important. This study aims to examine direct non-medical cost and related factors among T2DM with complications. Methods: A cross-sectional survey of 617 T2DM patients conducted at Thong Nhat and Nguyen Tri Phuong hospitals from May 2023 to July 2023 using convenience sampling method. Generalized linear regression models were used to examine the effect of having complications on direct non-medical cost and other associated factors. Results: The average direct non-medical costs amounted to 1,351,706 VND. For individuals with complications, the average direct non-medical cost was 1,716,756 VND, nearly 1.81 times higher than those without complications. Regarding type of complications, having both complications incurred higher cost than those without complications (245631.8, 95%CI: 29952.3-461311.4, p=0,026), adjusted for other factors. The factors associated with direct non-medical costs included place of residence, educational attainment, having health insurance, traveling with a family member, using personal or public transport, using supplementary foods, and the patient’s income (p < 0.05). Conclusion: This study, among the first to analyze differences in direct non-medical costs among T2DM groups with complications in Vietnam, could contributes to understanding the economic dimensions of T2DM and provide valuable insights for future interventions aimed at alleviating the economic burden of T2DM on patients and society. Keyword: Direct non – medical cost, type 2 diabetes, complication, associated factors.
Cost-effectiveness analysis of 2 g of cefazolin compared with 1 g of cefazolin as prophylactic antibiotics in cesarean section at the Mekong Maternity Hospital from 2021 to 2022
Authors:   Mekong Maternity Hospital, Ho Chi Minh City, Vietnam, Nguyen Thi Thuy Anh , Nguyen Phan Thuy Nhien ,   Department of Pharmaceutical Administration, Tran Ngoc Thien Phu ,   Department of Pharmaceutical Administration, Nguyen Thi Quynh Nga ,   University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam, Dang Thi Kieu Nga ,   University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
Published: June 2024

Objective: To investigate the cost-effectiveness of using the prophylactic antibiotic cefazolin during cesarean section with a dose of 2 g compared to 1 g by clinical practice at the Mekong Maternity Hospital. Methods: A cost-effectiveness analysis applying a decision tree was conducted to compare the use of cefazolin 2g to cefazolin 1g from a healthcare sector’s perspective. Cost parameters were extracted and calculated from electronic medical records from the Mekong Maternity Hospital, whereas quality-adjusted life-years were derived through literature review. Hospital data were collected retrospectively from January 2021- June 2021 for women prophylactically using 1g of cefazolin and prospectively from January 2022-June 2022 for those treating with 2 g of cefazolin. The Incremental Cost-effectiveness Ratio was estimated to determine whether it is cost-effective between two regimens. Sensitivity analyses were used to examine the robustness of the results. Main findings: The use of 2 g of cefazolin for prophylactic antibiotics in the cesarean section per each woman was less expensive at 28.353.391 VND compared with 28.410.451 VND for the use of 1 g of cefazolin. Also, it was more effective expressed by higher QALYs at 0,9194 versus 0,9154 in case using 1 g of cefazolin, resulting as the dominant regimen. Cefazolin 2g usage gained a 65.9% probability being more cost-effective than 1 g of cefazolin at the willingness to pay threshold of 3GDP per capita. Conclusion: The use of 2 g of cefazolin was likely to be dominant over 1 g of cefazolin pertaining to cost-effectiveness terms as a cesarean delivery infection prophylaxis. Keywords: Cesarean section; cost-effectiveness analysis; cefazolin; different doses; prophylactic antibiotics
Cost – effectiveness analysis of hyaluronic acid injection relative to oral medication for knee osteoarthritis treatment at Nguyen Trai hospital in the period of 2022 – 2023
Authors:   Nguyen Trai Hospital, Ho Chi Minh City, Vietnam, Nguyen Quoc Tuan , Quach Thanh Hung ,   Viet Nam University of Traditional Medicine, Pham Chau Thanh Phuong ,   Nguyen Trai Hospital, Ho Chi Minh City, Vietnam, Nguyen Hoang Huynh Van ,   Department of Pharmaceutical Administration, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam, Ngo Le Lan Uyen ,   Department of Pharmaceutical Administration, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam, Pham Vo Kieu Thu ,   Department of Pharmaceutical Administration, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam, Nguyen Vo Thu Hien ,   Nguyen Trai Hospital, Ho Chi Minh City, Vietnam, Pham Dinh Luyen ,   Department of Pharmaceutical Administration, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
Published: June 2024

Objective Pharmacological treatments, primarily oral NSAIDs, constituted 73.9% usage for knee osteoarthritis. Despite the known adverse effects of NSAIDs, they are recommended for KOA management. Hyaluronic acid injections, an emerging alternative, lack consensus and evidence of cost-effectiveness in Vietnam. This study aimed to analyze the cost-effectiveness of hyaluronic acid injections relative to oral medication treatment in patients with KOA from health insurance payer’s perspective. Methods: A retrospective study was conducted using electronic medical records of KOA patients from March 1, 2022, to May 31, 2023, at Nguyen Trai Hospital to analyze costs. A cross-sectional descriptive study of two groups receiving hyaluronic acid injections (HA) or oral medication treatment (PO) was conducted using the WOMAC scale converted to EQ-5D-5L to measure treatment effectiveness in QALYs. Seemingly unrelated regression equation was utilized to estimate the Incremental Cost-effectiveness Ratio (ICER) of HA relative to PO while simutaneously adjusting for other confounding factors. Results: The PO group exhibited a higher total WOMAC score than the HA group (PO group: 45.12; HA group: 44.29), indicating greater severity in the WOMAC Pain, Function, and Stiffness categories. The QALYs of HA group was higher than those of the PO group, with QALYs values of 0,719 and 0,661, respectively. The total medical direct costs increased by 6.232.445 VND, and QALYs increased by 0,041 when using HA compared to PO. The ICER reached a 151.184.110 VND/QALY gained. With WTP of 1GDP and 3GDP, the probability of achieving cost-effectiveness of HA compared to using PO was respectively 20.06% and 100%. Conclusions: The study demonstrated that ICER based on QALYs of hyaluronic acid injections is cost-effective compared to the standard oral medication approach. Keywords: Cost analysis; WOMAC; Cost-effectiveness analysis; Hyaluronic acid injections; Knee osteoarthritis;