Journal of Health Sciences

Joint international post-graduate training program in pediatrics between Hai Phong University of Medicine and Pharmacy and Australia

2023-06-29T13:39:26+07:00

Hai Phong University of Medicine and Pharmacy was the first Vietnam institution collaborating with the Westmead Children's Hospital and the University of Sydney, Australia to organize the International Postgraduate Pediatric Certificate (IPPC), which was later renamed as Sydney Child Health Program (SCHP). The IPPC/SCHP framework is comprised of 9 modules, with over 100 online English lectures. The IPPC/SCHP was a highly valuable course since it not only increased students' English ability, particularly medical English, but also helped them to ameliorate their capacity to diagnose, treat, and take better care of children's health. By December 2022, seven IPPC/SCHP training courses were completed, and 36 students were graduated from the Program.

Communication improvement activities of mind-healing mentor-pharmacists

2023-07-05T06:12:23+07:00

With the advancement of AI and digital technology, including ChatGPT, our lives and the perception of patients as “medical service consumers” are changing in line with other social changes, and the concept of patient treatment is changing rapidly. It is urgently necessary to think about the roles of pharmacist for patients and to seek for the direction of change. We have been making steady efforts to become a “Pharmacists that heals the hearts of patients” by growing the consciousness of pharmacists amidst these changes. Through various activities such as patient counseling committee, customer satisfaction committee, mentor class, learning team activity, and accompanying program, we are promoting mutual understanding among employees and strengthening patient-pharmacist communication capabilities. Cases from the patient counseling committee are loaded onto the hospital’s online education program to be shared with all staff, and the patient counseling committee activities and counseling cases, leaflets are shared with other hospitals. As an activity to improve patient experience, a checklist that can be used in all areas where pharmacists meet patients was developed and applied during counseling. We provided an opportunity to think about the roles of pharmacists for patients’ healthy and happy life. Perceptions of the role of Pharmacists for patient safety are changing. Through various activities and results for effective communication between patients and pharmacists, we can help patients use medicines appropriately and grow into “mentor pharmacists” who can lead patients to solve the root cause of their diseases on their own.

The deviation between digital and silicone impression for abutment teeth

2024-01-09T12:12:55+07:00

The advancement of intraoral scanners has allowed for more efficient workflow in the dental practice. The aim of this research was to analyze the impression deviation between intraoral scan technique and conventional polyvinyl siloxane (PVS) material by 3D software. A case series study was performed with 16 teeth. Tooth preparation was taken with supra- or level- gingival heavy chamfer finishing line, then all samples were taken impression using either digital intraoral scanner (Trios 3th generation, 3Shape, Denmark) (group A) and PVS material (Silagum, DMG, Germany) (group B). The analysis was performed on the abutment teeth with parameters: the number of different areas, the deviation level of the surface area, the disparity value in 3 spatial dimensions. Result showed a notably difference between the two impression methods.

Developing formulas for calculating the dose of Levothyroxine in hypothyroidism patients treated at Hai Phong International Hospital in 2022

2023-06-29T13:39:27+07:00

Thyroid hormone replacement therapy has been used for more than a century to treat hypothyroidism [1]. As levothyroxine is usually administered over a patient’s lifetime, physiological changes throughout life will affect the dose of levothyroxine required to maintain euthyroidism. This study conducted retrospectively on patients treated for hypothyroidism in the hospital Hai Phong International Hospital in 2022, aims to identify several factors that may affect a patient's daily dose of levothyroxine, including factors such as age, weight, comorbidities, along with several blood biochemical indicators including thyroid hormones and indicators of liver function and damage. From the 690 record samples collected and correlation results, we have come up with a regression equation calculating the dose of Levothyroxine for patients.

Evaluation of practice of postoperative thromboembolism prophylaxis among colorectal cancer patients in the National Cancer Hospital

2023-06-29T13:39:27+07:00

The study was carried out to investigate the appropriateness of thromboprophylaxis for colorectal cancer patients after surgery. A descriptive retrospective study was conducted among patients aged 18 and above, who underwent colorectal cancer surgery at the Department of Internal Medicine, National Cancer Hospital from January 2021 to June 2021. Criteria for appropriate prophylaxis were set up based on the international and local thromboprophylaxis guidelines and anticoagulants’ summary of product characteristics (SmPC). The prophylaxis regimen of patients after 166 surgeries were evaluated. The major surgeries accounted for 92.8 % of the surgeries. The proportions of patients with high and moderate risks of postoperative venous thromboembolism (VTE) were 91% and 8 %, respectively. The rate of patients who received any form of thromboprophylaxis was 16.3% while the rate of patients indicated with appropriate methods of VTE prevention was 83.7%. The proportion of patients without prophylaxis was significantly higher among patients with moderate VTE risk compared to those at high risk (p=0.004). Among patients with appropriate thromboprophylaxis, 100% were prescribed an appropriate anticoagulant at a suitable dose. However, all of them initiated the therapy later than the recommendations and 96.4% had shorter prophylactic duration. There was still a gap in the appropriate practice of post-surgical thromboprophylaxis for patients undergoing colorectal cancer treatment. The initiation time and the duration of prevention still deviated from the standard recommendations.

Adverse drug reactions (ADRs): Managing and Monitoring at 199 Hospital

2023-07-05T06:16:03+07:00

On time detection of Adverse Drug Reactions (ADRs) helps avoid the harmful effects to patients, and promptly prevent mishaps or disasters to our health care. To assist in monitoring the safety in the use of drugs for patients, and providing maximum data to the National Center for DI&ADR on the drug safety of Phase 4 (the drugs are widely used in the community), clinical pharmacists have monitored ADRs actively instead of waiting for clinical reports. A cross-sectional description study was done by interview, review profiles, examine inpatients randomly at any time of the treatment (priority to choose patients with complex pharmacotherapy or high-risk drugs causing adverse reactions). A total of 455 interviews, examinations, and follow-ups of 15 ADRs cases were actively exploited by pharmacists (3.3%). Harmful reactions are also recorded in most specialties. The first rate was acute reaction (47%, 7 cases), the second rate was sub -acute reaction (33%, 5 cases), and the delayed reaction accounted for at least (20%, 3 cases). There are 14 drugs that are suspect or certainly related to adverse reactions, 8 of these are high-risk drugs on A-PINCH list (accounting for 57%). Proactive ADRs monitoring is necessary to minimize the risks for patients. Clinical pharmacists should get involved in the process and follow through. Aside from providing health care providers with frequent trainings to keep them with the up-to-date information needed, an improvement of prescription software to minimize ADRs should be applied.

The prevalence of overweight/obesity and some risk factors in high schoolers at Le Quy Don high school of Haiphong City in 2019

2023-06-29T13:39:28+07:00

The study aimed to determine the prevalence of overweight/obesity and describe some risk factors among high schoolers of Le Quy Don in Hai An County, Hai Phong City in 2019. Studied subjects included 1381 high schoolers aged from 15 to 17 years old. Method was a cross-sectional study. The prevalence of overweight was 13.5% and obesity was 10.5% (overweight/obesity was 24.0%). The prevalence of overweight/obesity in male high schoolers was 30.9% higher than that of female high schoolers 18.7%. The prevalence of overweight/obesity in level 10 was 22.4%, level 11 was 23.9%, and level 12 was 26.1%. There were 3 risk factors relating to overweight/obesity on the final model of Multinomial Logistic Regression analysis such as sex (OR=1.99), having an overweight/obesity person in the family (OR=1.83), and less physical activities (OR=0.53). Overweight/obesity affected nearly a quarter of high schoolers of Le Quy Don, mainly in male high schoolers. Sex, having an overweight/obesity person in the family, and less physical activities were risk factors of overweight/obesity.

Implementation of enhanced information service at Pham Ngoc Thach Hospital

2023-07-05T06:18:03+07:00

The study aimed to investigate the needs for DI service and evaluate the effectiveness of the enhanced DI service at Pham Ngoc Thach (PNT) hospital. HCPs at PNT hospital completed the first survey on the demand for DI in June 2022 and the second survey on the effectiveness of the DI service in April 2023. The DI service provided by the CPs focused on articles updating relevant medication use and enhanced prompt responses to DI inquiries from other HCPs. The first survey received a total of 278 responses. All participants agreed that implementation of DI service was necessary, out of which, 81.4% agreed that DI service was absolutely essential. The participants admitted that searching DI was difficult due to time-consuming (45.7%), language barrier (32.0%), and uncertainty of information accuracy (30.2%). The DI topics of interest included method of administration, adverse drug reaction, drug selection, and dose adjustment, which accounted for 73.4%, 68.7%, 65.1%, and 64.4%, respectively. Of 203 participants taking part in the second survey, 165 (80.8%) agreed that the DI service provided by CPs was clinically useful. More than three-quarters of the participants agreed that DI articles written by the CPs were intelligible (78.8%) and up-to-date (77.8%). Regarding the approaches to solve DI inquiries, about half of the participants preferred verbal consulting the CPs (56.9%), whereas 41.7% selected reading the published DI articles provided by the CPs. Besides, 80.8% participants agreed that DI inquiries were answered in time and promptly. Conclusion: HCPs deemed DI essential, and the enhanced DI service at PNT hospital was considered clinically useful.

Some common hemodynamic disorders and risk factors in patients after Blalock- Taussig Shunt in Vietnam National Children’s Hospital in 2021

2023-06-29T13:39:28+07:00

The aims of this study were to describe some common hemodynamic disorders and evaluate some risk factors in patients after Blalock-Taussig Shunt (BTS). It was a cross-sectional study in 70 patients less than 5kg with a closed heart surgery by the simple BTS. Patients’ hemodynamic data were collected, some early hemodynamic disorders such as under shunt, over shunt, and capillary leak were described within 48 hours after the BTS, and related factors were recorded. Hemodynamic data were described and compared between complication groups and then some risk factors related to hemodynamic disorders were described. The rate of hemodynamic disorders within 48 hours after the BTS were 94.0%, in which 37.1% were under shunt, 42.9% were overshunt, and 54.3% had capillary leak. Patients with capillary leak after the BTS had higher cardiovascular indexes than those of the others. Neonatal patients and patients who were operated by midline incision had higher risk of capillary leak than the others. BTS patients had a high rate of hemodynamic disorders within 48 hours after the BTS. The neonatal age and the midline incision were risk factors relating to the capillary leak status after the BTS.