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University 55 Hwa Kang Road, Taipei, Taiwan Thi Thu Ha Nguyen, Graduate Student, Department of population, a favorable climate, and increasing per capita income (Nguyen et al., 2022
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, Nguyen Thi Hai Anh3*, Nguyen Huu Huynh3, Tang Van Ngoc3, Khuat Thu Huong3, Do Thi Binh3 nurturing disabled children center Pham Thanh Ha1, Vo Truong Nhu Ngoc2,3, Nguyen Phuong Huyen1,3
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Vietnamese Language Le Quan Ha∗, Tran Thi Thu Van∗, Hoang Tien Long+, Nguyen Huu Tinh+, Nguyen and Trade, 12 Nguyen Van Bao, Ward 4, Go Vap District, Hochiminh City, Vietnam E-mail
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DEPLOYMENT OF SMART TRANSPORTATION IN MAJOR CITIES OF VIETNAM Ha Thi Thu Nguyen 1 Han-Hsiang Ha Thi Thu Nguyen, Han-Hsiang Wang, Jieh-Haur Chen: Identifying the factors affecting
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: AN EMPIRICAL CASE STUDY FOR VIETNAM Han-Hsiang Wang 1 Thi Thu Ha Nguyen 2 Han-Hsiang Wang, Thi Thu Ha Nguyen, Jieh-Haur Chen, Mannhi Van: Entering to a Foreign
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Huong Thi Nguyen; Anh Kim Dang; Giang Thu Nguyen; Ha Ngoc Vu; Huong Thi Le; Supervision Dang; Giang Thu Nguyen; Huong Thi Le; Formal analysis: Anh Kim Dang; Anh Minh Tran; Tien
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Background and Objectives: A comprehensive nutritional management is necessary for favourable outcomes in patients with chronic kidney disease (CKD). We aimed to assess the changes in nutritional status and disease progression with nutritional management where renal replacement therapy (RRT) was not in place. Methods and Study Design: A quasi-experiment intervention was conducted on 70 CKD patients at stages 3-5 from July to December 2022. Participants were excluded if they underwent RRT, including dialysis (hemodialysis or peritoneal dialysis), or kidney transplantation. The nutritional regimen covered nutritional counseling, samples of the dietary menu, and supplement products. We evaluated nutritional status using Subjective Global Assessment (SGA) scale and sub-clinical blood test at T0 (hospital admission) and T1 (two weeks after the admission or 24 hours before the discharge). Results: After the intervention, the number of patients classified as malnutrition or at risk of malnourished reduced significantly (65.7% to 54.3% and 25.7% and 5.7%, respectively). The serum concentration of urea, creatinine and parathyroid hormone decreased remarkably, especially in patients receiving nutritional management. In the intervention group, the dietary pattern provided increased intakes of calcium and iron at T1, while phosphorus, sodium and potassium decreased after follow-up. Nausea/vomiting, loss of appetite, tiredness and sleep disorders were improved in the intervention compared to the control group. Conclusions: Nutritional therapy enhanced the nutritional status, and quality of dietary and renal function in CKD patients without RRT. Applying nutrition education and treatment at an early stage can slow CKD progression, which should be applicable elsewhere in Vietnam.
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背景与目的：越南手术患者的营养状况和院内喂养方式没有被详细记录。根据巴赫麦医院的一个横断面研究，在外科病房应用体质指数（BMI＜18.5kg/m^2）所判定的营养不良患病率为33%。我们在越南河内巴赫麦医院的对胃肠（GI）外科病房的喂养方法进行了观察研究。方法与研究设计：来自美国和越南国家营养研究所的调查员从巴赫麦医院招募72名入院进行择期胃肠手术的患者参与了这项观察性研究。记录基线人体测量指标及其随时间的变化，体质指数，主观整体评估（SGA），从入院到出院经口摄食、管饲喂养和肠外营养的每日能量和蛋白质的摄入量。结果：共有50%的研究对象SGA得分为B或C，48%的研究对象BMI＜18.5，而平均的上臂围为正常水平偏低（24±4 cm）。几乎所有的患者（98%）在术后给予肠外营养，平均术后4天给予经口喂养，只有一个病人是管饲喂养。住院期间，平均每天总能量摄入为15 kcal/kg/day，蛋白质摄入为0.61 g/kg/day，接受肠外营养者极少补充微量元素。结论：越南手术患者住院期间营养不良是一个重要问题，围手术期患者出现喂养不理想和术后早期应用肠内营养是常规。
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