3.The First Probable Case of Hereditary Angioedema in Vietnam.
Khanh BUI VAN ; Doan NGUYEN VAN
Allergy, Asthma & Immunology Research 2012;4(3):165-167
Hereditary angioedema (HAE) is rare disorder due to C1-inhibitor deficiency (C1-INH) that are debilitating and may be life-threatening. HAE is a lack of consensus concerning diagnosis, therapy, and management, particularly in Vietnam. In this case report, we report a 40-year-old male patient with typical clinical symptoms and family history but he showed normal C4 level, and we could not measure C1q and C1-INH level. However, the diagnosis of HAE can be made based on typical clinical symptoms and the favorable prophylactic response to danazol treatment. Based on these findings, we suggest that he has type I HAE, although he showed normal C4 level.
Adult
;
Angioedemas, Hereditary
;
Consensus
;
Danazol
;
Humans
;
Male
;
Vietnam
4.Comparison of Perceived Health Status, Health Promoting Behaviors and Depression between Korean and Foreign Students at a Women's University.
Journal of Korean Academy of Community Health Nursing 2009;20(2):161-168
PURPOSE: This research was conducted to investigate perceived health status, health promoting behaviors and depression level in Korean and foreign students at women's university. METHODS: The sample group of this study consists of 100 Korean students at a women's university and 98 foreign students from China and Vietnam who were enrolled at the same university in G City. The research results were analyzed using the SAS program (Version 8.2) with Chi-square test, Fisher's exact test and t-test. RESULTS: 1) The Korean students showed a significantly higher score in drinking and smoking than foreign students. Also, age, religion, part time job, stress and allowance were significantly different between the two groups. 2) The foreign students showed a significantly higher score in perceived health status and health promoting behavior than the Korean students. 3) The foreign students showed a significantly higher score in depression than the Korean students. CONCLUSION: In the development of health programs for foreign students, it is necessary to focus on reducing depression and to consider the traditions of their own countries. It is desired to conduct further study about health promoting behavior and factors affecting health with respect to the countries where the foreign students originated.
China
;
Depression*
;
Drinking
;
Health Promotion
;
Humans
;
Smoke
;
Smoking
;
Vietnam
5.Risk factors for human avian influenza (A/H5N1) infection in Vietnam 2004
Journal of Preventive Medicine 2005;15(5):5-11
We conducted a matched case-control study with 28 laboratory-confirmed cases of influenza A/H5N1 (by RT-PCR assay) and 106 controls in Vietnam in the year 2004 (case to control ratio is 1:4). Matching criteria includes sex, age (the difference is less than 2 year) and location of living. Main results are as follow: (1) Two poultry-related risk factors of human avian influenza A/H5N1 are direct handling of ill/dead poultry, and having ill/dead poultry in household. (2) Unavaillable indoor water-tap in household is signifficantly associated with human influenza A/H5N1. This is an suggestion to the role of hygiene and invironment-related factors, but the mechanism is still not clear. (3) Exposure to healthy poultry, domestic animals and patients with acute respiratory infections seems not to be a risk factor for avian influenza infection in the year 2004. Further studies with integrated designs are needed to describe mode(s) of transmission and identify sources of infection.
Influenza A Virus, H5N1 Subtype
;
Humans, Vietnam
;
Risk factors
6.Moving toward Universal Coverage of Health Insurance in Vietnam: Barriers, Facilitating Factors, and Lessons from Korea.
Ngan DO ; Juhwan OH ; Jin Seok LEE
Journal of Korean Medical Science 2014;29(7):919-925
Vietnam has pursued universal health insurance coverage for two decades but has yet to fully achieve this goal. This paper investigates the barriers to achieve universal coverage and examines the validity of facilitating factors to shorten the transitional period in Vietnam. A comparative study of facilitating factors toward universal coverage of Vietnam and Korea reveals significant internal forces for Vietnam to further develop the National Health Insurance Program. Korea in 1977 and Vietnam in 2009 have common characteristics to be favorable of achieving universal coverage with similarities of level of income, highly qualified administrative ability, tradition of solidarity, and strong political leadership although there are differences in distribution of population and structure of the economy. From a comparative perspective, Vietnam can consider the experience of Korea in implementing the mandatory enrollment approach, household unit of eligibility, design of contribution and benefit scheme, and resource allocation to health insurance for sustainable government subsidy to achieve and sustain the universal coverage of health insurance.
Eligibility Determination
;
Humans
;
Income
;
National Health Programs/*economics
;
Republic of Korea
;
Socioeconomic Factors
;
Universal Coverage/*economics
;
Vietnam
7.The experiences of system integration countries informing the potential unification of the Korean peninsula's healthcare system.
Journal of the Korean Medical Association 2013;56(5):389-393
A "system integration country" is defined as the political unification to a single national system of a country divided for a certain period of time such as Germany, Yemen, and Vietnam. Vietnam is moving to adopt the South Korean health insurance system. The process by which the Vietnamese healthcare insurance system is introduced should be applied to establishing the North Korean healthcare system after the future unification of the Korean peninsula. Yemen's political instability has resulted in poor health care indicators. Before the unification of Germany, an agreement regarding healthcare was formed and vigorous mutual exchanges of health care issues occurred. Political unification is not in itself a perfect solution for health care issues. We must make thorough preparations and develop strategies for an upcoming integration of healthcare systems. Like the experience of the unified Germany, humanitarian exchanges and cooperation of public healthcare issues should continue. A unified Korea will be confronted with many hardships, especially in health care. Therefore, a practical plan for the healthcare system before and after the unification of the Korean peninsula is needed.
Asian Continental Ancestry Group
;
Delivery of Health Care
;
Germany
;
Humans
;
Insurance
;
Insurance, Health
;
Korea
;
Vietnam
;
Yemen
8.A Study on the Correlation between Categorization of the Individual Exposure Levels to Agent Orange and Serum Dioxin Levels Among the Korean Vietnam Veterans.
Joung Soon KIM ; Han K KANG ; Hyun Sul LIM ; Hae Kwan CHEONG ; Min Kyung LIM
Korean Journal of Preventive Medicine 2001;34(1):80-88
OBJECTIVES: In an epidemiologic study on the health impact of Agent Orange exposure, the valid estimation of exposure level is the most important step. Based on recent studies, we examined the correlation between exposure levels categorized by personal exposure estimates and serum 2,3,7,8-tetrachlorodibenzo-p-dioxin (2,3,7,8-TCDD, Dioxin), exploring the possibility of utilizing the exposure level as a surrogate for the estimate of exposure to agent orange. METHODS: During the study period (Jan 1996-Feb 1996), blood specimens of 745 subjects taken randomly among 1,329 persons and kept frozen, were analyzed for 2,3,7,8-TCDD and six other dioxin congeners. The serum dioxin and congeners were measured in 1998 by CDC ,adjusted for serum lipids. We categorized the total exposure scores into five groups based on Agent Orange exposure data collected by interview and military records. Pearson and Spearman's correlation coefficients & multiple regression analysis were used to identify the relationship of the exposure level categorized with serum concentration of 2,3,7,8-TCDD, and six other dioxin congeners. RESULTS: Dioxin and the other congeners, except 1,2,4,6,7,8-HpCDD, showed significant correlations to exposure categories (p<0.005); 2,3,7,8-TCDD and OCDD showed positive correlations, whereas the other congeners did negative. The values of 2,3,7,8-TCDD differed according to exposure category and proportionally increased from the low exposure group to the high, a dose-response relationship, even after other possible confounding variables were adjusted for. In multiple regression analysis, age(beta=0.033), dioxin(beta=0.433), 1,2,3,7,8-PeCDD(beta=0.998), 1,2,3,4,7,8-HxCDD(beta=0.773), 1,2,3,6,7,8-HxCDD(beta=0.255), 1,2,3,7,8,9-HxCDD(beta=3.468), 1,2,3,4,6,7,8-HpCDD(beta=0.109) were found to be significantly related to the total exposure score(p<0.005). CONCLUSION: This study demonstrated that the use of such categorizations as a surrogate measure of agent orange exposure in identifying exposure degrees in a health impact study is valid.
Centers for Disease Control and Prevention (U.S.)
;
Citrus sinensis*
;
Confounding Factors (Epidemiology)
;
Humans
;
Military Personnel
;
Tetrachlorodibenzodioxin
;
Veterans*
;
Vietnam*
9.Past, Present, and Future of Ewha Medical Care.
Koo Young JUNG ; Sang Jin SHIN
The Ewha Medical Journal 2017;40(1):1-8
Historically, Ewha University Medical Center roots from Boguyeogwan, which was founded by missionaries in 1887 as the first women's hospital. Inheriting the spirit of missions, Ewha Medical Care (EMC) is an official missionary activity of Ewha Womans University that provide regular mission trips to offer medical services in underdeveloped countries. The first EMC trip was to Nepal in 1989 at the request of Nepalese Sakura Rajbhandary, a graduate of Ewha Womans University Medical School. Mission trips continued to Nepal from 1989 to 2001, and since 2003 mission fields were changed to Cambodia, Vietnam, and Uzbekistan. Since 2014, EMC has sent 3 mission teams to each countries, Cambodia, Vietnam, and Uzbekistan, every year. The final mission of EMC in the future is to establish a missionary hospital in the third world where medical service is in need as Boguyeogwan was established by missionaries to protect and save poor Korean women in the past.
Academic Medical Centers
;
Cambodia
;
Female
;
Humans
;
Missionaries
;
Nepal
;
Religious Missions
;
Schools, Medical
;
Uzbekistan
;
Vietnam
10.Pilot Study on Recruiting Medical Checkup Participants by Mail Survey among Korean Vietnam Veterans.
Sang Wook YI ; Jae Seok HONG ; Heechoul OHRR
Korean Journal of Preventive Medicine 2003;36(2):171-178
OBJECTIVE: The aim of this study was to identify the validity of recruiting medical checkup participants of Vietnam veterans using a mail survey, and to identify the 'Vietnam service related characteristics' and `general characteristics' of Vietnam veterans groups. METHOD: In this study, a total 900 veterans were randomly selected from the list of Vietnam veterans from 1964 to 1973. The veterans were classified into 5 groups, taking into consideration their registered status in the Ministry of Patriots and Veterans Affairs; the VRD (veterans who have agent orange-related diseases), VSD (veterans who have agent orange-suspected disease), VM (veterans who performed meritorious deeds during the war), VR (veterans who were registered with the Ministry of Patriots and Veterans Affair) and OV (other veterans) groups. By means of postal surveys, the veterans' intention to participate in the medical checkup for our research, and their socioeconomic and general characteristics were investigated. 52 surveys were returned due to the subjects not residing at the listed address, and were excluded from the analysis. RESULT: 699 of the 848 veterans (82.4%) responded to the survey, of which 619 (88.6%) intended to participate in the medical checkup for our research. The 5 veterans groups all had similar ages, Vietnam service period, Agent Orange exposure, troop characteristic and wartime class, with the exception of VM, who were older, and with a greater number of officers than the other 4 groups. There was a big difference in the health statius among the Vietnam veterans group. The VM and OV were much healthier than VRD, VSD and VR groups. The socioeconomic stati of the VRD, VSD and VR groups were lower than those of the VM and OV groups. CONCLUSION: Although there were some limitations, the recruitment, by mail, of medical checkup participants from Vietnam veterans is a valid and feasible method. The VM and OV groups were much healthier, and with higher socioeconomic stati, than the VRD, VSD, and VR groups.
Citrus sinensis
;
Humans
;
Intention
;
Methods
;
Pilot Projects*
;
Postal Service*
;
Veterans*
;
Vietnam*