Background: s/Aims: Pancreaticoduodenectomy (PD) is the only radical treatment for periampullary malignancies. Superior mesenteric artery (SMA) first approach combined with total meso-pancreas (MP) excision was conducted to improve the oncological results.There has not been any previous research of a technique that combines the SMA first approach and total MP excision with a detailed description of the MP macroscopical shape. Methods: We prospectively assessed 77 patients with periampullary malignancies between October 2020 and March 2022 (18 months). All patients had undergone PD with SMA first approach combined total MP excision. The perioperative indications, clinical data, intra-operative index, R0 resection rate of postoperative pathological specimens (especially mesopancreatic margin), postoperative complications, and follow-up results were evaluated. Results: The median operative time was 289.6 min (178−540 min), the median intraoperative blood loss was 209 mL (30−1,600 mL).Microscopically, there were 19 (24.7%) cases with metastatic MP, and five cases (6.5%) with R1-resection of the MP. The number of lymph nodes (LNs) harvested and metastatic LNs were 27.2 (maximum was 74) and 1.8 (maximum was 16), respectively. Some (46.8%) patients had pancreatic fistula, but mostly in grade A, with 7 patients (9.1%) who required re-operations. Some 18.2% of cases developed postoperative refractory diarrhea. The rate of in-hospital mortality was 1.3%. Conclusions The PD with SMA first approach combined TMpE for periampullary malignancies was effective in achieving superior oncological statistics (rate of MP R0-resection and number of total resected LNs) with non-inferior short-term outcomes. It is necessary to evaluate survival outcomes with long-term follow-up.

Objectives: The prevalence of posttraumatic stress disorder (PTSD) has increased, particularly among individuals who have recovered from coronavirus disease 2019 (COVID-19) infection. Health literacy is considered a “social vaccine” that helps people respond effectively to the pandemic. We aimed to investigate the association between long COVID-19 and PTSD, and to examine the modifying role of health literacy in this association. Methods: A cross-sectional study was conducted at 18 hospitals and health centers in Vietnamfrom December 2021 to October 2022. We recruited 4,463 individuals who had recovered from COVID-19 infection for at least 4 weeks. Participants provided information about their sociodemographics, clinical parameters, health-related behaviors, health literacy (usingthe 12-item short-form health literacy scale), long COVID-19 symptoms and PTSD (Impact Event Scale-Revised score of 33 or higher). Logistic regression models were used to examine associations and interactions. Results: Out of the study sample, 55.9% had long COVID-19 symptoms, and 49.6% had PTSD.Individuals with long COVID-19 symptoms had a higher likelihood of PTSD (odds ratio [OR], 1.86; 95% confidence interval [CI], 1.63–2.12; p < 0.001). Higher health literacy was associated with a lower likelihood of PTSD (OR, 0.98; 95% CI, 0.97–0.99; p = 0.001). Compared to those without long COVID-19 symptoms and the lowest health literacy score, those with long COVID-19 symptoms and a 1-point health literacy increment had a 3% lower likelihood of PTSD (OR, 0.97; 95% CI, 0.96–0.99; p = 0.001). Conclusion Health literacy was found to be a protective factor against PTSD and modified the negative impact of long COVID-19 symptoms on PTSD.

Background: many studies showed that obesity rate was significantly higher in women than in men and 60-80% of overweight/obesity caused by diet. Hanoi and Ho Chi Minh City were two of 10 provinces that had the highest rates of obesity. Objectives: to determine the actual rate of overweight/obesity and describe some related factors among Hanoians aged 50-59. Subjectives and Method: a cross sectional survey within a case-control study. The study was carried out in 14 wards under 7 districts of urban Hanoi. Body fat percentage was measured by machine Omron (Japan). Overweight/obesity evaluations were based on classification scales of WHO 1998 and IDI&WPRO 2000. Results: the mean rate of overweight/obesity was 23.1% (26.2% in women vs. 21.9% in men). The rate of women with waist to hip ratio >0.85 (39.83%) was higher than that in male (29.38%). Proportions of body fat percentage greater than 30% were 58.40% in female and 40.06% in male. Overweight/obesity was closely related with sedentary lifestyle, such as spending less time for exercise and sports, high food expenditures, etc. It was found that people with overweight or obese family members were 3 times at risk of overweight/obesity higher /than others. That rates of overweight/obese people with elevated level of biomarkers were composed of 48.99% with high blood cholesterol (>5.2mmol/l); 9.69% with blood glucose (\ufffd?.0mmol/l); especially 65.33% with high triglyceride (>1.7mmol/l); 7.22% with low HDL-C (<1.15 mmol/l); and 8.23% with high LDL-C (\ufffd?.00mmol/l). Conclusions: rate of overweight/obesity among Hanoians aged 50-59 was relatively high. Some related factors were described: waist to hip ratio, body fat percentage, sedentary lifestyle, such as spending less time for exercise and sports, high food expenditures, etc.
Overweight/epidemiology ; Obesity/epidemiology ; Risk Factors ; Middle Aged ;

This is a cross-sectional analysis baseline survey in 8 communes belonging to international project Viet Nam-Finance of "Quang Tri Rural Development Programme". Objectives: To assess actual situation and factors affecting the household food and nutrition security in order to recommend feasible intervention measures, which include agricultural production for improving population's dietary intakes. Methods: Subjects were selected from households, mothers and childrren. Combined quantitative-qualitative methods was applied for households. Results: Food insecurity was still experienced by the households; poor infrastructure system, health environment services, personal hygiene and care, especially in Dak Rong. LBW rates and child malnutrition prevalences of 3 forms were high. CED rate of mothers with children under five was not so high, but significantly related to the child underweight. Conclusion: LBW rates and pediatric malnutrition prevalences of 3 forms were very high in Dak Rong and the poor households found more likely to be the consequence of high CED rate of mothers, household food insecurity, poor health-environment services, personal hygiene and care (underlying fators), poor infrastructure system and education level, especially in Dak Rong (basic ones).
Nutritional Status ; Child ; Mothers

he effectiveness of nutritional programme in the ”QuangBinh GTZ-IPS Integrated Food Security Programme” was evaluated from1996 to 2002. In realying the project, 80-85% of mother gave birth to child in health service facilities;ln general, 98,3% of pregnant women got gestational consultation,while 85,1% got 3 medical visits. During gestation, 60% of women ate more, almost pregnant women got 2-3 month rest before delivering, 93% did not abstain from any food.90-98% of women who brought up under five -year -old child known about colostrum and to begin breast-feeding soon at the 1st postpartum hour; 57,3% known about supplementary food, 22% could know whether their children get malnourished, 90% known that malnutrition could be controlled successfully,80-90, 2% known that vitamin A deficiency could be treated by consuming foods containing vitamin A/carotene and administered by vitamin A capsula 2 times a year
Nutritional Status ; education ; communication ; Food ;

A final impact evaluation of “Quang Binh – GTZ- Intergrated Food Security Project” (1996-2001) on 360 households, 671 children under five and 360 mothers with under five children at 12 project communes belonging to Tuyen Hoa and Minh Hoa district has been conducted. The results showed that: child malnutrition prevalence has been reduced: underweight was signficant lower than that in 1996. Wasting was 5.9% in Tuyen Hoa, 3.7 % in Minh Hoa. Stunting was still very high, 50.% in Tuyen Hoa, 58.3% in Minh Hoa, not different from that in 1996, higher than national data 2001 (35.0%). Lower Birth Weight (LBM) rate was 5.3%. The CED of mothers with under five children in Tuyen Hoa was 16% and in Minh Hoa 21%, significant lower than those in 1996 (37.8% and 27.2%)
Nutritional Status ; Mothers ; Child

Objective: Rapidly evaluate and determine food and nutrition security situation in 8 communes of 3 districts Dak Rong, Cam Lo and Hai Lang, Quang Tri province, to provide necessary information for full survey, propose interventions in order to improve household food and nutrition security situation. Method: cross-sectional, rapid appraisal. Results: rate of poor household is high (45.8%). Infrastructure system, especially agriculture, in Dak Rong is very poor. Pre-harvest rice shortage and hunger still occurs commonly among poor households in 3 districts, especially in Van Kieu/Pako households (rice shortage occurs 4-6 months/year in average), where the number of malnourished children CED mothers are very high
Food ; Family Characteristics ; Epidemiology

The efficace of nutritional activities was assessed. The knowledge and practices of nutrition of mothers and the status of nutrition of infant under 24 months old age in Ngoc Chau commune were evaluated on December 2000, in comparing with control (Ngoc Ly commune). A decrease of the prevalence of light weigh, stunted and thin children was noted in 2000, comparing with the year 1999. Breast feeding within 30 after birth in Ngoc Chau (a intervened commune) accouting for 85%, dramatically higher than the control (66.5%). The rate of infants with supplemented diet intime of age is higher so and the rate of mother who supply infant with solutions other than mother milk before first breast feeding is lower drammatically than the control. Incase of diarshoea of infant, 100% of mothers in Ngọc Châu conduct normal diet regime for children
Pregnant Women ; Knowledge ; Nutritional Status ; child

The retrospective cross sectional survey from December 26, 2001 to January 4/2002 was conducted on 360 households with under 5 years old, 671 children and 360 mothers in 12 villages in Tuyen Hoa district of Quang Binh province, in the project of Quang Binh – GTZ – IFSP. Household food security was improved dramatically in comparing with that of the year 1996, with 77.2 - 79.3% of households having got enough food quantity. As regard the knowledge on nutrition and health, there is some progress. The prevalence of chronical energy deficiency in mother accounted for 16% in Tuyen Hoa and 21% in Minh Hoa district in the year 2001, lower than that of the year 1996 (37.8% and 27.2% respectively, average 32.5%). The prevalence of malnutrition of under weight reduced dramatically in comparing with the year 1996 (from 56.2% to 33.2%) – 3,5% reduced/year. Very severe and severe malnutrition prevalence reduced by more a half, malnutrition of wasting 5.2% in comparing with 13.1% in the year 1996 and stunting 52.8% and in 1996 52.2%
Child Nutrition Sciences ; Food ; Child

The third observation of a longitudinal study on food and nutrition security of two different socio-economic groups of households at Bai Say commune, Hung Yen province showed that: the average energy intake is low and there is a significant higher in the rich group. Especially, mothers and children in poor intake the food that is very poor on quantity, quality nutrients. Energy derived from protein of the two groups is about 11-12% of total energy but that from fat/oil is very low: 6-7% of total energy, making the proportion of P: L: G imbalance. The energy intake of children from 2 to 3 years of age in both groups is low, meets only 60-67% of RDA.
Food ; Mothers ; Child