<strong>Aims:</strong> Wound care is the basic technique in patient care which has direct effects on treatment outcome. However, the Agriculture General Hospital (AGH), Vietnam, has never organized a conti...<strong>Aims:</strong> Wound care is the basic technique in patient care which has direct effects on treatment outcome. However, the Agriculture General Hospital (AGH), Vietnam, has never organized a continuing professional development (CPD) training program based on Vietnam’s Basic Nursing Competency Standards (VNBNCS) for their nurses. This study aimed to examine the knowledge, practice, and confidence level among nurses at the AGH after 12 months of implementing a VNBNCS-based wound care training program. <strong>Methodology: </strong>This descriptive and comparative study assessed the changes in knowledge, practice, and confidence scores of 43 nurses at five clinical departments before and 12 months after the training program (April 2018 to June 2019). Data were collected using a self-administrated knowledge questionnaire with 48 items, a 13-item confidence checklist, and a 16-item skills checklist. EpiData 3.1 and SPSS 18.0 were used to enter and analyze data, respectively. <strong>Results:</strong> The mean scores of knowledge (113.70 ± 14.75 vs. 129.7 ± 19.6), and practice (63.21 ± 19.99 vs. 132.07 ± 4.31) statistically significantly increased 12 months after training (<em>p</em> < 0.001). The mean score of confidence in performing wound care increased in all of the 13 aspects (<em>p</em> < 0.001). <strong>Conclusion:</strong> Nurses’ wound care-related knowledge, practice, and confidence have improved 12 months after training. This demonstrates the VNBNCS-based wound care training program developed by Viet Duc University Hospital is suitable for use in the AGH and has achieved its promising initial outcomes. This program should be duplicated in other health facilities.展开更多
Infections caused by Strongyloides stercoralis(S.stercoralis) in human are generally asymptomatic,however in immunocompromised individual,hyperinfection may develop with dissemination of larvae to extra-intestinal org...Infections caused by Strongyloides stercoralis(S.stercoralis) in human are generally asymptomatic,however in immunocompromised individual,hyperinfection may develop with dissemination of larvae to extra-intestinal organs.The diagnosis could be easily missed due to asymptomatic presentation and insufficient exposure towards the infection itself,which may lead to low index of suspicion as a consequence.In this report,a case of a Malaysian male with underlying diabetes mellitus,hypertension,cerebrovascular accident,bullous pemphigus and syndrome of inappropriate antidiuretic hormone secretion who initially complained of generalized body weakness and poor appetite without any history suggestive of sepsis is presented.However,he developed septicemic shock later,and S.stercoralis larvae was incidentally found in the tracheal aspirate that was sent to look for acid fast bacilli.Regardless of aggressive resuscitation,the patient succumbed due to pulmonary hemorrhage and acute respiratory distress syndrome.It was revealed that the current case has alarmed us via incidental finding of S.stercoralis larvae in the tracheal aspirate,indicating that the importance of the disease should be emphasized in certain parts of the world and population respectively.展开更多
The extracted fish samples (w/w) using pressurized liquid extraction (PLE) were cleaned up by applying different adsorbent materials such as: combination of acidic/ basic silica and alumina, florisil, and silica gel e...The extracted fish samples (w/w) using pressurized liquid extraction (PLE) were cleaned up by applying different adsorbent materials such as: combination of acidic/ basic silica and alumina, florisil, and silica gel either alone or in combination with another sort of sorbent. Different solvents such as hexane (H), dichloromethane (DCM), with different compositions were used to elute the PCBs target compounds from the spiked fish samples. Overall the mean percentage recoveries for all PCBs congeners using PLE were ranging from 78.6% to 98.7%;from 79.4% to 91.8%;from 65.8% to 104.5% and from 82.4% to 100.9% for cases A, B, C, D and E, respectively. However, the overall mean percentage recoveries for the 13C-PCBs surrogate including: 101, 138, 153, 180 and 209 were ranging from 88.2% to 97.6%;from 79.4% to 90.2%, from 88.3% to 96.4%, from 79.8% to 90.4% and from 83.9% to 95.9%, for cases A, B, C, D and E, respectively. The limits of detection of the proposed method were varied from 0.01 to 0.28 ng/g (w/w) for different PCBs congeners. The proposed method has linear dynamic range from 21.5 ng/g to 109 ng/g. This method was applied to fish samples for the determination of the target PCBs components.展开更多
Obstructive Sleep Apnea (OSA) has been identified by many studies as one of the significant contributing factors for motor vehicle accidents. However, only a small number of studies have been conducted in Malaysia. Ob...Obstructive Sleep Apnea (OSA) has been identified by many studies as one of the significant contributing factors for motor vehicle accidents. However, only a small number of studies have been conducted in Malaysia. Objective: This paper aims to highlight the prevalence of OSA among truck drivers and express bus drivers in Malaysia and efforts being undertaken to address issues related to OSA among commercial vehicle drivers. Methodology: Two separate studies were conducted: a cross sectional study among truck drivers and secondly among express bus drivers. The screening process for identifying the high risk group for OSA was done using Berlin questionnaire. Meanwhile, among express bus drivers, OSA was confirmed with sleep study using polysomnography test. Result: Screening of risk group of OSA among truck drivers revealed that 14.6% (19) of drivers were categorized as having high risk of OSA while 85.4% (111) having low risk of OSA. While, in another study, polysomnography test among express bus drivers showed that 83 (28.7%) had mild OSA, 26 (9.0%) had AHI moderate OSA, and 19 drivers (6.6%) severe OSA. Conclusion: This paper highlighted the issues of OSA among commercial vehicle drivers in Malaysia. With an alarming high prevalence, OSA should be a major road safety concern in this country. A special study focusing on sleep and fatigue related crashes may need to be conducted to complement the current studies and full implementation of existing efforts and initiatives to address OSA in road crashes should be realized by the relevant authorities.展开更多
Research on animal intestinal microbiota is one of the most cutting-edge topics in current zoological study.In addition to getting involved in host animals’physiological functions or behaviors(Aagaard et al.2014;Woti...Research on animal intestinal microbiota is one of the most cutting-edge topics in current zoological study.In addition to getting involved in host animals’physiological functions or behaviors(Aagaard et al.2014;Woting&Blaut 2016;Schretter et al.2018;Dang&Marsland 2019),the gut microbiome has been shown to influence the relation between the hosts and their neighboring species,which would eventually affect the host’s fitness and evolution positively or negatively(Douglas 2015;Sherwin et al.2019;Xu et al.2019;Groussin et al.2020;Jang&Kikuchi 2020).展开更多
Integrative Zoology(INZ)is the official journal of the International Society of Zoological Sciences(ISZS).The journal has made some remarkable gains in the past years.The Impact Factor increases steadily and ranks top...Integrative Zoology(INZ)is the official journal of the International Society of Zoological Sciences(ISZS).The journal has made some remarkable gains in the past years.The Impact Factor increases steadily and ranks top 25%in Journal Citation Reports(JCR)’s zoological journals for 7 years.The journal has rallied zoologists from more than 80 countries.The number of submission and publication has almost doubled from 2020 to 2022.The total downloads via Wiley Online Library increased 52.9%from 2020 to 2021,with a global reach.In the past year,6687 institutions offered access to our journal via Wiley license.展开更多
Palm-based dihydroxystearic acid of 69.55% purity was produced in a 500-kg-per-batch operation pilot plant and purified through solvent crystallization in a custom fabricated simultaneous batch crystallizer unit. The ...Palm-based dihydroxystearic acid of 69.55% purity was produced in a 500-kg-per-batch operation pilot plant and purified through solvent crystallization in a custom fabricated simultaneous batch crystallizer unit. The effects of temperature and solvent concentration on yield, particle size distribution and purity were studied. The purity was higher, while the yield and particle size were lower and smaller, respectively, at higher temperature and solvent concentration. The solvent crystallization process efficiency was rated at 66-69% when carried out with 70-80% isopropyl alcohol at 20℃.展开更多
文摘<strong>Aims:</strong> Wound care is the basic technique in patient care which has direct effects on treatment outcome. However, the Agriculture General Hospital (AGH), Vietnam, has never organized a continuing professional development (CPD) training program based on Vietnam’s Basic Nursing Competency Standards (VNBNCS) for their nurses. This study aimed to examine the knowledge, practice, and confidence level among nurses at the AGH after 12 months of implementing a VNBNCS-based wound care training program. <strong>Methodology: </strong>This descriptive and comparative study assessed the changes in knowledge, practice, and confidence scores of 43 nurses at five clinical departments before and 12 months after the training program (April 2018 to June 2019). Data were collected using a self-administrated knowledge questionnaire with 48 items, a 13-item confidence checklist, and a 16-item skills checklist. EpiData 3.1 and SPSS 18.0 were used to enter and analyze data, respectively. <strong>Results:</strong> The mean scores of knowledge (113.70 ± 14.75 vs. 129.7 ± 19.6), and practice (63.21 ± 19.99 vs. 132.07 ± 4.31) statistically significantly increased 12 months after training (<em>p</em> < 0.001). The mean score of confidence in performing wound care increased in all of the 13 aspects (<em>p</em> < 0.001). <strong>Conclusion:</strong> Nurses’ wound care-related knowledge, practice, and confidence have improved 12 months after training. This demonstrates the VNBNCS-based wound care training program developed by Viet Duc University Hospital is suitable for use in the AGH and has achieved its promising initial outcomes. This program should be duplicated in other health facilities.
文摘Infections caused by Strongyloides stercoralis(S.stercoralis) in human are generally asymptomatic,however in immunocompromised individual,hyperinfection may develop with dissemination of larvae to extra-intestinal organs.The diagnosis could be easily missed due to asymptomatic presentation and insufficient exposure towards the infection itself,which may lead to low index of suspicion as a consequence.In this report,a case of a Malaysian male with underlying diabetes mellitus,hypertension,cerebrovascular accident,bullous pemphigus and syndrome of inappropriate antidiuretic hormone secretion who initially complained of generalized body weakness and poor appetite without any history suggestive of sepsis is presented.However,he developed septicemic shock later,and S.stercoralis larvae was incidentally found in the tracheal aspirate that was sent to look for acid fast bacilli.Regardless of aggressive resuscitation,the patient succumbed due to pulmonary hemorrhage and acute respiratory distress syndrome.It was revealed that the current case has alarmed us via incidental finding of S.stercoralis larvae in the tracheal aspirate,indicating that the importance of the disease should be emphasized in certain parts of the world and population respectively.
文摘The extracted fish samples (w/w) using pressurized liquid extraction (PLE) were cleaned up by applying different adsorbent materials such as: combination of acidic/ basic silica and alumina, florisil, and silica gel either alone or in combination with another sort of sorbent. Different solvents such as hexane (H), dichloromethane (DCM), with different compositions were used to elute the PCBs target compounds from the spiked fish samples. Overall the mean percentage recoveries for all PCBs congeners using PLE were ranging from 78.6% to 98.7%;from 79.4% to 91.8%;from 65.8% to 104.5% and from 82.4% to 100.9% for cases A, B, C, D and E, respectively. However, the overall mean percentage recoveries for the 13C-PCBs surrogate including: 101, 138, 153, 180 and 209 were ranging from 88.2% to 97.6%;from 79.4% to 90.2%, from 88.3% to 96.4%, from 79.8% to 90.4% and from 83.9% to 95.9%, for cases A, B, C, D and E, respectively. The limits of detection of the proposed method were varied from 0.01 to 0.28 ng/g (w/w) for different PCBs congeners. The proposed method has linear dynamic range from 21.5 ng/g to 109 ng/g. This method was applied to fish samples for the determination of the target PCBs components.
文摘Obstructive Sleep Apnea (OSA) has been identified by many studies as one of the significant contributing factors for motor vehicle accidents. However, only a small number of studies have been conducted in Malaysia. Objective: This paper aims to highlight the prevalence of OSA among truck drivers and express bus drivers in Malaysia and efforts being undertaken to address issues related to OSA among commercial vehicle drivers. Methodology: Two separate studies were conducted: a cross sectional study among truck drivers and secondly among express bus drivers. The screening process for identifying the high risk group for OSA was done using Berlin questionnaire. Meanwhile, among express bus drivers, OSA was confirmed with sleep study using polysomnography test. Result: Screening of risk group of OSA among truck drivers revealed that 14.6% (19) of drivers were categorized as having high risk of OSA while 85.4% (111) having low risk of OSA. While, in another study, polysomnography test among express bus drivers showed that 83 (28.7%) had mild OSA, 26 (9.0%) had AHI moderate OSA, and 19 drivers (6.6%) severe OSA. Conclusion: This paper highlighted the issues of OSA among commercial vehicle drivers in Malaysia. With an alarming high prevalence, OSA should be a major road safety concern in this country. A special study focusing on sleep and fatigue related crashes may need to be conducted to complement the current studies and full implementation of existing efforts and initiatives to address OSA in road crashes should be realized by the relevant authorities.
文摘Research on animal intestinal microbiota is one of the most cutting-edge topics in current zoological study.In addition to getting involved in host animals’physiological functions or behaviors(Aagaard et al.2014;Woting&Blaut 2016;Schretter et al.2018;Dang&Marsland 2019),the gut microbiome has been shown to influence the relation between the hosts and their neighboring species,which would eventually affect the host’s fitness and evolution positively or negatively(Douglas 2015;Sherwin et al.2019;Xu et al.2019;Groussin et al.2020;Jang&Kikuchi 2020).
文摘Integrative Zoology(INZ)is the official journal of the International Society of Zoological Sciences(ISZS).The journal has made some remarkable gains in the past years.The Impact Factor increases steadily and ranks top 25%in Journal Citation Reports(JCR)’s zoological journals for 7 years.The journal has rallied zoologists from more than 80 countries.The number of submission and publication has almost doubled from 2020 to 2022.The total downloads via Wiley Online Library increased 52.9%from 2020 to 2021,with a global reach.In the past year,6687 institutions offered access to our journal via Wiley license.
文摘Palm-based dihydroxystearic acid of 69.55% purity was produced in a 500-kg-per-batch operation pilot plant and purified through solvent crystallization in a custom fabricated simultaneous batch crystallizer unit. The effects of temperature and solvent concentration on yield, particle size distribution and purity were studied. The purity was higher, while the yield and particle size were lower and smaller, respectively, at higher temperature and solvent concentration. The solvent crystallization process efficiency was rated at 66-69% when carried out with 70-80% isopropyl alcohol at 20℃.
