Utilization of point-of-care ultrasound among graduates of a 4-year longitudinal medical school ultrasound curriculum

Nguyen Andy Phan,Saadat Soheil,Nguyen Michelle Thao,Desai Monica,Rowland Jonathan Wesley,Fox John Christian 대한응급의학회 2023 Clinical and Experimental Emergency Medicine Vol.10 No.2

Objective: In 2011, School of Medicine, University of California, Irvine was among the first schools to implement a 4-year ultrasound curriculum. We aimed to find the point-of-care ultrasound (POCUS) utilization pattern among University of California, Irvine alumni. Methods: We surveyed University of California, Irvine alumni from the class of 2011 and beyond. Survey questions included POCUS reliance, frequency of use, and comfort with image acquisition and interpretation compared with peers. The primary outcomes were self-reported comfort and reliance on POCUS. Results: We received 93 responses from 624 surveyed alumni (response rate, 14.9%), of which 87 were analyzed. Although 46 respondents (52.9%) reported more reliance on POCUS, three (3.4%) relied on it less than their peers. At the same time, 72 (82.7%) and 67 (77.0%) felt more comfortable than their colleagues in obtaining and interpreting POCUS, respectively. No respondents felt less comfortable obtaining or interpreting POCUS than their peers. The frequency of POCUS use correlated directly with the frequency with which POCUS changed the responder’s case management (rho, 0.860; P<0.001). POCUS reliance also correlated with respondents’ comfort level in obtaining (rho, 0.321; P<0.001) and interpreting (rho, 0.378; P<0.001) POCUS results. Conclusion: University of California, Irvine graduates had higher reliance on POCUS than peers in their respective specialties. Their POCUS findings frequently changed their case management.

Epidemiology and Prevention of Prostate Cancer in Vietnam

Dong, Hoang Van,Lee, Andy H.,Nga, Nguyen Hoai,Quang, Nguyen,Chuyen, Vu Le,Binns, Colin W. Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.22

Prostate cancer is the second most common cancer in men worldwide and a leading cause of mortality. Incidences continues to rise and vary substantially between populations. Although the prevalence of prostate cancer is relatively low in Vietnam, some hospital-based reports have shown an upward trend in recent years. While certain non-modifiable factors such as age, race and genetics are known to be mainly responsible, the literature has also suggested that environmental exposures can delay the onset of this disease. The present study provides a review of the epidemiology of prostate cancer in Vietnam by systematically searching several electronic databases. The results confirm an increasing trend of prostate cancer over the past decade, with age-standardised rate more than doubled from 2.2 per 100,000 men in 2000 to 4.7 per 100,000 men in 2010. However, no study has been found on modifiable risk factors, with the exception of one in vitro experiment that showed the inhibitory effect of garlic on the growth of prostate cancer cells. The lack of epidemiological information poses a difficulty to develop public health interventions to prevent this emerging malignant disease in Vietnam.

Plastic hinge length of circular reinforced concrete columns

Yu-Chen Ou,Raditya Andy Kurniawan,Dimas Pramudya Kurniawan,Nguyen Dang Nguyen 사단법인 한국계산역학회 2012 Computers and Concrete, An International Journal Vol.10 No.6

This paper presents a parametric study of the plastic hinge length of circular reinforced concrete columns using a three-dimensional finite element analysis method, and using the Taguchi robust design method to reduce computational cost. Parameters examined include the longitudinal reinforcing ratio, the shear span-to-depth ratio, the axial force ratio and the concrete compressive strength. The study considers longitudinal reinforcement with yield strengths of 414 MPa and 685 MPa, and proposes simplified formulas for the plastic hinge length of circular reinforced concrete columns, showing that increases in plastic hinge length correlate to increases in the axial load, longitudinal reinforcing and shear span-todepth ratios. As concrete strength increases, the plastic hinge length decreases for the 414 MPa case but increases for the 685 MPa case.

Objectively Measured Physical Activity of Vietnamese Adults With Type 2 Diabetes: Opportunities to Intervene

Vuong Van Do,Jonine Jancey,Ngoc Minh Pham,Chung Thanh Nguyen,Minh Van Hoang,Andy H. Lee 대한예방의학회 2019 Journal of Preventive Medicine and Public Health Vol.52 No.2

Objectives: To objectively determine and compare the physical activity (PA) levels of adults newly diagnosed with type 2 diabetes (T2D) and adults without T2D in Vietnam using an accelerometer. Methods: A total of 120 participants with newly diagnosed T2D and 120 adults without T2D were recruited from a large hospital in Hanoi, the capital city of Vietnam. All participants wore an ActiGraph GT3X accelerometer for at least 5 days, including 1 weekend day. Freedson cut-off points were used to estimate different intensities of PA. In addition, comparisons between groups were made with respect to achieving the World Health Organization (WHO) and International Diabetes Federation (IDF) recommended PA guidelines. Results: Men with T2D had significantly lower levels of PA than men without T2D. The respective multivariable-adjusted mean values of daily step count, daily light-intensity, moderate-intensity, and moderate-to-vigorous-intensity PA were approximately 14%, 19%, and 22% lower in the men with T2D than in their non-T2D counterparts. However, women with T2D accumulated a greater number of steps per day than women without T2D. Only 59.2% of the adults with T2D met the minimum recommended level of PA (WHO and IDF), compared to 74.2% of adults without T2D (p<0.05). After adjusting for potential confounders, participants with T2D experienced 50.0% significantly lower odds of achieving PA recommendations. Conclusions: Vietnamese men with T2D were less physically active than those without T2D, and adults with T2D were less likely to meet PA guidelines. The results suggest a need for integrating PA into the self-management of this chronic condition.

Objectively Measured Physical Activity of Vietnamese Adults With Type 2 Diabetes: Opportunities to Intervene

Do, Vuong Van,Jancey, Jonine,Pham, Ngoc Minh,Nguyen, Chung Thanh,Hoang, Minh Van,Lee, Andy H. The Korean Society for Preventive Medicine 2019 Journal of Preventive Medicine and Public Health Vol.52 No.2

Objectives: To objectively determine and compare the physical activity (PA) levels of adults newly diagnosed with type 2 diabetes (T2D) and adults without T2D in Vietnam using an accelerometer. Methods: A total of 120 participants with newly diagnosed T2D and 120 adults without T2D were recruited from a large hospital in Hanoi, the capital city of Vietnam. All participants wore an ActiGraph GT3X accelerometer for at least 5 days, including 1 weekend day. Freedson cut-off points were used to estimate different intensities of PA. In addition, comparisons between groups were made with respect to achieving the World Health Organization (WHO) and International Diabetes Federation (IDF) recommended PA guidelines. Results: Men with T2D had significantly lower levels of PA than men without T2D. The respective multivariable-adjusted mean values of daily step count, daily light-intensity, moderate-intensity, and moderate-to-vigorous-intensity PA were approximately 14%, 19%, and 22% lower in the men with T2D than in their non-T2D counterparts. However, women with T2D accumulated a greater number of steps per day than women without T2D. Only 59.2% of the adults with T2D met the minimum recommended level of PA (WHO and IDF), compared to 74.2% of adults without T2D (p<0.05). After adjusting for potential confounders, participants with T2D experienced 50.0% significantly lower odds of achieving PA recommendations. Conclusions: Vietnamese men with T2D were less physically active than those without T2D, and adults with T2D were less likely to meet PA guidelines. The results suggest a need for integrating PA into the self-management of this chronic condition.

Prestress and excitation force identification in a prestressed concrete box-girder bridge

Ziru Xiang,Tommy H.T. Chan,David P. Thambiratnam,Andy Nguyen 사단법인 한국계산역학회 2017 Computers and Concrete, An International Journal Vol.20 No.5

Prestress force identification (PFI) is crucial to maintain the safety of prestressed concrete bridges. A synergic identification method has been proposed recently by the authors that can determine the prestress force (PF) and the excitation force simultaneously in prestressed concrete beams with good accuracy. In this paper, the ability of this method in the application with prestressed concrete box-girder bridges is demonstrated. A reasonable assumption is made to capture the similarity of the dynamic behavior of the prestressed concrete box-girder bridge and a beam under a certain loading scenario, and the feasibility of this method for application in a prestressed box-girder bridge is affirmed. A comprehensive laboratory test program is conducted, and the effects of PF, excitation, measuring time and uncertainties are studied. Results show that the proposed method can predict the PF and the excitation force in a prestressed concrete box-girder accurately and has a great robustness against uncertainties.