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Bach Nguyen,1 Quynh Thi Huong Bui,2,3 Phuong Que Tran2 1Department of Nephrology, Thong Nhat Hospital, Ho Chi Minh City, Vietnam; 2Department of Clinical Pharmacy, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam; 3Department of Pharmacy, Thong Nhat Hospital, Ho Chi Minh City, VietnamCorrespondence: Bach Nguyen, Department of Nephrology, Thong Nhat Hospital, 1 Ly Thuong Kiet Street, Tan Binh District, Ho Chi Minh City, 700000, Vietnam, Tel +84 28 918209808, Fax +84 28 3865 6715, Email nguyenbach69@gmail.comPurpose: The present study aimed at evaluating the survival rate, its associated factors, and the causes of death in elderly patients undergoing continuous ambulatory peritoneal dialysis (CAPD) in Vietnam.Patients and Methods: This is a retrospective, observational study conducted among patients aged ≥ 65 years who underwent CAPD at Thong Nhat Hospital, Ho Chi Minh City, Vietnam, from April 2012 to December 2020. The Kaplan–Meier method was used to calculate the cumulative survival rate, and the Log rank test was used to analyze the factors associated with the survival rate of patients.Results: This study enrolled a total of 68 patients with a mean age of 71.93 ± 7.44 years at the initiation of CAPD. The most common complication among kidney failure patients was diabetic nephropathy (39.71%). The rate of concomitant cardiovascular diseases was 58.82%. The average survival rate was 45.59 ± 4.01 months. Peritonitis was the most common factor causing death (31.25%), followed by cardiovascular diseases (28.12%) and malnutrition (25%). The factors that impacted the survival rate included concomitant cardiovascular diseases, low serum albumin (< 35 g/dL), and an indication of CAPD due to exhausted vascular access for hemodialysis at baseline. The main factor associated with a shorter survival time was concomitant cardiovascular diseases.Conclusion: It is necessary to improve the survival time beyond 5 years for elderly patients undergoing CAPD, especially for those with concomitant cardiovascular diseases. Besides the prevention of peritonitis, adequate measures to protect from cardiovascular diseases and malnutrition will reduce the mortality rate in patients on CAPD.Keywords: CAPD, elderly, Vietnamese, concomitant diseases, cardiovascular diseases

Trang Thi Hanh Do,1 Quyen Thi Tu Bui,2 Bui Thi Thu Ha,3 Thi Minh Le,3 Vui Thi Le,3 Quynh-Chi Thai Nguyen,3 Kimberly Joyce Lakin,4 Tung Thanh Dang,5 Loi Van Bui,5 Thien Cong Le,5 An Thi Ha Tran,5 Hien Thi Thu Pham,5 Tuan Van Nguyen5 1Faculty of Environmental and Occupational Health, Hanoi University of Public Health, Hanoi, Vietnam; 2Faculty and Fundamental Sciences, Hanoi University of Public Health, Hanoi, Vietnam; 3Faculty of Social and Behavioral Sciences, Hanoi University of Public Health, Hanoi, Vietnam; 4Nossal Institute for Global Health, Melbourne School of Population and Global Health, Melbourne, Victoria, Australia; 5The National Institute of Mental Health, Bach Mai Hospital, Hanoi, VietnamCorrespondence: Quyen Thi Tu Bui, Department of Biostatistics, Faculty of Fundamental Sciences, Hanoi University of Public Health, 1A Duc Thang Street, Bac Tu Liem District, Hanoi, Vietnam, Tel +84 912 225 245, Fax +84 24 6266 2385, Email btq@huph.edu.vnPurpose: Detection of antenatal common mental disorders in low-resource settings like Vietnam is important and requires a reliable, valid and practical screening tool. Currently, there is no such tool validated for use among pregnant women in Vietnam. This study aims to assess the validity of the Vietnamese version of the 20-item Self Reporting Questionnaire (SRQ-20) by evaluating its reliability, factorial structure, and performance in detecting common mental disorder (CMD) symptoms, thereby identifying the optimum cut-off score for CMD screening among pregnant women in Vietnam.Participants and Methods: A total of 210 pregnant women from four rural communes participated in a face-to-face interview using the Vietnamese version of the SRQ-20, followed by a clinical diagnostic interview based on ICD-10 diagnostic criteria of CMDs. The reliability of the SRQ-20 was assessed by calculating the scale’s Cronbach’s alpha to measure internal consistency. Factor analyses were undertaken to examine the factor structure of the instrument. The Receiver Operating Characteristic (ROC) curve analysis was performed to assess the performance of the SRQ-20 against the clinical diagnosis and to identify the optimum cut-off score.Results: Internal consistency was good, with a Cronbach’s alpha of 0.87. Factor analyses resulted in a 4-factor solution. The area under the ROC curve (AUC) for detection of CMDs was 0.90. The optimum cut-off score of the SRQ-20 for detection of CMD symptoms among Vietnamese pregnant women was 5/6.Conclusion: The Vietnamese version of the SRQ-20 has the capacity to detect CMDs among pregnant women effectively and is recommended for use as a screening tool for CMDs in antenatal care settings in Vietnam.Keywords: SRQ-20, screening, common mental disorders, pregnant women, Vietnam

Save the Children's CS-18 Project implemented from 2003 to 2008 aimed to improve child health and nutritional status people in Quangtri Province through the increased use of life-saving health interventions, both behaviors and services. This baseline survey, conducted at the start of the project to provide data to evaluate the effectiveness of the intervention upon its completion. A household survey was conducted of four hundred mothers of children under 2 years of age. Logistic regression was used to determine the relationship between maternal care behaviours and child health, controlling for confounding variables. In-depth interviews with 27 mothers and 4 focus group discussions with 38 mothers were also conducted. The rate of childhood malnutrition was 40.5%. The percentage of mothers that gave birth at home was 56.5%, and only 35.4% of these used a clean home delivery kit. Health staff only attended approximately 17.7% deliveries. Few mothers and newborns (23.8%) were checked after delivery. About half the mothers 54% did not feed their child colostrum, and most mothers (81.6%) stopped breastfeeding before 18 months. 58.8% of the children were sick within a month of birth. Child malnutrition was associated with child sex, age, birth weight, ethnicity, and socio-economic status (P < .001). Low rates of safe delivery and child care practices and high rates of infant illness indicate a need for improved service provision and education. Health facilities should be staffed continuously, promote village health workers in villages. Health staff should carry out a health communication campaign about maternal and child health. Family members, especially husbands, should be encouraged to take care of recent mothers during pregnancy and delivery. [ABSTRACT FROM AUTHOR]