ABSTRACT
BACKGROUND: Medical students play important frontline roles in the prevention, early detection, and treatment of hepatitis C. This study investigated knowledge and attitudes toward hepatitis C among 5th- and 6th-year medical students and possible associated factors. METHODS: A cross-sectional survey was conducted among 2000 students from eight medical universities using a self-administered structured questionnaire. RESULTS: The mean knowledge and attitude scores for hepatitis C were 20.1 ± 4.0 (out of 26) and 10.6 ± 2.9 (out of 20), respectively. Approximately, three-quarters (74.4%) of the participants had a good knowledge score, but only a small proportion (3.1%) obtained a good attitude score. Although the participants had fairly high knowledge about the causes, consequences, and transmission routes of hepatitis C, there were important gaps in their knowledge about hepatitis C screening and treatment. In multivariate analysis, female students, 5th-year students, and students from the central provinces had significantly higher knowledge and attitude scores. There was a low positive correlation between knowledge and attitude scores. CONCLUSION: This study points out the need to update the medical training curriculum to improve the knowledge and attitude of students about hepatitis C infection.
Subject(s)
Hepatitis C, Chronic , Hepatitis C , Students, Medical , Antiviral Agents/therapeutic use , Cross-Sectional Studies , Female , Health Knowledge, Attitudes, Practice , Hepacivirus , Hepatitis C/drug therapy , Hepatitis C/epidemiology , Humans , Surveys and Questionnaires , VietnamABSTRACT
BACKGROUND: Building capacity in hepatitis B virus prevention and management for medical students and health professionals is one of the pillars of the national viral hepatitis control strategy. METHODS: A cross-sectional study was conducted at eight medical universities from the northern, central and southern regions of the country between May and November 2020 using a systematic random sampling technique. RESULTS: Among 2000 participants, 84.2% reported they had been tested for hepatitis B and 83.9% had received the hepatitis B vaccine. The mean knowledge, attitude, practice score was 40.2 out of 54 (74.4%) with only 19.9% of the study participants obtaining a good score. In multivariate analysis, fifth year students, students from central universities, students who had tested positive for hepatitis B and students who had received hepatitis B vaccine or had encountered patients with chronic hepatitis B had significantly higher knowledge score (p < 0.05). The study showed lack of trust in the hepatitis B vaccine safety and lack of confidence in providing counselling, testing and management of patients with chronic hepatitis B. CONCLUSION: Findings from our research emphasized an immediate need to improve the medical schools' training curriculum in Vietnam to enable students' readiness in hepatitis B prevention and management.
Subject(s)
Hepatitis B , Students, Medical , Cross-Sectional Studies , Health Knowledge, Attitudes, Practice , Hepatitis B/epidemiology , Hepatitis B/prevention & control , Hepatitis B Vaccines , Hepatitis B virus , Humans , Surveys and Questionnaires , Vietnam/epidemiologyABSTRACT
Tuberculosis treatment in HIV/AIDS patients was usually difficult, complex and expensive but the successful rate was low. The responses of tuberculosis treatments were depended on each stage of HIV infection. In patients with HIV who didn’t change yet into AIDS had good responses of tuberculosis treatments but the recurrent rate was rather high. In patients with AIDS, most of responses to tuberculosis treatments were bad; treatment failures and death rate were high. In addition, multi-resistant tuberculosis usually occurred in patients with HIV/AIDS. Therefore, it was necessary to firmly apply preventive principles, to manage patients with tuberculosis/HIV in the preventive and control tuberculosis and HIV programme in community, especially using DOT
Subject(s)
HIV , Acquired Immunodeficiency Syndrome , Tuberculosis , TherapeuticsABSTRACT
Spontaneous pneumothorax is commonly due to forming a hole from alveolus into pleural cavity. This is a complex disease and it is difficult to diagnose the causes and to treat. 90% patients with spontaneous pneumothorax were found through pleural endoscopy and 80% patients are detected through chest CT scan. 90% patients had some symptoms such as difficulty breathing or acute chest pain. 55%-67% spontaneous pneumothorax cases were complications of chronic obstructive pulmonary disease. Death rate in spontaneous pneumothorax was 15-20%. The rate of recurrent spontaneous pneumothorax is relatively high (46%). Therefore, correct diagnosis could play an important role in appropriate therapy
