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BO GI~O DUC V~ D~O TAO BO Y T~ TRUONG DAI HOC Y DUOC C~N THO TR~N THANH T~NG NGHI~N C~'U TiNH HINH HEN PH~ QU~N ~ HOC SINH TRUNG HOC CO S6 • HUYEN • • LAP V~ TiNH DONG THP Chuyen ng~nh: QUAN LY Y T~ Ma s~: 62727605.CK LU~N AN CHUY~N KHOA CAP II Ngu~i d n khoa hoc PGS.TS Pham Hing Lue cAN T H0 - 20 L~I CAM DOAN Toi xin cam doan day l~ cong trinh nghi~n c u ca ri~ng toi C c so li~u, k~t qu n~u lu@n ~n l~ trung the v~ chua ting doc cong bo bat k) cong trinh n~o khc T~c gi~ lu~n ~n TR~N THANH T~NG ll Loi c~m on D~ ho~n th~nh l u n ~n t~i d~ nh~n duoc su gi~p d~ v~ moi m~t c~a quy co quan, don vi, quy th~y c~ gi~o, c~c nh~ khoa hoc, gia dinh v~ ban b~ dong nghi~p T6i xin tr~n cam on PGS.TS Pham Hing Luc, ngu~i Th~y v~i t~m long t~n tuy, d~ nhit tinh hu~ng d~n, dong vi~n, true ti~p gi~p d t i su~t qu~ trinh nghi~n Toi xin tr~n c u v c~m on: ho~n th~nh lu~n Ban gi~m n hi~u, P h o n g D~o tao sau dai hoc v~ c~c Bo mon Truong Dai hoc Y Duoc C~n tho; Ban gim h i ~ u , th~y c~ gi~o v~ hoc sinh c c truong Trung hoc co so Binh th~nh, Tan my, Long A, Long B, Vinh thanh, D i nh y~n c~a huy~n L~p v~, tinh D~ng th~p; S~ Y t~ D~ng th~p, B ~ n h v i ~ n da k h o a huy~n L ~ p vo v~ d~ c~ng t~c trinh hoc t@p v luon quan t~m, tao di~u ki~n thu~n loi cho noi ti dang t~i qui nghi~n c~u Toi xin ch~n th~nh cm on ban b~, dong nghi~p, gia dinh, nh~ng ngu~i da lu~n gi~p d~, dong vi~n, chia se kh kh~n th~i gian ti hoc t~p v~ ho~n th~nh lu~n ~n Xin duoc luong th~ v~ g~p cho nh~ng kh i ~ m khuy~t, ch~c chin nhi~u lu@n ~n Tran Thanh Ting ii i MUC LUC Trang ph bia L~i cam doan Mc Iue Danh muc c c ch~ vi~t tit Danh mue c~c bang Danh muc c c Trang bi~u d~ DiTvANDt • = (U MUC TIEU NGHIEN C Chuong : TONG QUAN TAI s 1.1.V~i n~t v~ lich LIEU o a nghi~n c u Hen ph~ q u ~ n Dinh nghia Hen phS quan Ph~n loai Hen ph~ q u ~ n 1.4 Ch~n do~n Hen ph~ qu~n 1.5 Th~m 1.6 Tinh chc 1.8 Churong : DI 2.2 2.4 Chuong : Di~u n~ng h~ h~p hinh m~c Nh~ng nguy tri Hen ~tr~em a a Hen ph~ co v~ h@u phS qu~n qu~ ph~ q u in v~ tai Vi~tnam 16 q u ~ n uan q 22 TU'ONG V~ PHU'ONG PH~P NGHI~N i ng nghien D6 tuq Phuong php a Di di�m Van d Y nghi~n c u a a a a 26 nghien cu:u dc 39 nghi~n c u a s s a s a 40 3.2 Thong tin v~ b~nh Hen ph~ 3.3 K~t qu~ chung v~ C~'U Thong tin qu~ C ~U cu:u K~T QU~ NGHI~N K~t Th~ gi~i Hen 3.4 tr~n Hen ph~ nghi~n nghi~n cru ctu di tuong v~ v trj c u q u ~ n 43 s~ ki~n nghi~n 41 PEF thc 52 phong, ch~ng h e n Chuong : BAN LU!N 64 C~c d~c di~m ca di tuong nghi~n c u a 4.2 Ty l~ HPQ ~ hoc s i n h c o o a a 68 C~c y~u t~ lien quan d~n b&nh HP Q 78 4.4 Ki~n thc v~ thc h~nh phong, ch~ng HPQ hoc sinh KET LU!N 89 KI~N NGHJ 91 TAI LIEU THAM KH~O C C PHU LC DANH MUC CKC CH~' VI~T TAT CNHH : Chic n~ng ho h~p COPD : Chronic Obstructive Pulmonary Disease ( B ~ nh ph~i t~c ngh~n man tinh ) D luu hanh DLH : PEF : Peak Expiratory Flow (Peakflow): Luu luong th~ dinh FEVI : Forced Expiratory Volume during the first second (Th~ tich th~ t~i da gi~y d~u ti~n) GINA : Global Initiative for Asthma (Chuong trinh d@ng to~n c~u phong ch~ng hen HPQ : H e n ph~ qun ISAAC : International Study of Asthma and Allergies in childhood (Nghi~n cu qu~c t~ v~ suy~n v~ di (mng ~ tr em) cu NC : Nghi~n TB :T~ b o THCS : Trung hoc co TP : Thanh ph6 WHO : World s~ Health Organization ( T ~ chc Y t~ th~ gi~i) ' Vu DANH MUC CAC B~NG S6 TT Ten b~ng B~ng : Ph~n loai mc d Trang n~ng c~a bnh theo GINA 2006 B~ng : Phan loai theo mc d6 ki~m sot hen (3 b~c) Bang : Tri s~ PEF theo tu~i, chi~u cao 15 Bing : Ty I& HPQ tr~ cm m@t s6 nu~c Dong Nam A - Th~i Binh Duong 17 B~ng : Tinh hinh HPQ tr~ em Chau A- Th~i Binh Duong B~ng : Bing ti~u chi ch~n do~n b~c hen Bing : Phan b d6i tuong nghi~n cu theo tu~i v~ gi~i 18 38 42 Bng : Phan b~ HPQ theo tu~i 45 Bing : Phan b~ HPQ theo tu~i v~ gi~i 46 Bang : Ph~n b~ b~c hen theo tu~i 48 Bing : S 1~n kho kh~ 12 thang qua 50 Bing : $6 l~n thc gic kh kh~ 12 th~ng qua 50 B~ng : C~c tri~u chng ca HPQ 51 Bing : Tri s~ PEF c a tr HP theo gii 53 B~ng : Tri s6 PEF ca tr& HPQ theo tu~i v~ gi~i 53 Bang : Tri s6 PEF ca tr~ HPQ theo b~c hen 55 B~ng 1 : Tri s~ PEF c~a tr& HPQ theo tu~i v~ b~c hen 55 B~ng : Hi~u bi~t v~ c~c y~u t~ kh~i ph~t HPQ 56 B~ng : Hi~u bi~t v~ c~c y~u t kh~i ph~t HPQ, theo truong hoc 57 B~ng : Hi~u bi~t v~ c~c y~u t6 kh~i pht HPQ, theo d@ tu~i 58 ., VII Bing : Hi~u bi~t v~ thrc h~nh phong kh i ph~t HP B~ng : Hi~u bi~t v& thc h~nh ch~ng HPQ 59 59 Bang : Hi~u bi~t v~ thuc ha~nh phong kh~i ph~t HPQ, theo truong hoc 60 B~ng : Hi~u bi~t v~ thuc h~nh chong HPQ, theo tru~ng hoc 61 B~ng : Hi~u bi~t v~ thuc h~nh phong kh~i pht HPQ, theo d6 tu~i 61 B~ng : Hi~u bi~t v~ thuc h~nh ch~ng HPQ, theo d@ tu~i 62 B~ng : Hi~u bi~t v~ phong v~ ch~a b~nh HPQ 62 Bang : Ti 1& kh~ kh~ 12 th~ng qua c~a c~c t~c gi~ 74 Vi DANH MUC CAC SO D0, BI~U D~ V~ DO THI s Ten bi~u d~ TT Trang So d~ : So d~ Phan loai HPQ ( AD O , ) So d : So d6 muc dich ch~c n~ng h~ h ~ p a 12 Bi~u d6 : Ph~n b~ m~u theo tru~ng h o c a a I Bi~u d6 : Ty l~ m~c HPQ c h u n g Bi~u d6 3.3: Ph~n b HPQ theo trung h o c 44 Bi~u d 3.4: Ph~n b6 HPQ theo gii 45 Bi~u d~ 3.5: Phan b HPQ theo b~c 47 Bi~u d6 3.6: Ph~n b~ b~c hen theo g i i a 49 D~ thi : Mi tuong quan gita tri s~ PEF vi tu~i ca tr~ HP Q D 43 52 thi : M6i tuong quan gi~a tri s6 PEF vdi chi~u cao c~a tr~ HPQ 54 D~T VAN D~ Hen ph~ qu~n l~ b~nh vi~m man tinh du~ng h~ h~p, kh~ ph~ bi~n c~c b~nh du~ng h hap ~ nu~c ta c~ng nhu ~ nhi~u nu~c tr~n th~ gi~i Ty I¢ luu h nh c~a b~nh hen ng~y c~ng gia tang nh~ng n~m gan d~y [7], [8] Theo b~o c~o ca T~ chc Y t~ th~ gi~i v~o n~m 2007, tr~n th~ gi~i c~ kho~ng 300 tri~u ngu~i m~c hen, chi~m - 8% d~n s6 d ngu~i l~n v~ hon 10% d tr~ em du~i tu~i v~ u~c tinh d~n n~m 2025, s~ n~y t~ng I~n d~n 400 tri~u ngubi [34],[44],[45] c nhi~u nu~c, khu vuc Dong Nam A - n~m d@ luu h~nh hen lai t~ng 20-50%, d~c bi~t l~ Tay Th~i Binh Duong, tinh hinh hen ph~ qu~n ~ tr~ em n~m ( - 9 ) t~ng l~n gap nhi~u l~n; Nh~t t~r 0,7% d~n 8%, ~ Singapor [25], [3 7], tu d~n 20%, Indonesia 2,3 - 9,8% v~ ~ Philippines - % [44], [45] Vi@t Nam, d@ luu h~nh hen l~ 7% chung cho c~ ngu~i In v~ tr& em, d6 luu h~nh hen thay di theo tmng vng v~ tinh trang nhi~m m~i tru~ng tr~ em, hen ph~ qu~n c~ng c~ xu t~ng nhanh, tur 4% v~o 11,6% n m O 1984 1&n v~o n~m 9 [4], [ ] Nh~ng ti~n b~ c~a khoa hoc ky thu~t y hoc hi~n d~ gip ch(ng ta ng~y cng hi~u s~u s~c hon v~ b~nh nguy~n, b~nh sinh, ch~n do~n v~ di~u trj bnh hen ph~ qu~n; Tuy nhi~n, ty l~ tu vong hen ph~ qu~n v~n ti~p tuc t~ng nhanh; chi sau ung thu, vurot I~n tr~n so v~i b~nh tim mach, trung binh 40 -60 ngu~i/1 tri~u dan [ ] , [23] Hang n~m c~ kho~ng 250.000 ngu~i tr vong b~nh hen phe qu~n, d~ r~t nhi~u tru~ng hop t~ vong c~ th phong nga duoc [40] Hen ph~ qu~n l~ nguy~n nh~n ch~ y~u khi~n ngu~i b~nh ph~i d~n kh~m v~ di~u tri nhi~u l~n tai c~c co s~ y t~, dc bi~t l~ ~ tr~ em I22 - 155 LeThiNgocH 19 Nguyen Nhut T 60 Tran Truong Minh T 156 Phan Thanh Thien C 20 Nguyen Truong Th 61 Tran Minh T 157 Duong Thi My L 21 Nguyen Phuoc D 62 Truong Minh H 158 Dao Le Bao N 22 LeHuuTh 63 Huynh Tan Th 159 Le Thi Huynh N 23 Nguyen Quang H 64 VoMinhN 160 VoThiM 24 Tran Minh Th 65 TranQuocTr 161 Le Nguyen Ngoc D 25 LeDucD 66 Le Nguyen Minh Q 162 Huynh Thi Phuong Tr 26 Truong Cong Th 67 PhamMinhN 163 Nguyen Xuan Th 27 Pham Nguyen Thanh N 68 PhamMinhM 164 Huynh Thi Kim H 28 Le Minh Ch 69 Huynh Thanh L 165 Le Thi Cam Ph 29 VoNhatC 70 VoThiThuyL 166 Nguyen Phan M Ch 30 Nguyen Van T 71 Truong Thuy M 167 Pham Thi True L 31 Nguyen Minh M 72 Pham Thanh Th 168 VoThiYenN 32 Truong Nhut M 73 Phan Thi Chau D 169 Tran Thi Kim N 33 Le Huu N 74 Nguyen Huynh Gia N 170 LeThiNgocM 34 LuuNhutH 75 HoVaNhatH 171 Tran Thi Thanh Tr 35 PhamNhatH 76 LeQuocTh 172 PhanD 36 Tran VinhH 77 Nguyen Tram A 173 Truong Hoang D 37 Le Thanh Tr 78 Nguyen Thi Thu H 174 Nguyen Hieu L 38 Le Van T 79 Truong Huynh H 175 Tran Thi Anh N 39 Quan Thanh T 80 Nguyen Thi Minh Th 40 Nguyen Trung V 81 Nguyen Thi Kim N 41 Truong Hieu Th 82 Nguyen Phuong N 42 PhamVanB 83 Pham Thi Nhu C 43 VoThanhL 84 DoanKimN 44 Nguyen VanH 85 Nguyen Thi Tuyet N 45 LeHoangL 86 Nguyen Quang A 46 Phan TuanL 87 Nguyen Thi Thanh T 47 Phan ThanhD 88 Pham ThuyK 48 LeQuocT 89 Le Thi Huynh N 49 BuiQuangL 90 TranhongN 50 Cao Thanh T 91 Nguyen Thi Thanh Th 51 LamT 92 Le Thi TrucL 52 Bui GiaB 93 HoNhuH 53 Nguyen Thanh V 94 Nguyen Thi Le S 54 HuynhTanN 95 Thai Thi Ngoc L 55 L e M inh Kh 96 Truong Thi Thanh N 56 Nguyen Minh C 97 Tieu Thi Thanh L 57 NguyenVanH 98 L e Th i Y e n N 58 Le Pham Dang Kh 99 Le Thi My L 59 Nguyen Thanh Trong N LOP7 TT HO VA TEN I NguyenHuuD Nguyen Phuoc D Nguyen Thanh T Nguyen Hoang Ph PhamQuocN Huynh TanQ Vo Quoc H Tran Minh T Nguyen Thanh L 10 NguyenSiH 11 Le Hoang N 12 Dinh Hoang A 13 PhamHoangY 14 PhamVanN 15 Le Hoang Th 16 ThaiKimL 17 Le Thanh Tr 18 Phan Chi L 100 V o Th i Nh u Q 2129 101 Le Pham Kieu T 142 Le Thi Diem S 25 Luu ThanhD 102 LeNgocV 143 Pham Thi Kim L 26 VoMinhT 103 Pham Thi Hoai N 144 Ngo Thi Thao V 27 TranKhanhN 104 LeYenN 145 Le Nguyen Khanh V 28 DangCongM 105 Nguyen Thien H 146 Che Thi Que M 29 Nguyen Hoang Kh 106 Tran Thi Lam T 147 Nguyen Thi Tuyet N 30 DuongHongS 107 Quang Thi Ngoc H 148 Pham ThiMyL 31 HuynhH 108 BuiHuu Th 149 Duong Nhat Kh 32 NguyenHuuL 109 Nguyen Thi Thu Th 150 Nguyen Hung C 33 Pham The D 110 Tran Thi Hong N 151 Dinh Thi Thu Th 34 Tran Khanh N 11 Nguyen Thi Ngoc H 152 DuongThaiN 35 Tran Minh Kb 112 Pham ThiM 153 Pham Thanh Th 36 LeTrungV 113 Tang Thi Mong T 154 Pham Thi Huynh N 37 Nguyen Hoang Ph 114 Truong Thi Thu C 155 Phan Kim Y 38 DiepTanT 115 Vo Thi Kieu T 156 Pham Thi Cam Th 39 Duong Hoang H 116 Huynh Yen 40 NguyenHuuD 117 Ho Huynh Huyen Tr 41 Nguyen Chi C 42 Nguyen Minh Kh 43 Pham The V 44 Le Hoai N 45 LeTuongD 46 TranThanhH 47 Vo Chi V 48 Duong Trung H 49 PhamHuuD 50 Nguyen TanD 51 Pham Thuy Ngoc N 52 Nguyen Thi Ngoc H 53 Vo Thi Hong Ph 54 Thai Thi Kim H 55 Ngo Thi Huynh A 56 Nguyen Tran Be V 57 Nguyen Thi Diem Ph 58 Huynh Thi Cam Gi 118 119 120 121 122 123 124 125 126 127 128 129 130 v Le Phuong A Le Thi Be T Dang Thi Nhu N Tran Thi Thu Th TrinhKimO Bui Thi True L Doan Ngoc K Nguyen Thi Thanh Tr Tran Thi Mong Th Nguyen Thi True S HuynhGiaN Nguyen Thi True Ph Le Thi Ngoc Tr 13 Nguyen Thi Thao Q 132 Duong Thi Kim D 133 L e Kirn L 134 Le Thi My T 135 Nguyen Thi Thuy D 136 Dinh Yen S 137 Nguyen Thi Nhu Y 138 Dao Nguyen Ai Th 139 Nguyen Thi Thuy N 140 Truong Thanh K 141 Vo Thi Huynh N LOP8 TT HO VA TEN Phan Van Hoang A NguyenChiH Duong Phuoc L Bui Minh T Bui QuangH LeQuocTh PhamHuu Tr Nguyen TuanK Vo Thanh V 10 Huynh Tan Ph 11 LeHongT 12 Dang Nguyen Le Kh 13 Nguyen Nhat D 14 TangHoaiN 15 Truong Minh Th 16 Nguyen Minh Q 17 PhamPhamH 18 Le Trinh Tr 19 Nguyen Van T 20 TruongHuuN 21 TranVanD 22 Nguyen Thanh T 23 TranBinhD 24 Huynh Tan Anh Kh N 59 Truong Tuyet 60 Nguyen Thi Thanh T 61 Phan Thi Hoang A 62 V o T h i C am N 63 Nguyen Thi Cam L 64 Nguyen Thi Kim H 65 Pham Thi Ngoc Ph 66 Le Thi Anh Th 107 Tran T h i B e H 36 DuongQuocQ 67 Nguyen Hong C 108 Huynh Thi Tu Tr 37 Nguyen Hoang D 68 Luu Thi Lan A 109 Duong Thi Tu A 38 Pham Truong V 69 Dao Thi Diem H 110 Duong Phuoc Th 39 Nguyen Trung N 70 VothiKimN 40 Ho Minh Th 41 HuuS 42 DangMinhGi 43 Chau TheD 44 Le Thanh L 45 Nguyen Van T 46 Le Tuan A 47 Le Tuan V 48 Le Quoc V 49 TranThanhL 50 Nguyen Hoang Th 51 LeMinhC 52 LeNhatQ 53 Nguyen Khac Quang T 54 PhamVanN 55 Nguyen Minh V 56 PhamVanD 57 VuAnhV 58 Ha Thanh Ph 59 Tran Minh Kb 60 Nguyen Thanh N 61 Nguyen Van S 62 Pham Hong Th 63 Duong Thanh S 64 Tang Vu L 65 CaoThanhL 66 Nguyen Hoang V 67 Bui Le Thanh Th 68 Nguyen Quang H 69 PhamMongT 70 Truong Thi Luc Ph 71 Le Thi Be N 72 L e Th i H o n g G 73 Tran Thi Thuy T 74 Nguyen Quynh N 75 Ngo Thi Mong K 76 LeNgocD 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 Ho Pham ThuN Tran Thi Cam Gi Tran Thi Thanh N Pham Thi Anh Th Nguyen Thi Mong T Nguyen Thi Lan A Le Thi Phuong H Doan Thi Yen N TuThaoN Nguyen Thi Thu H Pham Thi My Ch Nguyen Thi Lan A Luong Thi Hong H Tr~ong Thi Luyen N Tran Thi Minh T Nguyen Thi Diem Tr LeThiCamH Nguyen Thi Dong N Le Gia H Nguyen Thi Thao N Duong Thi Hoai Th Huynh Phuong Th Duong Thi Cam T Nguyen Thi Hong Th Dang Thi Hai L 96 Nguyen Anh T 97 Nguyen Thi Lan H 98 99 100 101 102 103 104 105 106 Tran Ngoc Tr Vo Thi KimH NguyenLeN Vo Thi HongH Huynh Thanh C Nguyen T in H Nguyen Thi Kim N Nguyen Thi True H Nguyen Ngoc Tieu B LOP9 TT HO VA TEN Phan Thi Thuy D LeBinhD VoVanD TaMinhL Phan ThanhL PhamBaoD PhuD Hoang Thanh H NguyenHuu T 10 LeXuanT 11 Tran Van Th 12 Nguyen Hoang A 13 LeMaiD 14 PhamMinhT 15 Doan Minh T 16 Tran TriN 17 Le Nhut M 18 HoTheD 19 VoHoangN 20 Le Hoang B 21 Nguyen Truong Q 22 T o M inh C 23 Truong Hoang V 24 Nguyen Van Kh 25 HoTrongT 26 DuongNhutD 27 Huynh TanB 28 DaoKhacH 29 Le Minh Phuc Th 30 Dang Hoang Ph 31 Le Quang Kb 32 Nguyen Minh Tr 33 Pham The A 34 LeVanH 35 Huynh Tan Ph 77 Phan Thi Hong N 118 Nguyen Ngoc Phuong V Le Huynh Quoc N 78 Nguyen Thi Yen N 119 Le Hong D NguyenHuuH 79 Nguyen Phuoc Th 120 Le Ngoc Th 10 Huynh Thanh T 80 TruongKhaH 121 le Thi Thu C 11 H a Q u o c Kh 81 Tran Thi Hong V 122 Dinh Le Tuyet A i " 82 LeThiYenN 123 Le Thi Trang A 83 Nguyen Thi Kim N 124 Dang Thi Xuan L 84 Nguyen Thi Ngoc N 125 Do Thi Thanh Th 85 LeThiNgocD 126 Tran Dang Phuong N 86 Dang Thi Yen N 127 Pham Thi Thuy D 87 Nguyen Tran Xuan R 128 Tran Thi Thao M 88 L e Th i M 129 Nguyen Thi Thu Th- 89 LeThiAnhD 130 Pham ThanhH 90 Nguyen Thi Huynh H 13 Pham Thi Kim C 12 PhamNhatT 13 NguyenVanM 14 Pham Quoc Th 15 NguyenHuu T 16 Le Van Th 17 Nguyen Dang Kh 18 Giap Van Duong Kh 19 TranMinhQ 20 Nguyen VanH 21 Le Huynh Quoc V 22 PhamChiH 23 PhamQuocTh 24 Le Phu H 91 Nguyen Ngoc Duy N 132 BuiNgocH 92 Do Thi ThuyN 133 Vo Thi ThuyL 93 Huynh Thi Thanh V 134 Huynh Thi Cam H 25 HaVanD 94 HaThiCamH 135 D o T h i H an g N 26 Nguyen Van D 95 Bui Thi Thao N 136 Duong Thi Thu Th 27 LamHoai S 96 Dao Thi Ngoc Gi 137 DangThiToQ 28 Hong Van Nguyen B 97 Nguyen Thi Thu C 138 Nguyen Thi My T 29 Nguyen Tuan Kh 98 Nguyen Thi Hong D 139 Nguyen Thi S 30 PhamDucM Vang Minh Th Dao Cam T 140 Nguyen Thi Huynh N 31 100 Tran Thi Kim U 141 Nguyen Thi Thuy D 32 V o V an X 101 Luu Thi Kim T 142 Nguyen Thi Kim N 33 PhamMinhN 102 Nguyen Thi Ph 143 Phan Thi Hong N 34 Tran Thanh Tr 35 AuHuuB 36 HuynhHuuT 37 Pham Thanh Ph 38 Dinh TrongN 39 ChauMinhH 40 DuongBaoD 41 Nguyen Truong S 99 103 Tran Thanh Th 144 Luong Thi Thuy A 104 Le Thi Thu H 145 Nguyen Hieu Th 105 VoThiTrucM 146 Le Thi Lan A 106 Moc Duong Due A 147 Nguyen Thi Huyen Tr 107 Tran Thi Ut S 148 Pham Thi Kim Ph 108 Pham Thi Diem K 109 LeThiThuL 110 Le Kim Ch TRU'~NG DINH Y~N LOP6 TT 11 Bui Thi Ngoc Gi 112 Tran Thi Ngoc H 113 Nguyen Thi Kieu Ch 114 Pham ThiN 115 Nguyen Trong T 116 Le Nguyen True Gi 117 Nguyen Phuoc Th 42 TranMinhH 43 Ho Thanh Ph 44 Nguyen Huu Van Ph 45 Tu Van Th 46 Nguyen Minh N HO VA TEN I Tran Pham Thanh L VoTrongK DoanHuu Tr LuuMinhM Truong Tan Kh NguyenHuuN Nguyen Hoai N 47 Ha ThanhD 48 NguyenGiaT 49 Pham TrongN 50 Nguyen Minh N 132 137 Pham Thi Yen N 51 NguyenHaD 94 Pham Thi Anh Th 52 Nguyen Thanh B 95 Luong Thi Huan D 138 PhamThiMyL 139 Nguyen ThiN 53 TranHoaiL 96 ChauLyBaoN 54 Nguyen Van Th 97 Nguyen Kieu D 140 Le Thi ThuyT 55 Duong Van Th 98 Nguyen Thi Bich T 141 Do Thi Kinm Ph 56 HoHoangV 99 Nguyen Thi Tra M 142 Tran Thi Mong C 57 Nguyen Minh Th 100 Doan Thi Que H 143 Tran Thi Ngoc K 58 LePhuQ 101 Pham ThiMyT 144 Pham Tri Th 59 A u V an H 102 Ho Thi Ngoc A 145 Pham ThienL 60 Duong Chi T 103 Nguyen Thi Huynh S 146 LeThiThuyV 61 DangNhutTr 104 Huynh Thi Ngoc N 147 Nguyen Thi Bich N 62 Tran Van Ph 105 Ha ThiNgocL 148 Nguyen Thi True Q 63 Pham Quoc T 106 Do Thi Bich L 149 PhanNgocQ 64 Pham Thanh Kh 107 Nguyen Hong Nhat L 150 Nguyen Ngoc D 65 Mai TrungN 108 DangThanhH 151 Pham Ngoc Anh Th 66 Nguyen Thanh D 109 Nguyen Hong X 152 Dang Thi Bich N 67 Vuong Hoang A 110 TranKimH 153 Huynh Thi Cam Gi 68 Vo Thanh A 11 Nguyen ThiN 154 PhamThiMyD 69 LeDongS 112 Huynh Thi Nhu Ph 155 Huynh ThiN 70 Nguyen TanD 113 Nguyen Thi Thanh Tr 156 Phan ThiN 71 V o V an B 114 Le Hoang Hue Ph 157 Nguyen Thi Huynh N 72 HoPhuocN 115 Ha Thi Tuyet H 158 Huynh Thi Hong D 73 Le Van TaiE 116 Nguyen Thi Bao Tr 159 Nguyen Thi Bich Tr 74 Nguyen Minh H 117 LeThiNgocM 160 LeThiKimH Vo Thi Diem Th 75 Nguyen Thi Thuy L 118 Vo Thi Thuy Tr 161 76 Nguyen Thi Bich H 119 Pham ThiC 162 Nguyen Ngoc H 77 Tran Huong Thuy T 120 Nguyen Thi Linh N 163 Nguyen Thuc Th 78 LeThiNgocY 121 ToThiMyX 164 PhamVanH 79 Duong Thi Mai Ph 122 Nguyen Thi Tuyet Th 165 TTran Van Th 80 Huynh Thi Th 123 Nguyen Thi Thuy Q 166 NguyenHuu S 81 Do Thi Tuyet N 124 Nguyen Thi Ngoc L 167 Nguyen Van Tr 82 Phan Dao Nhu Y 125 Nguyen Thi Cam T 168 PhamPhuocV 83 Nguyen Thi Kien L 126 PhamKimT 169 Nguyen Trong Ph 84 V o Th i H 127 Nguyen Thi Kieu 170 NguyenVanD 85 Nguyen Thi Ngoc L 128 Pham Thi Kieu 171 PhamVanVuL 86 Phan Thi Mong T 129 Nguyen Kim Thanh Tr 172 DoanTrungH 87 Nguyen Thi Thuy D 130 CaoThiNhaQ 173 Tran Linh T 88 Nguyen Thi Kieu 13 Le Ngoc S 174 VoHuuA 89 Nguyen Thi Ngoc N 132 Le ThiBich T 175 Hoa Van Kb 90 Pham Thi Hong D 133 Huynh Thi My T 176 Huynh ThiD 91 Doan Thi Thanh L 134 PhamYenN 177 Pham Thi Bich N 178 Vo Thi Cam T 179 Nguyen Thi Anh Th 92 Nguyen Thi Kim C 135 Nguyen Thi Thuy V 93 Pham Thi Huynh N 136 Nguyen Truong Thuy Tr 13 NguyenChiC 69 Phan Thi Kirn N HaHuyH 27 Nguyen Thanh C 70 Nguyen Thi Ngoc N 182 PharnMinhM 28 NguyenHuuD 71 Nguyen Thi Be X 183 Huynh ThiH 29 Ngo Thanh S 72 Pham Thi L LeThiTrucM 180 181 Dang Thi Th 26 Le Ngoc Tr 30 LePhatTr 73 Nguyen Thi Be Tr 31 Le Van T 74 Nguyen Thi Huynh N 186 Phan Thi Ngoc A 32 Vo Tuan K 75 Nguyen Thi Mong K 187 Lam Thi Thuy D 33 Tran Tong L 76 Nguyen Ngoc T 188 HoThiD 34 Nguyen Trung V 77 Ngo Thi Ngoc D Tran-Thi Minh N 184 185 Tran Thi Th 35 Pham VanN 78 190 Huynh Thi Carn T 36 Nguyen Ngoc Minh A 79 Nguyen Thi My N 191 Vo Thuy N 37 Doan Van Duy T 80 Duong Thi Minh Th 192 TH 38 NguyenHuuL 81 Pham ThiN Le.Thi Truc A 189 Thi Thuy H Nguyen ThiK 39 Dang Hoan T 82 194 Lam Thi B 40 Tu Tan T 83 Phan Thi Ngoc L 195 Nguyen Thanh D 41 Phan Duy Kb 84 Phan Thi Kirn N 42 NguyenDuyN 85 Dang Thi Tuong V 43 DangTrungH 86 VoThiHongY NgoThiD 193 LOP7 TT HO VA TEN 44 BuiVanD 87 Pham Thanh C 45 Nguyen Truong Gi 88 VoThiThuyL Pham Dang Kh 46 Pham Tan Ph 89 HuynhNhutH TranVanK 47 LeThanhL 90 Dang Thi Tuyet Tr Phan ThanhD 48 Huynh Thanh N 91 Le Thi Hue Th NguyenHuu T 49 Nguyen Tran Trung H 92 Tran ThiH Vang Thanh A 50 Dang Phu Q 93 Pham Thi Quynh N Nguyen Hung Tr 51 VoHoangV 94 Nguyen True Ph Nguyen Quoc H 52 NguyenHuuN 95 Tran Thi True L Nguyen Tri Th 53 DuongVanH 96 PharnNgocL 10 Nguyen Trong N 54 HoThiXuanQ 97 Nguyen Thi Kirn Th 11 Tran Van Ch 55 Le Thi My D 98 Tran Thi Mai H 12 Nguyen Tuan A 56 Nguyen Thi My Ch 99 13 Tran Van C 57 Nguyen Thi Tuyet M 100 Nguyen Thi Bao X 14 NgoThanhV 58 Tran Thi Kim N 101 Di n h T h i B e N 15 HaPhuoc S 59 Ha ThiCarnN 102 Phan Thi Anh Th 16 Nguyen Thanh Kh 60 Le Thi Ngoc Tr 103 Nguyen Ho Ngoc H 17 DangVanD 61 Nguyen Thi Yen L 104 Tran Thi Bich Th 18 Nguyen Van 62 Nguyen Thi Huynh N 105 Nguyen Thi Thu Tr 19 Pham Van S 63 Vo Thi Anh Th 106 Pham Thi Ngoc Th 20 Pham Th e H 64 Nguyen Thi Ngoc H 107 Pham ThiH 21 Luu TrongN 65 Diep Huynh Tieu M 108 Huynh Thi Anh T 22 MaiCongH 66 Tran Duy A 109 Le Hong N 23 AuQuocV 67 Ngo Thi S 110 Pham Thi Thuy L 24 LyCongN 68 Le Ngoc Th 11 Nguyen Thi Man Tr 25 Vo Thanh D MaiThanhN 112 PhamNgocH 22 LeTrungT 65 Nguyen Thi My N 13 Mai Thi Thuy Tr 23 Quach Si T 66 Pham Thi Thien Ph 114 Truong Thi Bich Tr 24 TranDaB 67 Pham Thi Yen Kh 115 Pham ThiMyL 25 PhanNgocM 68 Pham Thi Thuy Tr 116 Nguyen Khanh H 26 TranDinhKh 69 Tran Huynh Thuy Tr 117 Huynh Thi Diem S 27 NguyenPhuD 70 Pham ThiMyL 118 PhanNgocN 28 Nguyen Nhat L 71 Pham Thi Nguyet Ph 119 Giap Thi Thu D 29 NguyenVanM 72 Nguyen Thi Kim Q 120 Nguyen Thi Bao N 30 Le Huu Th 73 Tran Thi Bich H 121 Nguyen Thi Thu Q 31 Le Minh N 74 Phan Thi Thuy D 122 Nguyen Thi Kim C 32 Tran VanD 75 Pham Thi Thanh T 123 Truong Thi Tuyet B 33 Le Thanh Gi 76 Tran Thi Kim N 124 Huynh Thi Man N 34 Phan Truong D 77 Dinh Thi D 125 Ngo Thi Mai Tr L e Minh Gi 78 PhamXuanH 126 Nguyen Thi Cam N 36 Le Thanh N 79 Tran Thi Ch 127 Tran Van N 37 Le Thanh Ph 80 PhamYenN 128 Nguyen Thanh M 38 Le VuL 81 Pham ThiMyL 129 PhamNhatE 39 NguyenQuiD 82 VoThiThuH 130 Pham Thi Be Th 40 Ha Van Tr 83 Ha Thi Huyen L 13 Nguyen Thi Kim Y 41 HuynhHuu Th 84 CaoThiD 42 Vo Minh Th 85 Ho Thi T 43 BuiQuocN 86 Dao Thi Bich T 44 Nguyen Le Truong Gi 87 Truong Thi Ngoc D 45 Duong Trong H 88 Vo Thi ThuyD 46 A u V an H 89 Nguyen Thi Kh 47 Nguyen Thanh D 90 Le Thi N 48 NguyenHuuD 91 Le Hoang Phuong U 49 Luu Thi ThuL 92 Tran Thi Minh Ch 50 Nguyen ThiH 93­ Huynh Pham Ngoc Th 51 _Nguyen Thi Bich H 94 Nguyen Thi Thuy H 52 Mai Thi Ngoc H 95 Duong Thi Ha Ph 53 Nguyen Thi Cam N 96 Ha Thi To Q 54 Nguyen Thi Anh T 97 Nguyen Le Gia Th 55 Nguyen Thi Hong Ph 98 Truong Thi My A 56 Nguyen Thi Cam Th 99 Le Hoang N 57 Mai Thi Tr 100 Nguyen Huu Th 58 Tran Thi Anh N 101 TaNgocM 59 Tran ThiK 102 ThaiPhuoc V 60 Tran Thien Gi 103 Ta Van Th 61 Huynh Thi Hong N 104 Nguyen Trong Th 62 Pham Nguyen Bao Tr 105 Dang Thi C 63 Ha ThiD 106 Dang Thi Thu H 64 Huynh Thi Yen D 107 Ha ThiHueM LOP TT HO VA TEN Nguyen Van Th Dang Duy A Luong Van Th Nguyen Van D Pham Tan Th VoCongH Nguyen Van Vu L PhamDuyK Le Van Tai A JO Le Van Kb 11 LeXuanN 12 Le Van Linh T 13 Nguyen Minh Ph 14 Pham TuanL 15 PhamVanT 16 Doan ThanhN 17 TranNhutTr 18 Nguyen Sieu T 19 Tran Van H 20 Nguyen Hoai D 21 Nguyen Duy Kh 135 � 42 Nguyen Si Th 85 Nguyen ThiT HO VA TEN 43 Nguyen Hoai L 86 Nguyen Thi Cam Th Nguyen VanD 44 CaoPhuocL 87 HoThiMyU DoanPhuocD 45 NgoVanV 88 Pham Thi My Ph 89 Phan Thi Ngoc M LOP9 TT Le Hoang L 46 LeTrongD PhamVanN 47 Hoang Ky A 90 Nguyen Trung Th Le Minh T 48 NguyenHuu T 91 Tran Thi Bich N TranHuuL 49 Nguyen Cong H 92 Nguyen Ngoc Bich Th PhanQuocV 50 Nguyen Thanh D 93 Nguyen Ngoc L Vo Quach Hoang A 51 Nguyen Thanh H 94 Lam Hong Ph HoangVanV 52 HaVanQ 95 Tran Phuoc Th 10 PhanMinhD 53 Nguyen Nhat H 96 Pham Thi Kim N 11 Nguyen Ph~oc S 54 HoHoangO 97 Doan Thi M 12 BuiNhutN 55 Bui Minh Ph 98 Tran Chi Th 13 Ho Thanh Th 56 Nguyen Ngoc M 99 VoThiMyT 14 Phan Van B 57 Nguyen Hoang Ph 100 Dinh Thi Thn D 15 Le Van N 58 Tran Thi N 101 Pham Thi Kim Th 16 Le Pham Thai U 59 LeThiKimN 102 Dinh ThiH 17 Do Hoang Ph 60 Le Thi Hue Tr 103 Nguyen Thi Thuy D 18 Tran Thanh T 61 Lu ThiNgocL 104 Pham Thi Y P h 19 P h a m An h D 62 Huynh Thi Xuan M 105 Pham Thi Thuy Q 20 LeDoanQ 63 Lien Thi Thao U 106 PhamNgocY 21 PhamVanC 64 NgoThiMyT 107 LeThiThuyD 22 LeNhutQ 65 Nguyen Thi Th 108 Nguyen Thi Thuy T 23 KhuuCamN 66 Tran Le Thuy V 109 Nguyen Thi Ngoc Tr 24 Nguyen Trung T 67 Tran Ngoc Th 110 Nguyen Ngoc D 25 Tran Thai N 68 Tran Kim A 11 Nguyen Thi Bao N 26 PhanAnhK 69 Le Ngoc Tr 112 NguyenHaM 27 Vo Tram A 70 Tran Thi Cam T 13 Nguyen Thi Kim G 28 DangNhatH 71 Le Thi Be Tr 114 Bui Thi Kim Kh 29 Le Huu M 72 Nguyen Thi Hong Th 115 Nguyen Ngoc Ch 30 Pham Hong Th 73 Nguyen Thi Minh Ch 116 Nguyen Phi Th 31 T ran B a N 74 Nguyen Thi My X 117 Dang Thi Thao N 118 Ha Thi Tuyet L 32 PhamPhuocT 75 Nguyen Thi Huynh N 33 Nguyen Truong D 76 Nguyen Thi Diem Th 119 HuynhVuC 34 LeHoangKh 77 Nguyen Thi Ngoc L 120 Duong Thi Thoai M 35 Truong Thanh D 78 Nguyen Thi Thuy D 121 Nguyen Thi Cam Tr 36 TanD 79 Nguyen Thi Cam T 122 Nguyen Thi Cam T 37 V o V an L 80 Nguyen Thi Dieu H 123 Nguyen Thi Kim H Nguyen Thanh Ph 38 Tran Minh T 81 Nguyen Thi My L 124 39 C u V an N 82 Nguyen Tong Thanh X 125 Nguyen Ngoc Th 40 Nguyen Minh C 83 Nguyen Thi Giao L 126 MaNgocN 41 Nguyen Duc H 84 Nguyen Thi Mic S 127 Nguyen Thi Kim N 128 Nguyen Ngoc Ph 129 Cao Thi Kieu M BO Y T~ TRU'~NG DH Y X~ HQI CH~ NGHIA VIET NAM CONG H~A DU'OC CAN THO D@e L ~ p - T D o - H a n h Phie I $~: 8ID /QD-DHYDCT C~n Tho, ng~y.7.thing n~m 2012 QUY~T DINH V/» l@p H6i dng chdm lu@n ~n cdp Truong Chwyen khoa cdp II Qu~n Iy t~ khod 2010-2012 HIEU TRU'~NG TRU'~NG DAI HOC Y DU'OC C N THO - C n ctr v~o Quy~t dinh s~ 58/2010/QD-TTg ng~y 22 th~ng 09 n~m ca Th tu~ng chinh phi v~ vi&c ban h~nh Di~u l& Truong Dai hoc; - Can cir quy~t dinh s6 3287/QD-BYT 09 thing 09 n~m c~a B6 Trur~ng B@ Y t~ cong nh@n trng tuy~n chuyen khoa cp II h~ t~p trung n~m ca truong Dai hoc Y Dugc C~n Tho; - Cn ct Quy~t djnh s~ 1637/2001/QD-BYT 25 th~ng 05 n~m 2001 ca B Y t~ v~ vi@c ban hanh Quy ch~ d~o tao chuy~n khoa c~p II Sau Dai hoc v~ k~ hoach d~o tao Sau Dai hoc nm 2010-2011; - C~n c Cong van s 586/DHYDCT-DTSDH ng~y 27 th~ng n~m 2012 gii B~ tru~ng B Y t~ v~ vi@c d~ nghi th~nh l@p H@i d~ng thi t~t nghi@p chuyen khoa II kh6a 2010-2012 c~a Truong Dai hoc Y Du@c C~n Tho; - X~t d~ nghi ca Ong Uy vien Thu~ng trc, QUY~T DINH: DI~U 1: Th~nh l~p H~i dng ch~m lu@n %n c~p Truong cho hoc vi~n chuyen khoa c~p II: Ho v~ ten: Tr~n Thanh Ting Chuyen ng~nh: Qu~n I y t~ Ng~y sinh: 03/11/1964 Noi sinh: Ti~n Giang Kh6a: 2010-2012 Ma s: 62727605.CK ' Ten lu@n {n Lip Vo - Tih Cn " N g h i ~ n pong cu tinh hinh m~c hen ph~ qu~n ~ hoc sinh trung hoe co s~ H u y ~ n Thip" b@ d~n: PGS TS Pham Hing Le Danh s~ch c~c th~nh vi~n H@i d~ng gom: PGS.TS Pham Thi Tam Ch tjch H6i d~ng TS Tran Viet An Ph~n bi¢n Ph~n bi¢n TS Ton Chi Nhan TS Nguy~n Van Qui ~y vien-Thur ky TS Tin Ngoc Dung ~y vien TS T~n Sophia ~y vi&n PGS.TS Pham Hung Luc ~y vien t chc bu~i cp II vi tu gii DI~U 2: H6i d~ng c~ nhi~m vu Quy ch~ d~o tao chuyen khoa c h m lu@n ~n cip Truong cho hoc vi~n theo ding t~n sau hon th~nh nhi~m vu DI~U 3: C4c Ong (Ba) Truong phong D o tao Sau dai hoc, H nh ch~nh t~ng hop, Th~ tru~ng c~c don vi c~ lien quan v~ c~c th~nh vi~n Hi dn fa k chiuyen khoa II chju tr~ch es nhim thi ha~nh Quy~t dinh n~y / euit~}UNG el · :if, [p;EC5 ; ; Noi nhdn: -Nhur di~u 3; -Luu: Khoa YTCC, P HCTH, P DTSDH Sea L 'l / r.yr :.: -,;;.;;:: r" , , PGS.TS PHAM VAN LINH BO CONG H~A X~ HQI CHU NGHiA VIET NAM Y T~ D @ e L ? p T u d o H a n h Phde TRU'~NG DAI HQC Y DUQC CAN THO C n tho, ng~y 25 thing n~m 2012 I'\ , , � :, � - , BIEN BAN CUA HQI DONG CHAM LUAN AN CHUY~N KHOA CAP I I - CAP TRU~NG Ho v~ ten hoc vi&n: TR~N THANH T~NG D~ t~i: Nghi~n cu tinh hinh hen ph~ qu~n ~ hoc sinh trung hoc co s~ huy~n L~p vo - tinh Dong th~p Ngubi d~n: PGS T S Pham Hing Luc Chuyen ng~nh: Qu~n l y t~ Ma s6: 62727605.CK Dugc c~ng nh~n l~ hoc vi~n chuy~n khoa c~p II theo quy~t djnh s6: 3287/QD-BYT, 09/09/2010, ca B tru~mg Bo Y t~ I HQI DONG CHAM LU~N AN Can c c~c quy dinh ca chc ch~m lu~n hoc Y Duoc n B Y t~ va B Gi~0 Duc - D~o Tao v~ vi@c t6 chuy~n khoa c~p II c~p Truong, Hi~u tru~ng Truong Dai C~n Tho da quy~t dinh th~nh l~p H6i d~ng ch~m lu~n n Chuyen khoa c~p II cp truong s6: 8I0/QD-DHYDCT ngy 17/9/2012, g~m cc th~nh vi~n sau: TT Ho v~ tn Co quan c~ng tc Tr~ch nhi~m Hi dng PGS.TS Pham Thi Tam Ch~ tich TS Tran Vi&t An Ph~n bi~n I TS T6n Chi Nhan Phan bi~n TS Nguy~n V~n Qui Uy vien - Thu ky TS Tran Ngoc Dung Uy vi~n TS Tran Sophia Uy vien PGS.TS Pham Hung Luc ~y vien Bu~i ch~m lu~n ~n dugc ti~n ha~nh v~o lc gi~ 40 phut, ng~y 25/9/2012, tai Truong Dai hoc Y Duoc C~n Tho C m~t: 07 th~nh vi~n h@i dong V~ng m~t: 00 II NQI DUNG BI~N B~N Ch~ tich Hi dong: PGS.TS Pham Thi Tam di~u khi~n bu~i ch~m lu~n n, doc quy~t dinh l@p H@i d~ng ch~m lu@n ~n chuyen khoa c~p II c~p Truong c~a Truong Dai hoc Y Duoc C~n Tho, c~ng d~m b~o di~u ki~n Uy vi~n thu d b th~nh ph~n H6i dng Hi dong l~m vi~c k: TS Nguy~n Van Qui doc l lich khoa hoc, b~ng di~m ton kh~a c~a hoc vi~n v~ khng djnh hoc vi~n dam b~o d~y d chuong trinh d~o tao chuy~n khoa c~p II theo chuy~n ng~nh c~a lu~n ~n Hoc vi~n trinh b~y lu~n ~n th~i gian kh~ng qu~ 25 pht Ph~n bi~n : TS Tr~n Vi~t An doc nh~n x~t ( dinh k~m ban nh~n x~t) Ph~n bi~n 2: TS T6n Chi Nh~n doc nh@n x~t ( dinh k~m ban nh@n x~t) Th~nh vi~n H~i dong d~t c~u h~i hoc ph~t bi~u y ki~n: - TS Tr~n Sophia: +Sao bi~t m~c d~ hen gi~a cc tru~ng kh~c nhau.? +Sao bi~t kinh t~ c~ li~n quan v~i hen ? - PGS.TS Pham Thi Tam: Y~u c~u gi~i thich tai s~ dung bang Hoc vi~n tr~ l~i cc c~u h~i c~a th~nh vi~n h~i d~ng: Hoc vi~n d~ tr~ l~i, n@i dung d~p ng duoc y~u c~u c~c c~u h~i da d~t Ngu~i d~n nh@n x~t v~ hoc vi~n v~ lu~n ~n: -Hoc vi~n c~ t~c phong hoc t@p nghi~m tc, ch~m chi v~ khoa hoc D~ d~u tu nhi~u th~i gian v~ c~ng suc vi~c hoc t~p v~ nghi~n cu thc hi~n lu@n ~n -Lu@n n d~p ng d~y d~ cc y~u cu v~ hinh th~c, n@i dung v~ tinh thuc ti~n ca m@t lu@n ~n chuy~n khoa c~p II 140 III.K~T LU~N C~A H I D~NG -Lu@n ~n c~ tinh thc ti~n -N6i dung th~ hi~n d~p ng y~u cu ca mot lu~n ~n chuy~n khoa c~p II -Phuong ph~p nghi~n cu: Dat y~u cu v~ tinh khoa hoc v~ d~ tin c@y, nhung c~n chinh s~a c~c muc sau : B doan tr Theo ISAAC Chinh lai c~u tu ~ muc d~n h~t b~ng 2.I ti~u cho r~ n~i dung: Dung em t " Ki~n thc thuc h~nh v~ du phong v~ xtr hen ph~ q u ~ n " ; mang tinh ch~t ly thuy~t v~ nh~n th(c, chua ph~ hop v i n~; dung k~t qu~ trinh b~y; mang tinh ch~t nh~n thc v~ ha~nh d @ n g Xem x~t v~ loai b~ c~c gi trj P trung l~p IV HQI DONG HOP KiN -H6i d~ng b~u ban kim phi~u: +Truong ban: TS Tr~n Vi~t An +~y vi~n: TS Nguy~n Van Qui +~y vi~n: TS Tr~n Ngoc Dung -K~t qu~ b~ phi~u: +$6 phi~u ph~t h~nh: 07 phi~u +S6 phi~u khong ding: 00 phi~u +S~ phi~u hop l~: 07 phi~u +$6 phi~u khong hop l~: 00 phi~u -T~ng s~ di~m: -Dim trung binh: 9,2 -X~p lo@i: Gi~i -H6i d~ng k~t lu~n cu~i cung: +Lu~n ~n l~m r~t c~ng phu +Lu@n ~n dat loai gi~i ~ c~c b~ngtu d~n 1 1ul +C~n chinh s~a theo c~c k~t lu~n cua Hi dong V K~T LU4N Truong ban ki~m phi~u c~ng b~ k~t qua bo phi~u ch~m lun ~n Ch~ tich H~i dong doe k~t lun c~a H~i dong Hoc vi~n ph~t bi~u y ki~n Bu~i chm lu~n ~n k~t th~c l~c gi~ ph~t eung ng~y Uy vi~n thu ky Chu tjch H6i dong TS Nguy~n Van Qui PGS.TS Pham Thi Tam HI~U TRUNG PGS.TS Pham Van Linh 142 CONG HOA X~ HQI CH~ NGHiA VIET NAM Doc L ~ p - Tu d o - H a n h Ph~e GI~Y XAC NHAN D~ CHINH S~A LUAN AN Ho ten hoe v i e n : TR~N THANH T~NG Noi s i nh : C~i Be Ti~n giang Ng~y sinh: 03/ 1 / L~p: Chuyen khoa cp II Quan ly y t~ tai D~ng th~p, Kh~a - 2 L~ t~c gi~ c~a lu@n ~n: Nghi~n c~u tinh hinh hen ph~ qu~n hoc co so hoc s i n h trung huy~n Lap vo - t i n h Dong th~p Chuyen nganh: Quan ly y t~ Ma s6: 62727605.CK Ngu~i hu~ng d~n khoa hoe: PGS.TS Pham Hung Lue Trinh lu~n in cap tru~ng: ng~y 25 th~ng n~m 2 D i a di~m b~o v~: Truong Dai hoc Y Duoe C~n Tho Toi cam doan d~ chinh s~a lu~n ~n theo k~t lu~n c~a H~i dong ch~m lu~n ~n chuy~n khoa c~p I I - Cp truong C n Tho, 28 th~ng n~m 2012 Ngur~i d~n khoa hoe PGS.TS Pham Hing Lue Ch~ tich H@i dong P G S T S Pham Thi Tam Tr~n Thanh Tung

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