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The study aims to assess the impact of destination image, satisfaction and loyalty of tourists at mountain destinations in Thanh Hoa province, Vietnam. The study involves questionnaire surveys and multivariate data analysis methods (Cronbach Alpha test, EFA, CFA, SEM). Research results from 500 tourists in the mountain destinations of Thanh Hoa province demonstrate that all factors have imposed a positive impact on tourist satisfaction, specifically: The most influential factor is Natural features, followed by Human factors while the least influential factor is Infrastructure; On the other hand, research results also demonstrate that satisfaction has a substantial impact on tourist loyalty. Based on the research results, we also proposed some key solutions to enhance the destination image, thereby contributing to increased satisfaction and loyalty of tourists, including: (i) Promoting Natural Tourism Resources. (ii) Raising Awareness of Environmental Protection. (iii) Building Local Cultural Identity. (iv) Building Exclusive Tourist Products. (5) Strengthening the Support of Local Authorities for Tourism Activities. (vi) Developing a Price Policy.

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The study aims to investigate factors affecting enterprise's satisfaction and loyalty toward the Social Security's online public services, looking at the case of Thanh Hoa province, Vietnam. This study employs samples with 216 enterprises that use online public system of Thanh Hoa province's Social Security. The research model is closely linked to the SERVQUAL model developed by Parasuraman, Zeithaml and Berry (1988). We propose 23 scales that constitute the quality of service, three scales that constitute Customer Satisfaction and three components that constitute Customer Loyalty. This study use the tool of Exploratory Factor Analysis (EFA), Cronbach's Alpha test, Confirm Factor Analysis (CFA) and Structural Equation Modeling (SEM) in order to address the question of satisfaction and loyalty. The result shows that the factor with the most impact is Reliability, next is Capacity of staffs, Tangibles, Attitude of staffs, and the least impacting factor is Empathy; moreover, the results also show that Satisfaction has a strong impact on Customer Loyalty. The findings of this study suggest that Thanh Hoa province's Social Security should: (i) strengthen the reliability of online service system; (ii) build capacity for staffs; (iii) develop the responsiveness of electronic transactions systems; and (iv) improve the empathy of staffs.

Objective: To describe nursing care for postpartum pregnant women with episiotomy stitches at Hau Giang Obstetrics and Pediatrics Hospital in 2020-2021. Subjects and method: A cross-sectional study was conducted on 385 postpartum women with episiotomy stitches at Hau Giang Obstetrics and Pediatrics Hospital from November 2020 to April 2021. The data was collected by using checklists, interviewing, and getting information from the patient's medical records. Results: Most of patients had the episiotomy stitch classification at grade I (97.9%). 73.2% of the subjects had an episiotomy stitch at the 7 o'clock position. 73% of women had episiotomy (73.0%), most of the episiotomy was sutured with undissolved sutures. 83.4% of subjects had severe pain/severe (85.5%). However, only 26.2% had postpartum complications (common is urinary retention, postpartum haemorrhage). Outcomes of care: 69.4% of women have good knowledge of episiotomy stitches care; 98.7% of women are satisfied with the nurses in monitoring and caring for the episiotomy stitches. Most of the women had a decrease in pain on the 3rd day compared to postpartum (95.8%). Results of maternal care are good, accounting for 64.2%. Conclusion: Nursing care for postpartum women with episiotomy stitches improved postpartum symptoms.