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+Knowledge, practices in public health service utilization among health insurance card’s holders and influencing factors in Vientiane, Lao
+Describe knowledge, practices in public health service utilization among health insurance card's holders and influencing factors in Vientiane, Lao PDR, 2017.
+Methodology: A cross sectional study was used among 928 adult health insurance card's holders in Phone Hong and Keo Oudom districts, Vientiane province.
+Results: Percentage of card's holders who knew the finance-free utilization of the first registered public health services was 44.5% and being provided health insurance information was 34.8%.
+Percentage of card's holders who went to the first registered public health services was 61.8%.
+Percentage of card's holders who went to public health services to receive medicines for their relatives / others people was 20.1%.
+The determinants of knowledge and practices in public health service utilization among health insurance card's holders were distance and time taken to health services, time of health insurance and health insurance information provided.
+Conclusions: Knowledge and practices in public health service utilization among health insurance card's holders were still limited.
+It's necessary to provide health insurance communication and education for people who live in remote areas and participate interupted health insurance.
+Studying the method of quantification of diclofenac sodium in traditional herbal medicines used for treatment or support osteoarthritis by high performance liquid chromatography
+In order to contribute to the detection of banned substances in traditional herbal medicines, we conducted a study on the method of quantification of diclofenac sodium in traditional herbal medicines which are used for treatment or support for osteoarthritis by high performance liquid chromatography (HPLC).
+After precipating, diclofenac sodium was eluted by HPLC using a reverse-phase column (C8, 150 mm x 4.6 mm, 5 μm), mobile phase contains methanol / phosphat buffer (70: 30 v / v, pH 2.5), at a flow rate of 1.0 ml / min, and a wavelength detection at 275 nm.
+Therefor, the method was appropriately formulated to determine diclofenac sodium in herbal medicines.
+Research for clinical characteristics and plasma dopamine concentrations in schizophrenic patients
+The purpose of this study was to evaluate the effects of a mixture extract of C chrysantha and G pentaphyllum on weight loss and lowering lipid blood levels in obese Swiss mice.
+Swiss mice were randomly allocated into 5 groups with 8 animals in each group.
+Group 1: non-obese mice.
+With the remaining 4 groups, the mice were induced to become obese for 8 weeks.
+mice were fed with distilled water (group 2) mixture extract at a dose of 12g / kg / day (group 3), 24g / kg / day (group 4) and atorvastatin at a dose of 15mg / kg / day (group 5).
+The feeding time period was 14 days.
+Mice in each group was assessed for weight weekly and the levels of Total Cholesterol (CT), HDLCholesterol (HDL-C), LDL-Cholesterol (LDL-C) and Triglyceride (TC) was recorded at initial time (after obesity was induced for 8 weeks) and 1 hour after taking the extracted mixtures on the last day.
+The results showed that the mixture extract of C chrysantha and G pentaphyllum at doses of 12 g / kg / day and 24 g / kg / day, atorvastatin at a dose of 15 mg / kg / day (group 3, 4, 5) induced weight loss and decreased TC, CT, LDL-C levels compared with group 2 (p < 0.05) and the difference was not statistically significant between groups 3, 4, 5 (p > 0.05).
+Research characteristics of clinical, paraclinical peripheral nerve damage in newly diagnosed type 2 diabetes patients
+A cross-sectional descriptive study was implemented to assess fluor contaminated teeth among children aged 12 years of Thai ethnic group in Con Cuong district, Nghe An province.
+The study was completed in May 2015 with 476 children aged 12 years at 9 secondary schools, applying the methodology of investigation and classification of WHO-2013 with the Dean's fluorosis index.
+Research results showed that: The rate of 12-year-old children with fluor contaminated teeth including the suspicion level was 13.2%.
+The rate of 12-year-old children with fluor contaminated teeth without suspicion level was 7.1%.
+Mostly suspected and very mild, there was no case of severe fluor contaminated teeth. There was only one case of moderate fluor contaminated teeth.
+The Dean's index of community fluor contaminated teeth in 12-year-old children was 0.13. This was a community without fluor contaminated teeth according to the 2013 classification of the World Health Organization.
+Characteristics of dry eye in patients with primary Sjögren syndrome
+To investigate the reasonableness of using proton pump inhibitors (PPI) at 120 Military Hospital in Tien Giang province.
+Unreasonable prescriptions in PPI used mainly gastritis.
+Subjects and methods: Cross-sectional descriptive study on 4532 outpatient prescriptions of patients who were prescribed drugs by doctors from July 1st, 2020 to July 30th, 2020 at clinics of the examination department - Military Hospital 120.
+Results: Prescribing unsafe proton pump inhibitors accounted for 12.13%.
+Percentage of prescriptions without instructions for use of proton pump inhibitors (0.79%).
+The proportion of prescription drugs with drug interactions was 52.14%, clopidogrel was the most interactive drug commonly used with PPIs (48.3%).
+The proportion of proton pump inhibitors indicated unreasonable was 9.76%.
+The proportion of prescriptions with proton pump inhibitors for gastritis treatment accounted for 66.14% of the total number of prescriptions with proton pump inhibitors that were not reasonable.
+Conclusion: The proportion of proton pump inhibitors was not safe and reasonable and the proportion of prescription drugs with no instructions on how long to use proton pump inhibitors were low.
+The proportion of prescription interacting drugs accounted for a high proportion, clopidogrel was the most interactive drug commonly used with PPIs.
+Evaluation of compliance with vancomycin therapy before and after the participation of clinical pharmacists at the department of intensive care medicine - anti toxicology, Nguyen Tri Phuong hospital
+Primary spontaneous pneumothorax is a common disease in young people with a recurrence rate.
+Currently, indications of video-assisted thoracoscopic surgery (VATS) in the routine treatment of primary spontaneous pneumothorax and it is recommended to perform early in the first episode of pneumothorax.
+Methods: Cross-sectional study; The research results were recorded in the following variables: age, sex; operative indications; operative time... The data were recorded in the research medical record for each patient and processed by the SPSS 20.0.
+Results: From January 2018 to April 2021 at Cardiovascular and Thoracic Center - Viet Duc University Hospital, 38 patients underwent video-assisted thoracoscopic surgery for primary spontaneous pneumothorax.
+Indications of VATS: Recurrent preumothorax 44, 74%; Prolonged preumothorax 21, 05%; bullae 21, 05%; preumothorax-hemothorax 10, 52%; bilateral spontaneous pneumothorax 2, 63%.
+There were no complications nor death.
+Follow-up from 1 month to 24 months, no cases of recurrence.
+Outcomes of therapeutic penetrating keratoplasty for treating microsporidial keratitis
+By means of direct interviews with 156 primary caregivers for stroke patients who were treated at the hospital and are currently living in Ha Dong district in Hanoi, on rehabilitation care knowledge for patients at home, findings reveal: Percentage of primary carer full knowledge of the content of each patient care was limited: only 2 out of 8 contents reaching over 50%, which are eating care (70.6%) and occlusion preventive care (55.8%).
+The remaining content ratio care primary caregivers full knowledge was low: skin care (46.2%), urinary tract care, bladder (46.2%), constipation preventive care (13.5%), respiratory care (30.8%), standing care (46.9%), care practice, athletes (34.6%).
+Percentage of primary care-givers pass all 8 contents of rehabilitation care at home for patients with stroke accounted for only 25.0%.
+Deep anterior lamellar keratoplasty to treat corneal perforation and descemetocele from microbial keratitis
+TAFRO syndrome was first reported in 2010 in Japan. It is characterized by a constellation of symptoms: Thrombocytopenia, Anasarca, reticulin Fibrosis of the bone marrow, Renal dysfunction and Organomegaly (TAFRO).
+TAFRO syndrome often occurs in the middle-aged and the elderly, and is rarely seen in adolescents.
+Here we report the first child case diagnosed with TAFRO syndrome, and successfully treated with Cyclosporin A in the national children hospital.
+He was diagnosed with TAFRO syndrome, treated by prednisone 1mg / kg / day combined with cyclosporin A 4mg / kg / day for 2 weeks. Improvement seen with no fever, no edema, increased platelets, and improved kidney function.
+C-met expression in gastric adenocarcinoma
+To describe clinical characteristics of periodontitis patients at Thanh Nhan Hospital, Hanoi.
+Subjects and method: 103 patients who were examined at Odonto - Stomatology department, Thanh Nhan hospital.
+Descriptive cross-sectional study.
+Results and conclusion: Periodontal pocket depth (PPD) was 3, 25 ± 1, 36 mm.
+Periodontal pocket depth (PPD) and clinical attachment loss (CAL) were the same at upper and lower teeth and increased by age.
+Gingival index (GI) score and Oral Hygiene Index-Simplified (OHI-S) increased by age and the mean probing pocket depth (PPD).
+Surgical Treatment of Urethral Stricture After Hypospadias Repair: Experience on 49 Patients
+In this study, the Folin-Ciocalteu method was applied to determine the total polyphenol contents (referred to milligrams gallic acid mass equivalence or GAE) in tea products (one oolong and three ancient teas, including red, green, and white) based on ISO 14502 - 1: 2005 with some modifications, typically ultrasonic-assisted single extraction using methanol: water (7: 3 v / v) as an extraction solvent at 70oC with the extraction ratio of 0.200: 10.00 (g: mL).
+The analytical method was validated using Shimadzu 1800 UV-Vis instrument with favorable linearity of R2 > 0.995, linear range of 10 - 70 mg GAE L-1, acceptable repeatability, reproducibility (% RSDs were 0.79 and 1.2 for intra-day and inter-day, respectively), and high recoveries (higher than 98% for spiked samples).
+The total polyphenol contents (mean values, mg GAE g-1 dried weight, in brackets) performed a descending order of white (206.62) ~ green (201.33) > red (167.42) > oolong (139.18) teas due to the variation in the oxidation levels during the fermentation, particularly for red and oolong teas.
+Higher polyphenol contents released in tea infusions were observed regarding the increasing brewing temperature, except for oolong tea with its specific fluctuation, maybe due to its "wrap-curled" structure, leading to longer brewing durations for polyphenol to be extracted stably and completely.
+This study contributes to enriching data for Vietnamese tea products in the context of high production and export.
+Factors affecting the working motivation of health workers at the Ho Chi Minh City 115 Emergency Center in 2020
+To report the clinical and radiological outcomes after corrective osteotomy in ankylosing spondylitis patients.
+The mean SRS-22 score increased significantly from 9.2 ± 1.4 preoperative to 22.8 ± 1.7 at the 3 month postoperative moment.
+There were 28 surgery-related complications in 12 patients (17.3%).
+Conclusion: Corrective osteotomy is an effective method for treating a fixed kyphotic deformity occurring in ankylosing spondylitis, resulting in satisfactory outcomes with acceptable complications.
+Subject and method: We prospectively analyzed 69 ankylosing spondylitis patients who underwent corrective osteotomy between 2010 and 2022.
+Results: A total of 91 corrective osteotomies were performed in 69 patients with a mean follow-up of 30.1 months (range, 3 to 68 months).
+The mean correction angles were 24 0 ± 200 (range, - 140 to 710).
+The mean ODI preoperative score was 50 ± 15%, (range, 31.7% to 88.3%) and postoperative ODI was 22.5 ± 6% (range, 16.7% to 46.6%).
+Preliminary screening of phytochemical constituents and bioactivities in vitro of Jasminanthes Tuyetanhiae T.B. Tran & Rodda, apocynaceae
+Describe clinical and subclinical characteristics and treatment results of 02 patients with myocarditis after vaccination with Pfizer's COVID-19 vaccine.
+Conclusion: We recorded 2 cases of myocarditis after vaccination with the Pfize-COVID-19 vaccine, occurring in the second bolus.
+It is necessary to monitor and treat promptly to avoid sequelae.
+Methods: Report on clinical cases of myocarditis patients after vaccination with Pfizer's COVID-19 vaccine, treated at Department of cardiology at Duc Giang general hospital, December 2021 Results: 02 young male patients aged 16 and 17, 02 days after vaccination with Pfizer's COVID-19 vaccine showed symptoms: palpitations, left chest pain and fatigue.
+The ECG of the 17-year-old patient clearly shows pericarditis: isotropic ST elevation in the precordial leads.
+Both patients had elevated hs-cTnI: 9686.56 pg / ml and 2069.94pg/ml.
+No shreds of evidence of damage in echocardiogram: LV function is normal, no pericardial fluid.
+The patients have treated: Anti-inflammatory with Aspirin 800mg per day, Analgesic: Ibuprofen 200mg - 400mg per day.
+The hospital discharge times of 02 cases were different: Patient with higher hs-cTnI and ECG changes had a treatment time of 14 days longer than patient without EKG changes, with a lower elevation of hs-cTnI.
+Both patients were discharged from the hospital without any abnormal cardiac sequelae: hs-cTpI lower than the threshold value, ECG bounds back to normal. Echocardiogram is normal.
+The correlation between bone density and some clinical and subclinical factors in the patients with dialysis chronic kidney disease
+Describe the status of compliance with the process of removing protective equipment by medical staff in caring for Covid-19 patients and some related factors at Duc Giang General Hospital in 2022.
+Subjects and methods: A cross-sectional description, on all 176 medical staff with 521 observations and satisfying the selection criteria, conducted from January to March 2022 at Duc Giang General Hospital.
+Results: The percentage of healthcare workers who followed the removal of personal protective equipment was 72%.
+Some factors such as gender, job title and working position are related to the compliance with the procedure of removing personal protective equipment of medical staff taking care of patients with COVID - 19 (p<0.05).
+Conclusion: The compliance rate of medical staff with the process of removing personal protective equipment in the care for COVID - 19 patients at Duc Giang General Hospital is quite high.
+The hospital continues to maintain monitoring and evaluation in order to improve the compliance rate with the removal of personal protective equipment, thereby contributing to preventing the spread of COVID - 19.
+Surgical results of medullary thyroid cancer
+Describe clinical, magnetic resonance, and anatomical characteristics of femoral muscle disease patients with polymyositis and autoimmune dermatomyositis at the Department of Musculoskeletal - Bach Mai Hospital.
+Find the relationship between clinical, magnetic resonance, and anatomical femoral myopathy in patients with polymyositis and autoimmune dermatomyositis at the Department of Musculoskeletal - Bach Mai Hospital in the researched patients.
+Subjects and research methods: A prospective, cross-sectional study was performed on patients diagnosed with polymyositis and dermatomyositis according to Bohan and Peter's criteria in 1975.
+The patients were examined for clinical examination, hematology, biochemistry, pathology, femoral magnetic resonance, and electromyography.
+Research results: 1) Clinical characteristics of muscle damage: mean muscle strength is 58.68 ± 7.30, mean muscle pain VAS is 5.38 ± 1.66, and average muscle inflammation accounts for the proportion. 46.6% high, and the main symptom of muscle weakness was 96.9%.
+2) Characteristics of subclinical lesions: muscle edema is the primary lesion detected on MRI images of the thigh muscle at 65.6%, the late stage has muscle atrophy at 15.6%, and fat degeneration at 9.4%.
+Regarding muscle histopathology, the most common injury characteristics are inflammatory cell invasion, degeneration, regeneration, and proliferation, with 62.5%, 81.3%, 68.8%, and 78.1%, respectively.
+The rate of detection of muscle damage on MRI images of the thigh muscle correlates with increased CK concentration.
+Patient evaluation of healthcare providers’ communication: a survey at outpatient ward of Thai Nguyen National hospital in 2022
+To determine the rate of reopening of the ductus arteriosus after successful PDA prophylaxis with intravenous paracetamol in premature infants ≤ 27 weeks associated with RDS receiving surfactant therapy.
+During the hospital stay, there were 7 (22.6%) cases of re-opening of the ducts requiring PDA closure, the mean time of PDA reopening was 14 days postnatal age, the incompletely PDA closure, and female gender were two factors that increase the rate of PDA reopening.
+Conclusions: The ductus arteriosus reopened in at least 22.6% of infants after successful PDA prophylaxis with intravenous paracetamol.
+Therefore, PDA should be monitored by clinical assessment and cardiac ultrasound for early detection of symptomatic PDA requiring intervention, especially during the first 2 weeks of postnatal age in incompletely PDA closure patients.
+Evaluation of changes on echocardiography after 3 months of treatment in patients with acute pulmonary embolism
+Assessing the level of knowledge of nursing students about the prevention of varicose veins of the lower extremities.
+It is necessary to have early intervention measures to prevent the progression and limit the complications of varicose veins of the lower extremities for nursing students with early signs of varicose veins of the lower extremities and ensure health and safety and improve the quality of life for nursing students and medical staffs in the future.
+Identifying the percentage of students with early signs of varicose veins of the lower extremities.
+Subjects and research Methods.
+A descriptive cross-sectional study on 341 nursing students was conducted in the 2nd, 3rd, and 4th years at the Faculty of Nursing - Medical Technology, University of Medicine and Pharmacy at Ho Chi Minh City during the period of time from March, 2021 to August, 2021 ".
+The rate of students achieving general knowledge level on prevention of varicose veins of the lower extremities on average level was 61.6% and 31.1% of students had a good level of knowledge.
+The percentage of nursing students with early signs of varicose veins of the lower extremities was 26.7%.
+Most students report that early signs of varicose veins of the lower extremities are leg fatigue and microvascular swelling under the skin, calf pain, cramps (nocturnal cramps), stinging and itching sensations.
+Clinical characteristics of sleep quality in elderly patients with hypertension
+Patients who came to the examination rooms of the Out-Patient Examination Department of Nhat Tan hospital with hypertension that the doctor thought about the white coat effect during 8 months from October 1, 2020 to May 31, 2021.
+Conclusion: Our study shows that OPB30 reduces the effect of White Coat Effect about 20.2% of cases with identified office hypertension. Thereby, treating hypertensive patients and monitoring White Coat Effect patients will be more effective as well as reducing costs and side effects for them.
+The number of patients with OBP30 measured was 163 including records with at least 8 readings.
+Results: A total of 163 patients were recorded with full OBP30, of which 93 were female, accounting for 57%. Age 14 to 86.
+When measuring OBP and someone showing signs of hypertension, the doctor thought that 107 people should be treated (65.6%).
+After getting the results of OBP30, the doctor only prescribed antihypertensive treatment for 74 people (45.4%), reduced 33 people, and the rate of reduction in hypertension treatment was 20.2%.
+Barriers to treatment compliance in children with HIV/AIDS and some related factors at the Vietnam national children’s hospital
+In Vietnam, according to a report from the research results "Burden of Disease and Injury" under the VINE project (2011), mental health problems account for 18% of the total burden of disease.
+The General Report of Vietnam's Health Sector in 2014 indicates that mental disorders are one of the five groups of diseases that account for a large proportion of the total disease burden caused by non-communicable diseases.
+The objective of the study was to determine the prevalence of anxiety, stress and depression and the factors related to the rate of anxiety, stress and depression among health workers working at the examination department of the Hanoi Obstetrics and Gynecology Hospital.
+A cross-sectional descriptive study on 224 health workers from September 2021 to June 2022.
+The results show that the percentage of medical staff participating in COVID-19 prevention and control at some participating hospitals has symptoms of depression. emotion, anxiety and stress are 17.86%, 28.57%, 16.96% respectively.
+The rate of depression is related to: gender and education level (p<0.05).
+Research helps managers have policies to improve the mental health status of healthcare workers.
+Prevalence of pulmonary hemorrhage in very preterm neonates at children’s hospital 1
+Diabetes mellitus and periodontitis are common diseases, there is a two-way relationship between oral health and systemic disease.
+Periodontal treatment improves glycosylatedhemoglobin.In
+Aim: The aim of the study was to evaluate the long-term results of periodontal treatment on clinical features and HbA1c in type 2 diabetes patients.
+Materials and Methods: A clinical trials study on 76 type 2 diabetes patients with mild and moderate periodontitis.
+Periodontal index and HbA1c were recorded at baseline and six month after treatment.
+Results: After 6 months, significant changes in periodontal index (p0.05).
+Clinical characteristics and prognostic biomarker of Covid-19 patients
+Evaluating the safety and efficacy of transcatheter closure of large atrial septal defect under intracardiac echocardiography guidance.
+Conclusion: Our study has shown that the percutaneous closure of large secondary atrial septal defects in the 20 - 37 mm diameter range under intracardiac echocardiography guidance can be performed safely and effectively.
+Subjectives and method: 55 patients with large atrial septal defect were treated at the cardiovascular centre, Cho Ray Hospital.
+The prospective, open label, non-randomized, longitudinal study.
+Result: 55 patients had mean age of 41.78 ± 11.64 years old (23 - 62 years), female 85.45%.
+The mean diameters of the atrial septal defect were 24.14 ± 3.42 mm (transesophageal echocardiography) and 27.89 ± 4.27 mm (intracardiac echocardiography) with P<0.001.
+After a 3-month follow-up period, we recorded patients with improved dyspnea according to NYHA class as well as the right ventricular diameter and pulmonary artery pressure on echocardiography.
+Palliative care need of cancer patients at the oncology center, thai nguyen central hospital and related fators
+Gastric cancer is the fifth most common malignancy worldwide, and the fourth cause among all malignancy in Vietnam.
+Postoperative results: adenocarcinoma, highly differentiated, at the small curvature of the stomach, pT1aM0N0.
+After surgery, the patient was stable, without complications and was discharged from the hospital.
+Conclusion: Endoscopy and biopsy play an important role in early detection of gastric cancer.
+However, the majority of patients arriving at the hospital are in the late stage.
+We present the clinical, endoscopic, histopathological and treatment characteristics of 01 patient with early gastric cancer. Case presentation: Female patient, 56 years old.
+From 09/2020 - 09/2021, the patient had upper GI endoscopy (06 times) and biopsies (06 times).
+Endoscopy results: small curvilinear ulcer, size 1 cm, surface is not smooth.
+Histopathological results: 1/6 biopsies, we found cancer cells (last biopsy: 09/2021).
+There were 3/6 times (50%) with gastric dysplasia.
+The patient underwent laparoscopic surgery.
+Chronic pain in older people with primary knee osteoarthritis
+Describe the status of response to antiretroviral therapy and identify some factors related to the treatment response of patients at two HIV / AIDS treatment facilities in Yen Bai province in 2021.
+Subjects and methods. A cross-sectional descriptive study was produced from January 1, 2021 to August 31, 2021 among 399 HIV-infected patients over 18 years old, managed and received ART at the HIV / AIDS care and treatment facility - Nghia Lo area general hospital and Yen Bai city health center, Yen Bai province.
+Of the total number of HIV-infected patients managed and received antiretroviral therapy (ART), 96.2% of patients responded to ART, in which 100% of patients using second-line regimens respond to treatment.
+Factors related to treatment response include: high school education level (aOR= 11; 95% CI: 2.6 - 46.9), duration of ART (aOR=1.3; 95% CI: 1.06 - 1.6) and treatment adherence (aOR=5.6; 95% CI: 1.4 - 22.6).
+It is necessary to strengthen management, treatment support and counseling to improve treatment adherence, thereby helping patients have a better treatment response to ART.
+Factors Affecting Consumer’s Intentions in Buying Organic Foods in Long Bien District, Hanoi
+The purpose of this research was to identify the factors affecting customer purchase intentions toward organic food in Long Bien district, Hanoi.
+The study used the factors (Subjective Norm (SN), Perceived Behavioral Control) in the model Theory of Planned Behavior (TPB) and use some other factors, based on the previous studies on the same subjects.
+The findings showed that there were 4 factors affecting customer purchase intentions toward organic food: SN, health consciousness, consumer knowledge, sensation about price (SPr) positively.
+The study has supported the inclusion of new constructs in the TPB as it has improved the predictive power of the proposed framework in determining consumer's intention to purchase organic food.
+Parental knowledge analysis of mothers treatment at the hospital of hospital Nam Dinh treasury
+To assess knowledge of mothers have child with acute intussusception disease at Nam Dinh General Hospital.
+Results: The mean score of knowledge of the mother was 8.3 ± 4.2 (total 20 points).
+In it, 36.1% understood what was the acute intussusception; 37.7% were aware of the cause; 18% were not aware of signs of acute intussusception, 42.6% were not aware of necrotic intestinal complications if late.
+54.1% of mothers were aware of the treatment and 57.3% of the control responded correctly when children showed signs of acute intussusception.
+The study also showed that three factors significantly affected maternal knowledge of residence; education and health education reception.
+Preliminary results of AI-assissted colonoscopy application in proximal colon polyp detection
+Chromosomal mosaicism in prenatal diagnosis is a complex problem that confuses the perception of true mosaicism or pseudomosaicismand often causes difficulties in genetic counseling.
+In this study, the authors reported 5 cases of chromosomal mosaicism in prenatal karyotype diagnosis and compared them with the corresponding karyotype results of children after birth.
+Amniotic fluid and peripheral blood cells were prepared chromosomal metaphase by culture method and chromosomal analysis according to ISCN 2016 standards.
+Samples were collected and analysed at Hanoi Medical University Hospital from 2017 to 2020.
+There were 3 cases of abnormal prenatal chromosomal mosaicism, but the postnatal results were normal, two cases of abnormal prenatal chromosome mosaicism, but had abnormal peripheral blood postnatal chromosome results.
+These results, together with discussion, will provide more valuable information for the prognosis of chromosome mosaicism cases in prenatal diagnosis and give better genetic counseling for the patients.
+Bioactivity and toxicity evaluation of nutraceuticals using in vitro cell-based models: A review
+HER2-neu targeted therapy in combination with chemotherapy has been the standard treatment for HER2-neu positive cancer in the world.
+In Vietnam, Trastuzumab has been used since 2016 while Pertuzumab has just recently been used.
+This is a descriptive cohort study evaluating the efficacy of neoadjuvant Trastuzumab and Pertuzumab in combination with chemotherapy for HER2-neu positive breast cancer at K hospital from 01/2018 to 04/2021.
+The results on 20 patients showed that the clinical overall response rate was 95.0%, with only one patient progressed.
+Total pathological complete response (tpCR) rate was 80.0%.
+There were no associations between tpCR and age, tumor and nodal stage, histological type and grade, ER, PR, Ki67 status and chemotherapy regimen.
+The regimens were well tolerated and no patients had treatment delay or interruption due to toxicities.
+Iron chelation with deferasirox in thalassemia patients at Vietnam national institute of hematology and blood transfusion during 5 year’s follow–up from 2016 to 2020
+Anemia status is related to zinc and vitamin A defciency status in children of elementary schools.
+Therefore, future prevention should be implemented simultaneously and in coordination with the improvement of micronutrients defciency.
+Evaluate the results of veno- arterial extracorporeal membrane oxygenation for cardiogenic shock patient
+This is a cross-sectional description of 33 surgeries performed between October 2019 and December 2021.
+Among patients undergoing open heart surgery, congenital heart disease in adults accounts for nearly 22.3%.
+The two most common malformations were bicuspid aortic valve defect (14 cases, 42.4%) and atrial septal defect (10 cases, 30.3%).
+Many patients have surgery when there have been serious complications due disease progression over an extended time period: severe heart failure, increased pulmonary arterial pressure, enlarged aorta, dilatation of the descending aorta. In addition to the classic open heart surgery, minimally invasive surgeries have been successful to cases where the pathology is not too complex and does not have severe complications.
+Nutritional status of the children under 5 years of age in hanoi, 2019
+Peritonitis is one of the major complications of continuous ambulatory peritoneal dialysis (CAPD).
+Clinical manifestations of tuberculous peritonitis typically are usually indistinguishable from bacterial peritonitis.
+We report a case of a 17-year-old boy who suffered from end-stage renal disease with a history of 3 times of peritonitis with negative peritoneal effluent cultures.
+He was treated with antibiotics for grampositive, gram-negative coverage and fungal for 7 days but his symptoms remained unchanged.
+The outcome of using cryopreserved vein graft for lengthening renal vein in living donor kidney transplantation in Viet Duc hospital
+In Vietnam, Gomphrena celosioides Mart.
+(Amaranthaceae) is a popular herb. The aim of this study was evaluate the analgesic and sedative effects of its extract to clarify the pharmacological effects of Gomphrena celosioides.
+The extract was concentrated at a temperature of 70 °C.
+Results show that at dosage of 300mg / kg and 600mg / kg, aqueous and ethanol extracts, perspectively, weren't found to increase the reaction time of the mice in tail immersion method (p>0, 05) However, aqueous and ethanol extracts reduced the number of writhing movements of the mice (p<0, 05) in peripheral antinociceptive method. Ethanol extract shortened the stay time on the rotating cylinder at dosage 600mg / kg (p<0, 01).
+Determination of the median levels of serum biomarkers in the first trimester screening program in pregnant women of University Medical center hospital
+Describe the current status of knowledge and care practices of mothers whose children under 5 years of age have acute diarrhea at Nghe An Obstetrics and Gynecology Hospital in 2021.
+Methods: A cross-sectional descriptive study with analysis was conducted in 94 mothers at the Department of Gastroenterology, Nghe An Obstetrics and Gynecology Hospital, to investigate the knowledge and care practices of mothers whose children under 5 years of age had acute diarrhea.
+Results: 42.6% of mothers had knowledge that the route of transmission was from eating or drinking contaminated food.
+54.3% of mothers practice washing hands with soap before preparing food.
+56.4% of mothers did not practice correctly about the diet during the child's acute diarrhea; 39.4% of mothers did not pass Oresol and only 33% of mothers gave Oresol to their children according to the doctor's instructions.
+Mothers still lack knowledge and practice in the process of caring for children with acute diarrhea.
+Conclusion: The study showed that the knowledge and practice of caring baby of mothers with children under 5 years of age with acute diarrhea was still low.
+Results of 1,5-volume plasma exchange therapy in acute liver failure due to acute poisoning
+Treatment of hypertension is a continuous and long-term work, so the management and treatment of hypertensive patients is essential.
+Objectives: Evaluation of the results of management and treatment of hypertension patients and analysis of some factors affecting the results of treatment and management of hypertension at Go Cong Tay District Medical Center from 2019 to 2020.
+Methods: A cross-sectional descriptive study combining quantitative and qualitative based on information collection from management software, in-depth interviews with medical staff and group discussion of hypertensive patients managed at the Go Cong Tay district health center from April to October 2021.Results: The number of people with high blood pressure being examined and treated is increasing every year, the rate of patients coming back for follow-up examination on schedule is 63.6%.
+The rate of patients taking the correct dose was 89.3%.
+As a result of treatment, 28.9% of subjects reached the target blood pressure.
+Policies and regulations on management and treatment of hypertension, shortage of human resources, limitations on equipment, facilities and drugs of CHS, no operating funding, and personal factors of patients are factors affecting the management of hypertension treatment. Conclusion: The percentage of patients reaching the target blood pressure is still quite low, there are many factors from the medical facilities and the patients that affect the management and treatment of hypertension.
+α-glucosidase inhibitory activity of three green seaweeds collected in the coast of Khanh Hoa province
+One of the effective therapeutic approaches in the management of type 2 diabetes is inhibition of α-glucosidase.
+This study investigated α-glucosidase inhibitory activity of three green seaweeds (Halimeda macroloba, Ulva reticulate and Ulva lactuca) and the results indicated that the inhibitory effect (IC50 values) of H macroloba, U reticulata and U lactuca and were 3.98, 4.76 and 5.21 mg / ml, respectively.
+The suitable extraction time and extraction temperature for extracting high activity α-glucosidase inhibitors from green seaweed H macroloba were found to be 60 min and 60 C, respectively.
+Among the extract fractions, ethyl acetate showed the highest α-glucosidase inhibitory activity (IC50 value of 2.45 mg / ml), followed by n-hexane, butanol and water with IC50 values of 2.79, 4.11 and 4.91 mg / ml, respectively.
+Phytochemical screening showed phenolic, flavonoids and terpenoid were present in the ethyl acetate fraction of green seaweed H macroloba.
+Botanical characteristics, and pharmacological properties of Alangium salviifolium (L.f.) Wang.: A review
+Clinical and subclinical characteristics of rectal cancer patients at K Hospital from 06/2018 to 10/2021.
+Adenocarcinoma accounts for 100%, mucinous form accounts for 14.8%.
+Stage T3 accounted for 61.8%, T4 accounted for 29.1%.
+After treatment, the tumor circumference decreased by 70.9%.
+Rate of lowering stage 64.1%.
+The rate of radical surgery is 100%, in which low rectal cancer preserves the sphincter 16.4%.
+Response on MBH accounts for 90.9%.
+Conclusion: The average age is 58.6.
+Ratio male / female: 1.4.
+Time of disease detection ≤ 6 months accounted for 84.9%.
+Common functional symptoms: bloody stools, accounting for 87.2%.
+Evaluation of the results of preoperative radio-chemotherapy for rectal cancer by Volumetric Modulation Arc Therapy (VMAT) combined with oral capecitabine.
+Partial mobility accounts for 74.5%.
+Stage T3 accounted for 64.8%, T4 accounted for 35.2%.
+Tumors less than 6 cm from the anal margin account for 72.6%.
+Lower the overall period 64.1%.
+Increase the rate of radical surgery by 100% and anal sphincter-conserving surgery to 16.4%.
+The general histopathological response was 90.9%.
+In which complete response is 10.9%.
+Toxicity only encountered grade 1, grade 2 with a low rate.
+Subjects and research methods: Non-controlled clinical intervention study, convenient sample size.
+Results: Mean age was 58.6 years old.
+The common age is from 51 to 70, accounting for 76.6%.
+Common symptoms in colorectal cancer include bloody stools 87.2%.
+Partially mobile tumors accounted for 65.5%.
+Acute blood pressure levels recorded at admission and long-term outcome
+The average length of stay in the hospital was 7.75 ± 3.8 days.
+Conclusion: Children infected with Covid - 19 have a common symptom of fever.
+Common laboratory tests have increased CRP, LDH and lung lesions on X-ray.
+Most children with Covid-19 have a mild form.
+Research objectives: Clinical, subclinical characteristics and treatment results of children infected with Covid-19 from 2 months to 5 years of age treated at Duc Giang General Hospital.
+Subjects and research methods: A prospective study describing a series of cases including 52 patients diagnosed with Covid-19 who were treated at the Pediatric Covid-19 unit of Duc Giang General Hospital from January 1, 2022 to October 10, 2022.
+Results: The mean age of the disease was 21.0 ± 15.4 months (2 - 62 months), in which 59.6% of cases were under two years old.
+The ratio of boys to girls is 2.1: 1.
+Blood tests showed an increase in white blood cell counts, CRP, D-dimer, ferritin and LDH by 5.8%, 28.8%, 19.2%, 7.7% and 88.5%, respectively.
+The rate of children having chest x-ray with lesions accounted for 63.5%.
+Results of conserving breast surgery using round block oncoplastic technique in department of breast surgery
+Evaluate the effects of abdominal acupuncture combined with movement therapy on recovering upper limb functions in patients with hemiplegia due to cerebral infarction after acute phase at Phu Tho Provincial General Hospital from 2021 to 2022.
+Methods: Clinical trial study, comparison before and after treatment's result and compare with control group.
+60 patients were divided into two group: the study group used abdominal acupuncture combined with movement therapy, the control group used movement therapy.
+Results: After 6 weeks of the treatment, the patients in the study group improved movement of the paralyzed arm according to the Fugl - Meyer scale, improved dexterity function of the paralyzed hand and improved average Barthel score better than the control group, statistical significance with p < 0.05.
+Conclusion: Abdominal acupuncture combined with movement therapy improved upper limb functions in patients with hemiplegia due to cerebral infarction after the acute phase.
+Acute toxicity study of submerged-fermentation of phellinus linteus biomass powder
+To survey the prevalence of dyslipidemia and the relationship between dyslipidemia and some clinical and subclinical indexs among the elderly patients with hypertension who were treated at 115 General Hospital - Nghe An.
+Methods: This was a cross-sectional study conducted on 150 the ederly patients with hypertension who were treated at 115 General Hospital - Nghe An.
+Results: (1) The prevalence of dyslipidemia among the elderly with hypertension was 88, 0%; (2) There is the relation between dyslipidemia with: fatty liver status, BMI, waist circumference, duration of hypertension, alcohol abuse and physical inactivity; (3) No relationship has been found between dyslipidemia with: age group (≥ 70 years old compared to 60 - 69 years old), sex, family history of dyslipidemia.
+Conclusion: Dyslipidemia account for a very high proportion among the elderly patients with hypertension, especially in patients with other associated cardiovascular risk factors such as overweight, obesity, alcohol abuse and physical inactivity.
+A case report: Bosma arhinia microphthalmia syndrome at Cho Ray hospital
+To determine the changes in biochemical and hematological parameters of pre-eclampsia patients.
+Subjects and methods: A cross-sectional study on 60 pre-eclampsia pregnancy women and 60 healthy pregnancy women.
+The assays are determined by means of enzyme colorimetric, enzyme kinetics, indirect selective electrode.
+Results: Plasma Uric acid, Urea, Creatinine, AST, ALT levels were significantly higher in pre-eclampsia group than control group, sequence: 469, 73 ± 124, 99 μmol / L versus 267, 96 ± 47, 96 μmol / L (p<0, 05); 6, 75 ± 3, 34 mmol / L versus 2, 65 ± 0, 59 mmol / L (p<0, 05); 71, 73 ± 17, 98 μmol / L versus 54, 04 ± 4, 56 μmol / L (p<0, 05); 31, 20 ± 22, 28 U / L versus 21, 09 ± 5, 01 U / L (p<0, 05); 22, 53 ± 19, 18 U / L versus 14, 29 ± 7, 55 U/L (p<0, 05).
+Total platelet count and Protein, Albumin levels were significantly lower in pre-eclampsia group than control group.
+Conclusion: There was a marked change in some biochemical indicators related to liver and kidney function, a significant increase in uric acid concentration and a decrease in platelet count of pre-eclampsia patients.
+Assessing the results of gynecological laparoscopic surgeries
+CRISPR / Cas9 is a new technique developed in the recent time.
+Beginning with the discovery of the mysterious palindromic repeating sequence of DNA in E Coli in 1987, scientists began investigating the function of this seemingly outrageous phenomenon.
+This natural curiosity developed a whole new way to modify DNA: CRISPR / Cas9.
+The system developed as a self-defense against bacteria is an essential way to self-vaccinate against invading viruses and plasmids.
+The paper presents the basic mechanisms of how the CRISPR / Cas9 system works and some possibilities that the CRISPR / Cas9 system can apply practically (act on sleeping genes - Knock) - out genes, genomic editing without the use of DNA vectors, temporarily inactivating genes...) to almost all species.
+Drug - Induced Dyslipidemia
+To assess the relationship between collateral circulation on Multiphase Computed Tomography Angiography (CTA) with some clinical features and outcome in patients with acute ischemic stroke.
+Subject and method: 136 consecutive patients with acute ischemic stroke who had multiphase CTA in the first 7 days from onset and were received routine treatment regimen at Military Hospital 103 from November 2021 to July 2022.
+Assessment some clinical features, outcome based on Glasgow Coma Scale (GCS), Medical Research Council UK (MRC), National Institute of Health Stroke Scale (NIHSS) and modified Rankin Scale (mRS).
+Result: Average age: 66.2 ± 12.2, male / female ratio: 1.52/1.
+The level of collateral circulation on multiphase CTA: Good 76.4%, average 19.1%, poor 1.5%.
+GCS, MRC, and NIHSS were significantly lower in the group of good collateral circulation at all: admission, after 24 hours and discharge.
+Good recovery at hospital discharge (mRS 0 - 2) was significantly higher in the group of good collateral than in the moderate - poor group (53.7% vs 4.4%; p < 0.05).
+Conclusion: Collateral circulation on multiphase CTA has a value of prognosis of outcome in patients with acute ischemic stroke.
+Classification of eye behavior based on electrooculogram signals using labview tools
+A longitudinal, descriptive and analytical study was performed on 173 patients with cirrhosis admitted to the Department of Gastroenterology, Soc Trang General Hospital from 11/2020 to 4/2021 with the aims to: (1) Describe the clinical characteristics of patients with cirrhosis; (2) Evaluate care outcomes and analyze some related factors of care outcomes.
+Therefore, not only caring cirrhosis, but also need to guide patient how to care comorbidities and persuade patients to quit drinking (alcoholism patients) to improve care and treatment outcomes.
+The study showed: The mean age of patients was 58.6 ± 14.1 (56.1% male and 43.9% female).
+The majority of patients live in rural areas (85.5%); low education level (22.0% are illiterate; 45.7% have primary school level).
+History: alcoholism (40.5%), viral hepatitis (19.7%).
+Common clinical features: fatigue (99.4%); anorexia, poor appetite (97.1%); collateral circulation (35.8%); ascites (56.6%); 19.7% of patients had gastrointestinal bleeding complications.
+Rate of Child-Pugh A, B, c is 18.5%, 52.0% and 29.5%.
+Through assessment: Good care (78.0%), bad care (22.0%).
+There was a relationship between disease history, comorbidities, nursing care, treatment results with outcome of care (p < 0.05).
+Magnetic resonance imaging features of lingual thyroglossal duct cyst
+Assess the patient's satisfaction with nursing care provided by clinical departments in Hue University of Medicine and Pharmacy Hospital in 2019.
+Subject and method: A cross-sectional study on 600 inpatients at Hue University of Medicine and Pharmacy Hospital.
+Results: The general proportion of patient satisfaction was 71.4%%.
+Patients were satisfied more with mental health services (77.8%), nursing care skills (75.5%) and the relationship with nurses (70.2%), consulting health education services (73.6%). Patient were less satisfied with hospital hygiene (61.5%).
+Conclusion: overall, more patient show enthusiasm with the medical care provided by nurse (71.4%).
+However, the patient's satisfaction with hospital hygiene stood at only 61.5%.
+Surgical repair for peripheral facial nerve injury in patient with facial trauma
+To evaluate of the prediction factors for the success of Heated and humidified high-flow nasal cannula (HHFNC) in patients with exacerbation of chronic obstructive pulmonary disease (COPD).
+Methods: Pre and post - intervention study on 32 patients with COPD exacerbation used HHFNC support.
+Results: the success rate with HHFNC was 65.6%.
+In the successful group, vital signs (heart rate, respiratory rate, SpO2 and blood pressure) and arterial blood gas (pH, PaO2, PaO2/FiO2) improved gradually (p<0.001). In the failure group, the pH decreased and PaCO2 increased significantly (p<0.05).
+Mechanical ventilation parameters (Flow, FiO2) decreased in the successful group and increased in the failure group during study period (p<0.001; p<0.05).
+PaCO2 with cut-off ≥ 62 mmHg (area under ROC curve, AUC = 0.8247), HACOR with cut-off ≥ 4 (AUC = 0.8636), ROX with cut-off ≥ 7, 98 (AUC = 0.8030) provided high sensitivity, specificity, positive predictive value and negative predictive value.
+Conclusion: The successful prediction factors for HHFNC were PaCO2, HACOR and ROX at the initiation of the non-invasive ventilation for patients with the acute exacerbation of COPD
+The role of simulation in pediatric nursing practice to self-efficacy of full-time bachelor nursing student in the practice of intravenous injection skills for children
+Describe clinical, investigations and treatment results of hookworm infections with severe hypoproteinemia.
+Conclusion: Although hookworm infection is a common disease in developing countries, severe complications of hookworm such as protein-losing enteropathy are rare, so prompt diagnosis and treatment is required to avoid life-threatening.
+Subjects and methods: Report a case of severe complications of hookworm at the Department of Emergency and Poison Control, National Children's Hospital.
+Results: A 20-month-old girl from the Muong ethnic was admitted because of lethargy and diarrhea.
+Initial tests showed that the child had severe anemia, with elevated eosinophils and severe hypoproteinemia.
+The patient was treated for the emergency condition and investigated common causes of hypoproteinemia. Patients were excluded: malnutrition, liver and kidney diseases,... Based on epidemiological factors and symptoms, we prescribed tests for parasites including worm eggs and quantified alpha 1 antitrypsin (A1AT) level in the stool.
+The child's stool showed a lot of hookworm eggs (+++) and increased A1AT concentration (106.2 mg / dL).
+The patient was confirmed with protein-losing enteropathy (PLE) due to hookworm infection and was treated with albendazole for 3 days.
+After 16 days of diagnosis and treatment, the patient had normal bowel movements, no edema, no reduction in serum protein and was discharged.
+Evaluating nursing care for mucositis induced by chemoradiation for the treatment of head and neck cancer at National cancer hospital
+In recent years, Vietnam has witnessed an increase in cardiovascular disease morbidity and mortality.
+This has given impetus to the current cross-sectional study to collect data on risk factors of cardiovascular disease through the 2016 annual physical exam result of 269 staff members aged from 20 to 64 from a Hanoi-based university.
+The prevalence of overweight - obesity, hypertension and dyslipidemia was 43.8%, 12.3% and 29.0%, respectively.
+Men were more at risk than women.
+Compared with wider community, the prevalence of hypertension and dyslipidemia among the staff was considerably lower.
+There was an association between gender and these risk factors, while age generally affected hypertension (p < 0.001).
+ASSESSMENT OF THE EFFECTIVENESS OF NERVE PAIN TREATMENT CAUSED BY HERNIATED DISC WITH GUNA COLLAGEN INJECTION
+To evaluate prevalence 6 weeks postpartum diabetes and relative with some factors in women with gestational diabetes Subject and method: A cross-sectional and follow up to 6 weeks postpartum on 93 pregnant women with GDM from 7/2018 to 7/2019 at National Hospital of Endocrinology.
+Conclusion: Prevalence 6 weeks postpartum diabetes is 11.8%.
+Overweight / obesity pre-pregnancy increased risk type 2 diabetes postpartum.
+BMI pre-pregnancy level 22.2 kg / m2 predict type 2 diabetes mellitus with highest sensitve and specificity.
+Result: Prevalence type 2 diabetes 6 weeks postpartum was 11.8%; prediabetes 47.3%, normal glucose tolerance 40.9%.
+BMI pre-pregnancy level 22.2 kg / m2 predict postpartum type 2 diabetes mellitus with highest sensitve (90.9%) and specificity (70.7%), AUC = 0.803 (p=0.002).
+BMI pre-pregnancy ≥ 22.2 kg / m2 increased risk type 2 diabetes postpartum 6.95 fold (p<0.01).
+BMI at diagnosed gestational diabetes ≥ 25.2 kg / m2 increase risk of type 2 diabetes postpartum 5.21 fold (p<0.05).
+Wrapping technique of ascending aorta in hybrid procedure for complex aortic arch disease
+Surgery is the most important treatment method, with high efficiency and fewer complications.
+Results: benign / malignant ratio is 1, 31, female / male ratio is 1, 05/1, painless mass at gland is the most common symptom.
+Tumor size 2 - 4 cm 72, 6%, right / left is 1, 1/1, hypoechoic 89%.
+With benign tumors, the commonest histopathology is pleomorphic adenoma, Among the malignant tumors, adenoid cystic carcinoma was the commonest tumor 34, 37%, followed by mucoepidermoid carcinoma 25%.
+With benign tumors, surgery removed the tumor 35, 7%, removed the whole gland+tumor 64, 3%, 96, 9% of cancer underwent surgery to remove the entire gland, 53, 1% lymph node dissection.
+Common complications are early paresis of the marginal branch of the facial nerve 10, 8%, recover after 6 months, lingual nerve paresis, hematoma are uncommon.
+Conclusions: Histopathology of submandibular tumor is diversity.
+Clinical and subclinical features can guide diagnosis and treatment prognosis.
+Green synthesis and study on antibacterial activity of silver and gold nanoparticles obtained from callisia fragrans leaf extract
+Descriptive, cross-sectional study of 97 ethnic minority patients diagnosed with hypertension by interview, measurement of anthropometric indicators according to a set of survey questionnaires.1 Results: Awareness, attitude of patients about hypertension: 19.59% have not heard about hypertension; Periodical checking BP 7.21%, when having symptoms 24.74%, not checking 68.04%; subjects who not fully knew about complications with regard to hypertension accounted for 26.81%; BP increased proportionally with BMI, p<0.01; The average waist circumference of women was higher than that of men (89.83 ± 5.50 cm compared with 87.27 ± 5.59 cm), p<0.05, there was a positive, moderate correlation with BP (rHATTr = 0.44, rHATT = 0.56).
+Conclusions: Awareness and attitudes of ethnic minorities about hypertension are still limited compared to plains and cities.
+The waist circumference of ethnic people tends to be higher than that of Kinh people.
+Hypertension has a positive correlation with waist circumference and BMI.
+Study of microbial agents causing low genital tract infections in women gynecological examination and related factors
+Evaluating the effectiveness of urea clearance in hemodialysis by the spKt / V indicator is necessary for treating patients with end-stage chronic kidney disease (ESRD). Multiple evaluation methods could support the specialists in choosing the best treatment methods for this disease.
+This study was conducted to evaluate the effectiveness of hemodialysis by comparing the spKt / V indicator in direct measurement on the machine to the calculation method according to the Daugridas formula.
+The cross-sectional descriptive study on 175 patients with ESRD undergoing hemodialysis at Cho Ray Hospital from January to June 2022 used the Willcoxon Signrank Test to compare the average spKt / V calculated by the two methods above.
+The results show that the average spKt / V calculated by the direct measurement on the machine (1.77 (1.5 - 2.06)) and the Daugridas formula (1.6 (1.36) - 1.82)) were all within the recommended value.
+The Willcoxon Signrank Test illustrates a statistically significant difference in spKt / V in the two methods, while the Linear regression model shows a strong correlation with correlation coefficients R = 0.65 and R2 = 0.423 (p<0.001).
+Therefore, experts need to consider choosing an optimal method of measuring directly on the machine to evaluate and adjust parameters during the hemodialysis process in their professional interest to effectively treat the disease.
+Building a scale of knowledge, attitudes, behavior of consuming functional foods at pharmacies in Ho Chi Minh city
+This research recruited all bronchiolitis inpatients in Vinmec Timescity International Hospital from Jan 2022 to Dec 2022.
+The reason of antibiotic application was analysed based on clinical symptoms, complete blood count, CRP, nasopharyngeal test for virus and bacteria.
+Result: There were 68 inpateints acquiring bronchiolitis, with mean age 9, 2 ± 5, 4 months and male / female ratio was 1, 5.
+Conclusion: The rate of administering antibiotics in bronchiolitis treatment in Vinmec Timescity International Hospital was 51.5%. The justification forantibiotic using was clinical symptome, elevated inflammatory biomarkers, positive nasopharyngeal culture and X-ray.
+Isolation of escherichia coli bacteriophage from water environment by lysis method
+To evaluate the effectiveness of pain treatment of auricular electrical stimulation in patients with hip lumbar syndrome due to degeneration spine and comment some factors related to treatment outcome.
+Subjects: 60 patients diagnosed with hip lumbar syndrome due to degeneration spinr divided into study group and control group, treated at Rehabilitation - Traditional Medicine Department, Hoe Nhai General Hospital from September 2021 to July 2022.
+Research method: controlled clinical intervention, comparison before and after treatment.
+Results: after 20 days of treatment, the mean VAS score of the study group decreased from 6.43 ± 0.82 to 0, 83 ± 0.65 with p < 0.05; this result was statistically significant compared to the control group (VAS decreased from 6.13 ± 0.90 to 1, 27 ± 0.79) with p < 0.05, the mean score of daily living function after treatment of the study group (4.77 ± 1.46) improved over the control group (5.57 ± 1.48) with p < 0.05.
+Conclusion: auricular electrical stimulation combined with electro-acupuncture and acupressure has pain relieving effect, improving daily living function in patients with hip lumbar syndrome due to degeneration spine.
+The current situation of drugs usage to treat basedow on inpatients
+To develop an analytical methodology to simultaneously determine naringin and two preservatives (sodium benzoate and potassium sorbate) in extract of young pomelo.
+Subjects and methods: Naringin, sodium benzoate and potassium sorbate in young pomelo extract were determined by HPLC method.
+Results: Chromatographic separation was made with C18 column using acetonitrile - acetic acid 0.1% (20: 80) as the mobile phase at 1, 0 ml / min and detected at 235 nm.
+The process was validated the system suitsability; selectivity; linearity range of naringin (10.0 - 500.0 (ppm); y = 9902.5x; R2 = 1.0000), potassium sorbate (0.4 - 20.0 (ppm); y = 34597x; R2 = 1.0000), and sodium benzoate (0.4 - 20.0 (ppm); y = 35395x; R2 = 1.0000); precision of both three compounds with RSD < 2.0%; and accuracy with recovery ratio in 98 - 102 (%).
+Conclusion: The process could be applied to determine the content of marker and preservatives in young pomelo extract.
+Clinical and laboratory characteristics of copd patients after exacerbation at the respiratory center in Bach Mai hospital in 2018
+Describe the clinical and laboratory features of patients with chronic obstructive pulmonary disease after their exacerbations.
+Method: A cross-sectional study was conducted on 122 patients with Chronic Obstructive Pulmonary Disease (COPD) after the exacerbations by the Respiratory center at Bach Mai Hospital in 2018.
+In terms of physical manifestations, 63, 9% COPD patients reduced vesicular breath sounds; 31, 2% had coarse crackles and fine crackles; 76, 25 had a high pulmonary artery pressure and 50, 8% patients had the P pulmonale in ECG.
+The effects of particulate matter on inpatient elderly people with stroke in five hospitals, Danang, 2019
+To determine the physical exam and diagnostic testing in patients who suffer from obstructive sleep apnea syndrome aged over 65 years old in Bach mai Hospital.
+Methods: Forty-five patients who suffer from obstructive sleep apnea syndrome aged more than 65 years old agreed to participate in our study and performed polysomnography, from 9/2020 to 7/2021.
+The most common nocturnal symptom is loud snoring when sleeping, reach to 92.5%, and waking up many times during the night, reach to 75%.
+97.6% of patients had Mallampati grade 3 - 4 (n=42) with an average apnea index of both sexes of 32.63 (n=45).
+Of which 73.3% of patients have moderate to severe AHI.
+Patients with obstructive sleep apnea syndrome have Epworth score > 10 and morning headache symptoms only accounted for 20% (n=40).
+Conclusion: Subjects over 65 years of age with OSA presented with daytime drowsiness, headache, and low morning irritability.
+Snoring is the most common nocturnal symptom in patients over 65 years of age with obstructive sleep apnea with moderate to severe AHI.
+Work motivation of clinical nursing and associated factors at Tay Ninh general hospital in 2019
+Colon cancer is a common disease in Vietnam, ranking second after gastric cancer in gastrointestinal cancers.
+The mean operativetime was 168.7 ± 31.4 minutes. The mean duration of hospitalization was 10.8 ± 4.9 days.
+Conclusion: Laparoscopic surgery for colon cancer is a safe and effective surgical technique with less postoperative pain and a low rate of postoperative complications.
+Treatment of colon cancer is mainly based on surgery to excise the colon with tumor and adjuvant chemotherapy.
+Laparoscopic surgery for colon cancer increasingly shows its effectiveness and is widely used.
+A prospective, descriptive study was conductedon 35 patients with colon cancer who were treated by laparoscopicsurgery at the Hue Central Hospital - Branch 2 from January 2019 to June 2021.
+The mean age was 62.4 ± 17.8 (34 - 82); the male / female ratio was 1.2.
+The sites of cancer were: right colon 31.4%; transverse colon 11.5%; left colon 25.7%; sigma colon 31.4%.
+Protrusive tumors were accounted for 82.9% by diagnostic colonoscopy.
+Elevation of CEA serum level wasfound in 42.9% preoperatively.
+TNM stage of II and III were the most 80%.
+Study on hematological characteristics and beta globin gene mutations of beta thalassemia carriers at the National Institute of Hematology and Blood Transfusion from 2015 to 2022
+Evaluation of the association between single nucleotide polymorphisms rs1128503, rs2032582, rs1045642 of the ABCB1 gene and rs2234918, rs581111, rs529520 of the OPRD gene and methadone substitution therapy in patients with opioid addiction.
+Material and methods: 400 opiate-addicted patients receiving methadone treatment were identified for single nucleotide polymorphisms by Sanger gene sequencing.
+Results: Individuals carrying CT genotype of single nucleotide polymorphism rs1045642 of the ABCB1 gene required high dose group (≥ 90mg / day) 1.59 times higher than CC genotype (OR=1, 59, p=0.03).
+For the single nucleotide polymorphism rs2234918 of the OPRD1 gene, individuals carrying the CC genotype required high-dose group therapy (≥ 90mg / day) has higher 2 times more than TT genotype (OR = 2, p=0.049).
+Individuals carrying the CT-CC genotype (rs1045642 ABCB1 gene - rs2234918 OPRD1 gene) requiring high dose group treatment (≥ 90mg / day) has higher 4, 00 times more than wild-type CC - TT genotype (OR = 4, 00, p=0.02).
+Conclusion: There is an association between genetic variant of single nucleotide polymorphism rs2032582 of the ABCB1 gene and rs2234918 of the OPRD1 gene and methadone substitution therapy in patients with opioid addiction.
+Positive blood culture sepsis in covid-19 patients
+Skin cancers are increasingly on the rise with a series of change agents disrupting cell division inducing unlimited proliferation and cell differentiation disorders; however, the body has mechanisms to protect against skin cancer.
+One of the main factors is P53 protein encoded by the TP53 gene.
+When this gene is mutated, there is loss of function triggering tumor cells development.
+Research of TP53 gene mutations in skin cancer tissue will contribute to understanding the mechanism causing cancer and support clinicians to plan for treatments especially radiotherapy.
+By gene sequencing of skin cancer of 63 patients initially, we identified mutation in gene TP53 in different forms; mutation in the exons held 27%, transformation in the intron segments accounted for 95.2%.
+We identified 52 transformation positions in gene TP53, of which 10 mutations were found in the exons and 42 changes in the intron segments.
+Direct costs for inpatient treatment of patients with ischemic stroke at neurology center Bach Mai hospital, in 2021
+Osteoporosis is a common disease in the elderly.
+Conclusion: Bone density should be routinely measured in women over the age of 60 to determine osteoporosis.
+Many studies show that women aged 60 years or more, about 20% osteoporosis and in men the same age on the incidence is about 10%.
+Osteoporosis is a silent disease, patients are less interested but progress to serious consequences as fractures, fracture location is common femoral neck and spine.
+Currently, to diagnose osteoporosis, measurements of bone mineral density measurements by adsorption dual energy xrays are considered the standard method.
+Methodology: A cross-sectional study.
+Conducting research on bone mineral density by DEXA method of women aged 40 to measure bone mineral density at the Hue Central Hospital.
+Plug-assisted retrograde transvenous obliteration for the treatment of gastric variceal hemorrhage
+This research was performed to investigate the clinical, subclinical features and correlation of peripheral vascular disease and pulmonary arterial hypertension in patients with systemic sclerosis.
+Systolic pulmonary artery pressure was not too elevated and most patients had only mild symptoms.
+There was no correlation between pulmonary arterial hypertension and peripheral vascular diseases.
+This was a cross-sectional study of 71 patients with systemic sclerosis.
+100% of patients had nailfold microvascular impairment on capillaroscopy and most were in the early stage, accounting for 47.9%; the total capillaroscopy score was 3.3 ± 1.2.
+98.6% of patients had Raynaud's phenomenon and the average process duration of Raynaud's phenomenon was 38.0 ± 37.2 months and the average Raynaud's condition score was 3.9 ± 1.5 points; 6 patients accounting for 8.5% had active digital ulcers; the average quantity of digital pitting scars was 1.1 ± 1.4.
+The mean systolic pulmonary artery pressure was 40.2 ± 5.1 mmHg.
+The majority of patients with WHO functional classification belonged to group II, accounting for 53.5%.
+The WHO functional classification mean was 2.0 ± 0.7.
+There was no correlation between pulmonary arterial pressure value and RCS, number of active digital ulcers and semi-quantitative nailfold capillaroscopic score of loss of capillaries with p>0.05.
+All patients had peripheral vascular disease on subclinical and nearly all showed clinical symptoms.
+Study on transfer of antibiotic-resistance characteristic from probiotics to other bacterial species in vitro
+ABO blood types are based on two methods (direct and indirect method) at the same time and is only confirmed if having similar results.
+In clinical practice, we recorded some difficult cases of blood group determination.
+In the following case, we used many supporting techniques such as antibody adsorption in cold temperature and pedigree analysis in order to determine ABO blood group.
+The result of this patient was B weak with B antibody.
+ASSESSMENT THE CLINICAL AND SUBCLINICAL IN PATIENTS WHO UNDERWENT MICHANICAL MITRL VALVE REPLACEMENT WITH POSTERIOR LEAFLET PRESERVATION AT HUE CENTER HOSPITAL
+To determine the HPV infection rate and the relationship between the HPV infection rate and the epidemiological characteristics of women visiting Hai Phong Obstetrics and Gynecology Hospital.
+Methods: A cross-sectional descriptive study, 800 sexually active women aged 18 to 69 who came to Hai Phong Obstetrics and Gynecology Hospital agreed to participate in the study and had HPV DNA testing. cervix from December 1, 2018 to April 1, 2019.
+Results and conclusions: The rate of HPV positive is 12.75%.
+There is a statistically significant relationship between the prevalence of HPV infection with geographical characteristics.
+No association was found between clinical manifestations and Thinpap Test results of research subjects with the rate of HPV infection.
+Determination of total flavonoid, anthocyanin content and antioxidant activity of the fractions extract from butterfly pea (Clitoria ternatea) flowers
+Describe some clinical characteristics of patients with palmar and plantar hyperhidrosis and evaluate the results of HB herbal medication formular for treating palmar and plantar hyperhidrosis.
+Methods: use randomized clinical trial and compare results before-after treatment on 50 patients with palmar and plantar hyperhidrosis.
+Results: The average age was 24.02 - 7.59 (years old), females were more likely to develop hyperhidrosis than males, the onset age of the disease at under 12 years old accounted for the majority of the studied patients (76%).
+After 1 month of treatment, the percentage of patients who had hyperhidrosis quite frequently decreased from 40.0% to 16.0% and the proportion of the ones who had hyperhidrosis fairly frequently declined from 54.0% to 18.0% (p < 0.05).
+The percentage of patients who developed level 3 (50%) and level 4 (16%) of hyperhidrosis underwent a drop to 12.0% and 4.0%, respectively (p < 0.05).
+The quality of life effect of hyperhidrosis: 16.0% of patients decreased 80% of the total symptoms and 58.0% of patients decreased 50% of the total symptoms.
+Conclusions: HB herbal medication formular improved clinical symptoms patients with palmar and plantar hyperhidrosis.
+Clinical and laboratory testing of oral anticoagulation therapy vitamin k antagonists at the emergency department of hanoi heart hospital
+Arteriovenous malformations of the scalp are rare vascular malformations but constitute a high proportion in arteriovenous malformations of the head and neck.
+We retrospectively assessed the outcome after treatment of scalp arteriovenous malformations by thePlastic and Maxillofacial Surgery Department at Viet Duc university hospital between January 2009 and December 2018.
+Patients were treated by embolization and resection.
+The small lesions have the highest rate of successful treatment.
+The large and diffuse lesions, especially those with connection with the intracranial vessels are big challenges to manage and require collaboration between the plastic - maxillofacial team and the neurosurgical team.
+Some factors related to treatment compliance of patients with type 2 diabetes
+he pandemic not only upsets people's lives, but also shields countries from economic, political and social instability.
+At this time, each country considers the role of health and preventive medicine (preventive medicine) very important.
+And Vietnam is also a country that is not outside of this problem.
+This article will mention some limitations in state budget spending on preventive medicine and make recommendations to increase the efficiency of state budget spending on preventive medicine in particular and state budget spending on health in general.
+Study on the situation of prescribing on elderly patients apply the STOPP/START criteria at Bac Lieu hospital in 2021
+Pulmonary embolism is a fierce emergency and requires early and accurate management.
+The treatment of pulmonary thromboembolism becomes increasingly difficult in patients at high bleeding risk.
+We reported a case of successful embolectomy in a high-risk patient with acute pulmonary thromboembolism on the background of traumatic brain injury, as well as a reviewed of the literature on similar patients.
+The value of mri for determining meniscal tears in patients with injured knee
+Common symptoms were nasal congestion, post nasal discharge, headache, tinnitus, scratchy throat.
+Conclusion: After 3 months of surgery, most of functional symptoms improved compared to before surgery.
+Adenoid hypertrophy was considered uncommon in adults.
+Because of various causes, the adenoid is hypertrophic in adults.
+Less may become cancer cell.
+Objectives: To describe the clinical features, subclinical characteristíc and asscess the result of adenoidectomy by microdebrider.
+Materials and methods: Descriptive crosssectionalstudy and prospective design with patients (from 15 years old) who sufferfrom hypertrophy adenoid, were treated with microdebrider under nasal endoscopic at Can Tho Ear Nose Throat Hospital.
+Results: Of 102 cases, 55 were males and 47 were females. Patients aged between 15 - 59 years.
+Most of them had the grade II hypertrophy adenoid with 60.8%.
+Prevalence of depressive symptoms in women with intrauterine growth restriction at hung vuong hospital
+The study aimed to determine the factors affecting the quality of life of patients with type 2 diabetes treated as outpatients at Tra Vinh University Hospital in 2021.
+The crosssectional study includes data from over 200 people with type 2 diabetes who are being treated as outpatients at Tra Vinh University Hospital.
+The study used direct interviews to collect data.
+The study managed and analyzed data using SPSS 20.0 software and the Kruskal Wallis and MannWhitney test to identify factors affecting the life quality of patients with type 2 diabetes.
+The results show that the overall quality of life score of diabetic patients is 62.10 ± 7.31, equivalent to the average quality of life of patients with diabetes.
+The results also show that the average quality of life score for participants are connected with factors including age groups, occupation, duration of disease, other comorbidities, and complications in patients.
+This difference is statistically significant with p < 0.001, p = 0.001, p = 0.039, p = 0.007, p = 0.008, respectively.
+In addition, the study did not find any difference in the mean quality of life scores by gender, education level, marital status, health insurance, household economy, people living with, BMI, glycemic index, and treatment methods.
+5 years cosmetic outcome after intensity modulated radiation therapy followed conservative surgery of breast cancer stage I-II at K hospital
+Streptomyces is the microorganism that has capable of producing antibiotics.
+The current study aimed to screen and to select a strain that had the highest antibacterial activity from 59 available soilderived Streptomyces strains based on the perpendicular culture method on 5 indicator pathogenic bacteria, including Bacillus cereus, Escherichia coli, Salmonella typhi, Staphylococcus aureus và Pseudomonas aeruginosa.
+Fourteen strains exhibited their antibacterial activity at various levels, the remaining did not have that activity.
+The strain that had the highest antibacterial ability was HĐM3.2 against 4/5 indicator microorganisms, including B cerius, S aureus, S typhi and E coli with inhibitory areas were 9.5, 10.5, 16.5, and 14.5 mm respectively.
+Strain HĐM3.2 was identified as strain Streptomyces sp.
+based on a phylogenetic tree built on the 16S rRNA gene sequences.
+Suitable conditions that made the strain HĐM3.2 showed the highest antibacterial activity were investigated based on agar well diffusion assay.
+The medium of International Streptomyces Project 2 with pH 8, the ambient temperature at 28oC were suitable conditions for Streptomyces sp.
+HĐM3.2 produced the highest inhibitory areas against B cereus, E coli, S typhi, S aureus.
+Effect evaluation of recombinant lumbrokinase on acute brain infarction mice model
+The purpose of this study was to describe the characteristics and progression of lung lesions on chest X-ray and CT scans in COVID-19 patients with pneumonia treated at National Hospital of Tropical Diseases.
+Materials and methodes: Design of a cross-sectional descriptive study performed in 200 patients with COVID-19 who were treated at National Hospital of Tropical Diseases from January 2020 to May 2021.
+Results: 91.5% of patients had no lesions on chest X-ray, while lung lesions detected on chest CT were 53% of patients. Characteristics of lung lesions on chest X-ray: 64.7% of patients had lesions in 2 lungs, 41.2% had lesions in the lower third, and 35.3% had diffuse lesions.
+The lesion morphology included: opacities (70.6%), interstitial thickening (17.6%), frosted glass (11.8%). Characteristics of lesions on chest CT: lesions are mainly located in the periphery of the lung (57.5%), both central and peripheral (38.7%).
+Distribution of lesions in multiple lobes of 2 lungs (68%).
+The most common lesions are: frosted glass (91.5%), solidified (22.6%), interstitial thickening (14.2%).
+Progression of lesions on chest CT: after 15 days of treatment, 68% of patients' lesions tend to decrease or return to normal, 2.8% of patients tend to remain unchanged, 6.6% of patients aggravated, the lesion tends to worsen.
+A case report of renal leiomyoma and review literature
+To investigate the globin gene mutation causing thalassemia in patients with hypochromic microcytic anemia without iron deficiency at Bach Mai Hospital from 2019 to 2021 and to find out the relationship between some indicators of red blood cell characteristics demand for genotypes.
+MCH was lowest in genotype - -SEA / -4.2α; highest in genotype - - SEA/αα.
+With genotype beta globin Hb lowest in genotype Cd17 / β, highest in genotypes Cd71/72 / β and Cd26/β.
+Subjects: 82 subjects had small red blood cells, no iron deficiency and were screened for globin mutations.
+Method: A cross-sectional descriptive study, combining retrospective and prospective.
+Results: Detecting alpha globin mutations - SEA, α2 cd142, - 3.7, - 4.2.
+Genotype - SEA heterozygous accounted for the highest rate 51.8%.
+Detection of beta globin mutations Cd26, Cd17, Cd71/72, IVS1.1, Cd95.
+The heterozygous Cd26 genotype accounted for the highest rate (21.9%).
+With the alpha globin genotype, Hb was lowest in the - SEA / α2 cd142 genotype (73.2 g / l).
+MCV was lowest in genotype - -SEA / -3.7α; highest in genotype - - SEA / α2 cd142α2 cd142.
+Study on ultrasonic and cytology characteristics of the thyroid nodules in patients with euthyroid Grave’s disease
+Conclusion: Tumor can invade middle cranial fossa and cavernous sinus through natural fissure and foramen, most commonly is superior orbital fissure.
+Due to high risk of complications and recurrence, the extensive tumor should be treated by a multidisciplinary team and modern techniques.
+Objective: The article review clinical symptoms, radiological images and outcomes of surgical approach to remove JNA tumors with middle cranial fossa and cavernous sinus extension.
+Methods: The study is a case series to review 05 patients (ages 13 to 28) diagnosed with JNA tumor with intracranial extension from 2018 - 2021.
+Results: All 5 patients with JNA was diagnosed with stage III.
+Endoscopic surgery was used as additional technique.
+Follow up was 2 years.
+Survey on anxiety disorder among 4th year students at Nam Dinh university of nursing
+The results of the study showed a relatively high percentage of non-anxiety students with 59.7%.
+Over 69% of the participants had an understanding of anxiety through self-evaluation. 88.3% of students know how to find activities to reduce anxiety and stress.
+Factors influencing anxiety in the 4th year students of NamDinh University of Nursing are diverse. Learning activities and job opportunity after graduation are the main factors contributing to students' anxiety and stress.
+Primary outcome evaluation of interstitial brachytherapy stage I-III mobile tongue cancer treatment
+Congenital airway stenosis (tracheobronchial stenosis) in children is rare, difficult to treat and become more complex when associated with congenital heart defects.
+Study on preparation of “Luc vi dia hoang” capsules
+To evaluate clinical features, imaging and factors related to surgical treatment results of epidermoid cysts in the cerebellopontine angle.
+Microsurgery to remove the entire tumor is the ideal treatment to increase the rate of symptom improvement.
+However, if tumors are adherent to surrounding important structures, surgeon can actively leave this part in order to preserve function after surgery.
+Methods: A cross-sectional descriptive study of 34 cases of CPA epidermoid cysts diagnosed and treated with microsurgery at the Neurosurgery Department - Cho Ray Hospital from February 2018 to February 2021.
+Results: The mean age of the research group was 41, 1 ± 8, 7, male / female ratio is approximately 0, 4/1.
+The most common hospital admission symptoms were headache (29, 4%), V neuralgia (26, 5%) and tinnitus (20, 6%).
+Total tumor removal reached 41, 2%.
+After 6 months of postoperative follow - up, the most improved symptoms were hemiparesis (100%), facial hemispasm (75%) and V neuralgia (72, 2%).
+New neurological deficits at 6 months were 14, 7%, of which cerebellar syndrome accounted for 5, 9%, paralysis of the VI, VII and VIII nerves each equivalent to 2, 9%.
+Complications after surgery were all less than 10%, cerebellar contusion and hemorrhage accounted for the highest rate of 8, 8%.
+Conclusion: CPA epidermoid cysts with diverse clinical manifestations.
+Extraction and testing of active ingredients resisting some types of bacteria of blumea balsamifera oil
+Determine the relationship between stress, anxiety, depression in patients with type 2 diabetes and related factors.
+Conclusion: There is a strong and positive correlation between stress, anxiety and depression.
+There are associations between stress, anxiety, depression with social factors, patient health information and patient's type 2 diabetes pathology factors.
+Subjects and methods research: Cross-sectional descriptive analysis on 133 patients who visited the outpatient clinic at the Ho Chi Minh City University of Medicine and Pharmacy Hospital from April 2022 to September 2022.
+The research tool is the DASS - 21 scale.
+Statistical analysis by T-test, ANOVA, Mann-Whitney, Kruskal-Wallis, Pearson.
+Results: The rates of stress, anxiety and depression of patients according to the DASS-21 scale were 6.77%, 37.6%, and 10.52%.
+There is a positive and strong correlation between stress, anxiety and depression and this is statistically significant with the correlation coefficient r 0.75 and p < 0.001.
+There was a relationship between stress and: religion, medical expenses, frequency of blood sugar checks, duration of diabetes, number of insulin injections per day, knowledge of insulin pens, hypertension, blood sugar fasting, with p < 0.05.
+There is a relationship between anxiety and: age of the patient, knowledge of insulin pens, fasting blood sugar, p < 0.05.
+There is an association between depression with: medical expenses, frequency of blood glucose testing, duration of diabetes 2, number of insulin injections per day, knowledge of insulin pens, hypertension, fasting blood sugar, p < 0.05.
+Outcome of cementless total hip arthroplasty for osteonecrosis of the hip in Tam Anh hospital
+Virus-caused Acute Respiratory Tract Infections (ARTIs) are among the most frequent diseases worldwide, with a high fatality rate.
+The worldwide influenza and covid-19 pandemics have had a serious impact on humanity because the viral mutations develop at a rate quicker than human ability to discover, manufacture, and distribute vaccines, as well as immunisation.
+Furthermore, the widespread use of antibiotics to treat respiratory co-infection bacteria without a doctor's prescription contributes to an increase in antibiotic resistance.
+In view of this situation, many scientists around the world have researched and developed probiotics, also known as beneficial bacteria, to support the treatment and prevention ofARTIs because this is a safe and potentially effective approach.
+Recently, LiveSpo® Pharma successfully created LiveSpo® Navax, a physiological saline suspension containing 5-billion beneficial Bacillus spores for ear, nose, and throat spraying administration.
+In this paper, we review some of the research findings including (i) clinical trials on the efficacy of LiveSpo® Navax delivered through nasal spray in the treatment and prevention ofARTIs in children infected with RSV and influenza, and (ii) two case studies on the efficacy ofLiveSpo® Navax in the treatment of symptomatic Covid-19 infection in two families of individuals with moderate and mild symptoms.
+Application of the PREMISE score to predict early death prognosis and outcome in the 30th day of patients with acute ischemic stroke
+This study investigated the symptoms of traditional medicine related to Liver, Spleen, and Stomach in patients with gastroesophageal reflux disease.
+Pulse and tongue symptoms are very common, traditional medicine symptoms play an important role in the diagnosis of the clinical traditional medicine patterns in gastroesophageal reflux disease
+Method: A cross-sectional study was performed on 384 patients with gastroesophageal reflux disease at the Gastroenterology clinic - University Medical Center Ho Chi Minh City from 11/2021 to 05/2022, to survey 40 traditional medicine symptoms based on the PIGERD questionnaire.
+Results: Females accounted for a higher proportion than males, the average age was concentrated in middle age, the duration of the disease was mainly from 1 - 18 months.
+The most common symptoms were severe fatigue (76.6%), belching (75.3%) and easy stomach bloating (72.9%).
+The typical symptoms of gastroesophageal reflux disease also accounted for a fairly high proportion such as burping up sour taste (60.4%), heartburn (50.5%), heat behind the sternum (45.3%).
+Symptoms of abdominal distension (6.3%) and cramping (10.1%) accounted for the lowest rate.
+Among the tradiontional medicine signs, red tongue (47.9%) and thin white tongue moss (35.4%) were the most common types of tongue and tongue moss.
+The string-like pulse (44.3%) was the most common, and the rapid pulse (14.8%) was the least common.
+Conclusion: The symptoms of traditional medicine are very diverse, revolving mainly around the organs of the liver, spleen, and stomach.
+Evaluation of therapeutic of effectiveness of lactulose enema in hepatic encephalopathy
+Assessment of knowledge and attitudes related to pain management for post-operative patients at the Orthopedic Unit, Viet Duc University Hospital.
+Cross-sectional descriptive study on 135 nurses working at the Orthopedic Unit, Viet Duc University Hospital.
+The Nurse's Knowledge and Attitudes Survey Regarding Pain (NKASRP) has been revised and adapted to be appropriate for pain management and treatment in Vietnam, which were used to measure the nurse's knowledge and attitudes in the study.
+Results: Research results showed that the number of nurses with knowledge reached 9, accounting for only 6.6%, only one nurse with good knowledge.
+Most nurses participating in the study answered correctly questions of pain management with medication.
+The proportion of nurses with a positive attitude related to the perception of pain in the patient is still low.
+Numbers of nurses with positive attitudes were 30 (22.2%); Most of the nurses participating in the study (77.8%) did not have a positive attitude about pain management.
+Conclusion: Knowledge and attitudes about pain management for patients after surgery of the nurses at the Orthopedic Unit are still lacking.
+Hospitals should pay attention to strengthen training for nurses on pain management for patients.
+Cytotoxic effect of ethanol extract of ficus pumila leaves on mcf7 breast cancer cells
+To study clinical characteristics and treatment response rates to concurrent chemoradiotherapy of neuroendocrine tumors of the uterine cervix (NTUC) at K Hospital from 2018 to 2020.
+Subject and method: Non-controlled clinical intervention study, we included patients whose tumors were described in the original pathology as NTUC, FIGO IB-IIIC, at K Hospital, from 2018 - 2020. Patients were treated by definitive chemoradiotherapy using EP regimen.
+Result: 40 patients were enrolled in the study, the mean age was 45.8, the small cell subtype accounted for the largest (80%), the rate of FIGO stage I, II, III were 17.5%, 35% and 47.5%, respectively.
+30/40 patients had complete response (75%), 4/40 patients had partial response (10%) and 6/40 had progressive disease (15%).
+Conclusion: NTUC was rare disease with poor prognosis, the rate of advanced disease was high.
+Concurrent chemoradiotherapy using EP was effective for patients with NTUC, however, longer follow-up time is needed to evaluate survival outcome.
+Simultaneous determination of some illegal antihypertensive and diuretic drugs in traditional herbal preparations by HPLC-DAD
+Medical workers are directly exposed to high levels of negative emotions that appear to increase the risk of long-term consequences such as secondary stress, depressive symptoms or burnout occupation with adverse outcomes for health care quality.
+Objectives: To assess the stress level of medical workers and its related factors at some hospitals treating COVID-19 patients in Ho Chi Minh City in 2021.
+Methods: A cross sectional study was conducted on 244 medical workers in 12 hospitals and frontline medical units treating COVID-19 patients in Ho Chi Minh City from September 13 to 20, 2021.
+Using the stress component of the 21-item Depression, Anxiety and Stress Scale (DASS-21) to assess the level of stress among healthcare workers.
+Results: A total of 244 medical workers, 80.3% experienced stress. The prevalence of stress was found to be in the range of mild (17.6%), moderate (22.5%), severe (29.7%), of extremely severe (12.3%).
+Multivariable logistic regression model showed that directly treating COVID-19 patients (OR=2.14, 95% CI: 1.01 - 4.53; p<0.05) and often under pressure from superiors at work (OR = 7.05; 95% CI: 1.55 - 31.9; p<0.05) were associated with stress.
+Success rate of percutaneous coronary intervention for chronic total occlusion
+Conclusions: This study revealed the feasibility in a novel approach to estimate MSM population size in light of the development of social network and mobile application.
+This study provides valuable information on MSM population sizes in HCMC which is very helpful in program planning and resource allocation.
+Objective: This study aimed to estimate the size of the MSM population in HCMC and compare based on three different data sources.
+Methods: This study used the social app multiplier method to estimate the size of MSM populations in HCMC.
+The count of users on a popular social app among MSM in HCMC was used as the first data source.
+Results: 26% (95% CI 14 - 38) of MSM in HCMC surveyed used the Blued social app in the last two weeks from 17/7/2020 - 31/7/2020.
+Percutaneous treatment of liver abscess with diameter larger than 5cm
+Image-enhanced endoscopy (IEE) plays a vital role in detecting and evaluating endoscopic lesions. However, these techniques are only implemented in advanced, high-cost endoscopic systems.
+Results: Compared to the senior doctors' group, the junior doctors' group assessed that image evaluation was more difficult (52.1% of images were considered hard to evaluate compared to 25.8% in the expert group).
+The rates of accurate evaluation in the junior group and the expert group were 54.7% and 52.7%, respectively.
+Ihe level of accurate evaluation between junior and senior doctors was similar.
+Conclusion: The preliminary results suggested the possibility of applying this software in clinical practice to improve lesions detection in medical units with limited resources.
+In Vietnam, there have been preliminary results in the application of artificial intelligence (AI) in endoscopy.
+Objective: To evaluate the feasibility of utilizing AI to simulate enhanced mode images for esophageal endoscopic images.
+Methods: We built an evaluation set of 240 endoscopic images at the Z-line: 60 FICE images, 60 FICE-simulation images, 60 LCI images, and 60 LCI-simulation images.
+The FICE and LCI simulation images were generated from the white light images using the CycleGAN network.
+Each subset of images had 30 normal Z-line images and 30 images with reflux injury.
+The evaluation set was then shuffled and sent to five junior endoscopists (<5 years of experience) and five senior endoscopists (≥5 years of experience) for evaluation.
+The doctors were informed that there were simulated images generated by an AI algorithm in the image set and were asked to determine which images were IEE or AI-simulated images.
+Factors related to the needs of palliative care among patients after colorectalcancer surgery at Vietnam national cancer hospital in 2018
+In the psychologic domain, cancer patients ages above 60 years reporting lower levels of unmet need than those ages under 60 years, females reporting higher levels of unmet need than males, stage I and II lower levels of unmet need than those cancer stage III and IV.
+In the medical information domain, cancer patient ages above 60 years reporting higher levels of unmet need than those age under60 years, over secondary lower levels of unmet need than those level of education under secondary.
+In the physical and daily living, females reporting higher levels of unmet need than males, married group reporting lower levels of unmet need than lower than single / unmarried group, the self-moving group was lower than the non-self-moving group.
+In the sexual domain, females reporting lower levels of unmet need than males, single / unmarried reporting lower than married group.
+Outcomes of recurrent epithelial ovarian cancer patients treated with paclitaxel regimen at k hospital
+COVID-19 affects both physical and mental health of patients seriously. Understanding the impact of COVID-19 on patients' health related quality of life is an important key to developing policies and community intervention programs.
+A cross-sectional study was conducted among 324 inpatient COVID-19 patients at Pham Ngoc Thach hospital; at the time of discharge, in november 2021, the Vietnamese version of the EQ-5D-5L quality of life scale was used for the survey.
+Health related quality of life score and standard deviation of all 324 study subjects were 0.874 ± 0.216, respectively.
+More than one-third (33.3%) of participants with COVID-19 had anxiety / melancholy.
+After multivariate analysis and controlling for potential confounding factors, the study showed that female patients had a higher quality of life than male patients; as age peaks, the quality of life decreased; p revalence of diabetes and / or former pulmonary / extra pulmonary tuberculosis were factors that reduce quality of life among patients with COVID-19.
+Moreover, screening for mental disorders among hospitalized COVID-19 patients should be done for all patients to identify the problems as the early stage.
+Predictive factors of recurrence after liver resection for hepatocellular carcinoma
+In order to provide data on clinical characteristics and the etiology of STIs at Hanoi Medical University Hospital, we conducted a retrospective observational study on 1251 men with confirmed STI.
+Therefore, sex education and propaganda about safe sexual intercourse and faithfulness are very important to prevent and reduce the rate of sexually transmitted diseases.
+Our results showed that patients with STIs were predominantly in the 20 - 30 age group representing 41.6% of all patients.
+82.4% of the subjects did not use condoms when having sex with their partners and 71.8% of patients had oral sex.
+The majority of patients was infected with Chlamydia, constituting 30.46%, followed by Gardnerella (20.14%), Neisseria gonorrhoeae (17.9%), Mycoplasma genitalium (15.03%) and Ureaplasma parvum (13.43%).
+60.9% had multiple co-infection.
+Adverse effects of chemoradiation therapy on stage III adenocarcinoma lung cancer by cisplatin in combination with etoposide or pemetrexed
+Adequate vaccination has been shown to protect the community against COVID-19, the most important tool to prevent the COVID-19 pandemic.
+Objective: Investigation of anti-SARS-CoV-2 antibody levels after two doses of COVID-19 vaccine.
+Subjects and Methods: A descriptive cross-sectional study performed the first quantitative test for anti-SARS-CoV-2 antibodies in 332 and second in 196 adult volunteers.
+Comparison of antibody levels at 2 - 8 weeks and 8 - 14 weeks after vaccination with two vaccines AZD1222 or BNT162b2.
+Results: The antibody levels of AZD1222, BNT162b2, mix-and-match group and the total at 2 - 8 weeks after the second dose were 989 (476 - 1945), 1955 (1327 - 3245), 4368 (2066 - 6716) and 1622 (684 - 3741) BAU / mL; at 8 - 14 weeks were 796 (385 - 1460), 1080 (848 - 1985), 1714 (1058 - 2647) and 1014 (490-1892) BAU/mL.
+There was no correlation between antibody levels with age, gender, weight and BMI in the studied groups.
+Conclusions: Vaccines AZD1222, BNT162b2 and mixed injection produce good antibodies.
+Antibody levels decreased significantly at 8 - 14 weeks compared with 2 - 8 weeks after the second dose.
+Knowledge, attitude and practicalnurser in routine hand washing of nurses at Thai Binh children’s hospital in 2020
+The purpose of this study is to describe the incidence of anaphylactic reactions after Oxford / AstraZeneca vaccination and management of such reactions.
+AstraZeneca vaccination is safe and anaphylactic reaction management is successful.
+87.5% of anaphylactic reactions happened within the first 24 hours with 45.2% happened within the first 30 minutes.
+One case of grade 3 anaphylaxis and two cases of grade 2 anaphylaxis all occurred within 30 minutes of vaccination.
+Clinical and subclinical characteristics of pulmonary tuberculosis in patients with diabetes at Thai Nguyen tuberculosis and lung disease hospital
+At Thai Nguyen Tuberculosis and Lung Disease Hospital, there has not been much research on this issue, so we conducted this study with the aim of describing the clinical and subclinical characteristics of pulmonary tuberculosis in patients Type 2 diabetes with research methods that describe cross-sectional designs, combining retrospective and prospective studies.
+The study results showed that the mean age ± SD of patients with tuberculosis with diabetes was 58 ± 13 years older than patients with simple tuberculosis (42.27 ± 18) (p = 0.001).
+Mild fever in the afternoon, hiss, snoring rale was more common in patients with pulmonary tuberculosis with diabetes (p <0.05), but more weight loss was seen in the pulmonary tuberculosis group (p <0.05).
+Cave lesions and mediastinal lesions on X-ray were more common in patients with tuberculosis with diabetes (27.9% and 62.8%, respectively) compared with patients with pulmonary tuberculosis (6.5% and 43.5%, respectively).
+Evaluation of risk of malignancy of operated thyroid nodules classified as bethesda III/ IV
+We aimed to evaluate the left ventricular function before and after implantation of cardiac resynchronization therapy (CRT) device by using tissue Doppler echocardiography.
+Methods: A prospective longitudinal follow-up in 33 patients with severe heart failure (left ventricular ejection fraction ≤ 35%) and QRS duration ≥ 120 ms, who underwent a CRT device implantation in Vietnam National Heart Institute - Bach Mai Hospital.
+Results: The mean age was 60 years old and the proportion of males was 84, 8%.
+The pre-implantation baseline QRS duration was 133.9 ms At the time of discharge, 1 month and 3 months follow-up after implantation, the QRS duration was 124.4 ms; 115.6 ms; 111.8 ms, respectively.
+The severity of mitral regurgitation was improved and the systolic pulmonary artery pressure was decreased significantly after CRT implantation and during follow-up (p<0.05).
+The diastolic left ventricular function improved significantly from 1 month follow-up after CRT implantation with a decrease in the E / e' index, and e', a' and s' indices were increased (p<0.05).
+The left ventricular global longitudinal strain was improved significantly from 1 month follow-up after CRT implantation.
+Conclusions: Patients, who underwent CRT implantation, had a reduction of the QRS duration from 133.9 ms to 111.8 ms after 3 months follow-up.
+Evaluation of the result of intracranial aneurysm microsurgical treatment by clipping
+Three genes p53, rarα1, wnt and liver of Medaka fish tissue were selected to study the toxicity of DDT to fish embryo (8 days old) and adult Medaka fish (3 months old).
+TEM and real-time PCR methods were used to examine changes in structure of liver tissue and genetic expression.
+The TEM results recorded a clear difference between the control and the experimental sample.
+Adult Medaka fish exposed to 1 μg / L DDT for 24 hours has a distorted liver cell nucleus with many hollow lipid particles, and the sinus-shaped meshes are clustered, interrupted; lysosome is not intact with many degenerative bubbles.
+The results of real-time PCR analysis showed that DDT affects the development, different and proliferation of cells in the embryonic stage and gene expression in adult stage.
+All three genes p53, rarα1 and wnt in fish embryos changed strongly and tended to be inhibited when exposuring with 1700 μg / L DDT, the values were recorded respectively 0.9; 4.9 and 5.4 times compared to the control sample (1 times).
+For adult fish, gene expression was lower than fish embryos with real-time PCR analysis values for the three genes p53, rarα1 and wnt respectively 0.9 and 0.5; 0.36 and 0.09; 0.53 and 0.09 times after exposure to 1500 and 1700 μg / L DDT.
+These results demonstrated that gene expression is dependent on the developmental stage of the cell as well as on the dose of the chemical exposed.
+The development, cell differentiation / proliferation in the embryonic and adulthood stages affected differently to the cell gene expression.
+Preventive factors for hypertension in persons 30 years and older in Hai Chau district, Da Nang city
+Objective: To describe the clinical and subclinical characteristics of patients with persistent mass at Hanoi Obstetrics and Gynecology Hospital in 2020 - 2021.
+Method: this is a cross-sectional study.
+Results: 32 cases of persistent mass included.
+100% of patients suffered anemia, the persistent mass is less than 4 cm accounting for 75%.
+Myometrial thickness > 2 m accounting for 75% of cases.
+Conclusion: persistent mass leads to prolonged vaginal haemorrhage mainly, small size less than 4 cm and myometrial thickness > 2 mm is the main feature of the mass.
+Factors related to walking rehabilitation for patients with hemiplegia due to ischemic stroke
+Prophylaxis treatment of bleeding in patients with hemophilia A (HA) helps limit bleeding, prevent and minimize complications.
+Emicizumab is a prophylactic drug for HA, used in the European Union, the US, Japan and many countries around the world [10] with proven effectiveness and safety by many clinical studies [5].
+However, the high cost of the drug is a huge barrier against wider application.
+Thus, it is necessary to evaluate the feasibility of drug using in clinical practice based on a cost-effectiveness analysis, in which the first important step is to build up a specific model for Vietnamese patient population.
+Using modelling methods combined with literature review and consultation with clinical experts, the study builds a cost-effectiveness analysis model based on Microsoft Excel 2016 with a model structure factoring in the particular clinical settings of Vietnam.
+Treatment effects of first-line chemotherapy with paclitaxel – carboplatin regimen on patients with stage IV non-small cell lung cancer
+The study involved 171 consecutive patients scheduled for elective coronary surgery at Hanoi Heart Hospital from 6/2016 - 8/2018.
+Main results: Mean age 65, 05 ± 7, 41 years; 78, 4% male.
+The occurrence of hemodynamic instability (n=45, 26, 3%) was associated with a longer preoperative QRS duration.
+The QRS duration was also longer (QRS ≥ 90 miligiây) in patients who developed acute heart failure need inotropic drugs (36, 4% vs15, 7%; p< 0, 05).
+Conclusions: The intraventricular conduction delay, or QRS duration, was associated with a higher risk of postoperative hemodynamic instability following coronary surgery.
+Effectiveness of health education intervention on adherence to non - pharmacological treatment among patients with hypertensive at Nam Dinh general hospital
+To describe the situation, change practice the behavior of some measures to control non-pharmacological blood pressure after health education intervention in hypertensive patients on outpatient treatment at Nam Dinh General Hospital in 2016.
+Method: The subjects of the study were patients with hypertension over 40 years old who were outpatient treatment at Nam Dinh General Hospital.
+The 8-week pre-and post intervention study was conducted with 118 patients using available questionnaires about a number of non-pharmacological measures of blood pressure control such as alcohol restriction, tobacco / pipe tobacco use, Sports mode, blood pressure monitoring mode.
+Results: The status of non-smoking / pipe tobacco compliance 93, 2%, alcohol and alcohol restriction 89, 8%, exercise and exercise 39, 8%, blood pressure monitoring 8, 5%.
+After the intervention, the compliance with non-smoking compliance improved 94, 9%, alcohol restriction 96, 6%, exercise and exercise 54, 2%, follow-up blood pressure 39, 8%.
+Identifying genetic mutations causing thalassemia in children at Haiphong children’s hospital
+Evaluate the current state of the quality of insured outpatient services (clinical time, patient satisfaction) and evaluate the effectiveness of the LSS improvement in some steps in the process.
+Result: 32 causes of ineffective activities were identified in two screening procedures.
+The goal of improving survey process timing and patient satisfaction is 20%.
+After improvements in the Lean Six Sigma model, positive results on the timing of the two procedures were obtained, including the expected length of the registration process (<40 minutes) was improved by 13.8%, the expected length of dosage regimen (<20 minutes) was improved by 22.9%, and the satisfaction level of patients was improved by 11.5%.
+Study the plasma folic acid levels in patients with alcoholic liver cirrhosis
+Colon diseases are increasingly detected due to the development of colonoscopic techniques, especially colorectal cancer.
+Annually, the hospital of Can Tho University of Medicine and Pharmacy has many patients coming for examination, treatment, and colonoscopy.
+Therefore, we want to build a disease model of colon diseases in patients who come for examination and colonoscopy at Can Tho University of Medicine and Pharmacy hospital.
+Objectives: To describe the clinical characteristics, the incidence of colon diseases, and the relationship between clinical and endoscopic images in patients who come to Can Tho University of Medicine and Pharmacy hospital.
+Materials and methods: A cross-sectional descriptive study on 722 patients who came to Can Tho University of Medicine and Pharmacy Hospital for examination and endoscopy in the first six months of 2021.
+Results: The rate of colonic disease through colonoscopy was 35.4% normal, 31.3% polyps, 10% ulcerative colitis, 6.1% colon tumors and 4% diverticula.
+The relationships between the symptoms of abdominal pain, bowel disorders, stool disorders, ulcerative colitis, colon tumors, age group, and polyps, colon tumors with p<0, 05.
+Conclusion: Colonoscopy is necessary for patients ≥40 years old with bowel disorders and stool disorders to detect colon diseases early.
+Evaluation of the results of patient's early eating after hepatectomy for hepatocellular carcinoma
+The quality of the test makes a very important contribution to the diagnosis, especially the diseases of cancer, endocrinology, thyroid gland,... [3], so the good implementation and monitoring of the test quality at the hospitals have been required by the Ministry of Health, which must monitor and evaluate monthly through external quality assessment to overcome and develop measures to improve testing quality [1], [7].
+This study analyzed the 2021 external quality assessment results for immunoassays and found that: immunoassays are prone to errors at low concentrations; the errors of the tests of the cancer marker group and the thyroid group were relatively higher than the other groups; quality control chemicals / reactants degraded, instrument calibration should be focused on more.
+Tracheal diverticulum - in one case
+To evaluate the efficacy of miniscrews for whole arch distalization from researchs in the past 20 years.
+Occlusion plane rotates counterclockwise during maxillary whole arch distalization and anticlockwise during mandibular whole arch distalization.
+Upper lip retracts up to 2.5 mm, lower lip retracts up to 2.0 mm.
+Conclusion: Miniscrews are effective in whole arch distalization.
+The most obvious clinical signs of total dentition distalization are incisor retraction and molar distal movement, statistically significant difference proved.
+Other movement such as tipping, extrusion, intrusion of incisors and molars, rotation of occlusion plane, lips retraction are somewhat showed in the results but not many articles have statistically significant difference.
+Materials and methods: Systematic review.
+Results: 08 artilces were included in the systematic review.
+Miniscrew used in whole arch distalization are 1.5 mm - 2 mm in diameter, 6 mm - 14 mm in length for maxillary and are 1, 5 mm in diameter, 6 mm - 7.1 mm in length for mandibular.
+Upper incisors retract 0.49 mm - 4.6 mm (p<0.05 in 4/6 articles).
+Upper first molar move distally 1.29 mm - 4 mm (p<0.05 in 5/6 articles).
+Lower incisors retract 1.69 mm - 3.2 mm (p<0.05 in 2/3 articles).
+Lower first molar move distally 1.88 mm - 3.4 mm (p<0.05 in 2/3 articles).
+Mid-term outcomes of video-assisted thoracoscopic anatomical lung resection for non-small cell lung cancer with clinical stage I and prognostic factors
+Evaluation the value of frozen biopsy and results of combination frozen biopsy with operation in treatment of Hirschsprung's disease.
+Methods: Serial retrospective description Results: There were 34 cases included in this research.
+Mean operation time was 168, 5 ± 71, 9 minutes, mean refeeding time was 2, 6 ± 1, 4 days, and mean hospitalization was 10, 2 days.
+Mean follow-up time was 11, 1 ± 8, 3 months, including 2 (5, 9%) cases was reported fecal incontinence and 6 (17, 6%) cases was enterocolitis, no cases was reported constipation.
+No patient was required re-operation.
+The results of frozen biopsy were correspondence with total biopsy in all cases.
+Conclusions: The accuracy of frozen biopsy in Hirschsprung's disease is very high.
+Combination frozen biosy with operation in treatment Hirschsprung's disease shows good results with low complication rates.
+Value of the electrocardiogram in localizing the occlusion site in the coronary artery in the patients with ST-segment elevation acute myocardial infarction
+The outcome of STEMI patients depends mainly on the occlusion site of coronary artery.
+The ST↑in DII, DIII, aVF and ST↑in DIII > ST↑in DII predicted RCA occlusion with 83, 72% sens, 96, 49% spec, 94, 72% PV+ and 88, 70% PV - (p <0, 001).
+The ECG was high valuable to predict the occlusion site of coronary artery in STEMI.
+Accordingly, the presumptive prediction of a culprit artery based on the electrocardiogram (ECG) recorded at admission is an important clinical sign.
+Materials and methods: a descriptive study of 100-patients with STEMI admitted to the An Giang heart hospital.
+The ECG patterns pronounced ST-segment deviation before initiation of reperfusion therapy were evaluated and correlated with the exact occlusion site as determined by coronary angiography.
+Results: The ST↑ (two contiguous leads) in V1 to V6 strongly predicted LAD occlusion with 56, 14% sens, 97, 67% spec, 96, 97% PV+ and 62, 68% PV - (p <0, 001).
+The ST↑in V2 to V4 and ST↑in V1 > 2, 5 mm predicted LADI occlusion with 65, 21% sens, 96, 10% spec, 83, 33% PV+ and 90, 24% PV - (p=0, 005).
+The ST↑in V2 to V4 and ST↓ở aVL predicted LADII-III occlusion with 84, 21% sens, 98, 76% spec, 94, 11% PV+ and 96, 38% PV - (p=0, 024).
+The ST↑in DII, DIII, aVF and ST↑in DII > ST↑in DIII and ST↓in aVR ≥ 1 mm predicted LCX occlusion with 60% sens, 100% spec, 100% PV+ and 97, 73% PV - (p <0, 001).
+Evaluating the results of breast cancer patients treated with breast conserving surgery and sentinel lymph node biopsy at K hospital
+Psoriasis affects an estimated 2% of the world's population.. E-PSORA contains PHA, jojoba oil, and vitamin E with antioxidant, anti-inflammatory and moisturizing propertie which have potential benefits in topical psoriasis treatment.
+Objectives: evaluate results of topical treatment of plaque psoriasis at Can Tho Dermato-Venereology Hospital and Can Tho University of Medicine and Pharmacy Hospital in 2019 - 2021.
+Materials and methods: A descriptive cross-sectional study was conducted on 155 mild and moderate plaque psoriasis, treatment duration with E-PSORA for 6 weeks.
+Results: very good results had level 3.9%, good had level 32.9%, quite had level 38.1%, medium had level 20.0% and poor results had level 5.2%.
+Side effects only recorded 5.8% itching and 7.1% skin redness in the first week, which disappeared in the next 5 weeks of treatment.
+Conclusion: E-PSORA is an effective topical therapy in reducing psoriatic lesions with few side effects
+Analysis of causes and proposal of solutions to reduce accident at work when using the handling machine
+However, when using lifting equipment, accidents for operators, incidents that cause economic losses, production interruptions and accidents for the surrounding people can also occur.
+To ensure safety, prevent incidents and accidents when using lifting equipment, the operator must master the technical profile of the equipment, structure, structure, utility, operating procedure, and rules and regulations.
+The paper analyzes the causes and proposes measures to minimize occupational accidents when using handling machines
+Study therapeutic efficacy in generalized anxiety disorder
+Describe the knowledge, regimen, and implementation of COVID-19 infection prevention among health workers at Duc Giang General Hospital in 2021.
+Subjects and methods: Model A cross-sectional description was performed on 762 health workers working at Duc Giang General Hospital from January to December 2021.
+Results: 87.5% of health workers had acceptable knowledge about COVID-19.
+The majority of health workers are active in the prevention of COVID-19 disease (accounting for 83.0%).
+The practice of wearing masks in health workers achieved (4.1 ± 1.0) points on the scale of 5, while hand hygiene before and after contact with patients reached (3.9 ± 1.1) points.
+The health workers with better knowledge and active activities show an exceeding performance compared to those who lack knowledge and awareness, with p < 0.05.
+Conclusion: The knowledge gained and active activities of health workers will determine the performance of health workers in the prevention of COVID-19 infection.
+Clinical outcomes and safety in Covid -19 patients treated with remdesivir in Vinmec international hospital
+The distribution system plays an important role in all business activities from goals to development strategies and creates competitive advantages among enterprises, including pharmaceutical enterprises.
+Hasan - Dermapharm is a pharmaceutical manufacturing and distribution company in a joint venture with Dermapharm AG, Federal Republic of Germany.
+The study was conducted to analyze the current situation of the pharmaceutical distribution organization of Hasan-Dermapharm Co, Ltd in the period 2016 - 2020, thereby proposing practical and timely solutions to improve the distribution system.
+The study was carried out by cross-sectional descriptive method based on retrospective data collected at the company's head office during the period 2016 - 2020 on the characteristics of the distribution system including market coverage, distribution channel depth, and response.
+Thus, the company has quite a high market coverage, focusing a lot of human resources on the distribution business.
+Factors related to nutritional knowledge among mothers of 6-24 month babies with acute respiratory at Nam Dinh children’s hospital in 2020
+To describe the real situation of nutritional caring and to identify factors related to nutritional caring of women who have 6 - 24 months children treated acute respiratory infections (ARI) at Children's Hospital in Nam Dinh.
+Method: The study subjects include 75 women who have children aged 6 - 24 months of treatment for ARIs at Nam Dinh Children's Hospital.
+A descriptive study is conducted on 75 women.
+Results: The research showed that the average score of breastfeeding knowledge for children 6 - 24 months is 0, 5 ± 0, 7, this score for children 6 - 24 months with complementary feeding is 6, 5 ± 1, 8, the medium score of breastfeeding knowledge for children with ARIs is 1, 1 ± 0, 5, this score for children with ARIs with complementary feeding is 0, 4 ± 0, 6, the average of women knowledge about ARIs is 3, 5 ± 1, 1, the average of the general knowledge of women is 13, 0 ± 4, 7.
+There are still 42, 7% of mothers who have not enough knowledge.
+There is a correlation between mother's knowledge and education and the number of children in the mother. The research reveals that women's nutritional knowledge is not good, therefore requires health education interventions to improve nutritional caring knowledge for women, especially when the children are ill.
+Study on grafting collagen of catfish skin on hydroxyapatite from catfish bone
+Knee osteoarthritis is a continuous disease.
+The average follow-up time: 11.6 ± 6.4 months.
+The mean pre‐ and KS (knee score) post‐op were 49.3 ± 8.4 and 74.4 ± 5.8 respectively (p < 0.05).
+The mean pre‐ and KFS (knee function score) post‐op were 37.7 ± 7.4 and 78.1 ± 3.6 respectively (p < 0.05).
+The average flexion post-op was 120.70 ± 9.4.
+83.6% of cases were very satisfied with the result of surgery.
+Conclusion: The results of total knee replacement for severe osteoarthritis of knees are good.
+Total knee replacement reduces pain, improves motor function of the knee, helps to move more stable and brings the quality of life to patients with severely damaged joints.
+The disease is very common and it is one of the main causes of decreased and loss the motor functions.
+Total knee replacement is indicated for severe knee osteoarthritis.
+Objectives: To evaluate total knee replacement surgery results treating severe knee osteoarthritis at the Can Tho University of Medicine and Pharmacy Hospital.
+Results: The average age is 64.8 ± 6.9 years old (youngest 50, oldest 82).
+There were 11 men (16.7%), 55 women (83.3%).
+24 left knees and 42 right knees were operated on, 8 patients both knees replaced.
+Knowledge, attitude and practices on dengue prevention of people in dong xuyen ward, Long Xuyen city, An Giang province in 2021
+Describe the current of need and meeting palliative care needs of cancer patients treated at Nam Dinh General Hospital in 2020.
+A descriptive study performed on 350 cancer patients being treated at the Department of Oncology - Nam Dinh General Hospital from 12/2019 to 8/2020 meeting the inclusion criteria.
+Information was gathered in the form by direct interviews with patients through pre-designed questionnaires.
+For each question, the patient chose one of two options "Yes" or "No", depending on whether the patient had the need or not and if the need was met or not.
+Results: The rate of patients who needed the health information support was highest, accounting for 77, 7%; the rate of patients needed physical and daily activities assistance was 77, 4% while the need of psychological assistance accounted for 70, 3%.
+The rates of meeting patients needs of health information, of physical and daily activities as well as of psychology were 79, 7%; 74, 6% and 69, 7% respectively.
+Conclusion: Cancer patients have different needs, the highest need is for disease diagnosis (82, 9%); the lowest is the need to participate in activities to reduce feelings of depression (62, 3%).
+Meeting the needs is highest for needs of disease diagnosis (84, 3%) and lowest for personal hygiene care (60, 3%).
+Care must be based on the needs of the patient; Therefore, it is necessary to properly assess the needs of each patient in order to offer appropriate and effective care.
+Overview of indication for thyroid lobectomy in papillary thyroid microcarcinoma
+Report the surgical outcomes of some lumbar spinal diseases by single portal full endoscopic technique.
+Methods: We retrospectively reviewed patients who had undergone full endoscopic lumbar surgery between October 2019 and May 2022 at spine unit of Saint Paul general hospital in Hanoi.
+Results: Of 200 patients with a follow-up duration of > 1 month, mean age is 53 years old.
+Etiologies are included: Lumbar disc herniation, lumbar spinal stenosis, tumor, facet cyst, spondylodiscitis, Sacral iliac joint pain, epidural hematoma.
+Day of hospitalization is 1.3 ± 1 days.
+During the following up time, there were two patients had residual discs, 6 patients had dural tear or nerve root injury, 2 patients received spinal fusion surgery due to segmental instability after 1 year.
+Conclusion: Full endoscopic lumbar spine surgery is a safe and effective option for lumbar spinal disease with advantages of minimal invasive technique.
+Evaluation of medicine list used at general Thai Binh hospital for the period 2018-2019
+Aortic disease is diverse and carries a high risk of sudden death if the patient has symptoms.
+The aortic arch disease may be aneurysm, dissection, artherosclerotic ulcer, pseudoaneurysm, coracrtation.
+The most common cause is hypertension, others are infection, connective tissue disease, trauma, congenital.
+Surgical treatment is the clasic method, but it has high risks for the patients who were recurrent operation, severe comorbidity diseases. The operative risks compose of severe bleeding, sternal infection, complications relate to long time of anesthesia.
+Result of pulling impacted teeth into occlusion with support of CBCT films
+The study was carried out to find out factors affecting the choice of using medical services at public and private health facilities in the Northern Midlands and Mountainous region.
+Logistic regression model and cross-sectional data from the 2020 Vietnam Household Living Standards Survey (VHLSS) were used.
+The outcome shows that most of the variables are influential and statistically significant, such as Age of household head; Household with elderly people, children; Household size; Education status of household head; Total number of outpatient and inpatient medical examination and treatment; Participation in health insurance; Household income and Area of residence (In this article, decimal numbers are formed under international standard).
+Analysis the role of qsofa, sofa in prospects of personal performance bacteremia and bacterial infection emergenry department accessories
+The author presents a case of silicosis in a 34-year-old male patient who has worked as a rock driller for 4 years with dry cough and shortness of breath.
+The patient was admitted to the hospital in the case of chronic silicosis.
+Chest X-ray and CT scan of the chest showed suggestions such as diffuse nodular lesions in both lungs, multiple mediastinal lymphadenopathy, bilateral hilum with calcified lymph nodes.
+There are multiple cervical lymph nodes on both sides.
+Diagnosis is confirmed by lung biopsy and neck dissection to make the histology with characteristic images of silicosis.
+Series cases report: Laparoscopic harvest of latissimus dorsi flap in immediate breast reconstruction
+Describe the satisfaction of patients who ate nutritious meals about the service attitude of staff of the Department of Nutrition, Describe the satisfaction of patients who ate nutritious meals on time of delivery, Description patient satisfaction with nutritious meals on meals.
+Method: Cross-describe 1000 patients inpatient treatment at clinical departments in the hospital according to the information collection form and meals provided by the Nutrition Department.
+Results: Percentage of patients most satisfied with the price of food with 96%; satisfied staff with the rate of 89.2%; satisfied with the meal is 78.9%; satisfied with cleaning the tray is 77.8%; 75.9% of patients continue to use the service; 73% of patients are satisfied with the food; 68.2% of patients are satisfied with the delivery time.
+Conclusion: Most patients are satisfied with the food supply provided by the Department of Nutrition.
+Hospitals should continue to promote increasing patient satisfaction with reasonable diets, especially in terms of time to deliver meals, dishes and cleaning trays.
+Overview of the treatment of bleeding peptic ulcers
+COVID-19 associated pulmonary Aspergillosis (CAPA) is a new disease characterized by secondary Aspergillus mold infection in patients with COVID-19.
+It primarily affects COVID-19 patients in critical state requiring care in intensive care units and has a high mortality rate.
+We report a case of an 11-yearold girl with a healthy history and mild COVID-19 infection, who was admitted to the hospital with a fever lasting 1.5 months since the onset of COVID-19.
+The child was excluded from other causes of persistent fever and diagnosed with suspected case of CAPA.
+The child responded well to treatment with voriconazole.
+Conclusion: CAPA has non-specific clinical symptoms.
+In children with persistent fever after COVID-19 infection, the possibility of invasive fungal infection should be evaluated, including in children with mild COVID-19 who have a completely normal immune system and no risk factors.
+Evaluating the results of endoscopic microsurgery for benign lesions of the larynx at the Department of Surgery and Treatment on Request - 108 Military Central Hospital
+Community based Fieldwork is a compulsory subject at Hanoi Medical University, held for 1 - 2 weeks locally.
+A cross-sectional descriptive study was conducted on 232 students participating in the fieldwork to describe the students' feedback on the fieldwork process at Binh Luc - Ha Nam and some related factors in the academic year 2021 - 2022.
+The research results show that the student feedback on the fieldwork is very positive, with the lowest cost clearly informed score of 3.09 and the highest part-time faculty support score of 3.49.
+Regarding the field study program, students highly appreciated the content, methods of organization and teaching and communication of health education, the value in career development, (GPA from 3.11 to 3, 26).
+There is a correlation between student's grade and good feedback on fieldwork (OR = 0.58, 95% CI = 0.32 - 0.97).
+Continue to implement the real community learning program in the same way that the teaching organization has implemented and consider better adjusting to living conditions.
+Clinical and subclinical characteristics of liver injury treated conservatively
+To describe the current quality of life of patients with chronic kidney hemodialysis at Nam Dinh General Hospital 2021.
+Method: A cross-sectional study was conducted on 53 patients with chronic kidney hemodialysis at Nam Dinh General Hospital in the period from April to September 2021.
+Results: The mean score of SF36 quality of life was 31.45 ± 9.86 (total score: 100).
+The mean score of kidney problems was 45.92 ± 7.98 (total score: 100).
+Overall quality of life score was 38.68 ± 7.57 (total score: 100).
+Conclusion: The quality of life of patients in the study area is relatively low.
+Pherochromocytomas in children - Genotypic and phenotype
+Assessing patient's satisfaction is a central and cross-cutting task that is concrete evidence of the hospital's quality.
+Objectives: description outpatients's atisfaction at the Department of Dermatology, Tien Giang Central General Hospital in 2021.
+Results: The study on 260 patients recorded: the overall satisfaction rate of patients was 74.2%, the average point of overall satisfaction of patients was 4.15 (SD = ± 0.25).
+The satisfaction rate by aspect is: tangible aspect (79.2%), reliability aspect (84.6%), responsiveness aspect (79.6%), assurance aspect security (80.8%), empathy aspect (84.2%).
+Conclusions: The satisfaction level of patients is quite high, however, it is necessary to implement some solutions to improve the service quality.
+Assessment of the result of primary and microdissection thinning anterolateral thigh flap in plastic surgery
+Pheochromocytoma (PCC) and Paraganglioma (PLG) are neuroendocrine tumors.
+The patients were determined as having hypertension accompanied with abdominal mass.
+Definitive diagnosis was Pheochromocytoma.
+One in two patients was identified as carrying mutation of gene encoded succinate dehydrogenase complex iron sulfur subunit B (SDHB).
+Tumors derived from adrenal medulla secreting catecholamines, called Pheochromocytoma.
+Tumors with extra adrenal origin, which either secrete cathecholamines or are nonfunctional termed Paraganglioma.
+Because of similar clinical manifestations and treatment therapies of Phechromocytoma and catecholaminessecreting Paraganglioma, clinicians use the term "pheochromocytoma" to refer to both of tumors.
+Pherochromocytomas is a rare disease in children with the estimated incidence is about 1 per 50.000 to 100.000 children.
+This disorder could be sporadic or sometimes it could present as a part of inherit syndromes, such as von Hippel-Lindau syndrome, Neurofibromatosis type 1, heteditary Pheochromocytoma / Paraganglioma.
+In children, 60% to 80% of cases result from heteditary causes.
+Malignant hypertension is a common symptom which can lead to variety of severe complications.
+We report 2 cases presenting sudden headache, nausea, abdominal pain and seizure.
+Initial experiences of Halo-gravity traction in treatment of extremely severe adult idiopathic scoliosis
+Hypertension is one of the chronic diseases mainly examined in outpatient at general hospital in Vietnam.
+The PDD / DDD rate was difference betwen antihypertensive classes.
+To prescribe an appropriate regimen treatment and average prescribed daily doses (PDD) not only helps to control blood pressure well, but also reduces hospitalization.
+The aim of this study is to analyze the prescription pattern and PDD in hypertensive outpatients in a general hospital.
+Materials and methods: Retrospective prescriptions of outpatient at the Pharmacy Departmen of the 108 military central Hospital, using cross-sectional descriptive methods.
+Results: Polytherapy (78%) was leading trend of antihypertensive therapy for outpatients and average cost was 364.688 VND.
+The most frequent of antihypertensive class to be prescribe were combine ARB + BB + CCB.
+In monotherapy, ramipril was highest prescribed.
+The average PĐ / DDD ratio of CCB and ARB was approximately 1, in accordance with the recomendation while ACE-I was not.
+Conclusion: Most of the prescription in our study was polytherapy.
+Outcomes of autologous bone marrow mononuclear cell administration in combination with neurological rehabilitation for traumatic brain injury patient
+Evaluating the effectiveness of relieving pain and improving shoulder extension by using ear acupuncture combined with acupressure massage and therapeutic ultrasound in periarthritis humeroscapularis patients.
+Subjects: 30 patients were diagnosed with periarthritis humeroscapularis tendinitis and treated at the Public Security Hospital of Traditional Medicine, from September 2021 to September 2022.
+Methods: progressive, evaluating the results before and after treatment.
+Results: after 15 days of treatment, the average VAS score decreased from 5, 17 ± 0, 99 to 0, 67 ± 0, 71 points with p <0.05; average EFA score increased 7, 50 ± 1, 09 to 16, 30 ± 1, 09 (p <0.05).
+Conclusion: Ear acupuncture combined with acupressure massage and therapeutic ultrasound is effective and safe for treating periarthritis humeroscapularis tendinitis.
+Serum procalcitonin concentration and relationship with blood culture results at Ninh Thuan province general hospital 2021
+Breast cancer today is not the same as it was 20 years ago.
+Breast cancer survival rates have increased thanks to higher awareness, better detection, and improved treatment.
+According to the World Health Organization (WHO), about 2.3 million people are diagnosed with breast cancer each year, but the outlook is very good for them.
+IgG4 RELATED SIALANDENITIS IN CHILDREN: A CASE REPORT
+Ohtahara syndrome is one of the earliest and most severe forms of developmental and epileptic encephalopathy.
+Over the last decade, the rapid advances in molecular techniques, especially in high-throughput sequencing (HTS), have revealed that a majority of Ohtahara patients have genetic etiology.
+About 20 genes have been found to be related to this syndrome so far, and Next Generation Sequencing (NGS) technique is now an important genetic test for this syndrome.
+This study was conducted on 4 patients with Ohtahara syndrome referred to Children's Hospital 2, Ho Chi Minh City.
+Whole-exome sequencing (WES) following targeted analysis on 283 epileptic encephalopathy-related genes was performed to identify disease-causing variants of the patients.
+Following multi-step bioinformatics analysis, trio-based Sanger sequencing confirmation, and variant classification according to standards of The American College of Medical Genetics and Genomics - 2015, we have identified 2 pathogenic mutations in 2 patients: OH3 (KCNQ2, c.868G>A, p G290S) and OH4 (SCN2A, c.788C>T, p A263V).
+This study also confirms that NGS in general and WES, in particular, are reliable and useful in detecting genetic causes of Ohtahara syndrome, thereby, assisting in diagnosis and treatment of this syndrome.
+The zinc deficiency and serum vitamin A status in women of reproductive-aged in low-income communes in Thuan Chau district, Son La province, in 2018
+Peutz-Jeghers Syndrome (PJS) is a rare disease, characterized by hamartomatous polyposis of the gastro-intestinal (GI) tract and pigmentation around lips, eyelids and macules on the buccal mucosa.
+The objective of the study was to describe one case of colorectal adenocarcinoma in a patient with Peutz-Jeghers Syndrome.
+A case study report was applied.
+Imaging showed smallbowel intussusception in the pelvic region, along with colorectal polyps; the largest polyp in the high rectum measuring 38 x 37 mm was lobulated.
+Pathological results showed that the large polyp in the rectum is adenocarcinoma invading the smooth muscle layer; other polyps are typical Peutz-Jeghers polyps, with low-grade dysplasia.
+The patient was diagnosed with a moderately differentiated adenocarcinoma invading the smooth muscle layer / Peutz-Jeghers syndrome.
+The clinical and subclinical characteristics of gastrointestinal non- hodgkin lymphoma
+Assess of treatment effect of post-herpetic neuralgia with lidocaine patch 5% in combination with pregabalin at National Hospital of Dermatology and Venereology.
+Subjects and methods: Clinical research, randomized controlled trials (RCTs) of 120 patients with post-herpetic neuralgia at National Hospital of Dermatology and Venereology from July 2020 to May 2021.Results: Mean age of research and control group were 66.43 ± 8.67 and 66, 57 ± 8, 66, repecstively.
+After 8 weeks, NRS score did not show difference between two groups, average NRS score was 0.68.
+After two weeks, 41.7% of the patients in the study group has significant pain relief in compared with only 1.7% of the control group.
+After 8 weeks, 75% of the study group had complete pain relief in compared with 64.7% of the control group.
+Dry mouth was the most common side effect in both study and control group with the ratio were 96.7% and 93.3%, repectivesly.
+Efficacy of micropulse transscleral cyclophotocoagulation in glaucoma
+Doxorubicin (DBC) is one of the most common chemotherapy drugs used to treat cancers of microbial origin.
+Based on theoretical computational modeling, molecular docking techniques, and predictive pharmacokinetic properties (ADME), DBC derivatives were evaluated for their ability to inhibit target proteins and potential use as a cancer treatment drug.
+The results indicate that 1−C2H−DBC, 2−C2H−DBC, and 2−F−DBC derivatives have relatively favorable interaction energies with ERα, Aromatase, CCL18, and PR enzymes.
+The interaction properties of these derivatives with the target protein were comparable to those of the reference standard, DBC.
+In addition to compare the ADME pharmacokinetic parameters with the reference standard, the druglikeness index and drugscore of these derivatives were also investigated.
+Survey relationship between weather conditions and pain intensity based on the vas scale and traditional medicine properties in patient with osteoarthritis at An Hoa ward, Hue city
+To summary and critically appraisal the quality of model-based economic evaluations of mental health promotion and prevention interventions.
+Conclusion: The quality and modelling methods varied significantly among studies, making it challenging to synthesize and interpret the results.
+The quality of the studies needs to be improved in the future, especially the validation of the model's structure and assumptions.
+Method: A systematic review was conducted following guidelines in conducting systematic review of Cochrane Collaboration to identify all relevant model-based economic evaluations published ever until the end of 2020.
+The quality of included studies was assessed using the Philips Checklist. Two researchers independently carried the selection process and quality appraisal.
+Most of the studies were published after 2010 (39 studies).
+Most of them were cost-utility analysis with the primary outcome measurement of Quality-adjusted life year (QALY) and employing a societal perspective.
+The quality of the studies varied greatly. There was significant heterogeneity in time horizon, model cycle, model assumptions, etc.
+The practice of validating model structure and model assumptions was very poor.
+Surgical treatment of left – sided infective endocarditis in hanoi heart hospital
+The aims of this study were to find out the comorbidities in critcal patients with COVID-19 in Duc Giang General hospital.
+Methods: The design of this study was a retrospective descriptive method.
+Results: A total of 91 critical patients were included of this study: 74 (81.3%) patients death due to COVID-19; 47.3% male and 52.7% female.
+The highest critical patient rate occurred in the age group ≥60 years (81.3%).
+The prevalent comorbidity was hypertension (50.5%), diabetes (37.4%), cardiovascular disease (28.6%), stroke (11%), chronic liver disease (7.7%), nervous system diseases (4.4%), COPD and lung diseases (3.3%), Down syndrome (1.1%); 51.7% patients reported having two or more comorbidities, and 22% only has one comorbidity.
+There are relationships between rate of mortality rate and comorbidities of hypertension, diabetes; and number of the comorbidities (p<0.05).
+Conclusions: Hypertension, cardiovascular disease, and diabetes were the most common comorbidity in critical patients with COVID-19. More than half of the patients had two or more comorbidities.
+Assessment of molecular biological response after 3 months of treatment in patients with newly diagnosed chronic myeloid leukemia
+To describe some clinical characteristics and care of patients with cirrhosis of the liver.
+Basic care and monitoring activities accounted for the largest proportion, which is the implementation and monitoring of epidemics and drugs under medical orders 97.12%; tracking needle injection site 96.40%; activities accounted for the rate of performing tests only 82.73%.
+Conclusion: Patients admitted to the hospital in a state of high decompensated cirrhosis, nutritional care helps to improve their physical condition, and correct general care activities account for 89.93%.
+Subject and method: A prospective, cross-sectional study was carried out on 139 cirrhosis patients who were cared for and treated at the Institute of Gastroenterology and Hepatology, 108 Military Central Hospital, from February 2021 to December 12/2021.
+Result: Male accounted for 83.45%, male / female ratio was 5.05/1.
+The middle age group accounted for the highest percentage, the average age was 60.65 ± 11.14 years.
+The biggest cause leading to cirrhosis was alcohol, accounting for 55.40%; followed by the cause of hepatitis B accounted for 28.06%.
+Typical clinical signs such as jaundice, yellow eyes accounted for 91.36%, abdominal distension 81.29%, gastrointestinal bleeding 76.25%.
+Cirrhosis admitted to the hospital according to Child-Pugh's classification at grade B (moderate) accounted for the highest rate of 52.52%.
+The majority of patients ate a combination of oral and gastric tube, accounting for 99.28%, 84.89% of patients did not see any eating abnormalities.
+100% of patients were monitored for blood transfusion; The process of monitoring vomit and feces daily accounted for only 92.45%.
+Heart failure management according to european society of cardiology’s 2016 guideline
+To evaluate the predictive value and the relationship between FOUR, Glasgow coma scale and the outcome of patients with primary hemorrhagic stroke.
+Methods: We conducted a prospective descriptive study of 139 primary cerebral hemorrhage patients, hospitalized in the Neurology Department of Bach Mai Hospital within one week from the onset during March 2016 to June 2016.
+Results: The mortality rate was 24, 5%, the rate of favorable outcome was 20, 1%, and moderate to severe disabled patients accounted for 55.4%.
+There was a strict relationship between the FOUR, Glasgow coma scale and the clinical outcome of patients with primary hemorrhagic stroke (OR = 1.87, CI: 1.36 - 2.58, p < 0, 01, r = - 0.76; OR = 1.53, CI: 1.16 - 2.03, p < 0, 01, r = - 0.74, respectively).
+Conclusions: The FOUR and GCS scales had strict relationship with clinical outcome at 30 days according to modified Rankin scale.
+More studies are needed to consolidate the role of FOUR scale in practice.
+Study right ventricular function in patients with aortic valve severe stenosis
+This randomized controlled trial determined the quality of bowel cleansing when combining with simethicone.
+Patients who would undergo total colonoscopy on the same day of checkup were randomly assigned to intervention (with simethicone) or control arm (without simethicone) and quality of bowel cleansing was assessed by the McNally scale.
+Among 380 participants, 192 were assigned to the intervention arm.
+The proportion of patients who completed the regimen for bowel preparation with the instructed duration (2 - 3 hours) was higher in the intervention arm than in the control carm (53.7% vs 41.5%, p=0.04).
+The proportion of self-report clean bowel preparation was higher in the intervention arm (99% vs 91%, p=0.03).
+The proportion of good bowel cleansing in the intervention arm (100%) was higher in the control arm (around 40%) in all three colon segments.
+In this trial, adding simethicone to bowel preparation improved the effectiveness of bowel preparation.
+IDH1/2 mutations in adult patients with diffuse gliomas
+To compare a popular nutritional screening tool with the new Global Leadership Initiative on Malnutrition (GLIM) diagnostic criteria in elderly hospitalized COVID-19 patients.
+Nutritional status should be determined by NRS-2002 in elderly patients with COVID-19 at hospital admission.
+Methods: 182 elderly COVID-19 patients admitted to the critical care ward, Infectious Field Hospital No. 5G were evaluated consecutively upon admission using the nutritional risk screening tool 2002 (NRS-2002), undernutrition according to GLIM criteria, and assess the risk of sarcopenia by SARC-F tool. Results: Malnutrition rate 46.7% according to GLIM criteria.
+The sensitivity and specificity of NRS-2002 in detecting malnutrition were 98.8% and 56.7%, respectively.
+The concordance with the GLIM criteria was 54.0%.
+NRS-2002 was a moderate-value screening tool for the diagnosis of malnutrition.
+Patients at nutritional risk according to the NRS-2002 were more likely to present with sarcopenia than patients at low risk (OR: 4.04; 95% CI: 1.31 - 12.4).
+Conclusion: NRS-2002 is valuable in detecting malnutrition in hospitalized elderly COVID-19 patients diagnosed by new GLIM criteria.
+Furthermore, elderly COVID-19 patients at high risk of malnutrition according to NRS-2002 are at increased risk of present with sarcopenia.
+Situation of use of prophylactic antibiotic in endovascular intervention
+Anaphylactic shock is a severe allergic condition that can be life-threatening if it is not diagnosed and treated promptly.
+The rate of sequelae is 1.8%.
+The length of stay in the Pediatric Intensive Care Unit is seven days, with the need for mechanical ventilation lasting up to 24 hours. Conclusion: Almost all of the patients admitted to the Pediatric Intensive Care Unit were grade III anaphylaxis, high rate of this group failed to repeat IM adrenalin and needed to combine adrenalin with other vasopressors or inotropes.
+The survival rate was 95.5%, of which 1.8% of patients had sequelae.
+This study aimed to evaluate the outcome of anaphylaxis in children at the Pediatric Intensive Care Unit, Vietnam National Children's Hospital.
+All of patients were given intramuscular injections of epinephrine before admission to the PICU. The proportion of patients who had received the correct treatment was 44.5%.
+The survival rate is 95.5%, and the death rate is 4.5%.
+Hyperglycemia and dyslipidemia of male mice generated obesity model by a high-fat diet
+A cross-sectional descriptive study was performed to assess the hearing status of armored tank soldiers.
+The study was carried out on 315 soldiers.
+The results showed that, out of 315 soldiers who were tested for hearing, 17.7% had hearing loss in one ear, 45.08% had hearing loss in both ears.
+Most soldiers with hearing loss in one ear had mild hearing loss (92.8%).
+Among soldiers with binaural hearing loss, 90.8% had mild receptive hearing loss; 9.2% of moderate, severe and profound hearing loss who had a high-frequency lesion pattern typical of noise-induced hearing loss after many years of exposure.
+The results show that there were many soldiers in need of intervention to reduce sound exposure to prevent permanent severe hearing loss due to noise.
+Research on the relationship between arterial stiffness by pulse wave velocity with some risk factors in patients with chronic ischemic heart disease
+This study proposes a theoretical model based on Technology Acceptance Model (TAM) with two new independent variables namely Personal Innovativeness in Information technology (IT) and Trust to understand intentions as well as behaviors of the consumer which leads to the further decision of utilizing mobile healthcare applications in Vietnam.
+The result shows that Trust is the most important factor impacting on the consumers mobile healthcare application usage behavior in Vietnam.
+The efficacy of pembrolizumab plus chemotherappy in patients with stage iv non small cell lung cancer
+A combination of antibiotic therapy and implant-conserving surgery is a good treatment approach to save infected buttock implants.
+Although this method is effective in treating the infections, it leaves a significant psychological impact on the patient.
+We report a case that was successfully treated with antibiotic therapy in combination with silicone implant-conserving surgery.
+A 29-year-old female patient was diagnosed with an infection of the implant pocket 10 days after gluteal augmentation surgery.
+The patient was treated with antibiotic therapy and operated to irrigate the silicone implant and the pockets, and then the implants were reinserted into the pockets after irrigation.
+The relationship between lymph node metastasis and overall survival after thoracoscopic surgery for non-small cell lung cancer
+Evaluate the effectiveness of Educational Intervention to improve the knowledge and practice of endotracheal suctioning among ICU nurses in Hue Central Hospital, Viet Nam.
+Method and subject: This study was quasi-experimental research, two groups, the pre-test and post-test design to an evaluation of 126 nurses who were work at three departments where are Intensive Care Unit, Department of Anesthesiology and Critical Care and Stroke Center at Hue Central Hospital.
+Results: The participants in the intervention group who received the education program had statistically significant higher mean scores of knowledge and practice than before and those in the control group who did not receive the education program (all p < 0.05).
+Conclusion: The Educational Intervention on knowledge and practice of endotracheal suctioning improve the knowledge and practice of ICU Nurses.
+This education program should be approached to provide all ICU Nurse to take care of the endotracheal patient better.
+Assessment of the treatment effects of two regimens TDF/3TC/LPV/r and TDF/3TC/DTG in HIV/AIDS patients at Quang Ninh provincial hospital 2020-2022
+Morphological characteristics of frontal lobe on MRI in patients with alcohol use disorder.
+Subject and methods: Descriptive research, cross-section in 30 inpatients with alcohol use disorder at the Psychiatric Department, 103 Military Hospital from April 2021 to March 2022, and 21 healthy controls.
+Results: The total gray matter volume of the frontal lobe in the group of patients decreased compared to the control group (91, 83 ± 1, 35 cm3 versus 97, 29 ± 1, 62 cm3, with p<0, 05).
+The volume of the right orbital gyrus gray matter and the left precentral gyrus volume in the patient group decreased compared to the control group (5, 96 ± 0, 1 cm3 and 4, 85 ± 0, 11 cm3 versus 6, 24 ± 0, 13 cm3 and 5, 20 ± 0, 13 cm3, with p<0, 05).
+The thickness of superior frontal gyrus gray matter in the patient group decreased compared to the control group (2, 55 ± 0, 04 mm versus 2, 68 ± 0, 03 mm, with p<0, 05).
+The volume of the superior frontal gyrus white matter, the medial frontal gyrus, the inferior frontal gyrus, and the precentral gyrus in the patient group decreased compared to the control group (34, 27 ± 0, 75 cm3; 37, 16 ± 0, 69 cm3; 14, 01 ± 0, 32 cm3 and 26, 35 ± 0, 48 cm3 versus 37, 54 ± 0, 90 cm3; 40, 54 ± 0, 83 cm3; 15, 68 ± 0, 38 cm3 and 30, 08 ± 0, 57 cm3, with p<0, 05).
+Conclusion: The total gray matter volume of the frontal lobe, white matter volume of superior frontal gyrus, medial frontal gyrus, inferior frontal gyrus, and precentral gyrus decreased in the patient group compared to the control group.
+Treatment results of pars plana vitrectomy combined scleral buckle for patients with rhegmatogenous retinal detachment
+Students at HaNoi Medical University, Thanh Hoa Campus are at high risk of being infected with Hepatitis B virus through professional practice activities at the hospital.
+They are not only the future health workers but also the people who will consult the community on how to prevent transmission and inform them of the consequences caused by infecting the hepatitis B virus.
+A cross-sectional descriptive study was carried out on all full-time general practitioner students from the 1st to the 6th year at Thanh Hoa Campus.
+Quality of life of HIV-infected people receiving ARV treatment in outpatient Clinic of Nha Trang Medical Center 2020 and some related factors
+MELAS syndrome is a mitochondrial genetic disorder that affects many organs and systems of the body, especially the nervous system and muscles.
+The disease is caused by mutations in mitochondrial DNA that alter proteins in the mitochondrial electron transport chain.
+This study aims to apply genetic techniques to detect mitochondrial DNA mutations that cause MELAS syndrome.
+Materials and methods: Genomic DNA of patients with suspected MELAS syndrome was extracted from peripheral blood samples.
+PCR-RFLP and Sanger sequencing were performed to identify common mutations.
+The two point mutations m.3243A>G and m.3697G>A were detected in patients with MELAS syndrome, in which m.3243A>G was detectable by PCR-RFLP.
+Conclusion: The procedure for screening of mitochondrial DNA mutations in MELAS syndrome patients by application of PCR-RFLP and sequencing techniques was completely constituted.
+Evaluation of long-term treatment outcomes over a 10-year period in patients with congenital hyperinsulinemia at Children’s hospital 2
+Early stage head and neck cancer patients with poor performanced status couldn't ride out full course of 30 - 35 fractions of radiation therapy.
+Most of OARs dose constraints were acceptable, though there were two cases inevitably received cochlea dose > 25Gy.
+Post-treatment response rate was 89%, 2-year PFS and OS was 72% and 83%, respectively.
+Only 1 patient suffered grad 3 mucositis, no severe late toxicities observed in the series.
+Conclusion: Stereotactic body radiation therapy is a feasible treatment option for elderly patients with early stage H&N cancer but couldn't endure conventional fractionation radiotherapy or unresectable recurrent tumor.
+Locally recurrence in previously irradiated head and neck tumors has been associated with poor outcomes.
+Stereotactic body radiation therapy (SBRT) has emerged as a feasible and promising treatment option for these candidates.
+Methods: We prospectively investigated a series of cases, consisted of 28 patients diagnosed with early H&N cancers or loco-regional recurrent diseases treated with fractionated stereotatic radiation therapy from January 2019 to Deccember 2021.
+Results: Mean value of radiotherapy time was 5 days.
+Evaluation of total and regional right ventricular function by echocardiographic markers of myocardial tissue in congenital heart patients with pulmonary hypertension
+Evaluation of the long-term treatment outcomes over a 10-year period in patients with congenital hyperinsulinemia at Children's Hospital 2 from 2012 to 2022.
+Epilepsy was seen in 24% of patients, of which one (16.67%) had abnormal brain MRI.
+Conclusion: Assessing the long-term response to treatment is essential to prevent medical side effects, surgical complications, and neurological damages from prolonged hypoglycemia.
+Method: Retrospective and prospective case series.
+Results: From January 2012 to January 2022 at Children's Hospital 2 there were 36 cases diagnosed with congenital hyperinsulinemia (CHI).
+Follow-up after an average of 4.4 ± 2.2 years (1.4 - 8 years), 63.89% of patients was treated by Diazoxide for the first line, of which 39.13% responded, 62.5% had mutations unrelated to the KATP channel.
+88.89% of patients discontinued after 24, 44 ± 14, 01 months, 55.56% of patients had side effects including edema, fluid retention, hyperemia, eczema, mouth ulcers, agranulocytosis.
+For Octreotide, there were 66.67% of patients responded to treatment, of which 55.56% discontinued after 24.08 ± 20.46 months, 22.22% had vomiting.
+In the group of patients undergoing surgery, 22.22% had hypoglycemia, 66.67% had normal blood glucose, 11.11% lead to diabetes after 8 years.
+For exocrine pancreatic function, 22.22% of patients had pancreatic enzyme deficiency (amylase, lipase) without clinical symptoms.
+The rate of patients had neurodevelopmental problems is 60%.
+Chronic periodontitis status of the first diagnosed patients at National Hospital of Odonto - Stomatology Hanoi 2018 - 2019
+To survey the basic health care needs of small and medium enterprises.
+Subjects and methods: The survey was carried out in 4 provinces of Hai Duong, Lam Dong, Dong Nai, Thua Thien-Hue at 40 small and medium production facilities with a total of 894 employees (565 men; 329 women). Results: showed that 591 people, accounting for 66.11%, were exposed to harmful factors in the working environment, in which the number of men exposed was nearly twice the number of women.
+There are 32 production facilities that have records of occupational hygiene, 38 units have carried out monitoring of labor environment, of which 27 production facilities are monitored once a year.
+Most of the respondents said that the production facilities have implemented a number of measures to reduce harmful factors, the highest of which is to improve lighting, ventilation and cooling by over 90%.
+Conclusion: Based on the survey results, it is the basis for the authors to propose a package of basic occupational health care services for small and medium-sized production facilities and employees.
+Impact of perception of corporate social responsibility on behavior through organizational commitment of health staff in Vietnam
+To describe the clinical features, workup and treatment of patients with urinary tract infections (UTI) in Internal Medicine Department No3, Viet-Tiep Friendship hospital.
+The most commonly selected antibiotics were of quinolone group (59.61%), followed by 3rd generation cephalosporin group (23.08%).
+After treatment, 19.23% of UTI cases were cured.
+The rate of patients with remission or relief of symptom (s) was 75%; 3 patients (5.77%) had complications.
+Subjects and methods: The prospective descriptive study was performed on 52 patients with urinary tract infections treated at Internal Medicine Department No3 Viet-Tiep Friendship Hospital.
+Results: Common age group is 60 years old and older, accounting for 65.4%, average age is 60.92±17.32, ranging from 19 to 90 years old.
+Urinary infections are common in women, accounting for 90.4%.
+Among the cases with positive urine culture, gram-negative bacteria accounted for 90.4%, with two common pathogens that were E coli (67.7%), P aeruginosa (12.9%). The rest are fungi and other bacteria.
+Among 52 patients, 47 patients were treated with 1 antibiotic, accounting for 90.38%.
+The remaining 5 patients (9.62%) were treated with 2 antibiotics.
+Surgical outcomes of cerebellopontine angle tumors
+To determine the effectiveness of BTL tea and giving medical advice in smoking cessation treatment and monitor methods' adverse reaction.
+There are 200 patients in the 30-day treatment.
+Results: The very good rate of smoking cessation cases were 38%, 25% of these were good and 37% of these were not effective.
+Conclusions: BTL tea and medical advice is effective in smoking cessation, improving symptoms of withdrawal syndrome (shortness, irritability, insomnia, cravings...) and decreased levels of CO in the breath of patients after treatment.
+Research on relationship between NT-proBNP levels and some clinical and paraclinical factors of the patients with acute stroke
+This study was conducted with the aim of reviewing some clinicals and paraclinical characteristics of patients with stage I - II breast cancer after one-stage breast reconstruction surgery and to evaluate treatment results.
+All patients with stage I, II breast cancer underwent radical mastectomy combined with one-stage implant placement from January 2016 to August 2022 at the Department of On-Demand Treatment A and Department of Breast Surgery - National Cancer Hospital satisfied the selection and exclusion criteria.
+Data are retrospective secondary data from medical records.
+Skin-sparing or nipple-sparing mastectomy combined with bag placement in patients with early breast cancer is a relatively safe surgery and achieves cosmetic results.
+The disease-free survival (DFS) rate was high and varied from 24 - 36 months according to factors related to disease-free survival including age group, primary tumor status (T), regional lymph node status (N) and diagnose postoperative disease.
+The future of virtual screening in drug discovery
+To assess effects of Vietnam gree coffee bean extract to blood pressures in experimental animals.
+Subjects and methods: 40 Swiss mice were divided randomly into 4 groups: group 1 (control) - animals were administrated vehicle at 0, 1ml/10g; groups 2, 3 and 4 (treatments) - animals were contributed green coffee bean extracts at doses 200mg / kg, 300mg / kg and 400mg / kg, respectively.
+Animals were contributed vehicle or green coffee bean extracts daily for 3 continous weeks.
+After then, animals were perfomed running tests in the treadmill system.
+Blood presures of all animals were measured before and after the test 1 minute, 3 minutes, 5 minutes.
+Results: All kinds of blood pressures in animals treated green coffee bean extracts at doses 400mg / kg and 300mg / kg were lower than these in control animals after the behavioral test.
+Conclusion: Vietnam green coffee bean extract induced stability of blood presures in experimental animals.
+Evaluation of treatment results in Burkholderia pseudomallei infected patients at the National hospital for tropical diseases from 2016-2021
+The vertical compaction technique is an improvement to increase the fit in root canal fillings.
+Currently, on the market, the EQ-EV heat compactor is being introduced by the manufacturer and being used by many clinics.
+Objective: Evaluation of the effectiveness of sealing the root canals with the EQ - EV heat compactor Methods: A Non-controlled case study was conducted.
+Results and conclusion: Through surveying the results of filling the canals of 30 teeth with the EQ-EV heat compactor, it shows that: there is the correlation between the volume of fillings and canals on X-ray film: 90% full - filling; excess filling rate: 6.7%; missing fillings: 3.3%.
+The correlation between cementum and tooth apex shows that the rate of cement reflux in the apical region: is 10%; missing is 3.3%.
+The correlation between GP and apex shows that the ratio of GP is moderate to the apex of 90%; rate over apex 3.3%; Missing in the apical 1/3 is 6.7%.
+The homogeneity of the filling material by compaction is high 93.3%.
+The adaptation of the root canal surface to the first third of the neck: 100%; middle third: 96.7%; apical 1/3 segment 96.7%.
+Molecular diagnosis of adrenal hyperplasia congenita
+Our study investigates the prevalence of human papillomaviruses infection and other factors among women of reproductive age in Hanoi.
+Methods: This cross-sectional study selected 1176 married women of the age from 18 to 49 in Cau Giay and Dong Anh district of Hanoi.
+Each participant had an interview and a gynecological examination including HPV detection tests.
+Results: HPV was detected in 9, 27 percent of participants (type 16 was found in 63, 3%, type 18 was 22, 9% and both types were 13, 8%).
+Multiple regression model showed potential risk factors for HPV infections: living in suburban (OR 2, 9), unqualified knowledge and practice of daily hygiene (OR 3, 6), history of induced abortion (2, 1), currently taking contraceptive drugs (OR 2, 7).
+HPV infection rate was higher in group with cervical ectropion than group without cervical ectropion (38, 5% vs 25, 3%, p<0, 05).
+Conclusion: The prevalence of HPV infection among married women of reproductive age in Cau Giay and Dong Anh district of Hanoi is 9, 27%.
+High-risk factors of HPV infection are living in suburban, having unqualified knowledge and practice of daily hygiene, having history of induced abortion, currently taking contraceptive pills and cervical ectropion.
+Study on the endometrium regeneration treatment using human injured uterine tissue model
+To evaluate evaluate the change of some psycho-physiological indices of health care worker and epidemic prevention staffs in personal epidemic prevention clothes.
+Objects and methods: 30 staff working with epidemic prevention clothing for 4 hours continuously measured some environmental factors (temperature, humidity, wind speed, CO2 - about every 60 minutes), compared the HI index (heat Index - recorded continuously every 5 minutes) inside and outside personal epidemic prevention clothes and evaluate the change of some psychophysiological indices (heart rate, blood pressure, core temperature, skin temperature, sweat (before - after working) before - after workshift.
+Result: 97.1% of the time the inside temperature is higher than the outside temperature of the epidemic prevention clothes from 0.50C to 4.50C.
+There was an increase in heart rate, blood pressure, skin temperature, under the tongue temperature, sweat in staff working in protective clothing after work compared to before work shift (p<0.05-p<0.001).
+Conclusion: Working with epidemic prevention clothing is harmful effects on health.
+Recommendation: It is necessary to have solutions to reduce side effects on the health care worker and epidemic prevention staffs in personal epidemic prevention clothes.
+Mental healthcare for youth through mobile applications and websites: International experiences and recommendations for Vietnam
+Malnutrition is associated with increased morbidity and mortality in patients with dementia (PWD).
+Regular screening and assessment of nutritional status and prevention of the risk of malnutrition are essential for PWD to limit serious outcomes and mortality.
+Our study aims to assess nutritional status and identify the correlation between the level of malnutrition and the severity of dementia of PWD at the National Geriatric Hospital in 2022.
+The cross-sectional study was carried out on 63 PWD being treated at the National Geriatric Hospital from January to April 2022.
+The research questionnaire included the Mini Mental State Examination (MMSE), Mini Nutrition Assessment (MNA), and anthropometric indicators.
+Our findings revealed that 47, 7% of participants having moderate and severe dementia.
+The mean weight and body fat percentage were 55, 5±8, 9 (kg) and 32, 4±7, 3 (%), respectively.
+74, 6% of PWD had malnutrition / risk of malnutrition.
+MMSE score and MNA score had a positive correlation with the correlated coefficient of r. =0, 3 (p-value<0, 05).
+Malnutrition / risk of malnutrition is common in PWD.
+Survey of renal failure complication at adult primary nephrotic syndrome
+Epilepsy is a disease common in the nervous system.
+The prevalence of epilepsy is estimated at 1% of the population.
+Antiepileptic drugs (AEDs) provide good control of seizures, but some hypersensitivity reactions to AEDs have also been reported.
+Side effects of AEDs include early manifestations (drowsiness, dizziness, gastrointestinal symptoms, even worsening of convulsions) and late manifestations (psychotic episodes, behavioral disturbances, depression, cognitive impairment, osteoporosis, leukopenia).
+Cutaneous adverse reactions that fall under the category of early manifestations, ranging from mild reactions such as skin rashes (MPE), to severe cutaneous adverse reactions (SCARs) include Steven-Johnson Syndrome (SJS), toxic epidermal necrolysis). (TEN), symptomatic systemic drug reactions with eosinophilia (DRESS) and acute systemic pustular rash (AGEP).
+The use of aromatic antiepileptic drugs such as Carbamazepine, Oxcarbazepine, Phenytoin, Phenobarbital, Lamotrigine, Primidone and Zonisamide are often associated with skin rash and other symptomsand signs of drug hypersensitivity.
+Patients with allergic reactions or hypersensitivity to AEDs have a higher incidence cross-sensitization is high (40 - 80%), which suggests that chemically structer similar antiepileptic drugs should be avoided in high-risk populations.
+VMAT - CST process at the truebeam machine in Ho Chi Minh city cancer hospital
+Portal hypertension (PH) in children is caused by many causes.
+It is necessary to detect and diagnose ASCVD early in patients with chronic liver disease in order to reduce the rate of complications and the risk of death.
+Key words: Portal hypertension, esophageal varices, chronic liver disease.
+In patients with chronic liver disease, PH is one of the poor prognostic factor.
+Upper gastrointestinal endoscopy is not only considered as the gold standard to diagnosis PH, classify grade gastroesophageal varices, detect other lesions but also assess the risk of gastrointestinal bleeding, use interventional and prophylactic measures.
+This is a cross-sectional study on 79 chronic liver disease who were diagnosed PH by endoscopy. The study was conducted at the National Children's Hospital from July 2019 to October 2020.
+The results of the study showed 58.2% of chronic liver disease patients in the age 1 - 5 years had PH.
+Common clinical symptoms include splenomegaly 98.7%, hepatomegaly 44.3%, thrombocytopenia 73.4%; anemia 60.8%, decrease in white blood cell count 15.2% and neutropenia 12.7% and abnormal liver function tests.
+The esophageal varices on endoscopic examination at the time of diagnosis was mainly at grade I (26.5%) and grade II (46.8%), the rate of varices grade III (15.6%), grade IV (10, 2%).
+Other combined lesions include gastric mucosal inflammation (92.4%), gastric varices (26.6%), duodenal ulcer 10.1%.
+Treatment of foot drop after spinal anesthesia with intravenous lipid 20% emulsion: A case report
+The aim of this article is to determine the prevalence in pulmonary tuberculosis patients at Dak Lak tuberculosis and lung disease hospital in 2021 and identify some related factors.
+A facility-based, cross-sectional study conducted on 124 patients diagnosed with pulmonary tuberculosis.
+Pre-tested semi-structured questionnaires were used for collecting demographic data, lifestyle habits and clinical data.
+The rate of type 2 diabetes in patients with pulmonary tuberculosis is 39.5%.
+Pulmonary TB patients with diabetes have a higher rate of hypertension than the group without diabetes.
+In patients with pulmonary tuberculosis, the lesions recorded on X-ray were mainly in the middle and lower lobes and the tubercle, while in the non-diabetic group, the lesions were mainly in the upper lobes.
+Introduction prevention of an announcement in Vietnamese people through MSCT survey of 640 brain blood vessel at Hoa Hao policlinic - Ho Chi Minh city
+Describe the current status of professional awareness of regular general nursing students at Haiduong Medical Technical University.
+Methods: A crosssectional descriptive study, using a questionnaire on the perception of nursing students about the profession on 131 first - and fourth-year full-time general nursing students at Hai Phong University of Medical Technology from October 2019 to March 2020.
+Results and conclusions: The majority of students (83.2%) have a good awareness of the nursing profession, with an average score of 158.84 ± 21.07.
+In which, 87.0% of students have a good perception of the competence of Nursing, the average score is 90.25 ± 12.1, 87.0% of students have a good perception of the quality of nursing. The average score is 39.48 ± 6.28 and 85.5% of the students have a good perception of the position of the nursing profession, the average score is 22.41 ± 3.7.
+Some factors related to blood lipid metabolism disorders in the elderly people in Thai Binh rural area
+Evaluation nutritional statusamong new cancer patients under 5 years old.
+Results: There were 170 new cases with cancer under 5 years old. The prevanlence of underweight malnutrionwas 22.4% (moderate 20%, severe 2.4%).
+The prevanlence of stunting malnutrion was 12.4% (moderate 11.8%, severe 0 .6%).
+The prevanlence of wasting malnutrion was 17.6% (modarate 12.4%, severe 5.3%). The prevanlence of malnutrion according to middle upper arm circumference (MUAC) was 10.9%.
+The prevanlence of overweight by weight / height index was 4.1%.
+The prevanlence of malnutrion according to serum albumin was 29% and serum protein was 20%.
+There was not any differences in underweight status between the cancer diseases.
+Acute kidney injury in patients with sepsis and septic shock in the intensive care unit - Hue central hospital
+Conclusion: Comply with loading dose anticoagulant recommendations, based on clinical and coagulation testing.
+The indication for CRRT should be reconsidered in children with severe metabolic acidosis, with severe multi-organ dysfunction, and need to assess the prognosis of death before deciding to CRRT.
+Objective: The aim of this study was to assess characteristics of continuous renal replacement therapy in children with sepsis shock at Pediatric Intensive Care and Toxicology Department 2 from January 1, 2015 to December 31, 2019.
+Methods: This retrospective study included 77 cases of children with septic shock who underwent continuous renal replacement therapy at Pediatric Intensive Care and Toxicology Department at the Children's Hospital 2.
+Results: The highest rate of indication was multi-organ dysfunction syndrome (31.2%).
+The CRRT strategy used the most commonly was CVVHDF (96.1%).
+The ultrafiltration rate was 46.7 ml / kg / hour.
+The anticoagulant used was heparin, 100% of patients were not given the loading dose.
+Membrane clotting was the most common complication (49.3%).
+Colistin-resistant and Extended-Spectrum �-Lactamase producing Escherichia coli from healthy people and clinical specimens in Ho Chi Minh city
+Postoperative pulmonary complications (PPCs) increase mortality, length of hospital stay, etc. Significantly, the chronic obstructive pulmonary disease (COPD) patients are easy to trigger exacerbations after surgery.
+This descriptive cross-sectional retrospective combined prospective study was conducted to investigate the ratio of patients who triggered COPD exacerbation after gastrointestinal surgery under general anesthesia.
+Thirty patients met the inclusion criteria; 100% were male, with 20% of patients having complications with the onset of postoperative exacerbations.
+The spirometry in the complicated and uncomplicated groups was FEV1 = 48.2 ± 11.1 and 61.4 ± 13.8, respectively, which was no statically significant p = 0.0517.
+The GOLD A / B / C / D subgroup at exacerbation was 0/3/1/2, respectively. The difference between the uncomplicated and complicated groups was statistically significant with p = 0.03.
+Postoperative exacerbations are still high, so COPD patients need to be monitored more closely before surgery. v
+Small intestine perforation due to a toothpick with non-specific clinical symptoms
+Solitary Fibrous Tumor (SFT) is a rare disease, which can occur in many organs in the body.
+Histopathology of SFT belongs to mesothelioma and has specific markers for immunohistochemical staining.
+Most SFT are benign but can also present as malignancy.
+In the thorax, SFT usually originates and occurs in the pleura.
+Solitary Fibrous Tumor of the chest (SFTC) is very rare, and Malignant Lipomatous Solitary Fibrous Tumor of the chest (MLSFTC) is even rarer.
+We introduce a case of malignant LSFTC with the goal of analyzing the pathological characteristics and chest computed tomography images, wishing to add to the bank of rare lung diseases, as reference for physicians to have the correct approach when encountering a similar case.
+To study effct of treatment with I131 for basedow patients at Hue Central Hospital
+Progression and short-term outcomes of mild traumatic brain injury in adults were studied.
+Mortality rate was 0.65%.
+Conclusion: Nonoperative treatment has yielded positive results.
+Depending on patients's condition and specific circumstances, there will be different indications and treatment options.
+Patients and methods: prospective, descriptive study on nonoperative mild traumatic brain injury in adults in Viet-Duc hospital from May 2020 to December 2020.
+Glasgow outcome scale was used to evaluate treatment outcomes.
+Results: 306 cases met inclusion criteria.
+Mean age: 42.07±18; male (77.78%), female (22.22%).
+Traffic accident was seen in most patients.
+The mean number of CT scan was 1.93±0.4.
+There were 6 cases (1.96%) witnessed clinical deterioration.
+Good recovery with no disability accounted for 87.21% of all patients during the 3 - month follow up.
+Profile of non-high-density lipoprotein cholesterol in patients with acute myocardial infarction
+Conclusion: Goiter and thyroid volume were smaller after 3 months and 6 month treatment with I131 in Basedow patients than befor treatment statistical significance.
+function of thyroid gland after 3 months and 6 months treating with I131 improving trend euthyroidism.
+Objectives: To study figure and function of thyroid gland after 3 months and 6 months treating with I 131 in Basedow patients.
+Subjects and method: 63 Basedow patients. This was a cross-sectional descriptive and prospective study.
+Patiens were examined: figure of thyroid gland (goiter, thyroid volume) and function thyroid gland (I 131 concentrate at thyroid gland, concentration T3, T4, TSH, TRAb).
+Results: After 3 months treatment Basedow with I131, goiter degree II was 39.29% and degree III was 7.14%; right lobe thyroid volume was 27, 22±15, 77 (ml) and left lobe was 25, 43±15, 18 (ml).
+After 6 months treatment Basedow with I131, goiter degree II was 7.14%; right lobe thyroid volume was 16, 81±10, 92 (ml) and left lobe was 13, 85±83, 91 (ml)).
+After 3 months treatment, rate hyperthyrodisum was 41.10%, euthyroidism was 35.52% and hypothyroidism 23.21%.
+After 6 months treatment, rate hyperthyrodisum was 18.10%, euthyroidism was 51.85% and hypothyroidism 29.63%.
+Morphological changes of eustachian tube function in patient with chronic rhinosinusitis
+The risk of residual cardiovascular risk as recommended by ESC 2019 was 12.5%, and according to the AHA / ACC 2018 was 32.1%.
+Patients in the group with high levels of non-HDL-C (≥ 85 mg / dL) had a significantly lower mean age and higher BMI compared to the group with low levels of non-HDL-C.
+In the parameters of lipid, the level of total cholesterol, LDL-C and triglyceride was also significantly higher in the group with high levels of non-HDL-C.
+Conclusions: Our study revealed that the rate of patients with acute myocardial infarction achieved nonHDL-C goals was low.
+The residual cardiovascular risk in the study population was still relatively high.
+Patients with high levels of non-HDL-C have a lower mean age, higher BMI, and lipid parameters such as total cholesterol, LDL-C and triglyceride had higher level than the group with low levels of non-HDL-C.
+Objectives: To describe the profiles of non-HDL-C in patients with acute infarction myocardial and, to assess the proportion of patients with non-HDL-C levels achieving treatment goals according to current treatment recommendations.
+Methods: A cross-sectional descriptive study of 297 consecutive patients with acute myocardial infarction admitted Cho Ray Hospital from January 2020 to July 2020.
+Results: Among 297 patients, the mean age was 66.5 ± 12.5 years, and the male to female ratio was 1.3: 1.
+The mean level of non-HDL-C and LDL-C were 144.5 mg / dL and 123.9 mg / dL, respectively.
+Of these, 2.6% achieved LDL-C <55 mg / dL while 6.1% achieved non-HDL-C <85 mg/dL.
+Of these, 9.4% achieved LDL-C < 70 mg / dL while 14.4% achieved non-HDL-C <100 mg/dL.
+Surgical repair for congenital trachea stenosis at Vietnam national children’s hospital
+The study aimed to monitor the management of medical solid waste contains rick of SARS-CoV-2 at treating COVID-19 patients hospitals in 2021.
+Subject and methods: A description cross-sectional study was conducted at 4 hospitals in the North region (including: Thanh Nhan Hospital, Bac Ninh Provincial General Hospital, Bac Giang Provincial General Hospital, Hai Duong Province Hospital for Tropical Diseases) since September to December 2021.
+Results and conclusion: Monitoring results showed that the volume of medical waste in hospitals has increased from 153% because all waste from the COVID-19 patients treatment area is considered infectious waste.
+The increased amount of waste leads to an increase in the management cost of medical waste.
+Because the management of medical waste has been carried out quite decently by hospitals in accordance with the provisions of Joint Circular No. 58/2015/TTLT-BYT-BTNMT and timely guidance on waste management and hygiene in COVID-19 prevention issued together with Decision No. 3455/QD-BCDDQG, hospitals did not face many surprises and difficulties in managing medical solid waste contains rick of SARS-CoV-2.
+The study concludes that the common clinical manifestations of Henoch-Schonlein purpura are reddish-purple spots, digestive tract symptoms and high complete remission.
+Keyword: Henoch-Schonlein nephritis, epidemic characteristics, clinical manifestations.
+This study aims to describe the epidemic characteristics and clinical manifestations of HSP in children.
+The study was conducted on 50 patients diagnosed with HSP at the Department of Pediatrics, Bach Mai Hospital from 2017 to 2018.
+The common clinical manifestations were reddish-purple spots (90%), digestive tract symptoms (68%) and nephritis (18%).
+At the end of the study period, 78% of the cases were completely recovered, 16% relapsed and 6% without remission.
+Keywords: Non-communicable disease, village health worker, risk factor, communication, mountainous.
+The study was conducted from 01/01/2015 to 30/09/2019 of 98 victims who died of brain damage.
+The study results show that brain stamping at the affected place accounted for the highest percentage (76.5%), followed by fracture of skull (38.8%), opposing brain stamping on the opposite side (18.4%), cerebral suppression due to hernia (10.2%), cerebral suppression due to sudden increase and decrease in speed (4.1%), intermediate cerebral suppression (3.1%), and combined intracranial lesions accounted for 56.3%.
+Keywords: Accident, road traffic accident, head injury, skull fracture, contrecoup fractures, forensic exam.
+This descriptive study describes clinical and subclinical symptoms of neonatal pneumonia and evaluates the results of its treatment in Bac Ninh Obstetrics and Pediatrics Hospital.
+The average duration of treatment was 8.6 ± 3.8 days.
+The study concludes that neonatal pneumonia was more common in male children; the main clinical manifestations were coughing, rapid breathing, small granules; and a combination of antibiotics was effective in treating neonatal pneumonia.
+Keywords: Neonatal pneumonia, tachypnea, apnea, use of antibiotics.
+Among the patients, 57.0% were male; the male / female ratio was 1.33.
+There were 67/200 (33.5%) patients aged 0 - 7 days with 13.5% of whom were preterm neonates.
+In preterm infants, the most common clinical signs were cough (96.4%), tachypnea (42.9%), wheezing (89.3%), recessive (35.7%), scattered bibasilar rales (85.7%), cyanosis (32.1%), and apnea (21.4%).
+In fullterm infants, the most common symptoms were cough (89.5%), cyanosis (6.9%), recessive (18.6%), and scattered bibasilar rales (77.9%).
+There were 28.5% of the patients with unstable white blood cells; 26.0% of the children had increased CRP.
+The most common antibiotic formula was Cefalosporin + Amikacin used in 30% of the cases.
+121/200 cultured cases were positive, of which 35.5% was K pneumoniae, 27.3% was H influenzae, 21.5% was E coli, and 14.0% was S aureus.
+The Trp64Arg (rs4994) polymorphism in codon 64 of ADRB3 (beta3-adrenergic receptor) gene is involved in the regulation of energy metabolism.
+Keywords: ADRB3, rs4994, genotyping, RFLP.
+This study optimizes the genotyping method of ADRB3 rs4994 polymorphism and determines the allele and genotype frequencies of this polymorphism in 3 - 5 years old children in Hanoi.
+A cross-sectional study was conducted on 100 three-to-five-year-old Hanoi children, using DNA extraction method from cheek mucosa cells.
+The genotyping of this polymorphism was performed by polymerase chain reaction and restriction fragment length polymorphism (PCR-RFLP) method.
+The study optimized the method of genotyping of ADRB3 rs4994 polymorphism with Mval enzyme.
+In 3 - 5 years old children in Hanoi, T / T genotype accounted for the highest proportion (78%), C / C genotype accounted for the lowest proportion (3%).
+T and C allele frequencies were 0.785 and 0.125, respectively.
+The genotypes observed were in agreement with those expected under Hardy-Weinberg equilibrium.
+It is necessary to apply the genotyping method and genetic distribution for genotyping the ADRB3 rs4994 polymorphism in large-scale studies in Vietnam.
+Objective: To evaluate serum vitamin D and IL-17 levels before and after treatment with oral Isotretinoin and Vitamin D, and analyze their relationships with clinical features in patients with moderate and severe acne vulgaris.
+After treatment, serum vitamin D and IL-17 levels were significantly different from before treatment in both groups: Using oral isotretinoin in combination with Vit D and using isotretinoin alone. But there was no difference when comparing these 2 groups after treatment.
+Conclusion: Serum Vit D and IL-17 levels in patients with moderate and severe acne vulgaris were significantly different from healthy controls.
+There is a significant change in serum Vit D and IL-17 levels before and after treatment with oral isotretinoin and Vit D Keywords: Acne vulgaris, vitamin D, IL-17.
+Objective: To evaluate the treatment outcome of disorders of serum sodium and postassium concentration in patients with chronic wounds.
+Conclusion: Electrolyte disturbances in patients with chronic wounds were usually low serum Na+ and / or K+ concentration.
+Na+ and K+ concentration in exudate were nearly equal to those in serum.
+Electrolyte disturbances in patients with chronic wounds were easy to re-establish after treatment.
+Keywords: Disorders of serum sodium and postassium, chronic wound, exudate.
+Subject and method: A prospective descriptive study was performed on thirty patients who aged over 16 years old with chronic wounds and disorders of serum sodium (Na+) and postassium (K+) concentration within 24 hours after hospitalization at Wound Healing for electrolyte disorders (Na+ and K+).
+We also determined the concentration of Na+ and K+ in wound exudate, which was obtained from Vacuum Assisted Closure (VAC).
+Result: The patients with chronic wounds and electrolyte disorders who usually had low concentration of Na+ (50%), low K+ was 26.67%, Na+ and K+ were both low of 13.33%.
+Objective: To assess the nutritional status of cancer patients when admitted to the hospital for treatment in the Department of Pain Management and Palliative Care.
+Conclusion: Assessment of the nutritional status of cancer patients when admitted to the hospital for treatment in the Department of Pain management and Palliative Care revealed that 11% were in good nutritional status, 58% were in mild malnutrition or moderate malnutrition, 31% were in severe malnutrition Keywords: Nutritional status, cancer patients, PG-SGA, BMI, albumin.
+Subject and method: 100 patients entering the Department of Pain management and Palliative Care for the first time were surveyed for a number of clinical indicators, tested and assessed on nutritional status in accordance with the PG-SGA (Scored Patient - Generated Subjective Global Assessment).
+Result: 68% of patients were male; 63% of patients were ≥ 60 years old; 64% of patients were with gastrointestinal cancer; 82% of patients were in stage IV; 32% of patients had a combination of diseases; and 20% of patients had the systemic status ECOG at 3 points.
+Assessed on BMI, 19% had light weight, 12% were moderately thin, and 9% were too thin.
+Assessed on the level of albumin in blood, 21% were of slight decrease, 14% were of moderate and 3% were of severe decrease.
+Among the 100 patients, 78% suffered from weight loss, 61% suffered from reduced appetite, 62% suffered from activity decrease, 100% suffered from an increase in nutritional requirements, 40% suffered from muscle impairment, fat impairment, and fluid excess.
+The most common symptoms affecting eating and drinking were: Fatigue (65%), loss of appetite (60%), pain (28%), early satiety (25%).
+Generally, 11% were in good nutritional status, 58% were in mild malnutrition or moderate malnutrition, 31% were in severe malnutrition.
+The score group 0 - 1 accounted for 9%, the score group 2 - 3 accounted for 21%, the score group 4 - 8 accounted for 29% and the score group ≥ 9 accounted for 61%.
+Objective: To investigate the prevalence and antibiotic resistance of bacteria causing catheter - associated urinary tract infections at the 108 Military Central Hospital from January to April 2022.
+pneumoniae had a high rate of resistance to quinolone and third generation cephalosporins, the prevalence of resistance to imipenem was 9.4% and meropenem was 6.5%.
+aeruginosa had a very high rate of resistance to most antibiotics, resistance to cefepime and amikacin were 36.7% and 22.7%, respectively.
+Keywords: Catheter-associated urinary tract infections (CAUTI), antimicrobial resistance, urinary catheter.
+Objective: To review the patients who were diagnosed with glycogenic acanthosis on upper gastrointestinal endoscopy and to describe the clinical symptoms, endoscopic and urlological features.
+Clinically, mild glycogenic acanthosis was a common finding, in 55 (82.1%) cases.
+Pathologically, benign squamous hyperplasia was 65 cases (97.0%), and with dysplasia squamous epithelium was 2 patients (3.0%).
+Conclusion: The common clinical symptoms areabdominal pain, burning, bloating and belching.
+Endoscopically, 81.2% of them with moderate degree of squamous cell hyperplasia.
+The main accompanying endoscopic lesions are GERD and gastritis.
+Histourlologically, most cases are benign squamous hyperplasia; squamous cell dysplasia is observed in 3% of cases.
+Keywords: Squamous hyperplasia, glycogenic acanthosis, hyperplastic.
+Patients with glycogenic acanthosis were aged 38 - 84 years, average 61.5 ± 9.3 years.
+The most common symptoms were heartburn 53 (79.1%), belching and bloating 52 (77.6%), upper central abdominal pain 59 (88.1%).
+The less common symptoms were chronic cough 18 (26.9%), difficulty swallowing 2 cases (3.0%).
+Gastroesophageal reflux was detected in 57 cases (85.1%) with squamous hyperplasia, while hiatal hernia was detected in 3 (4.5%) cases.
+Objective: To evaluate the prevalence and characteristics of hypertension in patients after kidney - transplant surgery and other related factors.
+Conclusion: Hypertension after kidney transplant surgery was popular.
+Keywords: Hypertension, kidney transplant, post-surgery.
+Subject and method: Fifty-seven patients have performed kidney transplants at 108 Military Center Hospital from December 2016 to March 2020.
+This was a retrospective and prospective study, blood pressure was measured daily before and early post - transplantation, and 10 days continuously.
+Result: Mean blood pressure after surgery was 141/85 ± 14.6/10.3 mmHg.
+The mean hypertension days was 7.1 ± 2.68 days.
+Dialysis more than three years and inadequate blood pressure control before the operation were risk factors that increase the likelihood of post-surgery hypertension, with OR were 1.92 (1.10 - 3.51) and 2.03 (1.36 - 3.07), respectively.
+Diastolic blood pressure had weak positive relationship to BMI (r = 0.219; p<0.001), but systolic blood pressure had no relationship to BMI.
+Objective: To examine whether the dural cross-section area (DCSA) and anteroposterior diameter (APD) in axial loaded magnetic resonance imaging (MRI) correlates with the severity of clinical symptoms in patients with lumbar spinal canal stenosis (LSCS).
+Keywords: Spinal canal, axial loaded magnetic resonance image, lumbar spinal canal stenosis.
+The severity of symptoms was evaluated on the basis of the walking distance, visual analogue scale (VAS) of leg pain, back pain, Japanese Orthopaedic Association score and ODI (Oswestry Disability Index 2.0).
+Result: 62 patients with LSCS (25 men and 37 women, 32 - 81 years, median age, 57.61 ± 9.6 years), VAS back pain: 6.0 ± 1.03, VAS leg pain: 6.64 ± 1.32, ODI: 69.23 ± 5.52.
+Objective: To study clinical and subclinical characteristics in patients with type 2 diabetes who the first time to consult in Outpatient Department of Senior Officers.
+Research the factors affecting type 2 diabetes patients.
+Subject and method: All type 2 diabetes patients come to the clinic for the first time in Outpatient Department of Senior Officers from August 2018 to July 2019, descriptive, cross-sectional research method.
+Objective: To evaluate the characteristics of changes in electromyography and its relationship with clinical characteristics and magnetic resonance imaging in patients with lumbar disc herniation.
+Subject and method: Including 60 patients with confirmed diagnosis of lumbar disc herniation, inpatient treatment at 103 Military Hospital from 9/2020 to 3/2021.
+Result: The age group 40 - 59 accounted for the highest rate of 48.3%; male / female ratio was 1.14/1. Location of disc herniation L4-L5 63.3%, L5-S1 30%, L4-L5 and L5-S1 6.7%, type of hernia right posterior deviation 41.6%, hernia posterior left deviation 55%; compound hole 3.4%.
+Electromyography on the patient side: The percentage of patients with electromyography abnormalities was 50%, of which: L5 root damage 30%, roots S1 13.3%; L5 and S1 roots 6.7%, 90% of patients had spontaneous potential; 100% of patients had reduced aggregation and motor units of neurourly.
+The rate of electromyographic abnormalities was higher in patients: Disease over 6 months, severe and very severe pain according to VAS scale, stage 3 disc herniation, severe disc herniation, degree of root compression III and severe spinal hepatomegaly, the difference was statistically significant with p<0.05.
+Conclusion: There is a relationship between the percentage of patients with lumbar disc herniation with changes on electromyography with the clinical severity and the degree of injury on MRI of the lumbar spine.
+Keywords: Lumbosacral disc herniation, radiculourly, magnetic resonance imaging (MRI), electrodiagnostic study (EDX).
+Objective: To investigate the value of four circulating microRNAs (microRNA: microRNA-155, microRNA-147b, microRNA-223, microRNA-146 - 3p) in diagnosis of sepsis.
+Subject and method: 71 sepsis patients treated in Viet-Tiep Hospital, Hai Phong and 108 Military Central Hospital, Ha Noi from November, 2014 to July, 2017 there are 31 Dengue haemorrhagic fever (DHF) patients and 32 healthy control (HC) were included in the control group.
+Result and conclusion: The expression of 4 microRNAs: MicroRNA-146 - 3p, microRNA-147b, microRNA-155, microRNA-223 in sepsis group was significantly higher than that in healthy control and DHF group (p<0.05).
+Keywords: Sepsis, microRNA 146 - 3p, microRNA 147b, microRNA-155, microRNA 223.
+Objective: To survey on the patient safety awareness of medical staffs at 108 Military Central Hospital.
+Subject and method: A cross-sectional description based on the questionnaire survey chart of patient safety of the American Health Research and Quality Agency. The survey was conducted with 661 medical staffs at 108 Military Central Hospital in 2020.
+Among the components of patient safety, the teamwork was the most positive (94.3%) with an average score was 4.2, the human resources was the lowest positive (60.1%) average score was 3.6.
+Conclusion: Patient safety awareness of medical staffs at 108 Military Central Hospital in 2020 was rather good.
+More attention should be paid on human resources to ensure the patient safety quality.
+Keywords: Patient safety, 108 Military Central Hospital.
+Objective: To examination of some clinical features of Ota's nevus patients treated at 108 Military Central Hospital.
+Subject and method: A cross-sectional descriptive study of Ota's nevus was conducted by reviewing the clinical characteristics and photographs of one hundred and seventy-six patients.
+Statistical analysis was used to compare outcomes and determine contributing factors.
+Result: 161 patients were in accordance with Tanino's classification (91.48%), in which there were cases of type I (30.7%), cases of type II (28.4%), of type III (24.27%), and of type IV (5.11%).
+The remaining cases were not in line with Tanino's classification 15 (8.52%) .169 patients were in line with PUMCH's classification (96.02%), and 3.98% patients were not 7/176 (3.98%).
+Conclusion: The clinical feature of Ota's nevus is so complicated, there are not any classifications covered all cases.
+Keywords: Nevus of Ota, Tanino, PUMCH.
+Objective: To compare serum copper and copper to ceruloplasmin ratio between the patients and the controls.
+Females have higher levels of both serum copper and copper to ceruloplasmin ratio than males (p=0.017, p=0.039).
+The older the patients get, the higher levels of serum copper they have (p=0.036, r = 0.26).
+Patients who drink alcohol more than once a month had lower copper to ceruloplasmin ratio than those who do not drink (p=0.049).
+Conclusion: There is no difference in serum copper level between the controls and the patients.
+The patients have lower copper to ceruloplasmin ratio than the controls.
+Serum copper raise as the patients get older.
+Gender can affect serum copper level and copper to ceruloplasmin ratio in psoriasis patients.
+Copper to ceruloplasmin is found to be relative to alcohol consumption.
+Keywords: Plaque psoriasis, serum copper, copper to ceruloplasmin ratio.
+To identify the relationship between serum copper, copper to ceruloplasmin ratio and clinical characteristics.
+Subject and method: We designed a cross-sectional study with convenience sampling of 66 cases of psoriasis patients and 66 normal people at dermatology clinic of Ho Chi Minh City Hospital of Dermatology and Venereology during the period January 2021 to June 2021.
+Result: Mean age was 44 years old.
+15% of the patients had family history of psoriasis.
+There was no significant difference in serum copper levels between the cases and the controls (mean 76.7µg / dL vs mean 75.4µg / dL, p=0.55).
+Serum ceruloplasmin levels were significantly raised among the cases as compared with the controls (mean 41.2mg / dL vs mean 32.7mg / dL, p=0.001).
+Serum copper to ceruloplasmin ratio were significantly low in the psoriasis group as compared with the controls (mean 2.1 vs mean 2.4, p=0.001).
+Objective: To evaluate an innovative program to improve the knowledge of patients and their family members about care at the Department of Thoracic surgery, Bach Mai Hospital.
+Keywords: Innovation, knowledge, patients and their family members, care.
+Objective: To determine the proportion of anxiety, depression and the association with the duration of taking oral isotretinoin in patients with acne at Hospital of Dermato-Venereology, Ho Chi Minh city.
+Subject and method: Prospective study, sixty-seven patients taking oral isotretinoin were evaluated by using the HAD scale from October 2018 to July 2019.
+Result: The study showed that 50.75% had anxiety, 13.43% had depression, 1.43% had a combination of anxiety and depression symptoms.
+No association found between the development of anxiety, depression for patients with acne and the duration of oral isotretinoin treatment.
+Conclusion: The percentage of anxiety, depression in acne patients taking oral isotretinoin is very high.
+Therefore, we need to pay attention to this issue during treatment and management of acne patients.
+Keywords: Anxiety, depression, acne, isotretinoin.
+Objective: To review some clinical and echocardiographic characteristics of mechanical valves replacement.
+Clinical and echocardiographic based on the criteria of the Viet Nam National Heart Association and ACC / AHA guidelines.
+Result: Anamnesis of rheumatic heart disease was 62.7% (no treatment was 16.4%), Hypertension was 35.8%, NYHA 2 and 3 were 100%, fainting was 26.9%, chest pain on exertion was 59.7%.
+Echocardiography: Severe aortic stenosis valve was 97%, mean gradient pressure > 40 mmHg was 95.5%, left ventricular hypertrophy (308.7 ± 35.3g) but left ventricular systolic function is preserved.
+Conclusion: Clinical symptoms of aortic stenosis were not obvious, chest pain on exertion was 59.7%, fainting was 26.9%.
+Echocardiography: severe stenosis of the aortic valve by area accounted for 97% and according to mean gradient pressure was 95.5%.
+Left ventricular hypertrophy with a mean muscle mass of 308.7 ± 35.3g.
+Keywords: Aortic valve replacement, aortic valve stenosis (AS).
+Background: Minimally invasive cardiac surgery has been worldwidely and powerfully developed in both quantity and quality.
+No hospital death; 3.6% of postoperative bleeding needed re-operation.
+In a 3 month follow-up, 73.6% were NYHA grade I - II; mean LVEF was 62.9 ± 3.7%; mean PAPs was 31.7 ± 3.7 mmHg; there were no re-operation needed and no mortality during the following time.
+Conclusion: MIMVR surgery at Hue Central Hospital was safe and effective, significantly improved clinical symptoms as well as postoperative pain.
+Keywords: Minimally invasive, surgery, mitral valve replacement, right thoracotomy.
+In Vietnam, at Hue Central Hospital, we have recently performed minimally invasive surgical techniques in mitral valve replacement with promising outcomes.
+Objective: To evaluate the early outcomes of minimally mitral valve replacement (MIMVR) surgery via the right thoracotomy in our department.
+Subject and method: This is a descriptive study.
+All patients were diagnosed as mitral stenosis and mitral regurgitation, and underwent MIMVR at Hue Central Hospital from December 2016 to December 2019.
+Patients were postoperatively followed up and assessed by clinical examination and echocardiography within 3 months.
+Result: 56 patients underwent MIMVR surgery, the male-female ratio was 1: 2.1; the mean age was 44.5 ± 12.5 years old; Preoperative functional symptom: NYHA grade I-II in 66.1%.
+Mean MVA was 1 ± 0.6 cm2; mean LVEF was 63.2 ± 5.4%; mean PAPs was 43.3 ± 18.3 mmHg.
+Mean aortic cross-clamping and mean CPB time time was 95.8 ± 16.6 minutes and 130.2 ± 27.9 minutes respectively; mean mechanical ventilation time was 3.4 ± 1.3 hours; mean ICU time was 5.9 ± 1.8 days.
+Objective: To investigate the rate of multiple types of nosocomial infections and related factors at Department of Intensive Care, Vinh Phuc province Hospital.
+Keywords: Mosocomial infections, ventilator-associated pneumonia, risk factors.
+Objective: To identify the rate of severe pneumonia due to adenovirus and it's prognosis factors in children.
+Subject and method: A cross-sectional study collected 100 children from 2 months to 5 years. All participants were confirmed adenovirus pneumonia by realtime PCR in the National Children's Hospital from June of 2018 to May of 2019.
+Result: The prevalence of severe pneumonia caused by adenovirus was 64%.
+The probability of developing severe pneumonia in the group with lobar pneumonia in chest X-ray were 7.74 times higher than that of the group without lobar damage (OR = 7.74, 95% CI: 3.45 - 26.39, p<0.05).
+The risk of having severe pneumonia in children infected from family was lower than those infected in the hospital (OR = 0.2, 95% CI: 0.05 - 0.79, p<0.05).
+Conclusion: Most of the children with pneumonia due to adenovirus were severe.
+Lobar pneumonia in X-ray and infection from family members were associated with the severity of adenovirus pneumonia in children.
+Objective: To compare the onset and duration of sensory and motor blocking effects, success and complications rates of two techniques.
+Subject and method: 60 patients indicated for upper limb surgeries at 7A Military Hospital from May 2020 to September 2020 were randomly divided into two 20ml levobupivacaine 0.5% combined lidocaine 2% and 1/200.000 adrenaline.
+Group II with nerve The procedure time (5.5 ± 2.68 vs 4.6 ± 1.72 min), time of onset of sensory suppression (5.03 ± 1.09 vs 9.6 ± 1.58 min) and time of onset of motor block (8.0 ± 1.98 vs 12.26 ± 2.27 min) in group I were significant shorter those in Group II (p<0.05).
+The duration of sensory and motor block (335.15 ± 115.30 vs 312.30 ± 312.30 minutes and 285.13 ± 103.20 vs 225.40 ± 98.35 minutes, respectively) were significant longer in group I than in Group II (p<0.05).
+Good numbness rate (96.66% vs 90%) and complications (3.3% vs 9.9%) were comparable between two groups.
+Keywords: Brachial plexus block, ultrasound-guided.
+Objective: To evaluate the outcome of the anterior debridement, decompression and autograft fusion by titanium plate in treatment for the lower cervical tuberculosis.
+Conclusion: The anterior debridement, decompression, using iliac crest fusion and fixation by titanium plate was demonstrated to be a safe and effective method to treat lower cervical tuberculosis.
+Keywords: Lower cervical spine, cervical spine tuberculosis, anterior approache, cervical plating.
+From December 2013 to February 2019, 12 lower cervical tuberculosis (8 male; 4 female; average age 39.5 ± 17.3 years) who underwent surgical treatment at Neurosurgery Department of 108 Military Central Hospital.
+Neurologic function of all the patients was evaluated by VAS, JOA score and ASIA grade.
+Patients were followed up for 13.4 ± 4.5 months on average.
+Result: Postoperatively neurologic function of all the patients using the VAS, JOA score and ASIA grade was improved significantly after surgery.
+The cervical sagittal alignment was improved by C2 - 7 Cobb's angle change (- 4.8° ± 1.9° postoperative end - examination vs 14.3° ± 7.8° preoperative; p<0.05).
+All patients had solid fusion and no major complications were observed in the follow-up period.
+Objective: To describe the disease structure and some related factors of the patients in the Cardiovascular Intensive Care Unit (A2-D).
+Keywords: Disease structure, cardiovascular intensive care unit, 108 Military Central Hospital.
+Although most of the case have histourlological features of meningothelial meningioma, the diagnosis has remained challenging for clinicians, radiologists and as well as urlologist due to their rarity and vague clinical symptoms.
+However, the histourlological images of small preoperative biopsy showed features of atypical fibrous histiocytoma: Monomorphic fibroblast-like and epithelioid shaped cells with delicate chromatin arranged in the whorl / curlicue pattern and CKAE1/AE3-negative staining; the tumor extended into the dermis and hypodermis.
+The postoperative histourlological results confirmed cutaneous meningioma, type III based on the medical history, histourlology and immunohistochemistry.
+Keywords: Cutaneous meningioma, post-traumatic cutaneous meningioma.
+We pressent two case with hyperparathyroidism, treated with ultrasound-guided percutaneous RFA using moving-shot technique with positive result. Some discussions on dianogsis and techniques of RFA procedure were given.
+There were no complications associated with RFA. Serum PTH, Calci-Ion, Phosphat level normalized after 2 months follow-up.
+RFA is safe and effective in treatment of parathyroid adenoma in primary hyperparathyroidism.
+Keywords: RFA, parathyroid, hyperparathyroidism.
+Objective: To evaluate clinical characteristics, recurrence risk factors, and radioiodine treatment response in post-total thyroidectomy papillary thyroid micro-carcinoma patients.
+Keywords: Papillary thyroid microcarcinoma, recurrence risk classification, radioiodine therapy.
+The subgroup analysis showed that some clinical and histourlological characteristics were not significantly different; however, the recurrence risk and radioiodine therapy response classification were significantly different between the two groups.
+Ganglioneuromas (GNs), benign tumors of symurletic neuvous systems arising from the neural crest tissue and are most commonly located in the posterior mediastinum and retroperitoneum.
+Keywords: Ganglioneuroma, adrenal incidentaloma.
+They are rarely found in the adrenal gland, asymptomatic and incidentaloma in almost cases.
+Although GNs is benign but it can grow and cause compression, so surgery is the optimal treatment method.
+It is complicated to diagnose exactly before surgering, difficult distinction with adrenal cortical carcinoma.
+Postoperatively, there is no need for adjuvant therapy in patients with adrenal GNs and their progonist is excellent.
+We report the clinical case describing adrenal ganglioneuroma, without exact diagnosis and the exception of adrenal cortical carcinoma.
+Conclusion: Adrenal ganglioneuroma is benign, occurs rarely and preoperative diagnosis is difficult, thus surgery is the gold standard for the treatment and histourlological examination is the mainstay of diagnosis.
+Paronychia and pyogenic granuloma-like lesions are among the most noticeably undesirable side effects on patients treated with epidermal growth factor receptor inhibitor (EGFR). These badly affect the patients' quality of life as well as their compliance with targeted therapies.
+Keywords: Epidermal growth factor, paronychia adverse event, pyogenic granuloma, topical beta-blockers.
+No F hepatica was detected in the present study.
+Conclusion: F gigantica and intermediate form were identified in bovine and buffalo in the Northern Vietnam, whereas F hepatica was not detected.
+dranhk61@gmail. com - Học viện Quân y Keywords: Fasciola, bovine, buffalo, PCR-RFLP, Northern Vietnam.
+Result: The present results showed that, using PCR-RFLP based on the first internal transcribed spacers (ITS1) of the rDNA revealed that 95 out of 122 isolates (77.9%) were Fasciola gigantica type, whereas 27 isolates (22.1%) presented an intermediate Fasciola.
+Objective: To evaluate the scientific evidence related to the tooth movement outcome of orthodontic treatment with clear aligners from 2010 to 2020.
+Keywords: Tooth movements, clear aligners, systematic review, orthodontics.
+Subject and method: An electronic searched for articles on the databases PubMed, ScienceDirect, Google Scholar published from January 2010 to the end of 2020 to identify all peer-reviewed articles potentially relevant to the review.
+Data collected from each article included: author, year of publication, study design, sample size, intervention, comparison, and treatment outcome.
+Methodological limitations were highlighted and the quality of articles was scored using tools such as: Risk of Bias In Non - randomized Studies of Interventions (ROBINS-I) for cohort studies and Cochrane Risk of Bias Tool for randomized controlled clinical trials.
+Result: Twelve relevant articles were selected, one was a randomized controlled clinical trials, two were prospective cohort studies, and nine were retrospective cohort studies.
+Sample sizes ranged from 16 to 75, with a total of 477 patients.
+Most of the covered studies assessed predictability of tooth movement comparing post-treatment patient models to the predicted digital planned tooth movement models (ClinCheck, Vectra, Canfield Scientific).
+Conclusion: Current studies have low to moderate evidence in the outcome of tooth movement when use clear aligners for some cases.
+Most tooth movements are not equivalent to a specialized software-based treatment plan for clear aligners, except for small horizontal tooth movements.
+Objective: To investigate the change of anti-SARS-CoV-2 IgG antibody levels in individuals after vaccination with AstraZeneca, Moderna, and Pfizer vaccines.
+Keywords: SARS-CoV-2, COVID-19, COVID-19 vaccine, antibody.
+Subject and method: 221 adult volunteers 108 Military Central Hospital during the period from 11/2021 to 2/2022 according to the injection procedure of the Ministry of Health.
+Objective: To determine the cause of infection in kidney transplant patients in the first year after transplantation at 108 Military Central Hospital from 2016 to 2021.
+Keywords: Kidney transplant, viruses.
+Among 51 patients (71.8%) infected with at least 1 of 5 viruses, BKV and JCV (50.7% and 33.8%), CMV (60.6%), EBV (7.0%), The rate of virus infection at the 6th month after kidney transplant was significantly higher than that at the time of 1, 2 and 12 after kidney transplantation (Mc-Nemar test, p<0.05).
+Objective: To determine the efficacy, short-term results of percutaneous transluminal angioplasty (PTA) in patients with chronic iliac diseases.
+Despite many advances in imaging diagnostic and urlophysiology, some cases of SBO are still diagnosed late or lacking of inaccuracy, leading to increased morbidity and mortality.
+Conclusion: The main complication of SBO is intestinal ischemia, computed tomography imaging is the modality of choice in this urlology because of its ability to assess the bowel wall, the supporting mesentery and peritoneal cavity all in one, signs of intestinal ischemia can be seen on computed tomography: abnormal enhancement of the intestinal wall, thickening of the intestinal wall that may increase density, signs of halo ring or target, localized fluid collection or bleeding in the mesentery, gas in the intestinal wall, portal vein in the late cases.
+Keywords: Small bowel obstruction, intestinal ischemia, closed-loop obstruction.
+Brackground: Pneumonia is an acute respiratory infection (ARI) with damage in the lungs.
+The average duration of antibiotic treatment in patients with pneumonia (7.92 ± 1.79) and severe pneumonia (7.76 ± 1.60).
+The rate of using one antibiotic is the highest at 51.21%, the rate of using two antibiotics is relatively high at 47.56%.
+The treatment of pneumonia in the hospital is relatively effective, with an overall cure rate of 64.6%, leaving a large proportion of patients with 35.4% relief, meaning symptom reduction but still need treatment add with antibiotics after discharge.
+Conclusion: The proportion of children who have used antibiotics before going to the hospital is less than that of children who have not used penicilline antibiotics in a large proportion, of which ampicilline antibiotic is used the most.
+The average time of initial antibiotic use is about 8 days, and the duration of the alternative regimen is 5 days.
+The overall cure rate was 64.6%, with the remaining 35.4% of patients getting better.
+According to WHO, pneumonia is one of the five main causes of death in children especially children under 5 years old.
+Up to the present time, there are many studies on pneumonia children under 5 years old, but there are not many studies on the treatment results of pneumonia in children in Nghe An province.
+Four regimens for pneumonia have been used when the patient first arrived, including 2 antibiotic alone regimens and 2 antibiotic combination regimens.
+Two doses of Ich Tri Vuong did not effect SGOT and SGPT, while Atorvastatin induced a significant in there liver enzymes.
+Ich Tri Vuong 180 mg / kg / day and atorvastatin 5 mg / kg / day reduced the degree of liver steatosis in histological examination.
+Keywords: Ich Tri Vuong, Non-alcoholicfatty liver disease.
+The studies were designed to accessing the effect of Ich Tri Vuong on serum lipids level, SGOT, SGPT, and liver steatosis in histological examination in non-alcoholic fatty liver disease in cholesterol-fed rabbits.
+Group 1: Oral administration (OA) with water 2ml / kg / day.
+Group 2: OA cholesterol 0.5g / kg / day + water 2ml/kg.
+Group 3: OA cholesterol 0.5g / kg / day + Atorvastatin 5mg / kg/day.
+Group 4: OA cholesterol 0.5g / kg / day+ ITV 60mg / kg/day.
+Group 5: OA cholesterol 0.5g / kg / ngày + Ich Tri Vuong 180mg / kg/day.
+After 8 weeks, Ich Tri Vuong decreasing total cholesterol and LDL equivalent to Atorvastatin 5mg / kg / day group (p> 0.05).
+Objective: "Describe the level of risk of some occupational risks of nurses at K Hospital in 2018".
+The risk of being bullied by co-workers accidents while working, allergies / shocks when exposed to chemicals, and work stress are all more than 3 times higher than those of the less exposed group (p<0.05).
+Conclusion: Early intervention measures are needed to address the occupational risks of nurses in the hospital.
+Keywords: Occupational risks, nurses hospital.
+Methods: Using the cross-sectional description method with the whole sample selection on 370 nurses of K hospital. The self - filled questionnaire is designed, content includes: Working environment (exposure with blood, chemicals, radiation, noise, dust patients...).
+Risks encountered (sharp objects stabbed, colleagues pinched, lawsuits...).
+The most recent way to handle risks.
+Results: Groups working for 1 - 5 years, 5 - 10 years, 10 - 20 years, respectively, have 4.6, 3.4 and 2.8 times compared with the group over 20 years.
+Internal medicine has a risk of 3 times higher, the subclinical department 2.06 times compared to the functional department (p<0.05).
+The group with high exposure to chemicals is 2.3 times higher than the group with little exposure to and stress at work, and other injuries are 1.91 and 1.61 times higher respectively, than the group with little exposure (p<0.05).
+Groups with overload of work and psychological pressure have a higher risk of 10 types of risk than the group with little exposure.
+CLINICAL, SUBCLINICAL CHARACTERISTICS AND ITS RELATIONSHIP OF PENILE CANCER AT K HOSPITAL 2008 - 2014 Objectives: Study some clinical - subclinical and its relationship of penile cancer at K hospital 2008 - 2014.
+Keywords: penile cancer.
+Subjects and methods: A retrospective and prospective study on 106 patients were diagnosed by histopathology and were identified as penile cancer stage I, II, III were treated at K hospital from 2008 - 2014.
+Results: median age 51.2 years, disease common in people ageing from 40 to 70 years old (68.9%), duration of illness over 6 months (72.3%).
+The invasiveness of tumors in T2 and T3 is38.7% and 52.8%, respectively.
+Histopathology of penile cancer is squamous cancer (100%).
+The low grade G1, 2 (84%), high grade G3, 4 (16%), lymph node metastases (39.6%), stage I, II and III (8.5%, 40.6% and 50.9%, respectively).
+The wider invasiveness of tumors is, the more frequent clinical consultation and the higher lymph node metastases are by histopathology.
+Results: (1) The most common subtype is pre-T ALL (56.3%).
+(2) 100% patients express cyCD3, but surface CD3 can be seen in only 25% cases.
+Other common T-cell markers are: CD7 (68.8%), CD2 (56.2%), CD5 (50%).
+SYSTOLIC AND DIASTOLIC LEFT VENTRICLE FUNCTION ASSESSMENT BY TISSUE DOPPLER ECHOCARDIOGRAPHY IN PATIENTS WITH PERFUSION DEFECTS IN SPECT STUDY Objective: Evaluating left ventricular function in the hypertensive disease with perfusion defects in SPECT by tissue Doppler echocardiographic.
+Subjects and Methods: We evaluated 127 patients with traditional echocardiography and TDI; among them, 80 as normal control subjects and 47 patients with hypertension.
+Conclusions: In the hypertensive disease with perfusion defects in SPECT had lower Sm, Em, Em / Am when compared with patients without perfusion defects in SPECT.
+Keywords: Hypertension, Diastolic function, pulsed-wave tissue Doppler echocardiography
+ASSESSMENT OF MAXILLARY SINUS WALL BROKEN TREATMENT IN MID-FACE FRACTURE BY REDUCTION - FOLEY BALLOON INTRASINUS FIXATION Objective: 1.
+To give the description of clinical and X-ray of maxillary sinus fracture.
+To assess the result of using Foley balloon as the role of intrasinus fixation device in sinus wall broken.
+Cross section, descriptive study.
+Result: 15/19 (78, 95%) patients were good and fair results in 4/19 (21, 05%) after 10 days of operation.
+Meanwhile these ratios reached at 17/19 (89, 47%) and 2/19 (10, 53%) after 6 months of treatment Keywords: Maxillary sinus fracture, Foley balloon intrasinus fixation.
+COMMENT ON TECHNIC OF AMNIOCENTESIS AND MANAGEMENT THE FETAL CHROMOSOMAL ABNORMALITIES IN NATIONAL OBSTETRIC GYNECOLOGY HOSPITAL AND IN HANOI OBSTETRIC GYNECOLOGY HOSPITAL FROM 1/2008 TO 6/2009 The descriptive study on 438 women amniocentesis and amniotic cell culture for detection of chromosomal abnormalities may cause fetal malformations in National Obstetric and Gynecology Hospital and in Hanoi Obstetric and Gynecology Hospital period from 1/1/2008 30/6/2009.
+Results: the technique of amniocentesis are relatively safe, this technique is performed only once in 97.3% of women and 2.1% of pregnant women have to 2 pnction; 0.7% of pregnant women have rebooked to amniocentesis after 1 - 2 weeks, while the technical implementation in short time (5 minutes in 92.7% of women), length of hospital stay was 2 hours after amniocentesis; low complication rate (only 0.2%).
+Results management of fetal chromosomal abnormalities: proportion of chromosomal abnormalities was 8.2%, including 6.4% to abortion; 1.8% referral for monitoring and further treatment.
+Conclusion: the technique of amniocentesis to detect abnormal fetal chromosomes are relatively safe, low complication rate, the majority of cases have been diagnosed fetal chromosomal abnormalities often have to manage by abortion.
+Keyword: amniocentesis, amniotic cell culture, management the fetal chromosomal abnormalities
+BREAST AUGMENTATION WITH SILICONE - GEL IMPLANTS USING PERIAREOLAR INCISION WITH PURSE STRING SUTURE WITH LESS VISIBLE SCAR Objectives: three main approaches used in breast augmentation were inframammary, periareolar and axillary approach.
+Keywords: breast augmentation, periareolar incision, purse - string suture
+Scars after surgery always should be considered.
+In this report, we evaluated our technique using periareolar approach with purse - string suture to hide the scars under the nipples in breast augmentation.
+The surgical time was 1 hour and 45 minutes for both sides.
+STUDYING CHARACTERISTIC PULSE DOPPLER ULTRASOUND AND CLINICAL OF CHRONIC VENOUS INSUFFICIENCY OF THE LOWER EXTREMITIES Purpose: Studying characteristic pulse Doppler ultrasound and clinical of chronic venous insufficiency of the lower extremities.
+Conclusion: Patients with chronic venous insufficiency of the lower extremities have a high averange age, women get sick more, the common rick factors: relating to the profession, childbirth, obesity.
+Doppler ultrasound parameters showed: varicose veins and appear reflux time >1 sec.
+Keywords: Chronic venous insufficiency, Varicose veins, Pulse Doppler ultrasound.
+Objects and methods: 70 patients with chronic venous insufficiency, clinical examination and Doppler ultrasound of the lower circuit.
+Result: Female (81, 4%), the averangeage 40 - 60 (64, 3%).
+Clinical calf strain (97, 2%), heavy legs (91, 5%), disturbancesof sensation inthe foot (90, 6%).
+CEAP clinical classification: C1 (26, 5%), C2 (50, 9%), C3 (17.9%), C4 (3, 8%), C6 (0.9%). Ultrasound Doppler: great saphenous vein femoral vein into segments diameter: 7, 97 mm, great saphenous vein above-knee segment diameter: 4, 63 mm, great saphenous vein below-knee segmentdiameter: 4, 04 mm.
+Cross vein sections below knee diameter: 2, 84 mm.
+Reflux time in great saphenous vein, small saphenous vein, cross vein: 3, 3 - 4, 68sec.
+BMI mean of faty liver diabetes group is 23, 15 ± 2, 73, those of nofaty liver diabetes group is 20, 86 ± 3, 02, in focus group is 20, 76 ± 1, 77 with significant defference in statistics p < 0, 01.
+Cholesterol and Triglycerid concentration mean of faty liver diabetes are higher than those of nofaty liver diabetes group with significant defference in statistics.
+SURVEY OF CLINICAL CHARACTERISTICS, LABORATORY FNDINGS AND CONTINUOUS RENAL REPLACEMENT THERAPY IN POSTPARTUMS WITH ACUTE KIDNEY INJURY Aim of survey is to study the clinical characterisitics, laboratory findings and initial evaluation of continuous renal replacement therapy in postpartum patients with acute renal injujy.
+A case serie study of 61 patients admitted the Intnsive care unite, Cho Ray hospital from 01/12/2012 to 31/6/2014 were analyzed.
+Glasgow score, SOFA and APACHE II was 9.69 ± 3.9, 13.64 ± 4.15 and 23.66 ± 7.32, respectively.
+The rate of acute kidney injury degree 1 was 37.7%, degree 2 was 21.3% and degree 3 was 41.0%.
+Rate of hyperurimia was 32.8%, oedema was 40.9%, hypotension was 54.1%.
+CRRT with CVVH mode improved renal function but no evidence of improvement the hospital mortality.
+Keywords: Postpartum, Acute kidney injury, Continuous renal replacement therapy.
+STUDY OF THROMBOELASTOGRAPHY (TEG) INDICATORS IN ACUTE PROMYELOCYTIC LEUKEMIA Background: TEG is aglobal coagulation test, allowing hematologists to assess situation with DIC in APL patients.
+Purpose: To study some TEG indicators in APL patients.
+Patients and methods: Descriptive study was carried out on 51 APL patients treated in NIHBT from 1/2013 - 3/2014.
+Results: (1) Observed coagulopathy due to DIC, showing in TEG indicators: in 74, 5% patients CI reduced; in 37, 3% R prolonged; in 49, 1% K prolonged; in 62, 7% α narrowed; in 68, 6% MA reduced.
+(2) Observed relationship between TEG indicators and separate coagulation tests: (a) Positive correlation: Strong correlation between MA - TEG and platelet count; Significant correlation between: R - TEG and rAPTT; α - TEG and fibrinogen; Not significant correlation between MA - TEG and fibrinogen.
+(b) Inverse correlation, significant inverse correlation between K - TEG and fibrinogen.
+Keywords: Moyamoya disease, cerebral occlusive disease, bypass
+Results: The authors treated a total of 33 patients undergoing 35 procedures (mean age 35, 9 ±12, 6).
+The mean follow up 3, 8 years, reccurrent strokes were 6, 6%.
+Overall, there was a significant improvement in quality of life in the corhort as measured in using the Modifyied Rankin Scale (p<0, 005).
+Hemorrhagic strokes consist of a highest rate 86, 7% (26/30 patients), transient ischemic attack rate is 10% (3/30 patients), neurological deficits rate is 3, 3% (1/30 patients) Conclusions: Moyamoya disease is a chronic cerebrovascular occlusive disease with a long history carrying risk of either ischemic or haemorrhage events. Revascularization surgery in patients with Moyamoya disease and cerebrovascular occlusive disease carries a low risk, is effective at preventing future ischemic events, as well as furture strokes and improves quality of life.
+EVALUATION EFFECTIVE TREATMENT SCLERODERMA SYSTEM WITH METHOTREXATE AT NATIONAL HOSPITAL OF DERMATOLOGY AND VENEREOLOGY Systemic sclerosis (SSc) is difficult to treated in autoimmune connective tissue diseases.
+The study aimed to evaluation efficacy of methotrexate (MTX) in combination with oral prednisolon for treatment of systemic scleroderma.
+69 SSc patients were divived into 2 groups: Combination of MTX and oral prednisolon were used in MTX-treated group, and alone oral prednisolon for control group.
+The level of mouth open and arthralgia were significantly improved in MTX-treated group compared with control group. However, there were no different improvement in mRSS, extension fingers, the grip fingers in two groups.
+Finger swelling, symptoms of Raynaud's, digital scars, difficulty breathing, diarrhea disorders were improved when compared to base line in both groups.
+Otherwhile, there was not signifficantly difference between the 2 groups (p>0.05).
+In conclusion, MTX have effects in treatment of SSc.
+Keywords: Systemic sclerosis (Scleroderma), Methotrexate
+KNOWLEDGE, ATTITUDES OF HEALTH CARE STAFF ABOUT NUTRITIONAL CARE IN TAN KY DISTRICT GENERAL HOSPITALS, NGHE AN IN 2014 Objective: Assess knowledge, attitudes of health care staff about nutritional care in Tan Ky district general hospitals, Nghe An province in 2014.
+Method: cross-sectional surveys were conducted among all medical employees at Tan Ky Hospital.
+Results: The rate of medical staff had adequate knowledge of malnutrition was 79.5%.
+The proportion state that establishing nutritional department was essential was 95.2%.
+Conclusions: The majority of health workers understood the concept, the major causes, consequences and the need of establishing the Nutritional Department at the district hospital.
+DISEASE PATTERN OF PATIENTS IN KIEN HAI DISTRICT HOSPITAL, KIEN GIANG PROVINCE IN 2011 Nowadays, Viet Nam is in the stage of diseases transition with infectious diseases are still high, however, non-communicable diseases and injury are growing quickly.
+A cross-sectional study was conducted. The study to describe the disease pattern of in-patients in Kien Hai district hospital in 2011.
+The results indicated that patients in Kien Hai hospital was mainly in the group aged 16 - 49 (59.5%), mostly female patients (71.9%).
+56.1% of in-patients entered hospital during the rainy season.
+62.9% of patients suffered from non-infectious diseases, infectious diseases accounted at 29%; group of accident, injury and poisoning accounted at 8.1%.
+The most common diseases were acute diarrhea (11%), followed by hypertension (10.2%), bronchitis (8%), and pharyngitis / tonsillitis (5.9%).
+Keywords: disease pattern, non-communicable diseases (NCDs), district hospital
+THE ASSESSMENT OF COMMUNICATION PROCESS OF HEALTH STAFF WITH PATIENTS AT REHABILITATION DEPARTMENT, HAI DUONG HOSPITAL Objectives: To assess the communication process of health staff with patients at Rehabilitation Department, Hai Duong Hospital.
+There are not any behaviors or suggestions related to bribery.
+75% and 20% of patients are very satisfied and satisfied to the communicative attitude of health staff.
+Keywords: communication, health staff, rehabilitation department
+Subjects and Method: A cross-sectional descriptive study on 60 patients who receive treatment over 5 days the Rehabilitation Department, Hai Duong hospital.
+Results and Conclusion: 75% of patients are very satisfied and 20% are satisfied with the practice of communication procedure of health staff.
+Attentive reception reaches 70% of very-satisfied and 28.3% of satisfied.
+Attentive explanation about the administrative procedures, rules, hospital fees, medical insurrance is 88.3%.
+Clear explanation about disease status and treatment method accounts for 83.3%.
+About 91.6% of health staff provide explanation for patients before, in and after treatment procedure.
+83.3% health staff often visit patients.
+EVALUATE KNOWLEDGE AND PRACTICE OF HEALTH WORKERS IN THE COLLECTION, CLASSIFICATION, TRANSPORTATION AND DESTRUCTION OF MEDICAL WASTE IN HOSPITAL OF TRADITIONAL MEDICINE Objective: evaluate the status of knowledge and practice of health worker in the collection, sorting, transport and disposal of medical waste in Hospitals of traditional medicine.
+Subject: health workers includes: nurses, nurse, nurses, doctors and pharmacists in all clinical and subclinical in 10 traditional medicine hospitals represent the province in the areas country.
+Research methodology: The study was conducted by the method described cross-sectional analysis, interview health workers by content table to assess knowledge, practice in the management and handling of hazardous medical wastes of hospital.
+Conclusion: the content is the most misunderstood distinguish 5 groups of medical waste and the collection, sorting errors still occur Keywords: Medical waste at Hospitals of traditional medicine
+KNOWLEDGE AND PRACTICE TO PREVENT HAND FOOT AND MOUTH DISEASE AMONG MOTHERS WITH CHILDREN UNDER 5 YEARS OLD AT THANHSON COMMUNE This was a cross-sectional descriptive study conducted at Thanhson commune, Kimbang district in Hanam province about knowledge and practice of mothers on hand-foot and mouth disease prevention. Results showed that more than half of mothers (57.6%) knew the symptom of ulcers in mouth; 78.1% knew the symptom of blisters in palm and feet.
+Only 68.8% of them knew the sensible age group for the disease as from 10 years and lower.
+About more than half of mothers (57.3%) knew that the infected rout was digestive tract.
+About 61.1% of mothers knew that it is necessary to clean hand before eating and 76.8% of them indicated that it is necessary to clean hand after toileting to prevent this disease.
+However, only 56.6% of them did washing hand with soap before feeding children and 68.4% of them washed hand after helping children toileting.
+Keywords: hand-foot and mouth disease, disease prevention, mother, children, Hanam
+STATEMENT OF ADVERSE PREGNANCY OUTCOMES IN BIEN HOA, THANH KHE - DA NANG AND PHU CAT - BINH DINH Conducted cross-sectional survey in 1500 women aged 15 - 49 years old in 4 wards (Thac Gian, Chinh Gian, An Khe and Hoa Khe) in Thanh Khe - Da Nang, 1551 women in 5 wards (Tan Tien, Tan Phong, Tan Mai, Trung Dung, Thong Nhat) in Bien Hoa and 6600 women in Phu Cat - Binh Dinh, we found that: The rate of spontaneous abortionin in Thanh Khe - Da Nang is: 3.79%, in Bien Hoa is 6.58%, in Phu Cat - Binh Dinh is 4.45%.
+The proportion of maternal with miscarriage in Thanh Khe - Da Nang is: 3.92%, in Bien Hoa is 8.09%, in Phu Cat - Binh Dinh is 9.58%.
+The rate of stillbirth in Thanh Khe - Da Nang is: 1.59%, in Bien Hoa is 2.38%, in Phu Cat - Binh Dinh is 0.49%.
+The proportion of maternal with stillbirth in Thanh Khe - Da Nang is: 1.64%, in Bien Hoa is 3.08%, in Phu Cat - Binh Dinh is 1.29%.
+In Thanh Khe - Da Nang, the rate of birth defect is 1.76%, In Bien Hoa is 2.27%, Phu Cat - Binh Dinh is 1.83%.
+In Phu Cat - Binh Dinh and in Bien Hoa, there is correlation between abnormal pregnancy and exposure to agent orange chemical (OR: 1.75 and 3.19).
+Keywords: spontaneous abortion, stillbirth, birth defects, agent orange chemical, reproductive abnormalities.
+CLINICAL EFFECTS OF EMBRYOS CULTURE IN LOW OXYGEN CONCENTRATION In this prospective randomized clinical study, 172 patients were divided into 2 groups: embryos cultured in 5% and 20% oxygen concentration. Objectives: compare pregnancy rate, live birth rate between 2 groups.
+Live birth rate in 5% oxygen group was of 46, 51% higher than 40, 69% in 20% oxygen group 32, 55% but no significantly Conclussion: Clinical pregnancy rate on day 5 in 5% oxygen group was higher than that in 20% oxygen group.
+Live birth rate in 5% oxygen group was higher than in 20% oxygen group but no significantly.
+Keywords: pregnancy rate, live birth rate, low oxygen concentration in IVF
+Method: using FSH to stimulate ovaries.
+Fertilization by conventional IVF or ICSI.
+On day 3, 3 - 5 embryos were selected to culture to day 5 in both group.
+Results: No differences of characteristic, of ovarian reserve, ovarian stimulation and embryos transfer in both groups.
+Clinical pregnancy rate in 5% oxygen group was of 56, 97%, significantly higher than 40, 69% in 20% oxygen group.
+Purpose: To study the relationship between WBC and platelet count, hemoglobin concentration in CML.
+Results: (1) Elevated WBC: (205, 1 ± 148, 4 x 109 / l); most patients were anemic (Hb: 101, 7 ± 23, 3 g / l); elevated platelet count (595, 3 ± 496, 1 x 109/l).
+(2) Splenomegaly was more severe in patients with higher WBC.
+SITUATION OF EXAMINATIONAND DRUG USE IN NGHIA TAN POLYCLINIC CAU GIAY DISTRICT, HANOI IN 2014 Polyclinics andcommunal health centers have an important role in primary health care program.
+The number of drugs in the highest prescription was seven drugs, averaging 3.8 drugs / prescription.
+Vitamins and minerals drugs accounted for 19.8%; accounting for 16.4% of antibiotics.
+Traditional medicines were also used at high rate of 9.1%.
+Keywords: examination, drug use, polyclinic
+In Vietnam, a list of essential drugs was approved by the Ministry of Health as a basis for ensuring the basic treatment needs for primary health care program.
+A cross-sectional study was conducted. The study to describe thesituation of examination and drug use in Nghia Tan polyclinic, Cau Giay District, Hanoi in 2014.
+The results indicated that patients with one disease / illness was the highest proportion (59.2%).
+Average rate was about 1.5 diseases / patient.
+There were 53.2% of patients that assigned examination testing.
+The most common diseases wereupper respiratory tract infection (17.0%), hypertension (11.2%), diabetes (8.5%) and dyslipidemia (8.9%).
+The percentage of patients were prescribed treatment as outpatientwas highest (65.9%).
+Results: Overall survival and disease-free survival after 5 years was 75.2%, 68%, respectively.
+A number of factors affect survival after treatment.
+Adjuvant chemotherapy had a role to improve survival of this patient group.
+Conclusion: Survival after treatment depends on both prognostic factors and complementary therapies Keywords: Breast cancer, negative receptor, breast cancer survival 1 66
+EVALUATION OF PAS SCORE IN THE DIAGNOSIS OF PEDIATRIC APPENDICITIS Aim: - To evaluate PAS score in the diagnosis of pediatric appendicitis at the National hospital of Pediatrics.
+- To describe the factors affecting the accuracy of PAS in the diagnosis of appendicitis.
+Patients 4 years old and above and did not use antibiotics and pain reliver prior to consultation gave a more accurate diagnosis by PAS score.
+Conlcusion: PAS score is simple and easy to perform.
+It is also effective in early diagnosis of pediatric appendicitis.
+Keywords: appendicitis, pediatrics, PAS score (pediatric appendicitis score), specificity, sensitivity, affecting factors.
+A SERVEY OF POSTOPERATIVE PAIN AND HEMORRHAGE AFTER COBLATION TONSILLECTOMY Purpose: evaluate the level of postoperative pain and ratio of hemorrhage after tonsillectomy with Coblator.
+Conclusion: Coblation tonsillectomy have good postoperative analgesia compared with other methods, ratio of hemorrhage: 8%.
+Keywords: Tonsillectomy, coblation tonsillectomy, Coblator.
+Subjects and Methods: 50 patients were done tonsillectomy using Coblator in ENT National Hospital from 05/2014 to 04/2015.
+Results: the level of postoperative pain over time: the most pain on 2 postoperative days: average pain score of 2.7 points on the second day.
+Pain increases from the first day to the second day and decreasing to the fourteenth day, without severe pain.
+The level of postoperative pain over age: Children often have severe pain at the beginning but decreasing faster than adults.
+Times of using painkillers are usually 2 times / a day.
+The average number of days using painkiller for both group 2.6, the number of days painkillers adult higher than child (3 days / 2.1 days).
+Maximum using painkillers is 8 days, mimimum using painkiller is 1 day.
+Postoperative bleeding: 4/50 delayed hemorrhage (8%), have no early hemorrhage, time of recovery: 7.8 days.
+WATER PUMP PRESSURE CONTROL IN CONTEXTOF INTRAHEPATIC STONE DISEASE TREATED BY ENDOSCOPIC LITHOTRIPY Objectives: Evaluate the application results of the water pump pressure control in contextof intrahepatic stone disease treated by endoscopic lithotripsy.
+Materials and methods: The intrahepatic stones patients, operated in Viet Duc hospital during 1/2011 - 12/2011 treated by endoscopiclithotripsy with the water pump pressure control.
+The method is describing prospective.
+Results: The satisfactory results for101 cases intrahepatic stones were operated withthe water pump pressure control by endoscopic lithotripsy procedure; no death rate, low complication rate (5, 94%), the rate of missing stone was improved (29, 9%), reduce the operation time (average 128 minutes), economize the electrohydraulic probe (average 0, 56 electrohydraulic probe for 1 patient). Conclusion: Application water pump pressure control in endoscopic lithotripsy electrohydraulic is the safe method, high stone evacuation effect, economize time and electrohydraulic probe.
+Methods: In 28 patients having CABG with the GEA graft (mean 57 years, 22 men).
+10 (35%) patients had acute myocardium infarction and 3 (10.7%) patients needed IABP support preoperatively.
+22 (78.6%) patients had multivessel disease, 6 (24.1%) with left main coronary artery disease.
+Mean EF 0.57±0.11, mean LVIDd 51.49 ± 6.04 mm.
+The sites for GEA grafting were 16 (57.1%) posterior descending artery of RCA and 11 (42.9%) sequential to circumflex artery. The mean number of distal anastomoses was 3.5 ± 0.63, mean operating time 364 ±82 hours, mean volume blood loss 367 ± 262 ml.
+All patients underwent CABG without using cardio-pulmonary bypass support.
+Results: There were 22 cases operated. Among them, tumors located at cervico-thoracic region in 14 cases, intrathoracic but above the carina in 3, at carina and one bronchus in 4, and carina plus both bronchi in 1 case.
+Mortality is 3 (13.6%), due to over missing of the tracheal tissue. One happened 5 days postoperatively, one after 3 weeks, and one after 4 months.
+In one other case, the tumor recurred after 3 years due to the remnant tumor at the left main bronchus and died without surgical interference.
+Others are still alive normally and assume to be successful in term of surgical interference.
+Conclusion: Tracheal tumor resection and reconstruction surgery is feasible. Indication should reserves for tumors that invade less then one third of the trachea.
+Complete resection of the tumor is the most importance for the successful of the surgery.
+The diseases may cause airway obstruction requiring tumor resection and tracheal reconstruction.
+Keywords: Tracheal tumor, tracheal reconstruction
+At present, there is no any substitute material for tracheal tube, so careful considering indication and surgical technique could help improving theoutcome.
+This study examines the feasibility of the surgical interference for this disease.
+Methods: Retrospectively review tracheal tumor cases operated with resection and reconstruction at the Thoracic Department, Choray hospital during 6 years (2010 - 2015).
+Patients received adjuvant chemo-radiation postoperatively and were followed-up with tracheal endoscopy and / or CT-scan for 1 month, 6 months, and annual postoperatively.
+Size of tumors, locations, surgical accesses, reconstruction techniques, morbidity, and mortality are subjects to be examined.
+EVALUATION OF MARKERS OF MYOCARDIAL PERFUSION DURING PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ACUTE ST ELEVATION MYOCARDIAL INFARCTION Objective: Detection of abnormal myocardial perfusion is crucial to the prognosis of patients with acute ST elevation myocardial infarction (STEMI) after thay have undergone primary percutaneous coronary intervention (PCI).
+Methods: Cross-sectional descriptive and 30-day follow-up prospective study of 215 consecutive STEMI patients treated with primary PCI.
+Results: Post-interventional TIMI flow 2, 9±0, 4; TMP grade 2, 3±0, 9; ST segment resolution 2, 3±2, 8 mm.
+Keywords: ST elevation myocardial infarction, percutaneous coronary intervention, myocardial perfusion
+THE PROPORTION AND CHARASTERICTICS OF ANEMIA IN PATIENTS WITH MAINTENANCE HEMODIALYSIS TREATED BY RHU-EPO The purposes of this study were to survey the proportion of anemia and patients achieved treatment goal in comparison with guidelines for the management, some charasteristics related to anemia in patients with maintenance hemodialysis (HD).
+Subjects and method: 175 patients with HD treated by rHu-EPO were to determine value of haematological tests and serum iron.
+Results showed that: 93, 7% patients with anemia; moderate and severe degree of anemia is 86, 6%.
+Patients not achieved treatments goal is 85, 7%.
+Patients with anemia have reticulocyte index (RI) and reticulocyte production index (RPI) lower than patients havent's anemia.
+Hemodialysis patients have decreasing serum ferritin and transferrin.
+Conclusion: although was treated by rHu-EPO, hemodialysis patients with anemia and not achieved treatment goal have high percentage, reduced ability to reticulocyte production, decreased serum ferritin and transferrin.
+Keywords: Maintenance hemodialysis, anemia, reticulocyte, serum iron.
+24 HOUR AMBULATORY BLOOD PRESSURE CHARACTERISTICS IN HYPERTENSIVE PATIENTS WITH LEFT VENTRICULAR HYPERTROPHY Background: The relations between nocturnal hypertension and non-dipping with left ventricular hypertrophy (LVH) remain controversial.
+Keywords: non-dipping, nocturnal hypertension, left ventricular hypertrophy
+Objectives: To investigate24h ambulatory blood pressure (BP) characteristics and the relations between nocturnal hypertension and non-dipping with LVH in hypertensive patients.
+Subjects and method: 87 hypertensive patients (54 with LVH and 33 without LVH) were enrolled.
+24h BP characteristics were compared between patients with and without LVH.
+Nocturnal hypertension was associated with LVH (OR = 5; 95% CI 1.96 - 12.73; p<0.01), meanwhile non-dipping was not associated with LVH (OR = 0.63; 95% CI 0.24 - 1.63; p>0.05).
+Conclusions: All systolic BP parameters and only nocturnal diastolic BP were higher in patients with LVH than those without LVH.
+Nocturnal hypertension but not non-dipping was associated with LVH in hypertensive patients.
+SOME FACTORS AFECTING TREATMENT OUTCOME IN AMBLYOPIC CHILDREN OVER 7 YEARS OLD The study aimed to explore a number of factors affecting treatment outcomes in amblyopic children over 7 years old.
+Prospective clinical interventional study in amblyopic patients 8 to 18 years, treated at the Vietnam National Institute of Ophthalmology (VNIO) in the period from January to July 2014.
+Good treatment results achieved in 93.5% for mild amblyopic group, 19.6% for moderate amblyopic group and no cases in dense amblyopia group achieved this result.
+Percentage of poor treatment results in combined causes groups was 37.5%, higher than the group due to refractive error alone (11.2%).
+Percentage of good results in patients with anisometropia of less than 1.50D was 80% and for patients with anisometropia more than 1.50D was 15%.
+The severity of amblyopia, the cause of amblyopia, as well as anisometropic level, treatment age significantly affects the outcome of treatment.
+Unilateral or bilateral as well as type of refractive errors are not related to treatment outcome.
+Keywords: Amblyopia, oclusion
+RESEARCH ON IMAGES OF HISTOPATHOLOGY OF CUTANEOUS LESIONS IN DRUG ALLERGY Objective: It contributes to study images of histopathology of cutaneous lesions in a number of common clinical manifestations of drug allergy.
+Research subjects and methods: By the described research method on images of histopathology of cutaneous lesions on 37 patients with skin allergy, in which, 18 patients with skin lesions without bullous skin lesions and 19 patients with bullous skin lesions.
+Results: In the patient group without bullous skin lesions, spongiosis and liquid degeneration of the basal layer of epidermal lesions and availability of the penetration of inflammatory cells in the dermis account for 72.22%, 22.22% and 100%, respectively.
+Conclusion: histopathology of cutaneous lesions in drug allergy in the patient group without bullous skin lesions, spongiosis, liquid degeneration of the basal layer and the penetration of inflammatory cells are common manifestations.
+In the patient group with bullous skin lesions, necrosis in the epidermis, bullous skin lesions between the epidermis, spongiosis and the dermis and availability of penetration of inflammatory cells are common manifestations.
+Keywords: Skin, histopathological lesions, drug allergy
+From February 2004 to April 2005, 95 cases of bone tumors had fine needle aspiration cytology.
+Results The patients range from 12 - 84 years of age.
+Female sexual predilection (F / M = 1, 07/1).
+The matching of cytological diagnosis was 87.9% compared with histopathology diagnosis: Osteosarcoma 92.3%, Giant cell tumor 88.9%, Bone metastasis of cancer 91.3%, Multiple myeloma 80.0%.
+Sensitivity 94.3%, specificity 94.1%, positive predictive value 93.6%.
+Background: International Standard Organization (ISO) has been widely used in many countries in the world, however, how well in services healthcare in current Cho Ray hospital was help increase productivity and satisfaction for medical staff.
+Keywords: satisfaction, medical staff, ISO 9001: 2015
+Objectives: To determine the customers' satisfaction and some factors affecting the satisfaction of health workers (HCWs) at Cho Ray Hospital with ISO 9001: 2015 after three years application.
+Results: Survey of 287 health workers shows the satisfaction; In which, according to the 4 factors that show satisfaction rate is direct leadership, colleagues 271/287 (94.4%), followed by work, learning opportunities and advancement 268/287 (93.4%), internal regulations, salary and benefits 262/287 (91.3%) and the lowest satisfaction rate is the working environment 259/287 (90.2%); Rate the overall satisfaction rate of health workers is quite high at 207/287 (72.1%).
+In which, age group under 35 years old having worked in the medical profession for less than 5 years, working in the hospital less than 5 years, having a professional background of university or less, they are less satisfied than the other groups (p <0.05).
+Conclusion: The ISO 9001: 2015 application was suitable for current Cho Ray and meet the customer's demand.
+Validity of capillary hematocrit in the sick newborns admitted in neonatal intensive care unit, children’s hospital 1, vietnam
+Phương pháp nghiên cứu: Nghiên cứu hàng loạt ca được thực hiện từ tháng 4/2014 - 6/2014, chúng tôi thực hiện đo cùng lúc Hct ở tĩnh mạch và mao mạch trên 50 trẻ sơ sinh nhập khoa hồi sức sơ sinh bệnh viện Nhi Đồng 1, 4 trẻ bị loại ra khỏi lô nghiên cứu do không lấy được Hct tĩnh mạch.
+Hct mao mạch và Hct tĩnh mạch có tính tương đồng cao trên trẻ sơ sinh bệnh lý; phương trình hồi quy đơn biến để dự đoán Hct mao mạch từ Hct tĩnh mạch: Hct mao mạch = 1, 779 + 1, 003 x Hct tĩnh mạch (r = 0, 965, p <0, 001); Hct mao mạch có tính tin cậy khi thay thế cho Hct tĩnh mạch (hệ số tin cậy R = 0, 93).
+Study on hepatoprotective effect of turmeric (curcuma longa) extracts to prevent hepatocyte alcohol-induced lesion in hepg2 cell line
+Objective: The aim of this work was to study on hepatoprotective effect of turmeric (Curcuma longa) to prevent alcohol-induced hepatocyte lesion in HepG2 cell line.
+Conclusion: Turmeric rhizome was shown to prevent HepG2 cells injury induced by 100 mM ethanol in decreasing order: curcumin, ethyl acetate and 70% alcohol extracts.
+This result suggested that curcumin could contribute to hepatoprotective effect of turmeric and that turmeric could be studied to develop drugs for prevention and / or treatment of alcoholic liver diseases.
+Keywords: alcohol, hepatoprotective effect, HepG2 cell line, turmeric
+Methods: HepG2 cells were cultured in EMEM supplemented with 10% FCS, 2 mM L-glutamine, 100 IU / ml penicillin and 100 µg / ml streptomycin.
+Cells were treated to curcumin, ethyl acetate or 70% ethanolic extracts from turmeric rhizomes at concentrations corresponding to that of curcumin at 2.5, 5 and 10 µg / ml (NĐ1, NĐ2, NĐ3) alone or combined with 100 mM ethanol for 24h.
+Hepatoprotective effect was evaluated through several assays including cell proliferation (MTT test), necrosis (LDH test), oxydant stress (cellular glutathione content) and apoptosis activation (AO / EB staining, DNA fragments assay, DNA agarose gel electrophoresis).
+Results: Ethanol 100 mM reduced 45.1% of HepG2 cells viability.
+Its antiproliferative effect was recovered in presence of CM at 3 tested concentrations, EN at NĐ1, NĐ2 and CN at NĐ1 with efficiency of 30 - 60%.
+Alcohol decreased 26.4% GSH content in HepG2 cells; 3 tested concentrations of CM, EN, CN enhanced GSH levels with efficiency of 120 - 1900%.
+Necrotic effect of 100 mM ethanol was decreased 40 - 170% in presence of CM, EN, CN at 3 tested concentrations.
+Establishment of a method for carotenoids quantification in some commercial products using hplc method
+Conclusion: We have succesfully established an HPLC protocol for qualification of carotenoid in commercial products.
+The protocol has been validated and applied to determining the carotenoid contents of several different bacterial biomasses and some domestic and imported products.
+Keywords: HPLC, carotenoid. Betacarotene, functional food
+Materials and methods: In this work, we studied methods for extraction of carotenoid from bacteria and developed the carotenoid quantitative method for products containing carotenoid based on HPLC with Knauer Smarline 2500 system.
+Results and disscussions: The result show that, cells breaking process by using ultrasonic bath and extract carotenoid with chloroform / methanol (2: 1) are the most effective with performance about 94, 82%.
+The content of carotenoids from bacteria and other products were determined by HPLC method, that is rapid and high sensitivity with RP C18, at room temperature. The mobile phase is acetonitrile - methanol - dichloromethal (70: 20: 10, v / v / v) supplemented with ammonium acetate 10 mM, with flow 1ml / minute, inject volume 20 µl, UV detector at 450 nm.
+The HPLC method is highly suitable with RSD of chromatography parameters were less than 2%.
+The method was validated for the acceptable accuracy and precision with the recovery rate is 99.83%.
+Prognostic mortality of the saps ii score in critically ill medical patients
+Background: There is a need for a tool to accurately and rapidly predict critically ill patients, to prioritize and allocate resources to reduce mortality.
+Keywords: prognostic model, mortality
+Objective: To evaluate accuracy of the SAPS II in prognostic hospital mortality of critically ill medical patients.
+Methods: Retrospective cohort on medical patients treated at ICU department in the Cho Ray Hospital from April 3, 2019 to December 31, 2019.
+Results: 159 patients participated in the study.
+Median age of the study sample was 57.0 years, the mortality rate was 46.5%.
+The average SAPS II score was 58.3 ± 19.3 points.
+The area under the curve of the SAPS II scale is 0.78 with a 95% confidence interval between 0.71 and 0.85, with a p-value <0.005.
+The predicted and observed mortality are not significant differences by the Hosmer-Lemeshow test with χ2 = 13.7, df = 8, p-value = 0.09>0.05.
+Conclusion: A New Simplified Acute Physiology Score (SAPS II) has good discrimination and calibration in predicting hospital mortality of critically ill medical patients in ICU.
+Background - Objectives: Glimepiride sulfonamide (impurity B) and glimepiride urethane (impurity C) are impurities of glimepiride which arise from synthesis and during storage of glimepiride.
+All the calculations concerning the quantitative analysis showed that several material glimepirides and its preparations in Vietnam market contained an amount of glimepiride impurities B and C that was within accepted limits according to USP 40.
+Conclusion: Glimepiride impurities B and C were established reference standards with their HPLC purity over 99% on the basis.
+Quality control of these impurities in material glimepiride and its preparations was carried out, using the established impurity B and C reference standards.
+Keywords: Glimepiride sulfonamide, glimepiride urethane, glimepiride carbamate, glimepiride impurity B, glimepiride impurity C.
+The presence of these impurities may influence on treatment efficacy and safety of glimepiride.
+The BP 2017 and USP 40 require conducting the impurity test in material glimepiride and its preparations.
+Glimepiride impurity B and C were successfully synthesized with their HPLC purity over 99% on the basis, using peak area normalization method.
+There has been no publication for establishment of reference standard of impurities B and C so far.
+Therefore, this study was carried out with the aim of establishment of reference standard and quality control of impurities B and C in material glimepiride and its preparations Method: The object of this study is 3-ethyl-4-methyl-2-oxo-N - [2 - (4-sulfamoylphenyl) ethyl] - 2, 3-dihydro-1H-pyrrol-1-carboxamid (glimepiride impurity B, glimepiride sulfonamide) and methyl [[4 - [2 - [[(3-ethyl-4-methyl-2-oxo-2, 3-dihydro-1H-pyrrol-l-yl) carbonyl] amino] ethyl] phenyl] sulfonyl] carbamat (glimepiride impurity C, glimepiride urethane, glimepiride carbamate).
+Method: Establishment of reference standard of glimepiride impurities B and C, basing on ISO guide 34: 2009 and ISO 15328: 2005 guide; Quality control of these impurities in material glimepiride and its preparations, using the established impurity B and C reference standards.
+Results: The results of evaluation and establishment of impurity B and C reference standards showed that these substances can be applied for registration of national reference standards. The HPLC purity of impurities B and C were 99.43% and 99.87% on the basis, respectively.
+Knowledge, practice in hypertensive patients aged 40 or older in long thuan commune, ben cau district, tay ninh province.
+Background: High blood pressure (THA) is a increasing disease.
+Conclusion: Building an intervention program on health education communication to improve knowledge and practical lifestyle changes of patients about treating hypertension.
+hypertensive may leads to many serious consequences.
+Objectives: Determine the percentage of patients with hypertension 40 years old and over with the right knowledge, right practice in the treatment of hypertension in Long Thuan commune, Ben Cau district, Tay Ninh province in 2011.
+Methods: This is a cross-sectional survey research about true knowledge and proper practice in treatment of hypertension on 360 people aged 40 or older interviewing people with hypertension directly according to the questionnaire were prepared.
+76.1% of patients have a habit of eating hight salt diet.
+60.3% patients have work which is less physical activity Correlation is statistically significant between age, education with knowledge about complications of the disease, hypertensive disease prevention knowledge.
+Shape and dimensions of adult vietnamese' s tympanic membrane and auditory ossicles
+In measuring 78 moulds of tympanic memebrane, 72 malleus, 73 incus and 69 stapes from 1995 to 2000 in Hochiminh City, we obtain the following measurements: - Tympanic membrane: Vertical diameter 8, 65 ± 0, 85 mm; Horizontal diameter 7, 72 ± 0, 52 mm; angle between tympanic membrane and antero-inferior wall of the external auditory canal 48, 08 ± 9, 380; angle between tympanic membrane and superior-posterior wall of the external auditory canal 157, 41 ± 7, 490; angle of the tympanic membrane umbo 142, 08 ± 9, 580; Depression of Tympanic membrane umbo 1, 79 ± 0, 40 mm.
+- Length of malleus 7, 76 ± 0, 35 mm; length of maleus caput 4, 10 ± 0, 26 mm; length of malleus manubrium 4, 62 ± 0, 35 mm; Antero-posterior diameter of malleus manubrium 0, 65 ± 0, 06 mm; latero-medial diameter of malleus manubrium 1, 07 ± 0, 13 mm; angle between head - neck and handle of the malleus 120, 40 ± 12, 070, malleus mass 23, 62 ± 2, 73 mg. - Length of incus 6, 21 ± 0, 41 mm; Width of incus 4, 94 ± 0, 35 mm; angle between short limb and long limb of the incus 101, 8 ± 8, 880, incus mass 26, 68 ± 3, 02mg.
+- Heigth of stapes 3, 33 ± 0, 21 mm; Longitunal dimension of foot plate 2, 95 ± 0, 19 mm; Transverse dimension of foot plate 1, 46 ± 0, 11 mm; stapes mass 3, 42 ± 0, 8 mg.
+Salivary cortisol concentration, anxiety and pain in deviated lower third molar surgery
+Background: In oral surgery, lower third molar surgery supposedly makes patient most anxious.
+Result: Salivary cortisol concentration and anxiety levels of patients were correlated (p<0.05).
+The correlation between these two variables was positive (Pearson +).
+Patients with high dental anxiety had greater postoperative pain at 2 hours, 4 hours after the lip numb.
+Salivary cortisol concentration and postoperative pain levels were not correlated.
+Conclusion: Salivary cortisol concentration before deviated lower third molar surgery can suggest dental anxiety. However, it doesnt predict the level of postoperative pain.
+Keywords: salivary cortisol, dental anxiety, pain after surgery, lower third molar surgery
+To evaluate anxious level, using scale is subjective.
+Finding an objective indicator to measure this problem is still controversial, in which salivary Cortisol is one of the suggested factors.
+In addition, there was no consistency among studies on the relationship between anxiety measurement scales and the level of pain after deviated lower third molar surgery.
+So, does there exist an objective predictive indicator that reflects the level of postoperative pain?
+Does the change in salivary cortisol concentration affect the postoperative pain level?
+Objective: The aim of this study was to investigate salivary cortisol concentration before deviated lower third molar surgery whether is an objective factor to evaluate anxious level and postoperative pain.
+Methods: A descriptive cross - sectional study was performed of 95 patients who underwent lower third molar extractions from June 2018 to May 2019 at Oral Surgery Unit, Faculty of Odonto - Stomatology, The University of Medicine and Pharmacy at Ho Chi Minh city.
+Dental anxiety was evaluated using the DASS-21, postoperative pain was assessed on VAS scale and we determined salivary cortisol concentration before surgery by ELISA with Elecsys Cortisol II Cobas.
+Result of treatment of endometrisis by gnrh-agonists
+Endometriosis a common disorder in women.
+The treatment of endometriosis composes of laparoscopy and hormonal treatment.
+30 patients who have endometriosis of moderate stage, after treated by laparoscopy, were divided into 2 groups: treated with Triptorelin or Goserelin in 3 months, then followed up in 12 months.
+There were 4 in 16 infertiled women had pregnancy.
+Background.
+Among the 18 successful laparoscopic colectomies, there are 5 right colectomies (28%), 6 sigmoid colectomies (33%), 5 proctosigmoid resections (28%) and 2 abdominoperineal proctosigmoid resections (Miles procedure) (11%).
+All the anastomoses were made extra-corporeally by suturing through a small incision in patients who got right colectomy or sigmoid colectomy.
+Among 5 proctosigmoid resections, 2 patients had extra-corporeal suturing anastomosis, the other 3 had intra-corporeal anastomosis with Endo Stapler.
+Mean operating time is 155 minutes.
+There was no mortality and no anastomosis leakage.
+Laparoscopic colectomy is technically feasible to experienced laparoscopic surgeons.
+The operation is favorable in benign lesions or small tumors.
+Laparoscopic colorectal sugery has become popular for benign and malignant lesions of the colon and rectum.
+The preliminary results are good with unsignificant accidents and complications.
+However, this procedure hasn't been domestically disseminated.
+The aim of this study is to evaluate the safety, efficacy and determine proper indications for laparoscopic colorectal resection.
+From October 2002 to January 2003, we performed 19 laparoscopic colectomies.
+18 patients had colorectal cancer and 1 patient had a large tubular-villous adenoma polyp of the sigmoid colon.
+Purposes: Accessment of retinoblastoma situation in the south of viet nam and early diagnosis strategy.
+Methods: The longitudinal prospective study with the description of the cases without comparison. We studied over 61 patients from nov, 2003 to nov, 2005.
+Results: Study of 61 case of retinoblastoma at Eye hospital of HCMC during 2003 - 2005 showed that: retinoblastoma was in 22 provinces of south of VietNam, in 5 popular races, with prevalence of 2patients/1million/2years.
+There are about 40% hereditary retinoblastoma.
+All patients were treated lately due to their parent.
+Conclusion: Screen risk objects (patient, s brothers and sisters with family history, bilateral retinoblastoma, multitumor retinoblastoma, under 7 years old and their offsing) and communicate about retinoblastoma to people.
+Study of the insulin resistance in human with impaired fasting glucose by homeostasis model assessment (homa ir)
+Background: Impaired fasting glucose is the major factor of type 2 diabetes mellitus.
+Objective: To evaluate insulin resistance in human with impaired fasting glucose.
+Methods: A prospective descriptive cross section with comparisons.
+Results: In this study, the mean age of 80 patients with impaired fasting glucose is 64.2 ± 11.1, the mean age of 80 healthy controls is 61.9 ± 11.9 and the gender distributions of two previous groups are equal.
+The results of the study showed that: HOMA IR is higher in the impaired fasting glucose group than the control group.
+The ratio of insulin resistance in the impaired fasting glucose group 45.0%.
+Conclusion: The ratio of insulin resistance in human with impaired fasting glucose is high.
+Evaluate of the clinical and urodynamic results of tension-free transobturator tape surgery for treatment of female stress urinary incontinences
+Objective: To evaluate the results of tension-free transobturator tape surgery in treatment of femal stress urinary incontinence Methods: Between January 2011 and May 2012, 29 women underwent TOT procedures at Viet Duc University Hospital.
+All the patients had stress urinary incontinence on both clinical examination and on cystometry preoperatively.
+Results: Mean follow-up was 9 ± 1.7 months.
+Conclusions: Our results suggest that the TOT procedure is an effective treatment for women with stress urinary incontinence.
+Treatment for opened fracture of the tibial shaft by external fixation in baria hospital
+Opened fracture accounts for one third of total fracture, and opened tibiashaft fractures are easily to see most.
+From March 1998 to March 2005, 65 patients involving Gustilo grade II and III open fractures of the tibia shaft were treated by the external fixators at Ba Ria hospital.
+The average time to follow a case up to 12 months with the followed results: - Bone healing: 82, 26%; - Malunion: 8, 06%; - Nonunion: 8, 06%; The time dor the bones to be healed often occupy 22, 5 weeks.
+In which there are some implacations: - Secondary displacement: 17, 74%; - Infectious pin: 20, 96% This method frequently applied in Ba Ria hospital give good result and can be open to other hospitals.
+The effectiveness of the addition of amphiregulin to the maturation medium
+Background: Amphiregulin is a crucial mediated substance that affects directly on the maturation process of the oocyte.
+The addition of AREG to the medium may have a positive effect on the oocyte maturation and embryo quality of the in-vitro maturation (IVM) technique.
+Objective: To compare the embryology outcomes of the immature oocytes cultured in maturation medium that have or have not AREG added.
+methods: This was a prospective cohort study conducted on patients who were diagnosed with PCOS, aged <37 years, had a minimum of 25 follicles (2 to 9 mm) on ultrasound and treated with CAPA-IVM.
+Evaluation the effectiveness in improving the life quality of cancer patients by hairy antler product
+Objective 1/To improve the life quality of cancer patient using hairy antler.
+2/To improve the paraclinical factors.
+Patient and method of study: Study design: clinical trial with control group (30 patients for each group: study and control group).
+Result: 1 / Hairy antler has effect of improving the life quality of cancer patients.
+2 / The cancer pathology reduces the blood cells (Hairy antler has the capacity of stopping this process, no effect on the tumor.
+3 / The cancer pathology causes anemia, the modern medicine (operation-chemo-radiotherapy) also influenced the process of blood forming, such that the number of blood cells are reduced more and more (Hairy antler has the capacity of improving clearly the anemic state.
+4 / No side effects are found in patients using Hairy antler.
+Conclusion 1 / Hairy antler has the capacity of supplementary treatment for the cancer patients.
+2 / Hairy antler has the capacity of improving the anemic syndrom.
+The courses of the overloaded patients in the outpatient department at the tu du hospital
+According to ICD10 diagnosis rate of screening pregnant patients is 25.7%, such as: cervical inflammation is 12.8%.
+From check-in reason whether hospital because the hospital trust Tu Du 63.4%, not trust medical facilities 57.4%.
+After exams are provided as a prescription treatment of 91.5%, that these patients can be treated at medical facilities such as: 78.9% of Ho Chi Minh City and 71.9% of provinces. Conclusions: Patient visits have too load outpatient at Tu Du hospital, especially the morning, are the common diseases accounted for 70.0% more reason to visit as well as according to ICD10.
+Health facilities can treat 3/4 situations.
+Hospital patients to private hospitals for 63.4% Tu Du.
+Department of Health proposes to transfer a rotating advanced doctor with medical facilites, additional equipment sites; provide medical re-examination in the afternoon, Be collect enough expenses to have enough money and restrictive load exceeds the limit online
+For samples that tooing patients choose to visit during business hours.
+We choose calculateed form: n = Z2 (1-/2) x P x (1-P) / e2, we have > 384 patients.
+Data are handled via software SPSS for Windows, 10.05Results: Research from 02/2009 to 8/2009 over 414 patients for outcome: Screening outpatient always exceeds the assigned targets.
+Every day, each doctor visits 50 patient; staff working extra hours 2 - 3.
+Patient visits in the morning 70.0%.
+Patients from 18 - 60 years is 97.3%. Patients who live in the province to visit is 50.7%.
+Effectiveness of hand - operated and rotary protaper(r) instruments in root canal preparation.
+Background: cleaning and shaping root canals is an important step and has an essential pline-height: 1.75art to determine the success of endodontic therapy.
+Data was statistically analysed using the Independent-samples T test, the Paired-samples t test and the Chi-square test. Results: rotary ProTaper (r) maintained the original canal curvature better than hand - operated ProTaper (r) (P<0.05).
+There were no significant differences in maintaining initial working length (P>0.05) and shaping root canal at the apical third (P>0.05).
+Conclusion: under the conditions of this in vitro study, both instruments were equally effective in preparing root canals and safe to use.
+Rotary ProTaper (r) respected original canal curvature better than hand-operated ProTaper (r).
+Objectives: this study was designed to compare in vitro hand-operated and rotary ProTaper (r) instruments in regard to 4 parameters of root canal preparation: the alteration of canal curvature, the change of working length, the shape of postoperative root canal cross - section in the apical third and the working time.
+Materials and method: a total of 30 extracted mandibular premolars were randomly divided into 2 groups of 15 teeth each. Based on radiographs taken prior to instrumentation with the initial instrument inserted into the canal, the 2 groups were balanced with respect to the angle of canal curvature and working length.
+The assessment of changes of canal cuvature and working length was based on radiographs taken prior and post instrumentation.
+Postoperative root canals were cross - sectioned at 3 mm from the foramen for shape evaluation.
+The time required for canal preparation was recorded for each specimen.
+Knowledge of patients on nutrition disease pancreatitis
+Background: Pancreatitis is a common disease, can recur many times and become cronic pancreatitis or arcute pancreatits on the cronic background.
+Good knowledge of diet for pancreatitis is positively associated with rehopitalization with recrrent pancreatitis.
+Objective: Understanding the knowledge of patients on nutrition disease pancreatitis.
+Learn how the patients learn about the diet for pancreatits.
+Methods: The study was investigated on 77 hospitalized patients with a diagnosis of pancreatitis (exclude pancreatitis due to stones) by cross-sectional description method.
+Results: 68.83% know how to limit fat, 70.12% know how to limit fried food, 80.51% know how to limit alcohol, 62, 23% know how to give up smoking, 75.32% know to eat boiled, steamed foods, 58.44% know how to use dairy food, 55.84% know how to divide food into small meals.
+But, 59.74% think that cereals are necessary for disease pancreatitis, 44.15% dont know whetherpancreatits should eat fiber.
+20.79% patients who were advised by the medical staff, 41.55% patients who learn through media by themseft, 37.66% learn through experience of their friend.
+Conclusion: Good knowledge of diet for pancreatitis is positively associated with rehopitalization with recrrent pancreatitis.
+Serum tnf-alpha levels of the patients with psoriasis at hospital of dermato-venerology in ho chi minh city
+Background: TNF - is considered to be a proinflammatory cytokine which has the potential for broad-reaching effects in the psoriasis inflamatory cascade.
+Serum TNF-alpha levels might have clinical usefulness, particularly in evaluating the monitoring the clinical disease severity and monitoring therapeutic effects.
+This study aims to improve the understanding of pathogenesis of psoriasis, resulting in better monitoring and treatment. Objective: To analyze the serum TNF-alpha levels in psoriatic patients to evaluate the concentrations, correlation with some clinical features.
+Method: Performing a analyzed cross-sectional study in 40 healthy persons and 60 psoriatic patients.
+Results: The median serum TNF-alpha levels of the patients were 6.61 + 5.00 pg / mL, significantly higher than those of healthy people (p = 0.004).
+The median serum TNF-alpha levels of the plaque-type psoriatic patients and patients with psoriatic arthritis were not significantly differerent from those of healthy people (p = 0.748 and p=0.167).
+The median serum TNF-alpha levels of the patients with erythroderma were 13.77 + 4, 2 pg / mL, significantly higher than those of healthy people (p = 0.000) and of the plaque-type psoriatic patients (0.000) and patients with psoriatic arthritis (0.000).
+There was a significantly differerent between the median TNF-alpha serum levels and severity of psoriatic arthritis (p=0.01).
+There was a linear positive correlation between the median serum TNF-alpha levels and clinical disease severity of the plaque-type psoriatic patients (R = 0.305, p = 0035) Conclusion: Serum TNF-alpha levels provide many useful information about pathogenesis of psoriasis.
+Studying the morphology of 24 hour blood pressure in patients having primary hypertension and metabolic syndrome with complications
+Background: The morphology of 24 hour blood pressure relating to complication in patients with primary hypertension.
+However, there is a few studies in the morphology of 24 hour blood pressure in patients having primary hypertension and metabolic syndrome with complication. Objectives: Studying the variance of in patients having primary hypertension and metabolic syndrome (MS) with complication. Methods: Cross-sectional descriptive, analysis, prospective study. Results: In this study, 54 patients having hypertension with MS and 44 patients having hypertension without MS (control group) had the same age and took the blood pressure and 24 hour blood pressure by ABPM.
+Taking diagnosis primary hypertension by JNC VII criteria (Joint National Committee) VII, taking metabolic syndrome by IDF criteria (IDF: International Diabetes Federation) applying for Asia Pacific (IDFA).
+The results showed that: Hypertension group with MS has the proportion of non-dipper (63.0%) higher than the control group (52.0%), however, no statistical significance (p > 0.05).
+In patients having hypertension and MS with cardiac complication have the proportion of non-dipper (66.7%) higher than in patient without that (61.6%), no statistical significance (p > 0.05).
+In patients having hypertension and MS with eye complication have the proportion of non-dipper (79.2%) higher than in patient without that (50.0%) with p < 0.05.
+In patients having hypertension and MS with renal complication have the proportion of non-dipper (83.3%) higher than in patient without that (52.9%) with p < 0.05.
+In patients having hypertension and MS with brain complication have the proportion of non-dipper (73.4%) higher than in patient without that (59.0%) without statistical significance (p > 0.05). Conclusions: There is an variation in the morphology of 24 hour blood pressure and increasing the proportion of non-dipper in patients having primary hypertension and MS with complication (heart, eye, kidney, brain) compare with patients having primary hypertension and MS without complication with statistical significance (p < 0.05).
+Background: Up to present Endoscopic Retrograde Cholangio Pancreatography (ERCP) plays an important role in diagnosis and treatment in carcinomas of the head of pancreas.
++ Complication of stenting is 6% due to bleeding (1%), inflammation of billiary tract (4%), pancreatitis (!%).
++ Obstruction of stent (30%) in first three months.
+It seems to be better than other imaging facilities in diagnosis of some kinds of malignant tumors.
+While the surgeon has so many difficulties in this disease, with Stents, it is really a major advance in treatment of malignant billiary tract obstruction.
+Materials and methods: A retrospective study up to 31st May 2004 was done for 782 patients with carcinomas of biliary-pancreas performed at: + Binh Dan Hospital from 1993: 297 cases.
++ Medic Center from 1997: 315 cases.
+We have checked all of severe epistaxis so far Results: Traumatic carotico - cavernous fistulas 3 cases (7.5%); Related carotid arteries 3 cases (7.5%): Carotid artery ligation; Internal maxillary aneurysms 13 cases (32.5%): Embolization; Related ethmoid artery 2 cases (5%): Ethmoid artery ligation; The bleeding sites have not been found clearly on DSA 19 cases (47.5%): 5 cases in of them have no longer bleeding after DSA & pulled pack out & 14 cases have been done successfully by endoscopic cauterization.
+Survey about head injury due to traffic accident in ho chi minh city after helmet wearing's resolution has done
+Objective: Rate of head injury in time when the resolution 32/2007/NQ-CP had done,
+The level of brain injury of patents when this resolution had done.
+Results: The surveillance of 658 head trauma patients cause of traffic jam, had or not protected hat in Emergency department of Nhan Dan Gia Dinh hospital for 12 months (1 - 12/2008) showed that almost patients are young patients (mean ages is 30.9 ± 14, 4 year) improved in 18 - 25 group, male was twice higher than female.
+There were 20.3% patients hadn't wore protected hat, in cases had wore protected hat there were 26.2% the protected hat out of the head after accidents.
+Rate of head injury in time - when the study has done decreased.
+Almost patients in this study were mild head injury (81.7%), 18.2% had brain injury, dead was 2%.
+When comparative analysis between the two groups had or not wear protected hat, there were identify different between them at level brain injury in the CT (OR = 1, 97; p < 0, 01).
+Efficacy of media in raising awareness of knowledge, attitude and using emergency service 115 amongst population in ho chi minh city (2012-2013)
+Background: To reduce mortality and complications due to limited first aid and improper delays, it is essential to improve awareness and using the emergency service 115 in Ho Chi Minh City, one of solutions is to intervene by media. Objectives: Determine the proportion of people in Ho Chi Minh who have knowledge, attitudes and use of emergency 115 before and after by media intervention.
+When encountering an emergency situation, 10.51% and 35.04% would call 115 before and after intervention, respectively (p <0.001), performance indicators: 71.32%.
+Total phone calls before and after intervention were 14.63 and 15.96 / day, respectively.
+Average number of ambulance trips before and after intervention were 12.89 and 13.49 / day.
+Amongst groups with different age, group 18 - 30 year-old is most aware of emergency service, has called and will call 115 when they encounter an emergency case.
+Those people who have university degree, living in urban districts, professional, students are more aware of emergency service and 115, yet emergency usage frequency is not different from other groups.
+Conclusion: The study has showed that intervention by media amongst population in Ho Chi Minh City has been remarkably effective in improving the understanding of the emergency service and 115.
+However, although people may increase understanding of emergency aid, the attitude and using 115 service do not increase significantly.
+More solutions are needed to enhance attitudes and behavior using the emergency 115 amongst people in Ho Chi Minh City, not merely by means of media. Keywords: emergency service, 115, media.
+Learn a number of factors related to the knowledge, attitude and use of emergency 115 people in Ho Chi Minh City before and after the intervention.
+Methods: Subjects: People living in Ho Chi Minh City in 2012 - 2013.
+Result and Discussion: The 3D-pharmacophore model was built based on the ETA-binding pocket with 4 features.
+The docking modelling were performed on the ETA-binding pocket (pocket A) and D-glucose binding pocket (pocket B) of MCR-1.
+Conclusion: The in silico models for the MCR-1 inhibitors were successfully built and 4 hits were found by virtual screening.
+The developed 3D pharmacophore model could used to virtual screening of larger databases. In vitro experiments should also be conducted to demonstrate the activity of hit compounds.
+Keywords: MCR-1, colistin, 3D-pharmacophore, docking, virtual screening.
+MCR-1 is a phosphoethanolamine transferase.
+MCR-1 enzyme plays role in transfer of phosphoethanolamine to lipid A and in change the electrical charge of lipid A and reduce the affinity to colistin and related polymyxins, which leads to colistin resistance.
+Colistin is considered the antibiotic against most gram-negative bacteria.
+Therefore, developing an MCR-1 inhibitor to restore the efficacy of these drug against MCR-1 is in progess.
+Materials and Methods: Target protein structure of this study is the crystal structure of the MCR-1.
+Pharmacophore approach and molecular docking were applied to build in silico models for virtual screening of MCR-1 inhibitor.
+The virtual sreening database is DrugBank Database.
+Endoscope pneumatic dilation for treatment of esophageal achalasia
+No complication and no mortality in this study.
+Conclusion: Pneumatic dilation as a treatment of achalasia very reasonable, safe and easy technique.
+Keywords: Achalasia, balloon dilatation, endoscopy, rigiflex
+Aim: To assess the recently results of baloon dilation as a treatmentof achalasia in the Binh Dan Hospital Endoscopy Department during the period from 01/01/2016 to 31/10/2017.
+Results: Male and female rates were 15/18.
+Average age was 41 (20 - 67 age).
+In total 38 times performed procedure use Rigiflex balloon dilation (1.1 time/1 patient).
+Therapeutic features in children with anaphylactic shock at pediatric hospital no 1
+Objective: Anaphylactic shock is an immediate reaction, threatening to children's life.
+84.3% patients were only used alone IM / SC / IV Adrenaline.
+62.6% patients were supported with oxygen, consisting of 7/83 (8.4%) patients with intubulation.
+Almost patients were used Hydrocortisone (98.8%) and Antihistamine H1 (100%).
+Results of treatment: 99% patient out of shock and alive, 81.9% patient out of shock after using 1 to 2 doses of IM / SC / IV Adrenaline (73.3% patients after 1 dose and 8.6% after 2 doses).
+The rate of severe anaphylactic shock were 10.5% and the rate of death were 1%.
+Conclusion: In treatment of anaphylactic shock, Adrenaline is the most important drug.
+If patients were treated immediately and appropriately with Adrenaline, we could reduce the rate of severe anaphylactic shock and death.
+Keywords: anaphylactic shock, therapeutic features, Adrenaline / Epinephrine.
+Our study described therapeutic features in children with anaphylactic shock, contributing to help paediatric patients out of anaphylactic shock fastly, decreasing rate of severe and fetal anaphylactic shock.
+Method: Cross-sectionnal, descriptive and analysis retrospective study for 105 paediatric patients with age of 1 months to 15 years old, diagnosed anaphylactic shock at pediatric hospital No 1 from June 1st 2006 to June 1st 2015.
+Results: Tertiary health service: There were 28 anaphylactic shock cases in total 32 referral cases, 26 cases (92.9%) were treated with Adrenaline, in those 26 cases there were 5 cases (19.2%) treated with IM / SC / IV Adrenaline combined with continuous IV Adrenaline.
+80.8% patients were used Adrenaline with appropriate doses according to recommendations.
+IM / SC initial Adrenaline doses were 80.8%.
+There were 25/28 (89.3%) cases out of shock after treatment.
+Pediatric hospital No 1 (83 cases with anaphylactic shock): 100% patients were used Adrenaline with appropriate doses.
+The platelet count/spleen diameter and right liver lobe diameter/albumin ratio in prediction of the presence of esophageal varices in cirrhotic patients
+Background: To evaluate the platelet count / spleen diameter (PC / SD) and right liver lobe diameter / albumin (RLLD / ALB) ratio in prediction of the presence of esophageal varices (EV) in cirrhotic patients.
+Methods: A total of 166 cirrhotic patients underwent biochemical tests, upper digestive endoscopy and abdominal ultrasono graphy.
+The PC / SD and RLLD / ALB ratio were calculated.
+We investigated the correlation between calculated ratios and the presence of EV and calculate the predictive values.
+Results: Prevalence of EV was 55.42%.
+At the cut-off value of 975, PC / SD ratio had 85.54% diagnostic accuracy for predicting the presence of EV, 93.45% sensitivity (sens), 75.58% specificity (spec), 82.69% positive predictive value (PPV), 90.32% negative predictive value (NPV).
+At the cut-off value of 4.00, ELLD / ALB ratio had 83.13% diagnostic accuracy, 73.91% sens, 94.59% spec, 94.44% PPV, 74.47% NPV.
+At the cut-off value of 2.24, "new variable" = - 0.003 (PC / SD) + 1.447 (RLLD / ALB) had 81.52% sens, 89.19% spec. Conclusion: The PC / SD, RLLD / ALB ratio and "new variable" were the useful non-invasive measures in prediction of the presence of EV in cirrhotic patients.
+The study consisted of 110 infertile males experiencing clinical and laboratory examination at the andrology center
+Objectives: This study was to 1) identify several causes of male infertility in Andrology centers, and 2) to describe associated factors related to sperm quality in male infertility.
+Results: The leading cause belonged to sperm quality, in which azoospermie accounted for 50%.
+Endocrine causes accounted for 46%.
+Endocrine and Mumps were associated with sperm quality.
+Conclusion: Male producibility was shown by sperm quality, and endocrine and mumps were associated with sperm quality.
+Study on acute toxicity, in vivo anti-inflammatory and analgesic effects of 50% alcohol extract of hydnophytum formicarum jack. rhizomes
+Results: There was no mortality detected or any signs of toxicity in mice at the maximum oral dose (Dmax) of 10 g extract / kg body weight corresponding to 32, 24 g plant powder/kg.
+did exhibit acute anti-inflammatory effect, reduced the hind paw edema in mice from 3rd day.
+The doses of 100 and 200 mg / kg decreased writhing in mice after 6th and 11th minute, respectively.
+This analgesic effect of both doses was observed until 40th minute.
+This extract did exhibit anti-inflammatory and analgesic effects at the oral dose of 100 and 200 mg / kg in mouse models.
+rhizomes, acute toxicity, anti-inflammatory, analgesic
+Thickened formula may not flow through the nipple properly, so the nipple orifice may need to be cross-cut to allow adequate flow.
+Comparison of early and mid-term outcomes of trans-sternal (ts)and video thoracoscopic surgery (vts) resectionfor thymoma without myasthenia gravis
+Isolation of chitin from field crap shells and production of chitosan using decrystallization method
+A study of Citrus herbal plants with Flavonoid in Vietnam for producing Citroflavonoid
+4-year disease events.
+Conversely, immobilization boots may be preferred when continual immobilization is not required.
+A surface coat is added in the cytoplasm and, for unknown reasons, is produced in great excess.
+Case: A 75-year-old woman presented with a left multicystic ovarian mass, type IV, no ascites.
+In particular, students who are frequently beaten by their family members will be bullied more online than the rest of the group.
+Method: We present 2 cases including an 11 - year - old boy and a 13 - year-old boy hospitalized at pediatrics department with complaints of prolong fever, painful joints and rash on the trunk.
+If bleeding is severe, if moderate to severe abruptio placentae is suspected, or if maternal hypotension is present, several units of blood are cross-matched and tests for disseminated intravascular coagulation (prothrombin time / partial thromboplastin time [PT / PTT], fibrinogen level, d - dimer level) are done.
+Less commonly, the cause is high circulating levels of estrogens or androgens (GnRH-independent precocious puberty) caused by congenital adrenal hyperplasia or various gonadal tumors.
+The H2 blocker ranitidine (oral, IV, and over the counter) has been removed from the market in the United States and in many other countries because of unacceptable concentrations of N - nitrosodimethylamine (NDMA), a probable human carcinogen.
+A difference in average height is observed in young HMong and Nung people.
+Conclusions: Understanding and implementation of diet disease older patients with diabetes is very low.
+Methodology: The cross-sectional descriptive study combined checklists with observation of daily-living water sources survey was implemented at 4, 698 households in 6 provinces.
+Serum albumin rate < 35g / dl (72.22%); Lymphocyte < 2G / l (69.37%), mean value 1.35 ± 1.22G/l.
+Conclusions: Inferior turbinate surgery offers benefit and improves nasal obstruction in patients with ITH.
+Condylar fractures in children should not be rigidly immobilized because ankylosis and abnormal facial development may result.
+Studying of survival rate in gastrointestinal fluidsof some probiotic strains isolated from commercial products
+Subjective improvement in nasal patency was significantly correlated with improvement in rhinomanometry.
+Only C perfringens type A has been definitively linked to this food poisoning syndrome.
+Results: There were 527 patients with age ranging from 20 to 84, including 321 males (60.9%) and 206 females (39.1%).
+Plan to check the CMV minimum once per year.
+Epistaxis that persists without an evident anterior nasal source is most often caused by a posterior bleeding site.
+Level of PT was 25%, level of factor VII activity was 6, 4%.
+The early re-thrombosis in this group was significantly lower than that in group I (21.6% versus 89%) and the quality of life after treatment was also improved when comparing the VCSS score between the 2 group (5.025 versus 7.265).
+The maximal response to methotrexate, however, may take 6 to 12 months.
+Association between fibrinogen plasma level and mortality in severe sepsis pediatric patients
+Slower-release forms of hydrocortisone are also available and may provide better biochemical control.
+It showed nature, operational mechanism of people spirit life.
+Skin irritation of mecamix herbal cream on experimental rabbit.
+Amputation (eg, of digits or limbs) may be required.
+The result of late complication treatment of blunt hepatic injury
+Lymphatic spread is common.
+Keywords: kidney stone, percutaneous nephrolithotomy, tubeless
+Endocrine therapy includes Medroxyprogesterone acetate Megestrol acetate Aromatase inhibitors GnRH (gonadotropin-releasing hormone) agonists Key Points Uterine sarcomas are uncommon.
+Subject and method: A cross-sectional, descriptive study on cancer inpatients, treated with 1-day chemotherapy regimen from 25 to 31 Aug 2021 at 108 Military Central Hospital, based on electronic medical record and interview data.
+In vascular imaging, this technique provides image quality that equals or surpasses that of conventional angiography.
+Objectives: evaluating effectiveness in combination Iloprost and Sildenafil in management PAH after cardiac surgery.
+Ointments are oil based (eg, petrolatum) with little if any water.
+37.3% patients had used antibiotics, 21.6% had used corticosteroid.
+Diagnosis of infection involves analysis and culture of ascitic fluid.
+Symptoms and Signs Many patients are asymptomatic, but rectal bleeding, typically occult, occurs.
+For gastrointestinal, genitourinary, and musculoskeletal procedures on areas involving infected tissue, antibiotics should be selected based on the known organism and its sensitivities.
+Mung beans help in detoxing the body as they are a sweet and cooling food, according to the herbalist Nguyen Cong Duc of the Ho Chi Minh City University of Medicine and Pharmacy Đậu xanh (mung beans) are a common ingredient in Vietnamese cuisine.
+Poor prognosis: prolonged submersion, unconsciousness, low Glasgow score, no pupil reflex, hypothermia, hyperglycemia, pH < 7.2.
+HIV infection testing for newborns is done on varying schedules, depending on whether an infant perinatally exposed to HIV by a mother living with HIV infection is considered at low or higher risk of transmission; higher-risk infants are tested more frequently.
+Methods: A cross-sectional study was carried out on 217 high school teachers in Lap Vo district, Dong Thap province.
+Abdominal pain, weight loss, fatigue, and loss of appetite were common symptoms.
+Blood glucose, renal function tests, and electrolyte levels, including calcium and magnesium, should be measured if patients have diffuse cramps of unknown cause, particularly if hyperreflexia is present.
+Investigation of factors affecting the production of lovastatin from asperillus terreus ev8 by solid state fermentation
+The median size of pseudoaneurysm was 10 mm (6.8 - 15.3), the largest was 39.1 mm and the smallest was 3.5 mm, there was only 1 pseudoaneurysm in grade V organ trauma with size 7.2 mm and there was no difference in size of pseudoaneurysm between grade III and IV.
+ion with lecturer / student is important.
+This result was consistent with author Bastianini [21] and author Yu [131] in abdominal surgeries in the elderly.
+A central vein catheter can be used for dialysis if an arteriovenous fistula has not yet been created or is not ready for use or if creation of an arteriovenous fistula is impossible.
+English summary: A prospective study was conducted to evaluate the effectiveness of nutrition counseling and dietary management to stabilize blood glucose of 160 gestational diabetes mellitus (GDM) patients after 2 weeks.
+Prevalence and clinical symptoms of primary hypothyroidism in patients with chronic kidney disease reducing glomerular filtration rate
+UGT1A1*6 Allele frequency in vietnamese kinh ethnic group
+Chronic renal failure is defined as GFR <60 ml / min lasting 3 months or more.
+Alpha-1 antitrypsin deficiency accounts for 1 to 2% of all cases of chronic obstructive pulmonary disease (COPD).
+If intra-articular medications (eg, anesthetic, corticosteroid) are to be given, hold the hub of the needle motionless (using a hemostat if available) while removing the synovial fluid-containing syringe and replace it with the medication-containing syringe.
+Background: Bungarus candidus is a common accident, leading to respiratory failure due to respiratory muscle paralysis.
+The clinician may also attempt to directly contact other identities by asking to speak to the part of the mind involved in behaviors that patients cannot remember or that seem to be done by someone else.
+Neonates with a cutaneous fistula and a low lesion can undergo primary perineal repair.
+Most patients are free of V cholerae within 2 weeks after cessation of diarrhea; chronic biliary tract carriers are rare.
+Results: Before the intervention, the average score of general knowledge about caring for schizophrenia patients at home was 5.33 ± 1.13 points (on a scale of 10).
+Although the nail plate itself may have a positive PAS result if the nail plate is analyzed after removal, the onychomycosis is often not the primary problem but rather secondary to the trauma to the nail that caused compromise and inflammation.
+In patients with oil or petroleum jelly aspiration, chest x-ray findings vary; consolidation, cavitation, interstitial or nodular infiltrates, pleural effusion, and other changes may be slowly progressive.
+The doses from natural background radiation are far too low to cause radiation injuries; they may result in a small increase in the risk of cancer, although some experts think there may be no increased risk.
+With a comprehensive diagnostic approach, she was found to have May-Thurner syndrome with deep vein thrombosis of the left leg and pulmonary embolism.
+Prothrombin time (PT) screens for abnormalities in the extrinsic and common pathways of coagulation (plasma factors VII, X, V, prothrombin [II], and fibrinogen).
+Treatment of Palmoplantar Keratodermas Symptomatic treatment Symptomatic measures can include emollients, keratolytics, and physical scale removal.
+For meningitis or other severe infection, use amphotericin B with or without flucytosine, followed by fluconazole.
+The follicles are dysfunctional (as occurs in autoimmune ovarian dysfunction).
+NT-proBNP concentrations were positively correlated with the number of coronary vessels involved.
+Conclusion: Gram-positive bacteria accounted for the majority compared to gram-negative bacteria.
+In humans, however, the relationship between body temperature and stroke outcome has been for less extensively investigates, providing conflicting results.
+Objective: To evaluate initially two cases of d-transposition of the great arteries (d-TGA) prenatally diagnosed and postnatally treated.
+The diagnosis of HCC are well establised pre-operatively by US and CT-scan; but in hepatic resection, new small lesions which cannot be seen or touched, may be missed; otherwise tumoral invasion and tumoral thrombus of intrahepatic vessels cannot be evaluated, so the result of hepatic resection is limited.
+Endoscopic endonasal surgery for suprasellar meningiomas with several major advantages of the endonasal route such as providing optimal tumor access window, less structural damage, devascularization is accomplished early in surgery by interrupting the dural blood supply during the approach and decompress the optic nerve from the beginning of the operation.
+Most of spinal tumors were neurinomas and localized higher at thoracic spine.
+The bone marrow is hypocellular and can show fibrosis and multilineage dysplasia.
+Our techniques are modified by the TVT procedure of Umsten, but with a little bit tension of the tape to cease urinary leakage while making Valsava's pression on full bladder.
+The International Coordinating Group (ICG) on Vaccine Provision has established a global Ebola vaccine stockpile in Switzerland for use during outbreaks.
+Bone turnover markers reference database at university medical center, ho chi minh city.
+Assessment of patient’s satisfaction on the nursing care provided by clinical departments in Hue university of medicine and pharmacy hospital
+Thesedays, they are prepared in the product named Proginvex.
+They have some genetic determinants but also reflect diet, exercise, and lifestyle.
+Tumour free survival 3-year, 4 - year, 5-year, 6-year were 64.6%, 35.3%, 8.5% and 2.4% respectively.
+The genotypes of the polymorphism were determined by PCR-RFLP method.
+The rate of abnormal ECG also increase in each group, including group A (27.3%), group B (45.7%), group C (60.0%), group D (71.4%) Conclusion: This study suggests the routine screening in COPD outpatients with ECG.
+Draining sinuses and intestinal fistulas may develop and extend to the external abdominal wall.
+For all proximal interphalangeal (PIP) joint dislocations, stress testing is done after the dislocation is reduced.
+Subsequent antibiotic choice is guided by culture and sensitivity.
+Kanamycin may still play a role in the treatment of certain cases of multidrug-resistant tuberculosis in combination with other antibiotics.
+The clinical pregnancy rate is 24% after 6 months.
+The Ellmans method was used to assay AChE and BuChE inhibition activity.
+Prognosis for Abdominal Wall Hernias Congenital umbilical hernias rarely strangulate and are not treated; most resolve spontaneously within several years.
+However, the hs-cTn tests can detect small amounts of cTn in many healthy people.
+Conclusions: the carotid artery supply blood to brain so the atherosclerosis of this artery reduce the blood to brain. It must be early diagnosis and treatment with surgery to prevent complications.
+Keywords: essential oil containing mouthrinse, Streptococcus mutans
+Environmental problems in rice production
+Introduction to Middle Ear and Tympanic Membrane Disorders By Richard T Miyamoto, MD, MS, Indiana University School of Medicine Reviewed / Revised Mar 2022 | Modified Sep 2022 View Patient Education Topic Resources Ear: Coronal Cross Section Tympanic membrane of right... Middle ear disorders may be secondary to infection, eustachian tube obstruction, or trauma.
+An intestinal carcinoid does not usually cause carcinoid syndrome unless hepatic metastases have occurred because metabolic products released by the tumor are rapidly destroyed by blood and liver enzymes in the portal circulation (eg, serotonin by hepatic monoamine oxidase).
+A pregnancy test is required, even before menarche, if it is possible that ovulation has started.
+Results: mean age was 43, immediate reconstruction in 81 patients and delayed reconstruction in 10 patients.
+The ankle-brachial BP index (ABI) should be determined to check for vascular injury; values ≤ 0.9 are very sensitive for vascular injury.
+Objetive: To evaluate the relationship between EGFR mutations and risk of brain metastasis in non-small cell lung cancer patients (NSCLC).
+Perinatal hemorrhage may be caused by Precipitous delivery (ie, rapid and spontaneous delivery, which causes hemorrhage due to umbilical cord tearing) Obstetric accidents (eg, incision of the placenta during cesarean delivery, birth trauma) Coagulopathies Cephalhematomas resulting from procedures such as vacuum or forceps delivery are usually relatively harmless, but subgaleal bleeds can rapidly extend into soft tissue, sequestering sufficient blood volume to result in anemia, hypotension, shock, and death.
+Removal can be attempted in the outpatient or emergency room setting.
+Bedding and clothing should be changed frequently.
+They fear abandonment partly because they do not want to be alone.
+There are 17.24 percent patients with the serum total cholesterol > 6.2 mmol / l, 19.7 percent patients with HDL-C <1 mmol / l, 8.87 percent patients with LDL-C> 4.1 mmol/l.
+These patients were simultaneously conducted three techniques: cell culture of bone marrow and cell culture of peripheral blood to find Ph1 chromosome and PCR techniques to find BCR / ABL fusion gene.
+(30%) and Staphylococcus aureus (20%) are the commonest.
+New contributions: Clinical manifestations and RPGs features in children with OSAS and adenotonsiller hypertrophy have been described hyperactivity, decifit attension were both symptoms and consequences of OSAS.
+If the trait results in a defect of a specific protein (eg, an enzyme), heterozygotes usually have a reduced amount of that protein.
+The time to get the double J stent: 4 - 6 weeks.
+Objectives: To assessement outcome of breast reconstruction with the ispilateral pedicled TRAM flap in breast cancer patient having the low abdominal scars.
+Socket and suspension are more critical for athletes.
+The two main methods are corticosteroids (64.4%) and IVIG (22.65%).
+Diagnosis is often by fine-needle aspiration biopsy but may involve other tests.
+She suffered and died from poliomyelitis.
+Result: In general, 35% - 40% of staff do not have knowledge of treating protocol after exposure and stage that victims have high chance of being infected; and 50% of staff do not have a firm understanding of universal precaution and 20% are afraid of infectious possibility in treatment.
+Conclusion: Sanger sequence is an effective and accurate method for differentiate C aromatica from other similar species.
+Bacteremia, sometimes with overt hemolysis, occurs in about 15% of patients with traumatic gas gangrene.
+Pathophysiology of Pain in a Single Joint Pain in and around a joint may involve Inflammation (due to, eg, infection, crystal-induced arthritis, or autoimmune systemic inflammatory disorders) Noninflammatory problems, usually mechanical (eg, trauma, internal derangements) The synovium and joint capsule are major sources of intra-articular pain.
+Methodology: A cross sectional study was conducted to screen for anthropometry on 2, 866 children, analyse haemoglobin concentration of 892 children and interview parents / primary caregivers of the children took part blood examination in October 2016.
+An electrical gradient develops which causes the heart to send electrical signals when it shouldn't.
+Objective: In management of perforated choledochal cyst with bile peritonitis (PCC), selection between two-staged procedure and one-staged definitive repair is still controversial.
+Periungual, palmar, plantar, and perineal desquamation begins on about day 10.
+The main bariers for counselling were a lack of time (53.4%), and of skills / medthods for counseling (31.7%).
+The principal causes of injuries were occupational & traffic accidents.
+Radiation dose for radiosuregery was 12 - 18Gy, mean dose of glioma and cavernoma was: 14±0.2Gy,: 16±0.4Gy.
+Explicit consensus criteria have been proposed but are not yet universally adopted (1).
+Both animals should be dewormed regularly.
+Asymmetric renal size (> 1 cm difference) discovered incidentally during imaging tests, and recurrent episodes of unexplained acute pulmonary edema or heart failure also suggest renovascular hypertension.
+Background: Rapid revascularization is the goal of treatment for acute ischemic stroke (AIS).
+The mean total hospital days was 6.09 ± 2.34 days, the mean number of catheters was 3.07 ± 1.24.
+Partial or complete thrombotic occlusion occurs most often at the main trunk of the middle cerebral artery and its branches but is also common in the large arteries at the base of the brain, in deep perforating arteries, and in small cortical branches.
+Background: Quang Tri general hospital has been equiped with laparoscopic instruments since 2004.
+Objectives: To identify the prevalence of hyponatremia and the prevalence of the causes of hyponatremia in children with meningoencephalitis in Children' Hospital 1 from December 2016 to July 2017.
+Evaluate the results of interventions to prevent mother-to-child transmission of HBV by health education and communication for mothers and health workers in the study area.
+Coagulopathy *: When feasible, correct prior to procedure, or use a different means of analgesia.
+The result showed that the combination use of alcalase and flavourzyme for protein hydrolyses of Moringa oleifera leaves improved the metabolism of Moringa oleifera protein.
+A Wood light examination reveals golden-white fluorescence.
+With the male / female ratio of 2.3/1.
+Congenital Goiter By Andrew Calabria, MD, The Children's Hospital of Philadelphia Reviewed / Revised Aug 2022 View Patient Education Etiology Symptoms and Signs Diagnosis Treatment Congenital goiter is a diffuse or nodular enlargement of the thyroid gland present at birth.
+Keyword: Isolated yeast, maprang wine, optimization, quality,% Vol.
+Liver function tests are usually normal so are often not valid for diagnosis.
+Early diagnosis, effective initial management reduces mortality.
+The mean of age is 33, male gender is dominant with 86%, and traffic accident accounted for 92% cases.
+The disease was more in men (89.9%) than in women (10.1%).
+State-specific information regarding driver's license eligibility for people who have seizures should be sought (see the Epilepsy Foundation's State Driving Laws Database) along with advice from a neurologist.
+Keywords: glutamic acid decarboxylase (GAD) autoantibody, insulin autoantibody, diabetes mellitus
+The following factors have impact on the outcome of ASCT: - The number of peripheral blood CD34+ stem cell before leukapheresis and collection: There was a closed relationship between this number with the number of stem cell collected and indirect impact in engraftment process.
+Remove smooth, round objects using a suction catheter; place the suction tip against the object with the finger control open.
+For patients who achieve a good response to second-line therapy, high-dose chemotherapy and autologous stem cell transplantation should be considered, while non-responders may be candidates for subsequent lines of therapy or allogeneic stem cell transplantation.
+The courts become involved only when the determination itself or another aspect of the process is challenged by the patient or someone else.
+Result: Prevalence type 2 diabetes 6 weeks postpartum was 11.8%; prediabetes 47.3%, normal glucose tolerance 40.9%.
+The duration of ECMO technique was 10 days, and during that time there was no complication of bleeding, thrombosis, embolism, hemolysis or right limb ischemia. Conclusion: ECMO is an effective and safe technique for severe hypoxemia respiratory failure cases which are unresponsive with ventilator. This is also a useful method to support respiratory and cardiac system in waiting for the resolving of underlying causes or the recovery of disease.
+There was an association between D-dimer levels and age groups, cardiovascular disease and trauma (p<0.05).
+Monitor children after vaccination to prevent anaphylaxis
+There were presence of white blood cells in stool (67.7% at grade 2+, 3+) and red blood cells (25% at grade 1+).
+Prospective study, along with time tracking.
+There were 2 bilateral ureteral reimplantations; 8 unilateral ureteral reimplantations.
+During surgery, we found that there always is at least one small vessel go into the outermost layer of the ulnar nerve at its origin. Theses vessels ensure adequate blood supply for segment of 24, 5 ± 3, 5 cm.
+Surgery The physiologic stress of surgery can increase plasma glucose in patients with diabetes and induce diabetic ketoacidosis in those with type 1 diabetes.
+A second surveillance colonoscopy should be done 3 years after the 1-year surveillance colonoscopy if no polyps or tumors are found.
+Both sleep bruxism and sleep-disordered breathing (such as obstructive sleep apnea and upper airway resistance syndrome) are associated with headache that is more severe on awakening and gradually subsides during the day.
+Results: reduction was excellent and good in 100%, no deep infection, bone healing in 100%.
+Insertion successful rate of laryngeal mask airway was 98, 8%, insertion time: 47 + 25 sec, surgery duration: 36 + 20 mins, recovery time: 19.7 + 9.7 mins, airway seal pressure: 22.7 cmH2O.
+Definition: According to KDIGO (Kidney Diseases Improve Global Outcome) in 2012, diagnostic criteria for INS are as follows: edema, nephrotic-range proteinuria ≥ 50mg / kg/24 hours, serum albumin level ≤ 25 g / l (hypoalbuminemia), total serum protein level ≤ 56 g / l (hypoproteinemia), serum cholesterol level ≥ 5.5 mmol / l (or ≥ 220 mg%) (hypercholesterolemia).
+Peak pressure can be set to desired limits.
+Objectives: To investigate the characteristics of GALAD score in cirrhotic patients with and without HCC.
+The prevalence of carrier of alpha- thalassemia, beta-thalassemia, citrin deficiency, cystic fibrosis and wilson disease in an infertile population
+Stress may be caused by worry about protecting the patient and by frustration, exhaustion, anger, and resentment from having to do so much to care for someone.
+Keywords: ginsenosides, American ginseng, Box-Behnken design, Panax quinquefolius L.
+- This is a study based on a large sample size in Vietnam on a group of patients with poor responder prognosis to ovarian stimulation in IVF treatment with 2 flare-up and antagonist regimens.
+Agomelatine has fewer adverse effects than most antidepressants and does not cause daytime sedation, insomnia, weight gain, or sexual dysfunction.
+Conclusions: The most common surgical diagnoses were biliary stone, gallstone and colorectal cancer.
+There are symptoms of pain in 78.6% of cases.
+Still 12% of students do not know any contraceptive method.
+Despite many advances in the treatment of HCC, there are some limitations especially for terminal ill patients.
+Fewer than 4% of patients have another outbreak of zoster, but many, particularly older patients, have persistent or recurrent pain for months or years (postherpetic neuralgia).
+In the most common forms, accumulated hormone precursors are shunted into androgen production, causing androgen excess; in rarer forms, synthesis of androgens is also inadequate.
+There have been several simultaneous quantitative studies of IRB and HCTZ in human plasma by LC-MS / MS until now.
+According to docking scores and interaction analsysis, the best compound is Raltegravir with a docking score of - 10.6 kcal. mol-1 for VarTMK.
+In the US, uterine sarcoma is rare; 5058 cases of uterine sarcomas were estimated to occur in 2018.
+These infections are potentially serious events leading to sequelae or death.
+Study of prevalance and clinical features of HBV/HCV carrier on hemodialysis and after kidney transplantation
+Some patients require chronic use.
+HIV transmission is even more unlikely from transplantation of cornea, ethanol - treated and lyophilized bone, fresh-frozen bone without marrow, lyophilized tendon or fascia, or lyophilized and irradiated dura mater.
+Selecting criteria: Patients were excluded abnormal tumors in liver by ultrasound with Anti HCV (+) and HBsAg (-) tested to identify HCV genotype at Medicine Faculty of University of Medicine and Pharmacy, Ho Chi Minh City.
+The hopeless rates has less happened.
+CT is the most accurate study for detecting and localizing urinary calculi.
+Anxiolytics and morphine are relatively contraindicated because they are associated with respiratory depression, and morphine may cause anaphylactoid reactions due to release of histamine by mast cells; these drugs may increase mortality and the need for mechanical ventilation.
+These include Patch testing Biopsy Scrapings Examination by Wood light Tzanck testing Diascopy (See also Evaluation of the Dermatologic Patient.)
+Blinded reading of MRI-detected EMVI based on a modified EMVI scoring system of Jhaveri, compared with pathologic EMVI.
+Resuscitation before surgery includes: intubation, gastric tube, ventilation, acid-baze balancing, infusion, intravenous feeding, resuscitation time.
+It is poorly localized and tends to be referred to areas corresponding to the embryonic origin of the affected structure.
+Most fundings for HIV / AIDS treatment will completely stop supporting ARV drugs by the end of 2018.
+Investigation on the lipid metabolism tests for treatment or controlling of the usual diseases
+There are few physical problems.
+Most of them are in the stage I and stage I.
+Methods: A cross sectional study was conducted at universities in Ho Chi Minh City on 830 students was randomly assigned to three groups: Natural Sciences - Engineering, Social Sciences and the humanities, and the health sector.
+Deep vein thrombosis in acute infectious diseases
+Confrontation of clinical endoscopic and imaging features with pathological findings in 400 cases of fess,
+These treatments are continued until the desired clinical response is achieved.
+Contractions may be monitored by palpation or electronically.
+Dukes classification: Stage B (49.3%) and C (35.8%).
+Regurgitation developed in 91.1% (144/158) of students, which was the most common reflux symptom.
+Diagnosis is by blood tests.
+Symptoms and Signs of Cryptosporidiosis The incubation period for cryptosporidiosis is about 1 week, and clinical illness occurs in > 80% of infected people.
+Material and methods: Prospective and descriptive study, applying negative pressure wound therapy and epidermal growth factor to treat 34 patients with diabetic foot ulcers, severity from 2 - 5.
+Nucleophilic substitution reactions of the 4-hydroxy group and electrophylic substitution reactions at ch-acidic group in the synthesis of tetrahydropyridocarbazolone derivatives
+Investigating characteristics of retinopathy using digital retinography system among diabetes in Vietnam
+Background and Aims: According the survey of Vietnamese Intestinal Association, 70% Vietnamese people have subjected the incidence of gastric pain and gastric ulcer rate is approximate 26% in gastrointestinal diseases.
+Background: Sepsis is a major public health concern.
+Encouraging exercise in the daytime, avoiding scary television programs and movies, and refusing to allow bedtime to become an element of manipulation can also help prevent sleep problems.
+- Advantages: Extensive nodal dissect ion in the mediastinum, abdomen and neck; high resection of the esophagus ensures safety of 6 the resection surface, cervical anastomosis is easy for anastomotic leak revision, if any, and lowers the rate of reflux.
+Materials and methods: A cross-sectional descriptive study, included 40 patients, under 16 years old, diagnosed with AOM, treated at the Department of Otolaryngology in E Hospital from 2019 September to 2020 April.
+The entomological survey showed that there were the present of 2 main vectors (An. minimus and An. dirus).
+Hypoglycemic effect and several Hypoglycemic mechanism of Andiabet in experimental.
+Urea, triglycerid, GOT, GPT increased after treatment, but no patient had to stop the drug.
+Risk of gestational diabetes mellitus in women with polycystic ovary syndrome conceived through assisted reproductive technology
+The surgical procedure consisted of simple suture (n=2), duodenostomy and gastro-jejunostomy (n=2): suture + pyloric obstruction + gastro (n=4), suture + derivation by double sonde + jejunostomy (n= 8), duodenostomy + derivation by double sonde + jejunostomy (n=2).
+Keywords: Analgesia during labor, side effects, ropivacaine, bupivacaine.
+PWS was common location on the head and neck, accounts for about 80%.
+Duration of the intervention: 125 ± 14.5 minutes.
+Ki-67 positivity in non-neoplastic livers tissue with liver cell dysplasia was found to be significantly higher than without liver cell dysplasia (14, 6% vs 5, 9%, p=0, 015).
+It can be easily seen that during the Covid-19 epidemic, the application of 4.0 technology makes medical declaration faster and more convenient.
+Mean UST was 18.1 ± 5.3 sec (OT) and 20.23 ± 4.2 sec (US), p< 0.05, mean CDE was 7.03 ± 5.1 (OT) and 9.16 ± 4.6 (US), p< 0.05.
+Evaluation of serum calcium, phosphorus and parathyroid hormone in hemodialysis and continuous ambulatory peritoneal dialysis patient in binh dan hospital
+We excluded patients who had chronic pulmonary disease, immune deficiency, cardiac disease, or previous episodes of wheezing or inhaled bronchodilator use.
+The current study aimed to describe demographic characteristics and some characteristics of weight, detal health or challenges that children often face.
+These organisms show a good scavenging effecting on DPPH radicals (61, 31 - 93, 56%), chelating activity with ferrous ion is 51, 56% - 98, 75%, total phenolic concentration is 16, 71 - 124, 18 (mg / ml).
+Most relatives of stroke patients recognized paralysis (46.7%), difficulty speaking (30.7%) as the signs of stroke.
+A well-appearing child who has no other complaints besides constipation, who is not taking any constipating drugs, and who has a normal examination likely has a functional disorder.
+If older people have a new sex partner, they should practice safe sex.
+However, corticosteroids are not useful to control ICP and are not recommended.
+The total area of Phuoc Tra is 11.839, 47 ha.
+5 - Interventions on the same subjects at Kien Thiet commune consists of 2, 206 people including 139 patients.
+Tissue injury without freezing includes frostnip, immersion foot, and chilblains.
+The research results help nursing students to have the right awareness of smartphone usage and to pay more attention to their own sleep hygiene.
+The sensitivity, specificity, positive and negative predictive value and accuracy of ultrasound in the diagnosis of duodenal obstruction were 91.7%, 91.5%, 87.8%, 94.3%, 91.7%, respectively.
+Results of endoscopic thyroidectomy for treatment of bengin thyroid nodules in hoan my cuu long hospital
+This study aims (1) to examine the reliability and validity of Online Learning Readiness Scale (OLRS) and (2) to identify the levels of online learning readiness for blended learning methods using virtual reality and its associations.
+Prognostic factors in hand-foot-mouth disease due to enterovirus
+Traumatic causes of tympanic membrane perforation include Insertion of objects into the ear canal purposely (eg, cotton swabs) or accidentally Concussion caused by an explosion or open-handed slap across the ear Head trauma (with or without basilar fracture) Longitudinal temporal bone fracture Sudden negative pressure (eg, strong suction applied to the ear canal) Barotrauma (eg, during air travel or scuba diving) Iatrogenic perforation from instrumentation during irrigation or foreign body or cerumen removal Penetrating injuries of the tympanic membrane may result in dislocations of the ossicular chain, fracture of the stapedial footplate, displacement of fragments of the ossicles, bleeding, a perilymph fistula from the oval or round window resulting in leakage of perilymph into the middle ear space, or facial nerve injury.
+Objective: To determine the cut-off value of Mp1p antigen in serum samples for Talaromycosis diagnosis in AIDS patients.
+Results: A number of health staff in Thuan Chau District Health Center in 2013 were 221 persons, in which in the district level were 38 persons, in CHCs of 183 persons including staff responsible for commune population, Village health workers of 559 persons working at villages.
+Visual prognosis tends to be poor.
+The risk of infection is inversely proportional to the granulocyte count.
+TASC D classification was 93%.
+Laboratory confirmation is necessary for public health outbreak control purposes.
+To investigate the bacterial pathogens, the choice of antibiotics and rationality of antibiotic indication among patients with community-acquired pneumonia (CAP) at University Medical Center Hochiminh City (UMC, HCMC).
+Subject and method: A descriptive cross-sectional study was conducted on 384 acne patients who visited the Dermatology Hospital of Binh Thuan province from 4/2020 to 10/2020.
+Objective: To identify the proportion of female massagers at Binh Duong district having correct knowledge, attitude, and practices in HIV / AIDS prevention Methods: A cross-sectional study was conducted among 396 females currently working as massagers at massage parlors.
+Antibiotics can be prescribed later if the clinical picture changes or if symptoms persist.
+Direct blunt trauma to the globe may result in the formation of a hyphema (anterior chamber hemorrhage).
+Acupuncture was done one time in 25 minutes with a frequency of 60 Hz at the acupoints: Shimen (CV-5), Guanyuan (CV-4), Zhongji (CV-3), Ougu (CV-2), bilateral Weiyang (BL-39), bilateral Sanyiniao (SP-6) in patients with bladder dysfunction.
+Prophylactic devices for pulmonary embolism Inferior vena cava filters, intermittent pneumatic compression (also known as sequential compression devices [SCD]), and graded elastic compression stockings may be used alone or in combination with drugs to prevent PE.
+Dupilumab is a monoclonal antibody that blocks the IL-4R-alpha subunit, thereby simultaneously inhibiting IL-4 and IL-13 signaling.
+When used in conjunction with an insulin pump, the combination is known as sensor-augmented pump therapy.
+Levels of coenzyme Q10, which is necessary for the basic functioning of cells, tend to decrease with age and may be low in patients with certain heart and other chronic diseases; thus, coenzyme Q10 supplementation has been used or recommended, but its therapeutic benefit remains controversial.
+Key words: anatomy variation, renal artery system, CTA
+Whole-brain radiation can cause clinically significant leukoencephalopathy, particularly in older patients.
+Clinical and radiology features and surgical outcomes of low cervical teardrop fracture at việt đức hospital
+Aims: Study knowledge, attitudes and practices (KAP) toward HIV prevention in MSM in Khanh Hoa province in 2010.
+Antisocial Personality Disorder (ASPD) By Mark Zimmerman, MD, Rhode Island Hospital Reviewed / Revised May 2021 | Modified Sep 2022 View Patient Education Etiology Symptoms and Signs Diagnosis Treatment Antisocial personality disorder is characterized by a pervasive pattern of disregard for consequences and for the rights of others.
+Yes, its true.
+Controlled clinical studies of zanamivir and oseltamivir have not been done in pregnant women; however, many observational studies indicate that their use during pregnancy does not increase risk of adverse effects.
+Finding out the relationship between hs-CRP concentration and some cardiovascular risk factors on officials in health care priority of Thai Nguyen province
+Therefore, understanding the characteristics of subclinical and clinical, as well as stratification of risk factors will soon help doctors make an accurate diagnosis and intervention.
+Untreated, the disorder progresses; mortality is 10 to 20%.
+New contributions of the thesis: 1.
+Early complication: pneumonia (30.4%), sepsis (23.9%).
+Screening modalities include Mammography (including digital and 3-dimensional) Clinical breast examination (CBE) by health care practitioners Magnetic resonance imaging (MRI) for high-risk patients Mammography In mammography, low-dose x-rays of both breasts are taken in 2 views (oblique and craniocaudal).
+(Eleutherine subaphilla Gagnep.
+Keywords: angular measurement, linear measurement, vertical skeletal pattern, cephalometric analysis.
+Knowledge, attitude and practice on infection control of health staffs in Son La general hospital
+It is often treated with desmopressin or VWF replacement with virally inactivated intermediate-purity factor VIII concentrate or the newer recombinant VWF products.
+Keywords: colistin, gram negative, antibiotic ressitance, AKI
+Table Etiology of Platelet Disorders Thrombocythemia and thrombocytosis Essential thrombocythemia is a myeloproliferative neoplasm (previously called a myeloproliferative disorder) involving overproduction of platelets because of a clonal abnormality of a hematopoietic stem cell.
+Gencoglu N et al assessed that the number of lateral root canal found that more lateral canal sealed with Thermafil, followed by System B / Obtura, Horizontal, Microseal, Quick-Fill, Softcore.
+Result: The abridged Vietnamese version of the Qi Blood Yin Yang Deficiency Pattern (QBYYDP) questionnaire on the elderly consists of 27 questions (male: 26 questions and female: 27 questions) with Cronbach's Alpha of 0.895 (male) and 0.871 (female), the sensitivities Qi deficiency region, Blood deficiency region, Yin deficiency region, and Yang deficiency region were: 62.50%, 66.67%, 44.12%, 37.5% (male), 63.04% (female), respectively; the specificity 95.9%, 50.89%, 76.95%, 69.49% (male) and 75.74% (female), respectively, the area under the ROC curve of the questionnaires were > 0.6.
+Results: The diabetic patients have stable blood glucose level, so the progression of diabetic nephropathy occurs slowly, not as severe as hypertension patients.
+J Invest Dermatol 132 (3 Pt 2): 751 - 762, 2012. doi: 10.1038 / jid.2011.393 Symptoms and Signs of Atopic Dermatitis Atopic dermatitis usually appears in infancy, as early as 3 months of age.
+Hydrocolloid dressings draw out fluid from the skin and form a gel and can be applied with a gauze cover in patients with cutaneous ulceration.
+Leukocyturia is screened by dipstick and confirmed by urinary sediment examination.
+Materials and Method: DNA samples was extracted from peripheral blood of 60 volunteers and 30 patients with abnormal semen analysis.
+If these genes, as a result of inherited or acquired mutations, become unable to function, the system for monitoring DNA integration becomes inefficient, cells with spontaneous genetic mutations persist and proliferate, and tumors result.
+There were no significant differences between the 2 groups regarding age, gender, weight at surgery, associated anomalies, laboratory investigations.
+Pain, diplopia, and vision loss may also be present.
+Addition of either clopidogrel or a VKA (INR target 2.5) may be considered for 3 to 6 months after implantation for patients with increased thrombosis risk.
+9: 877213, 2022. doi: 10.3389 / fmed.2022.877213 Harmful Effects of Religion and Spirituality Religion is not always beneficial to older adults.
+The higher Odds of depression was observed in the low economic status (poor / near-poor) (OR= 2.51; 95% CI: 1.15 - 5.48), live alone (OR= 2.43; 95% CI: 1.02 - 5.78), co-morbidities chronic disease (OR =1, 59; 95% CI: 1.01 - 2.52), self-evaluation not good in overall health status (OR =2.34; 95% CI: 1, 50 - 3, 66), dissatisfaction in health (OR = 2.55; 95% CI: 1.59 - 4.08), lack of physical activities (OR =2.79; 95% CI: 1.83 - 4.27), and low quality of life (OR = 2.79; 95% CI: 1.84 - 4.24).
+Bicuspid aortic valve can also be associated with dilation of the aortic root or ascending aorta and with coarctation of the aorta.
+Nonadherence in Children By Bridgette L Jones, MD, MS, University of Missouri, Kansas City, School of Medicine, Children's Mercy, Kansas City, MO Reviewed / Revised Dec 2022 View Patient Education More Information Nonadherence with drug recommendations (see also Adherence to a Drug Regimen) may occur at any age because of Cost Painful or inconvenient administration The need for frequent doses, complex regimens, or both But many unique factors contribute to nonadherence in children.
+If acute inflammation resolves then continues to recur, the gallbladder becomes fibrotic and contracted and does not concentrate bile or empty normally—features of chronic cholecystitis.
+Results: Our research had 23 male patients (46%) and 27 female patients (54%).
+If the level is ≥ 8.5% during the 1st trimester, risk of congenital malformations is significantly increased, and targeted ultrasonography and fetal echocardiography are done during the 2nd trimester to check for malformations (1).
+To describe the current status of using surfactant in the treatment of respiratory distress syndrome (RDS) in neonates at the National Hospital of Obstetrics and Gynecology. Materials and Methods: Retrospective descriptive study on the medical records of neonatal patients receiving surfactant from October 1, 2019 to December 31, 2019.
+The progression of muscular activity does not correspond to true seizure patterns (eg, pseudoseizure movements may include jerks moving from one side to the other and back and exaggerated pelvic thrusting).
+The balloon inflates during each diastole, augmenting coronary artery perfusion, and deflates during systole, decreasing afterload.
+During strength training, the stimulus of tissue change is governed primarily by the quality and effort of training.
+The resultant series of images are reconstructed by computer into 2-dimensional tomographic slices in a similar manner to that done in conventional CT.
+Reported two cases of Gnathostoma spinigerum is treated at No.199 Hospital-Ministry of Public Security
+Have you seen those awesome new snickers commercials?
+Common objects pushed into the nose include cotton, paper, pebbles, beads, beans, seeds, nuts, insects, and button batteries (which may cause chemical burns).
+Conclusion: No significant relationship was found between the curve of spee and condylar path in sagital plane.
+To assess the effectiveness of peripheral nerve blocks with phenol in patients with spinal cord injury
+Religious preoccupations and delusions may develop in patients with obsessive-compulsive disorder, bipolar disorder, schizophrenia, or psychoses.
+By age 7 years, children's intellectual capabilities become more complex.
+Keywords: Post-operative analgesic, morphine, Patient - Controlled Analgesia (PCA), upper abdominal cavity.
+Key words: SCFAs, HPLC, resistant starch, feces
+Because these features may manifest at different times, definitive diagnosis may require several months.
+One group has encephalitis manifested by neurologic findings, cerebrospinal fluid pleocytosis, and elevated protein concentration, with or without concomitant involvement of the skin, eyes, and mouth.
+Magnetic resonance imaging (MRI) revealed a right skull base mass that invaded the temporal lobe.
+Not shaving the hair on the residual limb can help prevent these problems.
+Therefore, research on enhancing the biosynthesis of the bioactive compounds in this fungus by recombinant DNA technology has advantages.
+Beyond the bounds, the innate immune system is also likely accountable for mediating the presumptive organ damage of autoimmune diseases.
+Subjects Patients ≥ 18 years older Selection criteria: Patients are diagnosed with hypertension according to the guidelines of the Ministry of Health in 2010 applied to medical staff to measure following the correct procedures [10] Systolic blood pressure ≥ 140 mmHg; and / or diastolic blood pressure ≥ 90 mmHg.
+Keywords: core needle biopsy, soft tissue tumor, accuracy
+Clinico-microbiological study of infectious diabetic foot ulcers at chợ rẫy hospital
+Results: 100% of the impacted teeth were pulled into the occlusion. The good rate of treatement was 70%, the rate of impacted teeth having the time to pull into occlusion from 6 - 9 months was 76.7%.
+Characteristic of AFP testing: AFP is a very common cancer marker.
+The risk of musculoskeletal disorders by RULA method is 4 score and an SI method is 9 score (cause of the risk of musculoskeletal disorders related to work), required intervention.
+Sequence analysis of the 16S rRNA gene revealed strain C21 belongs to the group of bacteria that are difficult to cultivate, and is considered a candidate for novel species of genus Microbacterium.
+Results: Proportion of tooth loss in the elderly: 88.13%; proportion of subjects underwent prosthodontic treatment: 53.9%; porportion of subjects underwent prosthodontic treatment properly: 53.95%; rate of removable prosthodontics: 40.79%; rate of fixed prosthodontics: 50.00% and rate of both treatment modalities: 9.21%.
+So think of bloodpool rather than liver if you're thinking of a hemangioma.
+Location of pulmonary nodules Table 3.13.
+335 patients (51.5%) had right side stones and 315 (48.5%) had left side stones.
+Conclusion: The malnutrition rate of patients with chronic kidney disease was quite high.
+Study on serum IL-1beta levels changes in patients with type 2 diabetes
+Relationship of risk factors and clinical stages of chronic venous insufficiency of the lower limbs
+The affect factors such as treating samples, optimizing and validating the procedure of determination of copper and lead in the fungicides are surveyed by using atomic absorption spectrometer HITACHI Zeeman Z - 2300.
+Simple nontoxic goiter, the most common type of thyroid enlargement, is frequently noted at puberty, during pregnancy, and at menopause.
+Urban heart in can tho and binh duong, vietnam, 2009-2010
+RESEARCH ON CRICULATION SUPPORT EFFECTS OF VENO ARTERIAL EXTRACORPOREAL MEMBRANE OXYGENATION (VA-ECMO) IN TREATMENTING ACUTE MYOCARDITIS PATIENTS
+Appropriate colloid and crystalloid parenteral fluids must be given to support circulation, because extensive intestinal inflammation and peritonitis may lead to considerable 3rd-space fluid loss.
+Evaluation the rate of delayed parasite clearance in uncomplicated plasmodium falciparum patient after 3 days treatment with dihydroartemisinin plus piperaquin phosphate (dha-ppq) in huong hoa district, quang tri province.
+Fungi are uncommon pathogens, causing orbital cellulitis in patients who have diabetes or in those who are immunosuppressed.
+Conclusions: After B-TUVP, the improvements of postoperative LUTS were statistically significant.
+The product 18F-FCH having pH, half-life, radiochemical purity and residual amounts of ethanol, ACN and DMEA meets the requirements of European Pharmacopoeia 2017.
+Health care providers, particularly those in women's health, must ensure appropriate counseling and education with evidence-based medicine to empower patients toward improved health.
+The degree of lung inflation (tidal volume measured in mL / kg) carries a higher risk of BPD than does the degree of airway pressure as an absolute number in cm of H2O (1).
+Treatment of secondary Raynaud syndrome focuses on the underlying disorder.
+Cytomegalovirus (CMV) can be transmitted by WBCs in transfused blood.
+Results: the prevalence of dental caries was significantly higher in children with cleft (71, 34%) than children without cleft in both deciduous and permanent teeth.
+Patients with minor hemoptysis can undergo outpatient testing.
+In patients with low back pain, the hips are examined.
+If any of these symptoms (other than localized urticaria and itching) occur, the transfusion should be stopped immediately and the IV line kept open with normal saline.
+These infections are especially common in early childhood and can be fatal.
+Treatment is withheld when ventricular rate decreases satisfactorily or systolic blood pressure is < 100 mm Hg.
+On the basis of results obtained, supplement and adjustment have been made to build the model of Health promoting schools in the prevention of school age diseases which can be applied expandedly in other provinces in the upcoming time.
+Topical antifungal nail lacquer containing efinaconazole 10%, ciclopirox 8%, or amorolfine 5% (not available in the US) is occasionally effective as primary treatment (cure rate of about 30%) and can improve cure rate when used as an adjunct with oral drugs, particularly in resistant infections.
+There are many regimens; a commonly used one is ACT (doxorubicin plus cyclophosphamide followed by paclitaxel).
+Moreover, the mean effectiveness was 44.11% and 53.32% in 3 months and 6 months, respectively.
+Background: Skin-sparing Mastectomy (SSM) - Immediate Breast Reconstruction (IBR) has recently shown to yield satisfactory results in a selected group of early breast cancer.
+The abdomen is examined for evidence of abnormal findings, including signs of peritonitis.
+There are positive correlations, mild value between the length of the malleus and the height of the middle ear cavity.
+Besides them, there are other differences in the anatomical structure of stem and leaf.
+Samples were homogenised, being mixed with saturated sodium chloride solution and then being adsorbed on kielselgurh columns.
+Although rarely used, a local anesthetic (eg, 2% lidocaine 2 to 5 mL) injected into the ipsilateral joint and into the adjacent area of insertion of the lateral pterygoid muscle may allow the mandible to reduce spontaneously.
+The mean hospital stay was 4.78±0.76.
+Over age of 42 and unintentional weight loss are two factors suggesting the indication of upper gastrointestinal endoscopy to find out organic dyspepsia in dyspeptic patients.
+Recurrent Myocardial Infarction, Acute Myocardial Infarction.
+The common issues in the long stay icu patients
+Background: Entropy monitoring is a relatively new method of assessing anesthetic depth.
+It is applied when there are suscpicious diagnosis which the diagnostic image could'n affirm.
+Cytoreductive nephrectomy before systemic therapy is controversial now that CARMENA (Clinical Trial to Assess the Importance of Nephrectomy), a randomized phase III trial comparing cytoreductive nephrectomy followed by sunitinib and sunitinib alone showed survival was not worse when treating with sunitinib alone (4); however, that trial was criticized for its patient selection.
+Precise symptoms vary by site and severity of the lesion.
+Most of the primary caregivers were women (69.4%), caring hours lasted several hours (over 6 hours per day) and for many years (over 5 years).
+If corticosteroids cannot be easily tapered, a corticosteroid-sparing drug (eg, hydroxyurea, interferon alfa) can be used.
+8 strains with 6 specieswered isolated from the 26 studied patients (26.92%).
+Materials and methods: Prospective case series study on acne patients treated with oral isotretinoin at University Medical Center Ho Chi Minh city.
+Repeated Implantation Failure (RIF) is defined as an unsuccessful clinical pregnancy after at least four good quality embryos transferred for at least three cycles of in vitro fertilization with fresh or thawed embryos in women under 40 years of age.
+We collected demographic and clinical features and assessed TWSTRS before and after treatment. Results: All 19 patients were included with 30 injections.
+Diagnosis of Diffuse Esophageal Spasm Coronary ischemia ruled out Barium swallow Esophageal manometry Alternative diagnoses include coronary ischemia, which always needs to be excluded by appropriate testing (eg, ECG, cardiac markers, stress testing—see diagnosis of acute coronary syndromes).
+This problem is minimized by gradual escalation of dose and administration with meals.
+In which, moderate anemia took 3.7%; mild anemia took 17% and no severe anemia.
+However, no structural finding is diagnostic for a given chromosomal abnormality, and all soft markers may also be seen in fetuses that are chromosomally normal.
+Methods: Patients with ptosis indicated for frontalis sling were treated at National Eye Hospital from 7/2021 to 9/2022.
+Terpen composition and antibacterial activity of the essential oil of melaleuca alternifolia cheel - myrtaceae
+Deep veins injury is the final progression in the primary form.
+This inference has been subsequently highlighted by Salerno et al.
+The thoracic deformity level of the rib cage when surveyed by scoliometter before surgery is 13.25 degrees, reduced to only 4.12 degrees after surgery using direct rotation of the vertebral body.
+In this age group, a child's response to serious illnesses is sufficiently developed to be recognized clinically (eg, nuchal rigidity is a reliable finding of meningeal irritation), so empiric testing (eg, screening WBC counts, urine and blood cultures) is not indicated.
+Background: Dihydroartemisinin-piperaquine (DHA+PPQ) is one of five promising new artemisinin combination with highlights of effective and well tolerance in human by WHO.
+The pus is thin enough to pass through the catheter.
+Because mutations are usually sporadic, screening relatives is not recommended unless there is a significant family history of CVID.
+Today, lung transplantation has become a viable treatment option for patients with a variety of end-stage lung diseases.
+Use a tissue forceps or probe to expose the tissue, and irrigate the entire depth and full extent of the wound.
+Primary nasopharyngeal papillary adenocarcinoma (PNPPAC) is a rare nasopharyngeal neoplasm with a good prognosis and a low rate of regional recurrence.
+Aims of study: Evaluate the hypnotic-anxiolytic effects and toxcity of Tuber Stephaniae - Herba Passiflorae foetidae - Folium Erythrinae - Folium Nelumbinis extract on mice.
+Table Immune status Overall, the most common causes of bacterial meningitis in immunocompromised patients are S pneumoniae L monocytogenes Pseudomonas aeruginosa Mycobacterium tuberculosis N meningitidis Gram-negative bacteria But the most likely bacteria depend on the type of immune deficiency: Defects in cell-mediated immunity (eg, in AIDS, Hodgkin lymphoma, or drug-induced immunosuppression): L monocytogenes or mycobacteria Defects in humoral immunity or splenectomy: S pneumoniae or, less frequently, N meningitidis (both can cause fulminant meningitis) Neutropenia: P aeruginosa or gram-negative enteric bacteria In very young infants (particularly preterm infants) and older adults, T-cell immunity may be weak; thus, these age groups are at risk of meningitis due to L monocytogenes.
+Method: A cross-sectional descriptive study was conducted on 108 mothers who were taking care of their premature babies by the Kangaroo method at the Department of Neonatology, Hanoi Obstetrics and Gynecology Hospital from August 2020 to September 2021.
+At this age, the eustachian tube is structurally and functionally immature—the angle of the eustachian tube is more horizontal, and the angle of the tensor veli palatini muscle and the cartilaginous eustachian tube renders the opening mechanism less efficient.
+Results: 26 studies were chosen in this review.
+Research to determine knowledge, attitudes and practices in HIV prevention of men who have sex with men (MSM) in Khanh Hoa province in 2010
+Diagnosis and treatment of achalasia at pediatric hospital n01
+The methodology permits rapid and accurate detection of the three main pathogens and serogroupA, B, C of N meningitidis, that cause bacterial meningitis.
+More advanced respiratory support is seldom needed.
+The percentage of infected house mice in a population may vary by geographic location; it is estimated that 5% of house mice throughout the United States carry lymphocytic choriomeningitis virus and can transmit the virus throughout their life without showing any sign of illness (see Centers for Disease Control and Prevention [CDC]: Lymphocytic Choriomeningitis).
+Persistent hypothermia can result in hypoglycemia and metabolic acidosis and increases the risk of late-onset sepsis and mortality.
+Surgical complications of kidney transplantation: a 23-year-experience at one center (chợ rẫy hospital)
+Food safety in general and safe vegetables in particular are currently the top concern of consumers as these issues directly affects the consumer health.
+Plasma concentration of ferritin in early pregnancy was significantly higher in GDM case group than in control group (Median (IQR): 92.5 (90.5) compared with 81.86 (81.05) ng / mL, p=0.023).
+Symptoms were due to compression or direct invasion into adjacent. There were higher cases of facial edema, dyspnea in lymphoma compared to other tumors.
+Data on weight and height of children and knowledge of caregivers were collected.
+Take anteroposterior, lateral, and oblique x-rays.
+Result: 55% of establishments met the standards of personnel, 11.7% met the standards of facilities, 8.3% met the standards of records, books and professional documents, 50% met the standards, standards for implementing professional regulations, 87.5% met standards of drug inspection / assurance and 85.8% met standards of complaint settlement or recalled drugs.
+If ingrown toenails recur, sodium hydroxide or phenol is applied to permanently destroy the nearby lateral nail matrix.
+Background: Assess the effectiveness of epidural pain relief after abdominal surgery at the department.
+Epidermolysis bullosa (EB) simplex blisters form in the levels of the epidermis.
+If T3 toxicosis is untreated, the patient usually also develops laboratory abnormalities typical of hyperthyroidism (ie, elevated T4 and iodine-123 uptake).
+Postsynaptic alpha-1-blockers (eg, prazosin, terazosin, doxazosin) are no longer used for primary treatment of hypertension because evidence suggests no reduction in mortality.
+Specifically: Abdominal pain and vaginal bleeding 40.7%, nausea 30.5%, vomiting 10.2% and diarrhea 22%.
+Evaluate factors related to early ovarian hyperstimulation syndrome in in-vitro fertilization
+Most cases come at late stage.
+The next step was to implement a community intervention program on 402 people (intervention group) and 384 people (control group).
+After 3 - 6 months, 80% of patients had good perception, clinical manifestations improved, an image of hydrocephalus disappeared on CT at 82.9% of patients.
+Conclusion: There was no significant difference between male and female in all dimensions except that the arch width measured at the furthest posterior site was larger in male than in female
+Acute endovascular mechanical thrombectomy in patients presenting with large vessel occlusion appears to be favorable and safe and carries a high chance of successful recanalization with good clinical outcomes, and the complications and mortality in a low rate.
+The rate of hypokinesia reduced from 98% to 80% with p<0.05.
+The author studied 181 cases of tumor - like lesions of the breast diagnosed in department of pathology of Medical and Pharmacy University at Ho Chi Minh City during 3 years: 1999, 2000, and 2001.
+It indicates the progress from HIV infection to AIDS state.
+66% of patients do not know the hospital has served the diet for different diseases.
+Transcranial doppler ultrasound imaging in patients with ruptured cerebral arteriovenous malformation
+Serum cystatin C is a new biomarker, rises in 24 hours after using contrast material and returns to baseline values in 48h hours, is recommended to follow and diagnose CIN early.
+HPV infection can be prevented by vaccination.
+Results: 54 patients were enrolled in this study (males 16, females 38).
+Another possible cause is swallowing caustic substances (eg, lye, certain button batteries).
+Renal cell carcinoma associated with Xp11.2 translocation / TFE3 gene fusion is a subgroup of renal cell carcinoma, often with a more severe prognosis than other groups of renal cell carcinoma.
+Keywords: gastroesophageal reflux disease in elderly patient
+To study of the knowledge and satisfication of nurses in danang hospital
+The prevalences of osteoporosis at those ROI are 39.8%, 15.1%; 28%; 38.7%; and 26.9% respectively.
+Objectives: To determine the prevalence of abnormal pap smears among women aged 18 - 60 in Khanh Vinh, Khanh Hoa and the relationship between age, age of first sex, socioeconomic status, history of obstetrics and gynecology and abnormal pap smears.
+Other therapies Intravaginal prasterone (a preparation of dehydroepiandrosterone, or DHEA) may relieve vaginal dryness and dyspareunia due to genitourinary syndrome of menopause (2), which can interfere with sexual interest and arousal; prasterone may also improve genital sensitivity and orgasm.
+80% cases are involved to prodromic diarrhea.
+Quality of life of chronic daily headache patients were affected significantly on most scales of the SF-36.
+These drugs are used primarily to treat supraventricular tachycardias.
+Results: Female / male rate was 1.2/1.
+Sperm Disorders By Robert W Rebar, MD, Western Michigan University Homer Stryker M D.
+If cultures become positive for TB at any time, the neonate should be treated for active TB disease.
+Duodenal bulb ulcer is the most common lesion, (accounts for 95.1%), in which ulcer in front of duodenal bulb accounts for the highest percentage (44.1%); from 2 lesions of duodenum ulcer are 27.5%; lession with Forrest grade IIb and III are 14.7% and 85.3%, respectively.
+A stool sample should be repeated three months after therapy is completed to verify cure.
+Conclusion: The main cause of head injuries in children less than 6 years old is fall, while motor vehicle crashes are priority for children older than 6 years old.
+To describe clinical characteristics of periodontitis patients at Thanh Nhan Hospital, Hanoi.
+The skin covering the mammary gland is continuous with the skin of the chest wall, at the nipples there are many pigment cells that make the areola dark, and around the nipple there are convex dermal glands under the skin.
+Confirm the diagnosis with antineutrophil cytoplasmic antibodies testing and biopsy.
+Janmahasatian's Fat-free mass was found to be influential to the inter-individual variability of volume of distribution and rate of clearance.
+Certain causes tend to manifest acutely because of the severity of their symptoms or associated conditions.
+Effect of pH, temperature and wavelength of polarized light on the specific rotation of glucose and sucrose
+Patient education programs that increase medication literacy may help T2D patients adhere to their medications better.
+The presence of malignant cells in pericardial fluid cytology results was 12.7%.
+The level of GAS5 gene transcript is significantly associated with the patients clinical, anatomical characteristics and postoperative survival time, thus is valuable for the disease prognosis.
+Method: Descriptive, cross sectional study.
+Aim: The aim of the study was to evaluate the long-term results of periodontal treatment on clinical features and HbA1c in type 2 diabetes patients.
+Objectives: Identification type of malaria parasite in malaria infected monkeys.
+Acute non-variceal upper gastrointestinal bleeding is a common medical emergency.
+Patients may also have other neurologic and nonneurologic complications, depending on the cause and duration of impaired consciousness.
+Four patients had pelvic stones (20%), 2 had pelvic and lower pole stones (10%), 2 had upper calyceal diverticular stones (10%), 2 had middle calyceal diverticular stones (10%), 5 had upper calyceal stones (25%), 1 had middle calyceal stone (5%), 4 had incomplete / complete staghorn stones (20%).
+If new ones appear too rapidly or prolifically to remove, excision of the rectum and permanent ileostomy are needed.
+All 35 patients were diagnosed with Generalized aggressive periodontitis and were sampled for subgingival plaque that was detected by anaerobic culture and PCR techniques to identify some pathogenic bacteria.
+If muscle enzyme levels rise again, the corticosteroid dose is usually increased while awaiting the full effect of other medications.
+Subjects and methods: Studied on 466 children diagnosed with dengue hemorrhagic fever shock admitted to Children's Hospital 1 from December 2017 to June 2019.
+In daily activities, on average, each student at School washes their hands 5, 2 times a day (accounting for 45, 1% of the total number of opportunities to wash hands) and in which there are only 3, 7 times of washing hands with soap and clean water (accounting for 73, 6% of hand washing practices).
+Patients with good anticoagulation knowledge had higher rate of adherence (p= 0.03).
+Key Points Lisfranc injuries (fracture-dislocation) involve disruption of ≥ 1 ligaments that stabilize the midfoot, sometimes disrupting ≥ 1 tarsometatarsal joints.
+To evaluate the effect of anesthesia and analgesia postoperative of the below knee amputation by combined femoral nerve block (FNB) and sciatic nerve block (SNB) in high-risk patients.
+Diagnosis of Calcium Pyrophosphate Arthritis Synovial fluid analysis Identification of crystals microscopically CPP arthritis should be suspected in older patients with arthritis, particularly those with a history of recurrent inflammatory arthritis.
+The severity of fatty liver with grade I, II and III were 65, 34, and 1 patient, respectively.
+Information searching needs of stroke patients’ caregivers at the neurology department in Nam Dinh general hospital in 2017
+Relation between vaca virulent factor of helicobacter pylori and characteristis of endoscopy, histopathology in children with gastritis and peptic ulcer
+Objective: The study evaluates the initial results of endovascular intervention for renal arteriovenous fistulas at Cho Ray hospital.
+Patient was permanently monitored the intracranial pressure.
+Laboratory tests to identify a cause of hyperhidrosis are guided by the patient's other symptoms and might include, for example, complete blood count to detect leukemia, serum glucose to detect diabetes, and thyroid-stimulating hormone to screen for thyroid dysfunction.
+The increased rate of overweight and obesity was statistically significant in the group not eating snacks, not eating on time, and fast eating, at 70.0%, 71.2%, and 63.9%, respectively, compared to the group eating snacks, eating on time and slow eating was 51.2%, 50.4%, and 48.2%, respectively (p<0.05 and 0.001).
+Medium age is 56 ys, Female: male ratio is 4: 1.
+Validation of apri and fib-4 indices in prediction of esophageal variceal degrees in cirrhotic patients
+When stable RBC values are achieved, the corticosteroids are tapered slowly with laboratory monitoring of hemolysis (eg, by hemoglobin and reticulocyte counts).
+DHEA levels are known to naturally decrease with age and therefore people in search of the unattainable fountain of youth have turned to DHEA supplementation as a possible solution to ailments associated with age.
+It will be necessary to update the diagnosis criterion, therapeutic guideline and to identify the risk factors, concomittant diseases for improving the outcome of asthma in children under 2 y. o.
+The frequency of sepsis shock from invasive fungal infection was 50%. Conclusions: The accurate and rapid diagnostic method and more effective treatment stragies to invasive fungal infection are very important.
+The mean Tmax (9.8 sec; range 5 - 23.1 sec) was significantly shorter than that of VM (70.2 sec; range 9.9 - 141.7 sec) (p <0.001).
+In vitamin D toxicity, resorption of bone and intestinal absorption of calcium is increased, resulting in hypercalcemia.
+Genetic factors also contribute.
+The increase in the lactate: pyruvate ratio distinguishes oxidative phosphorylation defects from other genetic causes of lactic acidosis, such as pyruvate carboxylase or pyruvate dehydrogenase deficiency, in which the lactate: pyruvate ratio remains normal.
+Scientific contribution and practical aspects of this dissertation Total gastrectomy with D2 lymphadenectomy in the treatment of gastric adenocarcinoma is major surgery and is difficult to conduct, thus, there is a need for profound study of this topic with the aim of improving and applying advanced techniques in total gastrectomy and improve the treatment outcomes as well as the quality of life of gastric patients who require total gastrectomy.
+The American Academy of Pediatrics and the World Health Organization (WHO) both recommend oral replacement therapy for mild and moderate dehydration.
+Conclusion: The homogeneity and stability of produced samples meet the criteria standards of ISO 13528: 2015 and enable utilizing of the EQA program for ABO blood grouping.
+Patients had complete response to the treatment occupied 95.5%.
+Keywords: laparoscopic cholecystectomy; deep neuromuscular block; rocuronium; sugammadex
+Subjects and methods: 62 patients with newly diagnosis of acute lymphoblastic leukemia according to revised FAB criteria (1986) in National Institute of Hematology and Blood Transfusion from January - 2013 to March - 2015.
+Chest thrusts and back blows can also be used if needed.
+Treatment Treatment of the cause Physical measures The cause of secondary parkinsonism is corrected or treated if possible, sometimes resulting in clinical improvement or disappearance of symptoms.
+Histology diagnosis: adenocarcinomas was highest: 41, 48%, followed with epidermoide 25, 27%, large cell 14, 84% and small cell 8, 52%.
+There was a wound infection.
+Commonly, anti-IL-2 receptor monoclonal antibodies are given on the day of transplantation, with a calcineurin inhibitor (cyclosporine or tacrolimus), mycophenolate, and corticosteroids.
+Study of the value of ultrasonography, magnetic resonance 3.0T and edoscopic ultrasonography in the diagnosis of bilary obstruction comparrision with the gold standard ERCP.
+Conclusion: The isolated compounds can be standardised for using as standard references for qualitative and quantitative analyses of Thespesia populnea leaves and for bioassays.
+Patients living with HIV infection should be urged to take their antiretroviral drugs consistently.
+Case report: a female patient, admitted to hospital due to sigmoid liver metastase, was used neoadjuvant chemotherapy with Bevacizumab and XELOX, followed by surgery and adjuvant chemotherapy.
+Hypothyroidism is severe and is seen in almost all the patients and hypocortisol state may be variable (Table-1).
+Objective: Evaluation of treatment outcomes and identify prognostic factors of hematoma in the brain injury in Binh Dinh Hospital.
+Measurement of triiodothyronine (T3) levels is rarely helpful in the diagnosis of hypothyroidism because it is the last test to show abnormal results and should not be done in most patients.
+Six patients lost their vision with 5 being immediately after the trauma.
+The most rapid diagnostic test is PCR, but demonstrating either Lassa IgM antibodies or a 4-fold rise in IgG antibody titer using an indirect fluorescent antibody technique is also diagnostic.
+Objectives.
+The nonviable recombinant zoster vaccine, unlike the earlier live-attenuated zoster vaccine, may be given to prevent herpes zoster but also is of limited effectiveness.
+Results: The study was enrolled 63 eyes (29 overnight ortho-k users) with myopia of - 6.00 DS and above.
+Frequencies, proportions, and means were calculated and analyzed by χ2 and Mann-Whitney tests.
+If degree of toxicity is uncertain, begin IV or oral - acetylcysteine until more conclusive definitive information is available.
+Screening A screening tool is often helpful for older people because many do not complain of hearing loss.
+Internal tibial torsion is common at birth, but it typically resolves with growth.
+Poor prognostic factors were prematurity, polyhydramnios, and large for gestational age.
+Citrus seeds contain high amounts of limonoids which prove their role in health promoting properties.
+In the same way, adults often wonder whether to bring children to a funeral.
+To describe clinical and paraclinical characteristics of muscular lesions in patients with dermatomyositis
+Histopathology: hyperkeratosis, parakeratosis, hyperpigmentatio n, Munro microabscess, papillary hyperplasia, inflammatory cell infiltration, dilated portal capillaries under the dermis.
+Results: the incidence of oligohydramnios at term was 4.1% with 10.2% were severe and 89.8% were mild.
+The ratio of patients with hypertension at grade 2 and grade 3 was clearly reduced.
+Some solutions to improve financial management in Khanh Hoa general hospital
+Early enteral feeding also can decrease the incidence of bleeding.
+Uncommonly, fatal injuries have been inflicted by the Portuguese man-of-war in North American waters and by members of the Cubomedusae order, particularly the box jellyfish (sea wasp, Chironex fleckeri), in Indo-Pacific waters.
+Viral shedding occurs from lesions but can occur even when lesions are not apparent.
+Infections (eg, gastroenteritis) are the most common causes of secretory diarrhea.
+[123], [127], [128] The concentration of HMs in seafood samples Heavy metals, which have adverse effects on human health, can accumulate in fish and shrimp tissues.
+In this study, we examined: Aortic aneurysms transverse diameter, sex, age, intercurrent illnesses, reasons for not undertaking surgical treatment, length of survival and cause of death.
+Most people have right dominance: The right coronary artery passes along the atrioventricular (AV) groove over the right side of the heart; it supplies the sinus node (in 55%), right ventricle, and usually the AV node and inferior myocardial wall.
+Results: 26 students (83.9%) had symmetrical faces. The prevalence of Anderson's subtype I was the highest (77.5%).
+Diagnose COPD and differentiate it from disorders that have similar characteristics (eg, asthma, heart failure) primarily by routine clinical information, such as symptoms (particularly time course), age at onset, risk factors, and results of routine tests (eg, chest x-ray, pulmonary function tests).
+Occasionally, a filter dislodges and may migrate up the venous bed, even to the heart, and needs to be removed or replaced.
+Outcome of treatment and relations with unsuccessful treatment in epilepsy outpatients at vung tau province
+These children tend to respond positively to new situations.
+Method: With a cross-sectional study design, the sample consisted 363 dental casts (202 boys, 161 girls) from 15 - 18 years-old.
+The rate of patent bypass graft after surgery is proportional with preoperative severe stenosis (>95%) of target vessel: bypass to coronary artery with >95% stenosis has lower rates of restenosis or occlusion.
+Appreciate level Sensitive (S), Inhibitive (I), Resistant (R) with CLSI (Clinical and Laboratory Standards Institude). Results: In this study 454 specimens of 1247 were shown to be urine culture positive.
+For most substances, blood levels cannot be easily determined or do not help guide treatment.
+AO = aorta; LA = left atrium; LV = left ventricle; PA = pulmonary artery.
+The branching position may be in the deltoid - triceps muscles wall (31/54 cases = 57.41%), or in the flap (15/54 cases = 27.78%).
+Research the variation of ratio C/D, retinal nerve fiber layer of optic disc in primary glaucoma eyes
+Use CBCT X-ray film and histological results of pathology to evaluate.
+In Vietnam, the studies on phages are still limited.
+The proportion of underused health insurance were higher among males (PR 1.63 95% CI: 1.10 - 2.44), Khmer (PR 1.6; 95% CI 1.07 - 2.42).
+Key Points Cervical herniated disks are common and usually affect nerve roots at C6 and C7.
+Increasing rate IL-1β was 20.3%, IL-6 was 100%, TNF-α was 47.3% and IL-10 was 95.6%.
+Furthermore, the diameter of the arteries measured on CTA-320 is the diameter of arteries on the living body, which is larger than the diameter of arteries measured on cadaver and close to the actual clinical application.
+Draining cutaneous fistulas may occur.
+Key Points Most civilian genitourinary injuries involve the kidney, most are due to blunt mechanisms, and most are low grade.
+Objectives: To systematically review and assess the health economic evaluations of ready-to-use injection preparations compared to the conventional reconstituted admixtures.
+Anthrax also occurs in wildlife, such as hippos, elephants, and Cape buffalo.
+Patients < 55 years with small tumors confined to the thyroid have an excellent prognosis.
+Be alert for signs of an acute abdomen or significant intracranial disorder.
+Osteoarthritis, the most common joint disorder, often becomes symptomatic in the 40s and 50s and is nearly universal (although not always symptomatic) by age 80.
+The cadiovascular's risk factor related to abnormal ABI in this study are diabetes mellitus (OR = 7; p = 0.02; 95% CI: 1.0922 - 34.3472), male gender (OR = 9.35; p = 0.0435; 95% CI: 1.0672 - 82.3563), smoking (OR = 6.1; p = 0.0081; 95% CI: 1.6036 - 23.5008), central obesity ((OR = 21; p = 0.0068; 95% CI: 1.7706 - 144.5859), obesity (OR = 16.8; p= 0.013; 95% CI: 1.4075 - 117.0129) and long - term dialysis (p < 0.05).
+Alternative approaches to smoking cessation, such as hypnosis, acupuncture, lasers, and herbs have not proved to be effective and cannot be recommended for routine use.
+Using of beta2-adrenergic agonists in treatment of patients with asthma at the Thai Nguyen Central General Hospital
+After 1 month, better surgical outcomes and patient satisfaction with the surgery results.
+Methods of the research 2.3.2.1.
+The faster the head is turned, the more obvious is the corrective saccade.
+The cause, at least in part, is that adolescents tend to neglect prenatal care, frequently smoke, and have higher rates of sexually transmitted infections.
+Risk is increased in patients with underlying comorbidities and / or a persistent systemic inflammatory response syndrome (SIRS).
+Although the existing disorder is the likely cause in patients whose condition has remained poorly controlled or is deteriorating, stable patients who suddenly begin losing weight without a worsening of that disorder may have developed a new condition (eg, patients with stable ulcerative colitis may begin losing weight because they developed a colon cancer).
+This molding is a normal process and is not a sign of trauma.
+Treatment of Bladder Cancer Transurethral resection and intravesical immunotherapy or chemotherapy (for nonmuscle-invasive bladder cancers) Cystectomy or radiation with chemotherapy (for invasive cancers) Superficial cancers Nonmuscle-invasive bladder cancers should be completely removed by transurethral resection or fulguration.
+Conclusion: ESWL is a safe and effective way of treating kidney stones.
+A splint is noncircumferential; thus, it enables patients to apply ice and to move more than a cast does.
+Most patients have multiorgan involvement at the time of diagnosis but tend to have one dominant phenotype.
+Diagnosis is by physical examination, ECG, imaging, and cardiac catheterization.
+Rest the forearm and hand on an underpad.
+Value of the peguero - lo presti criterion in diagnosis of left ventricular hypertrophy in patients with aortic valve disease
+They grow to about 20 to 75 mm by 8 to 20 mm.
+Conclusions: Nerve conduction measurement can reveal early changes in peripheral nerve damage in patients with newly diagnosed diabetes.
+Delivery to the laboratory should be prompt, and transport devices should provide an oxygen-free atmosphere of carbon dioxide, hydrogen, and nitrogen.
+Table Pancreatic Endocrine Tumors Tumor Hormone Tumor Location Symptoms and Signs ACTHoma ACTH Pancreas Cushing syndrome Gastrinoma Gastrin Pancreas (60%) Duodenum (30%) Other (10%) Abdominal pain, peptic ulcer, diarrhea Glucagonoma Glucagon Pancreas Glucose intolerance, rash, weight loss, anemia GRFoma Growth hormone releasing factor Lung (54%) Pancreas (30%) Jejunum (7%) Other (13%) Acromegaly Insulinoma Insulin Pancreas Fasting hypoglycemia Somatostatinoma Somatostatin Pancreas (56%) Duodenum / jejunum (44%) Glucose intolerance, diarrhea, gallstones Vipoma Vasoactive intestinal peptidase Pancreas (90%) Other (10%) Severe watery diarrhea, hypokalemia, flushing Treatment of Pancreatic Endocrine Tumors Surgical resection Treatment for functioning and nonfunctioning tumors is surgical resection.
+Results: 3 patients (2, 4, 8 year-old) were diagnosed of nonfunctional left kidney for pyelo-ureteral junction obstruction, hypoplastic kidney with malpositioned uretero-vesical junction, multicystic kidney, respectively.
+The first step using harmonic scalpel in parodectomy
+Background: Esophageal varices account for 40% in patients with compensated cirrhosis and 60% in patients with decompensated cirrhosis.
+Oxides of sulfur, resulting from combustion of fossil fuels that are high in sulfur content, can create acid aerosols with high solubility, which are likely to be deposited in the upper airways.
+Guiding adolescents through this period is a challenge for parents as well as clinicians.
+Oral habits and malocclusion were determined through parents'questionaire, children's interview and clinical examination.
+Scratching and rubbing have resulted in irritation and petechiae.
+The vaccine was also found to be 100 percent effective against one of the main COVID-19 variants (known as B. 1.351) currently circulating widely in South Africa.
+All inhibit protein synthesis by binding to the 50S ribosomal subunit.
+Results: nineteen cases of two-trocar single - incision laparoscopic cholecystectomy have been performed.
+Background: Transhiatal esophagectomy (THE) is advantageous (avoiding thoracotomy, shorter operative time, smaller blood loss, decreased complications and mortality) and it is applied worldwide by surgeons.
+Infection Respiratory infection (which COPD patients are prone to) may amplify progression of lung destruction.
+There was a correlations between FeNO with asthma crisis during last weeks (r = 0, 405; P = 0, 0001) and history of allergic manifestation (r = 0, 188; P = 0, 001).
+KIT exon 9 mutations located predominantly in the small bowel and associated with an unfavorable clinical course.
+The age distribution of hematuria was highest in female from 30 - 39 years-old, and lowest in group over 60 years-old.
+Etiology of Gynecomastia In infants and boys, the most common cause is Physiologic gynecomastia In men, the most common causes are (see table) Persistent pubertal gynecomastia Idiopathic gynecomastia Drugs (particularly spironolactone, anabolic steroids, and antiandrogens—see table) Breast cancer, which is uncommon in males, may cause unilateral breast abnormalities but is rarely confused with gynecomastia.
+All 100% of cases had a history of maternal dengue diagnosis during the perinatal period.
+Background: Interferon gamma (IFN - γ) is an important immune regulator and plays a major role in the pathogenesis of psoriasis.
+The factors associated nodal involvement were tumor size and histological grade with p<0.05.
+Time-concentration data were incorporated into the software MONOLIX 2019R2 for model building by non-linear mixed effect modeling method.
+Describe the incidence, characteristics of patients using colistin and describe the characteristics of nephrotoxicity in patients using colistin at the ICU - General Friendship Hospital Nghe An.
+Conclusion: The quality of public hospitals in Can Tho city in 2016 only reached moderately good level (2.99).
+The elements of family economic status and educational levels didn't not have the association with erectile dysfunction (p>0.05).
+In the group with NYHA II, there were no case of patients with suicidal ideation and suicidal behavior.
+Conclusion: the rate of fatality of HLH was high (25.8%).
+Adnexal masses are often related to the menstrual cycle; they include follicular ovarian cysts (follicles that develop normally but do not release an egg) and corpus luteal cysts.
+Microcirculation disorders can be caused by three mechanisms: vasodilation, microvascular occlusion, endothelial cell damage.
+Morphin and Perfalgan used were lower in B vs C and there are not any complication of Bupivacain.
+This study, applying this classification, was conducted in Viet Nam.
+Stress testing is done to evaluate the stability of an injured joint; however, if a fracture is suspected, stress testing is deferred until x-rays exclude fracture.
+The response to immunosuppressive therapy suggests that immune processes may be involved in.
+Background: To evaluate the accuracy and the pitfalls of frozen section examination in diagnosis the common tumors at Hue University Hospital.
+Persistent atrial fibrillation is continuous atrial fibrillation that lasts > 1 week.
+The rate of metastasis by invasive lesion: Non - invasion 36.8%, visceral pleura invasion 43.5%, parietal pleura invasion 25.0%.
+Occasionally, large foodborne and waterborne outbreaks of intestinal protozoan infection have occurred in the US (eg, the multi-state outbreak of Cyclospora cayetanensis infection attributed to contaminated fresh vegetable trays in 2018 and the massive waterborne Cryptosporidium outbreak in Milwaukee in 1993).
+Mortality of this complication is 30 - 45%.
+Results: Mean platelet volume is normal in 93.1%, ratio mean platelet volume / platelet count ratio is normal in 81.1%.
+Spontaneous Breathing Trials 1.1.6.2.
+Self-care ability of HIV/AIDS patients and some related factors at Tra Vinh province in 2020 -2021
+Conclusions: the prevalence of erectile dysfunction disease in men over 18 years old was 17.9%.
+Purpose: To determine the rate of Deep Venous Thrombosis (DVT) in intensive care unit (ICU) patients.
+Subject and method: We reviewed 73 patients with locally advanced cervical cancer (stage IB3, IIA2, IIB-IVA) treated by curative intent from May 2018 to April 2019 at Hochiminh city Oncology Hospital.
+Environment - working conditions and MSDs on nurses The working environment of health workers in general and nurses in particular has many potential risk factors that greatly affect the prevalence and incidence of MSDs, including: - Physical risk factors / postures: care work, transportation of patients, heavy objects, wrong posture... - Extended working time: long working time, duty, shift work lasts more than 12 hours, night work, holiday work... 5 - Unreasonable organization and workload, lack of social support, jobs requiring high responsibility... - Toxic and noisy working environment... 1.3.
+The diagnosis and treatment of helicobacter pylori infection at three district hospitals in ho chi minh city, in 2016
+Subject and method: A retrospective descriptive case serial study was performed on 47 male patients with locally advanced bladder cancer who underwent radical cystectomy followed by the ileal orthotopic bladder subtitution with Abol-Enein's technique at Department of Urology, 108 Military Central Hospital, from March 2018 to August 2022.
+Quantitative granulocyte colony-stimulating factor (G-CSF) test: Levels are increased at higher radiation doses.
+The patient underwent urgent surgery to perform the femoro - femoral crossover, aneurysm removal and sigmoid colectomy.
+Gustatory changes in chronic suppurative otitis media
+Introduction and objective: Male obstructive infertility has been under-developped due to lack of high-tech instruments.
+The study showed nutrition status associated with dietary intake.
+The median age was 32.30 ± 6.43.
+The ARI rates at T0, T6 were not different between 2 communes with p>0, 05 and p>0, 05 but at T12 there was a significantly different (p<0, 05).
+Survey characteristics of clinical factors and assess the initial resuscitation to acute heart failure out of hospital cardiac arrest at emergency department
+Clinical symtom were usually thyroid node (82.35%) and lymph node (35.29%), metastases (11.78%).
+- The rate of sentinel lymph node detection with Methylene Blue is very high: 98.2%; Most lymph nodes are in the pre-tracheal group (group 6): 90.4%.
+No intra operative complications were found.
+There is a myriad of studies conducted in this specific group of patients internationally.
+Materials and Methods: Clinical research trials and longitudinal follow-up, 66 patients with acute cerebral infarction treated at General-endocrinology internal Department-Hue University Hospital.
+The stone-free rate (assessed with X-ray) following S-URS was 72.7% after 1 month.
+Patients who have fallen more than once or who have problems during balance and gait testing may benefit from physical therapy or an exercise program.
+Normal Glycemia Tolerance disorders Diabetic typ 2 Seafarers 11 Table 3.2.
+All independent variables had significant effects on the dependent variables.
+There have been many advances in diagnosis and treatment of EOC for last decades but the selection of an optimal management is still considered individual patients in their own contemporary stage of disease.
+Researched population are the 24-month-old children and their mother in My Loi commune, PhuMy district, Binh Dinh Province.
+The endoscopic approach provides a much larger field of view than the microscopic approach.
+In patients undergoing PCI, a loading dose of clopidogrel (300 to 600 mg orally once), prasugrel (60 mg orally once), or ticagrelor (180 mg orally once) improves outcomes, particularly when administered 24 hours in advance.
+Thus, temperature changes are sufficient to retrospectively identify ovulation, but they occur too late to be useful for timing sexual intercourse to conceive.
+Data processing using SPSS 20.0 software.
+For patients who have had an uncomplicated myocardial infarction, a 2-MET exercise test may be done to evaluate responses as soon as patients are stable.
+The time of choosing subjects to enter the research group is that after birth, the weight is above 3500/4000 grams, then follow up the pregnancy result and retrospect the clinical and subclinical characteristics.
+Methods: Descriptive analysis on 400 patients who came for medical examination and treatment in Outpatient Department ofConstruction Hospital, June 2021.
+Patients who have symptoms are admitted and treated supportively; antibiotics and corticosteroids are not indicated.
+There are 5 patients with trachealmalacia that rate 4.9%, all of them were recognised during operation and postoperation.
+The percentage of children with symptoms of hard stools and large stools was significantly reduced compared with the control group.
+After six months of intervention, prevalence of overweight / obesity reduced (from 43.5% to 37.8%, respectively), knowledge and practices on nutrition and physical activities improved in general.
+Adrenal cancer: This condition occurs when malignant tumors develop in your adrenal glands.
+There have been many studies on the correlation between indirect methods to quantify LDL-cholesterol with the direct quantitative method in the world, but it is rare in Vietnam.
+In the past, these lesions were often skin grafted, randomly local flap transferring, crossed leg flaps, or waiting for self - epithelialization to heal resulting in prolonged time.
+There are 4 general types of thyroid cancer: papillary, follicular, medullary, and anaplastic.
+Laryngeal and airway irritation may cause respiratory symptoms.
+In intervention group, there was significant improvement in physical activities, i. e they were more active to play sports such as swimming, badminton, soccer, table tennis and spent less time for inactive activities such as watching TV or playing games.
+This method is feasible and safe in Vietnam.
+Aims: The aim of this study is to study the best extraction process to obtain the highest polyphenol content Barleria lupulina L such as solvent, concentration of solvent, the ratio of material / solvent, time and temperature to use in antioxidant and antibacterial activities.
+It was high because all the patients received infusion and noradrenalin before being transferred to the Department of Intensive Care.
+This change is fundamentally due to a decrease in extracellular fluid from 45% to 28% of body weight.
+Background: The prevalence of oral disease and the severity increases with greater age.
+A study about the knowledge of relatives of pediatric epileptics on epilepsy
+The total accumulate incidence of CI-AKI was 12% after 48 hours of follow-up.
+A good first step is to separate patients who are able to walk from those unable to walk; this differentiation will identify the most seriously affected.
+Real-time RT-PCR was performed to investigate ARID1A mRNA and immunohistochemistry was used to investigate the expression of protein ARID1A.
+This effect of Mimostam capsule could be partially explained by its inhibitory activity on α-amylase and α-glucosidase enzymes.
+The majority were consumers' self-prescribed (58.20%), only 13.43% having a doctor prescription; and sufficient for just one day use.
+To determine the rate of antibiotic resistance of Gram-positive bacteria.
+CLINICAL FEATURES AND INVESTIGATION OF CYCLIC VOMITTING SYNDROM IN CHILDREN IN NATIONAL OF PAEDIATRIC HOSPITAL Objects: Vomitting and nausea are common symptoms in children, which are caused by different diseases.
+Conclusion: Sepsis caused by S aureus had a high rate of shock and death.
+Clinical and radiological aspects of mediastinal tumors:a case series from pham ngoc thach hospital
+Noninvasive prenatal screening (NIPS) methods can be used to identify numerical chromosome abnormalities and have been used to identify some larger microdeletion syndromes such as 22q11 deletion.
+Because the anemia is generally mild, transfusions usually are not required.
+Assessment of the late lumen loss with Absorb stent (BVS) by QCA: Coronary angiography after average duration of 15.5 ± 7.3 (months) with 49 patients (61, 3%), it proves that: the lesion angulation increases compared to that after intervention is measured by 3, 55±3, 72 degree; Incidence of side branche occlusion is 0%. Significant in-stent restenosis ISR (>50%) is 8.2% in which 6.1% diffuse and 2.1% local.
+Combinations of opioids and benzodiazepines (eg, fentanyl and midazolam) can be quickly administered as bolus doses.
+The incidence of dermatitis, soft tissue is 3.5%.
+Use of any antibacterial during pregnancy should be based on whether benefits outweigh risk, which varies by trimester (see Drugs With Adverse Effects During Pregnancy for specific adverse effects).
+Clinical research results showed that patients with two - shoulder difference was 0.93 ± 0.64 cm on average, the deflection angle of collar bone was 5.75 ± 4.26 degrees.
+CSF analysis commonly includes Aerobic and anaerobic bacterial culture Mycobacterial and fungal culture Cryptococcal antigen testing Antigen or serologic testing Special stains (eg, acid-fast staining, India ink) Cytology If available, next-generation (metagenomic) sequencing can be used to rapidly sequence large stretches of nucleic acids and thus identify otherwise undetectable pathogens in CSF.
+Especially, effect of humidity element on the drug decomposition was serious than temperature.
+15 blade or a No. 11 with tape covering all but 0.5 to 1.0 cm of the blade.
+RSBI ≥98 and PaCO2 ≥ 43 mmHg during the spontaneous breathing trial independently predicted prolonged weaning.
+Result: In Vietnam market, an amount of functional foods has also increased rapidly in recent years.
+Study on the incidence of coinfection of HBV and HCV among HIV patients at Military Hospital No.103 from 01/2011 to 6/2014
+Efficacy of eltrombopag in management of corticosteroid- resistant immune thrombocytopenia
+MNDs can be classified as upper and lower; some disorders (eg, ALS) have features of both.
+Metformin is considered as first-line treatment in the absence of contraindications in parallel with lifestyle modification.
+Many risk factors have been identified as risk leading to hypertension in measurement including non-behavioral factors such as age, gender, family history, etc. Behavioral risk factor can be changed such as smoking, drinking a lot of alcohol / beer, inappropriate diet (salty eating, eating a lot of fat), inactivity... and intermediate or biochemical factors such as overweight, obesity, dyslipidemia [40].
+Results: Supraclavicular and interscalene brachial plexus block rate were 71.1% and 28.9% respectively.
+Group E (258 patients): each patient, subcutaneously injected 40 mg postoperation 4hours, then 40 mg per day in 7.5 ± 7.2 days.
+Results: Mean age was 54.4±12.7 years old; the proportion of women is higher than that of men (58.8% versus 41.2%); most had dialysis 5 - 10 years (35.3%) and more than 10 years (35.3%).
+This prevalence in children often watch television higher than those without watching 2.12 times (95% CI: 1.22 to 3.70).
+Although the rate of reduction is not high, it is an early change.
+Our findings show that aspiration thrombectomy and stentriever thrombectomy are both effective and safe treatment for acute ischemic stroke. Nonetheless, the procedure time in the aspiration group was remarkably lower.
+As of November 1, 2019, over 2000 cases of lung injury associated with e-cigarette or vapor use have been reported.
+Large tumor size mostly bigger than 6 cm (48.4%), 43.2% of patients with tumor size 3 - 6 cm.
+Nonoliguric patients have lower mortality and morbidity and less need for dialysis.
+The results showed that if pregnant women had been exposed to violence during pregnancy, they would have risk adversely affect to their health and increase of premature birth and low birth weight.
+The dose for children > 40 kg and adults is 800 mg 4 times a day for 5 days.
+It's a sobering thought: the more medals Great Britain challenges for, the more audience members might suffer heart attacks.
+The level of the right portal vein is inferior to the level of the left portal vein.
+Keywords: Pediatric head trauma, traffic accident, abuse.
+In arteries with atheroma, the atheroma causes endothelial dysfunction, possibly resulting in local hypercontractility.
+95.7% of patients discharged from hospital with good results, this rate after one month was 98.6% and three month was 100%.
+For the analysis of CYP2C19 genotypes, the proportions of PM, IM, EM was 7.7%, 36.5%, and 55.8%, respectively.
+Results: On the basis of the laparoscopic findings, diagnostic laparoscopy was enough for 93 patients, and therapeutic laparoscopy was performed in 163 patients (59.9%) for hemostasis of liver (32), hemostasis of spleen (18), hemostasis of pancreas and drainage of collected fluid in omental sac (4), small bowel repair (16), small bowel resection-anastomosis (3), colon repair (6), ligation of bleeders or repair of the mesentery and serous membrane (35), gastric wall repair (10), cholecystectomy (2), bladder wall repair (50), diaphragm repair (13).
+Results: (1) 92.2% patients have bleeding symptom, from which 60.8% have bleeding in more than 2 sites; (2) 84.3% patients have reduced platelet coung < 50 G / l, 88.2% have at least 2 tests result abnormalities and 74.5% have DIC.
+Causes and risk factors of mortality of children with congenital diaphragmatic hernia (CDH)
+Factors as age, sex, amount of blood donated and psychological factors affected the rate of occurrence of abnormal reactions.
+Their location suggests the cause (see table Location of Thrills and Associated Disorder).
+Lower cutoff values of MSAFP increase sensitivity but decrease specificity, resulting in more amniocenteses.
+Omsk hemorrhagic fever is caused by a flavivirus; it occurs in Russia, including Siberia.
+In mouse models of chronic granulomatous disease, CRISPR / Cas9 (clustered regularly interspaced short palindromic repeats and CRISPR-associated protein 9) technology has been used to correct the CYBB mutation.
+Two protoberberine alkaloids isolated from tuber of stephania cambodica gagnep. (menispermaceae)
+The percentages of patients who were aware of adverse effects of taking medicine with unclear origins and contacting with pesticides were 71.4% and 42.9% respectively. Those with knowledge of negative effects of alcohol and drug abuse, STDs and smoking accounted for 24.7%, 24% and 23.4% respectively.
+Neuroimaging is done if there is loss of consciousness, GCS < 15, focal neurologic deficits, persistently altered mental status, or clinical deterioration.
+The majority of cases is under 5 years old (64%).
+Patients with increased blood complete bilirubin accounts for high percentage (68.7%).
+Even patients who reach the hospital alive have about a 50% mortality.
+Patient age was 43 years ± 12.5 (range 18 to 69 years).
+However, the majority of pregnant women dislike to use ginger tea.
+Research on cervical lymph node metastasis in thyroid cancer
+Treatment of infectious complications is the same as that for similar infections resulting from other conditions; it includes use of antibiotics for bacterial infections and incision and drainage of abscesses.
+The study recorded 5.75% of errors in the quality test and 7.13% in the herbs' form.
+The serum calcium with the value 109.49 ± 11.15mg / l did not differ from the control group (p>0.05).
+Objectives Analyze treatment adherence, care for hypertensive patients and some related factors.
+Results: The rate of incorrect use of the Turbuhaler was 74.0% and the rate of incorrect at least one essential step was 37.5%.
+The PSI index <25 is deep delirium.
+Other treatments for heart failure (eg, nonthiazide diuretics, nitrates, inotropes) may be continued during pregnancy depending on disease severity and fetal risk, as determined by a cardiologist and a perinatologist.
+On the other hand, when patients with AP increase TG always fast and nurture intravenously in the first days, it means reducing both the way of exogenous and endogenous TG synthesis and the body must increase the degeneration of TG to ensure the energy demand for the body, makes the level of TG decrease faster.
+Those interventions had initially obtained encouraging results.
+Adjuvant chemotherapy were indicated for high grade sarcomas.
+Conclusion: the study revealed some main clinical manifestations and laboratory findings of acute poisinings in the elderly.
+Pathophysiology of Drowning Hypoxia Hypoxia is the major insult in drowning, affecting the brain, heart, and other tissues; respiratory arrest followed by cardiac arrest may occur.
+Nonendocrine organs also may be affected.
+Key words: Myopia, astigmatism, orthokeratology
+Laparoscopic gastrectomy for cancer at the Department of Digestive Surgery, Viet Duc hospital
+Titrate the gas mixture to provide mild sedation with normal respirations.
+Cross-sectional studies, case-control studies, and prospective-cohort studies investigating the relationship between MPO and cardiovascular risk factors have been evaluated.
+When dysfunction results from injury to the vestibular nerve or vestibular labyrinth, few interventions can improve outcome.
+Findings are more specific if values are high during inflammatory flare-ups and normal between flare-ups.
+Congenital myopathies are a group of genetic muscle disorders characterized clinically by hypotonia and weakness, usually present from birth, with a static or slowly progressive clinical course.
+Results: Patients with heart failure had the median MR-proANP level 377.2 pmol / l higher than the other 10.5 pmol / l (p<0.0001).
+Canal flare index (CFI) has an average value of 4.34 ± 0.36 showed that medullary femoral segment was broad above and narrowed gradually as it descended to the waist.
+If suppurative arthritis is suspected, the joint is aspirated to confirm the diagnosis and to identify the causative organism.
+Results: there were 23 patients under 65 yrs, accounting for 45%, male patients 39%, female patients accounted for 61%.
+The percentage of nurses with correct knowledge, or attitudes, or practices is calculated by the total number of nurses who correctly answer all questions about knowledge, or attitudes, or practices divided by the total number of nurses participating in the response.
+In reality, many people do not have basic knowledge of the diseare.
+Subjects: Medical staff working in departments, room of Kien Xuong district general hospital.
+Setting up the suitable solutions in the reality made the active changes, hygiene and safe food conditions changed following to 10 standards of food sold on the street sides.
+AO = aorta; IVC = inferior vena cava; LA = left atrium; LV = left ventricle; PA = pulmonary artery; PDA = patent ductus arteriosus; PV = pulmonary veins; RA = right atrium; RV = right ventricle; SVC = superior vena cava.
+Three subtypes of NPC are recognized in the World Health Organization (WHO) classification: 1) squamous cell carcinoma with keratin production.
+Fat embolism: Fractures of long bones (most commonly, femoral fractures) may release fat (and other marrow contents) that embolizes to the lungs and causes pulmonary embolism with its respiratory complications.
+Chromosome abnormalities occur in many human cancers.
+Touching the malignant thyroid nodules in examination is 42.1%.
+52.7% of workers were overweight with 91% are men.
+Juvenile idiopathic arthritis (JIA) is uncommon.
+This study determines the long-term result of the surgical treatment for isolated congenital mitral regurgitation with Carpentier's techniques Methods: A retrospective study from Feb 1993 to Dec 2010, 85 patients with isolated congenital mitral regurgitation were operated with Carpentier's techniques at The Heart Institute of HCM City, Viet Nam.
+Observe changes of hemodynamic indicators in patients with septic shock.
+In patients without prosthetic valves, recrudescence of endocarditis after 6 weeks usually results from a new infection rather than a relapse.
+Methods: In vitro tests on mesial buccal canals of 20 extracted human mandible molars, teeth are divided into two groups, prepared by continuous and reciprocating files.
+If a urine pregnancy test is positive or clinical findings suggest ectopic pregnancy, determine quantitative serum beta-hCG and do pelvic ultrasonography.
+Small vessel vasculitis rarely occured in Asia, including vasculitis associated with ANCA and antiglomerular basement membrane (Anti-GBM) disease.
+Patients and methods: 36 patients were diagnosed and treated laryngeal cancer in ENT Department and Oncology Center of Hue Central Hospital from 03/2018 to 05/2019 by prospective, obsertive, descriptive method with clinical intervention.
+Most patients have mild eye pain, which often feels worse with eye movement.
+Examples are sulfonamides, bisphosphonates (inhibitors of bone resorption), rifabutin, cidofovir, and checkpoint inhibitors such as nivolumab and ipilimumab.
+Cystic fibrosis in children: A rare case report
+For example, a patient who has mild asthma with long periods of no or mild symptoms and normal pulmonary function may have a severe, life-threatening exacerbation.
+Fingernails should be cut short to minimize excoriations and secondary infections.
+Key Points Bullous keratopathy is caused by edema of the cornea, most frequently due to Fuchs corneal endothelial dystrophy or corneal endothelial trauma.
+Correlation between correction of the main curve with some relevant factors Table 3.33.
+Describe the clinical signs, lab works and the early results of management the patients with lupus membranous nephropathy, at the Children's Hospital 2.
+Evaluation of bioequivalence of atenolol 100mg tablets produced by Pymepharco Joint Stock Company
+Results: Compared to the TAP group (n = 30) and the control group (n = 30), the median of VAS scores during rest and movements were higher in the control group than in the TAP group.
+An example is a combination of powdered cow's skimmed milk (110 g), sucrose (100 g), vegetable oil (70 g), and water (900 mL).
+On inspection, one or more secondary openings can be seen.
+Keywords: Gram-negative, reduced susceptibility, carbapenem, Huu Nghi
+Children with ileocecum valve resection had greater time for parenteral nutrition than children with ileocecum valve after surgery.
+Patients with RF-positive polyarticular JIA have a less favorable prognosis.
+Introduction: Simulation methods in nursing training are increasingly popular.
+Transmission of Legionella species Legionella organisms are often present in soil and fresh water.
+Investigation of jaundice and necessary of phototherapy at the department allow planning in the personnal and equipment organisation for hospital.
+Mild AFP elevations also occur in acute and chronic hepatitis, probably reflecting liver regeneration; AFP can occasionally increase to 500 ng / mL in acute (fulminant) liver failure.
+Because clostridia double in number every 7 minutes, anaerobic cultures of Clostridia may be positive in as little as 6 hours.
+Unilateral lower extremity paralysis following combined epidural spinal anesthesia in knee surgery patients: A case report
+Situation of malnutrition in children in nursery school in my tho city, tien giang province in 2013 - 2014
+Diagnose via ultrasonography and, if results are equivocal, cholescintigraphy.
+Result: Main symptoms of patients with CB is headache (89.2%) and nasal congestion (67.6%).
+Results: 70 patients with mediastinal tumor were managed with Video-Assisted Thoracoscopic Surgery at Cho Ray hospital and Nhan Dan Gia Dinh hospital from 12/2003 to 12/2005, 32 men and 38 women, mean age 42.73 ± 15.69 years.
+Cleansing lacerations Both the wound and the surrounding skin are cleansed.
+Do CT for high-energy injuries.
+Examining and managing patients according to the principles of FM: continuous (monitoring by FM records, plan re-examination from first visit, get information after referrals), comprehensive (fully examined both physically and mentally), family-oriented, prevention-oriented, coordination of resources for patient care, attention to community factors.
+Table Obstructive disorders Obstructive disorders are characterized by a reduction in airflow, particularly the FEV1 and the FEV1 expressed as a percentage of the FVC (FEV1/FVC).
+Results: compared with isotonic saline, hypertonic saline wash with a different number after: less postoperative pain, less congestion, improved sense of smell more quickly but also cause nasal irritation more patients.
+An atonic or abnormally shaped uterus with abdominal tenderness suggests uterine rupture.
+Evaluation of clinical manifestations, laboratory findings and imaging diagnostics in fascioliasis patients at some central and west-highland area, vietnam, 2006-2008
+The threshold level of MR-proADM was 1.23 nmol / l with sensitivity 72.2%; specificity: 75% with the area under the curve was 0.768 (p = 0.005).
+Fourth, co-existing HTN and obesity, acting via HIF-1α and toll-like receptors, may contribute to the pre-existing chronic inflammation leading to impaired immune-mediated clearance of SARS-CoV-2.
+Result: Average age was 29.1 ± 11.1 years.
+Conclusions: Fascicular VT is rare arrhythmias in children.
+Background: Chronic heart failure is a leading cause of morbidity and mortality worldwide.
+Given epidurally, corticosteroids may accelerate pain relief, but they probably should not be used unless pain is severe or persistent.
+Because children maintain a higher vascular tone than adults they can remain normotensive despite significant blood loss.
+Remove the catheter.
+Conclusion: Nurse, students at Vinh Phuc Secondary Medical had moderate knowledge and attitudes towards catheter associated urinary tract infection prevention.
+Conclusions: Treatment of subacromial impingement syndrome by corticosteroid injection under ultrasound guidance achieved good results and was a safe therapy, with few undesirable effects.
+- The results of diagnosis on PET / CT: 19/20 cases (95%) with primary tumor, 17 cases with metastatic disease, 4 cases with recurrenceo, 8 cases of post radical therapy with non-visualized disease on PET / CT imaging.
+OR Dust your feet with a medicated powder containing an antifungal agent, such as Tolnaftate or undecenoic acid, or paint with a proprietary brand of anti-fungal paint, available without prescription such as Lotrimin, Clotrimazole, Lamisil, etc.
+Most of them have focal neurologic signs (82.6%) which are more common at the brainstem than the cerebellum (p=0.001).
+Material - Methods: HLA complex from 66 objects participated in the study were sequenced by next generation sequencing. Data later were analyzed with Assign Trusight HLA v2.0 software.
+However, only studies of mixed quality have assessed their efficacy, and more research is needed.
+Often, the nurse is the team member primarily responsible for this education.
+(See also Agoraphobia in adults.)
+However, according to the separate studies of each method in Viet Nam, there seems to be differences.
+They are caused by weakening of the arterial wall, specifically, the media.
+It took only one night, spent in a sealed room at the Dunn Unit to disabuse one of their patients of the beliefs of a lifetime: her metabolism was fast, not slow.
+Study design: We retrospectively studied 15 patients who had undergone laparoscopic choledocal cyst excision in our hospital from 2009 to 2012.
+Keywords: susceptibility, kdr mutation, insecticide
+Our results include: 79 males, 25 females; the mean weight is 62.15 ± 8.36 Kg; the mean age is 57.7 ± 7.11 years; the functional classification of NYHA (class II 79%; class III 14.8% and class IV 6.2%); the history of HBP is 66.7%, diabetes is 24%, unstable angor is 35%, stable angor is 65%, myocardial infarction is 34%, associated valvulopathies is 20%.
+Suspected hearing loss at any time should prompt referral to a specialist.
+(2) Determining the incidence of morbidity and mortality of surgical treatment.
+Nutritional care maternity care of pregnant women at Ha Noi obstetrics and gynecology hospital in 2017.
+Aluminum-containing compounds have been used to limit phosphate concentration, but they should be avoided, especially in patients receiving long-term dialysis, to prevent aluminum accumulation in bone resulting in severe osteomalacia.
+The treatment: Fluid transfusion in 2 casses, platelet transfusion in 12 casses, frozen fresh plasma transfusion in 4 casses and blood transfusion in 1 casse.
+Describe the external quality assessment results of blood transfusion tests in some blood transfusion laboratories in 2022.
+The intact rectal stump should not be allowed to remain indefinitely because of the risks of disease activation and malignant transformation.
+English summary: The study was conducted in 6 communes of two districts in Thanh Hoa province: Thach Thanh and Quang Xuong.
+Background: Similar to other medical training institutions in Vietnam, the previous studies neither investigated perspectives nor the impacts of the OSCE on Nursing education and practice.
+Recombinant DNA probes may be useful for detecting asymptomatic carriers.
+Treatment is as for heart failure.
+Study on the role of chest magnetic resonance imaging in diagnosing non-small cell lung cancer at Hai Phong international general hospital, in 2019 – 2020 period
+(Basing on IDF - 2005 standards) Methods: Cross sectional descriptive, examing on 379 advanced bureaucrats who are monitored by the health care department of the Committee of Long An Province CPV via periodical heath examination.
+Methods: The method described prospective study uncontrolled in patients ureteral stones were treated by the method of Holmium laser lithotripsy endoscopic ureteral from November 2014 to July 2015.
+Cytological diagnosis of bronchial carcinomas
+Most of the drugs using were combination, with the highest rate of 3 drugs being 87.05%.
+The authors speculate that the difference in the numbers of cancer survivors could be down to the higher rate of anal cancer in homosexual men or HIV infection, which has been linked to cancer. Jason Warriner, clinical director for HIV and sexual health at the Terrence Higgins Trust, said: We know that HIV can cause certain types of cancer, and that gay men are at a greater risk of HIV than straight men.
+Attempts to alter MDR1 function and prevent drug resistance have been unsuccessful.
+Single or multiple pulmonary nodules, with or without cavitation, and parenchymal infiltrates, sometimes cause symptoms, such as chest pain, shortness of breath, and productive cough.
+The ER pathway plays a critical role in the pathophysiology of breast cancer.
+Prevalence and factors associated with repeat induced abortion among ever married women at reproductive age in nhon ai willage, phong dien district, can tho city
+N Engl J Med 379: 2307 - 2318, 2018. doi: 10.1056/NEJMoa1806640 Key Points Common causes of mitral regurgitation (MR) include mitral valve prolapse, rheumatic fever, and left ventricular dilation or infarction.
+Background: The clinical examination often failed to produce exact results and false diagnosis rates; the consequence the MRI to a diagnostic tool with an overall accuracy of up to 95%.
+Research method: Short cut description.
+We recognized that restenosis occurred and angioplasty was repeated in 3 cases.
+RAS prevalence increased with the number of stenosed coronary arteries (29% in 1-vessel, 27% in 2-vessel, 44% in 3-vessel CAD). Conclusions.
+Adding isosorbide mononitrate 10 to 20 mg orally twice a day may further reduce portal pressure (1).
+Low foot swing (eg, due to reduced knee flexion) may resemble foot drop.
+Astrocytomas typically have the IDH1/2 mutation but not the 1p/19q codeletion; instead, they more typically express mutations or loss of the ATRX gene and mutations in pTP53 (2).
+Methodology: Cross-sectional analyse, at the moment that patient was brought Holter ECG.
+Remission depends on the cause and the duration to start treatment.
+Lorcaserin (not available in the US) suppresses appetite via selective agonism of serotonin 2C (5-HT2C) brain receptors.
+However, the study did not find any influence of gender, age of household head, number of dependent members, participation in agricultural extension activities and credit activities on income of tea farmers.
+The origin situated behind the pylorus in 21 specimens and below the pylorus in 9 specimens.
+Duodenal aneurysm vesicles are very rare, with diverse clinical manifestations, rupture complications with poor prognosis and high mortality rates up to 40%.
+Anticoagulation should be withheld in patients with cerebral emboli, because it increases the risk of hemorrhagic transformation.
+Results: A total of 150 patients (median age: 60 years [range 26 - 82]) were enrolled; 75.3% were male, 62.0% had smoking history, 56.4% had stage IIIB disease and 62.5% had adenocarcinoma.
+The prevalence of chronic pain related to osteoporosis in older people with osteoporosis was 39.6%.
+Activity of the enzyme ALAD in the red blood cells is readily measurable and can be helpful for establishing the diagnosis in ALAD-deficiency porphyria, in which ALAD activity is severely decreased (< 10% of normal).
+In spina bifida cystica, the protruding sac can contain meninges (meningocele), spinal cord (myelocele), or both (meningomyelocele).
+Results: Morphology: Small tree.
+Treatment of osteosarcoma is a combination of chemotherapy and surgery.
+Advanced factors are smoking (48.4%) and GERD 32.3%.
+Results: In our study, the mean age was 57, 46 ± 14, 49, male / female ratio was 1/2; 87, 5% had neurological symptoms; 87, 5% had atypical meningioma, 12, 5% had anaplastic meningioma; 58, 3% occur at the cerebral convexities.
+Result: 88 patients enrolled with median age of 71 (range of 51 - 91).
+Stimulus control involves identifying obstacles to healthy eating and an active lifestyle and developing strategies to overcome them.
+Although these disorders can also be life threatening, complications tend to take much longer to develop.
+Background: The interaction of environment factor and host factor plays the important role in the pathogenesis of gastric cancer (GC).
+Girls can be transitioned to transdermal estrogen patches with cyclic progestin (often worn days 1 to 10 of the calendar month) or to combined estrogen-progestin oral contraceptive preparations for long-term treatment.
+- Sinus tachycardia: > 100 beats / min.
+There are many classification as well as many treatment options including conservative treatment, endovascular intervention and surgery.
+It is caused by mutations in genes on the X chromosome. It is a recessive disorder and thus manifests only in males.
+Hb level before treatment didn't correlate with treatment outcome where as Hb level during treatment did.
+Ideally, after about 3 weeks, an emollient, vitamin D3 analog, or calcineurin inhibitor should be substituted for the corticosteroid for 1 to 2 weeks (as a rest period); this substitution limits corticosteroid dosage, reduces risk of topical corticosteroid adverse effects (eg, skin atrophy, telangiectasias, easy bruising, striae), and prevents tachyphylaxis (diminishing response to an agent after successive dosing).
+Severe respiratory failure was observed on 56% of PHOCD and on 27% of PHCD.
+Those with a growth mindset, however, were more likely to persevere and worked hard on the challenging problem until they found the solution.
+No mortality after operation, 96.2% had good results and 3.8% had acceptable results.
+The study showed that the percentage of military students with high knowledge reached 89.4%, in which 92.5% had a positive attitude about voluntary blood donation.
+To evaluate the cytotoxic effect, MTT (3 - (4.5 dimethylthiazol-2 - yl) - 2.5 - diphenyltetrazolium) assay on the three cell lines: human liver Hep G2 (HB - 8065TM), lung LU-1 (HTB - 57TM), and breast MCF-7 (HTB - 22TM) was performed.
+Therefore, it is necessary to investigate the practice of prenatal screening of pregnant women at Tra Vinh.
+Family-based social health insurance: situation and factors influencing enrolment in family-based health insurance
+The highest admission was from January to April with the peak in March.
+Microscopically, endometrial glands and stroma are usually present.
+Measurement of enzyme activity in red blood cells is subject to variations in how samples are processed and shipped.
+Keywords: paranasal sinus osteomas, clinical characteristics, paraclinical characteristics
+Diagnosis is by Gram stain and culture.
+Using the "Fall prevention knowledge tests" by Patricia C Dykes (2019) to assess the nurses' knowledge.
+Objective: To determine the efficacy and safety of colistin (colistimethate sodium) for the treatment of Hospital-acquired Pneumonia (HAP) caused by multidrugresistant (MDR) A baumannii and P aeruginosa.
+Evaluating the results of narrow-stenoscopic stenosis surgery by using posterior bowleg method using titanium small braces
+Among women infected with HPV, cytology results: 41, 30% cervicitis and 34, 78% LSIL, Colposcopy results: 36, 96% cervicitis in cervical ectropion and 23, 91% suspect cervicitis.
+Methods: Combined retrospective and prospectivelongitudinal study in 33 patients with lung adenocarcinoma stage IV treated with Pemetrexed after progression on platinum-containing first-line chemotherapy.
+Result: Microclimate depends on outdoor climate; lighting intensity at the workplace reaches standards; noise intensity is over 80dBA concentrating on fiber workshops, cigarette-rolling workshops; the concentrations of nicotine and tobacco dust reach standard occupational health standards.
+Objectives: To determine the rate of knowledge, attitude, practice of residents above 35 years old in Hoa Binh - Xuyen Moc - BRVT and factors related to the prevention of type 2 diabetes.
+46% (n = 52) of patients had antecedent infection or vaccination.
+Patients who have primary immunodeficiencies may have nonimmune manifestations that can be recognized more easily than the immunodeficiencies.
+There is a positive relationship between support from spouses / partners, parents, siblings and adherence to ARV treatment.
+Impacts of human milk bank on newborn feeding practices.
+Outbreaks of C pneumoniae pneumonia pose a particular risk for people in congregate settings (eg, nursing homes, schools, military installations, prisons).
+There were no intraoperative and postoperative deaths.
+The working environment and health status of workers at But Son Cement Factory of Ha Nam province from 2009 to 2010
+Key Points In all forms of hereditary spastic paraplegia, the descending corticospinal tracts and, to a lesser extent, the dorsal columns and spinocerebellar tracts degenerate.
+Tissue Doppler imaging frequently suggests elevated LV filling pressures, and strain imaging can show impaired longitudinal contraction despite the normal ejection fraction.
+Results: 89.7% patients were cured, 10.3% died.
+Perform data analysis by software SPSS 16.0.
+If CT is negative but pulmonary or gastrointestinal (GI) symptoms are present, bronchoscopy or GI endoscopy should be considered.
+In the rest, disk hyperemia, edema in or around the disk, vessel engorgement, or a combination is present.
+Complete tears may result in a palpable defect and usually occur 2 to 6 cm proximal to the tendon's insertion.
+P≤0, 05 was considered significant. Logistic regression determined the independent risk factors.
+Evalue the results and the complications.
+Maintain your grasp on the guidewire at all times during the insertion.
+Objective: To assess the role of respiratory resistance and reactance using forced oscillation technique in the diagnosis and stage classification of chronic obstructive pulmonary disease (COPD) patients.
+Endocarditis, peritonitis, osteomyelitis, septic arthritis, cholecystitis, and pleuropneumonia may occur.
+Hematologic disorders (eg, cytopenias, lymphomas, cancers) are common and may be usefully evaluated with bone marrow aspiration and biopsy.
+The operation takes a lot of time and it requires the surgeron have to be skillfull and experience to manage the associated organs.
+Remember to remove the tourniquet after the blood draw.
+Data analysis: Entering and analysing data with Stata 12 software.
+Average wound healing time is 7.5 ± 2.3 weeks and delayed wound healing rate is 100%.
+Rate of female / male: 2.27%.
+A dry, irritating cough is the most common adverse effect (much less common in children than in older patients), but angioedema is the most serious and, if it affects the oropharynx, can be fatal.
+High grade serous carcinoma was 70.6%, followed by endometrioid carcinoma (9.3%), mucinous carcinoma (7.2%).
+The total energy supply increased gradually per day, from an average of 607.3 kcal on the first day to 1291.6 kcal on the 7th day.
+All the time after intervention, the number of platelets and plasma fibrinogen levels did not change significantly. Key words: Stable angina, percutaneous coronary intervention, platelet aggregation
+Some cross-tolerance exists between alcohol and sedatives, especially drugs that act on GABA-A receptors.
+Postsurgical care and complications In most cases, a tapering schedule of topical antibiotics and topical corticosteroids (eg, prednisolone acetate 1% one drop 4 times a day) along with topical nonsteroidal anti-inflammatory drugs (NSAIDs; eg, ketorolac 0.5% one drop 4 times a day) are used for up to 4 weeks postsurgery.
+A male patient, 46 years old, upper gastrointestinal bleeding, cirrhosis background, abdominal ultrasound to detect any signs of a Budd - Chiari syndrome.
+Conclusions: UBE decompression techniques for lumbar canal stenosis can be performed safely and effectively.
+During 7 days after the surgery, 81.6% of the patients received combined intravenous and oral feeding, while 9.2% of the patients were fed intravenously.
+The study aims to evaluate surgery outcome for closed Galeazzi fracture in adult in Viet Duc Hospital.
+Inspection and palpation may detect a brisk apical impulse and sustained left parasternal movement due to systolic expansion of an enlarged LA.
+Testing Testing is usually unnecessary but is indicated for clinically suspected disorders.
+A patient with Oddistricture had to make a small incision in the right uppper quadrant to bilico-entero anastomosis.
+The mean age was 13.7 years, 58% were female, and 81% were non-Hispanic White.
+Treatment of Agitation and Confusion Underlying conditions (eg, hypoxia, shock, sepsis, drugs, progression of traumatic brain injury) should be addressed.
+- Fix the catheter with tape or opsite.
+The knowledge of first-aid practice in order to know fatal injuries was 65.8%, 46.7% gained first-aid purposes, 48.3% had knowledge of the first-aid for open wounds, 47.5% understood their first-aid for fractures.
+Results: Average age: 28.2 ± 21, 058; male / female is 1.5/1; symptoms: headache (73.3%); vomiting, nausea (60%); fatigue, poor appetite (62.2%); perceptual disturbances (37.8%); clinical diagnosis: Stage I: 26.7%; stage II: 48.9%; stage III: 24.4%.
+Anticoagulation is contraindicated in patients with pulmonary arterial aneurysms.
+The liquid gel was easy to use, it created a film on the skin quickly within 2 minutes.
+Dental caries examination was performed on 5-year-old children: 478 in fluoridated area and 456 in non-fluoridated area, in March 2006.
+Conclusion: The proportion of sarcopenia among older patients with diabetes was 51.5%.
+The risk of each of these is increased with duration of therapy with amphotericin B and concomitant use of another nephrotoxic agent.
+Also, IPAP must be set below esophageal opening pressure (20 cm H2O) to avoid gastric insufflation.
+Valuable in the prognosis of benign or malignant disease.
+It can make your liver release enzymes (things that boost certain chemical reactions in your body) that can weaken some medications.
+English summary: A cross-sectional study was carried out on children from 6 to 23 months old in 3 rural communes, Cam khe District, Phu Tho province in 2006.
+By this classification there is 52% large size fistula, 35% medium size fistula, 13% small size fistula.
+On the orther hand, there were mainly tuberculous lesions in ileocecal area (87.5%) on the colonic radiography with barium, often Stierlin's sign, lumen stenosis and ulcerative form.
+Thus, microscopic diagnosis may require repeated stool examinations.
+Conclusion: Due to the fact that lip prints have the sole characteristics, they are used for personal recognition or crime investigation.
+Severe velopharyngeal insufficiency results in regurgitation of solid foods and fluids through the nose.
+The mean distance from the rectal gas shadow to PC line on prone cross-table lateral view is - 7.58 ± 10.59 mm.
+Study of the insulin resistance in patients with impaired fasting glucose by monitoring blood glucose levels when infusing glucose - insulin - kaliclorua
+Etiology of NPD Little research about biologic factors that contribute to narcissistic personality disorder has been done, although there appears to be a significant heritable component.
+The mean leeway space in the dentitions of vietnamese children
+Adenolymphangitis episodes usually precede onset of chronic disease by ≥ 2 decades.
+Whether patients require care in a long-term care facility depends partly on the patient's wishes and needs and on the family's ability to meet the patient's needs.
+Methods: Community intervention study compared with control individuals.
+Onset during the first few years of life is typically related to inherited central or nephrogenic diabetes insipidus or uncontrolled type 1 diabetes mellitus.
+And the recurrence after ablation were 3 patients (3.03%) in the group of AV reentrant supraventricular tachycardia.
+Rarely: "pinprick-and-pass" (local perforation after which foreign body leaves bowel naturally)
+Methods: A case series study (include prospective and retrospective) of adult patients (≥ 16 years old) admitted to the Adults Intensive Care Unit and Vietnam-England Department from 01/2015 to 12/2017.
+The evolutionary path of SARS-CoV-2 in the future
+Tyrosine Metabolism Disorders By Matt Demczko, MD, Mitochondrial Medicine, Children's Hospital of Philadelphia Reviewed / Revised Oct 2021 | Modified Sep 2022 View Patient Education More Information Topic Resources Phenylalanine and Tyrosine... Tyrosine is an amino acid that is a precursor of several neurotransmitters (eg, dopamine, norepinephrine, epinephrine), hormones (eg, thyroxine), and melanin; deficiencies of enzymes involved in its metabolism lead to a variety of syndromes.
+Caffeic Acid and Chlorogenic Acid Contain anti-cancer, antimicrobial, anti-LDL (bad cholesterol) and antiviral properties.
+Results: mean age of patients was 68 years old ± 10.7 (range from 39 to 92 yo) among them 81.8% were male.
+With the guidance of nurses, caregivers of patients could perform the CIC easily and the older children can do it themselves.
+NBUVB is indicated to have quick treatment response, low rates of adverse effect, long relapse-free period, and reduction in levels of the pro - inflammatory cytokines.
+Nail changes, pain from the palmoplantar keratoderma of pediatric patients greatly affected the psychosocial effects.
+Temper tantrums may involve Shouting Screaming Crying Thrashing about Rolling on the floor Stomping Throwing things The child may become red in the face and hit or kick.
+However, the Centers for Disease Control and Prevention (CDC) does not consider rifampin a contraindication to breastfeeding; a decision to stop breastfeeding or to stop the drug should be made depending on the importance of the drug to the mother.
+The most dominant in number is the perforator artery from the posterior tibial artery, accounting for 45.6% of the total.
+Keywords: LASER, Tm: YAG, vaporesection, benign prostatic hyperplasia.
+This approach is not used at many institutions because of the frequent remixing and changing of bags needed to adjust to the patient's level of glycemia.
+Thus, the lymph node stage was increased on 18F-FDG PET / CT compared with CT.
+Infants with meconium aspiration syndrome may be at greater risk of asthma in later life.
+Research effect of reaction harmony using anti human globulin at the thai nguyen central general hospital
+Methods: About 100 clinical isolates of Gram-negative bacteria were obtained from patients suspected to have developed nosocomial infections after 48 hours of admission to hospital.
+The American Heart Association and American College of Cardiology (ACC / AHA) no longer recommend endocarditis prophylaxis for patients having routine gastrointestinal endoscopy (see the ACC / AHA 2020 guideline for the management of patients with valvular heart disease).
+The decrease in TLC determines the severity of restriction (see table).
+Older adults with respiratory virus infections such as influenza, COVID-19, or respiratory syncytial virus (RSV) are also more likely to have serious manifestations.
+Objectives: - To describe the gender, location and the malignant grade in patients with non - Hodgkin lymphôma; - To determine the expression of some immunologic markers, the relation between tumour cell lineage and histopathology in patients with non - Hodgkin lymphoma.
+Conclusions: extraventricular drainage with intraventricular alteplase was safe and associated with a lower risk of death, increased the chance of having a good functional outcome at 1 month, 3 months in IVH patients.
+For pregnant women, azithromycin 1 g orally once should be used.
+Objectives: Todetermine rate, microbiological features, risk factors and outcomes of nosocomial infections during ECMO.
+Certain anti-diabetic drugs like pioglitazone (via peroxisome proliferator-activated receptor γ activation) and liraglutide (via glucagon-like peptide 1 receptor activation) have been shown to upregulate ACE2 in animal models [11, 12]; however, the current evidence does not support any change in the ongoing medications [13].
+Negative culture should be confirmed by both SDA agar and BHI broth with sediment of 10 - 20ml of CSF.
+Nonvertebral fractures are typically symptomatic, but about two thirds of vertebral compression fractures are asymptomatic (although patients may have underlying chronic back pain due to other causes such as osteoarthritis).
+Objectives: Sepsis and septic shock are serious illnesses, with high mortality rate for almost all ages, especially in children, and this rate continues to increase by 5 - 10% per year.
+Table Microscopic examination of a wet drop preparation of synovial fluid for crystals (only a single drop of fluid from a joint is needed) using polarized light is essential for definitive diagnosis of gout, calcium pyrophosphate arthritis, and other crystal-induced arthritides.
+Dehydration and undernutrition may result.
+Objectives: Assess knowledge, attitudes and factors involved in disease targets and management style flow levels in children of mothers with children under age 5 in the examination and treatment Hoa Thanh district health centers.
+Therefore, we conduct research to evaluate the relationship between CYP2C19 polymorphisms and platelet aggregation in patients with acute myocardial infraction.
+Methods: A cross-sectional descriptive study was conducted on 201 nurses, who were attending training courses at Thai Nguyen University of Medicine and Pharmacy.
+Results: In 169 patients, 23.1% and 19.5% patients were pathologically diagnosed as containing the hilar and mediastinal lymph node metastases, in turn.
+Self-tanning products do not provide significant protection from UV exposure.
+Benzathine penicillin G is a long-acting formulation that is available as Pure benzathine penicillin A mixture of equal amounts of benzathine and procaine penicillin G A 3: 1 mixture of 0.9 million units benzathine and 0.3 million units procaine penicillin G Of the 3 products, only pure benzathine penicillin is recommended for treating syphilis and preventing rheumatic fever.
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