The authors reported results of management of warfire craniocerebral abscesses in 53 cases from 1980-1995. The rate of abscess was 16.3%. Retained materials found: bone only 58.49%; both metal and bone: 7.54%; metal only 5.66%; none: 28.30%. Characteristics of abcess: thick capsula: 37.74%; numerous focuses of pus: 15.78%; open abscesses: 50.95%. Organisms found in culture of pus of abscess (23/36 cases: 63.88%) gram positive: 52.17%, gram negative 47.83%). Methods of management: urgent removal of abcess capsula: 71.72%; puncture-aspiration: 1.88% pus drainage: 18.86%; conservative treatment: 4.54%. The overall mortality was 20.76%. The postoperative mortality rate rate was: 13.22%.
diagnosis ; therapeutics ; brain abcess ; Wounds and Injuries ; war ; Social Problems

28 lots of HB vaccine, produced from 1997 to 1999, have been tested for sterility, safety, potency and pyrogenicity. All of the 28 lots meet the WHO's requirements for human plasma-derived hepatitis B vaccine
Hepatitis B Vaccines ; Vaccines

A group of lonely elderly living in nursing house and another group living in community were studied with the data of a prospective analysis, with direct interviews and clinical examinations. Results showed different frequencies of various depressive and anxiety disorders. A range of psychosocial and familial factors causing up the development of these conditions was discussed
Depressive Disorder ; diagnosis ; Aged

This study is aimed to evaluate prevalence of hockworm infection in three mountainous and midland communes of BacGiang province. Results showed that general prevalence of hockworm infection in these populations was 28.7%, in farmers: 29.8%, the others: 21%. In hockworm infection people, the rate of anemia was 52.7%, no one suffered severe anemia. Anemia had bad influence to people’s health with symptoms of pale skin and mucosal lining, chronic fatigue, and dyspnea in effort
Hookworm Infections ; Ancylostomatoidea ; Epidemiology

Studying clinical features of depression and anxiety disorders on 70 patients with pulmo-infiltrated pulmonary tuberculosis in the Military Hospital N0 103 and the Thai Binh Hospital of Tuberculosis, and a control group of 30 healthy people showed that: ratio of men/women = 3/1; average age 40.03 17.45 years; time of diseases < 6 months (68.5%). Symptoms of depression disorder included: fatigue (87.10%), loss of appetite (77.10%), insomnia (74.30%) and hypothymia (71.40%). Symptoms of anxiety disorder included: worries about future misfortune (45.7%), phobias (29.9%) and nightmares (20.0%). Mild and moderate depression and anxiety disorders were more
Tuberculosis, Pulmonary, Anxiety Disorders, Clinical Medicine

Background: Subacute hematogenous osteomyelitis is a rare disease and difficult to diagnose. Hematogenous osteomyelitis is an infection caused by bacterial seeding from the blood. Acute hematogenous osteomyelitis is characterized by an acute infection of the bone caused by the seeding of the bacteria within the bone from a remote source.\r\n', u"Objectives: The study had two purposes: (1) Remark of Clinical and Xray syndrome of Subacute hematogenous osteomyelitis, and (2) Evaluation of the surgical results. Subjects and method:We operated on 42 patients with Subacute hematogenous osteomyelitis during 18 years period ( from 1984, October to 2005 December). Included 11 female, 31 male at the age from 4 to 12 years old. A rontgenographic classification was described by Gledhill & Roberts. The surgical debridement and irrigated with the antibiotic. Results: The patient's temperature is mildly elevated or normal, the pain isn't remarked. The WBC is normal. The cultures obtained by biopsy are positive in 8/42 patients. The lesions of type 1 in (88.1 % and type 2 in 11.9%. The follow - up: Good in 61.7%,Fair in 32.4%, Poor in 5.9%. Conclusions: The diagnosis and treatment are usually delayed, sometimes must be established by an open biopsy and cultures. Treatment with curettage of the lesion and administration irrigated with the solution antibiotics.\r\n", u'
Osteomyelitis/ pathology ; surgery

Background: Laparoscopic surgery is as very safe as traditional open surgery. A laparoscopic cholecystectomy is a surgical procedure during which the doctor removes your gallbladde. Objectives: This study was to assess the effect of local and intraperitoneal bupivacain infiltration on pain relief after laparoscopic cholecystectomy and the side effects of this technique. Subjects and method: In study group (n = 37), 25 mg bupivacain 0.25 % and 75 mg were infiltrated at Trocat incisions and at intraperitoneal surgery site, respectively. In placebo group (n = 44): no infiltration was used. VAS was measured controlling patient's pain during at rest, following inspiratory effort and movement; IV perfalgan requirement and the side effects of the technique were observed. Results: VAS at rest, following inspiratory effort and movement as well as perfalgan requirement during postoperative 6 hours were lower in study group (p < 0.05). \r\n", u'A significant decrease of heart rate after 10 - 30 minute of intraperitoneal infiltration of bupivacain was noted. Conclusions: Local and intraperitoneal bupivacain infiltrations had an effectiveness on pain relief during 6 hours after laparoscopic cholecystectomy. Moderate bradycardia was a main side effect of this technique. \r\n', u' \r\n', u'
Cholecystectomy/ methods ; Bupivacaine/ administration & ; dosage

Background:Recent international researches in trauma patients have shown that hyperglycemia usually goes along with increased mortality, ventilator time and post-operative complications. The role of blood glucose in trauma prognosis and treatment is a current concern. Objective: To evaluate blood glucose change and the relationship of hyperglycemia to severity of injury in the clinical in multiple trauma patients before operation. Subjects and method: A prospective, descriptive study was conducted at the Emergency Surgery Unit and Post-anesthesia Care Unit, Department of Anesthesia and Recovery, Viet Duc hospital, from March to September/2006. The participants were over 15 years old, multiple trauma patients who were operated within 48 hours after the accident, but they had not been used inotrope, sedatives and operated in other clinical. Results: Hypoglycemia (under 3.5 mmol/l) was seen in 4/926 multiple trauma patients. Three of four were in shock due to severe blood loss, of which 2 patients had breath and cardiac arrest. Both patients died from multi-organ dysfunction immediately and one week after operation. The average blood glucose level of patients with ISS 25-40 and over 40 was significantly higher than those with ISS 16-24. Hyperglycemia had a closely positive association with ISS (r=0.48, p< 0.01). Conclusion: Most of multiple trauma patients have hyperglycemia before operation. Hyperglycemia has a relationship with severity of injury, especially with severity of anatomical injury. 4.1% patients have hypoglycemia which is mainly associative with prolonged shock.
Multiple Trauma/ blood ; surgery ; Hyperglycemia/ pathology ; therapy

Background: Rotavirus vaccines used to prevent acute diarrhea among children under 5 years old. In Vietnam, with the assistance of the World Health Organization (WHO), Centers for disease control and prevention (CDC), Atlanta, United States, Ministry of Health and Ministry of science and technology researched to create rotavirus master seed G1P8 which would use to produce Rota virus in Vietnam. Objectives: to evaluate titre and safety of rotavirus master seed G1P8 in vitro and in experimental animals. Subjectives and Method: experimental studies in vitro and experimental animals. Rotavirus master seed G1P8 (KH0118) series 1 (MS-P5) and series 2 (MS-P5) produced in 2005, preserved 80oC, were determined by immunofluorescence method (with unit of FFU/ml). The strains were tested in experimental animal\u2019s safety like the safe requirements of World Health Organization on live-attenuated vaccine (OPV). Results: no detection for exotic virus strains in virus suspension by PCR and titres of rotavirus master seed were similar and were more than 107 FFU / ml. 10 intervened rabbits were healthy life during follow up period, 8/10 these rabbits increased weight after follow up period, only two rabbits reduced weight but increase of mean weight of all 10 rabbits was 106%. 5 intervened guinea-pig increased mean weight (158%) and healthy during follow-up period. 4 experimental white mice increased mean weight (195%), higher than control groups. It was safety in experimenting on baby mice. Conclusions: two lots of rotavirus master seed G1P8 produced in POLYVAC had high titre and safety both in vitro and in experimental animals.
Rotavirus ;

Background: Hypertension is an important risk factor that increases the cardiovascular disease-related morbidity and mortality, especially in elderly people. Objectives: The study aims to identify the hypertension rate among elderly residents of Can Tho city and some demographic, economic and social factors that were associated with hypertension in view of hypertension is changing with social and economic development. Subjects and method: The cross-sectional study involved 594 elderly people who were living in Can Tho city. Blood pressure was measured by the Korrotkoff method. The demographic, economic and social information was collected using questionnaire-based direct interviews. Results: The hypertension rate was quite high in the elderly group (51.9%). According to the WHO\u2019s ISH criteria, stage III occupied nearly 10%, stage II was approximately 15% and nearly one third of them in stage I. Age and living location were found to have significant impact to blood pressure status. Compared to the age group of 60 to 69, the elderly people in the age group of 70 to 79 were more likely to have hypertension by one and half times. And the risk was more than twice as high in the age group of 80 and above. These relationships were significant to p<0.05. The elderly people who were living in rural areas had twice the chance of having hypertension than those living in urban areas (p<0.001). Conclusion: The hypertension rate was quite high in elderly people in Can Tho city, Viet Nam. Age and living place were factors related to hypertension status in the elderly.
Hypertension ; Elderly