There were 144 cases of post operative intestinal obstruction at Thai Binh General Hospital from 1994 to 1995. 96 cases were divided in operative group; 48 cases in the group without operation. The rate of post operative intestinal obstruction attained 23.4% of all cases of mechanical obstruction, i.e at 2nd rank following the obstruction caused by round worm. Preserving intestinal therapy was 31.9% for post operative intestinal obstruction, mortality 2.7% (4/144 cases) i.e twofolds versus mechanical obstruction cases 1.3% (8/614 cases). The majority of early post operative intestinal obstruction needed an operation (9/11 cases). The incidence of intestinal necrosis complications of post operative intestinal obstruction accounted for 11.8% (11/144 cases). More than a half of causes was the adhesion of intestinal on the scar of previous operation on the wall of abdomen (58.3%).
Therapeutics ; Intestinal Obstruction ; Surgery ; Epidemiology

Basing on the data of 41 patients who died due to primary carcinoma of the bronchus and all underwent necropsy, the authors note the clinical and paraclinical features of the diseases as follows: 1/ the modes of onset can be ranged in 3 groups: a/ respiratory symptoms (cough, chest pain, etc...): 29/41 (70.7%); b/ General symptoms (anorexia, tiredness, etc.): 9/41 (21.9%); c/ Radiological abnormalities only 3/41 (7.3%). 2/ The physical signs are seen in most patients: 40/41 (97.5%), among them diminished breath sounds are often noted: 27/41 (65.8%) and before pleuritic syndrome: 8/41 (19.5%). 3/ The radiological abnormalities are limited in 6 groups, three of which are the most common appearances: hilar and medicastinum shadows: 10/26(30.4%). 4/ History: adenocarcinoma: 21/41 (51.2%); epidermoid carcinoma: 16/41 (39%); oat cell carcinoma: 4/41 (9.8%).
Bronchial Neoplasms ; Death

Primary liver cancer occurs frequently in male. It has a fatal outcome within the first 6 months and deaths are mainly due to coma and cachexia. 3 initial symptoms are often seen: anorexia, pain under the right costal margin and diarrhea. Liver cancer occurs frequently on a cirrhotic liver. Mass cancer and nodular cancer are the prevailing forms. Microscopically, hepatocellular carcinoma is the predominant picture. Metastasis to the liver pedicle nodes is often noted and distant metastasis is uncommon
Liver Neoplasms ; Neoplasm Metastasis ; diagnosis

Fine needle aspiration under the ultrasound has been applied for the first time at the H÷u NghÞ Hospital on 25 patients with liver tumors. The results showed that number of patients with liver carcinoma, abscess and cysts were 18, 2, and 1, respectively; 4 patients were unable to be diagnosed because the samples could not be collected. Only 6 patients felt mild pain during aspiration. No complication happened
Liver ; Liver Neoplasms ; diagnosis

387 cases of intestinal obstruction due to round worm were treated from January 1st 1996 to September 30th 1997 at Thai Binh General Hospital. The incidence of this condition was 9.5% in adults and 63.3% in children. In adults 35% were treated surgically, in children 9.1%. Most of children with round worm intestinal obstruction did not undergone operation. Intestinal therapy gave success in 90.9%. In this condition, round worm knot image was displayed in 43.7% and this was an objective sign of high value to define the causes from round worm knot, especially in adults, when in clinics, the sign of round worm infection was not touched.
X-rays ; Diagnosis ; Helminths ; Intestinal Obstruction

The enrolled subjects were any patients who diagnosed as primary blood hypertension according to JNC VI - 1997 criteria and treated at Bac Giang General Hospital from October 1st 2003 to September 31st 2004. Common risk factors were: the habit of consuming salty food in the population having this habit, the prevalence of hypertension was 2.33 fold higher than who without; in tabacco smokers - 3.04 folds higher; in alcohol users - 2.95 folds; in obesity - 4 folds; who with familial factors - 9.33 folds.These were main risk factors caused hypertension and having relation to hypertension.
Risk factors ; Hypertension ; Blood ; Epidemiology

A malaria survey was carried out in May 2008 in the Northeastern, Province of Hoa Binh. It was found that malaria in the province was retained stable and tended reduced. In 2007, 1.075 malaria cases of which 39 confirmed parasites (mainly imported ones) were found over the province. This malaria prevalence was reduced by 97% as compared to that of 1992. No malaria outbreak and death were reported. The malaria control activities were carried out simultaneously. At the peripheral level, such activities as detection, diagnosis and treatment were well maintained. Artemisinin based combinations were used for malaria treatment. The vector control at the key malaria regions was completed protecting 82167 inhabitants. IEC on malaria control as well as monitoring and retraining of health staff were regularly maintained. The guidance and investment from Government, Ministry of Health and National Institute of Malariology \u2013 Parasitology and Entomology are necessary to maintain the result of malaria prevention in Hoa Binh province.
Malaria control ; IEC ; Hoa Binh province

Background: Domestic-related violence against women appears in every country, culture and socioeconomic classes. Yen Phong district of Bac Ninh province is in the economic transformation process from agricultural to industrial and service economic structure. The domestic-related violence trend is increasing, but there are no study on this situation. Objectives: The study was conducted to investigate the situation of domestic violence against women in Yen Phong district, Bac Ninh province. Subjects and method: The study used cross-sectional descriptive design. Participants were married women who were less than 50 years old. The participants were interviewed with structured questionnaires. The group involved the men who have a history of violent activities against women and the women who suffered from violence was thoroughly interviewed and discussed. Results: A total of 452 women had participated in the study. Mean age of participants was 34.6 years old (ranging from 19 to 49 years old). About half of participants have never suffered from domestic violence. The violence in the last 12 months was lower, affected to one out of every 5 women. The mental violence accounted for highest rate, followed by physical and sexual violence (29.2%, 28.3% and 10.4%, respectively). Sharing economy and household responsibility, gambling habit of husbands and talkative habit of wives were main reasons of violence. The consequences of violence were mainly related to mental and social factors. Some women suffered from mental, physical and sexual health consequences (73.2%, 20.5%, and 13.7%, respectively). Conclusion: In order to increase the awareness on domestic violence, it requires improve access to information on gender violence for both men and women.
Gender violence ; Rural women

Background: Domestic violence is a common occurrance in every country, culture and all levels of society, and about 20%-50% of women worldwide are victims of domestic violence. In Vietnam, domestic violence had broad range of influences and has serious impacts. Objectives: To identify the factors influencing domestic violence in Yen Phong district, Bac Ninh province. Subjects and method: A cross-sectional study was conducted in 2006 on 452 married women aged 19 to 45 years, with structured questionnaire and in-depth interviews and focus group discussion. Results and conclusion: the lifetime prevalence of domestic violence was 42% and the prevalence in the past 12 month was 22.6%. The most frequent domestic violence was mental, followed by physical and sexual violence. The first 15 years of marriage was the most turbulent period of violence. There were significant relationships between lifetime violence and the education, occupation, economic status, but there was no relationship for violence in the past 12 months. The women, whose husbands were drunk, gambling and unfaithful, were more likely to be facing domestic violence than the others. The acceptance of violence by women was significantly related to violence. Those who perceived the violence by husbands were very severe then were less likely to be faced by violence than the other. In order to prevent the domestic violence, it is necessary to promote the health education, improving the awareness of women and men on gender equity and equality.
Domestic violence ; Gender equity

Background: Intractable pain is the most distressing symptom in patients suffering from unresectable pancreatic carcinoma and chronic pancreatitis and thoracoscopic splanchnicectomy is an emerging method in the past decade for pain control. Objectives: To evaluate the effectiveness and safety of thoracoscopic splanchnicectomy in controlling pain due to pancreatic diseases. Subjects and method: This descriptive, cross-sectional study was carried out between May 2004 and August 2006, on 29 patients with unresectable pancreatic carcinoma and chronic pancreatitis, treated by thoracoscopic splanchnicectomy. Their subjective pain was assessed by visual analogue scale (VAS). Intra- and post- operative complications and mortality, operative time and hospital length also so have been evaluated. Results: Among 29 patients, there were 21 cases of pancreatic carcinoma (11 males and 10 females) and 8 cases of chronic pancreatitis (100% were male). The average operative time was 133.27 \xb1 8.32 min (range 90-270 min). 27 cases (93.1%) underwent bilateral thoracoscopic splanchnicectomy and 2 cases (6.9%) underwent unilateral procedure. There was no death due to procedure. The mean hospital stay was 4.86 \xb1 0.56 days (range, 1\ufffd?3 days). Pain relief was most effective in the 1st week after operations. Conclusion: Thoracoscopic splanchnicectomy is a safe and effective procedure of treating malignant and benign intractable pancreatic pain. It is needed to study long-term efficacy of pain relief for chronic pancreatitis.
Pancreatic Diseases/ surgery ; Thoracoscopy ;