1.Study on plication of horizontal recti to correct horizontal strabismus
Journal of Medical Research 2005;38(5):79-84
Plication of horizontal recti with many advantages in the treatment of strabismus has been applied by many authors in the world, but not yet in Vietnam. Objectives: to evaluate the results of this surgery that applied in Vietnamese. Methods: Prescriptive, longitudinal prospective study that had been done in Hanoi National Institute of Ophthalmology from 9/2003 to 9/2004. Results: In postoperative period, 83.3% of cases with exotropia and 89.6% of cases with esotropia are well corrected after 6 months, 100% of operated eyes are well healed with a smooth conjunctive scars and 52.62 % of operated patients have got a full binocular vision after 3 months following up. The rate of the eyes with suspected amblyopia is reduced from 18.8% to 9.8%, with moderate amblyopia is also reduced from 8.8% to 2.4% by 6 months postoperatively, but the rate of the eyes with severe amblyopia is not significantly changed after surgery. Conclusion: Plication of horizontal recti is a safe, effective method for correction of strabismus, especially when it is necessary to do surgery on many extra-ocular muscles in the same eye.
Strabismus
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Therapeutics
2.Food safety: Listeria infection and rapid test for diagnosis
Journal of Preventive Medicine 2005;15(6):97-99
Listeria momocytogenes is a positive gram bacillus, not producing odontoblast, often seen in soil, straw and grass and plants. Listeria can infect to herbs, cooked food and cheese and paste in fridge. Listeria gets in human body by digestion of contaminated food. The disease caused by listeria is dangerous with the mortality rate can up to 30% of cases. To prevent listeria-caused diseases, food safety has to be promoted, especially for people with exposure (infants, pregnant women, immune-compromised people). Biochemical tests to differentiate Listeria momocytogenes from other forms of non-harm listeria variations help diagnose at the earliest possible stage.
Food
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Listeria Infections
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Diagnosis
3.Epidemiology: a recognized discipline
Journal of Preventive Medicine 2005;15(1):102-103
Epidemiology is the study of phenomena and completions of community’s health in order to prove the determining factors and their roles and to carry out proper measures. Epidemiologists rely on statistic methods, using different sampling and analysis methods based on objectives and feasibility of the work. Epidemiology is now a valid study in college cirricullum and more and more recognized and applied.
Epidemiology
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Health
4.Studying on some predictors of hematoma enlargement occured in patients with hypertensive intracerebral hemorrhage
Journal of Vietnamese Medicine 2004;294(1):7-12
69 patients with hypertensive intracerebral hemorrhage (HICH) admitted within 24 hours of stroke onset. 14/69 patients (20.3%) with enlarged hematomas after the first CT was performed during 30 minutes at admission and the second within 24-36 hours of admission (33%). Multivariate analyses revealed that the following three factors were independently associated with hematoma enlargement: the time from stroke onset, prothrombin ratio, the shape of hematoma. Hematoma enlargement was an independent factor increasing the mortality rate in the HICH patients
Hematoma
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Diagnosis
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Intracranial Hemorrhage, Hypertensive
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Hypertension
5.Co-infections HIV and microbacteriums causing hepatitis
Journal of Practical Medicine 2003;458(8):55-58
Study 120 intravenous drug users admitted liver disease clinic and HIV clinic from April to July 2002, the results showed that reasons of 14.2% were routine examinations, the rest were fever, HIV-related conditions or symptoms of liver diseases or gastrointestinal diseases. 57% patients had transaminase level of >100 IU/l. Severe hepatocellular necrosis was remarkable in patients went to liver disease clinic. Important co-infection in 54 patients went to liver disease clinic was HIV-HBV-HVC. Intravenous drug users can be co-infected with many different viruses with severe hepatocellular necrosis, so they need appropriate treatments
HIV
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Hepatitis
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Mycobacterium Infections
6.Clinical characters and the results of treating fast heart rhythm disorders
Journal of Practical Medicine 2005;0(6):86-87
A study was performed on 82 cases, among which, 50% with fast heart rhythm disorders at Quang An Hospital. Results: The most common risk factors included: exhausted or moved activities. Fast heart rhythm disorders were more common in patients with hypertension and heart valvular disease. Common symptoms included: headache, dyspnea. More severe symptoms: unconsciousness, convulsion, enuresis, systolic blood pressures < 90 mmHg. There were 13.41% of cases could not cut off fast heart rhythm disorder, left the hospital within 24 hours with death prognosis.
Arrhythmias, Cardiac
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Diagnosis
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Therapeutics
7.Surveillance of glycohemoglobin HbA1c and the relationship HbA1c/blood – glucose/serum in normal persons and diabetes
Journal of Vietnamese Medicine 2004;296(3):45-51
42 healthy persons and 52 diabetic patients were measured to clarify the blood HbA1c and serum glucose level simultaneously, using low pressure cation exchange chromatography and colormetric enzyme method. The results: the mean value of blood HbA1c is 5.130.53% (4.1-6.2%). The mean value of blood HbA1c in diabetic patients are higher than that of normal persons; the fluctuate from 5.9 to 12.5%. Positive correlation between blood HbA1c and serum plucose in normal persons has been indicated in the investigated subjects, characterized by the following equation: Y = 0.39 X +3.01; r=0.3632. These correlation in diabetic patients has been indicated and characterized by the following equation: Y =0.98 X + 1.99; r=+0.5891 (in which: X= blood HbA1c , Y = serum glucose level)
Diabetes Mellitus
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Serum
;
Blood
8.Serum levels of apolipoproten A-l and apolipoprotein B in healthy persons
Journal of Vietnamese Medicine 2004;298(5):10-14
Serum levels of apolipo protein A-I (Apo A-I) and apolipo protein B (Apo B) were determined with immumo turbidimetry technique on 42 healthy subjects. Obtained Apo AI values were distributed according to standard Gauss rule. Apo AI values were determined in the interval of 87-94 mg/dl, and Apo B- 57.112 mg/dl. There was no difference between male and female subjects in terms of serum levels of Apo B and Apo A-I. The results could be approved temporarily as reference for laboratory and clinical works
Serum
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Apolipoprotein A-I
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Apolipoproteins B
9.Nutritional anaemia in Vietnam: a representative survey through nationwide ecological regions in year 2000
Journal of Practical Medicine 2002;435(11):2-5
Between November - December 2000, hemoglobin level was measured in members of 9,879 households in 7 ecological regions. Among these, 7,135 households have under 5-year children; 2,744 households have pregnant women. The results showed that the overall rate of anaemia in under 5-year children is 34.1%; this rate in under 2-year children is 50%. The average hemoglobin content is lowest in under 2-year children. Rate of anaemia varies between ecological regions. For women, rate of anaemia is highest in Southern Central Part. For under 5-year children, rate of anaemia is highest in T©y Nguyªn region. This rate is higher in rural than in urban. Other factors related to anaemia are educational level of women, parity, pregnancy and living condition.
Nutrition
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Hemoglobins
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Data Collection
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anemia
10.Incidence of pregnant diabetes and investigation for related factors
Journal of Practical Medicine 2002;435(11):5-7
Incidence of pregnant diabetes ranges from 1 to 14%, depending on region, race and diagnostic criteria. Studying on 196 pregnant women who were given antenatal care at Ha Noi Obstetric Gynecological Hospital provided some findings as follow: the incidence of pregnant diabetes in studied population was 3.6% when using diagnostic criteria of the National Diabetes Data Group (NDDG) 1979; the incidence of NDNG was 4.1%. The overall incidence for diabetes and GDNG was 7.65% and is was increased further by 2% when applying new diagnostic criteria of Counstan and Carpenter 1982. The incidence was increased in pregnant women who had some risk factors such as history of diabetes in family, obese (BMI was 25 or more), urinary glucose (+) and older age of pregnant woman.
Pregnancy in Diabetics
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Pregnant Women