In patients with cleft palate, ear disease and hearing loss have long been recognized as common problems. In this report, otitis media with effusion and atelectasis were presented at otoscopy and tympanoplasty in 76.4% of 170 infants and children with cleft palate. This rate changes by age and there is not big different between male and female
Cleft Palate ; Child

Study was carried out at some kindergarten with 773 children of 1-5 years old of age. Results showed an incidence of catarrhal media otitis of 10.34%. This incidence trends to increased in the lower age with a peak of 12.21% at the age of 2, then diminished gradually. The gender rate is 53.75% in boys comparing with 46.25% in girls. In 75.60% patients the condition occurred in both sides of two ears and in the case of unilateral development, the rate is 70.27% in the left in comparing with 29.73% in right ear
Otitis Media ; Child ; Epidemiologic Studies ; epidemiology

Study performed with 1168 children aged 1-15 in some kindergarten and maternal school, primary school and secondary school in the commune Trung Tu, Kim Lien – District Dong Da – Ha Noi had showed that 8,9% children had effusive otitis media. In the group of children with VA, the incidence of effusive otitis media was higher than in the group without VA (13,74% vs 8,01%). In the group of children with tonsilitis, the incidence of effusive otitis media was higher than in the group without tonsilitis (15,69% vs 8,26%)
Otitis Media with Effusion ; Respiratory Tract Infections ; Child

A survey on adverse effect of NSAID in the gastrointestinal tract in Rheumatic Department of one hospital showed that: gastrointestinal complications of NSAID were common. 26.3% patients were 40-59 years old. 27% patients had the medical history with NSAID. 18.6% cases had gastric complication when combining NSAID (acid derivation) with corticoid
Anti-Inflammatory Agents, Non-Steroidal ; Tuberculosis, Osteoarticular

An evaluation on using NSAID in treatment of rheumatoid arthritis in one hospital was established. The results were: all NSAID (except Mobic) are presented in Health Ministry’s protocol. Combinations of anti-inflammatory drugs with analgesic drugs accounted for 93.34%. Plain tables were 92.4%. Combination of paracetamol and alaxan as well as the using of voltaren 25 mg (suppository) was not rational.
Osteoarthritis ; Anti-Inflammatory Agents, Non-Steroidal ; therapeutics ; Pharmaceutical Preparations

The ulcer lesion in diabetic foot is a major complication and usually leads to disability. Current treatments composed mostly of medication or amputation if required. After the conference of Vietnamese -American on diabetic foot care in June 2000, we have established a new plan of management, included early operation, proper debridement and appropriate blood sugar control. Method and material: retrospective and cross sectional study on 16 type II diabetics (5 males and 11 females) with foot infection. All these patients were operated to remove dead bones and necrotic tissues, sutured the wound in one layer and immobilized the pain leg within 21 days. They were also treated with insulin and investigated the arterial system by Doppler ultrasound. Results: average age of patients: 562 years. Average glycemia: 19020mg%. Left foot: 9. Right foot: 6. Both feet: 3. The duration from onset to ulcer: 60.2 years. Doppler ultrasonography showed the decrease flow pattern of lower limbs in 14 cases, atherosclerosis: 2. After surgery, 11 patients were healed completely within 21 days, 3 others within 30 days and 2 patients had to be amputated
Diabetic Foot ; surgery

A retrospective study on 77 cases of injuries in the neck in the institute of ear, nose and throat during 1970-1994 has shown that the rate of disease free among patients who early hospitalized without complication was 91.6%. The rate of sequela due to the pharyngeal cartilage rupture was 8.41%. The rate of disease free, sequela and mortality among patients who lately hospitalized with complication was 54.5%, 27.3% and 18.2% respectively
Neck ; Neck Injuries

D1S80 locus is highly polymorphic and has been used worldwide as an important marker for forensic, medical analysis and paternity tests. Vent DNA Polymerase is a high-fidelity thermophilic DNA polymerase. The fidelity of Vent DNA polymerase is 5 to 15 folds higher than that observed for Tag DNA polymerase. This high fidelity derives in part from an integral 3’-5’ proofreading exonuclease activity in Vent DNA polymerase. Greater than 90% of the polymerase activity remains after one hour incubation at 95oC. Because of these advantages, we want to apply Vent DNA polymerase for the amplification of D1S80 alleles by PCR. Our study showed that PCR condition for Vent DNA polymerase are rather different than for Tag DNA polymerase. The amplification of D1S80 alleles with Vent DNA polymerase is optimal with the following parameters: 1. A final concentration of MgSO4 in PCR mixture of 4 mM. 2. An annealing temperature for the specific D1S80 primers 68oC. 3. A final concentration of dNTPs of 200mcM.
DNA polymerase ; Alleles

Injection-related necrosis is a common pattern in the arterial injuries. But the acute embolization that led to extremity necrosis is very rare. Here we described a case of 43-year male patient with arm necrosis due to intra-arterial drug injection. The patient has addicted drug for 24 years and has injected opium for 18 years with dose of 2 ml self-prepared opium solution, 3-4 times daily. On April 2000, after second injection of a day, the patient felt burn and pain in his left hand. Then watery purples and necrotic papules appeared on the skin of left arm. He was treated by antibiotics, analgesics, and vasodilators, but the condition was not improved. The patients had to be amputated his left arm after 3 days of admission.
Substance Withdrawal Syndrome ; Alcohol Withdrawal Delirium ; diagnosis

During 5 months from 1/2000 to 5/2000, at Nhan Dan Gia Dinh Hospital, we have operated 5 patients with post-traumatic rupture of diaphragm. Among them, three planned operations and two urgent operations. All cases were diagnosed by clinical findings associated with chest X ray and GI tract examinations. Only one case we had by thoracotomy, the rest had been performed by laparotomy. The realized target of this study is determining the typical semiology of diaphragmatic rupture and proposing the laparotomy access for delayed diaphragmatic rupture.
Rupture ; Diaphragm