Tympanoplasty by underlay technique is one of different methods for treating of chronic Otitis Media. Temporal muscle fascia is chosen material for the tempanic graft with good result. The surgeons can choose many methods and grafts and the results do not depend on the methods but on the skill of surgeons. 119 cases of tympanoplasty is reported, of which 83% is good results.Taking out carefully of the reformed mucosa in the middle ear plays an important role in the results
Tympanoplasty ; therapeutics ; ear

119 isolates of Shigella with multi-drug resistant (100 Shigella flexneri) to chloramphenicol (Cm), ampicillin (Ap), tetracyclin (Te), trimethoprim (Tr), sulfamethoxazole (Su) from Northern, Central and Southern regions of Viet Nam during a period of 1995-1997 were investigated for the ability to transfer gene trains by method of conjugation. 59.2% strains were transferable in vitro to E.coli K12 with frequence from 10-7 to 10-5 (65.8% strains from Northern, 54.8% strains from Central and 57.5% strains from Southern regions). Almost all the antibiotic resistance genes were transfered with 10 different patterns of resistance; Ap, Tr, Su being the most frequent patters: 45.7% strains fro Northern, 30.8% strains from Southern and 25.6% strains from Central regions.
Drug Resistance ; shigella

129 isolates of S.typhi multi-drug resistant to Cm, Ap, Te, Tr, Su from Northern, Southern and Central regions of Vietnam during 1995-1997 were examined to detect the ability to transfer gene encoding the resistance to antibiotics and to study molecular characters of it’s R-plasmids. Results indicated the presence of self-transferable plasmid in 90% S.typhi strains from Southern, and 100% strains from Northern and Central regions. These strains carried from 1 to 2 plasmids of molecular weighed 110 MD and 80 MD. Gene encoding the resistance to Cm, Ap, Te, Tr, and Su were found to be located on a large plasmid of 100 MD. All S.typhi strains from 3 regions showed to have large plasmids with identical molecular structure, this indicated the same origin of these S.typhi strains.
Drug resistance ; Salmonella typhi

126 multiply resistant S.typhi isolates were screened among 363 isolates collected from Northern, Central and Southern regions of Vietnam during the period 1995-1997. Transfer experiments of the resistance to E.coli K12-J53 from these S.typhi isolates were performed to determine their transferable capacity of resistance factors and its frequency. The results indicated that 74.78% of multiply resistant S.typhi isolates (AM, CL, TE, TR, SU) have R-factors, most of them contained all resistance genes characterizing the resistance of wild strains. The frequency of transfer of the resistance varied from 10-5 to 10-8.
Drug resistance ; Salmonella typhi

From 1/1991 to 5/1995, 43 arterio-venous malformations were operated on at the Dep of Neurosurgery of Viet Duc hospital- Ictus, neurological signs, disturbances of speech were the main presenting manifestations of this disease. CT Scanner angiogarphy and pathological examination were of paramount importance for the detection of this disease. Two procedures of treatment were utilised: surgical removal of the AVM and ventricular shunt. Post operative results were evaluted by repartition into 3 groups: - Good (clinical improvement): 95.3%. – Mean (with long lasting deficit): 2.35%.
Arteriovenous Malformations ; diagnosis ; surgery ; therapeutics

The studied was conducted to assess the health care demand and use primary health services in the communes of 10 provinces representing for 7 ecological areas countryside: Ninh Binh, Phu Tho, Bac Can, Quang Ninh, Quang Tri, Khanh Hoa, Dac Lac, Tay Ninh, Dong Thap, Can Tho. There are statistically significant differences of morbidity rate as well as health service use in genders, in ecological areas and in different economic levels. Morbidity rate in woman is higher than in men and the rate increases proportionally following older age. There are genders inequalities in using health services, especially among poor households. Women are more likely to seek self-treatment while men seeks higher quality of health care services in hospital. The different is statistically significant.
Health Services ; Women

In vitro, flavonoids from Lonicera japonica Thunb flavonoids stimulate the catalysis of hydrolysis starch. This stimulating effect depended on the concentration of Lonicera japonica flavonoid but their in vitro stimulations weren’t strong. The anti-inflammatory effects were stronger when combining flavonoid with -amylase on dextran-induced edema mouse legs. So active catalysis stimulation of -amylase could be associated with anti-inflammation process; with unclear mechanisms. This result suggested the need of further research of anti-inflammatory drugs according to combine of traditional medicine and anti-inflammatory enzyme
Flavonoids ; Anti-Inflammatory Agents ; Lonicera

An intervention to promote health workers' ability and EIC for reproductive age women at Cam Chinh commune, Cam Lo, Quang Tri achieved some significant improvements in health care services, reproductive health care, prenatal care, and child feeding practice. Significant improvements were found on utilization of prenatal care including health adequate check-ups and sufficient vaccination for pregnant women. Improvements were also in deliveries were supported by medical professionals, the postpartum medical care, and full utilization of natal and postnatal care.
Delivery of Health Care ; Women, Rural Health

Anti P. aeruginosa immunoglobulin prepared from horses have proved to be effective as a supplement to the conventional methods for early treatment of P. aeruginosa infection on animal. The results showed that anti P. aeruginosa immunoglobulin have protective value: P. aeruginosa number on surface of burn wounds decreased on 3rd day after treatment; protective effect manifested in mice infected intraperitoneally with P. aeruginosa with the doses from 2LD50 to 4LD50. The results in vivo on animal showed that anti P. aeruginosa immunoglobulin should be applicated in clinical trial to demonstrate its efficiency as a part of complete treatment of burn patients, with purulent sepsis complication
Immunoglobulins ; Pseudomonas aeruginosa ; Horses ; animals

The study was conducted at commune health care stations in 10 provinces of 7 ecological areas of Vietnam. Results showed that: the accessibility of health care service hasn't meet the demand, the health care service provision and use for women in the rural communes has many limits, there has been the obvious gender inequality in health expenditures, the essential reproductive health care for women in rural communes is insufficient and under the National standards. It is necessary to enhance the quality of health care service in general, reproductive health care for women at reproductive age in rural areas in particular, complete research methodology on health care service accessibility and use in the public
Delivery of Health Care ; Rural Health ; Women