A prospective study was carried out on 17 patients with upper ureteral calculus treated by retroperitoneal laparoscopy in Viet Duc Hospital from Nov 2004 to Apr 2005. Results: The blood loss was usually not much (20-100 ml). It was difficult to remove calculi due to they moved up to kidney, it must enlarge the incision. There were two cases of peritoneum perforations during the operation that had been sutured. In postoperative period, patients were stable, there were no complications besides mild abdominal pain at the incision; 1 month after the operation, these patients well recovered. This procedure is superior to traditional open surgery with less complications, shorter of hospitalization stay, rapider recovery...
Ureteral Calculi ; Therapeutics ; Laparoscopy

Urinary lithiasis is a common disease in internal medicine and surgery. In period of 10 year (1982-1991), the number of patients came to Urinary Department of Viet Duc hospital for urinary lithiasis was 38%. There are 5 surgical treatment methods for urinary lithiasis: classical surgery, extracorporeal shock wave lithotripsy, percutaneous nephrolithotomy and recently is the retroperitoneal endoscopic surgery. There were urinary procedures had been performed by retroperitoneal endoscopy. In 1969, Bartel performed the first time the retroperitoneal endoscopic technique by mediastinum endoscopic machine. In 2003, Nguyen Van Hiep et al reported 36 patients who had upper urethral gravel were treated by retroperitoneal endoscopy; the successful rate was 32/36 cases, there were 4 cases had to be open operated, complication rate was low. The initial application of retroperitoneal endoscopic surgical technique in the treatment of upper urethral gravel achieved encouraged results, it also has prospect of being applied in other complicated urinary surgeries.
Endoscopy ; Surgery ; Therapeutics

Background: Premature ejaculation is one of the most common sexual dysfunction which affects the quality of life in both men and women. Objectives: To assess the effects of a topical anesthetic mixture in the treatment of Premature Ejaculation (PE). Subjects and method: Fifty-six men diagnosed as PE were guided to use a local anesthetic mixture of procaine-xylocain applied to glands on the penis before sexual activity (about 15 minutes prior), the course of treatment lasted 3 months. Results:There was a significant increase in the mean of intravaginal ejaculatory latency time (IEL n from 1.87 to 8.41 mins (p<0. OS) and satisfying scores of both overall sex life and sexual relationship with their partners. General results were divided into 4 degrees: good (30.2%) average (43.4%) no result (15.1%) and negative results (11.3%). Some side effects included retarded ejaculation or anejacualation (9.43%) decrease of glands penis and vagina sensitivity (28.3% and 9.43% respectively). Conclusion: While there is no effective therapy for PE, anesthetic creams might be effective for treatment of the disorder. \r\n', u'\r\n', u'
topical anesthetic mixture ; premature ejaculation

In Cam Pha town, Quang Ninh province, preliminary achievement in terms of management, counselling and prevention of HIV/AIDS?STIS at private health service institutions showed that: infected subjects were mainly in 21 - 40 years old group (80.7%), higher in female than in male gender and the highest (42.2%), emplyees and > 68% marrieds. At private health service institutions, the number of clients who visited for treatment and consultation was small and was not homogenous, among them 83.47% received advices for preventing and treating HIV/AIDS/STIS, 59.09% were referred to HIV examinations and 74.95% received medical prescriptions. Therefore, Cam Pha must take more measures to promote the quality of private health activities
HIV ; Acquired Immunodeficiency Syndrome ; Therapeutics

On occasion of a hydrosyringomyelie accompanied with communicating hydrocephalus which was managed successfully and literature referred, the authors had some remarks about management of this disease. Some remarks of such as: the disease often appears in one region, most in cervical and upper thoracic of the spinal canal. It is the rare disease caused by many sources. It may be congenital approximately 50-70% of CHIARI I (Menezes) and 40-95% of CHIAR II (Naidich). It may be also secondary to spinal trauma, myelitis (virus, bacteria, tuber culosis bacillus...vv.) Signals and symptoms are poorly. The diagnosis is difficulty but no longer now because of applying MRI. Since this disease is accompanied with others malformations, the management have some differences, depending on the caused of the disease
Spinal Diseases ; Diagnosis ; Therapeutics

At the Military Hospital No108, from August 2000 to May 2002, 111 patients with respiratory tract disease were studied perspectively. Results showed that the most vulnerable age 1-5 years old (26.13%), 5-10 years old (41.44%). 26 cases were infected with streptococci (23.42%). Among respiratory tract infectious patient streptococci A 26% were isolated, cartaphalis 18%. Among bronchitis patients, Streptococci A 14%, M cartahalis 12%. Among rhumatism arthritis patients Streptococci alpha 12%, cartahalis 6%
Streptococcus ; Adenoids ; Respiratory Tract Diseases

Health Services; HIV; Acquired Immunodeficiency Syndrome; epidemiology; In Cam Pha town, the private health servies were developed broadly with a diversity of activities growing and perfecting gradually. Various specialtus were developed with a large professional staff of qualified levels, prosperious experiences and long carrier in health service. However, in this system there are some bad facilities poorly equiped, with a low capacities both in quantities and in qualities. It is necessary to take a variety of measures to promote the size and the level of private health services in Cam Pha
Health Services ; HIV ; Acquired Immunodeficiency Syndrome ; epidemiology ;

Electro acupuncture one time and eight times in and out of GB 20 on 55 healthy persons with ages from 20 to 27 showed that: There is no changing of frequency, amplitude and wave of EEG index when electro acupuncture out of GB 20. Electro acupuncture GB 20 make changing of frequency, amplitude and wave of EEG index. After electro acupuncture, Alpha wave index average increased 14%, amplitude increased 4μV. Beta wave index decreased 2%, amplitude decreased 3μV. Theta and delta wave index decreased 4% amplitude decreased 3μV.
Electroencephalography ; Electroacupuncture ; Therapeutics

Pineal gland is structured by special morphology of neural cells. The tumor originates from the gland or its surrounding tissnes therefore these tumors have histologically different origins. They are in deep location with narrow path inward. Pineal tumor has not specific symptoms and usually diagnosed lately. The removal surgery comfuses of 2 stages - first: brain ventricular-abdomen drainage, second: tumor removal within 2-3 weeks after the first stage. There are 5 methods to approach the tumor, with own advantages and short comings
Pineal Gland ; Neoplasms ; Casts, Surgical ; surgery ; Therapeutics ;

By1 time and 8 times , electroacupuncture (EA) was performed in and out of Phongtri site (GB20) of 55 healthy persons aged 20-27 years. Out of GB20, EA did not make frequency, amplitude and EEG indices changed in comparing with those before acupuncture, while in GB20 site, EA created the changes in frequency, amplitude and EEG indices in occipital and temporal areas. Upon EA , alpha wave index increased in average 14%, amplitude increased by 4 microV; beta wave index reduced by 2% in average, amplitude reduced by 3 microV. After electro- acupuncture theta and delta waves reduced 4% in average and amplitude reduced 3 microV in average
Electroencephalography ; Electroacupuncture ; Epidemiology