Intra-cranial hemorrage is a serious condition in infants can result in significant morbidity and mortality in developing countries. 680 infants with intracranial haemorrhage have symptoms for 30-60 days (86.2%). Sex ratio between boys and girls was 3/1. The laboratory findings as followed: prolongation of PT, APTT (94,7%), diminution of factors II,VII,IX in 80% of cases. Clinical manifestations are acute anemia (99.1%), distubance of consiousness (100%);100% have some kind of seizures; 91% in bulging of the anterior fontanel. Subarachnoid hemorrhage was major condition in 90.1% of patients, but allways combined with other lesions. The mortality was 14.7% and survived children had severe psycho-neurological sequelae. Intra-cranial hemorrhagic disease in infants has the characteristics of vitamin K deficiency. The haemorrhagic lesions are diverse and complex. Disease caused high mortality as well as high sequella rates.
Intracranial Hemorrhages , Infant, Epidemiologic Studies, Laboratories, Vietnam

From March 1995 to May 2002, at Hanoi Military Hospital N.108,on 98 patients taken surgical commissurotomy for mitral valve, pulmonary arterial pressure declined from 40,7± 12,7 mmHg before surgery to 29,6 ± 8,2mmHg after surgery, right ventricular pressure from 38,1 ± 11,1mmHg to 29,4 ± 8,4mmHg and left auricular pressure from 32,2 ± 8,6mmHg to 23,2± 7,1mmHg. This had demonstrated very good results of mitral valve commissurotomy, in l to improve hemodynamic state in pulmonary arterial pressure and heart chamber pressure
Pulmonary Wedge Pressure ; heart ; Mitral Valve ; surgery ;

Introduction: This action research aimed to make a context-specific and gender-sensitive interventions. Intervention activities was participatory to decrease the barriers to the use of maternal care and family planning (MCFP) services by the disadvantaged Kinh people and Catu ethnic minority people in the mountainous area of Nam Dong District in Central Vietnam. Intervention also aimed to improve communal MCFP services prioritized to training effective communication skills for communal health centers' staff and village health workers. Methods: 2 surveys were conducted before and after intervention among 7 poor communes using a random sample of total 840 mothers with at least one child under the age of 5 years. These data were supplemented by interviews with key informants, focus group discussions and observations. Statistical tests and measurement of effective index (EI) were used in data analysis. Results: - Women having ANC and delivery at local MCFP service were increasing 97.6% and 50% in year 2005 as compared with 86.9% and 31% respectively in year 2003. Midwives paid much attention to non-verbal communication as well as to counseling using demonstrative pictures. - There were a clear evidence of significantly increasing the mother's knowledge of MCFP such as local MCFP service availability, benefit of ANC (p<0.001) supported by performing many different communication channels (safe motherhood talks, village safe motherhood clubs, mass media of video-cassette using Catu speaking language, safe motherhood integration in traditional festival, campaign etc. - There was only statistically significant increase of inject able contraceptive ( EI=58.14%). The number of mothers having ANC>=3 times was significantly increasing (EI=11.98%, p<0.01). - The percentage of mothers who delivered at home was slow down to 19.4% as compared with before intervention was 45.2% respectively (EI= 64.20%, p<0.001) Conclusion: Intervention model was considerably successful in using context-specific and gender sensitive approaches. It contributed to meeting an urgent need for the MCFP services to build both clinical capacity and health promotion activities in a way that is gender sensitive, knowledge on of traditional practices and accessible by both illiterate and minority language speaking people.
Maternal Health Services ; Family Planning Services ; Maternal Behavior

Breast cancer, a common cancer in women, is a main cause of death for women in many countries in the world. Based on the study on 128 female patients who suffered from breast cancer treated at Hue Central Hospital, we concluded that : The highest rate of the said cancer is at 40-49 year old women (accounting for 30.5%); for the patients sent to the hospital for their treatment, most of them were self-discovered(68%).The main threat for breast cancer in women is late menopause, non-birth or women who are firstly pregnant are over 35 years old. Ductal invasive carcinoma reaches a high rate(88.2%). The result of differential grade I: 18.6%; grade II:43.4%; grade III:38.9%
Breast Neoplasms

Acupuncture, which is a preventive and treating method without drugs of traditional medicine, has had a long-standing history. Classical acupuncture is still the main, irreplaceable treatment method (electricity acupuncture in nature is classical acupuncture which is added by electricity into acupunctured spots). When giving the needle in patients, they will react against and have pain feeling, level of pain depends on different areas of the body, whenever receptors in skin and muscle will identify and make nervous pulses that will go to central nervous system through nerves. The second electric potential appears when acupuncturing needle into the body, that is injury electric potential. The third electric potential appears when the acupuncture needle is made of metal
Acupuncture ; Electroacupuncture

98 patients were operated surgical commissurotomy in the No 108 Military Hospital from March 1995 to May 2000. All patients were performed Doppler ultrasonography pre- and post-operation. All patients were received surgical commissurotomy by Tubs. Hemodynamics was changed with satisfactory results after surgical commissurotomy the pulmonary arteries pressure down from 50.4  15.5 to 36.6  7.9 mmHg; MaxPG (mmHg) down from 22.1  7.6 to 12.3  3.3 and mean PG (mmHg) also down from 13.5  4.8 to 6.9  4.5. For right indication and contraindication in surgical intervention, as well as prognosis of postoperative patient's life, the evaluation of hemodynamic indexes are necessary, in which Doppler ultrasound plays an importance role in assessing the pre- and postoperative results
Hemodynamics ; Pulmonary Artery ; heart ; Mitral Valve ; surgery ; Ultrasonography

A study on 2495 newly infected cancer cases in Thua Thien – Hue between 2001 and 2003 showed that males account for 54.9% and females account for 45.1%. The cancers of liver, stomach, lung, colon-rectum and leukemia were the leading cancers in males while the cancers of breast, stomach, cervix, lung and lymphoma were the leading cancers in females. The average annual incidence for both sexes was 76.1/100,000 habitants (in males was 80.9 per 100,000 habitants and in females was 67.6 per 100,000 habitants)
Neoplasms ; Population

The study was conducted on 55 patients (39 males and 16 females) with 56 trochanteric hip fractures related to surgical treatment trauma. These patients were treated by internal bone fixation using angle splint in Orthopedic Department of Viet- Duc Hospital from 1/2000 - 12/2001. Good and very good outcomes were reached in 82% of patients, 14% of patients had moderate and 4% had poor outcomes. Mass angle splints were used for intertrochanteric fractures: Unstable intertrochanteric fractures, trochanteric fracture with femoral neck fracture line, intertrochanteric fractures with multiple fractures in 1/3 above and 1/3 below of ipsilateral femoral bone. Intertrochanteric fractures occurred in any patient with quick movement prior event. Inter- and inferior trochanteric fractures occurred with two points. DHS is applied with most efficiency. Internal bone fixation using angle splint for intertrochanteric fractures was the most effective method. There were no complication in terms of vascular obstruction related to fat and heart failure. Setting a broken bone wass carried out in surgical position and fixed by angle splints. Separated pieces in backside and inside can be rearranged under the surgery and fixed by soft screws. Rehabilitation and follow-up exammination was needed after surgery.
Hip Fractures ; Surgery ; Therapeutics ; Splints

In the year period of 1998-2002, in the Hospital N07 in Hai Duong province and the Hospital Buu Dien in HaNoi. 117 patients (99 females and 18 males, aged 17-69) who were clinically diagnosed as thyroid nucleous, goiter were undergone a fine needle puncture biopsy. Results showed a consistency between clinical diagnosis and ultrasound in 92.9% of solid form, 93.1% liquid form and in mixt form, the consistency rate was lower 55.5%. Between clinical diagnosis and ultrasound, there was a consistency in the determination of 76% of the number of goiters, and the consistency rate was higher between these 2 diagnostic methods, 81/85 in solid form and 25/27 in liquid form, while in mixt form the technique of fine needle aspiration puncture notified more cases than ultrasound 11 versus 5
Thyroid Gland ; ultrasonography ; Goiter

From 1998 to 2002, 117 patients (99 females, 18 males, aged 17-69) with thyroid nucleus tumors at Hospital 7 in Hai Duong and Hospital Buu Dien I in Hanoi was given percutaneous injected ethanol. Among 82/117 patients (70.1%) good results and 29/117 (24.8%) moderate results achieved. With mononucleus tumor 67 patients had got good results, 15 with moderate results and 2 without results. With polynucleus tumor, 15 patients had got good results, 14 moderate results and 4 without result. The treatment was safe complications were not severe and easy to manage
Ethanol ; Thyroid Gland ; Neoplasms