From December 2000 to March 2003, at Huu Nghi Hospital, 85 patients with endotracheal intubation were studied. Before making the examine of weaning from mechanical ventilation: There were no difference at the age, the predicted body mass, the duration of artificial ventilation between 2 groups of patients. The indices of f, Vt, VE, f/Vt were measured by EVITA breathing machine in the 5th minute after assisted ventilation of PS = 7cmH2O. No high values of predicting the weaning from mechanical ventilation of Vt, VE in the 5th minute were notified. The indices of Cst, Cdyn, R, PEEP measured by EVITA machine did not give predicted values for weaning from machanical ventilation.
Ventilation ; Lung/anatomy & histology ; Intubation, Intratracheal

Self breathing test using supporting airing pressure with PS = 7cmH20 can recognise patients having the capacity of natural airing in order to withdraw endotracheal tube, setting endotracheal after 24 hours withdrawing the tube is 11% (5/45 patients). Positive clinical test time almost happened lower than the first 30 miniutes of 71%test (17patients), 30-60mins is 26,3%(10patients), after 60mins is only 2,6% (1patient). Test time of 30-60mins for self breathing is usually enough for the majority of patients, no need to last to 120mins
Respiration ; diagnosis

Background: Neglected clubfoot is a common congenital abnormality of uncertain aetiology. It presents with abnormal foot, adductus, varus and equinus of the foot. In Vietnam, the number of people with clubfoot rather high.\r\n', u'Objectives: To evaluate the results of using compression distraction counter direction threaded rod (CDCTR) and complications in clubfoot orthopedic surgery for older children and adults.\r\n', u'Subjects and methods: We studied and treated 118 severe clubfeet in older children and adults by compression distraction counter direction threaded rod (CDCTR) combined with minimal operative intervention.\r\n', u'The mean age of patients at the time of the surgery was 28.5 years (with the range of 3.5-54 years) and the mean follow-up time was 7.2 years (6 months-14 years). \r\n', u'Results: All cases achieved a plantigrade foot with better walking ability and great satisfaction with the results. There were no complications of note. The gradual correction by CDCTR combined with minimal operative intervention to treatment neglected clubfoot in the older children and adults achieved satisfactory results for functional and aesthetic aspects of the foot. \r\n', u'Conclusion: The role of physical therapy after clubfeet orthopedic surgery is very important in recovering the shape and function of the foot.\r\n', u'
Neglected clubfoot ; compression distraction counter direction threaded rod (CDCTR)

Background: Periostin (PN) concentration increases in the blood of patients after acute myocardial infarction (AMI) and affects the process of cardiac remodelling leading to myocardial fibrosis. This study aimed to evaluate the correlation between serum PN levels with cardiac function and short-term prognosis (after 3 months of AMI) in patients with non-ST-elevation AMI. Methods: Case-control study, 3-month follow-up. 35 patients with AMI and 37 healthy people were chosen as the control group. In the group of patients, serum PN was obtained from day 5 - 7 of the disease. The correlation between PN and TIMI, GRACE scores, body mass index (BMI), laboratory findings, and 3-month post-MI data including pro B-type natriuretic peptide (pro-BNP) and echocardiographic parameters. Results: Serum PN levels increased significantly when patients had AMI, negatively correlated with ejection fraction (EF) (r = - 0.462, p = 0.005), positively correlated with left ventricular end-diastolic diameter (LVDd) (r = 0.413, p = 0.014). Conclusions: AMI increases serum PN levels, and PN can be used to predict cardiac function 3 months after MI in patients with non-ST elevation AMI.