Allergic reaction to drugs (ARTDs) occurs frequently in adults who are usually suffered from many diseases and who require multiple courses of medications. Investigative result showed that: The incidence of ARTDs in elderly is 6.74%, this incidence in patients of Asthma group is 14.7%. The main cutaneous manifestations of ARTDs in elderly patients included: urticaria and erythematous rashes (42.5%), erythrodermie (14.9%), erythematic multiform (21.3%), fixed drug eruptions (12.7%), vesiculobullous eruptions (6.4%).
Drug Hypersensitivity ; aged

21 children aged 1-15 suffering from 10-25% body surface burn infected with pyocyanic bacteria were treated at the National Institute of Burn from April to October 2002. Burn lesions were divided into 2 zones with similar superficilit and depht. On the zone A, antipyocyanic serum was applied, and zone B, silver sulfadiazine 1% (SSD1%). Results showed that entipyocyanic serum had got the effects of secreting reduce, anti inflammation and deodorizing and decolorizing of the burn, stimulating the epithelial processing, reducing the pyocyanic bacterial infection frequency from 100% in the first examination to 7.14% in the 3rd examination and the count of pyocyanic bacteria from 22.12  0.07 x 104 to 2.44  0.01 x 104. The duration of treatment in shallow burn of II, III grade (7.2  0.6 days versus 8.5  0.2 days) and in deep burn of III grade (14.5  0.7 days versus 16.5  0.6 days)
Child ; Burns ; Serum

Infectious diseases are second leading cause of morbidity and mortality, after cardiovascular diseases. From 1990 to 1999, about 2000 patients with infectious diseases were treated at HuÕ Central Hospital every year. The mortality rate decreased from more than 1% to 0.5%. Recently, incidence of some diseases have decreased dramatically, such as malaria, typhoid fever, cholera or had low mortality such as meningitis, tetanus. But some diseases have increased, such as viral hepatitis, AIDS or Dengue haemorrhagic fever. Applying new antibiotics and new treatment options has played a key role in shortening the time of treatment and reducing the mortality.
Infection ; Communicable Diseases

Background: In recent year, provinces in coastal south west area have many changes in environment which makes difficult to manage the epidemiology of malaria. Objective: To investigate ecological character of An.epiroticus in newly salinized areas of Can Duoc distrist, Long An province. Subject and Method:The investigation of An.epiroticus and environmental factors was carried out in newly salinized areas in Can Duoc district, Long An province from 2006- 2007. Result and Conclusion: The result showed that An.epiroticus populations in both zones categorized as shrimp-rice fields and brackish shrimp fields were anthropophilic. This species bites human both in and outdoor throughout the night with peak of biting rates were from 20h00 to 02h00. A considerable number of An.epiroticus was found to rest indoors in the morning. This species in studied site was resistant to both Alpha-cypermethrin and Lambdacyhalothrin. The larvae of An.epiroticus were mainly found in stagmant or slow running brakish water bodies having salinity of 1.0 to 3.5 g of NaCl/litre; pH = 7.0 - 8.0; temperature 28 - 30\xb0C; with presence of aquatic plants.
Ecological character ; An.epiroticus

Background: Noise pollution has seriously negative effects on worker\u2019s health, especially their hearing ability. Occupational hearing loss is one of 21 insured occupational diseases. Occupational hearing loss is common in workers in transpostation, construction, energy heavy and light industry areas. Objectives: 1. To determine the degree of noise pollution in Thua Thien Hue Unity Auto Mechanical Joint Stock Company. 2. To evaluate occupational failing hearing and occupational hearing loss among workers in the company. 3. To promote preventive measures which imnimize occupational failing hearing and occupational hearing loss. Subjects and method:A cross-sectional, descriptive study was carried out in 254 employees in Thua Thien Hue Unity Auto Mechanical \r\n', u'Joint Stock Company. Results and Conclusion: 72.7% the employees of Thua Thien Hue Unity Auto Mechanical \r\n', u'Joint Stock Company have exposed to environmental noise at the level higher than the permitted one. The rate of occupational failing hearing among these people is rather high (33.1%), and occupational hearing loss rate is 11.8%. There is a increased rate of occupational hearing loss according to the employee\u2019s age and seniority. Proposed preventive measures should be immediately conducted (P < 0.05).\r\n', u'
Hearing Loss ; Noise-Induced/ epidemiology ; etiology ; pathology ;

Acute appendicitis represents one of the most common causes of acute abdomen that may warrant emergency surgery. Necrotizing fasciitis complicated by acute appendicitis is considered a rare complication with life-threatening implications. A 65-year-old man presented with abdominal pain, where a scan, revealed a perforated appendicitis complicated by an anterior abdominal wall collection. He underwent percutaneous drainage, but subsequently developed extensive necrotizing fasciitis requiring extensive debridement and reconstruction. The rapid progression of necrotizing fasciitis calls for early recognition and prompt intervention. The key management principles employed were broad spectrum antibiotics and aggressive surgical debridement. This case demonstrated the use of vacuum-assisted closure dressing and multidisciplinary care in wound healing and coverage. To ensure early diagnosis and intervention for acute appendicitis complicated by necrotizing fasciitis, a high degree of clinical suspicion and awareness of this complication is required.

BACKGROUND: The vascularity of the peri-implant tissue is a very important parameter in establishment and maintenance of a healthy tissue after dental implant insertion. OBJECTIVE: The purpose of this study was to compare the vascularity of the peri-implant mucosa between flap and flapless implant surgeries by using a canine mandible model. STUDY DESIGN: In six mongrel dogs, bilateral, edentulated, flat alveolar ridges were created in the mandible. After 3 months of healing, two implants were placed in each side by either the flap or flapless procedures. After another healing period of 3 months, biopsies were obtained, prepared for light microscopy and exposed to morphometric measurements. RESULTS: The supracrestal connective tissue lateral to the implant was found to be more richly vascularized in the flapless group than in the flap group. CONCLUSION: These results suggest that the flapless procedure may have an effect on increasing the vascularity of the peri-implant mucosa.
Animals ; Biopsy ; Blood Vessels ; Connective Tissue ; Dental Implants ; Dogs ; Light ; Mandible ; Microscopy ; Mucous Membrane

Background: Hepatitis B is an infectious illness caused by hepatitis B virus (HBV) which infects the liver of hominoidea, including humans, and causes an inflammation called hepatitis. Objectives: The aim of study is to clarify clinical features and molecular characteristics of HBV in chronic HBV-infected patients with A 1899 mutation. Subjects and method: HBV genotype, HBV-ONA level, HBeAg and anti-HBe in 29 chronic HBV-infected patients were determined by PCR-RFLP, Real-time PCR and ELISA, respectively. Mutations were analyzed by direct sequencing. Results: Mutations in core-promoter/precore regions of HBV genome can suppress HBeAg secretion and stimulate HBV-ONA replication. The prevalence of hepatocel- lular carcinoma (HCc): 10/29, liver cirrhosis (LC) : 15/29 are significantly higher than that in chronic hepatitis (CH) : 4/29 (P < 0.001). HbeAg seroconversion rate in CH (75%) is higher than that in HCC \r\n', u'(40%) and in LC (53.3%), but not significant (P > 0.05). ALT level is the highest in CH and the lowest in HCC \r\n', u'(P = 0.02), 8/10 (80%) HCC patients have normal range of ALT. HBV-ONA level in HCC and in LC is significantly higher than that in CH (P = 0.024). The emerging of A 1899 is often accompanied by C/G1753 mutation (37.9%) and dual core-promoter mutation T1762A1764 (79.3%). Conclusion: A1899 mutation can play a role in the pathogenesis of liver diseases in chronic HBV-infected Vietnamese.\r\n', u'
Hepatitis B virus/ growth & ; development ; physiology ; Hepatitis B ; Chronic/ pathology ; transmission

Background: Hepatocellular carcinoma (HCC) is the most common primary hepatic tumor and one of the most common cancers worldwide. HCC is a primary malignancy of hepatocellular origin. Objectives:The aim of study is to combinate therapy of transarterial chemoembolization and percutaneousethanol injection afterward emerging metatasis caused by fine needle aspiration cytology. Subjects and method: A 50 years old male patient with hepatocellular carcinoma having a diameter of tumor more than 5 cm was treated by combination of transarterial chemoembolization and percutaneous ethanol injection from December 2000. Results & Conclusion: Results of study showed that: Transarterial chemoembolization and percutaneous ethanol injection are the two of non-surgical methods for treatment of hepatocellular carcinoma which are most commonly available in applied clinical activities at present. Up to now, the patient's life expectancy after therapy is more than 6 years that means the result of treatment is very good. However, the emerging metatasis into the anterior-right-Iower chest wall that was caused by fine needle aspiration cytology should be reviewed for further evaluating clinical experience, especially in cases with quite clear imaging features of untrasonography and significantly elevated AFP level higher than 200 ng/rnl.
Carcinoma ; Hepatocellular/ pathology ; therapy

Background: In Viet Nam, there were many researches on determining lead level in blood, food and environment. But until now, there were not researches on determining lead level in fishermen community. Objectives: Determine trace amount of lead by von-ampe dissolve anot using electrode BiFE. Analysis on trace amount of lead in blood and urine of fishermen in Canh Duong village. Propose solutions for preventing lead poisoning in studied community. Subjects and method: Fishermen in Canh Duong village, Phu Loc, Thua Thien Hue province. The method differential pulse-anodic stripping voltametry (DP-ASV) using Bismuth Film Electrodic in situ was successfully applied to measure lead levels in blood and 24h urine of fishermen in Canh Duong village. Results: The mean level of lead in blood of the suspected group (fishermen) in Canh Duong village (34,7 \xb5g/dL) was higher than that of the control group (16,3 \xb5g/dL). For both groups, 37 out of 40 blood samples (92,5%) had lead level higher than WHO\u2019s recommended level (10 \xb5g/dL). Especially, 6 of 40 blood samples (15%) had lead level higher than 50 \xb5g/dL. The lead level in 24h urine of suspected group had slightly higher (about 1,2 times) than that in the control group. The lead level of the two groups was much higher than the normal level. Conclusion: The method DP-ASV/BiFE in situ was applied successfully to determine lead level in blood and 24h urine. The investigative results of related information showed that: the risk of chronic lead poisoning in studied community very high.
Lead/ adverse effects ; chemistry ; antagonists & ; inhibitors ;