This study was to evaluate the effect of technical support in terms of providing training on integrated management of childhood illness (IMCI) to commune health centers of Quynh Phu district and Hung Ha district of Thai Binh province. The results of a comparison between the baseline survey in 2002 and the follow-up survey in 2004 showed that case management of health workers in 2 districts had improved significantly and were more comprehensive in terms of assessment, classification, treatment and counseling mothers. The proportion of correct assessment of cases on general danger signs increased by 47.5%. The proportion of correct assessment of cases on main symptoms (cough, diarrhea and fever) increased by 63.4%, on the correct classification of cases increased by 72,5% and the correct drug use increased by 46.7%. Th proportion of caregivers/mothers received proper advice on drug use, proper feeding and follow-up increased by 43.5%, 34.9% and 41.1%, respectively
Health ; epidemiology ; child ; health staffs

Report a case of patient Tran Đ.V. born at December 26th 2002 in Ninh Thuan district, Khanh Hoa province, admitted hospital at November 25th 2003 due to hirsutism and developed genitalia. Ultrasound and CT scan examinations showed a mass in his right adrenal gland, which was subsequently removed surgically. The histopathological findings were consistent with an adreno-cortical carcinoma. This is a rare tumor with frequency 1/10.000 adrenal tumors in adult. In children, there are some cases and most frequently in girls. Adreno-cortical carcinoma combining with isosexual precocious pseudopuberty is rarer in boys
Puberty, Precocious ; Case Reports

A cross-sectional survey on KAP and local IEC activities in malaria control for the ethnic minority people of Raglay was carried out in Khanh Hoa province's Khanh Vinh district in order to produce appropriate IEC materials for this group of population. The interviews of 400 random samples from 8 villages of two communes showed that 85.93% of respondents correctly understood the causes of malaria, 94.47% seek treatment in the health center if they got ill, and 82.22% correctly knew how to prevent from malaria. IEC for malaria control was made mainly through the local mass media of loudspeakers and health workers. Posters and leaflets were found to be poor and not highly effective. It is recommended to implement IEC campaigns on the face to face basis, community meetings, and network of local health communicators.
Malaria ; Therapeutics ; Knowledge ; Attitude

A random study on skin temperature change at 12 couples of Yuan point was carried out on 120 subjects. These subjects were divided into two groups: 60 subjects with duodenal ulcer and 60 healthy subjects served as control. Results: There were difference in skin temperature of bilateral Thai xung point in both male and female with gastric-duodenal ulcer (P<0.05-0.01). Temperature of 12 couples of Yuan point in this group was higher than those in control group (P<0.05-0.001)
Peptic Ulcer ; Skin

In 242 subjects (68 female, 174 male), ELISA technique was performed with the set of ORGANON TEKNIKA UNIFORM II. Result showed a HBeAg positive rate of 37.42% on HBsAg positive subjects. The rate of HBsAg positive subjects having anti HBsAg is 56.61%. In 38.9% of B viral hepatitis patients, recession of the condition was noted on laboratory examinations
Hepatitis B Surface Antigens ; Hepatitis B e Antigens ; Diseases ; Liver Diseases

99 patients aged 15 – 87 years old were hospitalized at Bach Mai Hospital from June 1998 to Feb.2003, among them 51 cases were diagnosed as sufferring from diabetes and in 48 other, diabetes were still not diagnosed. At admission, average blood level of glucose 18,97+/_8,1 mmol. In 35-50% of studied cases, plasma osmolarity >300 mOsmol/kg H2O during monitored time. There was no statistically significant difference between various groups in the variation of glucose plasma level .In 10-20% of cases, there was an increase of 145 mmol/l of natrium in plasma
Hyperglycemia ; Osmolar Concentration ; Plasma ; Electrolytes ; Emergencies

Insuline therapy was used on 99 over-15 years old patients of newly diagnosed diabetes first in internal emergency Department at Bach Mai Hospital from June1998 to Feb.2003 Subjects were divided into 2 groups: Group 1 included persons of the signs of high blood glucose level without diabetes; group 2 included patients sufferred from diabetes without confirmed diagnosis. In >92% of cases of group 1 and 74% of group 2, insuline therapy had effectiveness to control blood glucose level <11mmol from the 7th day of treatment and after the 7th day in >62% of group 1 and <36% of group 2. There was no complication of hypoglycemia
Insulin ; Therapeutics ; Hyperglycemia

120 normal subjects without bleeding history aged 20-77 were studied. Bleeding time 169 seconds, there is no significant statistic difference in genders and age groups. Plasma fibrinogen level was 2.56 g/l, no significant difference in 2 genders. In the under 45 years old group, fibrinogen level was lower than in above 45 yeas old group with statistical significant. No case of non-contracted blood clot occured, 2.5% of blood clot was contrated non completely, 97.5% completely. Alcohol test was negative in all cases. No case of fibrinolyse time < 90 minutes occured.
Hemostasis ; Blood Coagulation ; Laboratories

Vnukovo-32 (cell culture rabies virus vaccine strain) was propagated experimentally in primary hamster kidney cell (PHKC), primary Chick embryo fibroblast cell (CEF) and human diploid cell (WI-38). These 3 cell lines were infected with Vnukovo-32 by the same mount of infection (MOl) - lLD50/l000 cells. The result showed that the Vnukovo-32 was adapted on all experimental cell lines, met the criteria of master seed (the titer ranging 6.4-7.5 log LD50/ml), and reached the highest titer on the 7th - 9th day postinfection in three cell groups. Moreover, the highest titer of Vnukovo-32 was met in human diploid cell (WI-38), then in PHCK, and the lowest was in CEF. From these results, it is suitable to use WI-38 to propagate Vnukovo-32 for master and working seed. The procedure for propagation of Vnukovo-32 is set up.
Rabies Vaccines ; Cells

Myelodysplasia syndrome is a diseases group of which quite difficult cure and prediction. There are many treatment methods however it depends on patient’s age, level of diease, rate of blast in bone marrow. The treatment includes: chemical treatment, trasplant originative cell, support treatment. Other method is combination of various treatment methods: Use Ara-C combine with depersolon, chemical treatment combine with stimulative agent of blood and trasplant originative cell
Neural Tube Defects ; Bone Marrow ; Cytarabine ; Therapeutics