1.Study on clinical characteristics, X quang imaging of disseminated tuberculosis
Journal of Practical Medicine 2004;487(9):50-52
Study 66 patients (mean age 45.9 years) diagnosed disseminated pulmonary tuberculosis. Results: patients often were in sub-acute and chronic types (83.3%), and their symptoms begin slowly (81.8%). Suggestive symptoms are afternoon fever, autonomic nervous disorder, crepitant rales in both sides, and combined extrapulmonary tuberculosis. In radiographic imagines, there were expansive lesions (74.2%), usually in the upper lobes, although pleural adhesion (16.7%) and thin border nodules (9.1%) weren’t common but very specific. Common X-ray syndromes are nodule syndrome (100%) and alveolus syndrome (72.7%).
Diagnosis
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X-rays
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Tuberculosis
2.Comparison with clinical types and ventilatory by analysis 1147 patients with COPD and asthma
Journal of Practical Medicine 2004;494(11):21-24
Age of onset (Asthma: all age range, COPD over 46 years old) sexes (Asthma female > male, COPD 3/4 male). Clinical forms: Asthma (3/4 mild and moderated persistent, infective Asthma 12.1%, variant cough asthma 4.4%), COPD (Bronchitic and emphysematous forms 71.5%, post pulmonary tuberculosis sequels 8.8%, with 63% severe and very severe stage in which 10.9% acute exacerbations. Ventilation tests showed that the ventilatory norm was decreased both in asthma and COPD, while more decline in COPD. Asthma test was a useful test for differential diagnosis between COPD and asthma, Positive tests in COPD was 8% and negative tests in asthma was 15%.
Asthma
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Pulmonary Disease, Chronic Obstructive
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Diagnosis
3.Viral load suppression and acquired HIV drug resistance in adults receiving antiretroviral therapy in Viet Nam: results from a nationally representative survey
Vu Quoc Dat ; Bui Duc Duong ; Do Thi Nhan ; Nguyen Huu Hai ; Nguyen Thi Lan Anh ; Huynh Hoang Khanh Thu ; Tran Ton ; Luong Que Anh ; Nguyen Tuan Nghia ; Nguyen Vu Thuong ; Khuu Van Nghia ; Tran Thi Minh Tam ; Tran Phuc Hau ; Nguyen Duy Phuc ; Vu Xuan Thinh ; Nguyen Tran Hien ; Truong Thi Xuan Lien ; Silvia Bertagnolio ; Nguyen Thi Thuy Van ; Masaya Kato
Western Pacific Surveillance and Response 2018;9(3):16-24
Objective:
The purpose of this survey was to estimate the prevalence of viral load (VL) suppression and emergence of HIV drug resistance (HIVDR) among individuals receiving antiretroviral therapy (ART) for 36 months or longer in Viet Nam using a nationally representative sampling method.
Methods:
The survey was conducted between May and August 2014 using a two-stage cluster design. Sixteen ART clinics were selected using probability proportional to proxy size sampling, and patients receiving ART for at least 36 months were consecutively enrolled. Epidemiological information and blood specimens were collected for HIV-1 VL and HIVDR testing; HIVDR was defined by the Stanford University HIVDR algorithm.
Results:
Overall, 365 eligible individuals were recruited with a mean age of 38.2 years; 68.4% were men. The mean time on ART was 75.5 months (95% confidence interval [CI]: 69.0–81.9 months), and 93.7% of the patients were receiving non-nucleoside reverse transcriptase inhibitor-based regimens. Of the 365 individuals, 345 (94.7%, 95% CI: 64.1–99.4%) had VL below 1000 copies/mL and 19 (4.6%, 95% CI: 2.8-–7.5) had HIVDR mutations.
Discussion
Our nationally representative survey found a high level of VL suppression and a low prevalence of HIVDR among individuals who received ART for at least 36 months in Viet Nam. Continued surveillance for HIVDR is important for evaluating and improving HIV programs.