Study on clinical characteristics, X-ray and tidal volume in 48 patients (mean age: 66.7 ± 7.32) have co-morbid chronic obstructive pulmonary disease and bronchiectasis at Bach Mai Hospital from February to September 2004. Male to female ratio was 15 to 1. 89.6% patients were smoker. 73% of patients have smoked over 15 packs per year. 34 patients (70.8%) had bronchiectasis after 5 years having chronic obstructive pulmonary disease. 23 patients (47.3%) had this condition after 6 to 10 years of chronic obstructive pulmonary disease. Symptoms were breathing difficulty in 100% patients, barre form thorax in 72.9% patients, change in diaphragm form in plain X-ray in 100% patients. RV,RV/TLC increased by more than 20% SLT in 100% patients. 81.2% patients had disease at degree III, IV
Bronchiectasis ; Diagnosis ; X-Rays

Effect of hospital waste of Quang Nam Hospital on community health was studied in 315 people in studied place and 88 people in control place. People in studied place were more likely had history of dysentery syndrome than people in control place (p<0.001). The number of people with internal diseases in studied place was significantly was more than control place (p<0.001).These internal diseases were acute bronchitis (15.56%), gastrointestinal diseases (28.89%), nervous diseases (5.08%), urinary infection (4.13%) and anaemia. Skin and eye diseases were more common in people living in control place. Gynaecological diseases werethe same in two group
Medical Waste ; Hospitals

Health status of 263 people living in area near by Viet Tri province hospital (study group) was compared to that of 75 people in non-impacted area (control group). The result showed that weight and height of people in the study group was lower significantly than that of people in control group (45.84 +/- 6.28 and 1.53 +/- 0.07 compared with 49.18+/-7.03 and 1.56+/- 0.08, respectively). The number of people in the study group having history of dysentery symptom was higher than people in the control group (9.8% vs 15.9%). Due to impacts of environmental pollution, water and air pollution, the rate of people in study group with dermatophytosis diseases was higher clearly than people in control group. The dermatophytosis diseases included infected eczema, tinea pedis and tinea unguium
Medical Waste ; Health ; Epidemiology

Retrospective description on 438 COPD patients showed that the disease occurs in male than in female subjects (male/female = 3.7 times), commonly in the year > 55 (85.3%). 153/210 patients (72.9%) have an obstructive ventilation disturbance. 142/210 patients (68.5%) have both Tiffeneau index and VC index decreasing and the Tiffeneau index decreased more dramatically than Gaensler index
Pulmonary Disease, Chronic Obstructive ; Diseases ; Patients ; Therapeutics

The article introduced two approaches for diagnosis of chronic obstructed pulmonary disease (COPD): definitive diagnosis by pulmometry with bronchial dilation maneuver and staging diagnosis. 4 current treatments include: reducing risk factors, drug treatment in stable periods (treatment regimen, bronchodilators, glucocorticoid and other medication), non-drug treatment (rehabilitation, long-term oxygen therapy, surgical treatment) and treatment for exacerbation.
Pulmonary Disease, Chronic Obstructive ; diagnosis ; therapeutics

The purpose of this study is to compare prospectively the role of transthoracic fine needle aspiration lung biopsy (TFNAB), bronchoscope, sputum cytology in the diagnosis of lung tumors and evaluate the method of small lesion in basing only on chest radiography. We performed 120 TFNAB on 102 in patients with mass lesion visible on chest radiography. The needle of 21 gauge was used. 86 patients with lung cancer, 58 had rigid bronchoscope, 66 had 1 sputum cytological exam, 60 had 2 sputum cytological exams. TFNAB had a highest sensitivity (84.4% for the first time) with a rate of correct cytological typing in 76.7% of cases suffering from lung cancer. It was complicated with pneumothorax in 4 cases (3.3%), hemoptysis in 4 cases with small lesions, two rules in aluminum sawed at interval of 5mm were fixed on the chest wall then the chest radiography was taken to determine the site and the distance of puncture for the TFNAB with good success
Lung Neoplasms ; Cardiography, Impedance ; diagnosis

Intervew 590 medical staffs (73.1% female, 26.9% male) in 14 clinical departments and institutes of the Bach Mai Hospital by using direct WHO’s questionnaires. Rate of obtaining questionnaires was 91.4%. The smoking rate of male medical staffs was 40.7%. Over 80% of health professionals agreed with the facts concerning the knowledge about harmful effects of active and negative smoking, control measures on publicity, distribution and smoking in enclosed public places. Nevertheless, there were some health professionals disagreed with the fact that negative smoking associated with infant death (18.5%), maternal smoking during pregnancy increased the risk of sudden infant death syndrome (16.3%), health professionals who smoke are less likely to advise people to stop smoking (15.5%), the price of tobacco products should be increased sharply (6.8%), there should be a complete ban on the advertising of tobacco products (5.7%).
Smoking ; Medical Staff

Pleural effusion was studied on 548 patients (322 males and 226 females aged 17-80 years old) at Bach Mai hospital in the period of 1996-2000. The incidence was higher in male than in female subjects. The elderly of < 60 year -old -age group accounted for 73% of cases. Tuberculosis was the most usual cause. Common symptoms were lung pain, cough, diphneoa, fever and the syndroma of “3 decreases”. The mean duration of treatment was 18.9 – 26.3 days, 17.5% of patients were fully recovered, 64.2% partly recovered and 16.1% none.
Pleural Effusion ; Therapeutics ; Epidemiology

66 patients with pleural cancers (40 males, 26 females) were treated at Bach Mai hospital from 1996 to 2000. Pleural cancer was rare and concentrating at the age group > 40, more common in male than in female. 70% of pleural cancer patient had got a history of chronical pleural inflammation. The common symptoms were chest pain, cough, dyspnoea, syndrome of “3 reduces”. Among these 66 patients, some could get secondary pleural cancer caused the metastasis and invasion from other organs. None case was consistent with previous diagnosis from lower health care service level.
Diagnosis ; Pleural Neoplasms ; Carcinoma ; Epidemiology

221 patients with pleural effusion were treated in Bach Mai hospital from March 2002 to August 2003 were studied retrospectively in a cross-sectional investigation. Their 134 cases (60.6%) were tuberculosis plural effusion, 66 cases were pleural cancer and 17 cases (82.1%) undetermined. The common symptoms were cough, chest pain, dyspnoea and “3 reduce symdrome”, fever in 82.1% of tuberculosis pleural effusion. Biosy had determined the tuberculosis in 48.8% of cancer, cancer 19.4%, chronical inflammatory 31.9%. Pleural biopsy had got the sensitivity (Se)= 75% and specificity Sp = 97%. Biopsy in diagnosis of tuberculosis pleural effusion led to mild complication in 10% of patients
Diagnosis ; Biopsy ; Pleural Effusion ; Therapeutics