62 patients with opiod poisoning involved our study were treated by naloxon and respiratory supportive therapies as united protocol. Because of aggressive using naloxon, the ratio of patients requiring intubations and mechanical ventilation was significantly decreased, 29% and 17.7% respectively. The manifestation of opiod overdose were rapidly improved and almost of the patients (95.5%) were treated successfully. The side effects of naxolon were minor. We observed only 2 cases having vomiting after Iv injection of naloxon. Ambuballon bagging with 100% oxygen was mainly respiratory supportive therapy. The mechanical ventilation indicated for the patients suffering from life-threatening respiratory failure. Heroin-induced pulmonary edema accounted for 82% of these cases. PEEP was used in 7 patients. The mean of PEEP levels was 5.31.3 cmH2O. Our protocol was success in 95.5%.
Poisoning ; Naloxone ; therapeutics

The intoxication of tetraodontoxin from some species of fishes of the tetraodontidae accounted for 40-60% in the world, and 44,4% in Vietnam. The intoxication occurred most frequently in the major provinces such as Phu Yen, Qui Nhon, Quang Ngai, Ha Tinh, some times in Hai Phong and Ha Noi.
Poisoning ; Tetraodontiformes

We have studied 27 patients on medical ventilation in whom we measured auto-PEEP by means of end expiratory airway occlusion. Four patients with ARDS had 10.25  2.05 cm H2O of auto PEEP. Six patients with COPD had 12.83  4.98 cm H2O of auto PEEP. Seven patients with acute severe asthma had 20.29  7.21 cm H2O of auto PEEP. Ten patients with neuromuscular disease had 5.2  4.07 cm H2O of auto PEEP. PEEP was set equal to half the auto-PEEP to treat patients with ARDS, COPD and acute severe asthma. We have show that the value of auto PEEP fell to 4.67  3.7 cm H2O in patient with ARDS, to 7  2.31 in patient of COPD and to 9.71  1.67 in patients of asthma. PEEP 50% of auto-PEEP is safe and does not worsen pulmonary hyperinflation
Positive-Pressure Respiration, Intrinsic ; Respiratory Insufficiency ; Respiration, Artificial

55 gardenal-poisoned patients were measured the drug’s blood levels to compare with their clinical manifestations and select appropriate treatment methods. The mean value was 36.87mg/l. The patients with the blood gardenal levels equal to or less than 60mg/l usually had first or second-stage coma, mild respiratory failure (if any), and fewer severe complications. This group of patients only required simple measures such as gastric lavage, the use of activated charcoal, enhanced diuresis and urine alkalization. Whereas the patients with the levels more than 60mg/l commonly suffered from third or fourth-degree coma, severe to life-threatening respiratory failure, hypotension and other severe complications. They not only needed simple curative methods but also mechanical ventilation and hemodialysis. the hemodialysis could reduce the blood gardenal concentration up to 665 for each intervention period. Owing to this extracorporeal technique for the removal of toxins, the duration of mechanical ventilation, enhanced diuresis, urine alkalization as well as the necessary amount of bicarbonate was decreased remarkably.
Phenobarbital ; Phenobarbital/poisoning ; Blood ; Diagnosis ; Therapeutics

In 32 hypertensive heart failure patients (HHF group) including 19 male, 13 female, aged 60.3710.25 and 10 patients without HHF: 5 male, 5 female, aged 69.4  1.2, plasma BNP level in HHF group was 568.02  473.86 pg/ml and in without HHF group was 13.61  13.60 pg/ml. For HHF patients of degree I-IV, the sensitivity was 78%, and the specificity was 100% and for who of degree II-IV, sensitivity 92% and specificity 100%.
Heart Diseases ; Atrial Natriuretic Factor ; Heart

In 2002-2004 year period, at Bach Mai Hospital, 6 intoxicated victims aged 14-41 were admitted (3 males, 3 females). They attempted to suicide and hospitalized 15-60 min. after use the toxic with the symptoms of gastro-enteritis (vomit even vomit with blood), abdomen pain, diarrhoea, purpurae and systenic edema, circulation volume reduced, high blood pressure, tachycardia, 3 victims who consumed 7-10g recovered but 3 who consumed > 20g died 24 hours after hospitalization
Poisoning ; Insecticides ; Suicide ; Gastroenteritis

At the intensive care unit of Bachmai hospital, in 27 patients with acute pulmonary deficiency syndrome of different causes, who were undergone invasive artificial ventilation, auto-PEEP was assessed. Patients with ARDS had got auto-PEEP of 9,15±4cm Hg, with COPD 12±2,8cm H2O, with asthma crisis 20,4±7,2cm H2O. The use of specific chemotherapies and setting PEEP equal to haft of auto-PEEP to treat the patients with ARDS and COPD had minished the value of auto-PEEP to 4,67±3,7cm H2O in ARDS, 7±2,31 in COPD and 9,71± 1,67 in asthma; blood vapor level was improved also
Respiratory Insufficiency ; Respiration, Artificial ; Intensive Care Units

Background: Recovery of maternal milk source is an urgent matter of many mothers in the breast feeding duration. Spinal hitting method of Nguyen Tham Tan has been applied on a lot of women lacked milk after giving birth but until now, there has not any resrearch on the method. Objectives: 1. To assess lactation effect resulting from spinal hitting method. 2. To evaluated effects of the method on milk quality and the concentration of prolactine in blood. Subjects and methods: 33 mothers who are lack milk after giving birth have been hit at points on their spine as follows: CS, C6, D2, L2-L3. These patients were treated during 15 days with one time a day, hitting duration of every time - 15 minutes. The study used open clinical method in comparison with the obtaining effects between pre and post reproducing. Results: Amount of breast milk per minute increases from 1.52ml \xb10.37ml (before treatment) to 2.20\xb10.42ml (after treatment). Number of children's feeding decreases and the concentrations of protein, lipid and glucose as well as vital elements in milk increase after treatment. The concentration of prolactine in blood increases from 2755.16m\xb5/ml (before treatment) to 3763.16m\xb5/ml (after treatment). Conclusion: Spinal hitting method has the effects of lactation, increase in prolactine concentration in bloods and positive effects on milk quality. \r\n", u'\r\n', u'\r\n', u'
Milk ; Human

Objective: Female sex workers (FSWs) are at high risk of human papillomavirus (HPV) infections and cervical cancer due to their high number of sexual partners. The objectives of this study were to determine the prevalence of HPV and identify risk factors for high-risk HPV infection among FSWs in Hanoi and Ho Chi Minh City (HCMC), Viet Nam. Methods: A cross-sectional study was conducted in Hanoi and HCMC between December 2017 and May 2018. We surveyed and screened 699 FSWs aged ≥18 years for HPV infection and abnormal cytology. A multivariable modified Cox regression model was used to determine risk factors for high-risk HPV infection. Results The overall prevalence of any HPV, high-risk HPV and HPV-16/18 infection in the 699 FSWs was 26.3%, 17.6% and 4.0%, respectively, and were similar in both cities. Multiple infections were identified in 127 participants (69.0%).HPV-52 was the most prevalent (7%), followed by HPV-58 (6%). Abnormal cytology was detected in 91 participants (13.0%). FSWs who are divorced (adjusted prevalence ratio [aPR]: 1.96, 95% confidence interval [CI]: 1.01–3.81), widowed (aPR: 3.26, 95% CI: 1.49–7.12) or living alone (aPR: 1.85, 95% CI: 1.01–3.39) were associated with a higher prevalence of high-risk HPV infection.