1.Efficacy of Hoa Long in the prevention of recurrent herpes: A randomized, double-blinded, placebo controlled trial
Ho Chi Minh city Medical Association 2004;4(5):262-266
Women of reproductive age seeking care at the Gynecology Clinic/Hung Vuong Hospital who were HSV-2 (+). Study subjects were randomized to receive either Hoa Long or placebo for oral administration in 12 days, then examined at 1, 3, 6 and 12 months after treatment. Findings: During the first year, 30.6% and 55.6% of the women allocated to HL and GD groups, respectively, had at least one episode of recurrent herpes. In addition, count and proportion of lymphocytes were higher in HL than in GD group. At 3, 6 and 12 months after treatment, CD 4 counts were 806.9, 701.2 and 800.1, respectively, for HL group, compared with 629.2, 584.2 and 629.3, respectively, for GD group. Similarly, CD 8 counts at 3, 6 and 12 months were 771.2, 614.7 and 824.1, respectively, for HL group, compared with 689.1, 489.3 and 596.4, respectively, for GD group. Among HSV-2 (+) women, Hoa Long increases CD 4 and CD 8 counts and reduces the recurrence rate of herpes during the first year after treatment
Therapeutics
;
prevention & control
;
Herpesviridae
;
Randomized Controlled Trial
2.Poisoning in neonates at Children Hospital No 1 from 1997 to 2002
Ho Chi Minh city Medical Association 2004;4(5):267-270
A retrospective study was carried out in 16 neonates with poisoning attended at the Children Hospital No 1 between 1997 and 2002. These cases accounted for 1.6% of pediatric poisoning, and all of them were accidental poisonings. The route of exposure was oral ingestion in 37.5% of cases, transdernal 31.25%, parenteral 31.25%. Chemical products are the most common agents (68.75%), followed by foods (31.25%), consist of opioid (37.5%), nitrat and nitrite content of food (31.25%), cocaine (25%) and paraquat (6.25%). The mortality was 6.25% and neurologic sequelae 12.5%. There were differences between neonates and older children in exposure, clinical findings, decontamination procedure. This study supports the need for reproductive health education, training to help reduce neonatal poisoning cases and mortality
Poisoning
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Infant, Newborn
;
child
3.Local anesthesia in surgical removal of chronic subdural hematoma: A report of 6 cases at An Giang provincial hospital
Ho Chi Minh city Medical Association 2004;4(5):271-272
6 patients with chronic subdural hematoma were operated under local anesthesia and were premedicated with analgia lidocain 2% at An Giang hospital from November 2003 to April 2004. Among them 5 patients were complication of head trauma and one of unknown etiology. 3 patients were over 70 years old (the highest was 70 and the smallest was 32); 2 patients were in a coma with GCS = 8 points, without patient was in a coma with GCS < 8 points; 1 patient had very high risk with ASA (IV) and 2 patients had very high risk with ASA (III). The surgical procedure lasted from 30 to 45 minutes for hematoma removal. All patients had good outcome after 24 hours. The duration of hospitalization were from 7 to 15 days. All of them were discharged well
Anesthesia, Local
;
surgery
;
Hematoma, Subdural, Chronic
4.Retroperitoneoscopic nephrectomy in children: The first case in Vietnam
Ho Chi Minh city Medical Association 2004;4(5):273-274
An 11 years old male patient hospitalized with a left nates pain constantly from a baby. Sometimes he had fevers with hematocyturia. Belly examination had without tumor. Laparoscopy discovered a whole left kidney with water. Some cysts had turbid liquid. The level of creatinin serum was 7mg/L. Netroperitoneoscopic nephrectomy had been operated for this patient on September 1st 2004. The operating time was 100 minutes, and blood loss was 20 ml. The patient was discharged 4 days after surgery. Netroperitoneoscopic nephrectomy could been performed in children. Surgery had few invasion, the operating time was no longer than open surgery, but the recover progresion was shorter after operation
Nephrectomy
;
child
;
fever
;
kidney
5.Antituberculosis drug-induced hepatotoxicity (ATDH): Report of 11 cases
Ho Chi Minh city Medical Association 2004;4(5):275-278
Antituberculosis drug-induced hepatotoxicity (ATDH) is common during treatment of tuberculosis. The incidence of PZA-induced hepatotoxicity was substantially higher than that of first line anti-TB drugs. In this study, 11 patients with evidence of antituberculosis drug-induced hepatotoxicity were study. ATDH developed within the first 2 months of the treatment (intensive phase). The common symptoms were fatigue (100%), nausea, vomiting (36%), jaundice (18%). The median transaminase index was 5 for both ALT, AST. Potential of risk factors are age of the patient > 35 (45%), alcoholism (45%), hepatitis B C virus carrier status (27%). Futher studies with large numbers of enrolled patients and control subjects are needed to be conducted in the future
Toxicity
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liver
;
Tuberculosis
;
Pharmaceutical Preparations
6.Current indications for open kidney stone surgery
Ho Chi Minh city Medical Association 2004;4(5):286-287
The surgical management of kidney-stone disease has undergone dramatic changes over the past 20 years. The introduction and development of percutaneous renal surgery, extracorporeal shock-wave lithotripsy, ureteroscopy, and technical advances in the available modalities for intracorporeal lithotripsy have led to a revolution in the surgicalmanagement of kidney-stone disease. The indications for open kidney-stone surgery have been narrowed significantly, and for the most part open surgery has become a second or third line treatment option. In this article, the authors attempt to better define acceptable indications for open kidney-stone surgery, to review commonly accepted advantages of open stone procedures and to establish expected results and outcomes following open surgery for kidney-stone disease
Kidney Calculi
;
surgery
;
Therapeutics
7.The relationship between the quality of embryos after thawing and the clinical pregnancy rate
Ho Chi Minh city Medical Association 2004;9(6):323-326
This retrospective cohort study aims to assess the efficacy of frozen embryos transfer programme at Tu Du Hospital and to determine the relationship between quality of embryos after thawing and the rate of clinical pregnancy. 164 patients were divided into groups, the one with at least 1 embryos each patient and 100% of fully intact embryos the other no fully intact embryo. Results gave a rate of 28% of clinical pregnancy and 10,8% of multiple pregnancy. There was a significantly statistical relationship between the rate of clinical pregnancy after the transfer of frozen embryo and the quality of the embyro after thawing
Embryonic Structures
;
Pregnancy
8.Diagnostic value of pap's smear, colposcopy and cervical biopsy in cervical diseases
Ho Chi Minh city Medical Association 2004;9(6):327-330
A cross sectional retrospective study was conducted on 290 patients aged 19- 78 years old at Hung Vuong Hospital from July 2000 to July 2003, with PAP's smear, colposcopy and biopsy. Result showed that non benignant smear accosted for 16,9% non benignant colposcopy 28,6%, non benignant biopsy 35,2%. In comparing with the number of patients submited to consultation, the rate of smear 78,04% among then 0,13% were detected with any pathology and the rate of colposcopy 20,91% and 0,98% with any pathology
Vaginal Smears
;
diagnosis
;
colposcopy
;
Biopsy
;
Uterine Cervical Diseases
9.Preliminary results of using tsuchida operation for treatment of anovestibular fistula in children with normal anus
Ho Chi Minh city Medical Association 2004;9(6):331-333
From September 1999 to August 2003, 118 cases of perineal canal or anorectovestibular fistula were treated at the Pediatric Hospital No 1, HCM City using Tsuchida technique, among them, 90 cases without colsotomy and 28 cases with colostomy. The operation was carried as follows: excision of the fistula and an anterior haft of rectal wall below the fistula, the free intact proximal wall of rectum was directly sutured tissue of anus at its anterior circumference. After 3 months: there were 3 recurrence of fistula among no- colostomy cases and one recurrence among the colostomy cases. On case without and 1 with colostomy had been reoperated. Result were satisfied
surgery
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Therapeutics
;
child
;
Anal Canal
;
Fistula
10.Chlamydia pneumoniae infection in children
Ho Chi Minh city Medical Association 2004;9(6):334-336
24 cases of Chlamydia pneumoniae infections in children aged 31,9± 15,4 months were admitted to Pediatric Hospital No 1 from August 15 to October 15/2004. The diagnosis was confirmed by serology and quantifying Chlamydia antibody. Common clinical symptoms were pneumoniae 54,2%, bronchitis 41,7%, tracheobronchitis 4,2%. But the most common were cough, then fever, wheezing, rhinitis, tachypnea and substernal contraction.
Result had suggested more attention in the diagnosis and treatment as well as the communicability of the condition
Chlamydophila pneumoniae
;
child
;
epidemiology