7 patients with the femoral bone cervical fracture with the average ages of 70.2 (male: 02; female: 05) received the semi-hipjoint replacement. The results have shown that all patient had the 1st phase skin healing.. post- operative X-ray found the location correctly. The thigh was not ruptured or perforrated. The average duration of treatment: 25 days. Conclusions: the operation of the hip joint replacement contributed to last the patient’s life, help the patients early walking, prevent the complication and false joint or fermoral spheroidal osteoclast.
Femoral Fractures ; Aged ; surgery ; therapeutics

Study on specific desensitive treatment for Dermatophagodes pteronyssinus allergen in 33 patients (mean age: 33.73+/-10.98) with allergic rhinitis at Central Otorhinolaryngology Hospital from November 2003 to October 2004. After treatment, all of clinical symptoms were reduced. Common effects on clinical treatmen were excellent in 24.3%, good in 45.5%, moderate 15.1% and bad in 15.1%. Before treatment, 100% patients had positive nose stimulation test and by 6 months of treatment, the rate only was 9.1%. After treatment, total IgE level in serum was lower than before treatment and total IgG level in serum was increased in comparison with before treatment. Common results after treatment: excellent 24.2%, good 48.5%, moderatel18.2% and bad 9.1%
Dermatophagoides pteronyssinus ; Rhinitis ; Hypersensitivity ; Allergens

The study was conducted in a mountainous district in the year 2000, mentioning the relationship between handicapped children and their parents' education and knowledge about the technical rehabilitation and their family's living standard. The result shows that 95% of parents are literacy, most of them (57.4%) have some level of secondary school. But 78.3% of them have not approached to the community-based rehabilitation (CBR). According to the study, 38.3% of 115 families are poorer than others in comparison with neighboring families. All of the parents practiced not well technical rehabilitation on CBR.
Disabled Children ; Education

Rehabilitation has become a part of primary health care. Subject: Disabled children aged 0-15 years in Luong Son district, Hoa Binh province. Method: Cross-sectional description with analysis. The results showed that 64.3% of disabled children have needs of overall rehabilitation, with need of learning is predominant (52.7%). Rehabilitation needs are higher in disabled children than in adult. Needs of communication and learning are predominant in disabled children. The lower education the children have, the higher level of rehabilitation they need.
Rehabilitation ; Child

In Vietnam, from Jun 1992 to Jan 1995 carried out renal transplantation for 12 patients. All of them were grafted by the kidney from related living donors and without nephrectomy. Data of this study suggest some following remarks: (1) About the donor: The size of remaining kidney increases with the rate 8.8% in the first month, 3% in the second month after nephrectomy, but creatinin clearance decreased at 42 ml/min in the first month. (2) About the recipient: After grafting, the patients recovered from anemia after 1 month, creatinin clearance were 54ml/min (range 20-100ml/min); by arterial hypertension was regulated slowly. After grafting, the following symptoms suggest bad prognostic: Hypertension increases continuously. Proteinuria is heavy and prolonged. The sixth patients of this study are totally compatible with donor group ABH, HLA but due to high presensibility, the rejection of graft happened (4 episodes). The deaths of this study were cerebral artery accidents.
Kidney Transplantation ; Therapeutics

The authors present 31 cases of subdural hematoma from 2/1991 to 8/1996 at surgical department in Frienship Hospital. Ages are from 51 to 82 years old, treatment is surgical. The results are good in 26 cases (84%) nerve sequelae in 4 cases (10%), mortality in 2 cases (6%). Early diagnosis is a favorable prognostic factor.
Hematoma, Subdural, Chronic

Cranioplasty was proposed by Falloppio and later by Pare in 1634. During the last century, in particular, there has been a marked increase in the use of alloplastic materials for cranioplasty comprising a wide variety of materials: tantalium, titanium, acrylic, polyethylene, silicone and ceramics. The authors assess the efficacy of cranioplasty with carbon composite” intost-2” for cranial defect post brain injury was realized in the Department of neurosurgery of Saint-Paul hospital. Methods: from 10/1997 to 11/2004 , 124 patients skull defect after operation of traumatic brain injury underwent cranioplasty with carbon composite “intost-2”. there were 103 males (82.33%) and 23 females (17.66%) whose average age was 27 years (rang 5 to 55 years). 74 patients (51.61%) had an operation for acute subdural hematoma with or with out brain contusion and penetrating brain injury. One hundred one patient (81.45%) had large defect (>5cm) while 27 patients (21.77%) had very large defect (>8cm). Results: the operation successful rate was 98.39% (122/124). there were two infections because of cutaneous necrosis need secondary cranioplasty. Conclusion: The cranioplasty with carbon composite “intost-2” had good result in spite of large defect.
Brain Injuries ; Surgery

Within 2 years ago, 10,75% of population had acquired any disease. Most common disease are bronchitis and intestinal tract diseases. 24,20% of patients access to the communal health station, among them 73,8% are satisfied with the services. Some proposed were recommended to improve quality of health services
epidemiology ; Health Services ; bronchitis ; Gastrointestinal Tract

Background: in head trauma, increased intracranial pressure and cerebral edema are the main factors causing death. One of the most effectiveness anti-cerebral edema measures is to ensure ventilation, mechanical ventilation is best. But in practical conditions of Vietnam, with a very large number of patients, number of ventilator is insufficient for patients, so tracheostomy is a relatively simple method but has saved the lives of many patients. Objectives: to assess the situation of respiratory tract infections in patients with tracheostomy due to head trauma; to study the common bacterial species and antibiotic response in the treatment of these infections. Subjectives and Method: a prospective descriptive study on all patients with head trauma had been tracheostomy, treated and monitored at department of neurosurgery, Viet Duc Hospital from November 25, 2005 to April 25 in 2006. Results: 80% of patients infected with multiple bacteria. The rate of respiratory infection after 3 days of tracheostomy was 90%. The common bacterial species were gram (-) (82.58%), highest P.aeruginosa (34.04%), followed by other intestinal Gram (-). The species of Gram (+) only accounted for 17.02%, including staphylococcus (6.38%). Results of Antibiotics Sensitivity Test showed that 2nd regimen (Augmentin + aerosol including: ampicinllin and Nebule) was effective treatment. Conclussions: the ability of bacterial infecting to respiratory tract was very soon. The rate of respiratory infection after 3 days of tracheostomy was very high. The common bacterial species were gram (-). Antibiotic combination was high effective regimen.
Respiratory Tract Infections ; Craniocerebral Trauma ; Tracheostomy ;

Background: There are many factors to assess face morphology and standard occlusion, in which sagittal relationship index is an important one. This index in cephalometric film can help to study developmental changes, to evaluate structures of bone and soft tissues, and to make decisions in orthodontic treatments. Objectives: Determination of the sagittal relationship index on cephalometric film in Vietnamese citizens aged 18 to 19 years. Subjects: 100 Vietnamese (42 men and 58 women) aged 18 to 19 years, who had 28 healthy and natural teeth. Method: Descriptive cross-sectional study. All participants were X-rayed on cephalometric film and then special points, angles, and planes were defined on these films. Data was analyzed by using one-way ANOVA test, t - Student test in Epi-Info software version 6.04 and SPSS version 10.0. Results and conclusion: Some sagittal craniofacial indexes on cephalometric film were defined as followed: in both sexes, mean SNA (degree) = 81.99 +/- 3.77 (82.81+/-4.40 in men, 81.40+/-3.16 in women, p> 0.05); mean SNB = 79.66 +/- 4.10 (82.81+/-4.36 in men, 78.40+/-3.40 in women, p< 0.05); mean ANB = 2.33 (1.40 in men, 3.00 in women, p< 0.05); mean l/SN = 109.36 +/- 6.46 (110.55+/-7.77 in men, 108.49+/-5.22 in women, p> 0.05); mean 1/ MP = 95.85 +/- 6.86(93.68+/-7.27 in men, 108.49+/-6.15 in women, p> 0.05); mean 1/1 = 120.02 +/- 13.06 (125.42+/-9.08 in men, 116.10+/-14.13 in women, p< 0.05). These findings showed that the Vietnamese populaces have alveolar protrusive tendency.
Sagittal relationship index ; cephalometric film