An one year old girl with congenital torticolis was subjected to study. At birth, an oval neck mass was persisted at the right side, which made the head tilted. The patient was treated by massage to reduce the contraction of clavicle muscle. Infra-red was irradiated during 10 minutes in the neck and the left side lumbar regions. Exercises were practised to rotate the neck and the trunk, and to stretch the neck. Mother was trained for holding and carrying the child at home. 4 months of treatment gave good results
Torticollis ; Therapeutics ; Physical Therapy (Specialty)

2.280 people living in DongDa district, Hanoi city were randomly selected and interviewed concerning the health status, the physical illness the emotional troubles as well as the habit of use of alcohol, sleeping medication, pain medication, and their suicidal thought in whole life. The results showed that there is an association between the suicidal thoughts and cancer, asthma. Anxiety, depression and fear were considered predictors for these thoughts, the habit for using sleeping and pain relief medications were associated statistic significantly with the suicidal thoughts but there was not an association with the use of alcohol.
Population ; Suicide ; Sick Role

Fluorescence in Situ Hybridization (FISH) is cytogenetics - molecular technique. FISH is the rapid detection technique of chromosomal aberration by chromosome specific probes applied to interphase cells. In this study, the authors used Kit duple DNA probe for chromosome 13, 21, X, Y to prenatal diagnosis of Down’s syndrome. With 6 amniotic fluid samples, the authors obtained the results as follows: 2 samples were Down’s syndrome trisomy; 1 sample was Patau syndrome trisomy; 3 samples were normal; 1 sample male foetus died without clear causes. Cytogenetic result: 46, XX but FISH result: 46, XY; PCR (Polymerase Chain Reaction) result: TDF (Testis Determining Factor): (+). These results were confirmed by chrosome analysis.
Down Syndrome ; Prenatal Diagnosis

In 1997 (1/1997-10/1997) with lymphocytes culture technique, technique for preparing chromosome slides, and Barr body technique (giemsa + trypsin). We determined Karyotyp for 60 patients with suspected genetic disorders. The result showed determined sex for 40 patients (Karyotyp 46,XX or 46,XY). 2 interrex with Karyotyp 46,XX/46,XY. 2 intersex with Karyotyp 46,XX. Determining Karyotyp for 8 patients with suspected Turner Syndrome. One of them: 45,X/46, X, r(X). Determining Karyotyp for 2 patients with suspected Down Syndrome. (1 case: 46,XX; another: 47,XX, +21). Determining Karyotyp for another patients: suspected: panconi; 47,XYY; Sterility..
Genetics ; Chromosome Aberrations

The 128 patients (78 males, 50 females) managed in the Nephrology Department, Chî RÉy hosptial, were enrolled in this study to compare the classical clearance creatinine 24h with the clearance creatinine estimated by Cockcroft Gault formula. Almost 2/3 patients had glomerular diseases, in which the majority was manifested by the nephritic syndrome. The range of clearance creatinine 24h varied from 0.02 ml/min to 131 ml/min. A good correlation between clearance creatinine/1.73m2 in 24h and estimated clearance creatinine/1.73m2 from Cockroft Gault formula (r=0.89, R2=0.8, p<0.0005), a regression line was drawn. There had a strong correlation in the subgroup of female and subgroup with serum creatinine (3mg% (r=0.985). In conclusion, the Cockroft Gault formula estimated clearance creatinine can be replaced the classical clearance 24h on the evaluation of kidney function in renal disease patients
Kidney ; Kidney Function Tests

143 lecturers and 1360 students in basic, biomedical, clinical and community departments of Ha Noi Medical University were interviewed on the current situation of training methods. The results showed that 38.4% teachers applied active training methods and there is a dramatic change in comparison to prior 1995 in biomedical group (p<0.05), more than 70% lecturers had syllabus, gave questionnaires and assessment after lesson. 60% lecturers reported that traditional training methods made students become negative while active method made students more active. 54.2% of students read references that related to clinical subjects. 96.5% of students read the bulletin of basic medical departments. 61.2% students like the active methods in training
education ; Methods

Study two cases of primary amyloidosis with the pathognomonic symptom of macroglossia , the diagnosis and treatment of primary amyloidosis. The first one presented with lesions of the tongue, peripheral neuropathy and the bone marrow aspiration revealed <30% plasmocyte with neither bone destruction nor heart, kidney injury. The second case showed diffuse infiltration of amyloid, not only caused the macroglossia but also led to the injury of the heart, pleura, kidneys, subcutaneous tissues, and the autonomic nervous system with postural hypotension
Amyloidosis ; Macroglossia ; Hypotension, Orthostatic ; diagnosis ; Therapeutics

A restrospective study carried out on 309 patients with chronic myelogenous leukemia treated from 1990 to 10/2000 showed that; -88 cases (28.3%) converted to the blast crisis. - 89.77% of these cases developed acute myeloblastic leukemia (AML) and 9.09% developed ALL.-The percentage of male and female were 55.68% and 44.31% - 45.45% of these converted cases occurred in the age group of 30-50. The youngest age was 10 months and the oldest age was : 72 years old. Mean of duration of the chronic phase was 2.5 years.
Leukemia, Myeloid, Chronic ; Leukemia, Myeloid, Chronic-Phase

Background: Idiopathic or Immune Thrombocytopenic Pupura (ITP) is a common disease in Vietnamese children. This is a hemostatic disorder disease diagnosed by clinical symptoms combining with tests of platelet quantity in peripheral blood and other tests. Objectives: to study epidemiology, clinical, para-clinical characteristics and their relations in ITP disease. Subjects and methods: This was a prospective and retrospective study. The study included 579 pediatric patients from 3 months to 16 ages who were diagnosed and treated ITP disease in National Pediatric Hospital from 1/1/2003 to 12/31/2004. Results: Data were analyzed, including 191 infants from >3-<12 months (33.0%), 293 children from 1 - 10 ages (50.6%), 95 children >10-<16 ages (16.4%). The male/female ratio was highest in infants and decreased with age (P < 0.001). The disease occurred more in September, October and November with advantage factor being acute respiratory infection before 2 to 3 weeks. Subcutaneous hemorrhage ratio was highest with 557 cases (96.2%), intracranial hemorrhage happened in 7 cases (1.7%). There were differences among age groups about hemorrhage situation. Anemia level did not corresponding with the decrease of the platelet count. Conclusion: Characteristics of ITP depend on the number of platelet and age. \r\n', u'\r\n', u'\r\n', u'
Purpura ; Thrombocytopenic ; Idiopathic/ epidemiology

This paper has highlighted some key findings as follows: from 1991 - June 2007, there are 258 projects/programs in the health sector with the total amount of 1.543,07 million USD, in which the Ministry of Health directly manages 137 projects with a total amount of 1.114.93 million USD, accounting for 72.4% of the total ODA for the health sector. The grant aid funding accounts for 57%, loan accounts for 25.6% and mix aid modality account for 17.6%. ODA from bilateral agencies is 43%, from international banks account for 37% and from UN agencies is 20%. Grant aid is declining while the loan is on the rise. As compared with the government budget, ODA accounts for 12.09% -27.78% of government budget in different periods. Priority was given to preventive medicine areas rather than treatment areas. (31.8% compared with 24.5%), in which ODA for HIV/AIDS control is 27.8% in the total amount of ODA for preventive medicine. Some important area has not received anything due to the attention of donors, such as environmental health, tropical diseases control, non communicable diseases. ODA allocation is also not adequate in terms of regional distribution. Disadvantage areas received less than other regions.
Official Development Assistance (ODA)