Study on 21 patients with horse shoe- like anal fistula are treated in Digestive Surgical Department of Viet Duc National Hospital during 1988 -1995 has shown that male:19 (90%); ages:18 -74; relapsed fistula: 81% operated 2 or 3 times: 45% the distance from anal fistula to rear of anal: 4 cm (76%).
Fissure in Ano ; diagnosis ; therapy ; therapeutics

In order to address conflicting accounts of the Huiyin-vessel and CV1 (Huiyin) in the Wang Bing version of "Huang-di nei-jing Su Wen", we analyzed the origins of the Huiyin-vessel based on its relationship to hemorrhoids in ancient sources on the topic. Furthermore, by considering the curing methods used by health scholars during the Warring States period in China and hemorrhoid treatments until the Song dynasty, we demonstrated the specificity of the posterior yin (anus) and identified the reason behind moving the location of the Huiyin-vessel. We also clarified the way of determining the location of CV1 (Huiyin) and factors that have until now caused confusion related to CV1 (Huiyin).

[Objective]Although “If it is not thriving but it is surviving, maintain it with Sutra ”is considered the most important treatment principle in acupuncture, its interpretation is confusing and inconsistent. Thus, in order to clarify this principle, we examined its original meaning and report the results here.
[Method]After investigating the source of “If it is not thriving but it is surviving, maintain it with Sutra ”within the “Huang-di nei-jing”(traditional Chinese medical text) and revealing the state of past research regarding this principle and its associated problems, we identified its background and used the “Zhangjiashan Han bamboo text Maishu”and “Dashu ,”which are only quoted in the “Jin fu” chapter of the Huangdi Neijing-Lingshu (the Yellow Emperor’s Canon), to trace a path back to the roots of “If it is not thriving but it is surviving, maintain it with Sutra ”and to elucidate its original meaning.
[Results]We were able to confirm that although there have heretofore been a total of four theories and 13opinions, none have been rationally interpreted.
[Conclusion]The facts that 1. “If it is not thriving but it is surviving, maintain it with Sutra”is based on a method of diagnosing pulses across the entire body, 2. the interpretation of the “Jin fu”chapter of the Huangdi Neijing-Lingshu contradicts the “Dashu ,”which is quoted in this text, and 3. the statement in the “Zhangjiashan Han bamboo text Maishu”that “when it is calm, then maintain it ”is the original form of “If it is not thriving but it is surviving, maintain it with Sutra ,”suggest that the original meaning of “If it is not thriving but it is surviving, maintain it with Sutra ”was likely that in cases where the form and rhythm of a pulse were normal, it should not be treated but instead addressed as usual.

Surgery of the parotid gland is usually indicated for the relief of an inflammatory disorder or for control of neoplasia. In all these procedures, the overriding critical factor is the management of the facial nerve. The facial nerve is embedded within the substance of the gland and is at risk of injury during any parotid gland operation. The various surgical approaches described in our study comprised a common thread, the surgeon’s awareness of facial nerve anatomy and efforts to protect the nerve from an inadvertent injury.
Parotid Gland ; Facial Nerve ; surgery ; Wounds and Injuries

Open Dialogue is a dialogical approach aiming at "polyphony (multivoicedness) " based on seven principles such as "social network perspective" and "tolerance of uncertainty". This method began as an approach to treat mental illness in Finland, and has great potential in the primary care field. In particular, it may be effective for highly complex and/or uncertain cases.

This paper discusses the adverse effect of statins on the HbA1c levels of diabetic patients. Studies have shown that statins may slightly worsen the HbA1c level. The effects vary depending on the type of statins, the dosage and the duration of therapy. However, it has been confirmed that statin use has benefits that outweigh its harms. Therefore, a diabetic patient should be given advice on the need for appropriate lifestyle changes and the importance of continuing the statins.

No abstract available.
Muscle Spasticity* ; Upper Extremity*

Investigation on anti-microorganism and cytotoxic properties of alkaloids from Crinum latigolium L. and Crinu asiaticum L. (Amaryllidaceae) growing in Vietnam and seven pure alkaloids from these plants. The total alkaloids from C.latifolium L. and C. asiaticum L/ showed a strong effect against Sarcina lutea while pratorinine was found to be active against Staphylococcus aureus. Among the evaluated alkaloids, lycorine showed a very strong cytotoxic activity on Hep-G2, RD and Fi and 1-O-acetyl – lycorine exhibited a moderate activity on Hep-G2. The remaining alkaloids were found not to be cytotoxic in all tested cell lines.
Alkaloids ; Cytotoxins ; Crinum ; Anti-Bacterial Agents

Study on 4 cases of malignant tumor of Vater’s ampulla operated at Viet-Duc Hospital and 1 case treated at University of Medicine and Pharmacy at Ho Chi Minh City between August 2003 and December 2004. Results: clinical sign is biliary obstruction jaundice. Gastroduodenoscopy with flexible tube found that papilla of Vater with the diameter lower than 3cm (histological finding: carcinomas), without metastasis to adjacent duodenum. Tumor invasion into head of pancreas and the lower of choledochous duct was determined by pancreatic and liver ultrasound, CT scanner or MRI examinations, in combination with intraoperative balance, immediate biopsy of lymph nodes in group 14 and group 8, sections of bile duct, pancreatic duct and duodenum in order to ensure the elimination of surgery. Initial outcomes showed that there wasn’t post-operative complication or death.
Ampulla of Vater ; Duodenum ; Therapeutics ; Surgery

From 1997 July to 2003 April at Hospital 108, the study was carried out on 90 patients suspected of ischemia with chest pain or on ECG. Ultrasound dobutamin stress test was undertaken with infused initial doses of 5mcg/kg/min until reaching an expected heart rate depending on the ages. Results showed that ultrasound dobutamin stresst test is a diagnostic method of 96% of sensitivity, 84% of specificity and 91% of accuracy
Myocardial Ischemia ; ultrasonography ; Heart Diseases