Aneurysmal bone cyst (ABC) infrequently occurs within the upper cervical vertebrae. Various therapeutic options have been reported in the literature. We would like to share our experience in managing a case of a 16-year-old girl diagnosed with ABC at the body of axis (C2) vertebra. Serious attention had to be given on the stability of the cervical spine following tumour resection, which can be affected by the mode of treatment chosen. Instability can have a detrimental effect on the cervical spine, in which case may necessitate further surgery. We performed a single-staged intra-lesional curettage via a transoral approach and temporary non-fusion posterior stabilization of C1 lateral mass screw and C2 pedicle screw. The implants were removed after six months once ossification of C2 has taken place to regain full motion of the neck. There was no evidence of recurrence or instability of the cervical spine three years following surgery.

Preventive supplementation of iron/folate is required to prevent iron- deficiency anemia during pregnancy. Recently there are a number of studies showed the efficacy of weekly iron/folate supplementation is comparable to daily approach. However there is lack of effective study that conducts at the routine iron supplementation program in the community. Since 1997, we have implemented the iron/folate supplementation program for women of reproductive age in Huong Son district, Ha Tinh province. Non-pregnant women aged 15- 35 were received a weekly dose of iron/folate for 16 weeks a year. Evaluation was conducted in 2 selected communes after 3 years. The results showed that anemia was remarkable decreased (24.2% in 1999 compared with 39.2% in 1997, p< 0.001). The awareness and practices of women about anemia and taking tablets was improved significantly. This approach may be feasible and realistic for further expanding intervention program in the anemia high rate areas
Iron ; Anemia ; women

Evaluating efficacy of the nutrition improvement by educating and encouraging use of available food in the households at the communes of Thanh MiÖn district, H¶i D­¬ng province. Results: the diet was significantly improved. Average energy per capital a day was 2002 kcal, was higher than this in 1994. Content of carotene and vitamin A in the diet in 1998 was higher 4 times than this 1994 and higher 2 times than this in 1996. The rate of malnutrition type under weight was significantly reduced. The rate of malnutrition type height was reduced 2% every year but still was high rate (40.2%). The knowledge and practice of mothers and families were improved obviously
Nutritional Status ; Diet ; Rural Health

For the past years, the health sector had many efforts to deploy the nutritional program, generally, and the program of micronutrient deficiency prevention and control. Ups to now, the clinical types of eye dry due to the vitamin A deficiency leading to the blind were mainly eliminated. The nutritional anemia in women and pregnant women was also reduced. The knowledge of health staffs and people in the micronutrient deficiency was significantly enhanced.
Malnutrition ; Micronutrients ; prevention & control

We selected 93 primary school children aged 7-8 years old living in a rural commune in which 46 children were classified as stunting and 47 children were not stunting during their period of under 5 years old. The anthropometric data and other socio-economic data of children and their family in two groups were collected. The results show that there is a catch-up growth in group of children with early stunting. However, their mean height was shorter than group without early stunting. HAZbefore is determinant factor for HAZ present. We found also that the birth weight is a positive factor that influences on both HAZ in two points of observation (in period of under 5 and in present time of study). We concluded that early stunting has the negative impact on physical growth in later age. Prevention of early stunting is very important action toward long-term nutritional benefits of children.
Malnutrition ; Nutrition Disorders ; Feeding and Eating Disorders of Childhood ; child

A retrospective 46 stunting and 47 children without stunting when they were at 18-30 months in 1994 and who were at 7-8 ages in 2000 at a commune of Hatay province was carried out to evaluate the relation between the perception ability and stimulate environment of families. The results have shown that the perception score of children with stunting was lower 7 than this of children without stunting and practical score of children with stunting was lower 5 than this of children without stunting. The perception level of pupil related with the stimulate environment of families
Malnutrition ; Feeding and Eating Disorders of Childhood ; pulpil

Vitamin A is an important micronutrient for human health. It has a good effect on many diseases such as diarrhea, malnutrition, HIV/AIDS, malaria... Vitamin A and/or -carotene as well as other micronutrients contribute to many physiological and pathological process of the body. In Vietnam, the rate of Vitamin A deficiency remains high. Therefore, it should have a strategy for mass complement of vitamin A, high dose and periodical complement of vitamin A for children, vitamin A containing diets and health education.
vitamin A ; Solutions ; Vitamin A Deficiency ; prevention & control

To evaluate the important role of various kinds of food/diet for health in order to prevent the chronic diseases. Suitable nutrition is not only aiming at previous nutrition but also base on various kinds of food. A fulfill multinutrition source from plant is needed for a diet. 400 g vegetable/day will provided at least 7% energy/day. The mainly energy source are based on raw provisions that in less process. Limitation of sweet sugar, powder with high blood sugar level. The sugar amount usage isn’t more than 10% energy per day. The red meat doesn’t use over 10% energy/day. Domestic fowls should be in priority eaten. Salt in each portion isn’t over 6g per adult. No alcohol drinking and in the case of drinking it , the limitation is under 5% of energy for man and 2,5% for woman
Chronic Disease

The study was performed on 4 areas (Northern plain, Northern mountain, Southern of Centre, MeKong delta) with 10 communes for each areas. In each commune, 50 under 5 years old children and 15-20 mother-infant pairs of first year breastfeeding. Preclinical deficiency of vitamin A in under 6 months infant group accounts for 32.7%, in other groups 12.4%. Low concentration of vitamin A in breast milk was the most important risk factor, leading to low level of serum vitamin A (SVAL). Taking vitamin A capsule can raise SVAL, reduce the incidence of preclinical deficiency of vitamin A. Malnutritional infant of the scinting form, last month respiratory inflammation significant asiveiation with low level of vitamin A in serum
Child ; Infant ; Vitamin A Deficiency ; risk factors

We describe a case of a giant pyogenic granuloma affecting the left index finger of a 23-year-old pregnant lady requiring surgical excision. Pyogenic granuloma gravidarum is a benign hyperplastic lesion that commonly presents on oral mucosa, typically the gums, in approximately 5% of pregnant women. Skin lesions over the fingers are an unusual site during pregnancy with only a few cases reported in the literature. The lesion was excised and a diagnosis of lobular capillary haemangioma was made based on histopathological evaluation. We delayed surgery until after parturition since recurrence is likely to be lower due to lower levels of circulating oestrogen and progesterone. The prognosis is usually excellent following resection. However, recurrences have been reported regardless of the treatment method.