A 47-year-old female was admitted with progressive exertional dyspnea and diagnosed with anomalous drainage of the left pulmonary veins into the coronary sinus (CS), combined with an intact interatrial septum and a small patent ductus arteriosus (PDA). Multimodal imaging, including echocardiography, computed tomography, and cardiac catheterization, helps diagnosis, optimal management and monitoring. The patient successfully underwent surgical repair, which involved rerouting the left anomalous pulmonary veins into the left atrium through a surgically created atrial septal defect, while the CS continued to drain into the right atrium and the PDA was closed directly via a transpulmonary approach. The postoperative course was uneventful.

Background: s/Aims: Pancreaticoduodenectomy (PD) is the only radical treatment for periampullary malignancies. Superior mesenteric artery (SMA) first approach combined with total meso-pancreas (MP) excision was conducted to improve the oncological results.There has not been any previous research of a technique that combines the SMA first approach and total MP excision with a detailed description of the MP macroscopical shape. Methods: We prospectively assessed 77 patients with periampullary malignancies between October 2020 and March 2022 (18 months). All patients had undergone PD with SMA first approach combined total MP excision. The perioperative indications, clinical data, intra-operative index, R0 resection rate of postoperative pathological specimens (especially mesopancreatic margin), postoperative complications, and follow-up results were evaluated. Results: The median operative time was 289.6 min (178−540 min), the median intraoperative blood loss was 209 mL (30−1,600 mL).Microscopically, there were 19 (24.7%) cases with metastatic MP, and five cases (6.5%) with R1-resection of the MP. The number of lymph nodes (LNs) harvested and metastatic LNs were 27.2 (maximum was 74) and 1.8 (maximum was 16), respectively. Some (46.8%) patients had pancreatic fistula, but mostly in grade A, with 7 patients (9.1%) who required re-operations. Some 18.2% of cases developed postoperative refractory diarrhea. The rate of in-hospital mortality was 1.3%. Conclusions The PD with SMA first approach combined TMpE for periampullary malignancies was effective in achieving superior oncological statistics (rate of MP R0-resection and number of total resected LNs) with non-inferior short-term outcomes. It is necessary to evaluate survival outcomes with long-term follow-up.

Background: The Covid-19 pandemic that occurred at the end of 2019, especially the fourth wave in Vietnam, has affected the world not only in terms of economy, society, and physical health but also affected the mental health of population in general and of medical students in particular. The use of different coping methods may be protective or risk factors for mental health problems. Objectives: 1. To investigate the prevalence of anxiety, stress, and depression among medical students during the Covid -19 pandemic 2. To describe several coping behavior among medical students during the pandemic. Subjects and methods: A descriptive cross-sectional study conducted on 2350 students of medicine programme range from the first year to the sixth year in the school year 2021 - 2022 at Hue University of Medicine and Pharmacy. Using the DASS-21 scale to survey anxiety, depression and stress in research subjects and a self-designed questionnaire to describe the coping methods of medical students. Results: out of 2350 sample, the prevelance of depression, anxiety, and stress was 38%, 33.2%, and 17% respectively. 13.8% had both anxiety and stress, 15.4% had both stress and depression, and 12.8% had a combination of anxiety, depression and stress. Coping behavior was commonly selected including: eating and sleeping regularly as usual (68.1%); doing exercise at home at least 5 days/week and 30 minutes/day (23.9%); 36.5% of students performed their favorite activities under appropriate conditions most of the time or often. In addition, 59.7% of students had learn new things on the internet, 4.5% of students had practiced meditation and relaxation, 2.9% of students had chosen to write a diary and things they were grateful for; 32% had still maintain contacted with friends via video calls, text messages and 34.4% had chosen to participate in volunteer activities. Conclusion: This study highlights a high rate of anxiety, stress and depression among medical students during the fouthth wave of the Covid-19 pandemic. Personal lifestyle changes and social activities were amongst the most comon coping behavior reported.

Purpose: Cranial magnetic resonance imaging (MRI) is recommended to identify intracranial lesions in girls with central precocious puberty (CPP). Yet, the use of routine MRI scans in girls with CPP is still debatable, as pathological findings in girls 6 years of age or older with CPP are limited. Therefore, we aimed to identify the prevalence of brain lessons in CPP patients stratified by age group (0–2, 2–6, and 6–8 years). Methods: This retrospective cross-sectional study recruited 257 girls diagnosed with CPP for 6 years (2010–2016). MRI was used to detect brain abnormalities. Levels of luteinizing hormone, follicle-stimulating hormone, and sex hormones in blood samples were measured. Results: Most girls had no brain lesions (82.9%, n=213), and of the minor proportion of girls with CPP that exhibited brain lesions (17.1%, n=44), 32 girls had organic CPP. Pathological findings were detected in 33.3% (2 of 6) of girls aged 0–2 years, 15.6% (5 of 32) of girls aged 2–6 years, and 3.6% (8 of 219) of girls aged 6–8 years. Hypothalamic hamartoma and tumors in the pituitary stalk were the most common pathological findings. The likelihood of brain lesions decreased with age. Girls with organic CPP were more likely to be younger (6.1±2.4 vs. 7.3±1.3 years, p<0.01) than girls with idiopathic CPP. Conclusion Older girls appeared to have a lower prevalence of organic CPP. Clinicians should cautiously use cranial MRI for girls aged 6–8 years with CPP.

Background: Mental retardation is a common pathological state in children, accounting for about 1 - 3%. Children with mental retardation should have a life of integrity and proper support. The discovery and assessment the children will help us to orient the education, assistance and early intervention for them at each location. Objectives: This study aimed at determining the prevalence of mental retardation (MR) among children in some quarters and communes of Hue city and the degrees of mental retardation in these children. Subjects and method: Screening by WHO questionnaire \u201cTen Question screen for disability\ufffd?and learning results (if possible) of children from 6 to under 16 years old in 5 quarters (urban) and 2 communes (rural) randomly selected in Hue. Diagnostics and evaluations are based on the criteria of ICD \ufffd?10. Results: The prevalence of MR in this study was 0.94% (95%CI = 0.82 \ufffd?1.07), 1.18% in rural area and 0.84% in urban area; 1.16% among boys and 0.70% among girls. Mild MR accounts for 62.67% moderate: 19.36%, severe: 11.52% and profound: 6.45%. Conclusion: The prevalence was statistically significant higher in rural area than in urban area and in boys than in girls. There were predominant percentages of severe and profound MR.
Mental Retardation/ epidemiology ; Prevalence ; Children ;

At Bach Mai Hospital from January 2001 to October 2003, the study was carried out on 97 HIV(+) patients aged >15 years, including 65 patients injected by candida albicans and 32 patients by penicillium marneffei, aged mainly <30 years, male was higher than female gender with statistical significance (p<0.01). The culture of throat lession samples showed a very high rate of (+) results in candida albicans detection (96.9%). The results were analogous in the skin and blood sample culture. There was an enhance of LDH activity and there was a negative relation TCD4 cell count in peripheral blood of HIV/AIDS patients infected by candida albicans and penicillium marneffei fungi.
HIV ; Acquired Immunodeficiency Syndrome ; Serum ; Candida albicans ; Penicillium

Two groups of subjects: control group composes of 39 healthy persons, aged 22-26 (26 males, 13 females) with HIV negative; patient group: 245 HIV patients living in community of 6 districts in Hanoi. Infected patients are mainly in adult 16-50 years old, the most common are in 21-30 (65.3%) years old, 90.6% are male. Lympho cell count decreased, TCD4 count and its percent also decreased. In 21.6% patients, the count of TCD4 < 200/mm3. TCD8 count and its ratio increased. Ratio of TCD4/TCD8 decreased. Occasional infected patients occupied 7.8%, the most commonly infected is tuberculosis 57.9% then zona 15.8%, syndrome of asthenia 10.5%
HIV Infections ; Immunity, Cellular ; Patients ; epidemiology

39 cases of HIV/AIDS infection with opportunistic infections in lung were treated in the Institute of Clinical Tropical Diseases at Bach Mai Hospital during 2001-2002 period. The investigation showed the most acquired group was very young from 15 to 30 years old, male was more than female. The wat od transimission was mainly intravenous drug injection, then the prostitution. Among opportunistic infections, tuberculosis account for 30.8%, other causes 69.2%, number of T CD4 <200 cells/mm3 in 89.7% of studied cases. Serum activity LDH increased in 92.3% of cases, including 12.8% of cases with serum LDH activity > 2000 UI/l at 37oC. There is a negative correlation of the T CD4 number and serum LDH activity in HIV?AIDS infected subjects with opportunistic lung infections
HIV ; Acquired Immunodeficiency Syndrome ; Lung ; serum ; Opportunistic Infections

Research on 39 patients with acute virus hepatitis and 33 patients with chronic virus hepatitis, 9 patients have clinical cirrhosis symptoms. All of them suffer HbsAg (+) and liver function disorderly. Results: in lower 40 ages group, the incidence of acute virus hepatitis higher than chronic virus hepatitis and cirrhosis. Man with hepatitis and cirrhosis higher than woman byfar (80,2% vs 19,8%). Reducing aglobulia, pigment blood ……….. in man patients with acute virus hepatitis, chronic virus hepatitis are higher than healthy people. Number of Glomerule in chronic hepatitis and cirrhosis group and man with acute hepatitis reduce significantly compare health people. In suffer acute virus hepatitis, there are different significantly between nomal acute virus hepatitis and severe acute virus hepatitis
Hepatitis ; Liver ; Hepatitis B Surface Antigens

A study on 97 patients with mumps and testitis in the Institute of Clinical medicine and Tropical Diseases during 2001-2002 has shown that ages of 10-50, fever pain in the jaw angle, nodes in the jaw angle, parotitis, testitis. Symptoms when occuring testitis: returned high fevers, swollen and pain in the testis, red in scrotum skin, paraclinical features included leucocyte
Mumps ; Scrotum ; diagnosis