From October 1997 to December 1998, 64 patients with defect of skull vault bone were divided into 2 groups. The 1st group of 33 patients underwent an orthopedic surgery to recreate the defect using their self exploited bone and the 2nd using the carbone composite flap. The technique of use of carbone composite was not complicated and can be applied in any surgical institution which had used to conduct emergency surgery of skull and brain. The priorities in indication must be given to large and very large defect.
Surgery, Plastic ; Therapeutics ; Bone and Bones ; Skull ; Orthopedics

From Oct. 1997 to Oct. 1999 in Neurosurgery Department of St Paul Hospital, Ha Noi, 42 patients ≥ 4 years old underwent a cranioplasty for skull lacuna using carbon composite "intost-2". The pathologic postoperative conditions were 14.29% with extradural hematomas, 30.95% subdural hematomas, 54.76% cerebral wounds; located on frontal sited 40.48%, temporal 33.33%, parietal 21.43%, occipital 4.76%. Surgical produres were scar removal and cranioplasty 78.58%, scar removal and meningoplasty and skull repair 21.43%. These 42 cases were carried out succesfully with 7-10 hospital days, symptoms caused by skull lacuna were improved, only 1 case of failure
Skull ; Pain, Postoperative ; carbon

Assessment the efficacy of cranioplasty with frozen self-cranial bone on 47 patients at the Department of neurosurgery, Saint Paul hospital between May 2002 and March 2005. The patients consisted of 37 males and 10 females, the mean age was 28 (16 to 63 years old). In all patients, cranioplasty had been performed to repair bone defects secondary to severe brain injury. 38/47 patients (80.85%) had fronto-temporal defect while 27 patients had very large defect (> 80 cm2). Results: the operation successful rate was 90.24% (37/41 patients) and no complications. 4 cases need secondary cranioplasty while 2 patients were done with carbon composite.
Bone and Bones ; Skull

Monitoring the heart rate variability is a simple non-invasive method for evaluating the influences of drug therapy, motor, psychological therapy and stress on the functions of autonomic nervous system. The heart rate variability is applied widely in clinical as well as pathological mechanism of cardiovascular diseases and non-cardio vascular diseases in the world. Curently, many health care facilities installed the holder for monitoring the blood pressure and heart rate in Vietnam. Therefore, this method is available ready for studying, diagnosing and monitoring the treatment.
autonomic nervous system ; Heart rate

Spleen plays important functions in the body. There were many indications for splenectomy, including spleen traumas, splenorenal shunt, vascular accident due to the spleen, splenic cyst, splenomegaly compressing other organs, congenital hemolytic anemia, acquired immunohematological diseases, hypersplenism leading to the peripheral blood cell deficiency. The major risk after splenectomy was severe infection. The hypersplenism was improved after splenectomy.
Splenectomy ; Child

The authors report a retrospective study of 212 resections for benign prostatic hypertrophy during 3 years (1998-2000), yielding a mean weight of 30 grams. The mortality rate was 0%. There was only one abundant bleeding case (0.4%). There were 5 cases of dysuria (2.3%) and 2 cases (0.9%) of incontinence. The experience of surgeons and the improvements in equipment appeared to be two essential factors of the primary results of endoscopic resection for benign prostatic hypertrophy at Viet Tiep hospital. Tumor, prostate, endoscopic, benign prostatic hypertrophy, endoscopic resection, Viet Tiep hospital, 1998 - 2000.
Prostatic Hyperplasia ; surgery ; therapeutics

The rate of general population carries the gene of Beta-thalassemia in some countries was high such as North of Italia (20%), Sardinia (11-34%), and Cyprus (5-15%). The frequency of gene carrier of Beta-thalassemia was quite common such as Laos (9.6%), Thailand (6%), and South of China and Cambodia. This rate in Kinh Nation of Vietnam was 1.5-2% higher than other minorities. It was estimated that there were 1.17-1.56 millions of Vietnamese who carry the gene of Beta-thalassemia.
beta-Thalassemia ; epidemiology

There are various causes of neonatal anemia, such as acute or chronic hemorrhage, ordinary hemolysis in combining with increasing of free bilirubin, decrease of erythropoiesis. Neonatal loss of blood can be seen prenatally, at birth or prosnatally. The diagnosis of neonatal anemia can be based on clinic observations or on some important examination such as Cooms test, reticulocyte, red blood cell mean volume. The management comprises of overcoming the causes heating anemia
Anemia ; blood ; Anemia, Neonatal

Hemolysis anemia in neonate is always combined with the increase of blood free bilirubine. Therefore, almost cases of neonatal hemolysis anemia were diagnosed succesfully when neonatal jaundice was detected early, just a week after birth. The condition can be divided into two group: hemolysis due to congenital pathology of red blood cell and hemolysis acquired from outwards. Congenital hemolysis can lead to early anemia in neonate. The diagnosis of neonatal anemia can be based on some examinations such as Coombs test, reticulocyte or red cell mean volume, morpholosy of red cell, which can lead to find the cause of anemia
Anemia ; Hemolysis ; Blood Cells ; Anemia, Neonatal

An analysis was conducted on 187 surveyed records of social investigation on laboratory activities at Centres for preventive medicine of 11 provinces from 2003 to 2004. The investigation revealed that 99% of interviewees said that the laboratory activities were very necessary, 78% of them said that the test results were reliable, and 74% of them assumed that their lab skills are rather good. We suppose that it is necessary to improve basic salary with their skilled jobs. The budget allocation should be reviewed for laboratory activities, and procurement of equipment and biomedicals and chemicals.
Preventive Medicine ; Laboratories