Going toward the modernized and industrialized aim of Cho Ray hospital and using wide capabiliti of information technology of treating the diseades, we have done a software for diabetics to provide all kinds of diets suited for the clinical nutrition conditions. The software can used for Nutrition departments at hospitals, industry cookers, restaurant, hotel
Dietetics ; Software ; Information Management

103 out of 324 patient with bone marrow biopsy are bone marrow failure. Among them, have fatty feature. Osteo-and sclerosis features are only a little number. 4 other patients were detected as metastatic cancer by bone marrow biopsy before other method detection. Malignant hematopoiectic diseases are seen commonly and polymorphism. Many of them could not be diagnosed exactly if only myelogram but not bone marrow biopsy. In addition, 17 others seen to be normal in history although something suspected in clinic. In conclusion, bone marrow biopsy gives high value in diagnosis of hematopoiesis as well as common internal diseases. it should also review again on real in dication for this technique how to be in time to patient treatment and better than in aspect of economy and little more trouble to patient.
Bone Marrow ; Pathology

We carried out the classification of acute leukemia of 210 adult patients hospitalization at NIHBT during years of 1996-97 by two method of morphocytochemistry and immuno-phenotyping.The purposes are to evaluate the limitations of morphocytochemical method and values of immunophenotyping method to take a part to applicate well this superior method to pathologic study and treatment of acute leukemia in Vietnam. The results showed that there are some special types such as biphenotypic acute leukemia,, null cell AL, stem cell AL and NKAL. 55 out of 210 patients have to correct the result of morpho-cytochemistry by immunophenotyping. Even in common morphological subtypes, it is seen also some mistakes of classfication by the limitation of this method. Immunophenotyping method will define well on M0 subtype, really cellular lineage of ALL, mixed AL, stem cell AL and NK AL.These subtype could not be defined by morphocytochemical method
Leukemia ; diagnosis

The results showed that, the cell counts are widely diffrerent among patients and subtypes. In M2 subtype, lymphocyte T and NK cell counts refered to elevate in peripheral blood and more clearly in bone marrow but CD4/8 ratio remains so normal. M1 subtype displayed the disorder and partial insuffiency of cellular number and distribution. B cell count is dicreased markedly both in peripheral blood and bone marrow and NK cell count is dicreased only in bone marrow. In M3 subtype, all of subtypes are depletted in peripheral blood with immunologic disbalance. While it is not decreaed clearly in bone marrow, even lymphocyte TCD8 has tendency to a little evaluation inducing to CD4/8 ratio decreased. Comparison of 3 subtypes in cellular number and distribution showed that, M2 subtype has immunological capacity better than the remainders. this seem to be stable. NK cell and lymphocyte TCD8 counts are relatively high in M2 subtype; while NK cell is decreased in M1 and more clearly in M3 subtype
Leukemia ; bone marrow

Background: Nefopam a powerful painkiller has been put into clinical use since 1976, effects preemptive analgesia. Objectives: To assess the effect of presurgical IV Nefopam on postoperative pain after major upper abdomonal surgery. Subjects and method: A double-blind randomized controlled trial. 62 patients were divided into 2 groups: Nefopam (N, n = 31) and placebo group (PG, n = 31). Presurgical IV 20 mg Nefopam was used in N.PCA was used for both groups. Postoperative non-painful time (PNPT); VAS/48 hours at rest and on cough; IV Morphine rescue with PCA was measured during postsurgical 48 hour period.Results: PNPT was longer in N 42 \xb1 8,9 vs. 22 \xb1 4,8, p<0,01. Titration dose of morphine, Morphine consumption of first 24 hours, and of another 24 hours were lower in N 5,6 \xb1 1,7; 25,2 \xb1 4,9; 10,1 \xb1 3,6 mg vs. 7,1 \xb1 1,5; 30,1 \xb1 4,5; 13,3 \xb1 2,1, p<0,05 and < 0,01, respectively. VASs under tested conditions during first 16 hours were significant lower in N. Conclusion: Presurgical Nefopam had the effect of pre-emptive analgesia as evidence by a significant VAS decrease during the first 16 hours with lower Morphine consumption of 48 hours .
Nefopam/ administration & ; dosage ; Abdominal Cavity/surgery ; Pain ; Postoperative/ prevention & ; control ;