Morbidity and mortality of typhoid fever in Dong Thap province had reduced gradually in the last 10 years. The number of typhoid fever between 1999 and 2003 was equal to a third cases occurred between 1994 and 1998. There had been 29 of dead cases resulting from typhoid fever for ten years. The highest number of dead cases in 1995 was 6. The death to incidence ratio was 0.076%
epidemiology ; Typhoid Fever ; Fever

Studying on typhoid fever in 16417 people of Binh Thanh Trung commune and 16324 ones of Vinh Thanh commune (control commune) after 2 years with the intervention. The results showed that drinking water sterilized by chloramin B increased by 295.58%, drinking boiling water increased by 10.06%; drinking rainny water increased by 464.30%; vegetable washing by safety water increased by 2886.61%, good sanitary latrine increased by 292.30%, close fish pond latrine increased by 46.91%, sinking latrine increased by 195.995%, fish pond latrine open to river reduced by 17.68%, latrine on the river reduced by 29.24%. Typhoid fever reduced by 92% in comparison to before interventrion. Real effect in comparison to control commune was 5.04%
Typhoid Fever ; Therapeutics ; Epidemiology

There were 89 patients, no death in an outbreak of cholera in Dong Thap province, which happened on January 1st 1999 and lasted for 2 months. The morbidity was 5,61/100.000 inhabitants with all ages; the disease occurred at districts, towns along the Cuu Long river. Local authorities had conducted measures for cholera prevention and control.
Cholera ; Disease Outbreaks

Background: Gougerot-Sj\xf6gren syndrome is an autoimmune disorder with two remarkable symptoms such as dry eyes and dry mouth. Objective: To study the symptoms of dry mouth of Gougerot-Sj\xf6gren syndrome after rheumatoid arthritis; To evaluate clinical and subclinical manifestations of dry mouth. Subjects and method: A prospective, descriptive, cross-sectional study included 160 patients with rheumatoid arthritis, who treated at Department of Rheumatology of Bach Mai hospital, from 1998 to 2003. The patients were divided into 2 groups: 60 patients with Gougerot-Sj\xf6gren syndrome and 100 patients without Gougerot-Sj\xf6gren syndrome. Results: The average age of patients with Gougerot-Sj\xf6gren syndrome was 54.55 \xb1 10.91 years. The mean time of having dry mouth was 8.65 \xb1 8.39 months. Clinical manifestations of dry mouth were sensation of dry mouth (90%), lost of saliva (80%), drink a lot of water while eating (58.3%), enlargement of parotid glands (15%). Degrees of dry mouth were mild and moderate (36.7%), severe (53.3%). 93.3% of patients decreased total salivary flow.82% of patients had 3 and 4 anatomopathologic stages according to Chilsom classification. Conclusion: Incidence of symptoms of dry mouth was higher significantly in the rheumatoid arthritis patients with Gougerot-Sj\xf6gren syndrome than those without Gougerot-Sj\xf6gren syndrome.
Arthritis ; Rheumatoid/ pathology ; diagnosis ; Sjogren's Syndrome/ pathology ; diagnosis ; Xerostomia/ pathology ; diagnosis

Background: Tophi is an important symptom of chronic gout. Objective: To assess clinical characteristics of topbi and its relationships with other manifestations of chronic gout. Subjects and method: A study was conducted in 65 patients diagnosed chronic gout based on Bennett and Wood criteria 1968, with tophi, treated at Department of Rheumatology, Bach Mai hospital, from December 2003 to June 2004. This was a retrospective, prospective, cross-sectional study. Results and conclusions: All patients were males and the average age was 57.8 \xb1 11.71 years. 72.3% of patients aged from 30 to 59 years. The average time of occurrence of tophi in chronic gout was 7.73 years. The mean number of tophi was 24.8 \xb1 9.4 (ranged from 1 to 70). Erosion of tophi occurred 25%. 92.9% of patients had distribution in inferiors limbs and 80.4% had superior limbs. There were relationships between number of tophi and renal lesions, distribution of tophi and number of painful joints.
Gout/ pathology ; therapy

32 patients were studied on model pacemakers implantation as DDD, DDDR pacing, VVIR pacing and AICD (Automatic Implantable Cardioverter defibrillator), in which 23 cases (71.8%) with complete A-V block, 8 cases (25.0%) with Sick Sinus Syndrome and 1 (3.2%) case with Ventricular tachycardia. The implantation technique for all these patients were successfull: VVIR 24 cases (75.0%), DDD + VDD 4 cases (12.5%), DDDR 3 cases (9.4%) and ACID 1 case (3.2%). After implantation, there were 30/32 cases (93.8%) have controled on follow-up, in which 29/32 pacemaker (90.6%) were programed. Not any patients was died. This success improved quality of life for patients in Vietnam whose were suffer from serious arrhythmia heart diseases
Arrhythmias, Cardiac ; Therapeutics ; Pacemaker, Artificial

By synthesizing and analysing poisoning analyses from 1996 to 2000 at Hai Phong Viet Tiep Hospital found an increasing incidence of insecticide and raticide poisons. Incidence of insecticide and raticide was 21.18% in 1996, in which raticide rate was 5.08%, raticide rate was 20.11% in 2000, there were a noticeable rate of raticide poisons without knowing the origin of the raticide in chinese (called chinese raticide). The poisoning analyses played a considerable role in giving first aid for poisons in general and for insecticide and raticide poisons in particilar
Insecticides ; Poisons ; Epidemiology

The study of 183 idiopathic thrombocytopenic purpura children treat at Hai Phong Children Hospital from 1/1998 to 4/2003. The disease is frequent in small children from 1 month to 5 years old in spring and winter, sex ratio is similar. Main manifestations were 95.6% spontaneous hemorrhage, fang hemorrhage 32%, nasal hemorrhage 12%. Polymorphic hemorrhage 60.44%, mild hemorrhage 55.7%. Main hematological sign was thrombocytopenia but it was not severe. Bleeding time was above 10 minutes in most of cases (57.38%). There were a correlation between platelet count and bleeding time
Diagnosis ; Hematology ; Purpura, Thrombocytopenic, Idiopathic ; Child

A prospective study was carried out on 31 healthy individuals and 32 patients with rheumatoid arthritis at the Military Hospital N0 103 and the Enterology Department of the Police Hospital N0 198. The results showed that: in the patient group, there were increases of number of white blood cells, and lymphocytes, as compared to the control group (p<0.001); there was also wide fluctuation of tumor necrosis factor (TNF-), from 22.41 pg/ml to 1341.62pg/ml. 75% patients had concentration of rheumatoid factor RF≥8 IU/ml (positive). There were agreeable correlations between the number of lymphocytes T, Ta with lymphocytes B at rate r=0.64 (p<0.05); between the number and percentage of Ta-cell with serum concentration of rheumatoid factor (RF) in the patients at low level of r=0.24 and r=0.33
Arthritis, Rheumatoid, Immunologic Factors

The prospective study of clinical features of mental disorder was carried out on 38 patients at age 35-37 having fibro-cavernous pulmonary tuberculosis at Tuberculosis and Pulmonary Diseases Department in the Military Hospital N0103 and at the National Hospital of Tuberculosis and Pulmonary Diseases. The authors observed that: physical disorder syndromes are diversified: mild fever in the afternoon (92.10%), fatigue (94.7%), loss of weight (92.10%), expectoration (94.7%); cough lasting more than 3 weeks (84.20%); chest pains (57.90%)... Depression and anxiety disorder symptoms are also diversified: hypothymia and loss of appetite (86.80%), insomnia (76.30%), loss of sexual desire (71.10%), and impaired concentration of attention, hypokinesia and exhaustion after minimal effort (60/50%)… phobias (49.90%), worries about future misfortunes (60.50%), panic (39.50%), tenterhooks (44.70%), nightmares (26.30%), illusion (23.68%), misfortune ideations (10.40%), suicidal ideations (7.90%)
Tuberculosis, Pulmonary, Mental Disorders