Study on 1260 women aged from 19 to 45 years old: 180 cases of elective cesarean section (CS), 360 cases of emergency CS, and 720 cases of vaginal delivery (the control group) at Hung Vuong Hospital in order to evaluate the effects of medical and socioeconomic factors on the decision of CS. Results: economic status didn’t affect on the indication of emergency CS, but the rate of elective CS in women with favorable economic level increased by 3.64 times. Seeking examinations at an obstetric hospital itself may have potential risk of pregnancies, the risk of emergency CS increased 16.99 times and the risk of elective CS raised 5.67 times. In addition, some factors can affect on the decision of CS such as 1st born child, having expected for pregnancy, having request for CS, fetal sex, etc
Cesarean Section ; Epidemiology

15 patients (8 males, 7 females) with mean age of 62.9312.35 years were aspirated and injected Supramycin into hepatic cysts under the guide of ultrasound. 2-month following-up result showed the decrease in clinical symptoms. 94.7% of patients were resolved completely the symptoms. Diameter of hepatic cysts decreased significantly with p < 0.001. The size of cysts decreased in all patients, in which the size decreased by half in 64.29% of patients. The adverse effects included post-injected pain and fever. These events were resolved spontaneously. There was not any severe complication.
Liver Neoplasms ; Echinococcosis, Hepatic ; Tetracycline

At HungVương Hospital, 17-48 hours after birth, 58 newborn babies with fetal age of 39,5 weeks in average underwent a neurological examination. Results showed that in comparing with the original British cohort, Vietnamese newborns had got significantly lower scores in 10 out of 25 indicators, including almost relating to truncal tone. Among these studied subjects, the deficiency of long chains fatty acid was unsignificant, while this group of fatty acids was related strictly to the nerve, especially ophtalmic nerve. The relation between transketolase concentration with neurological status was not identified
Neurologic Examination ; Infant, Newborn ; epidemiology

Study on the incidence rate of cervical cancer on 1.122 women aged from 15 to 69 years old were interviewed and had a gynaecological examination in an urban district of HoChiMinh city. HPV DNA detection was performed using a GP5+/6+ primer-mediated PCR enzyme immunoassay. IgG antibodies against herpes simplex virus (HSV-2) were determined in blood samples using an ELISA assay. The results showed that: HPV DNA was detected among 10.9% of women in HoChiMinh city. 28 different HPV types were detected, the most common being HPV 16 (in 14 single and 18 multiple infections), followed by HPV 58, 18 and 56. A peak of HPV DNA detection in women below age 25 was found. Major risk factors for HPV DNA detection in the multivariate analyses were: indicators of sexual habits, most notably the presence of HSV-2 antibodies, nulliparity and the current use of oral contraceptives
Human papillomavirus 16 ; Human papillomavirus 18 ; epidemiology ; women

Women of reproductive age seeking care at the Gynecology Clinic/Hung Vuong Hospital who were HSV-2 (+). Study subjects were randomized to receive either Hoa Long or placebo for oral administration in 12 days, then examined at 1, 3, 6 and 12 months after treatment. Findings: During the first year, 30.6% and 55.6% of the women allocated to HL and GD groups, respectively, had at least one episode of recurrent herpes. In addition, count and proportion of lymphocytes were higher in HL than in GD group. At 3, 6 and 12 months after treatment, CD 4 counts were 806.9, 701.2 and 800.1, respectively, for HL group, compared with 629.2, 584.2 and 629.3, respectively, for GD group. Similarly, CD 8 counts at 3, 6 and 12 months were 771.2, 614.7 and 824.1, respectively, for HL group, compared with 689.1, 489.3 and 596.4, respectively, for GD group. Among HSV-2 (+) women, Hoa Long increases CD 4 and CD 8 counts and reduces the recurrence rate of herpes during the first year after treatment
Therapeutics ; prevention & control ; Herpesviridae ; Randomized Controlled Trial

Tcherneiski approach in suturing Achilles tendon was applied in 13 patients (11 males, 2 females, ages 20 to 50 years), at Hospital No.87 from February 2002 to April 2004. Results showed that, the cause of breaking tendon: wound 38%, local injury 54% and implicit break 80%. The efficacy of this technique: good 62%, relative good 31%, medium 7% and bad 0%. Advantage of the method is that, in the cases of admission late or broken due to local trauma, the technique of suturing the tendon in 2 phases do often achieved a very good result.
Achilles Tendon ; Surgery

Cord blood samples were taken from 552 infants for screening TORCH infections by ELISA. Maternal infection was documented by the presence of specific IgG antibody, whereas IgM was used to identify fetal infection. Results: Prevalence of maternal infections with toxoplasma, rubella, CMV and HSV-2 were 17.6%, 73.4%, 99.6% and 40.9%, respectively. Regarding the neonates, no infant presented with congenital toxoplasma, whereas prevalence of neonatal rubella and CMV were 0.2% and 0.5%, respectively, and herpes, 14.7%. No infant, however, was clinical infected
Rubella ; Toxoplasma ; Fetal Blood ; Infection

During the period between 1999 and 2005, a clinical trial has been conducted at Hung Vuong Hospital to assess the efficacy of surfactant replacement therapy for prevention and treatment of respiratory distress syndrome (RDS) in preterm infants. Results: A total of 83 preterm infants with gestational age from 27 to 33 weeks were recruited, of whom 45 assigned to the prophylactic group and 38 to the rescue group. Percentages of developing or not reassuring RDS were 5.4% and 21.1% in the prophylactic and the rescue group, respectively (p<0.001). However, the difference in neonatal mortality was not statistically significant: 8.9% in the prophylactic in comparison with 15.8% in the rescue group
Respiratory Distress Syndrome, Adult ; Respiratory Distress Syndrome ; Newborn ; Therapeutics ; Pulmonary Surfactants ; Prevention & control ; Therapeutics

Background: Neglected clubfoot is a common congenital abnormality of uncertain aetiology. It presents with abnormal foot, adductus, varus and equinus of the foot. In Vietnam, the number of people with clubfoot rather high.\r\n', u'Objectives: To evaluate the results of using compression distraction counter direction threaded rod (CDCTR) and complications in clubfoot orthopedic surgery for older children and adults.\r\n', u'Subjects and methods: We studied and treated 118 severe clubfeet in older children and adults by compression distraction counter direction threaded rod (CDCTR) combined with minimal operative intervention.\r\n', u'The mean age of patients at the time of the surgery was 28.5 years (with the range of 3.5-54 years) and the mean follow-up time was 7.2 years (6 months-14 years). \r\n', u'Results: All cases achieved a plantigrade foot with better walking ability and great satisfaction with the results. There were no complications of note. The gradual correction by CDCTR combined with minimal operative intervention to treatment neglected clubfoot in the older children and adults achieved satisfactory results for functional and aesthetic aspects of the foot. \r\n', u'Conclusion: The role of physical therapy after clubfeet orthopedic surgery is very important in recovering the shape and function of the foot.\r\n', u'
Neglected clubfoot ; compression distraction counter direction threaded rod (CDCTR)

Ho Chi Minh City, Viet Nam undertook a series of measures in response to the fourth and largest wave of COVID-19. The care pathway was continuously reconfigured through leadership from all levels of government and engagement of the community. This resulted in a shift towards integrated severity-based care consisting of multiple levels of health-care facilities and home care. This flexible approach based on the rapidly changing local context enabled Ho Chi Minh City to limit the extent to which health-care capacity was overwhelmed.