123 patients with spontaneous pneumothorax (including 5 patients with bilateral pneumothorax) were treated in Military Hospital No103, aged 16-83, the sex and age were concernless. The incidence of right pneumothorax (64,4%), higher than a left (31,8%). This meidence in the group of occupations requiring physical strength is higher than in the group of sedentary and intellectual occupations. The onset manifests suddenly after an effort (76,3%). Clinical symptoms are violent suddenly pain of the chest (88,6%) dyspnea in the first hours (74,1%) enlarging intercostal clift in the sick side impairing the respiratory, gillard triad (99,1%). CT scaner has big value in determining the cause of pneumothorax (coefficiency of Kppa = 0,8). The continuous aspirating draining of pleural cavity in combining with creating pleural adhesive by autotransfusion is simple, inexpensive and efficacy method of treatment
Pneumothorax ; Pleura ; Lung ; Therapeutics ;

216 patients with normal functional thyroid pathology were treated at Hospital No 108 in 2000-2003 year period. For study the relationship between clinical symptoms, 44 cases underwent a biopsy with fine needle aspiration and were diagnosed as simple thyroid goiter, 162 cases had got cytological diagnosis as thyroid goiter, 8 cases as suspect of thyroid cancer. Clinical feature of 2 patients who had got fine needle aspiration cell biopsy had confirmed thyroid cancer.
Diagnosis ; Biopsy, Fine-Needle ; Thyroid Gland

Study on 199 people aged 60 years old and more lived au in Ngoc Chau commune, Hai Duong city. Results: 5-word test is simple, easy to understand and and can be done rapidly, with result can be available in less than 5 minutes, so it is seem to be appropriate in screening for early cognitive impairment. The rate of cognitive disorders of elders was 23.1. Cognitive disorders in males were more common than in females, and immediate cognitive disorders and cognitive impairment increased proportionally to the age. However, it’s necessary to perform another tests for people with positive 5-word test (<10 scores) to early detecting cognitive impairment, before doing other paraclinical diagnoses.
Memory Disorders ; Aged

The study enrolled 64 patients with lung cancer (43 males, 21 females) who were treated at Can Tho General Hospital between 1998 to June 1999. the result showed that lung cancer patients are diagnosed in advanced stage, led to limit the surgical capacity. Persistent clinical symptoms such as cough, chest-pain and weight loss that observed in the high-risk or BK-negative persons should be considered. The cytodiagnosic ability remains to be low. CT scanner is an important diagnostic tool that should be used more widely
Lung Neoplasms ; diagnosis

The study involved 74 patients (48 males, 26 females, and mean age 61 years). Among these, 54 cases have lower respiratory infection and 23 subjects served as controls. In was found that for selective cases of respiratory infection and have received many antibiotics, 103-4CFU/ml should be considered as positive cutoff. With the positive cutoff of 104CFU/ml, the sensitivity, specificity and predictive value of this technique are 69%, 79% and 69%, respectively.
Respiratory Tract Infections ; Bronchoalveolar Lavage ; Microbiologic Phenomena

82 cases of pneumonia patients in the community and 3 cases at the hospital aged 62 in average, randomly collected were diagnosed bacteriologically using the samples gathered endoscopically which underwent a quantified culture and the antibiogramme was made by the method of dispersion on ager disk. Results showed that the pathogenes were mainly streptococci then gram(-) bacilli, sensitive with classic beta-lactam antibiotic group. The previous treatment by antibiotic before bacterical detection affected dramatically on the antibiotic sensitivity of pathogenic bacteria, especially with betalactam antibiotic, commonly used now a day.
Pneumonia/classification ; Classification ; Anti-Bacterial Agents ; Bacteria ; Case reports

216 patients with thyroid pathology who had normal thyroid function were studied prospective with cytology examination by FNA method at hospital 103 from the year 2000 to 2003. Among them 69% had a compatobility between cutology and histopathology results, 27,3%no and 3,7% partly. With simple thyroid goiter diagnosed on cytology, the histopathology had defined 50% had accuracy. With a suspection of thyroid cancer as diagnosed cytologically, the histopathology had defined that 62,5% had cancer, accurately
Diagnosis ; Aspirations (Psychology) ; pathology

Background: The health education system has been established in Viet Nam since the early part of the 21st century from district to central level. In 2002, Health education has been considered as a first standard out of 10 national health standards for communal level. But there are few studies assessed the situation of health education activities at district level. Objectives: To discover the situation and identify possibilities to improve the health education activities at district level. Subjects and method: The cross-sectional study was conducted in 4 provinces: Yen Bai, Thai Nguyen, Ha Tay and Thai Binh. The questionnaires were used for interviewing health workers in preventive health centers at district and provincial levels of these provinces. Results. The health education activities have been carried out at district level with different methods, but 35.4% of respondents noted that these activities were not good enough. The significant number of health workers, who were responsible for health education at district level did not possess the proper knowledge and skills to meet the task requirements. The management of health education remained a limitation. 76.1% interviewed health workers said that the plans of health education activities have not been made properly, a lack of equipment and materials for these activities. Most of the respondents believed that the health education activities can be improved with better implementations.Conclusion: The health education management and activities at district level of the 4 investigated provinces has not achieved levels of expectation. The knowledge and skills of health workers had not met the task requirements. Therefore, it is important to strengthen both knowledge and skills for health workers to improve the health education activities at district level.
Health education ; District level

Background: Aplastic anemia following chemotherapy of acute leukemia is a common complication, which may lead to severe consequences. Objective: To study characteristics of aplastic anemia occurred in ccute myelogenous leukemia (AML) patients, following chemotherapy. Subjects and methods: A prospective study was carried out in 50 AML patients treated at National Institute of Hematology and Blood Transfusion from Aug 2005 to Dec 2006. These patients were treated by induction chemotherapy with "3+7" regime. Result: Aplastic anemia had been seen in 100% patients. Characteristics of this condition were poor marrow cells (average marrow cell count was 15.1\xb112.6 G/l) and strongly decreased counts of hemoglobin, white blood cells and platelets. Hemoglobin, white blood cell and platelet counts at the lowest level were 83.32 g/l; 0.96 G/l; 30.18 G/l; respectively. This situation prolonged for 3-4 weeks and changed into the most severe condition at the end of second week after chemotherapy. Infection frequency was 92%. Conclusion: Aplastic anemia following chemotherapy of AML patients is a common complication with severe consequences such as significant decrease of WBC and platelet counts, which may lead to opportunistic infection. Hence, this complication must be monitored, detected and treated promptly. \r\n', u'\r\n', u'
Leukemia ; Myeloid ; Acute/ pathology ; prevention & ; control ; complications ; drug therapy ; Anemia ; Aplastic/ blood ; complications ; pathology

Background: Intracranial haemorrhage is a common emergency with high mortality and neurological sequelae Objectives: The aim of study were to estimate the distribution of intracranial haemorrhage between the groups of age in children and the relationship of epidemiologic characteristics to the etiology.Subjects and method: We gathered prospectively data on 621 children (0-15 ans of age) with intracranial haemorrhage in 3 years (2000, 2001, 2002) hospital records in the National Hospital Pediatrics. Results: There are annual 200 patients (0-15 ans of age) of administration. 1) Neonatal infants consisted of 97 (15,6%) patients and 35 (36,1%) of death. Some of epidemiologic characteristics associated with the etiology were premature, asphyxial over 3500 gram birth weight, interventional birth infants and infants with congenital and acquis coagulation disorders. 2) Breastfed infants consisted of 469 (75,5%) patients of administration and 52 (11,1%) of death. Infants at 29 days to 3 months of age were the most frequence (92,3%). The etiology was associated with coagulation disorders (82,9%), cholestasis (6,2%). 3)Children (1-15ans) consisted of 55 (8,9%) and 7,3% of death, specially adolescent children (7-15ans) occupied 86,3% patients in this group. The etiology could be cerebral vasculare malfmation. Conclusion: There are different distribution of administration, mortality, etiology between neonate, breastfed infants, children (1-15 ans of age)
Intracranial Hemorrhages/ epidemiology ; Child ; Infant ; Infant ; Newborn ;