55 patients with perforated duodenal ulceration received the vagotomy as method of Taylor. Patients admitted to hospital after perforation 12-14 hours. Patients had no shock, gastrointestinal bleeding or pyloric stenosid. The results have shown that the operation as method of Taylor and Hill barker did not increase the risks. There had no intraoperative and postoperative serious complications. The method maintains the motor function of stomach with latarjet stem. This was simple method that easy to implement.
duodenal ulcer ; Duodenal Diseases ; therapeutics

A restrospective study on 484 patients with the perforated duodenal ulceration has shown that male/female:9/1, patients with ages of 20 -50: 77% (youngest: 14; oldest: 80), no history of the duodenal ulceration: 33.34%, operated prior to 12 hours from the first pain attack, premature ulceration: 24%, moderate fibrosis: 14%, corn fibrosis: 62%, possitive clotest: 83%, simple surgical: 70%, mortality rate: 1.5%, rupture in stitching position in the method of stitching the perforated position, relapsed rate of ulceration in the stitching the perforation position and removal surgery of 2/3 stomach, Xth nervecutting as method of TALOR and method of HILL-BARKER were 72%, 3.5%, 34% and 8%, respectively. This study indicated that it should radically operate in the first phase in order to reduce the patient‘s risk provided that having no risk factors.
duodenal ulcer ; Duodenal Diseases ; therapeutics ; surgery

In recent years, various resolutions and decisions issued by the Party and the Government concerning the Health care and Pharmacy, especially the Decision No 37/TTg from the Prime Minister regarding “National Policy on the medicaments” dated June 20/1996, Decision No 35/TTg dated March 19/2001 on the “Strategy of People’s health care and protection in the period of 2001-2010” and the Decision No 108/TTg dated August 15/2002 on the “Strategy of the Development of Pharmacy in the period till the year 2010”. In general, all addressed the present problems of the Pharmacy. Negligence must not be taken them. It is necessary to organize a steering Board responsible for these strategies and policies, with the participation of some aiding permanent team. In every locations, steering office must be organized for effectively implementing
Health Policy ; Delivery of Health Care ; Pharmacy

The drug price is being a consideration of the community. In situation of unstable drug price, the state should promulgate a national policy for drug price to normalize the drug price and pharmaceutical market. This paper introduced 3 major orientations to contribute to construction of policy of drug price and solutions for implementing this policy.
Public Policy ; Pharmaceutical Preparations ; Commerce

Subject: 232 patients with colon cancer. The disease is more likely to occur after 40 years old. Male to female ratio is similar. Diagnosis and treatment is made in advanced stage of disease. More than 70% of patients have disease progress duration from 4 to 12 months. About 40% patients manifested intestinal occlusion or sub occlusion at presentation. According to DUKES classification: A: 0%; B : 52.2%; C: 33.6% and D 14.2%. Tumor at right colon accounted for 50.4% and at left colon accounted for 35%. The most common place is sigmoid colon (26.3%). Histopathological findings showed that adenocarcinomas is 95.2%. The death rate is 4.7%. 3.4% of patients have dehiscence of the anastomosis. Averall 5 year survival is 38.1% after operation
Colonic Neoplasms ; therapeutics

46 patients with internal haemorrhoid with grade I-II of haemorhage in which 10 patients with haemorrhoid grade III, (22%), grade II (63%) and grade I (15%) injected by kinurea for sclerotization round of injection: 1 round (91%), 2 rounds (7%) and 3 rounds (92%)- hemostastic effects: very good (24%), good (65%) and normal (11%). There were no complications from procedure
Therapeutics ; Hemorrhoids

98 patients more than 18 ages, with external hemorrhoid that causes acute embolism were divided in to 2 groups: group 1 – patients use topical cream containing nifedipine 0,3% and lidocaine 1,5%; group 2 – patients used topical cream Lodocaine 1,5%. Effects of treatment were evaluated by criteria including level of blood in feces, analgesic level, duration of treatment, combination of analgesic agents, number of patients interupted by surgery. The results have shown that the topical cream of nifedipine had a good effect for external hemorrhoid that causes acute embolism
Hemorrhoids ; Embolism

A study on the microscopic and macroscopic pictures of 32 samples from patients with rectal cancer who received the rectostomy has shown that most of patients were lately detected in which DUKES A (3%), DUKES B (50%), DUKES C (38%), DUKES D (9%). 3 cases detected to have cancer cells was under the incision about 1cm. For cancer located far from the anal edge about 5 cm, the operation can conservate the sphincter muscle
Rectal Neoplasms ; Surgery

A study on 206 patients (mal: 48%) with ages of 40-60 has shown that most frequent signs were feces with blood and mucus and dyspepsia. 98% of cancers were adenocarcinoma. 7% of tumors located in the 1/3 above rectum, 34% of tumors located in the 1/3 middle rectum and 59% of tumors located in the 1/3 lower rectum. The treatment involved the temporary operation (21%), partial rectal removal operation (19%) and complete rectal removal operation (48.5%). The postoperative complications included mortality (1.5%), peritoneal fistula or peritonitis (13%), bleeding (0.5%). The survival rate after 5 years (29%) in which Dukes B phase (45%), Dukes C phase (11%). The rectal cancer is common disease, diagnosed and treated lately.
Therapeutics ; Rectal Neoplasms

175 patients with 224 rectal sigma colorectal-polyps in ages of 18 months - 77 ages were found by the endoscopy or the rectal-colorectal operation. The ratio of male/female was 1.92. The main and mark symptom is movement total blood (86.3%) single polyp: 80.8%, the small and medium polyps: 87%, polyps with peduncle: 67.9%, gland polyp: 70.9%, polyp changed to cancer: 7.6%.The large polyps without peduncle, with rough surface account for the severe displasia and high rate of changing to cancer
Colorectal Neoplasms, Hereditary Nonpolyposis