700 patients with the hyperthyroidism were examined according to the physical and disease condition. The classfication of age and gender, the evaluation of the clinical, paraclinical features, the thyroid function before and after the radioiodine therapy, the determination of the usual dosage as well as the complication of therapy were implemented.
Hyperthyroidism ; Nuclear Medicine

The authors present the results of clinical recovering and hormonal changing at 98 patients with Basedow’ treated by I-131. The clinical clearly and quickly changed symptoms were putting on body weight, decreasing finger’s tremor, cardiovascular troubles. The volume of goiter and opthalmological signes decreasing more slowly. The seum concentrations of TSH, T3, T4, FT4 were clearly changed related to patients’s status (euthyrosis or hyperthyroidism) after treatment.
Graves Disease ; Thyroid Function Tests ; nuclear medicine

Several thousands of patients with thyroid diseases were diagnosed and treated using the nuclear medicine techniques: Thyroid Radioiodine Uptake, thyroid related hormones determined by RIA or IRMA, thyroid gland scintigraphy. The effect on such test of the populations used iodine-salt was evaluated by authors, also in 330 patients with thyrotoxicosis were treated by I-131 during from 1998-2000 year. The results indicated that this is one of the best therapeutic methods which should be selected. During the last 20 years, very good achievements of nuclear medicine techniques used in diagnosis and treatment of thyroid diseases were collected at nuclear medicine dep. of Bach Mai hospital, but at the present time the imaging equipment Rectilinear Scanner MB 8100 is old and out of date. It must be changed by single photon emission computer tomography system or gamma camera.
Nuclear Medicine ; Thyroid Diseases

Studying the result of multi-approach combinations: surgery, radioactive iodine (131-I) and hormones for treatment of differentiated thyroid cancer at Bach Mai hospital. The result showed that: surgery was basic method to remove total thyroid gland, nodes, and metastasis. Radioactive iodine 131-I was supplement therapy to destroy thyroid remnant tissue after surgery. Hormone therapy using T3 or T4 make the patients became in euthroidism status and inhibit TSH secretion. The recurrence and metastases can be detected by serum Tg value determination and 131-I systemic scintiography. Therefore the patient must be followed -up every 6 months in the first two years, and then once a year or every two years
Thyroid Neoplasms ; Therapeutics ; Hormones ; Iodine

Tissue and Organ Procurement

As women with breast cancer are living longer, issues beyond survivorship like the much neglected sexual functioning and issue of quality of life have become increasingly important. Experiences of significant alterations in sexual functioning need to be addressed. However, these sexual issues are often not acknowledged in our traditional medical model of health care delivery. This paper briefly reviews the changes in sexual functioning after a diagnosis of breast cancer, with implication for clinical practice and medical curicula
counseling

In a clinical controlled trial involving repeated measures of continuous outcomes such as quality of life, distress, pain, activity level at baseline and after treatment, the possibilities of analyzing these outcomes can be numerous with quite varied findings. This paper examined four methods of statistical analysis using data from an outcome study of a clinical controlled trial to contrast the statistical power on those with baseline adjustment. In this study, data from a CCT with women with breast cancer were utilized. The experiment (n=67) and control (n=74) were about equal ratio. Four method of analysis were utilized, two using ANOVA for repeated measures and two using ANCOVA. The multivariate between subjects of the combined dependents variables and the univariate between subjects test were examined to make a judgement of the statistical power of each method. The results showed that ANCOVA has the highest statistical power. ANOVA using raw data is the least power and is the worst method with no evidence of an intervention effect even when the treatment by time interaction is statistically significant. In conclusion, ANOVA using raw data is the worst method with the least power whilst ANCOVA using baseline as covariate has the highest statistical power to detect a treatment effect other than method. The second best method as shown in this study was in using change scores of the repeated measures.
Research Design

Over the years, the emphasis on research practices in healthcare has received more recognition than the emphasis on teaching practices. Also, in contrast to the strong focus on aligning care-giving practices with evidence of effectiveness; aligning educational practices with evidences of effectiveness has continued to be neglected. This creates a chasm that hinders the delivery of effective health practices. Many challenges in the current healthcare delivery system warrant a call for a revamp of health professionals’ education, and for a greater focus in effective teaching, assessment and supervision. This paper highlights the current challenges in health professional education (as revealed by the Institute of Medicine, IOM, 2003). It focusses on fi ve key issues for promoting teaching excellence, and supports the move for new lecturers to be educationally trained so that ‘teaching for learning’ becomes current, effective and enjoyable. More importantly, the vision for health professional education that “all health professionals are educated to deliver patient-centred-care as members of an interdisciplinary team, emphasising evidence-based practice, quality improvement approaches, and informatics” can be attained. This vision has important implication for medical lecturers as it means they have to be better educated to teach in order to be prepared to meet the demands of a reformed healthcare system.
Education, Medical

An investigation was carried out on 244 rats (71,9% sewer rat; 27,7% black rats, 0,4% house mouse) with various index 30-40, which was increased and kept at high level from March to September. 268 fleas were collected (only 1 species of X.cheopis), the flea index oscillated from 0,11 to 1,90 and reached the highest level in April all isolations determined Y.pestis negatively. Flea resisted to malathion 5%, pyrethroid group was the greatest effectiveness
Plague ; Fleas

Introduction: Da Lat, a city at 1500m above sea level, the average temperature there is 180C, with warm weather from January to April and the rainy season lasting from May to December. Respiratory condition and seasonal allergy is commonplace among the population of this area. Objectives: This study aims to determine the prevalence of asthma and asthma-like symptoms in Da lat and to learn about the environmental influences, patient\u2019s attitudes toward diagnosis, treatment and general knowledge about asthma. Subjects and method: After an extensive publicity campaign by local television, the subjects were randomly selected for interviews. When asthma or asthma-like symptoms were identified, all parts of the questionnaire were completed and a more detailed visit was arranged with the patients, for clinical examination, spirometry and skin tests for important allergens. Results:9984 individuals were interviewed; of whom 243 were identified as having asthma or asthma-like symptoms, giving a prevalence of 2.4 percent. Average age was 48+/-27 years, age at the onset of asthma was 25+/-22 years; Hospitalization had been required in 18.3 percent of patients during 2003. Daily asthma treatment was used by only 17 percent of patients. 34 percent used inhalers and 6 percent used nebulisation. 52.3 percent had associated atopic features. With Polyvalent positive prick tests, but no one reacted to a pollen mixture. General knowledge about asthma was lacking. Conclusion: Results showed a low prevalence of asthma and asthma-like symptoms in Da Lat, the study highlights the need for further patient education and for preventive interventions for asthma in this region.
Prevalence ; bronchus asthma