1.Some remarks on simultaneous endometrioid carcinoma of the endometrium and ovary
Journal of Vietnamese Medicine 1999;232(1):114-117
Simultaneous endometrioid carcinoma of the endometrium and ovary was also called 'endometrioid systematic carcinoma'. This disease was not common with the rate of 5.2% of all endometrial carcinomas. This malignant epithelial neoplasm was presented with high differentiation (Grade 1), and it was often detected at early stages (0; 1A: 1B). Their common symptoms were abnormal metrorrhagia associating with ovarian cyst in young women having low parity. The determined diagnosis based on macroscopic and microscopic description, which could be a key significance in classification of this special lesion
Uterine Neoplasms
;
Ovary
;
diagnosis
;
Carcinoma, Endometrioid
2.Value of vaginal ultrasound in finding the endometrial cancer in the postmenopausal women with bleedin
Journal of Vietnamese Medicine 1999;233(2):39-46
Diagnostic curettage has for many years been the method of choice to diagnose endometrial cancer in women with postmenopausal bleeding. In fact, approximately only 10% in this group of women will be diagnosed with endometrial cancer. This study used endometrial thickness as measured by endovaginal ultrasonography as an indicator of endometrial abnormality. The histopathologic diagnosis obtained at curettage is used as the gold standard. 74 women were included in this study. Endometrial cancer was not found with the endometrium= 5 mm thick. The mean endometrial thickness in those women with endometrial cancer was 13.72+/- 8.09 mm compared with 4.3 +/- 2.3 mm in those women with benign endometrium. If the cut off limit for endometrial cancer and hyperplasia was 5 mm, the sensitivity was 100% the specificity was 71.2%, the positive predictive value was 60%, the negative predictive value was 100% and the Kappa ratio was 0.6%. If this limit had been used in this study, 70% of the curettage procedures could have been avoided.
Ultrasonography
;
Endometrial Neoplasms
;
women
3.To compare clinical, biological and histological features of primary nephrotic syndrome and nephrotic syndrome due to systemic lupus erythematosus in adults
Journal of Medical Research 2005;33(1):110-116
Study on all in-patients treated at Kidney Department of Bach Mai Hospital from 2000 to 2002, which divided into 2 groups: group 1 included 38 patients with lupus nephritis and nephrotic syndrome, group 2 included 45 patients with primary nephrotic syndrome (NS). Results: most of primary NS occurred before the age of 50 years old (95.6%), there was no difference between male and female. NS due to systemic lupus erythematosus (SLE) had multiple clinical signs and was more severe than in primary NS. The prevalence of renal impairment in both primary and secondary NS was high (44.4% and 55.3%, respectively). The serum protein concentration in primary NS was significant lower than secondary NS (p<0.01). Nevertheless, serum cholesterol, HDL-C, LDL-C concentrations in primary NS were significant higher than secondary NS (p<0.01). In primary NS, the rate of minimal change glomerulonephritis was highest (51.1%), but in secondary NS, mesangial proliferative glomerulonephritis accounted for highest rate (63.2%). In type IV in secondary NS due to SLE, there were symptoms of hypertension, renal failure, hemorrhage and the histological damages were more severe than in other types (p<0.05). Histological lesions in secondary membrane and mesangial proliferative glomerulonephritis due to SLE were more severe than primary diseases.
Nephrotic Syndrome, Lupus Erythematosus, Systemic, Adult, Diagnosis
4.Study on the impacts of health care costs on poor people
Journal of Medical and Pharmaceutical Information 2003;0(4):16-19
Analyze secondary data from the Vietnam National Health Survey 2001-2002 and some related available data in order to assess the burden of health care costs for the households in 5 levels of living and this impact on the use of healthcare services of the poor and near poor households, focused on inpatient healthcare costs. Results: healthcare costs accounted for 22.8% and 24% of total non-food expenditures per capita annually in the poor and near poor groups, respectively. Healthcare costs accounted for 8% of income per capita in the poorest group. High healthcare costs were associated significantly with lower level of health care utilization of the poor and near poor. Economic shock due to high health expenditures was the common reason for people falling under poverty line, especially for the near poor
Health Care Costs
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Poverty
;
Health Services
5.Summary of the health activity in 2001 and plan of health activity in 2002
Journal of Medical and Pharmaceutical Information 2001;(11):43-7
There were many events and achievement of the health sector. The strengthening and cosisodilation of the health network and primary health care contributed importantly to the people health protection and care. The year of 2002 play an very important role in strategy of health activity during 2001-2010. It should develop the obtained achievement, concurrently find the basic lesion and propose solutions for the health activity.
Health
;
Delivery of Health Care
6.Vietnam medical service entering into the New Millennium: rising knowledge, biulding systematic standpoint and rational policies that are the premises to the development of health care task
Pharmaceutical Journal 1999;282(10):18-55
Summary of health tasks in past years. The premises and major challegenes with health task in first years of 21st century. Systemic opinions about health task and 5 major policies is needed to currently focus in realization
Delivery of Health Care
;
Public Policy
7.Evaluation of patients with corneal ulcer hospitalized in department of corneal diseases at national institute of ophthalmology in 1999
Journal of Medical Research 1998;7(3):47-50
The authors studied retrospectively medical and laboratory records of 270 patients (18.69% of all patients) with bacterial ulcer of cornea in Department of cornea diseases (National Institute of Ophthalmology) from January to December 1999. The results are as follow: 84.44% of patients lived in countryside. 73.7% of patients were at working age. The most common agent was fungus (50%), followed by bacteria (44.07%). 49.08% of patients were hospitalized one month after development of the disease. 12.61% of cases used incorrectly corticoid. Most of cases (91.86%) were hospitalized in blindness
Corneal Ulcer
;
Bacterial Infections
8.The awareness on tuberculosis in subjects living in Ba Vi District, Ha Tay Province who have the symptoms of cough persisting for above 3 weeks
Journal of Practical Medicine 2003;442(2):35-37
The awareness on tuberculosis was determined by an interview conducted on 559 subjects with a symptomatic of cough persisting for > 3 weeks (259 male and 300 female subjects of > 15 year old age). Results showed an insufficiency of knowledge, especially in female subjects. Mass media play an effective role in health education but only > 50% of population could access them frequently
Tuberculosis
;
Cough
;
Disease
;
Awareness
;
epidemiology
9.The variations of the plasma hemoglobin concentration, electrolytes concentrations and the plasma LDH activity in the blood stored at the Central Blood Tranfusion and Hematology Institute
Journal of Practical Medicine 2004;487(9):61-62
This longitudinal prospective study was carried out on 6 blood samples of 6 male volunteers at National Institute of Hematology and Blood Transfusion to examine the changes biochemical parameters, shape of blood cells, and variations of all blood components during blood store. Results: plasma Hb and K+ concentrations and LDH activity in stored blood increased significantly; plasma Na+ and Cl concentrations decreased significantly along the time. These variations occurred in the first week of store. There were changes in the shape of red blood cells during blood store.
Blood
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Hemoglobins
;
Plasma
;
Electrolytes
10.Investigation of oral bacteria in Vietnam dental plaque
Journal of Vietnamese Medicine 2003;287(8):11-17
The samples of dental deposit plaque collected from 30 people in the faculty of Natural Science were stained by Gram technique. A bacterial prosperious component was detected including Gram (+) cocci, Gram (-) cocci, red and thin cell, red and long cell, straight and curved Gram (-) cells, thin spinal cells … Microorganism population on the deposit plaque under the gun includes bacteria, cocci, and spirochaetes. 3 genera were determined including Streptococcus, Lactobacillus and Actinomyces, with a highest incidence of Streptococcus. The representative genus has the characteristic similar to Streptococcus mutans and it seems that it plays an important role leading to caries
Dental Plaque
;
Bacteria
;
Dental Care