An inquiry was performed on 280 private institutions of health services in 4 districts of Ha Noi city concerning the analysis of their adminiotrative state and activities. Results showed that in 96.27% of these institutions, there are adequate documents of principal occupational law, in 87.2% - adequate records and statistics, 85.64% - posting up for professional scopes, in 91.46% posting up for service price, in 92.35% proper posters… Legitimate aspirations of the private manager for updating the knowledge, for insurance in case of occupational risk, for health insurance, for borrowing … were concerned
Practice Management ; Health Services ; Delivery of Health Care

There are some methods to treat the phalangeal fractures. The objective of this study is to see effective treatment of phalangeal fractures by open reduction during Kirschner wires. This study was conducted at the traumatology and orthopedics department, Hue hospital, from May 2002 to May 2003. The follow up period was 3 months to 8 months after surgical treatment of 31/43 patients. Results: Hand function following open reduction: excellent: 10 cases (26.32%), good: 11 cases (28.95%), fair: 13 cases (34.21%), bad: 4 cases (10.52%). Complications: complications of K-wire fixation of this study had a low rate; the postoperative recovery was still limited. Conclusions: this technique is effective, safe, and inexpensive with low morbidity.
Bone Fractures ; Surgery

Material and methods: all patients with open heart surgery were enrolled in a case-control study. Renal dysfunction (RD) is defined as creatinine clearance < 60 ml/min. 16 risk factors were analyzed in logistic regression to define the adjusted OR. Results: There were 14 independent risk factors of post-operative RD, consisting of 5 pre-operatives, 4 perCPB and 5 post-operative risk factors. Conclusions: 14 independent risk factors of postoperative RD were: CPB >120 min, years ≤14 , EF <0.6, cardiogenic shock, aortic cross-clamping >60 min, preoperative RD, per-CPB RD, infusion of catecholamine > 2 hours , mechanical ventilation >48 hours, hypotension >2 hours, hypovolemia, cardio-thoracic index >0.5, mean pulmonary artery pressure ≥ 25 mm/Hg, hemoglobinuria (+).
Thoracic Surgery ; Risk Factors

A retrospective and cross sectional survey was carried out in 52 patients with cervical disc displacement who were screened by magnetic resonance at Viet Duc Hospital and Military Hospital 103 from Jan 2003 to Oct 2004. Sites of common displacement: C5-C6 (36.61%); C4-C5 (26.79%); C3-C4 (23.21%); C6-C7 (11.61%); C7-D1 (1.79%). Disc displacement in one layer was 42.31%, in two 11.54%, in three layers 34.61%, in four 11.54%, in centre 71.43%, beside centre 25%, in foramen 3.57%. Displacement image was looked clearly in T1W and T2W image. 100 displaced discs reduced signal in T2W image, 63.46% reduced disc height, 42.31% increased medulla signal equal with site of displacemen in T2W image
Magnetic Resonance Imaging ; Spine

Report a case of patient Tran Đ.V. born at December 26th 2002 in Ninh Thuan district, Khanh Hoa province, admitted hospital at November 25th 2003 due to hirsutism and developed genitalia. Ultrasound and CT scan examinations showed a mass in his right adrenal gland, which was subsequently removed surgically. The histopathological findings were consistent with an adreno-cortical carcinoma. This is a rare tumor with frequency 1/10.000 adrenal tumors in adult. In children, there are some cases and most frequently in girls. Adreno-cortical carcinoma combining with isosexual precocious pseudopuberty is rarer in boys
Puberty, Precocious ; Case Reports

Evaluation of renal dysfunction was performed in 103 patients (44 males, 59 females, between 9 and 65 years old), operated open cardiac surgery with cardiopulmonary bypass in Vietduc Hospital. Exclusive criteria included: chronic renal failure, renal calculus, urinary incontinence, taking drugs that affected to urinary elimination and creatinine quantitative analysis. The results: according to a diagnostic criterion of Morgan and Mikhail, renal dysfunction after open cardiac surgery was 47.57%. Only 6.12% was single renal dysfunction and 91.84% was multi-organs failure (in which, 71.43% was renal - cardiac failure, 16.33% was renal, cardiac and pulmonary failure). The more duration of staying in cardiac intensive care unit, the more serious renal dysfunction was, with slight and medium forms were 36.55 hours, serious form was (7.77%) was 140.12 hours. The patients died and progressed seriously caused by renal failure with forms of anuria or oliguresis, type B and C, decrease of creatinine clearance combined with increase of free water clearance.
Renal Insufficiency ; Thoracic Surgery ; Cardiopulmonary Bypass

Cytochroms P450 (CYPs) are hemoprotein enzyme which play an important role in transformation endogenous and exogenous compounds. Among them, CYPs, isoform CYP1A1 have effection in biological activation many procarcinogens. The study is in order to research aryl hydrocarbon receptor (AhR) role in CYP1A1 induction by serum. Raw materials: Using human cell lines CaCo-2, HT 29-D4 and two colon of rat liver cell line Hepa 1c1c7. CaCo-2 and HT 29-D4 were taken from CNRS 6032-Marseille-France center, clons of Hepa supplied by Dr Hankinson. Result: Ah receptor is necessary for CYP1A1 induction by serum but not suffucient and the reason bring about induction is not due to serum infected agonist of AhR
Cytochrome P-450 Enzyme System ; Serum ; Enzymes

The authors make imaging criteria of intracranial aneurysm. Roles of MRI with high resolution, multiplan, signal of follow voix by TOF, PC... was confirmed in the evaluation of aneurysm. An analysis on the results of 23 patients was admitted into hospital in emergency. Subarachnoid hemorrhage due to rupture of an aneurysm: sacciforme: 100%, <10mm (5 patients): 21.7%; 10-25mm (16 patients): 69.6%; > 25mm (2 patients): 8.7% (giant cerebral aneurysm. Some different signs between small and giant aneurysm were detected in T1W, T2W.
Intracranial Aneurysm ; Magnetic Resonance Imaging

In the ophthalmologic emergency, the intraocular trauma frequently occurred due to the foreign bodies such as metal piece, rice seed, sand, glass piece, etc. This study introduced an intraocular trauma due to extraordinary foreign body called broken edge of knife. The patient was not thorough examined and monitored. During the first emergency, the trauma was closed because it was considered that having no the intraocular foreign body. This was the second case following the first case reported in America.
Injuries ; Life Support Care ; Foreign Bodies

Background: Fecondation invitro is an outstanding scientific progression in the 20th century. Beside the technical factor and choosing a schedule to reach the fertility rate of high pregnancy, the thickness of uterine endothelium can\u2019t be let pass unnoticed because it is a favorable factor for the embryons which can made easily the foyer in the uterine. Objective: To define the relation between the thickness of uterine endothelium with a concentration of estradiol plasma in the day when injecting hCG with the result of pregnancy. Subject and Method: A retrospective study with research in to 294 cases of IVF. Result: 58.9% is secondary infertile with the average age between 32.6 +/-5.4 who have been infertile in the timescale of 6.4+/-5.0 years. Injecting hCG to take ovocyte when the average estradiol concentradiol is 2378 +/- 1335.9 pg/ml and the estradiol concentration of ovule is 251.4pg/ml. Conclusion: The higher the estradiol concentration is, the thicker the uterine endothelium is. 7.3% cases had uterine endothelium thicker than 10mm if the estradiol concentration is higher than 3000pg/ml. The rate of people who are clinically pregnant with the uterine endothelium > 10mm is 2.24 times higher than the rate of people who are clinically pregnant with the uterine endothelium < 10mm.
Infertile ; Fecondation invitro (IVF) ; Uterine endothelium ; Clinically pregnant.