Medical ethics is considered as 3 aspects: medical ethics in the National health facilities, there is comparison of legal and illegal income between colleagues; medical ethics for patient, the reduction of Medical Ethics is partly atributed to patient. The establishsment of the equal and confident relation between physicians and patient play an important role of the medical ethics in the market economy
Ethics, Medical ; Health Facilities

The leaf oil of Pittosporum floribudum Weight & Am. collected from Nghe An province, in October 2004 was isolated by steam distillation to give oil yield 0.15% and analyzed by Capillary GC and GC/MS. Thirty five components have been identified accounting more than 98% of the oil. The major constituents of this oil appeared to be a pinene (42.97%) and limonene (40.46%). Predominant minor compounds included p-pinene (5.17%) undecane (3.96%) and p-myrcene (2.45%)
Oils, Volatile ; Plants, medicinal ; Pharmaceutical Preparations ; Medicine, Traditional

The study on chemical components of volatile oil of Nga Truat root collected in Nghe An and Ha Tinh provinces found that in the mobile fluid of yellowish volatile oil of Nga Truat with special are matic of curcuma an essential productivity of 0,22% of fresh root was identified. In volatile oil samples, rich content of epicurzerenon, germacrone was determined. The other components of lower contents are betapinen 1,8- cineole, caphor, isoborneol, beta- elemene, zingiberen, benzofuran -6- ethyxyl 4,5,6,7- tetrahydro-3,6- dimethyl -5-isopropyl, T- muurolol. Monoterpen content in volatile oils is lower considerably than the content of sesquiterpen and oxygene containing conrespondents substances. There compounds give special aromatic smell of the oils
Oils, Volatile ; Curcuma ; Plants, Medicinal

Background: Postperitoneal tumors are diseases that are difficult diagnosis, vague and unspecific clinical signs. Objective: To take out experience for clinical practice based on clinical, imaging diagnosis, pathological characteristics and management for postperitoneal tumors. Subjects and method: A retrospective study included 93 cases that diagnosed and treated for postperitoneal tumors at Cho Ray Hospital from January 2000 to November 2006. Clinical, subclinical characteristics and theirs related factors; diagnosis, operation and prognosis for postperitoneal tumors were analysed. Results: The patients\ufffd?average age was 49.98\xb116.37 years (ranged 1-85 years); the ratio of male to female was 0.86. The average time from having pain symptom to admitting hospital was 4.49\xb110.01 months (ranged from 3 days to 60 months). Clinical symptoms were fatigue (51.5%), fever (15%), jaundice (45%), anemia (23.5%), weight loss (58%), abdominal pain (75%), abdominal distention (39%), digestive disorders (31%), touching tumor (50.5%)\ufffd?The diagnosis at admitting were right (32%), wrong (60%) and unclear (8%); the preoperative diagnosis were 70%, 22% and 8%, respectively. Pathologically, 39 of 93 cases (42%) were benign tumors, and 58% were malignant tumors. 61.3% of cases removed completely tumors, 2.15% removed partially tumors. The postoperative outcomes were good (62.6%), unimproved (28.57%), and bad (3.29%). There were some complications, included perioperative bleeding (2 cases - 2.19%), postoperative complication (3 cases - 3.29%), cracked colonic junction (1 case), renal bleeding (1 case) and peritonitis (1 case). Conclusions: The surgical treatment was main method for postperitoneal tumors. The complete tumor removing based on tumor\u2019s nature, stage and related structures.
Retroperitoneal Neoplasms/ surgery ; therapy ; diagnosis ; epidemiology ;

Background: Tongue cancer is the most common cancer in oral cavity and often occurs in men over 50 years of age. Although it can be detected early, most patients have late diagnosis and treatment. Objectives: Remark on various clinical characteristics and treatment result of mobile tongue cancer at K Hospital from 1994 to 2004. Subjects and method: A prospective study was carried out on 290 patients with mobile tongue cancer treated in K Hospital between 1994 and 2004. Results: Among the 290 patients, there were 102 women and 170 men, the male/female ratio = 1.4:1. Cancer of the tongue was most seen at the age of 50-69 years old (52.2%). Common initial symptoms were the tumor of the tongue (27.6%) and tongue ulceration (28.3%). 91% of lesions were on the free border of the tongue. 45.9% patients had metastases in local lymph nodes. Most patients were diagnosed at the advance stage (stage III: 43.8%, stage IV: 25.5%). Squamous cell carcinoma accounted for 99.3%. 38.2% of cervical non-palpable nodes were pathological metastases. Surgical treatments and radiotherapy were commonly used (24.1% and 43.1%, respectively). Conclusion: Tongue cancer often metastasized early into cervical lymph nodes. It is required to diagnose at the early stage to improve treatment outcomes.
mobile tongue cancer ; clinical characteristic ; treatment

Background: Standard treatment for pleural infection includes of drainage and antibiotics. Chest tube drainage often fails if the fluid is loculated by fibrinous adhesions. Intrapleural fibrinolysis may facilitate pleural drainage. Objective: To evaluate the role of Streptokinase (STK) in the treatment of empyema and exudative pleural effusions. Subjects and method: A study included 34 patients (21 patients with exudative pleural effusions, 13 patients with empyema), aged 15-77 years. All patients received intrapleural STK daily with dose of 300.0000-500.000 UI for empyema and 300.000 UI for exudative pleural effusions. Response was assessed by clinical outcome, pleural fluid drainage, chest radiography, pleural ultrasound. Results: Mean pleural fluid drainage after STK instillation was higher in all patients. Pleural fluid drainage was 640 \xb1 494 ml before STK instillation and 823 \xb1 755 ml after STK instillation for empyema; 765 \xb1 691 ml before STK instillation and 1,033 \xb1 757 ml after STK instillation for exudative pleural effusions. The success rate of clinical outcome was 100%. Only 2 patients required decortications. Fever occurred in 3 patients (8.8%) and allergy in 1 patient (3%). Conclusions: Intrapleural STK was safe and effective in the treatment of empyema and exudative pleural effusions. STK prevents pleural adhesions and reduces the risks for surgery.
Streptokinase/ therapeutic use ; Empyema ; Pleural/therapy ; Pleural Effusion/ therapy

Background: Chronic obstructive pulmonary disease (COPD) remains a major public health problem. It is the fourth leading cause of chronic morbidity and mortality in the United States, and is projected to rank fifth in 2020 in burden of disease caused worldwide. Objective: To research the epidemiology of COPD in the population of Bac Giang city and finding out the risk factors of COPD. Subjects and method: Cross-sectional survey of general population sample of 2,104 men and women with the age \ufffd?0 years in 30 wards of 11 communes of Bac Giang city. Data on respiratory symptoms, diseases, and risk factors were collected. Lung function tests were performed with Spiroanalyzer snoo, Japan. Results and conclusions: The incidence of COPD was 2.3%; in men 3.0% and in women 1.7%. The incidence of simple chronic bronchitis was 6.4%. People who smoked had higher rate of COPD than the others (OR = 2.8). The incidence of smoking in COPD was 55.9%. The three most important risk factors of COPD was the age \ufffd?0; smoking >15 pack/year and medical history of asthma.
Pulmonary Disease ; Chronic Obstructive/ epidemiology

Background: To improve the physical fitness of athletes is one of the essential requirements of the Vietnam Sports associations. Research to discover the functional foods to improve the physical fitness of athletes in general, in particular athletic athletes is an interest to scientists. Objective: Evaluation of effect of Phunamine on some of the male, female athlete\u2019s biomedicine and physical fitness standards. Subject and methods: A controlled, double-blind, randomized, clinical experiment was conducted on 30 athletes of the Hanoi Athletic Group. They were then divided into 2 groups: research group: 20 athletes (10 men, 10 women) were administered with 4 phunamine pills per day; control group: 10 athletes (5 men, 5 women) were each administered with 4 placebo pills per day. The 2 groups had tests performed and followed up 30 days pre and post administration. Results: Max-min blood pressure change between the two groups was not significant (t(\u03b1)>0.5). Testosterone concentration change and physical fitness test (run 100m, 400m) of Phunamine dosed group were higher than the placebo group (t(\u03b1)<0.5). Conclusion: Phunamine has the effects of increasing testosterone concentration and improving physical fitness of athletes however the drug has no effect on blood pressure index of athletic athletes.
Phunamine ; functional foods ; athletes

Background: The fitness of athletes is always the top priority of each coach. Therefore, studying to discover the products that are really effective and appropriate for each sport is an urgent matter. Previous research showed biochemical standard is one of the important standards to assess the fitness of athletes. \r\n', u'Objectives: To study the effects of Phunamine on various biochemical standards of male and female weight-lifters. \r\n', u'Method: The self-control clinical experiment was applied in 19 weight-lifters at the Sport University 1 (TuSon) from May to July 2006. The research material was the functional food Phunamine with major component being anchovy combined with Syngnathiformes powder. Results: Testosterone concentration after taking Phunamine was higher than before the research (t(alpha)<0.025 in males; <0.01 in females); activity of LDH enzyme after taking Phunamine was higher than before the research, but the significant difference was only found in female with t(alpha)<0.025; cortisol concentration was also higher than before the research. \r\n', u'Conclusions: Phunamine has the effect of increasing testosterone, cortisol concentration and LDH enzyme activity.\r\n', u'
Phunamine ; biochemical standards

Background: According to statistical data of the Vietnam Ministry of Health, there were 124,223 people with positive HIV, 23,661 AIDS patients and 13,649 AIDS- related deaths up to April 30th 2007. The major transmission route is injection. Objectives: (1) To compare the characteristics of drug use in users with different time. (2) To describe the health issues and health service access of young male drug users. Subjects and method: A cross-sectional survey was carried out using a combination of medical anthropology and epidemiology methods. 1.115 young male drug users in Ha Noi between September 2004 and September 2005 were divided into 4 groups of the equivalence number, but with different drug using history. Results and conclusion: The newer drug users (within 2 years) started using drug later than the older ones, more of them started using by injecting; they transfer from smoking/sniffing to injecting as well as trying and using more different types of drugs together in shorter time than others. The proportion of HIV (+) infection in these people was higher, which states the necessity of intervention to help them enhance their knowledge to prevent HIV infection amongst themselves. Mental health care is also needed for drug users, the demand for mental health care increases with the time of drug usage.
young male heroin users