Surgery of the parotid gland is usually indicated for the relief of an inflammatory disorder or for control of neoplasia. In all these procedures, the overriding critical factor is the management of the facial nerve. The facial nerve is embedded within the substance of the gland and is at risk of injury during any parotid gland operation. The various surgical approaches described in our study comprised a common thread, the surgeon’s awareness of facial nerve anatomy and efforts to protect the nerve from an inadvertent injury.
Parotid Gland ; Facial Nerve ; surgery ; Wounds and Injuries

From 1982, The Abdominal Surgery Department of the Hospital 103 had applied gastropneumography to diagnose suspected gastroduodenal perforation in patients without subphrenic sickle-air. Air was pumped through nasogastric tube with a volume of 700 ml to 1000 ml. By this technique, definite diagnosis of perforation was made and the surgery was indicated early. Sensitivity of the technique was 82.6%. This technique should be recommended in medical units, where emergency abdominal operation can be performed early to restrict potential complications.
Peptic Ulcer Perforation ; Diagnosis

The quality of reproductive health care services at studied communes were rather good, above 50% clients answered well all 5 contents. At present, the most difficulty and obstacles to ensure the quality of reproductive health care services at health stations were lack of medical equipments, and insufficience of specialized stuff and limited abilities. In order to enhance the quality of reproductive health care services at health stations, it should be done an intergrated set of solutions: Adding specialized equipments and personnel; re-educating; Improving the attitude of services.
Reproduction ; Delivery of Health Care ; Family Planning Services ; Women ; Health

Object: 2875 married woman in child bearing age (15 to 49) at 15 commune/ward in 7 suburban distric of Ha Tay province. The result show that: Reproductive tract infections rate is 64,24%. Incidence of countryside woman is higher than city woman. At the age group of 25-39 has the highest incidence. Types of pathogenic organism is multiform, leading is vagina bacterium with exiting of bacillus G (1), cocus G (+) particular is Gardnerella vaginalis. Infected Candida rate is quite high, infected Trichomomas is in low level. Antibiotic is resisted in various level.
Infection/etiology ; Women ; Epidemiology

From September 1999 to August 2003, 118 cases of perineal canal or anorectovestibular fistula were treated at the Pediatric Hospital No 1, HCM City using Tsuchida technique, among them, 90 cases without colsotomy and 28 cases with colostomy. The operation was carried as follows: excision of the fistula and an anterior haft of rectal wall below the fistula, the free intact proximal wall of rectum was directly sutured tissue of anus at its anterior circumference. After 3 months: there were 3 recurrence of fistula among no- colostomy cases and one recurrence among the colostomy cases. On case without and 1 with colostomy had been reoperated. Result were satisfied
surgery ; Therapeutics ; child ; Anal Canal ; Fistula

A prospective study was carried out on 120 perineal canal patients with normal anus who were treated at Pediatric Hospital, Ho Chi Minh City from September 1999 to August 2003. Patients were divided into group I: active inflammation, group II: vulvar excoriation, group III: no inflammation. Group I and II were treated medically until no more inflammation. The fistula was closed by the Tsuchida’s technique. Results: there were 2 patients healed spontaneously after internal treatment and 118 patients were closed fistula, among them there were 90 cases without colostomy and 28 with colostomy. There were 72 patients in group I, 12 in group II, and 34 in group III. Recurrence occurred in three cases without colostomy and one case with colostomy. One among these 3 without colostomy and the only one with colostomy were treated again with good result by the same procedure
Anal Canal ; Child ; Diagnosis ; Therapeutics ; Epidemiology

Background:Rheumatic heart disease is an acquired heart disease which often seen in the year of 90's. Nowaday, due to the development of health care system, population benefit much of knowledge to prevent this disease, the rate of prevenlence reduce significant. Objectives:This study aims to diagnose and prevent relapse in childen with rheumatic heart diseasewho treated in National Hospital for Pediatrict. Subjects and method:A retrospective study was conducted on 236 children with rheumatic heart diseaseor cardiac valve diseasewho admitted at Cardiology department of the National Hospital for Pediatrics from 1st January 2001 to December 31, 2005. Results:29.7% (70/236) were hospitalized for rheumatic valve disease. Among 166 hospitalized children due to continuous rheumatic heart disease, the result showed that: The types of carditis and arthritis were the most frequent and at least 22.9% (38/166) of children had definitive permanent valve lesions . 65.7% (44/76 responses) children received proper prevention. Some of them were not monitored at the center of prevention. The greater part of the rest had no knowledge of this disease. Conclusion:Rheumatic heart disease reduced but the prevalence of heart valve complication increased.\r\n", u'\r\n', u'
Rheumatic Heart Disease/ diagnosis ; therapy ; Infant

Background: Recovery of maternal milk source is an urgent matter of many mothers in the breast feeding duration. Spinal hitting method of Nguyen Tham Tan has been applied on a lot of women lacked milk after giving birth but until now, there has not any resrearch on the method. Objectives: 1. To assess lactation effect resulting from spinal hitting method. 2. To evaluated effects of the method on milk quality and the concentration of prolactine in blood. Subjects and methods: 33 mothers who are lack milk after giving birth have been hit at points on their spine as follows: CS, C6, D2, L2-L3. These patients were treated during 15 days with one time a day, hitting duration of every time - 15 minutes. The study used open clinical method in comparison with the obtaining effects between pre and post reproducing. Results: Amount of breast milk per minute increases from 1.52ml \xb10.37ml (before treatment) to 2.20\xb10.42ml (after treatment). Number of children's feeding decreases and the concentrations of protein, lipid and glucose as well as vital elements in milk increase after treatment. The concentration of prolactine in blood increases from 2755.16m\xb5/ml (before treatment) to 3763.16m\xb5/ml (after treatment). Conclusion: Spinal hitting method has the effects of lactation, increase in prolactine concentration in bloods and positive effects on milk quality. \r\n", u'\r\n', u'\r\n', u'
Milk ; Human

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 ;

Introduction: Mycobacterium tuberculosis resists rifampicin (RIF) because of mutations in the rpoB (the p subunit of RNA polymerase) gene, mostly in the 81 bp region. \r\n', u'Objectives: Identify the frequency and characteristics relative to drug - resistant rpoB gene mutation in RIF - resistant M. tuberculosis strains. \r\n', u'Subjects and method: 40 M. tuberculosis strains including 11 RIF - sensitive strains and 29 RIF - resistant strains. Some bio molecular techniques were used such as extracting mycobacterial DNA, PCR, cloning, sequencing and analyzing mutation related RIF - resistance on rpoB gene. \r\n', u'Results: No mutation was found on the 81 bp region of rpoB gene of the RIF - sensitive M. tuberculosis strains. The rate of mutation on rpoB gene of 29 RIF - resistant M. tuberculosis strains is 96.6%. We found 12 mutation codon positions on the 81 bp region of the rpoB gene, and the mutation codon positions with high frequency were 531 (51.7%) and 526 (31%). The mutation position found in only one strain is codon 519 (3.4%) but not found in other reports. There are 15 types of drug resistant mutations in which TCG531 TCG is the most common with 50%. Multi - drug resistance was seen in mutable and none mutable cases, with all codon positions and mutable forms. \r\n', u'Conclusion: No mutation was found on the 81 bp region of the rpoB gene of RtF - sensitive M. tuberculosis strains. The rate of mutation on the rpoB gene of RIF - resistant M. tuberculosis strains is 96.6%. The new mutation position found is codon 519. The mutation on the rpoB gene does not determine the multi - drug resistance of M. tuberculosis. \r\n', u'
Mutation ; rpoB gene ; Rifampicin - resistant M. tuberculosis