Two patients have undergone to myocardial revasculairisation with venous segments, removed from the lower leg. In one patients, two anastomosis has been performed (left anterio-descending artery and first diagonal branch). In the another, the anastomosis has been completed by continuous over and over suture on the left anterior descending artery, obtuse marginal artery and left postero-lateral branch. There are no morbidity and operative mortality.
Anastomosis, Surgical ; veins

This study demonstrated that in vitro, flavonoids from Oroxylum indicum stimulated the hydrolyzing reaction of alpha-chymotrypsin on casein. The stimulative level was dependent on time exposure and concentration of the flavonoids. In vivo, Oroxylum indicum's flavonoids had anti-inflammatory effects in dextran-induced oedema of mouse paw. When Oroxylum indicum's flavonoids were combined with alpha-chymotrypsin, their anti-inflammatory activity was increased. The successful combination between flavonoids from Oroxylum indicum and alpha - CT contributed to study anti-inflammatory effect of flavonoid and alpha - CT. It may be necessary to further study on traditional and modern anti-inflammatory medication in combination with anti-inflammatory enzyme
Flavonoids ; Inflammation ; Pharmaceutical Preparations

We study 86 pneumonia patients from 4-15 years old who were admitted to the Pediatric Department of the Hue Central Hospital, Thua Thien Hue province, Viet Nam over 14 months (from April 2004 to June 2005). Detection of anti- M.pneumoniae IgM of these patients, 27 cases have positive tests (31.4%).There was no statistic difference between male and female, urban area and countryside. The M.pneumoniae pneumonias were detected throughout the year but predominantly from April to June (31.5%) by admission. The results of this study showed some clinical features that could be frequently happened: cough, expectorant, mild fever (< 39oC), the white blood cells count less than 15,000 per mm3 (83.3%). The X ray of lungs are frequent the inertial and alveolar infiltration (54.2%). M.pneumoniae-related pneumonia were treated successfully with macrolide antibiotics.
Pneumonia, Mycoplasma ; Child ; Epidemiology

Intra-cranial hemorrage is a serious condition in infants can result in significant morbidity and mortality in developing countries. 680 infants with intracranial haemorrhage have symptoms for 30-60 days (86.2%). Sex ratio between boys and girls was 3/1. The laboratory findings as followed: prolongation of PT, APTT (94,7%), diminution of factors II,VII,IX in 80% of cases. Clinical manifestations are acute anemia (99.1%), distubance of consiousness (100%);100% have some kind of seizures; 91% in bulging of the anterior fontanel. Subarachnoid hemorrhage was major condition in 90.1% of patients, but allways combined with other lesions. The mortality was 14.7% and survived children had severe psycho-neurological sequelae. Intra-cranial hemorrhagic disease in infants has the characteristics of vitamin K deficiency. The haemorrhagic lesions are diverse and complex. Disease caused high mortality as well as high sequella rates.
Intracranial Hemorrhages , Infant, Epidemiologic Studies, Laboratories, Vietnam

From March 1995 to May 2002, at Hanoi Military Hospital N.108,on 98 patients taken surgical commissurotomy for mitral valve, pulmonary arterial pressure declined from 40,7± 12,7 mmHg before surgery to 29,6 ± 8,2mmHg after surgery, right ventricular pressure from 38,1 ± 11,1mmHg to 29,4 ± 8,4mmHg and left auricular pressure from 32,2 ± 8,6mmHg to 23,2± 7,1mmHg. This had demonstrated very good results of mitral valve commissurotomy, in l to improve hemodynamic state in pulmonary arterial pressure and heart chamber pressure
Pulmonary Wedge Pressure ; heart ; Mitral Valve ; surgery ;

Introduction: This action research aimed to make a context-specific and gender-sensitive interventions. Intervention activities was participatory to decrease the barriers to the use of maternal care and family planning (MCFP) services by the disadvantaged Kinh people and Catu ethnic minority people in the mountainous area of Nam Dong District in Central Vietnam. Intervention also aimed to improve communal MCFP services prioritized to training effective communication skills for communal health centers' staff and village health workers. Methods: 2 surveys were conducted before and after intervention among 7 poor communes using a random sample of total 840 mothers with at least one child under the age of 5 years. These data were supplemented by interviews with key informants, focus group discussions and observations. Statistical tests and measurement of effective index (EI) were used in data analysis. Results: - Women having ANC and delivery at local MCFP service were increasing 97.6% and 50% in year 2005 as compared with 86.9% and 31% respectively in year 2003. Midwives paid much attention to non-verbal communication as well as to counseling using demonstrative pictures. - There were a clear evidence of significantly increasing the mother's knowledge of MCFP such as local MCFP service availability, benefit of ANC (p<0.001) supported by performing many different communication channels (safe motherhood talks, village safe motherhood clubs, mass media of video-cassette using Catu speaking language, safe motherhood integration in traditional festival, campaign etc. - There was only statistically significant increase of inject able contraceptive ( EI=58.14%). The number of mothers having ANC>=3 times was significantly increasing (EI=11.98%, p<0.01). - The percentage of mothers who delivered at home was slow down to 19.4% as compared with before intervention was 45.2% respectively (EI= 64.20%, p<0.001) Conclusion: Intervention model was considerably successful in using context-specific and gender sensitive approaches. It contributed to meeting an urgent need for the MCFP services to build both clinical capacity and health promotion activities in a way that is gender sensitive, knowledge on of traditional practices and accessible by both illiterate and minority language speaking people.
Maternal Health Services ; Family Planning Services ; Maternal Behavior

Breast cancer, a common cancer in women, is a main cause of death for women in many countries in the world. Based on the study on 128 female patients who suffered from breast cancer treated at Hue Central Hospital, we concluded that : The highest rate of the said cancer is at 40-49 year old women (accounting for 30.5%); for the patients sent to the hospital for their treatment, most of them were self-discovered(68%).The main threat for breast cancer in women is late menopause, non-birth or women who are firstly pregnant are over 35 years old. Ductal invasive carcinoma reaches a high rate(88.2%). The result of differential grade I: 18.6%; grade II:43.4%; grade III:38.9%
Breast Neoplasms

Acupuncture, which is a preventive and treating method without drugs of traditional medicine, has had a long-standing history. Classical acupuncture is still the main, irreplaceable treatment method (electricity acupuncture in nature is classical acupuncture which is added by electricity into acupunctured spots). When giving the needle in patients, they will react against and have pain feeling, level of pain depends on different areas of the body, whenever receptors in skin and muscle will identify and make nervous pulses that will go to central nervous system through nerves. The second electric potential appears when acupuncturing needle into the body, that is injury electric potential. The third electric potential appears when the acupuncture needle is made of metal
Acupuncture ; Electroacupuncture

98 patients were operated surgical commissurotomy in the No 108 Military Hospital from March 1995 to May 2000. All patients were performed Doppler ultrasonography pre- and post-operation. All patients were received surgical commissurotomy by Tubs. Hemodynamics was changed with satisfactory results after surgical commissurotomy the pulmonary arteries pressure down from 50.4  15.5 to 36.6  7.9 mmHg; MaxPG (mmHg) down from 22.1  7.6 to 12.3  3.3 and mean PG (mmHg) also down from 13.5  4.8 to 6.9  4.5. For right indication and contraindication in surgical intervention, as well as prognosis of postoperative patient's life, the evaluation of hemodynamic indexes are necessary, in which Doppler ultrasound plays an importance role in assessing the pre- and postoperative results
Hemodynamics ; Pulmonary Artery ; heart ; Mitral Valve ; surgery ; Ultrasonography

A study on 2495 newly infected cancer cases in Thua Thien – Hue between 2001 and 2003 showed that males account for 54.9% and females account for 45.1%. The cancers of liver, stomach, lung, colon-rectum and leukemia were the leading cancers in males while the cancers of breast, stomach, cervix, lung and lymphoma were the leading cancers in females. The average annual incidence for both sexes was 76.1/100,000 habitants (in males was 80.9 per 100,000 habitants and in females was 67.6 per 100,000 habitants)
Neoplasms ; Population