1.Treatment for paroxysmal supraventricular tachycardia
Journal of Practical Medicine 2004;484(8):61-62
62 patients with paroxysmal supraventricular tachycardia were treated at the 103 Hospital and the 175 Hospital between 2000-2002, who were diagnosed due to clinical and ECG before and after treatment. The effects obtened by methods: pressing eyeball (15.3%); direct current cardioversion (100%); verapamil (92.9%); other drugs (83.3-85.7%); rapid atrial pacing (66.7%).
Therapeutics
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Tachycardia, Supraventricular
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Diagnosis
2.Effecacy of methotrexate in medical treatment for 100 patients with unruptured ectopic pregnancies at Women Hospital of hai Phong
Journal of Practical Medicine 2004;484(8):62-65
A clinical trial was conducted from 6/2001 to 5/2004 at Women hospital of Hai Phong to look for efficacy of Methotrexate (MTX) in medical treatment of unruptured ectopic pregnancies. 100 patients admitted the hospital due to unruptured ectopic pregnancies with βhCG > 100mUl/ml- <10.000mUl/ml. Tubal diameter < 3cm were enrolled in study. Treatment consisted of 50mg/m2 skin of MTX injected intramusculary and all patients were followed up by utrasound and βhCG after 48 hours and then 7 days. Injection was repeated if βhCG declined less than 15% of the initial level or increased at the 7th day after the first dose. Maximum doses of MTX used were 3 courses. 71 out of 100 patients (71%) were treated with one dose of MTX, 27 with two courses (27%), and two patients with 3 courses. Success rate was 83%. Serious side effects of MTX were note, unless 20 patients had mild side effects. Pregnancy rate after treatment reached 42.8% with recurrent ectopic pregnancy rate was 4.8%.
Methotrexate
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Pharmaceutical Preparations
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Therapeutics
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Pregnancy, Ectopic
3.Assessment the satisfaction of the in- patients at Cai Nuoc General Sugical Hospital - Ca Mau province from September to November 2002
Journal of Practical Medicine 2004;484(8):65-68
Assessment the satisfaction of the in- patients and their relatives at Cai Nuoc General Surgical Hospital - Ca Mau province from September to November 2002. The rate of satisfaction of the patients included: procedure of hospitalization (95.8%); facilities (89.9%); technical speciality (90.4%), medical equipments (98.7%). The common rate of satisfaction of the patients to the doctors, nurses, accoucheurs was 92.0%. Professsion, education, the time of hospitalization all were related factors to the satisfaction of the patients.
Personal Satisfaction
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Inpatients
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Epidemiology
4.Surveillance of quality of surface water at 3 districts An Bien, Hon Dat and Tiep Hiep of Kien Giang province
Journal of Practical Medicine 2004;487(9):3-6
The results of analysis showed that the pH were <6.5 or >8.5 in 45% of drinking water samples. The rate of drinking water samples that NO2 concentrations exceeded the set standards were between 10.9% and 30% in 3 districts (An Bien, Hon Dat, and Tan Hiep). The concentrations of organic substances and NH4 also exceeded 0-15% of standards, and many samples were substandard about microorganism such as E.coli, faecal coliform (15%) with p<0.05. It’s necessary to survey and study especially the local fact in building bore-well.
Water
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Epidemiology
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Quality Control
5.The nutrition status of children 5-8 months of age and the mother's knowledge and practice at Dong Hy district, Thai Nguyen province
Journal of Practical Medicine 2004;487(9):10-13
The study showed that the prevalence of underweight children stunting children was 3.1% and 11.5%, respectively. The concentrations of Hb, zinc, and serum vitamin A of these children were low; the prevalence of zinc and vitamin A deficiency were very high. The prevalence anemia was 73.1%, zinc deficiency 37.8%, and vitamin A deficiency 38.1%. There was concomitant deficiency of two or more micronutrients. Mothers’ knowledge and practice on nutrition was limited. 37.8% of neonates were breast-fed within the first 30 minutes, 60.5% of infants were weaned inappropriately, and 25.3% of infants were fed with meat and vegetable. Children’s dietary was inadequate both quantities and qualities, energy of dietary was 37-72% of recommended dietary allowances; particularly dietary iron levels reached only 44.4%.
Nutritional Status
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Child
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Age Factors
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Knowledge
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Mothers
6.Some clinical characteristics of acute diarrhea due to E.Coli in children under 5 year old in Ha Noi city
Journal of Practical Medicine 2004;487(9):13-15
Study 300 children with acute diarrhea treated at Saint Paul Hospital, Hanoi, the results showed that major cause was E.coli (13.7%); most common were EAEC and EIEC, followed by ETEC and EPEC, prevalence of EHEC was low (0.7%). Most of patients were under 1 year of age, and this disease common occurred in summer and autumn. Common symptoms were abdominal pain, watery and loose diarrhea; other symptoms such as fever, vomit and nausea occurred in half of patients.
Diagnosis
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Child
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Epidemiology
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Diarrhea
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Escherichia coli
7.Study on the needs, approaching capacity and medical service using of olders at 28 rural communes in 2 years 2000-2001
Journal of Practical Medicine 2004;487(9):15-18
The study was carried out on 5,579 households of 28 rural communes, among them 1,463 households had olders. The needs of medical service were very high (prevalence of self-reported illness was 1.8-2.4 times a year). Prevalence of olders who accessed clean water was very low, and the rate of medical insurance cover was 10.96%. Access time of local infirmaries was 12.3 minutes, of private drugstores was 11.1 minutes, and of hospitals was 14 minutes. The average cost of 1 illness course was 134,500VND. It’s necessary to strengthen communication about drug use, to increase amount of physicians in local infirmaries, and to promote local medical services.
Health Services
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Aged
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Epidemiology
8.The knowledge, attitude and practice of adolescents (between 15 and 24 year old) in preventing HIV/AIDS in Ha Tinh province
Journal of Practical Medicine 2004;487(9):18-21
This study was carried out on single adolescents (between 14 and 24 years old) lived in Ha Tinh province. Results: the mean age when having sexual relations was 20 years. Prevalence of drug use was 0.6% (no one change from smoking to injection). Prevalence of pre-married sexual relations was 12.5%, and 13.3% among them used condoms. 20% of them had sex with sex workers, 5% with sudden sexual partners, and 83.3% with lovers. 58.3% of adolescents used condoms when having sexual relations with sex workers.
HIV/prevention & control
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Acquired Immunodeficiency Syndrome/prevention & control
9.The bilirubin jaundice in gallbladder carcinoma: pathology mechanism and treatment
Journal of Practical Medicine 2004;487(9):21-24
Report a case of woman with gallbladder carcinoma. Her jaundice symptom was due to lymph node metastases in root of liver, behind head of pancreas, externally blocked the lower choledochus, not due to carcinoma directly invaded common bile duct and root of liver. In one patient with gallbladder carcinoma or other gastrointestinal cancer, systematic check of peripheral lymph nodes, supraclavicular nodes is a basic examination. Treatment is hepatectomy and lymphadenectomy.
Jaundice
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Bilirubin
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Carcinoma
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Gallbladder
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Therapeutics
10.Current management for food hygiene and safety
Journal of Practical Medicine 2003;445(3):38-41
Health statistics showed that because of food intoxication, the numbers of inpatients treated in the year 1999 accounted for 7576, 2000: 4233, 2001: 3909, 2002: 4894. 48.9-62.4% food intoxication cases were at home, 4.6-13.8% in the collective dining room. The causes of intoxication were: microorganisms, chemicals, toxic foods, unknown… Poor management expressed generally. In the last years, the government had issued some regulations concerning food hygiene and safety. Currently, various active solutions have been developed
Food
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Hygiene
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Safety