1.Development situation of clinical study on traditional Chinese medicine for treating chronic renal failure
Journal of Practical Medicine 2005;510(4):42-44
Study on the trend of chronic renal failure treatment with traditional Chinese medicine in the recent years. Results: in clinical settings, serum urea and creatinine were decreased; renal blood supply was improved; metabolisms of serum lipid, phosphorus and calcium were improved; body immune was increased, and the quality of life was improved, thence the progression of disease was slowly. However, there were some problems with this treatment and it is needed further research.
Kidney Failure, Chronic
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Therapeutics
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Medicine, Chinese Traditional
2.Deep cervical plexus block for thyroidectomy at 150 patients
Journal of Practical Medicine 2005;519(9):25-27
Deep cervical plexus block for thyroidectomy (n=150) with dose of lidocain from 4-5 mg/kg at the location for analgesia: Intersection between line via upper of hyoid bone and the posterior site of sternocleidomastioid muscle. Results: good effect 95.3%; relative good 4.7%. Onset time 6.9 1.18 minutes and the duration is 80 6.85 minutes. The operation was not influenced by change of blood pressure’s pulse and oxygen saturation. The method is cost-effective, less complications, compared with other anesthesia methods; in addition, the monitoring and taking care post operation was simple and comfortable.
Thyroidectomy
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Cervical Plexus
3.Laparoscopic surgery performed at Hue Central Hospital: evaluation on 1161 cases
Journal of Practical Medicine 2005;510(4):44-47
Study on 1161 cases of laparoscopic surgeries at Hue Central Hospital from 1999 to September 2004. Results: laparoscopic surgery was applied, developed and expanded effectively, safely, and economically, etc in many kinds of diseases, with 23 kinds of surgeries were applied for 1139 patients in 5 years. The rate of complications was low (1.75%), with the most severe complication was gallbladder lesion (0.34%), bleeding (0.43%). The rate of laparotomy conversion was 2.15%, mainly due to technical conversions rather than complications. Death rate was 0.09% in cholecystectomy. Laparoscopic surgery is performed in nephrectomy, colectomy, or in the treating of rectal prolapse or genital prolapse, etc, and contributed to break through the new fields of modern surgery.
Laparoscopy
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Surgery
4.H.pylori infection status in gastroduodenal ulcer patients and primary evaluations of bacterial antibiotic sensibility at Can Tho General Hospital
Journal of Practical Medicine 2005;510(4):47-49
Study on 100 gastroduodenal ulcer patients treated at Can Tho General Hospital between March and December 2001. Results: the prevalence of gastric ulcer was high (58%), followed by duodenal ulcer (39%) and the prevalence of gastroduodenal ulcer was low (3%). The rate of H.pylori positive was 66.66% in duodenal ulcer patients, 55.17% in gastric ulcer patients. The rate of H.pylori infection was 33.33% in gastroduodenal ulcer patients. H.pylori was still sensitive with amoxicillin (97.29%), tetracycline (94.6%), clarythromycine and erythromycin (72.97%), but was highly resistant with metronidazole (91%).
Helicobacter pylori
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Peptic Ulcer
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Epidemiology
5.To analyze diagnosis methods of viral hepatitis
Journal of Practical Medicine 2003;463(10):2-6
The diagnosis of viral hepatitis were based mainly on the determination of inflammation status and the necrosis of liver cells, the ruling out of non-viral causes of inflammation such as INH, acetaminophen, pneumococcus,…, and the examinations of epidemiology, clinics, biochemistry, immunology and micrology. The classification of the causes of viral hepatitis relies mainly on the serological, immunological and microbiological tests
Hepatitis, Viral, Human
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Hepatitis
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Inflammation
6.Depression disorder in Ho Chi Minh City
Journal of Practical Medicine 2005;510(4):49-51
Study on 900 people in order to determine the prevalence of depression disorder in Ho Chi Minh City (HCMC). Results: prevalence of depression disorder was 6.6%, similar to the percentage of 7.6% defined by WHO, and prevalence of recurrent depression was 22%. The prevalence of depression in HCMC with some environmental factors was 11.5% in separation/divorce status (lower than that in US), 8.7% in unemployed people (lower than the rate of 15.2% in US), and was 13.3% in low-income people (similar to in US). Depression disorder is a common and recurrent condition in HCMC as well as in other countries, but varies between many countries because the difference in social-economic development has influenced differently to this disorder.
Depression
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Epidemiology
7.The value of endeavour ultrasound with dobutamin in diagnosing ischemic heart disease
Journal of Practical Medicine 2003;466(11):6-12
From 1997 July to 2003 April at Hospital 108, the study was carried out on 90 patients suspected of ischemia with chest pain or on ECG. Ultrasound dobutamin stress test was undertaken with infused initial doses of 5mcg/kg/min until reaching an expected heart rate depending on the ages. Results showed that ultrasound dobutamin stresst test is a diagnostic method of 96% of sensitivity, 84% of specificity and 91% of accuracy
Myocardial Ischemia
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ultrasonography
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Heart Diseases
8.Evaluation of renal transplantation results at Hue Central Hospital
Journal of Practical Medicine 2005;510(4):51-54
Study on 12 transplanted couples at Hue Central Hospital from 2001 to now. Transplanted selections were based on the compatibility of blood groups and HLA (more than 3/8). Anti-interleukin 2 was used in cases of HLA compatibility of 3/6 to help expanding the selections of donor-receiver. Transplanted patient who had positive HbsAg but no symptoms, normal level of serum liver enzymes, can be transplanted and carefully followed up post-operative serum liver enzymes. Gradually decrease doses of corticoid therapy could help to limit side-effects of corticoid.
Kidney Transplantation
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Blood Group Antigens
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Blood
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Epidemiology
9.The association of carotid atherosclerosis and coronary lesion in angina patients
Journal of Practical Medicine 2005;510(4):54-57
Study on 60 angina patients that suspected due to coronary artery diseases. Results: prevalence of hypertension was 76.7%, high blood cholesterol seen in 65%, and carotid artery diseases occurred in 73.3%. The rate of coronary artery disease is relative high (40%). Frequency of carotid artery diseases was almost 96% in coronary atherosclerosis group in comparison with 58% in group of patients without coronary artery stenosis or with less 50% of stenosis. Doppler ultrasound is confident, safe, and cheap method that can be performed bedside.
Carotid Artery Diseases
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Angina, Unstable
10.Outcomes of laparoscopic appendectomy at Hue Central Hospital
Journal of Practical Medicine 2005;510(4):58-61
Study on 523 patients with acute appendicitis (269 females, 254 males) underwent laparoscopic appendectomy at Hue Central Hospital between January 1999 and September 2004. Results: 3.25% patients had history of laparotomy, 74% of appendices was on normal locations. The rate of laparotomy conversion was 0.19%. The time of operation was relative long (mean time: 43 minutes), especially in cases of appendices was on difficult locations. The advantages of laparoscopic appendectomy are less post-operative pain; patients can eat and move early after operation, duration of hospital stay is short, no post-operative infection, etc.
Appendectomy
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Laparoscopy
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Epidemiology