1.Clinical characteristics, radiological and some risk factors for mortality of the congenital esophageal atresia at National Hospital for Pediatric
Tu Thi Xuan Pham ; Giang Thi Hoai Pham
Journal of Medical Research 2007;55(6):184-190
Background: Congenital esophageal atresia isn\u2019t uncommon malformation in newborn emergency. Its consequence is loss the ability of eating and poly infection in lung as well as newborn respiratory insufficiency. Objectives:This study aims to learn about the clinical characteristics, radiological and some risk factors for mortality of the congenital esophageal atresia at National Hospital for Pediatric. Subjects and method:A descriptive and retrospective study was conducted on 68 cases with atresia of the esophagus, hospitalized in the National Hospital for Pediatrics for 3 years from 1st January 2003 to 31st December 2005. Results:64.7% of cases hospitalized at 1 day of life, positive diagnosis was 45.6% at levels 1 and 2. The greater part clinical signs appeared in the 12 hours of life. Combination congenital malformations was seen in25% congenital esophageal atresia. Type III was more frequent (85.3%). Underprivileged factors were weight <2500g at birth, with associated diseases (infection, malformation), balance disorder of acid - base, hydro - electronics, respiratory distress by ventilator supported, time for surgery after 3 days. Conclusion: A further study should be carried out for confirmation of clinical characteristics, radiological and some risk factors of congenital esophageal atresia to help doctor give out accurate diagnosis to cure the patients.\r\n', u'\r\n', u'
Esophagus/ pathology
2.Comments on clinical and laboratory characteristics and some risks factors of neonatal acute renal failure
Tu Thi Xuan Pham ; Dung Thi Kim Phan
Journal of Medical Research 2007;55(6):121-127
Background: Acute renal failure is a common emergency and esspecial dangerous in the neonatal disease group, account for from 8% to 24% of among total patients to be treated at Intensive Care Unit with the high rate of mortality and complication. The mortality rate due to acute renal failure in neonatal group account for from 24.4% to 66,7%. Objectives: This study aims to learn about the clinical and laboratory characteristics as well as some risks factors of neonatal acute renal failure. Subjects and method:A descriptive, retrospective study was conduct on 64 patients without diagnosed of acute renal failure in control group and other 32 cases of acute renal failure whom treated at Neonatal Department of National Hospital for Pediatric from 1st January 2005 to 31st March 2006. Results:The diagnosis was often done in the 1st week of life and the incidence occurred in boy more than in girl.The average reatininernie\r\n', u'was 251.7\xb112.96 \xb5ol/l, the electrical disorder (in which hyperkaliernie: 78.1%, hyponatrernie: 46.9%), anernie was 18.7%, acidosis netabolique was 71.9%. Risk factors of neonatal acute renal failure: the pre-puerperal eclampsia (p = 0.023, OR=1.23), infection (p <0.001, OR = 9.53), suffocation (p <0.05, OR = 2.489), respiratory failure (p <0.001, OR = 2.489). Conclusion: The clinical signs were hyponurie and anuria, oederne and arterial hypertension.\r\n', u'\r\n', u'
Acute Kidney Injury/ diagnosis
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pathology
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Infant
3.THE RISK FACTORS OF THE DELTOID CONTRACTURE OF LOCAL PEOPLE IN VIETNAM
An Nhat Pham ; Xuan Thi Thanh Le ; Vung Thi Vu ; Tu Thanh Tran
Journal of Medical Research 2008;58(5):87-93
Background: Deltoid contracture can be congenital or acquired. A cross-sectional study has been done in 8 provinces representing three regions in Vietnam. These are Ha Noi, HaTay, Thanh Hoa and Lang Son in the North, Ha Tinh and Da Nang provinces in the central, Tien Giang and Can Tho provinces in the South of Vietnam. Objective: To identify the risk factors of Deltoid contracture in Vietnam from 2006 - 2007. Subject and Method: 29696 people aged from 1 to 60 years old at the time of the survey were examined to diagnose the Deltoid contracture as well as being interviewed by structured questionnaire. Results: There was significant association between contracture of Deltoid muscle and some factors. These are antibiotics injection into the Delta muscle at 0 - 5 years old: OR = 2.93 (1.435,8); Antibiotics type (streptomycin) was injected at 0-5 years old: OR = 45.2 (13.1 - 167); having cicatrix: OR = 73.4 (46.1 - 116.9). There was no significant association between Deltoid fibrosis and vaccination (position and administration). Logistic regression was done to find that antibiotics injection into Delta muscle at 6 - 10 years old and antibiotics type (streptomycin) were significantly associated with Deltoid contracture. Conclusion: Risk factors of Deltoid contracture in this study were antibiotic injection at aged 0 - 5 years old, antibiotic type (Streptomycin) and having cicatrix. There was no significant association between Deltoid fibrosis and vaccination (position and administration).
Deltoid contracture
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Risk factors
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Vietnam
4.The prevalence of deltoid contracture in some areas of Viet Nam in 2006-2007
An Nhat Pham ; Vung Thi Vu ; Xuan Thi Thanh Le ; Tu Thanh Tran ; Vung Thi Vu ; Xuan Thi Thanh Le ; Tu Thanh Tran
Journal of Medical Research 2008;56(4):111-118
Background: Deltoid contracture can be a congenital or acquired condition. There were not any reports on deltoid contracture in English literature until 1960. In 2005 there were 170 children presented at the Viet Nam Pediatric Institute with deltoid contracture. These children came from different provinces, nationwide. The numbers of children who have this condition is increasing, but there were few studies on this problem in Viet Nam. Objectives: To identify the prevalence of deltoid contracture in Viet Nam in 2006-2007. Subjects and method: A cross-sectional study was done in 8 provinces representing for 3 geographic regions of Viet Nam., included Ha Noi, Ha Tay, Thanh Hoa and Lang son in Northern, Ha Tinh and Da Nang in Central and Tien Giang and Can Tho in the Southern region. 29,696 people aged from 1 to 60 years old at the baseline were involved in the study. The subjects were examined to identify the deltoid contracture based on defined criteria. Results: The prevalence of disease was 0.65% (0.83% in men and 0.51% in women). The rate was highest in the group of 6-10 years of age (1.81%). The prevalence was 0.82% in rural and 0.31% in urban area. Cases were found in all but 4 provinces (Da Nang, Tien Giang, Can Tho and Ha Noi) Conclusion: The prevalence of Deltoid contracture in Viet Nam was 0.65% in 2006-2007. It was more likely to occur in men than in women, in age group of 6 \u2013 10 than in other groups and in rural than in urban area.
Deltoid contracture