40 patients with lumbar disc herniation, aged 17-68 years old, including 27 males and 13 females, were treated by combined internal procedure within a week by Vioxx, Methycobalt and Hydrocortisone infected into the disc once a day within 15 day. The syndrome of radicular painful was improved well and rather well in 65-85% of patients. However, for a less number of motion disturbance, surgery was recommended.
Injections ; Therapeutics ; Hernia ; Internal Medicine

175 patients aged 17-68 years old (114 males, 61 females) with lumbar disc herniation underwent a 3 week conservative treatment internally with Vioxx, methylcobal and hydrocortisone at Huu Nghi Hospital and Hospital Number 108 from January 1998 to January 2004. Morbility range of the spinal column reached good and rather good results in 82.05% and bad in 1.14%. The stretching range: good and rather good 64.41%, no effectiveness 18.24%. Spinal column mobility range of right side and left side of spinal column reached 70.68% and 72.96% good (respectively), bad 10.26% and 8.35%. Right and left rotation range of spinal column reached 75.24% and 69.54% of good and rather good results 7.41% and 5.7% no result, respectively. Pain relief in radicular press syndrome was improved well in 64.41% - 82.65%. Lumbar disc herniation had caused no much disorder on the mobility and spincter muscle.
Therapeutics ; Internal Medicine ; Hernia ; Pharmaceutical Preparations

The clinical study on herniation of lumbar spinal disc was performed on 175 patients (114 males, 61 femaled, aged 17-68 years old ) at Huu Nghi hospital and Hospital No 108 from January 1998 to January 2004. Herniation of spinal vertebral disc usually occurred in male (65.1%) at the age of 20-40 years old. 71.97% of the disease had developed suddenly after a trauma at the spinal column or after a heavy load. The pain increased when walking, pain manifested at the lumbar area, the range of moving was constrainted. Pain at Velleix point (+), Lasegue(+), pain and diminished sense of radile type.
Diagnosis ; Hernia ; Epidemiology

A monitoring of 150 cases of stabilized lumbar disc herniation showed that in the group of subjects who dit not practise physical exercises, the recurrent rate was rather high, 34% within 6 months, 44% in 12 months, while in subjects practized the exercises, these indices were 4% and 6% respectively. Moreover in these practized subjects, the severity of recurrent condition was mild with the syndrome of lumbar spinal column and rarely lumbar radicle. Heavy works such as military works, agriculture and industrial works were still the cause of recurrence of lumbar disc herniation.
Hernia/rehabilitation ; Exercise ; Hernia/prevention & control

Studty was conducted on 42 patients (32 males and 10 females, aged 14-55 years old) with taenia soluincyst in brain. The cyst was common at the age 20-49 years old, female 23.81% and male 76.19%. There was a diversity of nervous syndromes in both 2 hemispheres of brain, the most were intern-cerebral high pressure 95.2% and epilepsy 54.74%. Active forms of cyst accounted for 73.81%, needed for treating CT images of skull and brain showed a dispersion of the cyst in both 2 hemispheres of brain, consisted with the clinical symptoms.
Cysticercosis/complications ; Taenia ; Brain

By MIR the Hospital Huu Nghi and Military Hospital No 108 from January 1998 to December 2003, in 110 patients (72 male, 38 female, qged 39-75 years), cervical dics herniation was detected. Control group in cluded 25 patients whose MRI did not find dics herniation. Patients morbid history was investigated, clinical neurology was comprehensively studied. Results showed that this herniation was commonly in men with usual manifestations of cervical dics degeneration- 100%, combining radiculo-spinal compression syndrom 50,9%, sample radiculo cervical compression syndrom 34,5% and sample radiculo spinal cervical 14,5%. The clinical criteria of cervical dics herniation were: cervical vertebial pain site, pain and spasm of muscles around the vertebial cervical with limited mobility, disturbances of feelings and reflexes central palsy of the … and peripheral palsy of the hands, enhance of tendo-bone reflexes in 2 legs, Babinski reflexes (+).
Diagnosis ; Hernia ; Pain

A 38-year-old female patient, with healthy history, was vaccinated with ChAdOx1 nCoV-19 (Astra Zeneca Cambridge, UK). Five days after the second injection, the patient presented headache, vertigo, then fatigue, nervousness, palpitations, shortness of breath, small amplitude tremors, and sweating episodes. Laboratory investigation revealed a suppressed thyroid-stimulating hormone (TSH), with elevated free thyroxine. However, the TSH receptor antibody and anti-thyroid peroxidase antibody were normal and thyroid-stimulating immunoglobulin negative. The patient was maintained on Metoprolol, and no specific treatment was added. After 3 months of following, the patient now feels comfortable. Our literature review found that 21 cases of subacute thyroiditis (SAT) following coronavirus disease 2019 (COVID-19) vaccines were reported. Most patients were young women who presented neck pain and systemic symptoms, with or without fever. These symptoms can appear as early (3 to 5 days), or later (1 month) after vaccination, regardless of vaccine type and mechanism of action. Laboratory tests showed decreased levels of TSH and elevated thyroid hormone. The mechanism of this event remains unknown. Further study is recommended to investigate the possible predisposing factors to developing SAT after receiving the COVID-19 vaccine.

Geographical and racial factors constitute important distinctions between Kawasaki disease (KD) and multisystem inflammatory syndrome in children (MIS-C), but no study has been conducted in Vietnam. Forty-one children with KD from January 2018 to July 2020 and 42 with KD/MIS-C from August 2020 to December 2022 were included in this study. Of the patients, 52.3% were aged between 12 and 35 months. Only two were aged over 5 years, and both were belong to the KD/MIS-C group. A 59.5% of the patients were male. Apart from fever, all symptoms tended to be more frequent in patients with KD/MIS-C. The prevalence of diffuse skin rash, hand and foot edema or erythema and gastrointestinal signs was significantly higher in patients hospitalized with KD/MIS-C. There was no significant difference in laboratory findings between the two groups. Coronary artery dilation was more frequently observed in patients with KD/MIS-C compared to those with KD (40.5% vs. 14.6%, P = 0.009).

Objective: To explore the correlation of 24-hour ambulatory blood pressure (BP) monitoring (ABPM) parameters and cardiovascular risk factors in older adults with high-risk hypertension. Material and method: A cross-sectional study was conducted on 96 older adults (≥ 60 years old) with treated high-risk hypertension. Socio-demographic and cardiovascular risk information were gathered. The patients were performed 24-hour ABPM. Results: The mean age was 70.88 ± 7.86 years, and 64.6% were women. The prevalence of cardiovascular risk factors was as follows: dyslipidemia: 80.2%, family history of hypertension: 54.2%, diabetes mellitus: 51%, smoking: 24%, prior stroke: 11.5%. Significant differences in 24-hour, awake, and sleep systolic BP were observed between men and women. There were significant correlations between 24-hour mean systolic BP with age (r = 0.229, p = 0.025), dyslipidemia (r = 0.223, p = 0.029), family history of hypertension (r = 0.214, p = 0.036), BMI (r = 0.212, p = 0.039), waist circumference (r = 0.226, p = 0.027) and creatinine level (r = 0.207, p = 0.043). There were significant correlations between 24-hour mean diastolic BP with BMI (r = 0.289, p = 0.004) and prior stroke (r = -0.224, p = 0.029). There were significant correlations between 24-hour mean BP with BMI (r = 0.268, p = 0.009), waist circumference (r = 0.220, p = 0.032) and prior stroke (r = -0.215, p = 0.036). Conclusion: There were significant correlations between ABPM parameters and cardiovascular risk factors in older adults with high-risk hypertension.