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Mean 24-hour calcium intake of pregnant women

Ho Chi Minh city Medical Association.2003;8(1):3-6.

In the 24 hours regime of 80 pregnant unipars women aged 19-45 in a gestation of < 20 weeks without complication, monitored in Hung Vuong Hospital, the average content of Ca of 326g was quantified. Calcium was supplied by milk, in the women calcium supplied group, the mean content of calcium was 422gr, versus 219 gram daily in no calci supplied group. Mean caloric intake was 1.624  613Kcal. Mean protein, carbohydrate and lipid intake were 60  28, 269  94 and 34  26 gram daily respectively. A half of subject number has < 60g protein daily in the diet and 35% among them had a non-protein calories
Calcium ; Pregnant Women ; Women

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Effects of early diagnosis of kawasaki disease

Nguyen Thi Kim Thoa

Ho Chi Minh city Medical Association.2003;8(1):7-9.

Mucocutaneous Lymph Node Syndrome; disease; child; early diagnosis From July 2000 to Dec 2002, at HCM city Children Hospital N01, 17 patients aged 4 months to 4 years with Kawasaki disease were treated. All patients had had at least 5 days of fever and 4-5 associated symptoms of Kawasaki disease. Fever was treated with aspirine and gammaglobuline inravenously. Patients who began to treat since 7th day or sooner will get shorter duration of fever, reduce coronary dilation and early discharged from hospital
Mucocutaneous Lymph Node Syndrome ; disease ; child ; early diagnosis

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Succesful surgical replantation of a forearm total amputation

Pham Thanh Khoi

Ho Chi Minh city Medical Association.2003;8(1):10-12.

On July 4th 2002 at the Department of Trauma and Burn, Can Tho General Hospital, an accidental total amputation of the left forearm in a 14 years old child was replanted successfully. Micro-surgery was initiated 2 hours after injury and lasting for 7 hours. Immediate results showed good survival signs of the replanted forearm. Further surgery on the bone of the arm and skin transplantation was performed. Rehabilitation is on going to regain the function of the forearm.
Amputation ; Casts, Surgical ; Replantation ; surgery ; Therapeutics

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Randomized clinical trials of dihydroartemisinin - piperaquine against multidrug resistant

Tran Tinh Hien

Ho Chi Minh city Medical Association.2003;8(2):67-71.

A clinical randomized trial on dihydroartemisinin piperaquin was conducted with drug resistant malaria patients. The effectiveness to cure the disease through 56 days follow up the recurrent by PCR manifested on 97.4% in DTP group and 100% in A3M group. In second study the rate of recovery was equal in all groups - DTP group 97.4%; DP group 98.7%; A3M group 98.7%. Dihydroartemisenin piperaquin was well tolerated. In less than 3% of patients, there was side effects which can be related to smoking. The preparation is inexpensive, effective, safe with high efficacy to drug resistant malaria parasite.
Multidrug-Resistant ; artemisinins

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A follow-up results after 25 months of 2 leg open fracture treatment with external fixators

Le -- Phuc

Ho Chi Minh city Medical Association.2004;4(1):3-6.

Retrospectively, results of 64 leg open fractures (in 63 patients) treated by locally-made external fixators from April 1985 to April 1995 were examined. The distribution of these fractures according to Gustilo-Anderson classification was as follows: 15 fractures of degree II, 32 of IIIA, 11 of IIIB and 6 of IIIC. Mean age of patients age at the time of operation was 31 (range 18-63). Motobike traffic accident accounted for 85% of fractures. Skin graft, flaf surgery and operation were used. The follow-up mean time (of 64 legs) was 25 months (range 2-80 months). The mean duration of wearing external fixators was 22 weeks. 50 patients needed casting for average 6 weeks. In the Vietnamese setting, with approriate indications, well-performed debridement of wound, and closed postoperative follow-up, locally-made external fixators can be used and these may satisfactorily respond to the requirements of treatment for leg open fractures
Fracture Fixation ; Fractures, Bone ; Fractures, Open ; Therapeutics ; External Fixators

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Pelvic lymphadencectomy in invasive bladder cancer

Nguyen Ngoc Tien

Ho Chi Minh city Medical Association.2004;4(1):7-9.

Radical cystectomy for bladder cancer was preformed in total of 68 consecutive patients (53 males and 15 females) at Binh Dan hospital from August 2001 to August 2003. Histopathological examination revealed that the tumor grade was 1 in 19 patients (2 with positive node), grade 2 in 20 patients (10 positive node) and grade 3 in 28 patients (15 positive node). The pathological stage was pT1 in 2 patients (no positive node), pT2 in 50 patients (17 positive node), pT3 in 15 patients (12 positive node) and pT4 in 1 patient (positive node). Among 68 patients underwent radical cystectomy, 35 patients had cultaneous ureterostomy, 26 patients had a Carmey II plasty with ileal-conduct uriary diversion, 5 patients with urinary diversion of Kock plasty and 2 patients had a Bricker operation
Urinary Bladder Neoplasms ; surgery ; cystectomy ; pathology ; Pelvis

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Laboratory surveillance of dengue haemorrhagic fever in Southern Vietnam in 2002

Vu Thi Que Huong

Ho Chi Minh city Medical Association.2004;4(1):10-12.

In 2002, DHF viro-serological surveillance was started in 19 Southern provinces of Vietnam. 247 DEN virus strains (consist of 27 DEN-1, 99 DEN-2, 9 DEN-3 and 112 DEN-4) were isolated from 3318 blood samples. The predominant serotypes were DEN-4 (45.3%) and DEN-2 (40.1%). DEN-2 virus was more positively correlated with severe cases in comparison with other serotypes. However, high rates of virus isolation were obtained from DHF grade I-II patients (49%), and then from DF, viral infection and fever of unknown origin cases (40.1%). These should be main target subjects for the active surveillance of DHF. In addition, MAC-ELISA was done on 7498 DHF serum samples taken in Southern Vietnam with the average positive rate of 44.37%
Dengue ; epidemiology ; Laboratories

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Active laboratory-based surveillance for dengue infection in Bien Hoa city (Dong Nai province) in 2002

Do Quang Ha

Ho Chi Minh city Medical Association.2004;4(1):13-16.

This report described a program undertaken with the collaboration of the CDC (Colorado, USA) known as "Active, laboratory-based surveillance for dengue infection in Bien Hoa city in 2002". Results of this study are as follows: The predominant serotype which circulated in Bien Hoa city in 2002 was Dengue-4. The number of children Dengue ; epidemiology ; laboratories

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Some new attitutes in diagnosis and treatment of bladder cancer

Le Sy Hung

Ho Chi Minh city Medical Association.2004;4(1):33-35.

Bladder cancer is a significant public health problem. Significant progress has been made in understanding the underlying molecular and genetic events in bladder cancer. However, there remains a great need for the development of reliable markers that can provide clinically useful information regarding diagnosis and prognosis and to facillitate the selection of appropriate therapy in individual patients. Ongoing and future investigation is anticipated to refine treatment of patients with bladder cancer
Urinary Bladder Neoplasms ; diagnosis ; Therapeutics

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Avian influenza A (H5N1) in 10 patients in Viet Nam

Tran Tinh Hien

Ho Chi Minh city Medical Association.2004;9(2):67-74.

Study on clinical features and epidemiology among 10 patients had avian influenza A who treated in hospital in Ho Chi Minh City and Ha Noi 12/2003 and 1/2004, 13,7 mean age. In all patients, the diagnosis of influenza A (H5N1) was confirmed by means of viral culture or reverse transcriptase polymerase chain reaction (RT-PCR) with primers specific for H5 and N1. None of the 10 patients had pre-existing medical conditions. Nine patients had a clear history of direct contact with poultry. All patients had fever, respiratory symptoms and clinically significant lymphopenia. The medium platelet count was 75.500/mm3. Seven patients had diarrhea. In all patients, there were marked abnormalities on chest radiography. There was no definitive evidence of human to human transmission, eight patients died
Influenza A Virus, H5N1 Subtype ; Influenza in Birds ; epidemiology

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