Study on 50 cases treated by intracytoplasmic sperm injection (ICSI) at Tu Du Hospital. There were 490 sperm injected oocytes. There wasn’t difference between fertilization rates of injected ovule with normal sperm and with abnormal sperm. The embryo development rate from fertilized oocytes is better if normal sperm were injected: 25.2% of normal sperm injected oocytes developed into good quality embryos, while none of embryos generated from oocytes injected with abnormal sperm is of good quality. The selection of sperm for ICSI plays an important role in getting high results in ICSI and this procedure should be complied sperm morphologic criteria recommended by WHO in order to improve the fertilization rate and embryo quality
Sperm Injections, Intracytoplasmic ; Spermatozoa

A randomized controlled trial was carried out on two groups of patients who were received either Flagystatine (nystatin 1000000 UI/metronidazol 500 mg) or Neo Penotran (miconazol 100mg/metronidazol 500 mg), twice a day for 7 days. Gynecological and microbiological assessments were carried out before treatment and 14 days after the first visit. In Flagystatine and Neo Penotran groups, clinical cure rates were 42% and 77.9% respectively; microbiological cure rates were 68.2% and 72.1%. In Neo Penotran group, functional symptoms were reduced more than organic symptom (84.8% and 79.1%, respectively). This difference was not so remarkable in Flagystatine group (64.8% and 65.95, respectively). Side effects of Neo Penotran were insignificant. Neo Penotran therapy without supportive treatment had higher efficacy in vaginitis at dosage of two pill a day in 7 days. The drug showed effects in both of function symptoms and organic symptoms, in clinical and paraclinical
Vaginitis ; Therapeutics

The study was carried out at Hung Vuong Hospital in 1998 to compare vaginal misoprostol with extra-amniotic balloon to induce abortion in second trimester. Patients were received either 800mcg misoprostol vaginally (n=87) or 500ml of 0.9% NaCl solution inserted into extra-amniotic cavity (n= 93) for induced abortion. Vaginal misoprostol was repeated 24-hourly for maximum of three times. The abortion rates were 98.9% and 96.8% for misoprostol and balloon group, respectively. A second attempt was need in approximate one third of patients in misoprostol group and 10% in balloon group. Side effects of misoprostol were mild and transient. Vaginal misoprostol is as effective as balloon for induced abortion in second trimester. Misoprostol is cheap and easily stored and used. Vaginal misoprostol could be considered as an alternative to balloon for induced abortion
Abortion, Therapeutic ; Misoprostol ; Abortion, Induced

A rare case of venomous snakebite is reported. Patient is a 35 year old woman with 6th pregnancy of 37-week gestational age. She was presented with a green pit viper snake bite on right foot associated with severe venom poisoning symptoms leading to fetal death and abruptio placentae, severe coagulation disorder with undetectable fibrinogen level. Blood transfusion, cesarean section and hysterectomy were done. After operation, patient’s clinical status was relatively stable but bleeding persisted 6 days after snakebite. Blood coagulation was only improved after administration of 3 doses of specific antivenomous sera
Abruptio Placentae ; Snakes

Report a case of patient Tran Đ.V. born at December 26th 2002 in Ninh Thuan district, Khanh Hoa province, admitted hospital at November 25th 2003 due to hirsutism and developed genitalia. Ultrasound and CT scan examinations showed a mass in his right adrenal gland, which was subsequently removed surgically. The histopathological findings were consistent with an adreno-cortical carcinoma. This is a rare tumor with frequency 1/10.000 adrenal tumors in adult. In children, there are some cases and most frequently in girls. Adreno-cortical carcinoma combining with isosexual precocious pseudopuberty is rarer in boys
Puberty, Precocious ; Case Reports

Prostate cancer is the second leading cancer affecting men after lung cancer. The incidence increase proportionally with older age: 30% in 50-59 years old group, 40% in 60-70 years old group, 67% in 80-89 years old group, 100% in over 100 years old group. There were about 180.000 cases with prostate cancer in America in 2000 year. The disease is more common in Europe countries than that in Asian countries, and more common in black people than in white people. The ratio of prostate cancer in people with meat and fat diet is higher than that in people with vegetables and soy-bean diet. The most effective treatment is local treatment: prostatectomy or radiotherapy with model technique. Early detection is according to PSA control. It is necessary to test PSA for all over 55 years people
Prostatic Neoplasms ; Diet

Fluorodeoxyglucose positron emission tomography (FDG-PET) has a limited role in the diagnosis of prostate cancer mainly because of the low uptake of FDG in the tumor. FDG-PET has shown some advantages in the assessment of lymph nodes and bone metastases. FDG-PET has a significant potential to assist with the diagnosis and management of testicular cancer. PET has been most useful in defining the presence or absence of disease in patients with residual masses. Role of PET in renal cell carcinoma and bladder cancer is so limited. Some new marked atoms have studied to increase effects of PET in diagnosis urologic malignancies
Urologic Neoplasms ; Urologic Diseases ; Tomography ; Diagnosis

Cord blood samples were taken from 552 infants for screening TORCH infections by ELISA. Maternal infection was documented by the presence of specific IgG antibody, whereas IgM was used to identify fetal infection. Results: Prevalence of maternal infections with toxoplasma, rubella, CMV and HSV-2 were 17.6%, 73.4%, 99.6% and 40.9%, respectively. Regarding the neonates, no infant presented with congenital toxoplasma, whereas prevalence of neonatal rubella and CMV were 0.2% and 0.5%, respectively, and herpes, 14.7%. No infant, however, was clinical infected
Rubella ; Toxoplasma ; Fetal Blood ; Infection

Survey 140 patients with tubal factor infertility at Tu Du Hospital from 2002 to 2003. Intrauterine pregnancy rate was 19.3% and ectopic pregnancy rate was 9.3%. Patient’s age is one of factors influencing the outcome of laparoscopic surgery. The elder patients are, the lower pregnancy rate they get (for patients over 35 years old, pregnancy rate is as low as 4%). The level of tubal damage and adhesion are also influencing factors for rate of intrauterine pregnancy. The more severe damage and adhesion patients had, the lower pregnancy rate they get. The prognosis of tubal factor infertility was highly associated with the level of tubal damage and patient’s age. Laparoscopic surgery for tubal obstruction is only effective for cases with mild or moderate lesion. For elder cases over 35 years old or severe tubal damage, IVF-ET should be indicated
Infertility ; Laparoscopy ; Sterilization, Tubal

Report a case of 4 years old girl lived in Gia Lai province, admitted Hospital of Pediatrics No 2 at December 6th 2004. 3 days before admitting hospital, she had some symptoms including hemorrhagic vomiting, melena, and then was admitted Gia Lai Hospital. She was diagnosed with upper digestive hemorrhage, and treated by hypodermoclysis and fresh blood transfusion. Hemogram test discovered anemia. Pulmonary X ray had no abnormal image. Abdominal color Doppler ultrasound revealed images of cirrhosis and portal hypertension, large spleen. The spiral chest CT scan found that no abnormal pulmonary vessel. Patient was treated by endoscopic sclerosis of esophageal varices, and administration of Axepim and gentamycine based on antibiotic susceptibility test. Results of microbiological test after treatment was negative
Hepatopulmonary Syndrome ; Child ; Hypertension