text
stringlengths 1
3.22k
|
|---|
To investigate some subclinicals characteristics and its association with PET / CT imaging in patients with post myocardial infarction. |
Subjects and methods: This cross-sectional study included 45 patients with post myocardial infarction who were treated in Cardiology Institute, 108 military hospital from 2011 to 2015. |
Clinical, subclinical findings were collected and myocardial perfusion SPECT was undergone. |
18F-FDG cardiac PET / CT was evaluated to assess myocardial viability and coronary angiography was done for patients who had indication. |
Results: No differences was found in each parameters of EFsp (ejection fraction), end diastolic volume (EDV), end systolic volume (ESV) among 3 groups (scar group, hibernating group and mixed (hibernating and scar) group). |
Conclusion: In the assessment of myocardial viability, the severity and characteristics of lesions on coronary angiography did not reflect the presence of myocardial viability assessed by 18F-FDG PET / CT. |
The degree of left ventricular dysfunction on echocardiography were not associated with the presence of myocardium viablility assessed by 18F-FDG PET / CT. |
Trans-otural ostomy for the treatment of acute mastoiditis in children |
The objective of this study was to evaluate the effectiveness of interventions to improve communication skills - health education of HFM prevention for health workers in 4 communes of Daitu district in Thai Nguyen. |
Methods: The interventional study design was applied in this study. |
All of healthcare staffs and health workers in 4 communes of Daitu districts were recruited in this study. |
Results: Intervention effectiveness of health workers: in terms of knowledge, attitude, and practice, respectively 0.1%; 28.5% and 34.4%; on counseling, talking about health 37.8%, and 41.6%, respectively. |
Conclusions: To effectively prevent hand, foot and mouth disease, it is necessary to improve health communication and education for health workers at commune level. |
In which, it is necessary to focus on building programs to update knowledge and skills to prevent hand, foot and mouth disease suitable for each audience to maximize the participation of the community |
OUTCOMES OFARTHROSCOPIC TREATMENT FOR SEPTIC ARTHRITISOF THE KNEEIN BACH MAI HOSPITAL |
Describe the clinical, endoscopic and computed tomography (CT) morphology of acute mastoiditis in children. |
(4) Removal of V A. and control of environmental factors is supportive treatment to ensure the stability and effectiveness of treatment. |
Evaluation of the effectiveness of mastoidectomy and trans-otural ostomy (OTK) placement. |
With mastoidectomy and transcavitary OTK placement, 40/44 (91%) ears were dry 4 weeks after surgery and 44/44 (100%) ears were dry after 6 months. |
Conclusion: (1) Clinical examination combined with otoscopy and CT scan of the temporal bone are 3 basic factors to ensure that VXCC is not missed. |
(2) Placing OTK in the mastoid cavity, in addition to helping to drain the secretions and ventilating the mastoid cavity, also has the effect of monitoring the results of treatment. |
(3) With the results of 44/44 (100%) dry ear, mastoidectomy technique to place OTK in the ear canal is an effective technique in the treatment of VXCC in children, capable of wide application. |
Reconstruction of pharyngeal defect after total laryngectomy by the supraclavicular artery island flap: Case report |
To assess the outcomes of arthroscopic treatment for septic arthritis of the knee in Bach Mai Hospital. |
Conclusion: Arthroscopic treatment for septic arthritis of the knee is an effective method, results in improving the severity of pain, patient's knee function and quality of life. |
Subjects and Method: Descriptive study of 57 patients with 57 knee joints diagnosed septic arthritis who had arthroscopic surgery from September 2018 to September 2020 at the Department of Orthopedic & Spine - Bach Mai Hospital. Postoperative outcomes were evaluated by the Knee injury and Osteoarthritis Outcome Score (KOOS). |
Bronchiectasis prevalence in patients hospitalized with acute exacerbation of COPD |
Describe the reconstruction of pharyngeal defect after total laryngectomy by the supraclavicular artery island flap. |
Subjects and method: Patient was diagnosed with hypopharyngeal cancer and received total laryngectomy and reconstructed pharyngeal defect by supraclavicular artery island flap. |
Case report. |
Results: the hyphopharyngeal cancer tumor was complete resected with negative margins, the flap are survival and good healing postoperative 8 weeks with no flap loss, no pharyngeal fistula, no pharyngeal stenois and good swallowing function. |
Conclusion: reconstructed pharyngeal defect by supraclavicular artery island flap is easy and quick technique, supraclavicular flap are pedicle flap, suitable for reconstruction of pharyngeal defect, easy survival and good healing with pharyngeal mucosa. |
Comparison of residual curarization post laparoscopic surgery in patients with or without follow up by tof watch |
Other information also were recorded; signs, symptoms, history, WBC, CRP, spirometer,... Results: 97 patients with exacerbation of COPD, Male takes 92.8%, age mean was 67±10, smoking takes 90.7%, most patients' lung function was GOLD 3 FEV1 45.2%, previous lung tuberculosis takes 40.2%. |
49.5% moderate exacerbation of COPD. |
The prevalence of bronchiectasis was 36.6%. Conclusions: moderate exacerbation of COPD had radiologic prevalence and bronchiectasis 36%. |
Clinical and testing characteristics of PNH patients treated in National institute of hematology and blood transfusion |
As laparoscopic surgery becomes increasingly popular, the abdominal inflating process introduces many changes to the cardiovascular and the respiratory systems. |
While ERAS recommends that anesthesiologist should use deep muscle relaxants in laparoscopic surgery to conteol the side effects, this method can cause the risk of residual muscle relaxation post surgery. |
The study aimed to compare the residual curarizative rate between patients with or without TOF Watch observation. |
This prospective study, randomized clinical trial on 60 patients was divided into 2 groups, at Viet Duc Hospital from April to November, 2017. |
Results: age, sex, ASA, operative time, anesthesia time, type of surgery were similar in the two groups. |
The group that was not monitored by the TOF Watch had a higher residual curarizative rate after extubation than the monitored group, the difference was statistically significant with p < 0.05 at time points 1, 10, 20 minute. |
At 30 minutes after extubation, both groups (3.33% in the monitored group compared with 13.13% in the unmonitored group) still had residual curatization. |
The unmonitored group had a higher rate of respiratory distress symptoms during the first 30 minutes postextubation, 2 patients (6.67%) in this group had SpO2 lower than 93%; the monitored group did not have any patient with respiratory distress. |
Conclusion: Patients monitored by TOF Watch had a lower residual curarizative rate after extubation, but the risk of re-curarization was not completely eradicated. |
Risk factors for recurrent bleeding in patients with cerebral cavernous malformation |
To describe clinical and laboratory characteristics of nocturnal paroxysmal hemoglobin (PNH) at the National Institute of Hematology and Blood Transfusion, 2010 - 2020. |
CD55, CD59 difficency alone is mainly found in PNH group with bone marrow disorder. |
Conclusion: The clinical features of PNH patients are mainly fatigue and anemia, symptoms of smooth muscle dystonia and thrombosis are uncommon. |
Laboratory characteristics of PNH patients are mainly hemolytic anemia. |
The patient in classical PNH group have hemolysis anemia and iron deficiency than the other. |
Deficiency of CD55, CD59 leukocytes alone is found mainly in the PNH group with marrow disorder |
Subjects and research methods: 116 patients diagnosed with PNH identified treatment at the National Institute of Hematology and Blood Transfusion from 2010 - 2020. |
Results: The most common clinical symptoms: anemia (92.2%), fatigue (88.8%), jaundice (36.2%), dark urine (50.8%). |
Thrombosis accounts for only 4.3%. |
41.4% (48/116) of PNH patients had a history of blood disease before, of which AA (41.7%); MDS (25%) iron-deficiency anemia (8.3%), with mild anemia (39.7%), moderate anemia (38.8%), severe anemia (21.6%). |
The majority of patients had macrocytic anemia (66.4%); 7.8% of patients have microcytic anemia. |
The rate of hemolysis and iron deficiency in patients with classical PNH is higher than that of PNH group with bone marrow disorder. |
CD55, CD59 on leukocytes are more deficient than red blood cells. |
Deficiency on red blood cells is common 20 - 60%, on Neutrophil is common > 80%. |
Research on changes puberty of students at secondary school in Vu Ban district, Nam Dinh province |
Introduction: Psychological changes in the age of puberty significantly affect teenagers' life and learning, so understanding the signs of puberty is very important in helping parents, teachers and the school accompanying with the children to go through this period safely. |
Objectives: to study the characteristics of puberty of the boys and girls at Goi Town secondary school. |
Methods: The cross-sectional descriptive study with 400 boys and girls at Goi Town Secondary School in 2019. |
Result: The girl with acne on their faces accounted for 70.5%, the boys with acne on the faces accounted for 51.0%; the rate of pubic hair growth increases with age; Armpit hair is also one of the typical signs of puberty. However, it does not appear as early and common as the pubic hair; The average age of the girl with first menstruation (13 years 1 month ± 1 year 3 months) which is earlier than the age of the boys with first ejaculation (14 years 1 month ± 1 year 2 months). |
Phenotype characteristics of acute decompensated episodes of urea cycle disorders |
To analyze risk factors for recurrent bleeding of patients with cavernous angiomas at Bach Mai Hospital from August 2018 to August 2019. |
Subjects and methods: A cross-sectional descriptive study was performed on 45 patients. |
Results: The ratio of male to female was 1/1, the average age of the study subjects was 43.6. |
The lesion site had 53.4% of the cases of lesions located above the cerebellar tent, 42.2% of the cases were located below the cerebellar tent, and 4.4% of the cases had both above and below the tentacle, in 45 patients, there were 52 lesions, in which the most common lesion was in the frontal lobe 21.1%, the second was the pons 17.3%. |
Most patients have lesions less than 30 mm (96.2%), lesions often show mixed signal on T1W pulse (55.6%), mixed signal on T2W pulse (53.3%), signal loss on T2 * (100%). |
There was no correlation between recurrent bleeding with age (p = 0.486), gender (p = 0.912), location (p = 0.512), size of lesion (p = 0.456). |
Conclusion: Cavernous hemangioma appeared in both sexes with similar rates, the patient's age and sex and the location and size of the lesion were not risk factors for recurrent cerebral bleeding. |
Assessment of the results of rectosigmoidectomy to treat high rectal cancer in Thai Binh General Hospital |
Clinical characteristics of the 1st acute episode of 32 patients were: median onset age of 25 months (3 days - 108 months), acute encephalopathy syndrome with vomiting (81.3%), poor feeding (75%), then coma / lethargy (71.9%) and convulsions (15.6%). |
Biochemical characteristics of the 1st acute crisis were: hyperammonemia (65.6%) with a median of 402 µmol / l (184 - 1304 µmol / l), increased transaminase (70%), decreased prothrombin time (86.4%). |
Most of the patients were hospitalized on severe condition with 95% of hyperlactatemia and 33.3% of metabolic acidosis. |
Conclusion: Acute episodes of UCD could occur at any age with characteristics of acute encephalopathy syndrome. |
Routine plasma amoniac measurement for all patients with acute encephalopathy is necessary to avoid late diagnosis. |
Clinical and subclinical characteristics of ovarian tumors in pregnant women at Thai Binh Obstetrics and Gynecology Hospital from 2015 to 2019 |
High rectal cancer is a tumor in the rectum distance 10 cm from the anal margin. |
Stages I, II and III are 5.9%; 53% and 41.1%. |
Surgery alone 3.9%; Surgery combined with chemotherapy and radiotherapy 96.1%. |
Open surgery 74.5%; Laparoscopic surgery 25.5%. |
Average surgery time 160.2 minutes; Time to have bowel movements back 3.2 days; The average duration of pain medication was 4.6 days; The average hospital stay was 10.3 days; There was a statistically signifcant difference between the results of open surgery and laparoscopic surgery. |
Leakage of anastomosis 2%; Surgical site infection 7.8%. |
The mean follow-up time after surgery was 17.5 months. |
The average number of bowel movements 1 year after surgery was 2.1 times. |
The recurrence rate was 3.9%. |
Survival rate is 98%. |
Overall and disease-free survival was 27.2 and 27.6 months respectively. |
Rectosigmoidectomy, dissection of metastatic lymph nodes and colorectal anastomosis by stapler have been implemented for many years at Thai Binh Provincial General Hospital with good results. |
No factors related to survival after surgery were found. |
Conclusion: Rectosigmoidectomy and colorectal anastomosis by stapler to treat high rectal cancer in Thai Binh Provincial General Hospital is a safe method with good results. |
The study was to evaluate the outcome of this surgery. |
Methods: 51 patients with high rectal cancer had rectosigmoidectomy and colorectal anastomosis by stapler in Thai Binh Provincial General Hospital from 1/2019 to 12/2020. |
Record data on age, sex, tumor characteristics, disease stage; surgical method, operation time, complications and surgical complications; number of bowel movements after surgery. |
Survival rate, recurrence rate, survival time after surgery. |
Results: 51 patients with high rectal cancer who received rectosigmoidectomy and colorectal anastomosis by stapler. |