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From January 2018 to december 2018, 475 patients were hospitalized due to acute heart failure or decompensation, 63, 8% male and 36, 2% female.
Mean age 69, 1 ± 13, 8; 63, 6% newly discovered heart failure; 41, 4% EF 40 - 50% and 58, 6% EF < 40%; number of Hopital days 8.3 ± 6.2 days (1 - 46 days); there are five (1.1%) patients died in hospital; among them a patient who was treated for one day due to severe illness died; we have used interventions, assisted circulation and respiration such as CRT, CRT-D, CVVH, IABP, atrial septal defect and ECMO.
Results of treatment of acute heart failure at Hanoi Heart Hospital is feasible with rate of discharge is 87, 7%.
Clinical and bone scintigraphy characteristics in patients with hepatocellular carcinoma
To determine the level of contamination of heavy metals and plant protection chemicals in cheese in Ho Chi Minh City, 2020.
Mercury concentration did not exceed the limit on all tested samples.
Carbaryl concentration in domestic product samples was 25.52 ± 16.17 µg / kg, in imported product samples was 12.67 ± 14.26 µg / kg; Endosulfan concentration in domestic product samples was 4, 301 ± 2, 878 µg / kg, in imported products was 3.18 ± 3.40 µg / kg; Aldrin and Dieldrin concentrations in domestic product samples were 3.47 ± 2.07, in imported products was 1.94 ± 2.13 µg / kg.
No sample contains plant protection chemical with concentration exceeded allowed limit for both domestic and imported products.
Select 60 most popular commercial cheese products in the study area (based on data reported by the City Food Safety Bureau).
Evaluate the contamination level of some chemical parameters.
Lead concentration was 0.011 ± 0.007 mg / kg, arsenic concentration was 0.237 ± 0.181 mg / kg, cadmium concentration is 0.481 ± 0.371 mg / kg, Mercury concentration is 0.017 ± 0.018 mg / kg for domestic products.
Lead concentration was 0.005 ± 0.007 mg / kg, Arsenic concentration was 0.099 ± 0.14 mg / kg, Cadmium concentration was 0.380 ± 0.358 mg / kg, Mercury concentration is 0.019 ± 0.018 mg / kg for the imported product.
Lead concentration exceeded the permitted limit in 2/30 domestic product samples and 1/30 imported samples.
Arsenic concentration exceeded the permitted limit in 1/30 of the domestic product sample.
Cadmium concentration exceeded the permitted limit in 2/30 domestic product samples.
Errors in entering ICD-10 codes at General Hospital of Quang Ngai province
To evaluate clinical, laboratory features and relationship with bone metastasis among hepatocellular carcinoma (HCC) patients.
Bone metastases accounted for 32.3%, Bone lesions mainly located in vertebral columm and hip bones.
Patients with serum AFP ≥ 300UI / ml had higher rate of bone metastasis compared with patients who had AFP < 300UI/ml.
Conclusion: Bone metastasis is common among HCC patients and related to elevation of serum AFP ≥ 300UI / ml.
Subject and method: A cross-sectional study was done on HCC patients treated at the 108 Military Central Hospital, from 7/2012 to 7/2015.
Patients underwent the whole body bone scintigraphy about 3 hours after the intravenous injection of 15mCi of Tc-99 m methylene diphosphonate.
Result: 65 patients were recruited, including 58 males and 7 females, Mean age was 59 ± 12 years, range from 30 - 83 years old.
The clinical symptoms including upper quadrant right pain, loss of appetite, bloating dyspepsia accounted for high percentage 95.4%, 86.5%, 86.5% respectively.
Most patients had ≥ 2 tumors located in the right lobe or both lobes of liver.
76.6% of cases had tumor ≥ 3 cm, portal vein thrombosis accounted for 49.2%.
Survey of the career situation and related factors in health staff at Vinh city General Hospital
A cross - sectional study was conducted to review randomly 800 medical records of 8 main departments of the hospital based on criteria of Ministry of Health and interview randomly 400 health staff who were responsible for entering ICD - 10 codes by a self-reported questionnaire.
Results: The rate of medical records that achieved criteria of entering ICD-10 codes was 64.5%, the other was medical records facing errors (35.5%).
57.5% of health staff achieved good knowledge in entering ICD-10 codes.
Factors affecting entering ICD-10 code were found to be high professional level, participating in training courses and updating information frequently, access to guideline documents and regulations concerning rewards.
Effect of particle mean size and encapsulation ratio on the drug release of metronidazole-loaded porous microsphere
To describe the current situation and analyze factors related to occupational stress in health workers at Vinh City General Hospital in 2021.
The level of income is consistent with the level of labor; fairness in evaluating labor results; the relationship with superiors and colleagues as well as bad attitudes of patients and families are factors that can cause stress in medical staff (p < 0, 05).
Method: Using a cross-sectional study with a sample size of 285 medical staff at Vinh City General Hospital from April 2021 to September 2021.
Results: The rate of occupational stress among healthcare workers is 22, 8%.
Among them, mild stress accounted for 17, 8%.
moderate stress was 4, 2%, severe stress and very severe stress both accounted for 0, 4%.
Stress is more common in women than in men.
Doctors are the most stressed subjects (39, 3%), the least are employees of functional departments (14, 3%).
The age group from 40 to under 50 years old experienced stress the most (31, 6%).
Level of work commitment, problem of taking out-of-role tasks, work overload pressure, working overtime and level of job satisfaction are related to stress in healthcare workers (p < 0, 05).
Thyroid storm in a patient with trauma
Formulate various porous microsphere batches with different particle mean sizes and encapsulation ratios.
Those microspheres would be employed to investigate the effect of the spheres' characteristics on their drug release.
Subjects and methods: Porous ethylcellulose-based microspheres containing metronidazole were studied.
The microspheres were prepared by emulsification - solvent evaporation method.
The spheres' mean size and encapsulation ratios and their effects on drug release rates and kinetics would be focused on.
Results: The resultant microspheres' size and drug loading ratio could be controlled through polymer concentration, drug concentration in the oil phase, emulsion stabilizer concentration or process parameters such as homogenization speed and time.
Microspheres with a larger size or higher loading ratio presented faster drug release.
Drugs are released from microspheres by a diffusion mechanism combined with polymer chain erosion.
Conclusion: The size and drug encapsulation ratio of ethyl cellulose-based porous microspheres could be controlled through parameter modulation and could help control the drug release profile of the microspheres.
Antibiotic resistance characteristics of pathogens causing nosocomial infections and mortality risk factors in the intensive care unit at Bach Mai hospital
Thyroid storm, a life - threatening illness, requires physicians to approach, diagnose and treat appropriately.
It is recognized to rise as a consequence of several factors, including infection, surgery, acute illness, and rarely, trauma.
Aware of thyroid storm in a trauma patient is challenged because the emergency physician tends to attend to other common injuries.
We report a multiple traumatic patient caused of traffic accident, who was diagnosed as thyroid storm opportunely.
Hence, surgical doctors have more experience in diagnosis and management of thyroid storm in trauma patient.
Parental training needs in sexuality education for secondary school students in An Hoa school, Tay Ninh province, 2020
Description of antibiotic resistance characteristics of nosocomial infections and risk factors for mortality in the intensive care unit at Bach Mai hospital.
Subject and method: A prospective, cross-sectional description of 970 patients treated for more than 48 hours at the Intensive Care Unit of Bach Mai Hospital (August 2019-July 2020).
Result: The rate of nosocomial infections was 14%, the most common bacterial etiology is A Baumannii (28.2%), K pneumoniae (19.7%), P aeruginosa (6.3%), common fungal etiology especially Candida Albicans (8.6%).
95% of A Baumannii, K pneumoniae, P aeruginosa were resistant to Cephalosporin, Quinolone antibiotics, 70% - 96% resistant to Carbapenem group, the colistin group had the lowest resistance rate (A Baumannii 0%, K pneumoniae 23%, P aeruginosa 25%).
With Aminoglycoside group, K pneumoniae was less resistant (32%) than strains A Baumannii (88%) and P aeruginosa (60%).
970 study patients had a mortality rate of 25% (243/970), the mortality from nosocomial infections was 33, 6% (46/137).
Independent factors that increase mortality are immunosuppression (OR 2, 3; 95% CI 1, 4 - 3, 86, p < 0, 01), mechanical ventilation (OR 14, 6, 95% CI 5, 4 - 39, 6; p <0, 01), catheter (OR 1, 83; 95% CI 1, 2 - 2, 7; p < 0, 01), urinary catheter (OR 2, 0; 95% CI 1, 2 - 3, 8; p <0, 05), nosocomial infections (OR 1, 63; 95% CI 1, 1 - 2, 4; p<0, 05), nosocomial infections caused of K pneumoniae (OR 2, 27; 95% CI 1, 1 - 4, 6; p<0, 05), A Baumanii (OR 1, 76; 95% CI 1, 1 - 3, 35; p < 0, 05).
Conclusion: The most common causes of nosocomial infections were A Baumannii, K pneumoniae, P aeruginosa, these bacteria were 80% - 96% resistant to Carbapenem antibiotic group, low rate of resistance to Colistin group.
Independent risk factors contributing to the increased in mortality were immunosuppression, invasive procedures, and multidrug-resistant bacterial infections.
Evaluation of sperm retrieval rate in non-obstructive azoospermia patients with AZF deletions
Objectives: To identify the needs in sexuality education training for secondary school students' parents in An Hoa school, Trang Bang district, Tay Ninh province.
Method: This is a cross-sectional study, using the cluster sampling with cluster's unit is class.
Data was collected by distributing the self-administered questionnaire.
Results: The percentage of parents who need training in sexuality education is 60%.
Most of parents need the age-appropriate information about sexuality education (72%), and the skills of being friends with their kids (53.4%).
Conclusion: This research aims to create a scientific basis and to contribute to the development of timely, effective and long-term education programs on sex education for adolescents' parents.
Literature review of the cost-effectiveness of targeted therapies in the treatment of non-small cell lung cancer (NSCLC)
To investigate the general characteristics of azoospermia patients with AZF deletions, to evaluate the rate of sperm retrieval in infertile men with AZF deletion.
Subjects and methods: A retrospective study was conducted on 26 men with AZF deletions in nonobstructive azoospermia patients at the Andrology and Fertility Hospital of Hanoi from December 2016 to December 2021.
Results: The mean age of the study patients was 32.5±5.03 years old.
The youngest is 26 years old, the oldest is 56 years old.
The mean time of infertility of the study group was 3.32±1.34, the shortest period of time was 1 year and the longest was 5 years.
For cases of AZF deletions, the rate of sperm retrieval in AZFa, AZFb, AZFc deletion was 0%, 54.55% and 42.86%, respectively.
Conclusion: This study reinforces the superiority of the micro TESE technique in the group of patients with non-obstructive azoospermia as well as shows the rate of sperm retrieval in each group of AZF deletions.
Effect of Mangifera indica L. on hyperglycemia, hyperlipidemia and atherogenicity in diabetic mice
Inthis study, the antihyperglycemic and antihyperlipidemic effects of Mangifera indica L (MIL) young leaves extract were investigated using diabetic mice models.
Symphysis-pubis fundal height in pregnant women at medical university hospital Ho Chi Minh city, brand 2
Targeted therapy in the treatment of non-small cell lung cancer will prolong the patient's life longer than chemotherapy option, but its cost is higher.
Therefore, in this study, we will find evidences on the cost-effectiveness of targeted therapy compared with chemotherapy method to provide recommendations in choosing the appropriate treatment.
Methods: Conducting a systematic literature review on cost-effectiveness, QALYs,... based on Pubmed, Embase and Cochrane database,... from 2000 to August 2021.
Studies used the CHEERS checklist.
Results: Six out of 128 results having the full criterions were suitable for the CHEERS checklist and were included in the study.
The ICERs of erlotinib, afatinib and osimertinib were $85927.4/QALY, $20758 - 33416.39/QALY, and $23760.1 - 51615.1/QALY respectively compared to other chemotherapy treatment options.
Conclusion: Erlotinib and afatinib for first-line treatment and osimertinib for second-line treatment options are more cost-effective than chemotherapy methods.
Reducing the price of targeted drugs lower than the payment threshold of each country will play a vital value for non-small cell lung cancer patients to have access and the economic outcome could become more favorable.
The association between some subclinical characteristics and PET/CT imaging in patients with post myocardial infarction
The fundal height growth of pregnant women at Obstetric Department, Medical University Hospital Ho Chi Minh city - Brand 2 is not the same as that of Caucasian pregnant women.
Therefore, it is necessary to evaluate the specificity and sensitivity of guidelines about the abnormal fundal height growth criteria before applying in VietNam.
Methods.
A prospective time-series study was conducted Obstetric Department, Medical University Hospital Ho Chi Minh City-Brand 2 at between December 2021 and Octocber 2022.
Effectiveness of interventions to improve communication skills - health education of hand, foot and mouth disease prevention for health workers in 4 communes of Dai Tu district, Thai Nguyen province 2018