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The mean age was 63.9 years old.
Male 41.2% and female 58.8%.
Collate the clinical characteristics with endoscopic images of acute otitis media in children at E hospital from 2019 – 2020
This study aimed to compare knowledge and practices of male and female towards hands washing and masks wearing during COVID‐19 (coronavirus disease 2019) pandemic in Thong Nhat hospital Materials and method: We conducted a cross-sectional study among patients who come to outpatient care at Thong Nhat Hospital, Ho Chi Minh City from May 2020 to July 2020.
Researchers interviewed patients directly using prepared questionnaires.
Results: A total of 1, 555 patients were included into the study with 804 males (51.7%) and 751 females (48.3%).
There were significantly different between the male and female groups about age, qualification and employment status (p<0.001).
More than 80 percent of respondents in both groups frequently wash their hands with hand sanitizer or soap, 83.2% in male groups and 85.4% in femal groups (p = 0.230).
Nearly all of the patients in both groups wore masks when going out in the last month (98.9% with 98.1%, p = 0.224).
Conclusion: The results showed that there are not much gender differences in knowledge and practices for hand washing and mask wearing during COVID-19 pandemic.
Side efect of methotrexate in gestational trophoblastic neoplasia treatment
Acute otitis media (AOM) is an infection and accumulation of fluid in the middle ear.
The disease that usually begins suddenly and is in the short duration, with clinical symptoms relating to endoscopic images.
Objective: Description of clinical characteristics of acute otitis media in children at Hospital E from 2019 - 2020.
Materials and methods: A cross-sectional descriptive study, included 40 patients, under 16 years old, diagnosed with AOM, treated at the Department of Otolaryngology in E Hospital from 2019 September to 2020 April.
Results and discussions: Mild fever: 37.5%, moderate fever: 20%, high fever: 22.5%; Mild otalgia accounted for 40%, severe otalgia 25%; No ear discharge 77.5%, ear discharge accounted for 22.5%; congested tympanic membrane accounted 35%, pus-filled bulging tympanic membrane 42, 5%, perforated tympanic membrane 22, 5%.
Conclusions: Combine the clinical sumptoms and endoscopic images to be able to diagnose exactly and diagnose the stage of acute otitis media, thereby bringing out to make treatment guidelines specific and appropriate.
New-onset refractory status epilepticus: Case report and literature review
Out of 47 cases of elevated transaminases, 16 cases occurred after 1 cycle of treatment, 14 cases occurred after 2 cycles and 9 cases appeared after 3 cycles, and after 4, 5, and 6 cycles, there were only 4, 2, 1 cases of elevated transaminases, respectively.
There were no cases after treatment cycle eighth and ninth.
In patients with pre-treatment AST >25 UI / L, the risk of elevated transaminases is 2.29 times higher than in patience with pre-treatment AST <25 UI/L.
Based on Cox regression model, we built a Nomogram with 4 variables, including age, BMI, pre-treatment AST, and pre-treatment ALT.
Other adverse reactions included oral ulcer, diarrhea, vomiting, and hair loss, which occurred at an incidence of 18.4%, 14.7%, 10.4%, and 4.9%, respectively.
Most of these reactions were minor and did not require any specific treatment.
Conclusions: The overall incidence of elevated transaminases is 28.83%, usually occurred within the first 3 to 4 treatment cycle.
Pre-treatment AST is related to elevated transaminases.
Nomogram is able to determine risk of elevated transaminase in patience with low-risk gestational trophoblastic disease, treated with methotrexate and folinic acid.
Objective: Identify the incidence and related factors of elevated transaminases in low-risk gestational trophoblastic disease patients treated with methotrexate.
We selected entire 163 patients with low-risk gestational trophoblastic disease, treated with methotrexate and folinic acid, from October 2019 to June 2020 at Tu Du hospital.
Kaplan-Meier survival analysis is performed to determine the incidence of elevated transaminases over time.
We apply Cox regression model in order to identify factors related to elevated transaminases and build a Nomogram to predict the risk of elevated transaminases.
Results: The incidence of elevated transaminases is 28.83%.
Clinical feature of depression in rheumatoid arthritis patients depression and some related factors in rheumatoid arthritis patients in rheumatology department – Bach Mai hospital
To report the success in treatment of a new-onset refractory status epilepticus case at the neurology department of 108 Central Military Hospital and to review literature about this rare condition.
Subject and method: case report, literature review.
Result: Good outcome at 2-month time base on the combination of experience and evidence.
Conclusion: New-onset refractory status epilepticus is a rare condition, has poor prognosis, with high risk of transformation in to super refractory status epilepticus, high mortality and morbidity rates.
Immunomodulatory therapy is considered in the treatment of the condition.
Results of treatment of distal femur fractures by locking plate fixation in adults at Thai Nguyen national hospital
Depressive disorder is a common comorbid disease in the rheumatoid arthritis disease (RA), which will adversely make the RA symptoms worse, complications increased, mortality and suicide rates increased which is a heavy burden for the patient, their family and society.
there has been a lot of research about depression disorder in rheumatoid arthritis patient in the world but it is still lack of report in Viet Nam.
Therefore, we carry out research named "Depression and some related fators in rheumatoid arthritis patients in rheumatology department - Bach Mai hospital".
Subjects and research methods: Descriptive cross-sectional study of 79 rheumatoid arthritis inpatients at the Department of Rheumatology in Bach Mai Hospital from June 2019 to June 2020.
Results: studying subjects are mainly female (83.5%), the average age is 60.9 ± 9.3, where urban is equivalent to rural, 40.5% is secondary education.
There are 51.9% of patients who are depressive according to the Hamilton Depression Scale (HAM - D).
Significantly different is the number of joint pain and swollen joints, CRP index, disease activity index in 28 joint following CRP (DAS 28 - CRP) in depressed patient and non-depressed patient.
The patients who are unable to work, do activities of daily living or make money have a higher depression rate than the others who still remain their workability and activities of daily living with p<0.05.
A preliminary results in anterior cervical disc surgery using the interlock system
Distal femur fractures are a large, complex fractures, which often affects to the motor function of the knee.
Results of rehabilitation by Sanders. R: excellent: 63.8%, good: 18.5%, average: 12.1% and poor 3.0%.
Conclusion: Results of treatment of distal femur fractures by locking plate is very positive, including older patients with osteoporosis, which is now the optimal treatment choice for this type of fracture.
The locking compression plates for distal femur helps firmly fix the fracture, early rehabilitation.
Objectives: Assessing results of treatment of distal femur fractures by locking plate fixation in adults.
Subjects and method: Cross - sectional description.
From January 2018 to June 2021, 33 patients, from 18 years old and older with distal femur fracture, were treated by locking plate fixation and observed for at least 6 months - follow up.
Results: There were 12 (36.4%) males and 21 (63.6%) females.
The rate of bone union was 100%.
Results of fracture correction on X-ray by Larson - Bostman: Excellent: 97.0%, good: 3.0%.
Range of knee motion: 54.5% achieved a complete flexion ≥ 1250, 24.2% range 1000 - 1240, 15.2% range 900 - 990, 6% knee flexion < 900.
The status of adherence to arv treatment of HIV/AIDS patients in the outpatient clinic of Nam dinh general hospital 2016
To determine the current status of adherence to ARV treatment among HIV / AIDS patients and to find out some factors affecting adherence to ARV treatment.
Results: Of the 256 participants, 47.7% were female, 52.3% were male, 57.8% were in the suburbs.
Overall, participants included 79.7% of adherents and 20.3% of adherents.
Study of the results of acne vulgaris treatment with oral isotretinoin and vitamin D
Anterior cervical discectomy and fusion (ACDF) is widely indicated for degenerative or multilevel cervical disc herniation.
Pre-and postoperative X-ray assessment of sagittal cervical angle, surgery time, blood loss as well as complications were also assessed.
All patients had good improvement of nerve root compression and cervical pain, improved NDI and improved lordosis.
Surgery time and blood loss are minimized.
There was no dysphagia or general complications.
ACDF using interlock came with good results, maintain cervical lordosis, save surgery time, blood loss and currently does not record any postoperative complications including dysphagia.
However, they also come with complications, such as soft tissue damaged causing esophagus edema, dysphagia, especially in multi-level surgery.
The interlock disc graft was invented to ensure maximum fusion rate, less complications, dysphagia and save surgery time.
By the end of 2019, this system was approved by the FDA in multi-level cervical surgery.
At Department A, Hanoi Medical University Hospital, we have applied and obtained favorable initial results.
This is a preliminary prospective study of 10 patients with degenerative and cervical disc herniation.
21 interlocks have been used.
Patients were evaluated for clinical symptoms pre-and post operation according to protocol, VAS (Visual Analogue Scale) scale for pain, NDI (Neck Disability Index) and scale for dysphagia.
Results of minimally invasive aortic valve replacement surgery Throgh right thoracotomy at hanoi heart hospital
To evaluate the results of acne vulgaris treatment with oral isotretinoin and vitamin D (Vit D).
Subject and method: A controlled clinical trials, comparing the treatment effectiveness of 70 patients with moderate and severe Acne vulgaris.
Patients were randomized to 2 groups, each of 35 patients, the study group used Isotretinoin 20mg / day and Vit D 1000UI / day, the control group only used Isotretinoin 20mg / day in 3 months treatment.
Result: Both study group and control group had statistically significant differences in the severity of acne vulgaris and GAGS scores at 1 - 2 - 3 months after treatment compared with before treatment.
After 3 months, both study and control groups showed very good, good and rather good improvement in more than 90% of patients.
There was no statistically significant difference in GAGS score, disease severity, disease improvement as well as clinical side effects after 1 - 2 - 3 months of treatment between the 2 groups.
Conclusion: In the treatment of moderate and severe acne vulgaris, oral Isotretinoin in combination with Vit D showed no difference in treatment results and side effects compared with using isotretinoin alone.
THE EVALUATION OF CHARACTERISTICS AND ADHERENCE OF TREATMENT AMONG CHILDREN WITH HIV/AIDS IN SOC TRANG PROVINE IN 2020-2021
There was no early mortality, 2 patients had redo surgery due to excess bleeding.
91, 3% of patients had NYHA I. 1 patients was dead due to intracerebral hemorrhage.
Conclusions: With some improvements in techniques, minimally invasive aortic valve replacement surgery through right thoracotomy gave good early and midterm results in our center.
Preoperative, perioperative, early results and follow-up data was collected and analysed.
Results: There was 48 patients in the research.
Mean age was 60, 94 ± 11, 53 (25 - 82), and 52, 1% was male.
29, 2% of patients had peripheral vascular disease.
Hypertension situation and related factors among elderly people in Quang Binh
HIV / AIDS infected children are the hardest-hit victims of the pandemic and it makes higher the incidence of infections and malnutrition in children.
The rate of malnourished children is 83.5%.
Children infected with HIV / AIDS in the clinical stages of I, II, III and IV, respectively, 18.1%; 26%; 39.4% and 16.5%.
The rate of adherence to HIV / AIDS treatment in children is 76.4%.
Conclusion: The rate of children being treated for HIV / AIDS in Soc Trang province is quite high from ethnic minorities, with economic difficulties and a high rate of malnutrition.
The rate of adherence for HIV / AIDS treatment in children is not high, it is necessary to strengthen support for children's families undergoing HIV / AIDS treatment, in which, adherence guidelines play an important role.