Studying on impacts of hospital waste on community health in Viet Tri Hospital

Health status of 263 people living in area near by Viet Tri province hospital (study group) was compared to that of 75 people in non-impacted area (control group). The result showed that weight and height of people in the study group was lower significantly than that of people in control group (45.84 +/- 6.28 and 1.53 +/- 0.07 compared with 49.18+/-7.03 and 1.56+/- 0.08, respectively). The number of people in the study group having history of dysentery symptom was higher than people in the control group (9.8% vs 15.9%). Due to impacts of environmental pollution, water and air pollution, the rate of people in study group with dermatophytosis diseases was higher clearly than people in control group. The dermatophytosis diseases included infected eczema, tinea pedis and tinea unguium

Effect of hospital waste of Quang Nam Hospital on community health

Effect of hospital waste of Quang Nam Hospital on community health was studied in 315 people in studied place and 88 people in control place. People in studied place were more likely had history of dysentery syndrome than people in control place (p<0.001). The number of people with internal diseases in studied place was significantly was more than control place (p<0.001).These internal diseases were acute bronchitis (15.56%), gastrointestinal diseases (28.89%), nervous diseases (5.08%), urinary infection (4.13%) and anaemia. Skin and eye diseases were more common in people living in control place. Gynaecological diseases werethe same in two group

Study on clinical characteristics, X-ray and lung acration in patients with co-morbid chronic obstructive pulmonary disease and bronchiectasis

Study on clinical characteristics, X-ray and tidal volume in 48 patients (mean age: 66.7 ± 7.32) have co-morbid chronic obstructive pulmonary disease and bronchiectasis at Bach Mai Hospital from February to September 2004. Male to female ratio was 15 to 1. 89.6% patients were smoker. 73% of patients have smoked over 15 packs per year. 34 patients (70.8%) had bronchiectasis after 5 years having chronic obstructive pulmonary disease. 23 patients (47.3%) had this condition after 6 to 10 years of chronic obstructive pulmonary disease. Symptoms were breathing difficulty in 100% patients, barre form thorax in 72.9% patients, change in diaphragm form in plain X-ray in 100% patients. RV,RV/TLC increased by more than 20% SLT in 100% patients. 81.2% patients had disease at degree III, IV

Preliminary remark about the value of thoracoscopy in diagnosis and treatment recurrent pleurorrhea and pneumothorax

Thoracoscopy is a new techique and it has not been widenly applied yet in Vietnam. During a period of time from 09/2003 to 08/2004, the researcher had thoracoscopied for 17 patients. Among them, 14 patients with pleural effusion (6males, 8 females, the ages from 20 to 80). The patients were bronchoscopy and pleural biopsy by Castelain needles for 2 to 3 times but not yet definitive diagnosis. Thoracoscopy biopsy has effective in histological diagnosis on 10/14 (72%) patients. Among the patients, cancer patients was 57%, tuberculars were 15%. There isn’t any complication.

Study on bacterium casing community - accquired pneumonia in respiratory department in Bach Mai hospital

Investigation on 257 patients with community-accquired pneumonia in respiratory deparment in Bach Mai hospital from 1/2002to 6/2003 showed that: 56% patients had test of bacterium; 38,9% of them found bacterium that caurse disease. About 80% patients catch negative Gram; 20% catch positive Gram. Bacteriums found with the highest rate were: S.pneumoniae (17%); K.pneumoniae (25,4%); P.aeruginosa (22,4%). The research also studied antibiotics resistant of that bacteriums.

Clinical characteristics of pulmonary abscess patients were treated in Respiratory department of Bach Mai hospital from 1999 to 2003

Research on 101 patients files of lung abcess patients were treated in Respiratory department of Bach Mai hospital from 1999 to 2003, the results showed that: male patients: 63.3%, the age ≥30: 79.2%, manual labours: 72.3%. Being hospitalized reasons: high fever: 31.7%, chest pains: 29.75, pus spit: 26.7%. The most clinical patients: cough: 100%, chest pain: 91.1%, dyspnea: 57.4%; Absent frmitus, dullness and absent breath sound in: 60.4%, crackle: 57.4%. In chest xray, lessions on the right lung: 75.5%, lower lobe: 65.3%, 90.6% of patients had 1 lession. Air-fluid level was observered in 54.1%. Leukocyte in peripheral blood increase 79.2%, rate of neuter multikernel leukocyte increase 81.2%, blood deposit speed increase 100%.

Epidemiological study of chronic obstructive pulmonary disease in the population of Dong Da and Thanh Xuan districts, Hanoi-Vietnam

Background: Chronic obstructive pulmonary Disease (COPD) is a devastating lung disease with increasing prevalence, economic and social burden. Worldwide, it ranks as the fourth leading cause of death. Objectives: This study carried out to evaluate the prevalence of COPD in the population of Dong Da and Thanh Xuan districts, Ha Noi City. Methods: This was a cross-sectional epidemiological survey of a general population sample of 1334 men and women whose age was over 35 years old living in Dong Da and Thanh Xuan districts, Ha Noi,Viet Nam. Data on respiratory symptoms, diseases, and risk factors were collected. Lung function tests were performed with Spiroanalyzer ST300 - Japan. Results: The prevalence simple chronic bronchitis was 3.2%, (5.5% in men and 1.06% in women). The prevalence of COPD was 1.7% (in men was 2.8% and 0.7% in women). There was no previous diagnosis of COPD in 94.7% of cases. Subjects who suffered from COPD had mean of age of 62.9 years (min 47, max 81). 21.1% of COPD patients was of stage I stage, 57.9% of COPD patients was of stage II. 5.3% of COPD patients was of stage III, 15.7% of COPD patients was of stage IV. There was no symptom in 36.8% of cases. 78.9% COPD patients smoked, OR of 6.42 [2.01 - 16.6]. 47.3% of them smokes at least 15 packs/year.

Smoking behavior, knowledge and attitude of health professionals in 14 clinical departments and institutes of the Bach Mai Hospital in 2004

Intervew 590 medical staffs (73.1% female, 26.9% male) in 14 clinical departments and institutes of the Bach Mai Hospital by using direct WHO’s questionnaires. Rate of obtaining questionnaires was 91.4%. The smoking rate of male medical staffs was 40.7%. Over 80% of health professionals agreed with the facts concerning the knowledge about harmful effects of active and negative smoking, control measures on publicity, distribution and smoking in enclosed public places. Nevertheless, there were some health professionals disagreed with the fact that negative smoking associated with infant death (18.5%), maternal smoking during pregnancy increased the risk of sudden infant death syndrome (16.3%), health professionals who smoke are less likely to advise people to stop smoking (15.5%), the price of tobacco products should be increased sharply (6.8%), there should be a complete ban on the advertising of tobacco products (5.7%).

Some para-clinical, clinical characteristics and treatment of asthma in Respiratory Department of Bach Mai hospital (1999-2001)

A retrospective survey conducted on 195 inpatients with bronchus asthma in Bach Mai hospital in 1999 – 2001 year period showed that: the disease was more common in female subjects than in male. The most were admitted in summer and spring. Severe symptoms were dyspnoea, crepital rale, snore, contraction of respiratory muscles, tachy cardia, anxious and stimulation 2-adrenergic and corticoids were used usualy was found to be efficient.

Clinical characteristics and pleural biopsy values in pleural effusion patients treated Respiratory Department of Bach Mai Hospital from March 2002 to September 2003

221 patients with pleural effusion were treated in Bach Mai hospital from March 2002 to August 2003 were studied retrospectively in a cross-sectional investigation. Their 134 cases (60.6%) were tuberculosis plural effusion, 66 cases were pleural cancer and 17 cases (82.1%) undetermined. The common symptoms were cough, chest pain, dyspnoea and “3 reduce symdrome”, fever in 82.1% of tuberculosis pleural effusion. Biosy had determined the tuberculosis in 48.8% of cancer, cancer 19.4%, chronical inflammatory 31.9%. Pleural biopsy had got the sensitivity (Se)= 75% and specificity Sp = 97%. Biopsy in diagnosis of tuberculosis pleural effusion led to mild complication in 10% of patients

Study on clinical characteristics and paraclinical characteristics of pleural carcinoma patients in period of 5 years (1996-2000)

66 patients with pleural cancers (40 males, 26 females) were treated at Bach Mai hospital from 1996 to 2000. Pleural cancer was rare and concentrating at the age group > 40, more common in male than in female. 70% of pleural cancer patient had got a history of chronical pleural inflammation. The common symptoms were chest pain, cough, dyspnoea, syndrome of “3 reduces”. Among these 66 patients, some could get secondary pleural cancer caused the metastasis and invasion from other organs. None case was consistent with previous diagnosis from lower health care service level.

The pleural effusion status treated in Respiration Department of Bach Mai hospital between 1996 and 2000

Pleural effusion was studied on 548 patients (322 males and 226 females aged 17-80 years old) at Bach Mai hospital in the period of 1996-2000. The incidence was higher in male than in female subjects. The elderly of < 60 year -old -age group accounted for 73% of cases. Tuberculosis was the most usual cause. Common symptoms were lung pain, cough, diphneoa, fever and the syndroma of “3 decreases”. The mean duration of treatment was 18.9 – 26.3 days, 17.5% of patients were fully recovered, 64.2% partly recovered and 16.1% none.

COPD treated in the Department of Respiratory at Bach Mai Hospital, years 2001-2002

Retrospective description on 438 COPD patients showed that the disease occurs in male than in female subjects (male/female = 3.7 times), commonly in the year > 55 (85.3%). 153/210 patients (72.9%) have an obstructive ventilation disturbance. 142/210 patients (68.5%) have both Tiffeneau index and VC index decreasing and the Tiffeneau index decreased more dramatically than Gaensler index

Clinical and paraclinical characteristics of patients with pleural effusion in respiratory departement of Bach Mai hospital in 2001

284 patients with pleural effusion (PE) treated in A.D of Bach Mai Hospital from 1 Jan to 31 Dec 2001 were investigated retrospectively. The causes of PE weres determined as tuberculosis 32.7%, lung cancer 23.9%, parapneumonic effusion 8.1%, heart failure 7%, liver cirrhosis 3.5% and other causes 6.7%. 77.9% of cancer pleural effusion were aged above 50 and 66.7% of tuberculosis pleural effusion – under 50, common signs and symptoms were chest pain 76.7%, dypsnea 78.2%, cough 46.8%, expectoration 27.8%, fever 50.4%, weight loss 29.9% and pleural effusion syndrom 87%. Parachinical characteristics were: By chest Xray, free effusion in 78.6%. By pleural ultrasound, free pleural effusion 63.7%; lobulated pleural effusion 13.1%; pleural effusion with walls 20.2%. Rivalta test of pleural fluid(+) 83.8%, (-) 16.2%. Cytology of pleural fluid: malignant cells found in 23.6%. PCR MTB test of pleural fluid(+) in 34.4% of cases of tuberculous pleuritis. Histology of pleural needle biopsy – malignant in 23.4% of with 10.6% mesothelioma, pleural tuberculosis in 34.1%, other etiology in 42.5% of cases.

The role of bronchoscopy in diagnosis of lung disease in respiratory department of Bach Mai hospital from December 2000 to July 2001

173 patients admitted to the Respiratory Department of Bach Mai Hospital between 12/2000 to 7/2001 were underwent flexible bronchoscopy. The results showed that the rate of bronchial cancer was highest (57.8%). Among that, the rate of central bronchial cancer was 87% and the rate of periperal bronchial cancer was 13%. Lung tuberculosis was 8.1% and chronic bronchitis is 9.8%. Bronchoscopy was useful in diagnosing some other conditions such as asthma, sarcoidosis, laryngoptosis etc. Bronchoscopy combined with bronchial fluid aspiration produced high diagnostic value in bronchial tuberculosis. Rate of smokers in bronchial cancer patients was 60%. The higher level of smoking, the more likely to be suffered from lung cancer.

Survey on the smoking habit of students at Ha Noi College of Medicine years 2000-2001

1592 students from 1st class to 6th class in the school years 2000-2001 were enrolled into the study. Among student, general percentage of smoking were 14.10% (22.56% of male) and this percentage increased with the school grade, 1st class: 4.88%, 2nd class: 11.43%, 3rd class: 21.18%, with moderate smoker the mean consumption was 1.25 pack/year. The withdrawal percentage was 19.6%, among them 6.38% attempted to smoke again. In 95.9%, there was an awareness on the harm of smoking on health. 63% noted that teachers did not pay attention to tobacco control.

Status of chronic obstructive lung disease at department of respiratory of Bach Mai hospital on five years (1996-2000)

3606 inpatients at the Department of Pneumology of Bach Mai Hospital from 1 Jan 1996 to 31 Dec 2000 were studied retrospectively. 904 patients accquired COPD, ie in the first rank, among them 142 with the chronical cardio-pulmonary complication male/female ratio was 2.13, age above 50 was 81.6%; 275/299 have had the smoking habit. The common symptoms were cough with sputum 80.75%, dyspnea 78.65%, rale 42%. 238 patients underwent an exam of ventilation function with FEV1 56.5  27.35% in comparing with theorical value, FEV1/FVC = 64  24.55%. 10/89 patients had FEV1/FVC > 75% but Tiffeneau index FEV1/VC < 70%. Average duration of hospital days was 12.9 days.