Study on the burden of mortality in Phu Cat district, Binh Dinh province

Background: Phu Cat district, Binh Dinh province is one of the areas contaminated with Agent Orange in Wartime and now up to it still continues to affect the environmental life and health of people living there. Objectives: Investigate the factual status of mortality rate from 2002 to 2006 in Phu Cat district, Binh Dinh province and determine the burden of mortality based on the number of Years of Lost Life (YLLs). Subject and methods: A retrospective study was conducted on all deaths from January 1, 2002 to December 31, 2006 in Phu Cat population. Burden of mortality was analyzed using the WHO standard method. The dead cases were causal diagnosed by Verbal Autopsy tools and update information for mortality rate. Results: Mortality rates were 3.1%o (2002), 3.3%o (2003), 4.08%o (2004) and 2.67% (2005). YLLs from 2002 to 2006 in order are: 55.87%, 57.98%, 73.82%, 48.74% and 49.01%, respectively. The number of mortality in men was higher than women and had a tendency to increase from 2002 to 2004, to decrease during 2005 and 2006. YLLs in group of ages 0-4 was highest in 2004 (150.76%o), followed by 2002 (126.28%o) and was lowest in 2005 (39.72%o). YLLs in groups of ages >60 was high, especially in non-communicable disease. Conclusions: Mortality model from 2002 to 2006 in Phu Cat district, Binh Dinh province was appropriate for the national mortality model. According to YLLs, the burden of mortality was determined as the general burden of mortality from 2002 to 2006 and burden of mortality followed disease groups: communicable disease, nutrition disease and pregnancy; non-communicable disease; poisoned and accident related diseases.

Remark of the relationship between anatopathology and surgical technique for treatment of fibrous deltoid muscle in children

Background: Deltoid fibrosis is part of a spectrum of fibrous conditions that affects both function and cosmetic surgery. Objectives: Describing anatopathology injury of fibrous deltoid muscle, and evaluating relationship between pathological anatomy and surgical technique. Subject and methods: A prospective study was undertaken to evaluate the relationship between pathological anatomy and surgical technique, which were performed from April 2006 to May 2007. The study included 279 children (102 female, 177 male); age range from 5 years old to 18 years old. Clinical examination, X-ray and ultrasound techniques were performed. Patients were operated with insertion or distal fibrous portion release. Results: The dimpling of the skin, the palpable fibrous band resolved completely in all of them. Subluxation of scapula - humeral joint in 62.4%, abducent angle more than 25 degrees in 81.3%; Adduction angle more than 15 degrees in 94.5%; and Hung NN angle less than 20 degrees in 96.4%. Droop of acromion in 74% and narrowing Scapulo - Humeral joint in 100%. Postoperative complication with dimpling of the skin or staircase like deformity and loss of the natural roundness of the lateral aspect of the shoulder in 33.5%. Conclusions: Pathological anatomy of fibrous deltoid muscle related surgical technique and postoperative complications. The big breadth and diameter of fibrous portion could create a dimpling of the skin or loss of the natural roundness of the lateral aspect of the shoulder.

Evaluating ferkel\u2019s technique to treatment congenital muscular torticollis in children

Background: Congenital muscular torticollis is a disease with influences on cosmesis and function of the face. Objectives: (1) Remarks syndrom of congenital muscular torticollis; and (2) Evaluate Ferkel\u2019s technique to treatment torticollis in children. Subjects and method: During 10 years period (from January 1996 to December 2005), there were 68 patients with congenital muscular torticollis (39 female and 29 male); Age from 02 to 14 years old. The patients were operated by Ferkel\u2019s technique. Results: All patients have a palpable contrature of the sternocleidomastoid muscle, elevating shoulders, limitation of neck mouvements more than 30 degree. Our results: Excellent in 06,6%; Good in 52,4%; Fair in 37,7% and Poor in 3,3%. Conclusion: Limitation of neck mouvements, facial asymmetry and persistence of an intramuscular tumor are the principal clinical signs. Age of surgical indication is older than 1 year old. Those patients were operated by Ferkel\u2019s technique with functionally and cosmetically good result.

Contracture of the shoulder adduction caused by fibrous long head of triceps muscle in children

Background: Contracture of the shoulder adduction caused by fibrous long head of the triceps muscle is rare. Up to now there is no one scientific article about this pathology. Objectives: (1) to remark of the clinical signs of fibrous long head of triceps muscle (2) to evaluate results of surgery. Subjects and methods: During a 2 - years - period (2005 - 2006), there were 21 patients (13 female, 08 male) aged from 06 years old to 19 years old with 34 shoulder joints. Those patients were operated by lengthening long head of the triceps, Teres major and Teres minor muscle. Results: Adduction - contracture, extension and flexion of the elbow, and scapulo humeral angles were measured in Xray. There was a fibrous band in long head of triceps muscle in ultrasound. Results of surgery were good in 31 shoulders (91.2%), fair in 02 shoulders (05.9 %) and poor in 01 (02.9%). Conclusions: Adduction contracture of the shoulders, lateral transfer of the scapula and palpable fibrous band were clinical symptoms of the fibrous long head of the triceps muscle. Evaluating the results of surgery should combines with clinical characteristics, X-ray, ultrasound and function of the shoulder and elbow.\r\n', u'\r\n', u'\r\n', u'

Remarks on the surgical techniques for treating deltoid fibrosis

Background: Deltoid fibrosis is caused by congenital disorder or complication of intramuscular injection or trauma, and can affect aesthetics and functions of shoulders. Objectives: To remark on the risk factors and pathology of deltoid fibrosis, and to evaluate the results of surgical procedure. Subjects and method: This clinical study involved 156 patients with 281 shoulder joints were surgically treated at National Hospital of Pediatrics from August 1994 to June 2005. All patients were physical and radiological examinations, and surgically treated by 1 of 4 techniques. Postoperative outcomes were evaluated. Results and Conclusion: Of 156 patients, there were 72 male and 84 female children, 62.8% in age group of 11-15 years old, and 29.5% over 15 years old. Severity of deltoid fibrosis was: severe in 95.4% of shoulder joints, moderate: 4.6%, and mild: 0%. 12.2% patients experienced deltoid fibrosis in combination with fibrosis of another muscles. The postoperative outcomes included; good: 92.5% of shoulder joints, moderate: 2.9% and bad: 4.6%. Type IV technique give best results (99%).

Evaluation of method of bone drilling and irrigation of antibiotic solution in treatment of osteomyelitis and suppurative arthritis in children

The osteomyelitis and arthritis are common surgical emergency. During 10 years(from 1988 to 1997) we operated 214 cases with 143 males and 71 females with Haematogenous osteomyelitis by technique of drilling bone and irrigation of antibiotic solution, surgical drainage of subperiosteal pus. The purpose of those papers are to evaluate method of drilling bone with irrigation of the medullar canal by antibiotic solution and to examine some early signs of osteomyelitis in children. 115 patients were operated by drilling bone with irrigation of antibiotic solution, and 69 patients of them were operated by drainage of subperiosteal pus. The early signs of heamatogenous osteomyelitis with fever, localized paint, swelling, tenderness and warm are usual.

Value of cytodiagnosis in pleural effusion

The study was performed on 512 patients with pleural effusion who were treating at the Pulmonary Department of Bach Mai Hospital between 1991 and 1995. Specimens collected from pleural fluid were stained by Giemsa’s stain. The lesions were classified using cytological criteria as follows: tuberculosis-related pleural effusions were divided into 2 groups: typical (15.5%) and atypical (84.5%); lung cancer-related pleural effusion, including malignant mesothelioma (biphasic structure and monomorphic forms) - 11.5%, adenocarcinoma - 46.2%, squamous cell carcinoma - 33.1%, small and large cell carcinoma -2.7% and 2.7%, respectively, undetermined carcinoma - 33.1%; pleural related to non specific inflammation - 17%. The sensitivity and specificity of cytodiagnosis in tuberculosis-related pleural effusion is 80% and 76%, respectively, in lung cancer-related pleural effusion is 38.9% and 96.4%, respectively. Therefore the cytodiagnosis can be considered a high value diagnostic tool for pleural effusion, especially in those with tuberculosis and undetermined carcinoma

Response of health services to children with ages of 11-16 in Hoan Kiem district, Ha Noi capital

A study on 6165 pediatric patients with ages of 11-16 and 167 health staffs who were working in Hoan Kiem district and response of the health services to children has shown that the first health service was pharmacy and drug store, 62,6% followed by hospitals.

Study of intestinal villi morphology in fetus with scanning electronic microscopy

Intestinal villi morphology in 2.5 to 6.5 month old fetus is studied with scanning electronic Microscopy (SEM). Results show that original form of intestinal villi is finger or cone shape without cross sulci on surface and tip sudden. The big finger forms are divided into small size or leaf shape. Cross sulci and tip sunder are appeared on appeared on intestinal villi in six month old fetus. After delivery, surface of intestinal villi is changed very little.

Study on the cellular morphism in tuberculous pleural effusion

A study of 284 patients with tuberculous pleural effusions cytologically diagnosed by smears stained with giemsa common method allowed distinguishing two groups: typical and untypical patients. Typical tuberculous pleural effusions were characterized by the presence of lymphocytes, typical characterized by the presence of lymphocytes, typical Langhans and/or epithelioid cells, typical caseum and other products and a few number of neutrophils. Untypical tuberculous pleural effusions were marked by the preponderance of lymphocytes, the complete degeneration of neutrophil, the presence of macrophages, lipophages, untypical Langhans and epithelioid cells, and of minor but clear caseum and other degeneration elements, no common bacteria on smears. With these criteria, the true of cytodiagnosis in comparison with histophatology was 80%.

Surgical treament of the lateral condylar fracture of limb in children

Fracture of the lateral Condyle of the Humerus in children accounted for 18.1% of total fractures of the regional elbow. During a 11 year-period, we operated 36 cases with fracture of the lateral Condyle of the Humerus. Our purpose is in papers: (1) determining diagnosis and classifying fracture of the lateral Condyle, (2) remark surgical technique and results. We used Kirschner wire for fixation of the fragment. We believe that a minium of two wires are necessary to prevent rotation. The fracture is usually sufficiently stable to allow wires removal by 6 to 12 weeks and to allow the patient to begin protected active range of motion of the elbow. The follow up that our results: good: 14; fair: 15; poor: 07. Complications (1) avascular necrosis of the condylar fragment: 02. (2) cubitus valgus: 05

Health situation of 11 to 16-year children at Hoan Kiem district, Ha Noi City

The sickness was evaluated in 1943 children with ages ranged from 11 to 16 years in Hoan Kiem district for 2 months in 2001. The results showed that in overall, the rate of sick children is 31.7%. This rate is highest in the 11 year children (41%) and lowest in the 16 year children (23.5%). The rate of sickness in the school children is 32.5% and in the non school children is 19.4%.