Study of insulin resistance in hypertensive patients with impaired fasting glucose \r\n', u'\r\n', u'

Background: Hypertensive with impaired fasting glucose is the basic expression of metabolic syndrome. Objectives: To study the IR and the correlation between Fasting Plasma Insulin (FPI) and Fasting Plasma Glucose (FPG) concentration in hypertensive patients with Impaired Fasting Glucose (IFG). Subjects and method: The descriptive, cross-sectional study was carried out on 38 hypertensive patients with IFG (IFG group) and 30 hypertensive patients without IFG (control group). The data were collected and analyzed by SPSS 11.5 software. Results:The FPI and IR index in the IFG group were 14.6+/-5.2 micro mol/ml and 3. 94+/- l.40, respectively, higher than in the control group (9.6+/-4.2 micro mol/ml and 2.17+/-0.99/ respectively) with p<0.00l. There was a positive correlation between FPI and FPG systolic blood and diastolic blood pressure/ with correlation coefficients were 0.4/ 0.48 and 0.46/ respectively (p<0.00l). Conclusion: There was an increase of FPI and IR index in the hypertensive patients with IFG compared to those without IFG. \r\n', u'\r\n', u'

Evaluate the results of the \u201cFamily doctor\u201d model in health care for people in Minh Lap commune, Dong Hy district, Thai Nguyen province

Background: Minh Lap is a mountainous commune of Dong Hy district, Thai Nguyen province with a high number of ethnic minorities. Social \u2013 economic conditions as well as heath care services are poor. Objective: To evaluate the results of implementation of the \u201cFamily doctor\u201d model in health care for people in this area. Subject and method: The study was carried out on people in Minh Lap commune, Dong Hy district of Thai Nguyen province from May 2007 to December 2007 and the researchers used the community intervention method. Result and conclusion:9.9% of households had their medical records completed and 54.05% of pregnant women giving birth in this year were set up with medical records and followed up. 60 cases of pregnant women were consulted with a total of 141 times, 11 cases with abnormal symptoms were diagnosed and treated in the following process. The rate of examination for women in the first week after delivery accounted for 61.26%. In this period of 8 months, the mean follow up time was 1.7 times and 2.9 times for children under 36 months and children under 12 months, respectively. The results demonstrated that the \u201cFamily doctor\u201d is a good way to improve primary health care for people.

Soil transmitted helminth infection in Son La province

Background: Helminth infection cause bad impacts on human health, especially for children.Helminth infection directly related to poverty, bad hygiene, low quality water supply, people awareness... Objective: To investigate the current situation of soil transmitted helminth infection in Son La province. Subject and Method: A total sample of 7,150 fecal specimen collected from72 hamlets, 18 communes in 6 districts of Mai Son, Muong la, Thuan Chau, Song Ma, Quynh Nhai and Yen Chau were examined for soil-transmitted helminths. Result: A cumulative infection rate of 93.45% was found, of which Ascaris: 85.85%, Trichuris: 24.52%, and hookworm: 18.92%. No different' infection rate was found between males and females but it was higher with ages. The prevalence of Trichuris and hookworm was higher in adults against children and higher with the older ages. The infection of Trichuris and hookworm in adults was higher than that in children. The single helminth infection rate was 82.17%, and mixed infection of two species was 15.9% and three species 0.43%. The helminth infection among Sinh MUD ethnic group: 97.2%, Thai ethnic group: 96.6%, La Ha ethnic group: 85%, Kinh ethnic group: 80.62%, and H'mong ethnic group: 45.96%. The hookworm infection rate of Kinh and H'mong groups was found higher that of the others ethnic groups. KAP surveys were conducted with 2,188 households showing a high latrine coverage of 90.6%, of which 92.9% of latrines were self-made. The more was the rate of self-made latrine, the higher was the helminth infection. Conclusion: Low awareness and knowledge of the local people on helminth infection was found so as they do not know how to prevent from helminth.

On the habit of smoking at some enterprises with high levels of harmful factors

100 subjects were enrolled in a randomized epidemiological survey on smoking habit. Results show a high rate of users of tobacco (49% subjects) despite of the large awareness (95.7%) of the harm of tobacco. The behavior of smoking in public environment, the intention of smoking cease is varied widely among the studied groups.

Peritoneal lavage in the diagnosis of patients with the closed abdominal trauma in Phu Tho Provincial Hospital

The usefulness of peritoneal lavage in the identification of patients who require laparotomy after close abdominal trauma is not controversial. Peritoneal lavage should be seen as an adjunct to clinical presentation poses unusual difficulty, for example, when consciousness in impaired or when diagnostic doubt exists... The diagnostic accuracy of peritoneal lavage in blunt abdominal trauma has been shown of 100%. In this collected of 17 patients, the false positive rate was 0%.

Some primarily opinions of diagnostic ultrasound of appendicitis

Study on 35 patients with ages of 10 suspected with the appendicitis diagnosed by ultrasound. The results have shown that the appendicitis most frequently occurred in persons with ages of 21-60. The diameter of appendicitis was about 8-10 mm by ultrasound. There was no suitability between ultrasound and operation for symptoms of fluid in the terminal bag of Douglas and pelvic cavity.

Posterior fossa extradural hematoma due to closed head injuries

Extradural hematoma of posterior cranial fossa that related to closed head injuries was rare and difficult diagnosis. The study involved 45 patients. 40/45 patients had signs of hematoma in occipital region, 34/45 patients had headache, 28/45 patients had vomit, 22/45 had dizziness, 30/45 patients had sleepy. 23 patients received X-ray imaging, in which, 11 patients showed the rupture of occipital bone. On CT images, rate of partial ventricular collapse and displacement was 95.6%. 28/45 patients with posterior fossa extradural hematoma had conscious duration. And in 18 patients this duration longed for more than 1 days. Perception worsened rapidly is a common sign of posterior fossa extradural hematoma, especially in acute hematoma. Mortality of posterior fossa extradural hematoma was 20%. Rate of patient without post-operative complication was 71.1%. Rate of patient with post-operative complication was 8.9%.