Some features of heart failure in the elderly at Cardiology Department of Thanh Nhan hospital

Investigation on 100 patients aged over 50, treated at cardiology department of Thanh Nhan hospital from January to December 2001 showed that: Heart failure was common in cardiovascular diseases (14.6%). The incident of heart failure increased with age, more in females than in males. The common causes of heart failure were valvular diseases (37%), hypertension (31%), myocardial ischemia (17%)… The majority of patients with heart failure hospitalized were in severe situation (third degree: 51%, fourth degree: 10%). Besides diuretic and Digoxin, most patients must use the angiotensin converting enzyme (ACE) inhibitor, other used β blockers

Investigating hypertension in officials of Thanh Nhan hospital and finding some complications in hypertensive patients

A study on hypertension in 548 officials of Thanh Nhan hospital from May 2001 to July 2001 showed that there were 56 officials suffered from hypertension (10,22%); the rate of hypertension in males was higher than in females, the rate increased with age, especially people over 50 years. Risk factors for hypertension: elderly, intellectual work, having relatives with hypertension, lack of physical exercise, sleeplessness, salty diet, drink, smoking. Common complications in 56 hypertensive patients were: 55,36% increased total cholesterol, 53,57% increased triglyceride, 7,14% increased uremia, rhythm disturbances 17,86%, left ventricular hypertrophy 19,64%, swelled arteries 14,29%, congested 16,07%, hemorrhaged 10,71%, swelled yellow spot 12,5%

Investigation of eye complications in diabetics in Ha Noi communities

Investigation of 72 patients with diabetics who were ≥ 16 years old, in 20 communes of Gia Lam, Soc Son and Dong Da districts, Ha Noi, from June to September 2001. Results: the common eye complications included retinopathy, cataract, uveites, and conjunctivitis. In diabetic’s subjects, three common ophthalmic diseases such as amblyopia, retinopathy and cataract in males were more distinct than in females. But ophthalmitis (uveites, conjunctivitis) in females were more than in males. The old age and the long duration of diabetics were the risk factor related to increase of retinopathies and amblyopia

Evaluation of patients with bronchial asthma hospitalized at pediatrics deparment of Thanh Nhan Hospital in 3 years (2001-2003)

A retrospective study was performed in 51 children under 15 years old with bronchial asthma hospitalized at pediatrics department of Thanh Nhan Hospital from January 1st 2001 to December 31st 2003. Results: the bronchial asthma accounted for 2.1% of respiratory diseases. Children under 12 months of age (3.9%), from 37 months to 6 years 37.3%, from 7 to 10 and 11 to 15 years 23.5%. The attack of acute asthma usually occurred at night (84.3%). The symptoms including: coughs, sputum exudation in throat -nose (86.3%), increased frequency of breathe (82.3%), respiratory muscular contraction (76.5%), dyspnea at exhale stage (60.8%), and cyanosis (35.3%)... There were change in blood count, X-ray of the lungs-bronchia and the electrocardiography. The drugs used are salbutamol (100%), antibiotics (96.1%), and depersolon (90.2%). Some patients were taken antihistamine (phenergan) and Digoxin. Most of patients discharged from hospital after being treated (96.1%), there were only 3.9% of the patients had to go to the national children hospital

Evaluate result of injecting to prevent rheumatic fever degree 2 at the Pediatrics depaprtment of Thanh Nhan Hospital

Studying on 93 children from 6 to 15 years old who had Rheumatic fever, were injected to prevent rheumatic fever at 2nd level in Thanh Nhan Hospital from 1999 to 2003. The result showed that: in polyarthritic and chorea type, symptoms gradually decreased and disappeared, but common valvular lesions of severe carditis almost still existed. The recurrent rate was very low. The complications of disease were few and might, include: pain and hardening at injected site accounted for 12.9% of total patients and 2.56% of the times of injection. There were 5.38% of patients with mild allergy, accounted for 0.27% of the injection times. It must be on the alert against some dangerous complications as: embolism, anaphylactic shock, mortality… after injection benzathin penicillin

The clinical, paraclinical characteristics and factors related to pneumonia at children from 1 to 60 months

151 pediatric patients of 1-60 month age with bronchitis pneumonia at Hanoi Thanh Nhan Hospital were enrolled into study from November 2001 to September 2002. Most of patients were suffering from cough, fever,dyspnoea,mental disorder, digestive disorder, rale murmure, increase of neutrophile, bacteria positive culture in 29,14% of cases. Common bacteria were H.influenza- 39,58%, S.pneumonia – 35,42%, S. pyogenes -14,58%, S. aureus – 6,25%. In male the incidence was 63,58%, higher considerably than in female and the incidence increased progressively with age. In rural population, the incidence (31,86) was higher than in urban (25,39%). Pneumonia which associated with other pathology accounted for 81,46%, usually upper respiratory tract – 80,82%, malnourished – 36,92%, diarrhoea – 12,05%; and other conditions such as congenital defect, rickets, varicella, erythema...

Study on the epidemiology of acute poisoning have treated at Thanh Nhan hospital in Ha Noi

Study on the whole case reports of patients with acute poisoning have been treated at Thanh Nhan hospital in Hanoi during the past 3 years (from January 1996 to December 1998). The results: acute poisoning were more frequently at Thanh Nhan hospital. There were 1230 acute intoxicated patients acquired 2% in comparison with the total patients of the Internal Pediatric Emergency and acquired 13.23% in comparison with the total inpatients at the hospitals. Relative factors and the main causes of acute poisoning: most of patients were inhabitants in Hanoi, in which those in town. The majority of cases were between 16-29 years old, then 30-49 years and over 60 years. Males were distinctly more than females. The major in these patients were free labourers. Suicide was the most causes of acute poisoning. The poisons were entered essentially in the gastro-intestinal tract by oral route 80.1%, intravenous penetration acquired 17.86%, by respiratory route 1.79%, skin and mucosal. The major toxic substances were opium, opiates, seduxen, alcohol, gacdenan, ratpoisons and insecticide

The cardiac rate disorders of acute myocardial fraction patients treated in Thanh Nhan Hospital in period of 3 years (2000-2002)

All patients with acute myocardial infarction at Thanh Nhan Hospital in the period from January 2000 to December 2002 were studied. Acute myocardiac infarctus was one of the most common internal emergency, accounted for 2.41% of all admitted patients at the Department of Cardiology. Dysrythmia accounted for 88.7%, sinusal arythmia, atrial extrasystolae and ventricle extrasystolae, cardiac fibrillation… were usual symptoms. The average duration of treatment was 15.6 and 8.5 days. Immobilization, light diet, pain relief, anti-arythmia, assisted respiratory, anticoagulant, antidilator,… were usual measures for management. In severe cases, shock, heart failure, acute edema of the lung must be managed actively. Death rate reached to 40%. Only 45% of cases could be recovered.

Some indices of peripheral electrocardiogram on healthy school aged children

Study of 6 peripheral channels of ECG in 62 children of the ages 9, 12, 14 showed that the heart frequency decreases with increasing age. In a same age, the frequency is higher in girl than in boy. Alpha angle valne decreases with increasing age. The electrocardiogram axis trends to move from right to left side, in contrary with the clock hand movement. Average duration of wave depends on the heart frequency. The altitude of wave of these three age groups has not significant difference

To remark about antibiotic resistance status to bacterias causing pneumonia in children

From Nov 2001 to August 2002, at the Pediateic Dep. of Thanh Nhan Hospital, 151 children of 1-60 months age sufferung from pneumonia were studied. Results showed that antibiotic resistance became common to most of bacteria. A majority of microorganisms causing pneumonia (H. influenza, S. pneumonia, S. pyogenes, S. aureus) became resistance to Co. trimoxazole and common antibiotics (cephalotin, erythromycine, oxacillin, cefoperazone, penicilline, gentamycine, chloramphenicol, tetracyclin). Related factors sich as history of using previously the antibiotic in 1 or more periods, no doctor prescription, unproper use of antibiotics of the relatives

Features of anthracosis at the department of occupation al diseases at Thanh nhan hospital

In Janruary – November 2001 period, at Thanh Nhan Hospital (Hanoi), 50 patients with pneumoconiosis were studied. Pneumoconiosis is common and accounts for 7.47% of all occupational diseases. The most common ones are acquired by silice, cotton dust and feather dust. The severity is related mainly with the exposure duration, the history of frequently acquired respiratory diseases. Common symptoms are dypnoea 70%, cough 62%, sputum 40%, diverse rale of lung 52%, changes of lung X-ray image, electrocardiogramme and especially impairing lung function. The common conditions and complications are pneumonia, heart failure, chronique heart – lung syndrome, heart dysrhytmia, hemophtisia and pulmonary infarction

Remark of antibiotic resistance for bacterias to cause pneumonia in children

At Thanh Nhan Hospital, Hanoi from November 2001 to August 2002, 151 children aged 1-6 months with pneumonia were studied. Most of bacteria causing pneumonia were resisted to Co-trimoxazole and common antibiotics. H.influenza resisted to Co-trimoxazole (66.67%), to cephalothin (50%); S.pneumoniae resisted to erythromycine (86.66%), to oxocillin (85.71%), to cefaclor (66.67%), to cefoperazon (50%), Co-trimoxazole (53.33%); S.pyogenes resisted to cefoperazon (50%), Co-trimoxazole (50%), gentamycin (43.56%), penicillin (40%), erythromycin (33.33%). S.aureus resisted strongly to common antibiotics as oxacillin (100%), erythromycin (100%), gentamycine (66.67%), chloramphenicol (66.67%), tetracyclin (66.67%), to Co-trimoxazol and to norfloxacin. Related factors causing antibiotics resistence were: the use of antibiotics in a single episode or more episodes in children. In appropriate indication of antibiotics by parents, in terms of the type of antibiotics, the dose and the method of use

Study of some related factors to persons with acute narcotic intoxication

At the emergency Department of Thanh Nhan Hospital from Jan 1998 to Nov 1999, 103 cases (95.15% male and 86.41% aged 16-30) of acute intoxication of drug were studied, 7.67% subjects originated from Ha Noi and 22.33% from different provinces. The rate of urban origin accounts for 85.44%, rural 14.56%. In the year 1999, acute drug intoxicated subjects who admitted to this hospital were 1.71 times higher versus the year 1998, and the most common number concentrated on the months 8, 7, 3, 2, 11, 10. Labourers without permanent jobs occupy 8.58%, student 10.68% of the total subject. 94.18% of case had an addictive duration above 1 year, 85.44% using venous injectable opium and its decant, 14.56% using inhaled heroin

Cause and complication of ventricular extrasystole in Ha Noi Thanh Nhan hospital

At the Cardiovasculary Department of Thanh Nhan Hispital – Ha Noi from January to December 31, 2002. 33 ventricle extrasystolic (VES) patients were investigated. VES is a common condition, accounts for 17.6%, classified in the 3rd rank of heart arhythmic conditions, accounts for 2.9% of total number of cardiovascular diseases. The most common is sparse left ventricle extrasystol losing compensation of monoform and monofocus. The most common causes of the disease is high blood pressure – 30.3%, heart valve – 21.2%. The morbidity is higher in female than in male, increasing with the age. The most common complication is ventricle tachycardiac. Ventricle fibrillation is less common but it’s fatally dangerous

Survey of epidemiology about diabetes mellitus of people from over 16 years old at 3 districts in Ha Noi

After researching epidemiology about diabetes mellitus of 2017 people from over 16 years old at 964 families of 40 groups-hamlets, 20 wards-communes, 2 districts (Gia Lam, Soc Son) and Dong Da in Ha Noi communities. Diabetes mellitus is the most of common and presented of 3.62%, in which high rate affected belongs Dong Da (6.61%), next is Soc Son (2.98%) and Gia Lam district (1.63%). Some factors related to be diabetes mellitus: male are more higher than females (3.95% - 3.46%). More older has high risks to be affected by diabetes mellitus. Obese physical, Hypertention, Pregnant women has been child 4 kgs. Other factors: High standard, unresonable eating, less removing, family factor

Lipaemia disorders in diabetes

Investigation on 72 diabetics in Ha Noi communities found that: Lipaemia disorders of diabetics were high. Among cholesterol total (CT) increased acquired 41.67%, trigleceride (TG) increased acquired 38.89%, high density lipid (HDLC) decreased acquired 26.39% and low density lipid (LDLC) increased acquired 25%. The disorders associated 2 lipid index commonly was: CT increased associated with LDLC increased, then CT increased associated with TG increased and CT increased associated with high density lipid HDLC decreased. The complications indiabetics with lipeamia disorders such as: hypertension, visual acuity decreased, retinopathy and peripheral neural lesions

Investigating hypertension in civil servants of Thanh Nhan hospital and identifying some hypertension patient's complication

Investigate the rate of hypertension in 548 staffs of Thanh Nhan Hospital from May to July 2001, the results showed that hypertension is common disease in these subjects. Men experienced hypertension more than women. The rate of hypertension increased according to age, especially in people >50 years old. Risk factors are male, older, intellectual, family history of hypertension, no exercise, sleepless, drinking, smoking. Common complications of hypertension are disturbance cholesterol, glucose, ure... in blood, change in ECG and X-ray and on retinae

To remark about anti-antibiotic of bacterium causing urinary tract infection in children

45 infants aged 1-60 months were treated in Thanh Nhan Hospital (Ha Noi) from Nov 2001 to August 2002. Urine culture showed  105 microorganisms/ml, their 100% were gram (-) bacteria, including E. coli, the most, then Enterobacter, Proteus, Pseudomonas, Citrobacter, Klebsiella and Morganella. Only 3 infants had only urinary infection, other 42 had urinary infections combining with various diseases. Most of these microorganisms had resistance to common antibiotics of the groups of aminosid and betalactamin. Combining factors causing antibiotic resistance were the history of using one or more antibiotics, using antibiotics when the cause is not confirmed in initial diagnosis or lack of antibiograms

The causes and the complications of venticular extrasystole

Among 1227 cardiovascular patients at Thanh Nhan Hospital (Hanoi) in the year 2001, there were 33 with ventricular extrasystole (2.69%), a common pathology, third rank of causes of arrhythmia usually, left ventricular extrasystole, aparse occurrence, type of compensative rest, uniform, monofocus. The most common causes are high blood pressure, diseases of, heart ischemia, occuring in female more than in male, the incidence increases with the age. Most common complication is ventricular tachycardia; ventricular fibrillation and apical twisting are less common but the more dangerous leading to death

Symptoms and the related factors of urinary infections in infants from 1 to 60 months of age

All 566 infants from 1-60 months of age treated at Thanh Nhan Hospital in the period Nov. 2001 – August 2002 underwent a culture of urine, among them 45 were infected urinarily (7.95%) with common symptoms such as fever, urinary disturbances. Their paraclinical signs were an increase of blood sedimentation, increase of neutrophile mononuclear white blood cells, in almost urinary proteins, urinary white blood cells were appeared; the younger age the higher rate of urinary infection (64.44% among 1-24 months of age subjects), the rate infection in boys is higher than in girls, in rural this rate is higher than urban subjects. In most urinary infections, there is a combination with other various conditions such as acute glomerulo-nephritis, fever with unknown causes, diarrhoea, especially in malnutritions infants