Massive lung necrosis due to microwave ablation in an octogenarian required urgent lobectomy.

We present a rare complication of microwave ablation (MWA) in a male patient in his 80s. His massive pulmonary necrosis and tension pneumothorax required urgent surgery. However, the damage to the lung tissue was too large, deep and fragile. We failed to suture or conduct wedge resection on the lung lesion, so, left upper lobectomy was necessary. Therefore, we suggest that it is probably possible to reduce the frequency and time threshold when performing MWA for the elderly with comorbidities.

Coronary Sinus Rupture Due to Blunt Cardiac Trauma.

We present a very rare case of devastating blunt cardiac trauma with large right atrial rupture, contusion of the right atrioventricular groove, and coronary sinus tear. Surgical repair was successfully performed by urgently establishing cardiopulmonary bypass via the femoral vein and artery simultaneously with a median sternotomy. (Level of Difficulty: Intermediate.).

"Social Crimes": Understandings of HIV/AIDS as a Disease Among Grandparents Raising Grandchildren in Vietnam.

Grandparent caregivers are vital to the survival of grandchildren who are orphaned and who have been affected by HIV/AIDS. The purpose of this qualitative study was to understand the meaning of HIV as a disease among grandparents raising grandchildren orphaned by HIV/AIDS in northern Vietnam and to gain insight into how this understanding affected grandparents' relationships and health-seeking decisions. Results indicated that grandparents had knowledge deficits about the biomedical aspects of the disease and often hid their grandchildren's HIV status or preferred not to seek testing. Effective interventions must address stigma reduction, family relationships, and access to health care to increase testing and treatment of grandchildren.

Working in partnership with interpreters: studies on individuals affected by HIV/AIDS in Vietnam.

This article brings together two American qualitative researchers and two Vietnamese interpreters who investigated the social impacts of HIV/AIDS in Vietnam from the standpoint of the local community. As cultural outsiders with limited Vietnamese language skills, the researchers relied on the insights and expertise of the interpreters to the extent that interpreter roles expanded to become co-researchers. We explain the guidelines we used to work in partnership in the field. We then describe how the relationship between researcher and interpreter developed into co-researching, and how we utilized this relationship to respond to challenges in the work. Despite an increasing number of international qualitative studies, little research has focused on the nuances of a working partnership between researcher and interpreter, and few studies include interpreters as co-researchers. This article contributes to an understanding of how the researcher-interpreter relationship impacts the voice of the participant and, ultimately, the final outcomes of the project.

The preliminary results of population based cancer registration in Thua Thien Hue province in the period of 2001-2003

A study on 2495 newly infected cancer cases in Thua Thien – Hue between 2001 and 2003 showed that males account for 54.9% and females account for 45.1%. The cancers of liver, stomach, lung, colon-rectum and leukemia were the leading cancers in males while the cancers of breast, stomach, cervix, lung and lymphoma were the leading cancers in females. The average annual incidence for both sexes was 76.1/100,000 habitants (in males was 80.9 per 100,000 habitants and in females was 67.6 per 100,000 habitants)

The classification of pathological tissue of axillary lymph-nodes on patients with breast cancer at Hue Central Hospital

Breast cancer, a common cancer in women, is a main cause of death for women in many countries in the world. Based on the study on 128 female patients who suffered from breast cancer treated at Hue Central Hospital, we concluded that : The highest rate of the said cancer is at 40-49 year old women (accounting for 30.5%); for the patients sent to the hospital for their treatment, most of them were self-discovered(68%).The main threat for breast cancer in women is late menopause, non-birth or women who are firstly pregnant are over 35 years old. Ductal invasive carcinoma reaches a high rate(88.2%). The result of differential grade I: 18.6%; grade II:43.4%; grade III:38.9%