Prevalence, perception and factors associated with diabetes mellitus among the adult population in central Vietnam: a population-based, cross-sectional seroepidemiological survey.

BACKGROUND: Diabetes Mellitus (DM) has rapidly become a major public health concern in Vietnam. Although the prevalence of DM has been studied in northern and southern Vietnam, little data are available for the central region. Therefore, the aims of this survey were to estimate the prevalence of DM and to identify the perception of and factors associated with DM among the adult population in central Vietnam. METHODS: We conducted a cross-sectional, population-based survey in Khánh Hòa Province, Vietnam in December 2014 using three-stage cluster sampling and probability proportional to size sampling in line with the World Health Organization STEPwise approach. Four hundred and eighty residents aged 20-70 years were selected from 30 villages in 10 wards/communes. After obtaining informed consent, all residents participated in interviews regarding lifestyle, medical history, and perception of DM and underwent physical measurements and blood examination for fasting blood glucose and glycated hemoglobin. Factors associated with DM were analyzed using a logistic regression model. RESULTS: A total of 376 residents were enrolled (response rate: 78.3%; females: 59%; rural residents: 61%). Among the participants, 14.3% and 18.9% of males and females, respectively, were classified as overweight/obese according to body mass index (BMI), 37.7% and 22.1%, respectively, had hypertension, and 36.4% and 11.7% had metabolic syndrome. The prevalence of DM in the entire population was 7.2% (27/376; 95% confidence interval [CI]: 4.6-9.8). Participants aged 60-70 years were more likely to have DM than those aged 30-39 years (adjusted odds ratio [aOR]: 8.7; 95%CI: 1.4-56.0), and participants classified as obese were more likely to have DM than those with normal or low BMI (aOR: 10.2; 95%CI: 2.2-50.2). Furthermore, more than two-thirds (254/376, 67.6%) of the participants either did not understand or had never heard of DM, and less than half of the DM cases (12/27, 44%) were aware of their history of DM. CONCLUSIONS: The results of this study suggested that the prevalence of DM among the adult population in central Vietnam was slightly higher than that in other areas. Additional research is needed to further explore perceptions of and practices regarding DM.

Current concept on joint replacement at The Cleveland Clinic Foundation, Las Vegas, Nevada, USA on May 23-26, 2004

The Foundation was hold annually in Las Vegas (Nevada) by The Current Concepts Institute to server Continuing Medical Education program. The fact that, it was a speciality forum of Orthopedic - Trauma branch. More than 700 attendees from 44 countries were invited, included Vietnam. 110 papers presented by a 40 member Faculty. Controversies on shoulder, hip and knee reconstruction were focused through 4 cross-fire debates, and 3 video vignette projections. Mini incisions, surface replacement, complications, revision arthroplasty, computer-assisted total hip arthroplasty, metal-metal, ceramic-ceramic implants were discussed

Restrictive action on hyperglycemia of stem of Momordica charantia L. on some models of experimental hyperglycemia

: Restrictive action on hyperglycemia of stem of Momordica charantia L. on some models of experimental hyperglycemia

Some models of experimental hyperglycemia applying to screening and evaluating the therapeutic effect of antidiabetic drugs

In this study, we have carried out a verification of 3 hyperglycemic models to confirm their potential application and to determine a suitable dose for each hyperglycemic agent. Results from our verification showed that the following hyperglycemic models can be used in screening and evaluating hypoglycemic action of natural products: hyperglycemic action using oral glucoses at 3g/kg. Hyperglycemic action using IM Adrenalin at 0.5 mg/kg. Hyperglycemic action using IV Streptozocin, at 70mg/kg causing human type II diabetes, at 100 m/kg causing human type I diabetes.

Occupational hazards and preventive measures for diving - fishermen

A cross-sectional study was carried out with 539 subjects at Khanh Hoa and Binh Thuan provinces. The results: there was 180 occupational accident during the period from 1997 to 1999, with 31 deaths. Almost of them have not been appropriately trained in diving technique and safety measures. They have not enough protection equipment, diving clothes and oxygen-tubes when diving at 20m depth. Training courses on diving safety measures for fishermen were conducted and recommendations for treatments of diving-fishermen diseases were made. These recommendations have been applied in Ham Tan Hospital (Binh Thuan).