STUDY THE DYSLIPIDEMIA AND THE EFFECTIVENESS OF TREATMENT IN PATIENT AFTER RENAL TRANSPLANTATION AT HUE CENTRAL HOSPITAL

2016 ◽  
pp. 58-65
Author(s):  
Tam Vo ◽  
Thi Thuy Linh Nguyen ◽  
Thi Loc Nguyen ◽  
Thanh Minh Nguyen

Objectives: Survey proportion of dyslipidemia and related factors in after kidney transplantation. Assess the efficancy and side effects of atorvastatin in hyperlipidemia after renal transplantation. Materials and Methods: 43 patients received a kidney transplantation at Hue central Hospital from 06/2013-08/2015.And 26 hyperlipidemia renal transplant recipents was administered with atorvastatin 10mg/day for a period of 2 months base on guideline treatment of NCEC 1991 (National Cholesterol Education Council). A Cross-sectional and prospective study. Results: new-onset dyslipidemia incidence after renal transplantation was 97.7%. Dyslipidemiatreatement base on recommend NCECwas 60.5%.The regimen 1(Neoral+ Cellcept+Prednisolon) and 2 (Prograf+ Cellcept+Prednisolon) have similar effect on change serum lipid before and after transplantation 1 month (p<0.05).On average, serum total cholesterol and serum LDL cholesterol and triglyceride significantly decreased after atorvastatin therapy (p<0.05). Whereas, serum HDL cholesterol also decreased. Renal function, creatinin clearance, transamina, creatinin phosphokinase, CRP, fasting glucose, urine protein without significant changes during the period on atorvastatin. Adverse effects were reported in three cases (2 case increase transamin and 1 case increase creanin phosphokinase). But there was no evidence of myopathy, including myalgia. All events were mild and treatment did not need to be discontinued in any of the case. Elevated transamina and CK spontaneous resolution, even the Atorvastatin is continued. Conclusion: Dyslipidemia met with high rates after transplant and showed no difference in the regimens using immunosuppressive drugs cause this disorder. Treatment with atorvastatin 10 mg / day has remarkable effect of dyslipidemia in patients after renal transplantation. Key words: renal transplantation, immunosuppressive drugs, dyslipidemia.

2015 ◽  
pp. 39-44
Author(s):  
Tam Vo ◽  
Thi Hong Van Le ◽  
Thi Loc Nguyen

Renal transplantation is the most effective therapy in treatment the end stage renal disease. Donated kidney can be transplanted from living donors or brain dead donors renal transplantation reduces the mortality and life quality versus hemodialysis. HLA gene is the most basic examination in renal transplantation. Objectives: to study the status of using the immunosupressants, side effects of immunosuppressants and complications on renal transplantation patients. Materials and Methods: 66 patients at Hue Centre Hospital from 11/2013 - 9/2014 . A Cross-sectional and prospective study. Results and conclusions: 3 patients had acute renal rejection and 4 patients had chronic renal rejection. The complications in the groups transphlanted over 1 years were diabietes, diarrhea, varicella, thrombopenia. Hyperuricemia was 39.4%, drugs hepatitis was 12.1%. After renal transplantation, were 13.6% had urinary infections, no case of heart failure was domanted. Key words: renal transplantation, immunosuppressants, complications.


2015 ◽  
pp. 57-60
Author(s):  
Xuan Chuong Tran ◽  
Thi Thanh Hoa Le ◽  
Ngoc Van Nguyen ◽  
Thanh Nguyen

Background: HIV/AIDS is still a dangerous infection in Vietnam and in the world. Studying of HIV infection and related factors in high risk groups, including female massage therapists is therefore very important. Aims: 1. To study the HIV infection in female massage therapists in Quang Ngai province. 2. To fine some related factors to HIV infection. Patients and methods: Female massage therapists working in Quang Ngai province. Cross-sectional, descriptive study. Results: The rate of HIV infection was 0.99%. Group older than 22 years old had higher rate of infection than group under 22 years old (1.80% vs 0.69%). The girls from urban areas or not using condom had higher rate of infection than group from rural or not using condom (1.57% vs 0.47% and 7.32% vs. 0.57%). Most of HIV infected belong to single or divorce groups. Conclusions: The rate of HIV infection in female massage therapists in Quang Ngai province was 0.99%. The HIV infection related factor was not using condom in sexual contact. Keywords: HIV, female massage therapists, Quang Ngai


2020 ◽  
Author(s):  
◽  
Angella Nakimera

Abstract Background: A study was carried out to identify the factors influencing the utilization of ultrasound scan services among pregnant mothers at Ndejje Health Centre IV, Wakiso District. Methodology: The study design was descriptive and cross-sectional and it employed both quantitative and qualitative data collection methods. A sample size of 30 respondents was selected using a simple random sampling procedure. An interview guide was used to collect data. Results: The study revealed various factors influencing the utilization of ultrasound scan services among pregnant mothers. For example, although all 30 (100%) had ever heard about ultrasound scan services, most 20 (66.7%) had ever used ultrasound scan services once 10 (50%) and 12 (60%) used the services in the 3rd trimester due to factors including 20 (66.7%) of ultrasound scan services, 21 (70%) having fears about using ultrasound scan services including 14 (66.7%) fear that the scan would identify bad conditions on the baby, 18 (60%) lacked partner support. The study results also revealed that respondents faced various health facility factors which influenced the utilization of ultrasound scan services. For example, most 20 (66.7%) respondents reported that Ndejje Health Centre IV was not equipped to provide ultrasound scan services due to 12 (60%) frequent breakdown and poor maintenance of equipment which led to 18 (60%) ultrasound scan services not being readily available, 12 (60%) long waiting time to receive services as most waited more than 2 hours to receive services. Conclusion and recommendations: Respondents faced various and health facility-related factors which influenced their utilization of ultrasound scan services. The key recommendations included ready availability of services through regular and timely maintenance of equipment, improving efficiency, and reducing waiting time as well as improved health education of mothers about the importance of using the services.


2014 ◽  
pp. 37-40
Author(s):  
Nu Van Anh Ton ◽  
Din Rmah

Objectives: Hand, foot and mouth disease (HFMD) caused by enterovirus, is a common infection in children. HFMD caused by enterovirus 71 can cause some serious complications, such as encephalitis-meningitis, myocarditis, pulmonary edema. The early detection of clinical manifestations of severe contribute to reducing mortality. So aim of this study to describe the clinical characteristics of hand foot and mouth disease in the Department of Pediatrics at Hue Central Hospital. Methods: Random sampling of all hospitalized patients from 1/2/2012 to 31/1/2013 diagnosed HFMD accompanied EV71 serum test. Method of cross-sectional descriptive study. Results and conclusions: with 441 patients admitted Hue Pediatrics Centre, 41,0% cause by EV71 and 59,0% cause by other enterovirus. 97,5% are under 5 years, male/female is 1,15/1. 68,5% coutryside. Almost patients admitted in 2rd and 3rd day (57.1%). Hospitalized reasons are fever (95,5%) and erythema rash. Majority of patients are grade 1 and 2a (87.3%). Grade 3 and 4 only (4.5%). Erythema higher proportion of vesicle, rash on foot is common.


Author(s):  
Hung Phung ◽  
Minh Loi Hoang ◽  
Trong An Phan

Objective: This study aims to characteristics of CT imaging in the diagnosis of nasopharyngeal carcinoma. Materials and method: 62 patients were hospitalized in Hue Central Hospital from May 2009 to May 2010. These patients were passed CT scanner and confirmed the nasopharyngeal carcinoma on pathology result. Cross-sectional study. Results: Site of tumor on lateral pharyngeal recess is 79.03%; all tumor enhanced by contrast medium and heterogenuos (90,32%); hypervascular (79,03%); intratumoral necrosis (14,52 %); abnormal Rosenmuller fossa (70,97%), Eustachian (64,51%); extending into the pterygomaxillary fossa (56,45%), the nasal cavity (33,87%); skull base erosion (14,52%), invades maxillary sinuses (12,90%), pterygomaxillary process (11,29%). Conclusion: Through this study, we found that CT imagings have many advantages in detecting nasopharyngeal tumors, and tumor position. CT technich is also a good assessment for invasive structures of anatomy around the nasopharynx, especially with the high sensitivity in detecting invasive bone and sinuses.


2018 ◽  
Vol 22 (3) ◽  
Author(s):  
Isadora Pierotti ◽  
Isabela Fernanda Larios Fracarolli ◽  
Lígia Fahl Fonseca ◽  
Patrícia Aroni

Abstract Objective: To evaluate the intensity and discomfort of perioperative thirst and related factors during anesthesia recovery. Method: This is a quantitative, cross-sectional, descriptive study. Results: Of the 203 participants, 182 (89.6%) reported they were thirsty. The mean intensity of thirst was 6.9 measured using a verbal numerical scale of 0 to 10 and discomfort was 7.3 on a scale of 0 to 14. All attributes evaluated by the scale were cited including dry mouth and desire to drink water (87.3%), dry lips (79.1%), thick tongue feeling (43.4%), thick saliva (56.5%), dry throat (75.2%) and bad taste in the mouth (63.1%). There was a positive correlation between the intensity of thirst and discomfort assessed by the scale (Spearman coefficient: 0.474; p-value: <0.05). No correlation was found between age, length of fasting and use of opioids with the intensity of thirst and discomfort. Conclusion and implication in the clinical practice: Discomfort arising from the attributes of thirst is evidenced as the intensity of thirst increases.


2019 ◽  
pp. 1-10
Author(s):  
N. Maunga ◽  
E. Zumbika ◽  
K. Mhandire ◽  
F. F. Chikuse ◽  
G. A. Mavondo

Aims: Long term use of antiretroviral therapy subpopulation living with human immunodeficiency virus is associated with disturbances in blood lipids profiles which are not routinely monitored. More data on such disturbances are needed to persuade the country’s program to institute routine monitoring. This study sought to determine the prevalence and timing of dyslipidaemia in HIV/AIDS naïve people on ART at in Zimbabwe. Place and Duration of Study: The study was conducted at Mpilo Central Hospital Opportunistic Infections Clinic in Bulawayo, Zimbabwe over a period of three months. Methods: A cross-sectional study was conducted in HIV-infected persons receiving highly active anti-retroviral treatment at Mpilo Central Hospital Opportunistic Infections Clinic. Lipid assays were determined by Elisa methods. Viral loads and CD4 were measured using the COBAS® TaqMan® and BD FACSCount™ Flow Cytometer, respectively. Results: A total of 149 consenting participants were enrolled and most (63.2%) were females. The median age of the respondents was 43 years and their median CD4 count was 436 cells/μl after a median duration on ART of 36 months. Viral load was <40 in the majority (68.6%) of the participants. More females (63.1%) were on HAART and were aged >35 (60.4%) years. NNRTI (90.6%) were the more commonly prescribed HAART. The prevalence of dyslipidaemia was 70.2%. Hypercholesterolaemia was observed in 72 (48.3%) patients with 26 being male and 46 being female. High levels of LDL-cholesterol (LDL-c ≥ 3.0 mmol/L) were found in 115 patients with 74 of them being female. Hypertriacylglycerolaemia (TAG ≥ 2.0 mmol/L) was present in 8 cases. The proportion of patients with a low HDL-cholesterol (HDL-c < 1.0 mmol/L) was 15.3% while those with a ratio of TC/HDL-c ≥ 4.1 were 87.5%. Conclusion: The study demonstrated a high prevalence of dyslipidaemia in HIV-patients receiving HAART. There is a need for the Country’s HIV program to institute laboratory monitoring of blood lipids in patients over one year on HAART.


Author(s):  
Như Phồn Đặng

A FEW CHARACTERISTICS OF SURGICAL SITE INFECTIONS IN ORTHOPAEDIC TRAUMA CENTER OF HUE CENTRAL HOSPITAL Background: Currently, in addition to the advancement of surgical and anesthesia techniques has relieved the risks of surgery, however, the surgical site infections remains a challenge for both patients and physicians. Surgical site infections is unwanted medical incident that increasing aggravate illness, prolonged hospitalization and increased mortality in surgical patients. Objectives: 1. Identify the rate of surgical site infections and a few of the characteristics of surgical site infections.; 2. Determines related factors and bacteria causing surgical site infections in Orthopaedic Trauma Center of Hue Central Hospital. Subjects and Methods: A cross-sectional descriptive study. Hospitalized patients, post- operative 48 hours, from 3- 7/2019. Results: The rate of surgical site infections was 5.4%. The rate of SSIs in contaminated surgery was highest (22.0%) compared with other types. The rate of SSIs in open surgery and laparoscopic surgery, surgery with drainage had the rate of SSIs higher that not set. Patients with emergency surgery or plan surgery, methods of anesthesia had not the rate of SSIs in difference. The characteristics of SSI are usually fluid stagnant 47.0%, pus stagnant 31.4%. The ways to deal with this problem is to change the dressing daily (52.9 and 84.0%), remove the fluid and pus 19.6%. Solutions used to wash the incision are 0.9% Sodium Chlorua and Iode / Betadine alcohol. In 51 cases of SSIs, there were 31 cases of positive bacteria by 60,8%. Bacteria identified most of S.aureus, accounted for 32,3%. Conclusions: We found that the rate of surgical site infections in Orthopaedic Trauma Center of Hue Central Hospital of this study was low and the leading bacteria causing ISS was S.aureus. Keywords: surgical site infections (SSIs), bacteria, surgery


2021 ◽  
Vol 05 (01) ◽  
pp. 47-55
Author(s):  
Thi My Anh Bui ◽  
◽  
Quynh Anh Pham ◽  
Thi Thanh Hoa Nguyen ◽  
Thi Huyen Trang Tran ◽  
...  

Unhealthy diet behavior contributed to a risk factor for the reasons of non-comunicable diseases. Increasing in unhealthy eating habits among adolecenses such as skipping breakfast, consumption of soft drinks and fast food can cause for the situation of obesity in young people group that is a concerning problem nowadays. Objectives: the study aim to describe the situation of unhealthy diet behaviors and its related factors among adolecenses in Hanoi in 2019. Methods: a cross-sectional study design was conducted from July 2019 to May 2020. A total of 1770 adolescenses aged from 16 to 18 at 15 high schools in 5 districts in Hanoi were selected in this study. Results: The results showed that a half of participants in this study had a reasonable and healthy diet. Approximately one fouth of adolecenses had a behaviors of drinking milk 4 times per week, only 45% of adolecenses had a daily breakfast. Gender and smoking behaviour were found a significant related to healthy diet behaviour among adolecense. Conclusions: In order to maintain a healthy diet behaviour in young people group, it is necessary to enhance the IEC campaign for adolecenses to follow and keep a reasonable and health diet such as having a daily breakfast, eating vegetables, reducing salty and fatty in their meals. Keywords: Risk behaviour, healthy/unhealthy diet, adolecenses, Vietnam…


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