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Effectiveness on post-stroke hemiplegia in patients:electroacupuncture plus cycling vs electroacupuncture alone

Journal of Traditional Chinese Medicine 2023年第2期43卷 352-358页

作者： Minh Duc nguyen Thanh Van Tran Quoc Vinh nguyen ninh khac nguyen Son Truong Vu Luu Trong nguyen Linh Vu Phuong Dang Senior Specialist Clinic National Hospital of AcupunctureHanoi 1000Vietnam Department of Senior Specialist National Hospital of Acupuncture Hanoi 1000Vietnam Department of Senior Specialist Military Institute of Traditional MedicineHanoi 1000Vietnam Department of Training and Science National Hospital of AcupunctureHanoi 1000Vietnam Department of Senior Specialist National Hospital of AcupunctureHanoi 1000Vietnam Department of Rehabilitation 108 Military Central HospitalHanoi 1000Vietnam Department of Medicine Dai Nam UniversityHanoi 1000Vietnam

OBJECTIVE:To evaluate the effectiveness of cycling in combination with electroacupuncture in treatment of poststroke hemiplegia patients at National Hospital of Acupuncture,Vietnam.METHODS:The study was designed as a single-centre,outcome-assessor-blinded parallel randomised controlled trial with 120 post-stroke hemiplegia patients randomly assigned into two groups:electroacupuncture plus cycling(CT group) and electroacupuncture(AT group).Patients were assessed before and after the treatment(using muscle grading,modified Rankin,Barthel,Orgorozo scores and electromyography).Statistical Man–Whitney U test,and Fisher’s exact tests were used to compare between CT and AT groups.RESULTS:The results reported statistically significant improvement in motor function in patients suffering from hemiplegia following ischemic stroke in both CT and AT groups.Patients in CT group experienced a greater improvement compared to those in AT group including better muscle contraction(increased frequency and amplitude of electromyography and increased muscle grading scale);increased recovery(Orgogozo scale),increased independency(Barthel scale) and decreased disability(Modified Rankin scale)(P < 0.01).CONCLUSIONS:Combination with cycling training significantly improves the recovery of post-stroke patients treated with electroacupuncture.

关键词： electroacupuncture cycle training post-stroke hemiplegia

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电针镇痛在甲状腺全切除术中控制术中疼痛和血流动力学的有效性和安全性：一项随机对照试验（英文）

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Journal of Traditional Chinese Medical Sciences 2024年第2期11卷 165-171页

作者： Tran,Dong Phuong nguyen,Quoc Dung nguyen,ninh khac Pham,Van Hong Senior Specialist Clinic National Hospital of Acupuncture Vietnam National Association of Acupuncture Department of Training and Science National Hospital of Acupuncture

目的：评价电针联合其他药物在甲状腺全切除术中提供镇痛和稳定血流动力学参数的有效性和安全性。方法：该随机对照试验囊括了100例患者，这些患者于2022年10月至2023年10月在越南国立针灸医院接受了甲状腺全切除术。患者被随机分为了... 详细信息

目的：评价电针联合其他药物在甲状腺全切除术中提供镇痛和稳定血流动力学参数的有效性和安全性。方法：该随机对照试验囊括了100例患者，这些患者于2022年10月至2023年10月在越南国立针灸医院接受了甲状腺全切除术。患者被随机分为了两组。电针镇痛组（EA）对合谷穴（LI 4）、内关穴（PC 6）、水突穴（ST 10）、缺盆穴（ST 12）、翳风穴（SJ 17）5个穴位进行了电针刺激，对照组患者进行了双侧浅表颈丛神经阻滞。主要结局包括两组患者的镇痛水平和围手术期生命体征。此外，测定了EA组患者电针前后的疼痛阈值和血清β-内啡肽水平。结果：EA组和对照组分别有86%和76%的患者达到完全镇痛（A级），两组间无显著差异（P=1.00）。EA组患者接受EA后平均疼痛阈值翻倍（648.7(77.4) g/s vs. 305.3 (45.3) g/s, P <0.001），平均血清β-内啡肽水平增加了约13.5pg/m L(P <0.001)。所有患者在整个手术过程中的血流动力学维持稳定。结论：EA联合其他药物刺激了5个穴位，LI 4、PC 6、ST 10、ST 12和SJ 17，在甲状腺全切除术中耐受良好，有效地维持了适当的镇痛水平和血流动力学稳定性。

关键词：电针针灸镇痛格雷夫斯病甲状腺切除术甲状腺手术 β-内啡肽

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Twin reversed arterial perfusion sequence-a rare and dangerous complication form of monochorionic twins:A case report

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World Journal of Clinical Cases 2022年第28期10卷 10214-10219页

作者： nguyen Duy Anh nguyen-Thi Thu Ha nguyen-Thi Sim nguyen khac Toan Phan-Thi Huyen Thuong nguyen Minh Duc Fetal Medicine Center Hanoi Obstetrics and Gynecology HospitalHanoi 100000Vietnam Department of Assisted Reproduction Hanoi Obstetrics and Gynecology HospitalHanoi 100000Vietnam Department of Obstetrics and Gynecology Hanoi University of Medicine and PharmacyHanoi 100000Vietnam Department of Radiology Pham Ngoc Thach University of MedicineHo Chi Minh City 700000Vietnam

BACKGROUND Twin reversed arterial perfusion(TRAP) sequence is an extremely rare congenital anomaly in monochorionic(MC) twins.The condition is characterized by a malformed fetus(acardiac twin) without cardiac activities being perfused by a structurally normal one(pump twin) via an artery-to-artery anastomosis in a reverse direction.CASE SUMMARY We described the first case of TRAP to receive laser surgery in Vietnam.The 26-wk pregnancy was originally misdiagnosed in another hospital as MC twins with single intrauterine fetal death.Following admission to our center,the diagnosis was amended to a 26-wk TRAP sequence stage IIb.The acardiac twin was 7.5 cm at the longest length,the ratio of the weight of the acardiac twin to the weight of the pump twin was more than 90%,the pump twin showed fetal distress with absent diastolic flow in umbilical artery of pump twin,and the peak systolic velocity in the middle cerebral artery = 1.6 Mo M.We performed emergency laser photocoagulation of the acardiac twin’s umbilical cord.After surgery,we successfully maintained the pregnancy for 8 wk and ended it electively by cesarean section at 34 wk of gestation due to rupture of membranes.CONCLUSION TRAP should be appropriately diagnosed and treated early to avoid complications of the pump twin.Fetoscopic laser photocoagulation is a new and effective treatment for this condition.

关键词： Twin reversed arterial perfusion Acardiac twin Pump twin Laser Case report

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Alfapump®implantable device in management of refractory ascites:An update

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World Journal of Hepatology 2022年第7期14卷 1344-1356页

作者： Delphine Weil-Verhoeven Vincent Di Martino Guido Stirnimann Jean Paul Cervoni Eric nguyen-khac Thierry Thévenot Service d’Hépatologie Et Soins Intensifs Digestifs CHRU Jean MinjozBesançon 25030France EA 4266 EPILAB Universitéde Bourgogne Franche-ComtéBesançon 25030France Department of Visceral Surgery and Medicine Inselspital University Hospital and University of BernBern 3010Switzerland Service d’Hépato-Gastroentérologie CHU Amiens-PicardieAmiens 80080France

Refractory ascites(RA)is a frequent and life-threatening complication of cirrhosis.In selected patients with RA,transjugular intrahepatic portosystemic shunt(TIPS)placement and liver transplantation(LT)are currently considered the best therapeutic alternatives to repeated large volume paracentesis.In patients with a contraindication to TIPS or LT,the alfapump®system(Sequana Medical,Ghent,Belgium)has been developed to reduce the need for iterative paracentesis,and consequently to improve the quality of life and nutritional status.We report here recent data on technical progress made since the first implantation,the efficacy and tolerance of the device,the position of the pump in the therapeutic arsenal for refractory ascites,and the grey areas that remain to be clarified regarding the optimal selection of patients who are potential candidates for this treatment.

关键词： Alfapump Refractory ascites Automated low flow ascites pump Cirrhosis Liver

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Proposing Adjustments to the Dry Season Inter-Reservoir Operation Rules of the Red River System to Improve Water Use Efficiency of the Reservoirs

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Journal of Geoscience and Environment Protection 2023年第5期11卷 316-334页

作者： Thuy T. B. nguyen ninh H. Bui Institute of Water Resources Planning Ha Noi Vietnam

The Red-Thai Binh River system is an important water resource to the Northern Delta, serving the development of agriculture, people’s livelihood and other economic sectors through its upstream reservoirs and a system of water abstraction works along the rivers. However, due to the impact of climate change and pressure from socio-economic development, the operation of the reservoir system according to Decision No. 740/QD-TTg was issued on June 17, 2019 by the Prime Minister of Government promulgating the Red-Thai Binh River system inter-reservoir operation rules (Operation rules 740) has some shortcomings that need adjustments for higher water use efficiency, meeting downstream water demand and power generation benefits. Through the results of water balance calculation and analysis of economic benefits from water use scenarios, this research proposed adjustment to the inter-reservoir operation during dry season in the Red River system. The result showed that an average water level of 1.0 - 1.7 m should be maintained at Hanoi during the increased release period.

关键词： Inter-Reservoir Operation Adjustment Operation Rules Reservoirs Red-Thai Binh River Basin

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A New Species of Rhacophorus(Amphibia:Anura:Rhacophoridae)from Vietnam

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Asian Herpetological Research 2017年第4期18卷 221-234页

作者： Tao Thien nguyen Cuong The PHAM Truong Quang nguyen Hoa Thi ninh Thomas ZIEGLER Vietnam National Museum of Nature Vietnam Academy of Science and Technology18 Hoang Quoc Viet RoadHanoiVietnam Institute of Ecology and Biological Resources Vietnam Academy of Science and Technology18 Hoang Quoc VietHanoiVietnam Graduate University of Science and Technology Vietnam Academy of Science and Technology18 Hoang Quoc VietCau GiayHanoiVietnam The Kyoto University Museum Kyoto UniversityYoshida HonmachiSakyokuKyoto 606-8501Japan Hanoi National University of Education 136 Xuan ThuyCau GiayHanoiVietnam AG Zoologischer Garten K6ln Riehler Strasse 173D-50735 CologneGermany Institute of Zoology University of CologneZiilpicherStrafle 47bD-50674 CologneGermany

We describe a new species of Rhacophorus based on two adult specimens collected from Hoa Binh Province, northern Vietnam. Rhacophorus hoabinhensis sp. nov. is distinguishable from its congeners on the basis of a combination of the following morphological characters： size small （SVL 31.1-32.5 mm in males）; head slightly longer than wide; vomerine teeth absent; snout short （SNL/SVL 0.16）; dorsal skin smooth; forearm and tarsus with dermal fringes; dermal appendage at vent present; webbing formula on fingers I12/3-12/3II1-2III1-1IV and on toes I3/4-1II1/2- IIII1/2-1IVI-1/2V; dorsal surface grey yellow with brown spots; lower jaw region dark grey, throat, chest and belly cream; anterior and posterior thighs, as well as ventral surface of tibia orange. The interspecific uncorrected genetic distances （16S rRNA gene） between the new species from Hoa Binh and other analyzed congeners varied from 9.8% to 17.4%. In the phylogenetic analyses, the new species revealed to be a representative of Rhacophorus and was nested within the R. hoanglienensis-orlovi species group.

关键词： Rhacophorus hoabinhensis sp.nov karst forest molecular phylogeny taxonomy Hoa Binh Province

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Assessment of Hydrological Drought Using the Standardized Streamflow Index (SSFI): A Case Study of the Tien Yen River Basin of Quang ninh Province, Vietnam

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Journal of Geoscience and Environment Protection 2022年第8期10卷 309-326页

作者： nguyen Van Hieu nguyen Van Tuan nguyen khac Bang Pham Hoang Hai Le Vinh Ha Tran Thi Hoa Institute of Water Resources Planning Ha Noi Vietnam Institute of Environment and Public Health VUSTA Ha Noi Vietnam Thai Binh University Thai Binh Province Thai Binh Vietnam

Probabilistic assessment of drought plays an important role in providing valuable information for evaluating water resources systems under drought conditions, and bivariate copulas are effective and efficient for the probabilistic assessment of drought based on joint distributions and/or joint return periods of drought characteristics. In this study, hydrological drought events and their characteristics (including duration and severity) in the Tien Yen River Basin of Quang ninh province are detected using the Standardized Streamflow Index (SSFI). The BB8Copula is selected as the best-fit copula for hydrological drought duration and severity. Joint probabilities and joint return periods of drought duration and severity in the cases “and” and “or” are calculated based on the BB8Copula, which are employed for drought assessment. The results show that the drought events with 1-season or cross-quarter duration were more popular than others;joint probabilities and joint return periods of the detected drought events from 1962 to 2009, ranged from 0.2% to 92.2% and from 0.782 years to 315.414 years, respectively, in the case “and”, and ranged from 3.8% to 99.6% and from 0.724 years to 18.785 years, respectively, in the case “or”.

关键词： Probabilistic Assessment Standardized Streamflow Index (SSFI) Hydrological Drought Drought Characteristics Copula

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Hip Tuberculosis at Stage IV: Outcomes and Some Conditions for Total Hip Replacement

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Open Journal of Orthopedics 2022年第4期12卷 183-194页

作者： Do Dang Hoan Dao Xuan Thanh nguyen khac Trang Ngo Van Toan Department of General Surgery National Lung Hospital Hanoi Vietam Hanoi Medical University Hanoi Vietam Department of Orthopaedic Hanoi Medical University Hospital Hanoi Vietam Hanoi Medical University Hospital Hanoi Vietam

Background: Treatment of hip disorders during active hip tuberculosis has long been a controversial issue. Some authors have reported performing hip replacement with different strategies with very good outcomes. This study aimed to describe the surgical outcomes and necessary conditions for total hip replacement in active hip tuberculosis. Methods: We conducted a quasi-experimental study. The study enrolled 40 patients with 42 active tuberculosis hips at stage IV treated by total hip replacement from October 2016 to December 2019 at the National Lung Hospital. We followed up with the patients for at least 12 months, evaluated surgical outcomes, and investigated the factors associated with these outcomes by logistic regression analysis. Results: Surgical outcomes showed that 37 patients (88.1%) had excellent hip function, no abscesses, and no sinus tract formation. Four cases (9.5%) had sinus tract formations. One case (2.4%) had good hip function. Binary logistic regression models revealed that sinus tract formation was associated with preoperative tuberculosis infection syndrome. The average time to obtain antituberculosis drug treatment preoperatively was 4.6 weeks. Conclusion: Total hip replacement for active hip tuberculosis is a practical and promising treatment method. Surgeons should consider improving patients’ conditions before performing total hip replacement, administering antitubercular drugs, and arthrotomy to eliminate all abscesses, and decrease the risk of tuberculosis infection syndrome and the inflammatory response.

关键词： Active Hip Tuberculosis Stage IV Total Hip Replacement

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Acetabular Defects of Hip Tuberculosis: Recommended Classification and Reconstruction in Hip Arthroplasty

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Open Journal of Orthopedics 2022年第11期12卷 407-419页

作者： Hoan Do Dang Trang nguyen khac Thanh Dao Xuan Toan Ngo Van Department of General Surgery National Lung Hospital Hanoi Vietnam Hanoi Medical University Hanoi Vietnam Department of Orthopaedic Hanoi Medical University Hospital Hanoi Vietnam Hanoi Medical University Hospital Hanoi Vietnam

Background: This study aimed to propose a classification of acetabular defects in advanced-stage hip tuberculosis based on preoperative radiographs and intraoperative evaluation, thereby providing options for reconstructing each type of defect in hip arthroplasty. Materials and Methods: We conducted a prospective study with 45 patients with active hip tuberculosis at stage IV who were treated with a total hip replacement strategy. We collected the patients’ acetabular defect data from preoperative radiographs and intraoperative observations. The defects were classified into types based on defect severity and reconstructive complexity. The hip replacement outcomes were evaluated at least 12 months after the operation. Results: The classification system includes three types: type I: localized or extensive defects inside the acetabulum, not affecting the acetabular rim, medial wall, or columns. Type II: extensive defects inside the acetabulum, affecting the acetabular rim or (and) medial wall. Type III: extensive defects inside the acetabulum, causing the medial wall and the acetabular column to lose function. Each type has a corresponding reconstruction. The outcome includes that 41/45 patients had excellent results;3/45 patients had good results. The patients had good results due to nerve and muscle damage caused by tuberculosis not related to the acetabular defects. Conclusion: This is a simple, practical classification system of acetabular defects in hip tuberculosis. The outcome of hip reconstruction using this classification was excellent without any cases of dislocation or protrusion.

关键词： Hip Tuberculosis Hip Arthroplasty Acetabular Defect Classification Reconstruction

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Spatio-Temporal Analysis of Drought in the North-Eastern Coastal Region of Vietnam Using the Standardized Precipitation Index (SPI)

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Atmospheric and Climate Sciences 2023年第2期13卷 175-200页

作者： nguyen Van Tuan nguyen Van Hieu nguyen khac Bang Pham Hoang Hai nguyen Khanh Van Le Vinh Ha Tran Thi Hoa Lê Trọng Hiếu Institute of Water Resources Planning Hanoi Vietnam Institute of Environment and Public Health Vietnam Union of Science and Technology Associations Hanoi Vietnam Thai Binh University Thai Binh Vietnam Faculty of Electronics and Telecommunications Electric Power University Hanoi Vietnam

Spatio-temporal analysis of drought provides valuable information for drought management and damage mitigation. In this study, the Standardized Precipitation Index at the time scale of 6 months (SPI-6) is selected to reflect drought conditions in the North-Eastern coastal region of Vietnam. The drought events and their characteristics from 1981 to 2019 are detected at 9 meteorological stations and 10 Chirps rainfall stations. The spatio-temporal variation of drought in the study region is analyzed on the basis of the number, duration, severity, intensity, and peak of the detected drought events at the 19 stations. The results show that from 1981 to 2019 the drought events mainly occurred with 1-season duration and moderate intensity and peak. The number, duration, severity, and peak of the drought events were the greatest in the period 2001-2010 and were the smallest in the period 2011-2019. Among the 19 stations, the drought duration tends to decrease at 11 stations, increase at 7 stations, and has a slight variant at 1 station;the drought severity tends to decrease at 14 stations, increase at 4 stations, and has not a significant trend at 1 station;the drought intensity tends to decrease at 17 stations, increase at 1 station, and has a slight variant at 1 station;and the drought peak tends to decrease at 18 stations and increase at 1 station.

关键词： Spatio-Temporal Analysis of Drought Standardized Precipitation Index (SPI) Drought Characteristics

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