Biomedical subjects

N T Binh

Publications and source records attributed to N T Binh.

4 recordsLinked to original sources

PubMed2006

Urinary catecholamine excretion in tetanus.

Imperfect understanding of the pathophysiology of tetanus has limited therapeutic advances. Autonomic disturbance is a major cause of mortality and is believed to be associated with catecholamine release, predominantly norepinephrine. We measured epinephrine and norepinephrine concentrations in 24-h urine collections from tetanus and critically ill patients suffering from other severe diseases. In patients with severe tetanus, mean (SD) epinephrine was 164.18 (129.37) nmol x day(-1) compared with 45.18 (37.74) nmol x day(-1) in mild-moderate disease (p = 0.008). In the severe group, mean (SD) norepinephrine was 411.64 (208.5), and 121.00 (81.81) nmol x day(-1) in moderately ill patients (p < 0.001). Compared with critically ill control patients, median epinephrine was 331.77 in tetanus patients and 89.70 nmol x day(-1) in controls (p < 0.001). Median norepinephrine concentration was 788.02 nmol x day(-1) in tetanus and 300.05 nmol x day(-1) in control patients, p = 0.006. The study finds a novel result of increased epinephrine excretion in tetanus and confirms that catecholamine excretion in tetanus exceeds that in other critically ill patients. These results should be considered in designing more effective therapeutic strategies.

APACHE↗

PubMed2002

Environmental radionuclides in surface soils of Vietnam.

A database on 238U, 232Th, 40K, and 137Cs in surface soils was established to provide inputs for the assessment of the collective dose to the population of Vietnam and to support soil erosion studies using 137Cs as a tracer. A total of 292 soil samples was taken from undisturbed sites across the territory and the concentrations of radionuclides were determined by gamma spectrometry method. The multiple regression of 137Cs inventories against characteristics of sampling locations allowed us to establish the distribution of 137Cs deposition density and its relationship with latitude and annual rainfall. The 137Cs deposition density increases northward and varies from 178 Bq m(-2) to 1,920 Bq m(-2). High rainfall areas in the northern and central parts of the country have received considerable 137Cs inputs exceeding 600 Bq m-2, which is the maximum value that can be expected for Vietnam from the UNSCEAR global pattern. The mean activity concentrations of naturally occurring radionuclides 238U, 232Th, and 40K are 45, 59, and 401 Bq kg(-1), respectively, which entail an average absorbed dose rate in air of 62 nGy h(-1), which is about 7% higher than the world average.

Cesium Radioisotopes↗

PubMed2002

Derivation of 137Cs deposition density from measurements of 137Cs inventories in undisturbed soils.

The 137Cs inventories in undisturbed soils were measured for 292 locations across the territory of Vietnam. The logarithmic inventory values were regressed against characteristics of sampling sites, such as geographical coordinates, annual rainfall and physico-chemical parameters of soil. The regression model containing latitude and annual rainfall as determinants could explain 76% of the variations in logarithmic inventory values across the territory. The model part was interpreted as the logarithmic 137Cs deposition density. At the 95% confidence level, 137Cs deposition density could be predicted by the model within +/- 7% relative uncertainty. The latitude mean 137Cs deposition density increases northward from 237 Bq m(-2) to 1097 Bq m(-2), while the corresponding values derived from the UNSCEAR (1969) global pattern are 300 Bq m(-2) and 600 Bq m(-2). High 137Cs inputs were found in high-rainfall areas in northern and central parts of the territory.

Cesium↗

PubMed2001

Management of childhood acute respiratory infections at private pharmacies in Vietnam.

OBJECTIVE: To investigate the knowledge and practice among private pharmacy staff in Hanoi regarding case management of mild acute respiratory infection (ARI) in children. METHODS: Sixty private pharmacies in Hanoi were randomly selected. Knowledge was assessed through interviews with pharmacy staff using a questionnaire; practice was assessed through the Simulated Client Method. RESULTS: In the questionnaire, 20% of the pharmacy staff stated that they would dispense antibiotics. In practice, 83% of the pharmacies dispensed antibiotics. Only 36% of the cases were handled according to guidelines. In the questionnaire, 81% of interviewees stated that antibiotics are not effective in short therapeutic courses. In practice, 48% of the antibiotics were dispensed in courses less than five days. Traditional herbal medicines were dispensed in 41% of the encounters. In the questionnaire, 53% of the pharmacy staff stated that they would ask the patient about difficulty of breathing. In practice, questions related to difficulty of breathing were asked in less than 10% of the encounters. CONCLUSIONS: Dispensing of antibiotics for mild ARI was common practice among private pharmacies, and there was a significant difference between knowledge and practice. Interventions are needed to improve pharmacy practice in Hanoi.

Acute Disease↗