PURPOSE:Sarcopenia is a prevalent geriatric syndrome, particularly among the elderly with chronic musculoskeletal diseases, where it exacerbates the risk of functional decline and reduced quality of life. This study aimed to describe the prevalence of muscle weakness and wasting and to investigate some factors related to these 2 syndromes in the elderly with coexisting knee osteoarthritis and chronic spinal pain. METHODS:A cross-sectional descriptive study enrolled 88 elderly patients (aged ≥60 years) at the musculoskeletal department of Thai Binh General Hospital between May 2024 and October 2024. Muscle weakness was defined according to the Fried criteria, and muscle wasting was diagnosed based on the criteria of the Asian Working Group for Sarcopenia. Data were collected via direct interviews and clinical examinations with measurements, including muscle strength measurement (handgrip strength using the InGrip device), walking speed (by the 15-foot walk test), and body composition analysis using the Inbody 770 machine (using the bioelectrical impedance analysis method). Statistical analysis was performed using SPSS 27.0 software, and multivariate regression was used to investigate a number of related factors, with p < 0.05 being considered statistically significant. RESULTS:Among the 88 elderly patients, the overall prevalence of sarcopenia was 40.9% (including 23.9% sarcopenia and 17.0% severe sarcopenia), while the prevalence of frailty was 9.1%. Notably, the co-occurrence of both syndromes was significantly higher in men than in women (21.1% vs. 4.3%, p = 0.037), a novel and clinically important finding. After multivariate regression analysis, age was the only significant independent risk factor and those over 70 years old had a 9.0-fold higher risk of developing the condition compared to those aged 60 - 65 years (adjusted odds ratio = 9.0; 95% confidence interval: 2.4 - 33.6). CONCLUSION:The high prevalence of sarcopenia, with advanced age identified as the most critical independent risk factor, underscores its significant burden in this patient population. These findings highlight the urgent need for early screening and the development of targeted intervention strategies, particularly for high-risk groups such as those aged over 70 years.
To describe the clinical profile of ear–nose–throat (ENT) diseases among primary school children in mountainous northern Vietnam and to analyze associated demographic, nutritional, and classroom environmental factors. A school-based cross-sectional study was conducted in four primary schools in Sa Pa, Lao Cai. A total of 422 pupils in Grades 1–5 with complete data were included. Standardized interviews and clinical ENT examinations were conducted, and anthropometric indices were converted to WHO Z-scores (WAZ, HAZ, BAZ). Classroom environments were evaluated following TCVN 13521:2022, including measurements of temperature, humidity, air velocity, CO₂, particulate matter (PM₂.₅, PM₁₀), and bioaerosols (bacteria, fungi, CFU/m³). Statistical analyses used χ² and t-tests. Half of the children (50.9
Mục tiêu: Đánh giá kết quả phẫu thuật ung thư đại tràng phải tại Trung tâm Ung bướu - Bệnh viện Đa khoa tỉnh Thái Bình giai đoạn 2021 - 2023. Đối tượng và Phương pháp: nghiên cứu thuần tập hồi cứu trên 43 bệnh nhân ung thư biểu mô tuyến đại tràng phải giai đoạn II- III được phẫu thuật triệt căn tại trung tâm ung bướu - bệnh viện đa khoa tỉnh Thái Bình từ 1/2021- 12/2023. Ghi nhận các chỉ tiêu đánh giá: giai đoạn bệnh; Thời gian nằm viện sau phẫu thuật và kết quả sau phẫu thuật. Kết quả: Độ tuổi trung bình là 65,63 ± 11,75 tuổi. Hầu hết rơi vào nhóm tuổi từ 60 đến dưới 80 tuổi chiếm tỷ lệ là 67,4%. Có 53,5% là biệt hóa vừa, 27,9% là biệt hóa cao, có 11,6% là không biệt hóa và có 7,0% là biệt hóa thấp. Giai đoạn IIA là 9,3%, giai đoạn IIB là 44,2%, giai đoạn IIC là 2,3%, giai đoạn IIIA là 34,9%, giai đoạn IIIB và IIIC là 4,7%. Thời gian nằm viện sau phẫu thuật trung bình là 8,44 ± 1,3 ngày. Ngắn nhất là 7 ngày và dài nhất là 13 ngày. Nhóm nằm viện 8 ngày chiếm tỷ lệ cao nhất với 62,8%. Kết quả tốt sau mổ (Clavien-Dindo I-II) chiếm 90,7%, Tỷ lệ không tái phát sau mổ 36 tháng là 88,4%. Tỷ lệ bệnh nhân còn sống đến thời điểm kết thúc nghiên cứu là 93%. Kết luận: phẫu thuật điều trị ung thư đại tràng phải tại Trung tâm ung bướu- Bệnh viện đa khoa Thái Bình cho kết quả an toàn và hiệu quả bước đầu khả quan.
We report here the genome of a mumps virus isolate obtained by next-generation sequencing from Vero E6 cell culture supernatant of cerebrospinal fluid from a 7-year-old boy who presented with meningitis in Vietnam. It belongs to genotype N and is most closely related to mumps virus strains L-Zagreb and L3.
Background Acute compartment syndrome of the leg is a well-documented orthopedic emergency; however, cases missed following open reduction and internal fixation (ORIF) of tibial plateau fractures are rarely reported. Delayed diagnosis can lead to severe sequelae such as foot deformity and functional impairment, posing significant challenges for rehabilitation. Case Presentation We report the case of a 41-year-old female presenting with chronic sequelae of missed compartment syndrome 6 months after ORIF for a Schatzker II tibial plateau fracture. Clinical presentation included progressive equinus deformity, ankle stiffness, loss of active dorsiflexion, sensory disturbance in the anterolateral leg and dorsum of the foot, and an inability to maintain a plantigrade foot during ambulation. The patient underwent a comprehensive late reconstruction strategy, comprising percutaneous Achilles tendon lengthening, common peroneal nerve release, deep flexor tendon release, and the Bridle procedure to restore active dorsiflexion. Results At the 6-year follow-up, the patient achieved a plantigrade foot, improved gait mechanics without equinus deformity, restoration of active dorsiflexion, and sensory recovery. The AOFAS Ankle-Hindfoot Scale score was 73/100, indicating good functional recovery. Conclusion Missed compartment syndrome after ORIF of tibial plateau fractures can cause severe functional impairment if not recognized early. In chronic cases, a personalized reconstruction strategy combining tendon lengthening, nerve release, and tendon transfer can provide sustained functional improvement, even when intervention is delayed.
