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They found us whenever symptoms became even worse and for that reason required extended treatment with special intensive care services. The atypical and easily confused symptoms are the reasons which make the condition be detected late; leading to a much greater cost of therapy while the complication can take place within the client. In past times, patients with these manifestations had been diagnosed with unexplained encephalitis and severe sequelae or death. Autoimmune encephalitis has its own types; NMDA encephalitis connected with ovarian teratoma is one of common autoimmune encephalitis in ladies. CONCLUSION In conclusion, based on the instance report, we hope to add some experiences on the analysis and the strategy at the beginning of therapy. With many feminine patients at really young age, very early treatment to avoid problems may help patients have actually a quality life and maintain reproductive function. Copyright © 2019 Nguyen Phuong Tu, Pham Ba Nha, Nguyen Duy Hung, Nguyen Hoang Minh, Hoang Ngoc Anh, Thien Chu Dinh.BACKGROUND Spirulina platensis includes a large amount of chlorophylls, chlorophyll a, which are starting products to synthesize functionalized chlorins. Chlorin e6 (Ce6) along with its types are second generation sensitizers using in photodynamic therapy (PDT) of various cancers. In this research, we transfer chlorophyll a of S. platensis to Ce6 derivatives and figure out their several programs. AIM We aimed to gauge the results of Ce6 derivatives to deal with cancer cells. METHODS Ce6 trimethylester was created from methyl pheophorbide a2 in S. platensis provided by the Hidumi Company, Nghe An province, Viet Nam. Hela cells had been incubated with Ce6 trimethylester and also the irradiated using the diode laser dose of 1.2 J/cm2/min through the system of filters £ 650 nm. MTT assay and clonogenic assay were utilized saracatinib inhibitor to determine survival rate and cloning efficiency of cells. Antimicrobial aftereffect of Ce6 trimethylester with halogen light had been examined with Propionibacterium acnes VTCC 0218 and Staphylococcus aureus VTCancer and pimples. Copyright © 2019 Hoa Thi Hai Bui, Tam Thi Pham, Hien Thi Thu Nguyen, Trung Minh Do, Vu Thi Nga, Nguyen Duy Bac, Vu Thi Bich Huyen, Hai Minh Le, Quang Canh Tran.BACKGROUND Hepatocellularcarcinoma (HCC) metastasis consist of intrahepatic and extrahepatic metastasis. Much like intrahepatic metastasis, extrahepatic metastases aren't unusual in instances with HCC. Nevertheless, colonic metastasis is infrequent. CASE REPORT We describe a clinical situation, he was clinically determined to have HCC a-year ago, addressed with TACE (transarterialchemoembolisation), re-examined with abdominal pain and defecation disorder. The tests such as for example CT scan, colorectal endoscopy, fine needle aspiration (FNA) unveiled additional metastatic lesion of HCC in sigmoid colon. This is basically the very first gastrointestinal (GI) tract metastatic we have encountered. CONCLUSION HCC metastases of the colon tend to be rare, specifically situations of hematogenous spread. The prognosis of the clients is actually very vital. Indications for surgery of this lesion can be utilized in the event that general circumstance of client is acceptable. Copyright © 2019 Binh Van Pham, Huynh Huu Phan, Lam Le Ngo, Hang Thi Thuy Nguyen, Ky Van Le, Thien Chu Dinh, Nguyen Duy Bac.BACKGROUND The femoral rotation position is essential element in total leg replacement (TKR). Try to determine this position, we determine through the axes the transepicondylar axis (cTEA and sTEA), the posterior condylar axis (PCA), the anteroposterior axis (APA - Whiteside axis). PRACTICES Measuring the sides developed by the four axes cTEA, sTEA, PCA and APA in magnetic resonance imaging (MRI); identifying the femoral rotation angle and application TKR. OUTCOMES the position between APA and cTEA 90.41° ± 3.35°, the position between APA and sTEA 94.47° ± 3.31°, the position between APA and PCA 96.40° ± 4.59°, the perspective between cTEA and sTEA 4.00° ± 1.02°, the perspective between cTEA and PCA 6.53° ± 2.55°, the direction between sTEA and PCA 3.48° ± 1.91°. SUMMARY The angle between sTEA and PCA could be the angle that best presents the femoral rotation direction. Nevertheless, in case there is sTEA or PCA is hard to recognize, it could be measure via the APA or cTEA. These angles don't vary by age, sex and place of knee joint. Copyright © 2019 Dung Tran Trung, Phuong Nguyen Huy, Tung Pham Son, Thien Chu Dinh, Toi Chu Dinh.BACKGROUND The posterior cruciate ligament (PCL) is a must to restrain the posterior translation of the tibia. Its anatomical structure is complex. An effective knowledge of PCL anatomy may assist doctor in reconstructing anatomically native PCL. AIM To describe the anatomical numerical measurement associated with PCL in Vietnamese grownups. METHODS Twenty-one fresh cadaveric knees had been examined. The macroscopic details of the intra-articular PCL, the attachment of this anterolateral bundle (ALB), posteromedial bundles (PMB) to the femur and tibia were analysed. We used an electronic digital camera to photograph the cadaveric specimens and used the ImageJ software to analyse the collected pictures. RESULTS The ALB and PMB length were 35.5 ± 2.78 and 32.6 ± 2.28 mm, correspondingly. The littlest therefore the biggest diameter of center third associated with PCL had been 5.9 ± 0.71 and 10.0 ± 1.39 mm, respectively. The area of cross section of center 3rd regarding the PCL was 53.6 ± 12.37 mm2. The femoral insertion section of ALB and PMB were 88.4 ± 16.89 and 43.5 ± 8.83 mm2, correspondingly. The distance through the main point of femoral ALB, PMB, and total PCL insertion into the Blumensaat line had been 5.5 ± 0.91, 11.5 ± 1.98, and 7.6 ± 1.42 mm, respectively. The shortest distance from medial femoral cartilage rim towards the main point of femoral ALB, PMB, and complete PCL insertion were 7.0 ± 0.79, 7.3 ± 0.95, and 7.8 ± 1.73 mm, respectively. The tibial insertion area of ALB and PMB were 84.5 ± 12.52 and 47.8 ± 6.20 mm2 correspondingly. The shortest distance from the posterior cartilage spot regarding the medial tibial plateau to the central point of ALB, PMB, and total PCL insertion to tibia were 8.5 ± 1.02, 9.4 ± 1.11, and 8.3 ± 1.1 mm, respectively.
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