Abstract: Tóm tắt Đặt vấn đề: Đánh giá chức năng tình dục bằng bảng câu hỏi rối loạn chức năng tình dục (SDQ) ở người bệnh trượt đốt sống thắt lưng-cùng được phẫu thuật. Đối tượng và phương pháp nghiên cứu: 60 người bệnh trượt đốt sống thắt lưng cùng được phẫu thuật hàn xương liên thân đốt lối sau (PLIF) từ 09/2020 - 05/2021 tại khoa ngoại Tiết niệu - Thần kinh, Bệnh viện Đại học Y Dược Huế. Kết quả: Có 48,33% người bệnh có đời sống tình dục rối loạn tình dục do trượt đốt sống (với mức SDQ 〉 49 điểm). Có sự tương quan giữa vị trí trí trượt (L3-L4), và tình trạng công việc (thất nghiệp) với tình trạng rối loạn tình dục (p = 0,029 và p = 0,03). Phẫu thuật liên quan đến sự cải thiện đáng kể đến triệu chứng đau của người bệnh với thang điểm đau VAS sau 1 tháng điều trị (p = 0,001), tuy nhiên chưa thấy có sự cải thiện đáng kể trong đời sống tình dục của người bệnh với p = 0,908. Có sự liên quan giữa thang điểm Oswestry mục 8 với triệu chứng suy giảm chức năng tình dục của người bệnh trượt đốt sống tại điểm cắt (cut-off) là 3 điểm. Kết luận: Phẫu thuật trượt sống thắt lưng cùng mang lại sự cải thiện đáng kể về triệu chứng đau, tuy nhiên chưa góp phần đáng kể trong sự phục hồi triệu chứng rối loạn chức năng tình dục. Vị trí trượt L3-L4, tình trạng mất việc và điểm ODI mục 8 〉 3 điểm là những yếu tố có liên quan đến tình trạng rối loạn đời sống tình dục của người bệnh. Từ khóa: Rối loạn chức năng tình dục, bảng câu hỏi rối loạn chức năng tình dục, thang điểm Oswestry mục 8, trượt đốt sống thắt lưng-cùng, VAS. Abstract Introduction: To evaluate the sexual function of patients treated with Posterior Lumbar Interbody Fusion Surgery by using the Sexual Dysfunction Questionnaire. Subjects and methods: 60 patients with lumbosacral spondylolisthesis had Posterior Lumbar Interbody Fusion Surgery (PLIF) from 9/2020 - 5/2021 at Hue University Hospital. Results: 48.33% of patients have sexual disorder due to lumbar spondylolisthesis (with SDQ 〉 49 points). There was a correlation between L3-L4 spondylolisthesis and job status (out of work) and sexual disorder status (p = 0.029 and p = 0.03). Surgery was associated with a significant improvement in the patient's pain symptoms with a VAS score after 1 month of treatment (p = 0.001), but no significant improvement in the sex life was observed (p = 0.988). There was a relationship between the Item 8 of ODI and the symptom of sexual dysfunction in patients with lumbar spondylolisthesis at the cut-off of 3 points. Conclusion: lumbosacral spondylolisthesis Surgery offers a significant improvement in pain symptoms but does not significant improvement in symptoms of sexual dysfunction. L3-L4 spondylolisthesis, out of work, and Item 8 of ODI 〉 3 points are risk factors for sexual dysfunction. Keywords: Sexual dysfunction, SDQ, Item 8 of ODI, spondylolisthesis, VAS.

Abstract: Gelatinase is an extracellular metalloprotease and is capable of hydrolyzing gelatine, collagen, elastin, etc., which is used in processing industries, food technology and research. In this study, 216 bacterial strains isolated from diseased fishes were examined their ability to produce gelatinase. As a result, eleven strains (5.09%) were positive for gelatinase production. Gelatinase activity ranged from 0.3 to 0.64 U/ mL, in which the strain MD4 showed the highest gelatinase activity (0.64 ± 0.11 U/mL). Strain MD4 grew in the range of temperature from 25 to 45°C (optimum at 37°C), pH 4.0 ÷ 10.0 (optimum at pH 7.0), and NaCl concentration from 0.5 to 5% (optimum at 4%). Strain MD4 was characterized as Gram-positive, spheroidal, non-spore-forming, non-spore organism. As a consequence, strain MD4 was selected and genetically identificated using 16S rRNA gene sequence analysis. The 16S rRNA sequence of strain Enterococus faecalis MD4 (GenBank accession No. MG982575.1.) shared 99% identity with Enterococus faecalis NBRC 100480.

Abstract: Currently, there is a large gap between the demand and supply source of organ tissues for donation. The present study aims to investigate knowledge, attitude, and willingness to donate organs and its associated factors among students of Hue University. A cross-sectional descriptive study design was performed on 1244 students from April 2020 to October 2020. Direct interviews were used to collect the data based on a structured questionnaire. We found that 41% of students were classified as having good knowledge, and 57.5% had. a positive attitude. The mean score (±SD) of knowledge and attitude were 8.7±2.4 and 5.6±1.9, respectively. Nearly 1 in 4 students (24.6%) accepted in principle the donation of organs after death/brain death, but only 2.1% of students agreed to sign the resisted form for tissue donation, human organs. The multivariate logistics regression analysis indicated that age knowledge and attitude were significantly correlated to participants' willingness to donate organs. The older students, with adequate knowledge, and a positive attitude were more likely to accept donated organs, with an adjusted Odd ratio (ORadj) of 1.67, 1.68, and 8.25, respectively. Therefore, an early education curriculum is necessary for students to enhance their knowledge and attitude regarding donating organs among students

Abstract: Đái tháo đường (ĐTĐ) tuýp 2 là một trong những căn bệnh có xu hướng ngày càng tăng với nhiều biến chứng nguy hiểm, trong đó có nguy cơ gia tăng các tổn thương hệ tim mạch. Ước tính khoảng 75% bệnh nhân ĐTĐ tuýp 2 tử vong do hậu quả của các bệnh tim mạch. Tuy nhiên, ở Việt Nam chưa có nhiều nghiên cứu đánh giá nguy cơ mắc bệnh tim mạch trong 10 năm theo thang điểm Framingham (Framingham Risk Score - FRS) ở bệnh nhân ĐTĐ tuýp 2. Để dự đoán nguy cơ mắc bệnh tim mạch trong 10 năm và các yếu tố liên quan đến tình trạng này, chúng tôi tiến hành nghiên cứu theo phương pháp mô tả, cắt ngang trên 139 bệnh nhân (62 nam và 77 nữ) ĐTĐ tuýp 2, có độ tuổi trung bình 66,31 ± 8,88, cho thấy chủ yếu các bệnh nhân thuộc nhóm nguy cơ rất cao (41,7%), nguy cơ cao (17,3%), nguy cơ trung bình (20,9%) và nguy cơ thấp (20,1%). Nguy cơ mắc bệnh tim mạch cao hơn ở bệnh nhân nam, trên 60 tuổi, chỉ số khối cơ thể cao, có tình trạng rối loạn lipid máu. Với bệnh nhân ĐTĐ tuýp 2 kèm theo tăng huyết áp có khả năng làm tăng nguy cơ ở mức rấtcao lên 10,784 lần.

Abstract: Today, the incidence of type 2 diabetes mellitus is increasing rapidly on global. This disease is shown with many complications that significantly affect public health. One of them is kidney complications, which have a high incidence among diabetic patients in Vietnam (25.6-33.1%). Age, history of hypertension, and dyslipidemia are considered to be the main risk factors for diabetic nephropathy. Thus, early detection of these factors for kidney damage is significant for diagnosing, monitoring, treatment, and prognosis of diabetic patients. Our descriptive, cross-sectional study conducting on 120 diabetic patients at E Hospital has observed that blood cholesterol levels, HbA1c levels were independently related to eGFR decline below 60 mL/min/1.73m2. From those data, an equation to predict the risk of diabetic kidney disease was estimated as p =  with k = Keyword: Type 2 diabetes, Diabetic nephropathy, Risk factor Today, the incidence of type 2 diabetes mellitus is increasing rapidly on global. This disease is shown with many complications that significantly affect public health. One of them is kidney complications, which have a high incidence among diabetic patients in Vietnam (25.6-33.1%). Age, history of hypertension, and dyslipidemia are considered to be the main risk factors for diabetic nephropathy. Thus, early detection of these factors for kidney damage is significant for diagnosing, monitoring, treatment, and prognosis of diabetic patients. Our descriptive, cross-sectional study conducting on 120 diabetic patients at E Hospital has observed that blood cholesterol levels, HbA1c levels were independently related to eGFR decline below 60 mL/min/1.73m2. From those data, an equation to predict the risk of diabetic kidney disease was estimated as p =  with k = Keyword Type 2 diabetes, Diabetic nephropathy, Risk factor. References [1] N. H. Cho, J. Kirigia, J. C. Mnanya, K. Ogurstova, L. Guraiguata, W. Rathmann, G. Roglic, N. Forouhi, R. Dajani, A. Esteghmati, E. Boyko, L. Hambleton, O. L. M. Neto, P. A. Montoya, S. Joshi, J. Chan, J. Shaw, T.A. Samuels, M. Pavkov, A. Reja, IDF Diabetes Atlas Eight Edition, International Diabete Federation, England, 2017.[2] N. T. Khue, Diabetes – General Endocrinology, Ho Chi Minh Publisher, Ho Chi Minh city, 2003 (in Vietnamese). [3] H. H. Kiem, Clinical Nephrology, Medical Publishing House, Hanoi, 2010 (in Vietnamese). [4] T. H. Quang, Practice Diabetes - Endocrine Disease, Medical Publishing House Hanoi, Hanoi, 2010 (in Vietnamese). [5] D. T. M. Hao, T. T. A. Thu, Diabetic Kidney Disease: Attention Problems, Vietnam Journal of Diabetes and Endocrinology, Vol. 38, 2020, pp. 12-17 (in Vietnamese), https://doi.org/10.47122/vjde.2020.38.2. [6] K. Tziomalos, A. Vasilios G, Diabetic Nephropathy: New Risk Factors and Improvements in Diagnosis, The Review of Diabetic Studies: RDS, Vol. 12, No. 1-2, 2015, pp. 110-118, https://doi.org/10.1900/RDS.2015.12.110.[7] American Diabetes Association, 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2020, Journal Diabetes Care, Vol. 43, No. 1, 2020, pp. S14, https://doi.org/10.2337/dc20-S002.[8] A. S. Levey, J. Coresh, E. Balk, A. T. Kausz, A. Levin, M. W. Steffes, R. J. Hogg, R. D. Perrone, J. Lau, G. Eknoyan, National Kidney Foundation Practice Guidelines for Chronic Kidney Disease: Evaluation, Classification, and Stratification, Ann Intern Med, Vol. 139, 2003, pp. 137-147, https://doi.org/10.7326/0003-4819-139-2-200307150-00013.[9] D. S. Freedman, M. Horlick, G. S. Berenson, A Comparison of The Slaughter Skinfold-thickness Equations and BMI in Predicting Body Fatness and Cardiovascular Disease Risk Factor Levels in Children, The American Journal of Clinical Nutrition, Vol. 98, No. 6, 2013, pp. 1417-1424, https://doi.org/10.3945/ajcn.113.065961.[10] National Heart, Lung and Blood Institutes, National Cholesterol Education Program: ATP III Guidelines at-a-glance Quick Desk Reference, https://www.nhlbi.nih.gov/files/docs/guidelines/atglance.pdf, (accessed on: 5th April 2021).[11] K. Eckardt, B. Kasiske, D. Wheeler, K. Uhlig, D. Miskulin, A. Earley, S. Haynes, J. Lamont, KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease: Definition and Classification of CKD, Kidney International Supplements, Vol. 3, 2013, pp. 5-14, https://doi.org/10.1038/kisup.2012.77.[12] I. H. Boer, M. L. Caramori, J. C. N. Chan, H. J. L. Heerspink, C. Hurst, K. Khunti, A. Liew, E. D. Michos, S. D. navaneethan, P. Rossing, W. A. Olowu, T. Sadusky, N. Tandon, K. R. Tuttle, C. Wanner, K. G. Wilkens, S. Zoungas, KDIGO 2020 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease, Kidney international, Vol. 98, No. 4S, 2020, pp. S1-S115, http://dx.doi.org/10.1016/j.kint.2020.06.019.[13] B. T. T. Huong, N. T. Giang, Values of Cystatin C in Early Diagnosis of Renal Disease in Patients with Typ 2 Diabetes in Thai Nguyen National Hospital, Vietnam Medical Journal, Vol. 498, No. 2, 2021, pp. 13-17 (in Vietnamese).[14] L. X. Truong, N. D. Tai, T. Q. P. Linh, T. T. Nhung, The Prevalence of The Positive Microalbumin Urine in The Type 2 Diabetic Patients at District 2 Hospital, Y Hoc TP. Ho Chi Minh, Vol. 22, No. 2, 2018, pp. 139-143 (in Vietnamese).[15] S. Yi, S. Park, Y. Lee, H Park, B. Balkau, J. Yi, Association Between Fasting Glucose and All-cause Mortality According to Sex and Age: A Prospective Cohort Study, Scientific Reports, Vol. 7, No. 1, 2017, pp. 1-9, https://doi.org/10.1038/s41598-017-08498-6.[16] R. Gupta, M. Sharma, N. K. Goyal, P. S. Lodha, K. K. Sharma, Gender Differences in 7 Years Trends in Cholesterol Lipoproteins and Lipids in India: Insights From A Hospital Database, Indian Journal of Endocrinology Metabolism, Vol. 20, No. 2, 2016, pp. 211-8, https://doi.org/10.4103/2230-8210.176362.[17] X. Zhang, Z. Meng, X. Li, M. Liu, X. Ren, M. Zhu, Q. He, Q Zhang, K. Song, Q. Jia, C. Zhang, X Wang, X. Liu, The Association Between Total Bilirubin and Serum Triglyceride in Both Sexes in Chinese, Lipids In Health and Disease, Vol. 17, No. 1, 2017, pp. 1-8, https://doi.org/10.1186/s12944-018-0857-7.[18] S. Palazhy, V. Viswanathan, Lipid Abnormalities in Type 2 Diabetes Mellitus Patients with Overt Nephropathy, Diabetes Metabolism Journal, Vol. 41, No. 2, 2017, pp. 128-134, https://doi.org/ 10.4093/dmj.2017.41.2.128.[19] R. I. Papacocea, D. Timofte, M. Tanasescu, A. Balcangiu stroescu, D. G. Balan, A. Tulin, O. Stiru, I. A. Vacaroiu, A. Mihai, C. C. Popa, C. Cosconel, M. Enyedi, D. Miricescu, L. Raducu, D. Ionescu, Kidney Aging Process and The Management of The Elderly Patient with Renal Impairment, Experimental and Therapeutic Medicine, Vol. 21, 2021, pp. 266, https://doi.org/10.3892/etm.2021.9697.[20] R. D. Lindeman, Overview: Renal Physiology and Pathophysiology of Aging, Am J Kidney Dis, Vol. 16, 1990, pp. 275–282, https://doi.org/10.1016/s0272-6386(12)80002-3.[21] G. Zoppini, G. Targher, M. Chonchol, V. Ortalda, C. Negri, V. Stoicio, E. Bonora, Predictors of Estimated GFR Decline in Patients With Type 2 Diabetes and Preserved Kidney Function, Clinical Journal of the American Society of Nephrology, Vol. 7, No. 3, 2012, pp. 401-408, https://doi.org/10.2215/CJN.07650711.[22] R. Trevisan, A. R. Dodesini, G. Lepore, Lipids and Renal Disease, Journal of the American Society of Nephrology, Vol. 17, No. 2-4, 2006, pp. S145-S147. https://doi.org/10.1681/ASN.2005121320.[23] V. T. Samuel, G. I. Shulman, Mechanisms for Insulin Resistance: Common Threads and Missing Links, Cell, Vol. 148, No. 5, 2012, pp. 852-871, https://doi.org/10.1016/j.cell.2012.02.017.[24] W. Patricia, D. Gloria Michelle, F. Alessia, Systemic and Renal Lipids in Kidney Disease Development and Progression, American Journal of Physiology-Renal Physiology, Vol. 310, No. 6, 2016, pp. F433-F445, https://doi.org/ 10.1152/ajprenal.00375.2015.[25] F. M. Sacks, M. P. Hermans, P. Fioretto, P. Valensi, T. Davis, E. Horton, C. Wanner, K. A. Rubeaan, I. Barzon, L. Bishop, E. Bonora, P. Bunnag, L. Chuang, C. Deerochanawong, R. Goldenberg, B. Harshfiled, C. Hernandez, S. H. Botein, H. Itoh, W. Jia, Y. Jiang, T. Kadowaki, N. Laranjo, L. Leiter, T. Miwwa, M. Odawara, K. Ohashi, A. Ohno, C. Pan, J. Pan, J. P. Botet, Z. Reiner, C. M. Rotella, R. Simo, M. Tanaka, E. T. Reiner, D. T. Barima, G. Zoppini, V. J. Carey, Association between Plasma Triglycerides and High-density Lipoprotein Cholesterol and Microvascular Kidney Disease and Retinopathy in Type 2 Diabetes Mellitus: A Global Case–control Study In 13 Countries, Circulation. Vol. 129, No. 9, 2014, pp. 999-1008, https://doi.org/10.1161/CIRCULATIONAHA.113.002529.[26] Y. Wang, X. Qiu, L. Lv, C. Wang, Z. Ye, S. Li, Q. Liu, T. Lou, X. Liu, Correlation Between Serum Lipid Levels and Measured Glomerular Filtration Rate In Chinese Patients With Chronic Kidney Disease, PLoS One, Vol. 11, No. 10, 2016, pp. e0163767, https://doi.org/10.1371/journal.pone.0163767.[27] N. J. Radcliffe, J. Seah, M. Clarke, R. J. 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Abstract: Mục tiêu: Đánh giá hiệu quả chuyển phôi sau PGT-M kết hợp PGT-A trên nhóm bệnh nhân mang bất thường di truyền đơn gen gây ra một số bệnh hiếm bao gồm: teo cơ tủy, tạo xương bất toàn, loạn dưỡng cơ Duchenne, loạn dưỡng cơ gốc chi, Hemophilia A và B. Đối tượng và phương pháp nghiên cứu: Báo cáo loạt ca được thực hiện trong thời gian từ tháng 5/2020 đến tháng 3/2021 tại khoa Hỗ trợ sinh sản và Nam học, bệnh viện Phụ sản Hà Nội. Đối tượng là những cặp vợ chồng có tiền sử mang thai hoặc sinh con mắc các bệnh lý do rối loạn di truyền đơn gen, đã xác định được gen đột biến. Bệnh nhân được thực hiện thụ tinh trong ống nghiệm, phân tích di truyền của phôi giai đoạn ngày 5 hoặc 6 qua 2 bước: (1) Xét nghiệm rối loạn di truyền đơn gen, (2) Xét nghiệm bất thường lệch bội (Preimplantation Genetic testing for aneuploidy -PGT-A). Phôi được lựa chọn dựa trên kết quả di truyền để chuyển vào buồng tử cung người mẹ. Kết quả: Có 21 cặp vợ chồng đủ điều kiện tham gia chương trình, tạo được 120 phôi nang. Trong 120 phôi được thực hiện xét nghiệm PGT- M có 54 phôi (45%) không mang gen bệnh hoặc ở dạng dị hợp tử không gây bệnh và tiếp tục thực hiện PGT-A, kết quả có 51,9% phôi nguyên bội, 14,8% phôi thể khảm, 33,3% phôi lệch bội. 14 bệnh nhân được tiến hành chuyển phôi, kết quả 12 bệnh nhân có thai (85,7%), hiện có 6 bệnh nhân sinh con khỏe mạnh. Kết luận: PGT-M là phương pháp hiệu quả và lựa chọn hàng đầu cho những cặp vợ chồng có mang các rối loạn di truyền đơn gen, giúp tăng cơ hội sinh con khỏe mạnh, giảm gánh nặng cho gia đình và xã hội.

Abstract:  The incidence of type 2 diabetes mellitus is rapidly increasing, with many complications pressured on the health care system. Complications of diabetes due to chronic hyperglycemia related to other metabolic disorders, causing damage to the microvascular system. Among them, damaged kidney vessels lead to impair the renal function as diabetic nephropathy is the most common cause of end-stage renal disease. Measurement of glomerular filtration rate (GFR) is an important parameter in assessing renal function. In Vietnam’s hospital, serum creatinine is the biomarker mostly used to assess GFR. However, this biomarker is affected many factors such as gender, age, ... Many studies showed that serum Cystatin C is another biomarker that can detect early decline in GFR, less affected by other factors. Therefore, we conducted this study to explore serum cystatin C and creatinine levels in patients with type 2 diabetes and initially compare GFR in applying formulas of CKD.EPI 2012 and age and sex factors with these two biomarkers on those patient groups. The prospective, descriptive, cross-sectional study was performed on 50 patients with type 2 diabetes. Serum Cystatin C, serum creatinine test was performed and GFR was estimated by CKD.EPI 2012 equation. The results showed that the average serum Cystatin C level of the study group was 0.87 ± 0.24 mg/L that expressed no difference between two genders, and significant difference between age groups. Whereas, the average serum creatinine level of the study group was 81.30 ± 19.70 µmol/L, significant difference between male and female but not difference between age groups. In patients with GFR 〈 60 mL/min/1.73m2, serum creatinine and cystatin C levels were higher than normal but there was no difference with the upper limit in the normal reference range of the two indications. Keyword Type 2 diabetes, serum cystatin C, serum creatinine, glomerular filtration rate. References [1] N.H. Cho, J. Kirigia, J.C. Mnanya, K. Ogurstova, L. Gủaiguata, W. Rathmann, G. Roglic, N. Forouhi, R. Dajani, A. Esteghmati, E. Boyko, L. Hambleton, O.L.M. Neto, P.A. Montoya, S. Joshi, J. Chan, J. Shaw, T.A. Samuels, M. Pavkov, A. Reja, IDF Diabetes Atlas eight edition, International Diabete Federation, 2017. http://fmdiabetes.org/wp-content/uploads/2018/03/IDF-2017.pdf (access 15 july 2019).[2] G. Xu, B. Liu, Y. Sun, Y. Du, L.G. Snetselaar, F.B. Hu, W. Bao, Prevalence of diagnosed type 1 and type 2 diabetes among US adults in 2016 and 2017: population based study, British Medical Journal 361 (2018) k1497. https://doi.org/ 10.1136/bmj.k1497.[3] N.T.T. Minh, N.K. Luong, N.K. Son, The clinical and subclinical characteristics in patients with diabetes mellitus treated at Thai Nguyen General hospital, Journal of pratical medicine 787 (2011) 25-8.[4] N.T.H. Lan, L.D. Tuan, Survey characteristics of renal complication in elderly type 2 diabetes outpatients treated at National Hospital of Endocrinology, Journal of Military Pharmaco-medicine 6 2017 55-62. [5] Mohsen Pourghasem, Hamid Shafi, Zahra, Histological changes of kidney in diabetic nephropathy, Caspian J Intern Med 6(3) (2015) 120-7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4650785/pdf/cjim-6-120.pdf (access 16 july 2019).[6] D.W. Powell, D.N. Kenagy, S. Zheng, S.C. Coventry, J. Xu, L. Cai, E.C. Carlson, P.N. 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Abstract: Solanum torvum Swartz, belonging to the family Solanaceae, a herb known as “Ca dai hoa trang”, “Ca hoang gai”, “Ca nong”, or “Ca du” in Vietnam, is widely distributed in Vietnam. Solanum torvum has been used as folk medicine to treat various illnesses, such as stomachache, cough, fever, toothache, and bee stings. As a part of our research on genus Solanum in Vietnam, three natural compounds including paniculonin A (1), paniculonin B (2), and isorhamnetin-3-O-glucopyranoside (3) were isolated from the water layer of Solanum torvum collected in Thua Thien - Hue. This is the first time compound 3 was isolated from this species.