Totally 179 children aged from 6 months to 15 years from 2 villages Taja and Na Cang, Than Uyen district, Lao Cai province was investigated clinically and hematologically. Among them, 99 were boys and 80 girls. The results show that prevalance of anemia among these children was as high as 49.7%. 50 anemic from children 89 had hemoglobin disorder. All children with moderate and severe anemia had hemoglobin-diseases. From the result above we suggest that thalassemia and HbE are serious cause for anemia in children from the region. It is nesecery to establish the thalassemia prevention programme for this region.
Hemoglobins ; Anemia ; Child

Spleen plays important functions in the body. There were many indications for splenectomy, including spleen traumas, splenorenal shunt, vascular accident due to the spleen, splenic cyst, splenomegaly compressing other organs, congenital hemolytic anemia, acquired immunohematological diseases, hypersplenism leading to the peripheral blood cell deficiency. The major risk after splenectomy was severe infection. The hypersplenism was improved after splenectomy.
Splenectomy ; Child

The rate of general population carries the gene of Beta-thalassemia in some countries was high such as North of Italia (20%), Sardinia (11-34%), and Cyprus (5-15%). The frequency of gene carrier of Beta-thalassemia was quite common such as Laos (9.6%), Thailand (6%), and South of China and Cambodia. This rate in Kinh Nation of Vietnam was 1.5-2% higher than other minorities. It was estimated that there were 1.17-1.56 millions of Vietnamese who carry the gene of Beta-thalassemia.
beta-Thalassemia ; epidemiology

There are various causes of neonatal anemia, such as acute or chronic hemorrhage, ordinary hemolysis in combining with increasing of free bilirubin, decrease of erythropoiesis. Neonatal loss of blood can be seen prenatally, at birth or prosnatally. The diagnosis of neonatal anemia can be based on clinic observations or on some important examination such as Cooms test, reticulocyte, red blood cell mean volume. The management comprises of overcoming the causes heating anemia
Anemia ; blood ; Anemia, Neonatal

Hemolysis anemia in neonate is always combined with the increase of blood free bilirubine. Therefore, almost cases of neonatal hemolysis anemia were diagnosed succesfully when neonatal jaundice was detected early, just a week after birth. The condition can be divided into two group: hemolysis due to congenital pathology of red blood cell and hemolysis acquired from outwards. Congenital hemolysis can lead to early anemia in neonate. The diagnosis of neonatal anemia can be based on some examinations such as Coombs test, reticulocyte or red cell mean volume, morpholosy of red cell, which can lead to find the cause of anemia
Anemia ; Hemolysis ; Blood Cells ; Anemia, Neonatal

An analysis was conducted on 187 surveyed records of social investigation on laboratory activities at Centres for preventive medicine of 11 provinces from 2003 to 2004. The investigation revealed that 99% of interviewees said that the laboratory activities were very necessary, 78% of them said that the test results were reliable, and 74% of them assumed that their lab skills are rather good. We suppose that it is necessary to improve basic salary with their skilled jobs. The budget allocation should be reviewed for laboratory activities, and procurement of equipment and biomedicals and chemicals.
Preventive Medicine ; Laboratories

Thrombocytopenia is resulted from many causes, and it could be decreased in quantity or quality of thrombocyte. Causes are: increased destruction due to immune causes and non-immune causes such as increased consumption or destruction of thrombocyte), decreased production of thrombocyte (due to decreased production or blocking of platelet, and infiltration of bone marrow), and disturbance of distribution of platelet. It isn’t difficult to diagnose thrombocytopenia but it’s complicated to find out the cause, so it must be cautions
Thrombocytopenia ; Blood Platelets ; Antigen-Antibody Complex

Some achievements of preventive medicine were studied and analysed on 30 Centers of preventive medicine in whole country. The prevalence of some diseases were reduced considerably: measle 37 times, pertussis 102 times, the mortality of diarrhoea reduced by 17 times, neonatal tetanus 6 times, polyomyelitis 9 times. 40  24% of the staff working day were mobilized for struggle against epidemy. Waters, foods, enviromental samples were collected and controlled with a lack of equipment interms of variety and quantity. The salary and subsidy were rather low
Preventive Medicine ; Public Health ; prevention & control

Background: Intracranial hemorrhage (lCH) is a common disease with high rate of mortality and neurological sequel. Objectives:to estimate preventive effectiveness of intracranial hemorrhage by vitamin K1 and K3 for newborns just after birth". Subjects and methods: An epidemiological, randomized control study with intervention was conducted. The study included all children under 3 months with and without ICH during period 1/1/2000 -30/6/2004 living in Hatay province. Among them all the newborns during period 1/6/2002 - 30/6/2004 were injected either 1 mg vitamin K1 or K3. Results: Children injected with vitamin K in the intervention period were followed up in three months and evaluated by a united process. Effects of intervention were calculated by preventive value. 62.057/82069 newborns were injected vitamin K1 or Vitamin K3 (25.725 newborns were injected Vitamin K1; 36.332 newborns were injected vitamin K3). Single dose 1M reduced the rate of ICH in infants: The morbidity changed from 3.3\ufffd?to 0.82\ufffd? the prevention value was 96%. There were no complications and side effects of vitamin K injections reported. Conclusions: Injection of vitamin K1 and K3 have similar preventive effectiveness. Vitamin K injection 1M with recommended dose was safe for newborns.\r\n', u' \r\n', u'\r\n', u'
Intracranial Hemorrhages ; Vitamin K Deficiency

Background: Previously, most studies evaluating nutritional status in Vietnam are based on the weight, height indexes or body mass index (BMI). Recently, Ha Huy Tue and his colleagues conducted a study to evaluate body composition in adults in both rural and urban\r\n', u'Objectives: To evaluate nutritional status and body composition and analyze the roleof BMI and percentage body fat (% BF) in determining the status of overweight and obesity\r\n', u'Subjects and method: A cross \u2013sectional study was carried out in 2.671 pupils (male/female: 50.6%/49.4%) aged 11-14 years old of 6 secondary schools in Hanam province Binh Luc district. BMI and %BF are the two indicators used for analyzing. \r\n', u'Results: The prevalence of subjects with BMI\ufffd?5th percentile was less than 1% for both males and females. Mean %BF ranged from 17.4-18.3% and from 13.9-20.2% for males and females, respectively. One unit of BMI corresponds to a large range of %BF. %BF has a goof sensitivity to detect high body fat in males; %BF can be a indicator to identify early overweight and obesity in pupils.\r\n', u'Conclusion: Proportion of overweight and obesity in 11-14 year-old schoolchildren of Binh Luc district, Ha Nam province is low. Therefore, obesity is not significant issue for the public health in the local. % BF can be used for the prevention of overweight, obesity in the community, especially the schoolchildren.\r\n', u'\r\n', u'\r\n', u'
Nutritional Status ; Body Composition ; Child ;