The authors reviewed 68 medical records of children between the ages of 6-15 during 12/1998-12/1999. The tests for identification of microbial by culture of cerebro spinal fluid have shown that the frequent pathogens were H. influenzae (50%), S.peumoniae (22/6%), Neiseria meningitidis (11,7%), and streptococus. The common clinical symptoms in newborn and infant were anorexia, moan, fontanelle inflation. The common clinical symptoms in older children were high fever and headache. The purulent meningitis due to Neiseria meningitis had a high rate of septic shock and necrosis hemorrhage. The purulent meningitis frequently occurs in winter-spring season and in men than women. There was difference of biochemical and cellular indicators between age groups and pathogen
Meningitis ; Child ; diagnosis

Participants in this study were 153 pediatric patients aged 1 - 12 months who admitted the Pediatric Institute with diagnosis of purulent meningitis between January 1994 and June 1998. These patients were divided into 2 groups. 89 infants were involved in group 1, and 64 were involved in group 2. The results showed that the antibiotic regimen using Claforan with dose of 150-200 mg/kg/24h was superior to the regimen using ampicilline plus chloramphenicol for purulent meningitis in infants, especially for infants who had a delay in seeking health care. Generation 3 of cephalosporine (ceftriasone) has high sensitivity to H. influenzae and rate of resistance to this antibiotic was lower significantly than that of ampicilline and chloramphenicol.
Meningitis ; Infant

Recent years, in the light of the modern scientific knowledge, own opinions of health and illness expand more and more, methods for preventing, treating illness and improved health also become more abundant and various. However, if going deeply to study ideology of ancient people, especially in Philosopher and the ancient Orient medicine, we can see that established a pretty comprehensive opinion of health and ill issues in early stage by the Orient people: coming from its content to establish preventing, treating and developing health methods. Studying opinions of ancient people to health and illness have a great significance into Vietnamese population’s health care work in recent period.
Medicine, Traditional ; Health ; Medicine, Oriental Traditional ; Orientation

365 women of Cham minority (among them 200 aged 15-49 with husband) in 3 communes were enrolled in the study. Results are: 31% gave birth to child at first in the age under 19; 32% of women aged 15-49 had married having 4-9 live children, 30.5% pregnant women had received no prenatal care, 49% have received 1-2 prenatal visits; 49.4% gave birth at home and 39% were not assisted by health staff. 29% were aware only IUD and only 1 other contraceptive method. The rate of women who used contraceptive method accounts for 62% (among them 39.5% used IUD, 13% used pill and condom)
Minority Groups ; Reproductive Medicine ; Reproduction ; Reproductive Health Services ;

The study on the use of infecting DMPA contraceptive and its adverse reactions on 4.900 users in 10 provinces and cities in Vietnam in the years 1997-1998 showed that: 89.2% of women had used the infection volumtarily or in according with their sex partnery, 74.9% women aged 25-39 years had used, 90% got the infection in the health station. Menorrhagia, and amenorrheoe were common side effect in DMPA users. The rate of menorrhagia infection reduced in later while the rate of amenorrheoe trended to increase
Contraception ; Women ; epidemiology

A surveillance of 360 gynecological, obstetrical and family planning survices and 422 clients of centers in private sector in 8 provinces/cities. The results: private health sector are providing 22.2% of the total servies. 77.5% of managers are standing government staffs; of them 53.6% are graduated and post-graduated persons; 39.4% are assistant doctors and midwives. 96.6% of clients are satisfied with private health services. It is estimated, 81.4% of clients would continue to use private health services
Delivery of Health Care ; Family Planning Services ; Private Sector

267 women in Danang City and 333 in Haiduong province ever used or had been using oral contraceptive pills in the years 1999-2000 were studied. The highest number of users was 60,5% in the age of 30-39 years, who had got 2-3 living children was 74%, Among them 88% had got primary educated or universal educated level. The administrated pills were : IDEAL 57%, Regividon 16%, Marvelon 10,2%. 75,5% of the pills were freely distributed by the Programme of Demography and Familial Planing and 25,5% were self bought. Side effects were found : 29% with menstrual disorders, 20% nausea, 8,5-9% headache and burning skin. 65% of user had been trained and had got counselling
Contraceptives, Oral ; Pharmaceutical Preparations ; Epidemiology ; Women

A study was carried out on 105 pediatric patients with hepatic coma in the national institute of pediatric during 1991-1995 has shown that the main cause of hepatic coma in children was acute hepatitis - hepatic failure, the treatment was not complete. It should limit the use of sedatives and antipyretic agents for pediatric patients with hepatic coma. The disease's progress was poor. The rate of remission and disease free was 4.7%. This rate in the group of acute hepatitis - hepatic failure induce coma was 1.23%.
Hepatic Encephalopathy ; Pediatrics

The rate of abortion increased rapidly in 19905, from 4,5-5,3% to 8%. The abortion in Vietnam was at 7th position in the 10 countries having the highest abortion rate in the world. This was a challenge of the reproductive health program. This paper analyzed some major cause of abortion and introduced some solution to come over this challenge.
Vietnam ; Abortion, Criminal

Le Huu Trac was called Hai Th­uong Lan Ong (1720-1791). He was a outstanding traditional physician of Vietnam in XVIII century. His work is “Hai Th­uong y tong tam linh” includes 28 sections, 66 volumes. This book has value in various fields: medicine, literature, history and philosophy. In medicine, Hai Thuong Lan Ong work showed that he is not only a pre-eminent medical theoretician, experienced clinician but also a person who had profound ideology on professional ethic for physicians. These ideologies were introduced more or less and shoot through in his work. Now, the value of ideologies is a lesson for the development of health system in new era, in industrialization and modernization period
Ethics, Medical ; Education, Medical ; Medicine, Traditional