43 cases of eclampsia had been treated during 5 years (1994- 1998) in Hai Phong Obst/Gyn hospital with an incidence of 1.5% total pregnancies, and toxemia of pregnancy was 9.12% pregnancies. 70% of the patients located in rural areas, primipara was 62.8%, manual laboures: 74%, eclampsia appears in every season but frequently in winter- spring: 67.4%. * Treatment: the principal treatment included: magnesium sulfate for anticonvulsion, vasodilators for antihypertension. Cesarean section: 13 cases (30.2%). * Newborns: 50% of the babies were under 2,500 g of weight, its death rate: 9.3% (focus on the low weight births). *Conclusion -Eclampsia appears in every season especially in Winter- Spring. -The appearance is in the manual labourers and in the countyside livings.
Uterine Rupture ; epidemiology

To evaluate user fee the situation of, in 2001, at the Khammouane provincial hospital Lao PDR by a cross study. 109 in-patients and 204 out- patients were interviewed and, 20 groups of health staffs were discussed and the information (2001) on statistic, finances and exemptions in the hospital office were analyzed. The results showed that: With the minus government budget, the very low fees and many free services, the quality of the health service is not progressive and it is very difficult to apply the exemptions. The rate of using the patients' bed is very low because both the rich and poor patients don't like to take health care in this hospital. When the patients come to hospital, all of them prepare enough money to pay because they don't know who will be exemption. If they can't get enough money, they don't come yet. Both the patients and health staffs accepted the low user fees but the providers need to raise the quality of health services and apply better the exemptions. The very low fees and many free services in the hospital aren't the suitable solution to help the poor patients can take health care when the another sources can't supply sufficiently for these services.
Hospitals ; Health Services

We analyzed the active information of Khammouane provincial in 2001, and adjust the hospital fee models by researcher's formula. The results showed that: In the hospital, when the outcomes is bigger than the incomes without fees, we have to take hospital fees, contrary to, we don't take it. The fees are correct when outcomes are equal or smaller than incomes with fees and exemption payments need to equal or bigger than these incomes without fees, therefore the average fee collection need to equal or bigger than average hospital payment. At Khammouane provincial hospital, in 2001, the correct models of hospital fees are 'collect all of medical services with the cost of 3 factors: salary, administration cost and drugs-consumer equipment'. The correct models of hospital fees can provide the expenditure on health care in the hospital throughout the year, can raise medical service quality and make more the context for the poor patients can use the health care service without the fees.
Hospitals ; Fee-for-Service Plans

This study was conducted with a sample of 1772 children aged 6-15 at elementary and junior high schools in CanTho province in order to identify the relationship between blood pressure and age, sex and nutrition. Results showed that: Blood pressure is in accordance with the function 80+2n (n: cumulative age) and diastolic blood pressure value is about 1/3 - 2/3 of systolic blood pressure. Weight and BMI are associated with hypertension. Age is associated with hypertension. Girls have higher hypertensive rate than boys.
Blood Pressure ; Abstracting and Indexing ; Child

In Vietnam, the development of the health information should focus on the disease management and primary health care. Which included the back up of medical record, patient registration, professional development and support to the primary health care, concurrently establishment of telemedicine, telehealthcare, and remote health care system for remote and deep areas.
Information Management ; Health Care Sector

Flood and typhoon are main causes of disaster in Vietnam. To prevent and overcome consequences, the health sector should implement and perform following approaches: awareness, organization, resource, and practice, drug kits, food, fresh water and cooperation with other branches. During flood and typhoon, should organize the task teams and ambulatory health teams, cooperate with military health system, move the patients, support resources, protect material facilities and praise timely. After flood and typhoon, should control environmental sanitary and food, monitor insecticide stores, control disease outbreaks and restore the health resource.
Health Services ; Environmental Health ; Disasters ; Health Care Sector

The Decision No 37/CP date June 20th, 1996 issued the strategy for the activities of the people protection and care during 1996-2000. It aimed to assure that 40% of communal health stations (CHS) had midwife or nurse of gynecological - pediatrical profession and 100% of villages and hamlets had health staffs. In order to obtain above mentioned objectives, this study introduced 7 solutions for sending the medical doctor to the CHS, 4 conditions for training the medical doctor for local level, 7 solutions for sending the midwives to CHS, 4 solutions for health staffs in the local level, 3 solutions for health staffs of the traditional medicine, 4 solutions for developing the health staffs of the traditional medicine, 4 solutions for developing the health staff network for village level and 14 solution for sending the health staffs to the lower levels.
Personnel Selection ; Medical Staff ; Solutions

Strengthen the health staff for local level is a practicable and humanitarian campaign in the people protection and care in community, concurrently helps local training for both strengthened staffs and local staffs. In answer to the campaign, the health sector actively sends the health staff for lower levels to contribute the enhancement of quality of health services for people health protection and care, overcoming of the natural accident, flood and epidemic control.
Medical Staff ; Altruism

On occasion of Vietnam physician day 27.02.2002, every one in health sector implements the speech of Uncle Ho Chi Minh“ good-physician- good mother” and completes the cause of people health protection and care to build the health sector becoming an uniform and modern sector. During the country’s defense and building, many individuals and facilities had a big contribution to the Nation’s cause. Because of these, Vietnam communist party and state offered the yellow star medal for the health sector.
ethics ; Health Facilities ; Health Care Sector

In recent years, the vascular complications in drug addict have increased. Rupture of femoral pseudoaneurysms with infection, bleeding are presented in the majority of patients. In local medical centers, the general surgeons can operated on it if they know the principle of treatment. During 5 years, form 1.1997 to 11.2001, a total of 82 drug abusers presenting with infected femoral pseudo aneurysms were 74 men (90.24%) and 8 women (9.76%) with mean ages 30.3 years (from 16 to 55 years). Compressive bandage is used as the first treatment of all who came to hospital with rupture of femoral pseudoaneurysms. Arterial ligation is known as the radical treatment, arterial reconstruction without results because of infection (one patient).
Aneurysm, False ; Femoral Fractures ; therapeutics ; Pharmaceutical Preparations