Background: Diarrhea disease is a common popular in children. It gives effect greatly to the development of children and also is a direct reason or indirect reason which results the mortality for children. Objectives:This study aims to assess the effectiveness of some interventional solution on diarrhea disease in children under 60 months of age at Hoang Tay, Kim Bang, Ha Nam. Subjects and method:An community intervention study (prospective longitudinal study) was undertaken from December 1994 to December 2000 in Kim bang district, Ha Nam province. Results: 956 children age from 0 to 60 and mothers have children under 60 months were kept under surveillance by two weeks once home visits within two years. The incidence sensitive of diarrhea in Hoang Tay (interventional commune) were 0.64 and 0.47 (effective indicator: 26.5%); in Van Xa (control group) were 0.68 and 0.63 (effective indicator: 7.3%);interventional effectiveness: 19.2%. After intervention, at Hoang Tay village, the mothers use ORS for treatment increase 58.2%, use porridge extraction increase 116.6% and use antibiotic reduced 8.8%, use herbal medicine reduced 30.8%. Conclusion: The incidence density of diarrhea disease at Hoang Tay was reduced by some interventional solutions, interventional effectiveness: 19.2%.
Diarrhea/ therapy ; Child

Background: Thai Nguyen province have many national and provincial level hospitals. There are a large number of children patients who admitted hospital yearly. Objectives:This study aims to determine the rate patients with emergency status admitted and managed in leu of general hospitals in Thai Nguyen. Subjects and method: A cross - sectional study was done at pediatric departments of general hospitals in Thai Nguyen from April 2004 to April 2005. The data was collected and analyzed by EpiInfo6.04 software. Results:Among 5595 patients admitted hospital, there was 1270 patients hospitalized in emergency unit account for 22.7%, the respiratory disease was the most common. The rate of emergency patient hospitalized directly was very high (38,7 % to 61,9%). The rate of patients who received the first aid or care in community health station was low (10.3 - 20.7%). A great majority of patients were brought to hospital on motorbike. Conclusion: Among the emergency diseases, the highest rate was respiratory disease, then neonatal. The highest mortality rate at Thai Nguyen General Hospital was 13,7%.
Emergencies ; Child

The mechanic cholestasis is an emergence surgical disease with the rapid progress. A retrospective study on 94 medical patients (male: 43; female: 51) with ages of 35-72 received an operation in Kien An hospital, Hai Phong city has shown that the safe operations were 94/94 (100%), 28 patients readmitted to hospital for the infection of the bile tract (without reoperation); 5 patients among 18 patients received the connection OMC with the jejunum according to the method of Rounx - en - y that anti-infectious valve for reverse bile tract was initially made. there have not been the readmission to hospital of these 5 patients.
cholestasis ; surgery

Objectives: The prevalence of posttraumatic stress disorder (PTSD) has increased, particularly among individuals who have recovered from coronavirus disease 2019 (COVID-19) infection. Health literacy is considered a “social vaccine” that helps people respond effectively to the pandemic. We aimed to investigate the association between long COVID-19 and PTSD, and to examine the modifying role of health literacy in this association. Methods: A cross-sectional study was conducted at 18 hospitals and health centers in Vietnamfrom December 2021 to October 2022. We recruited 4,463 individuals who had recovered from COVID-19 infection for at least 4 weeks. Participants provided information about their sociodemographics, clinical parameters, health-related behaviors, health literacy (usingthe 12-item short-form health literacy scale), long COVID-19 symptoms and PTSD (Impact Event Scale-Revised score of 33 or higher). Logistic regression models were used to examine associations and interactions. Results: Out of the study sample, 55.9% had long COVID-19 symptoms, and 49.6% had PTSD.Individuals with long COVID-19 symptoms had a higher likelihood of PTSD (odds ratio [OR], 1.86; 95% confidence interval [CI], 1.63–2.12; p < 0.001). Higher health literacy was associated with a lower likelihood of PTSD (OR, 0.98; 95% CI, 0.97–0.99; p = 0.001). Compared to those without long COVID-19 symptoms and the lowest health literacy score, those with long COVID-19 symptoms and a 1-point health literacy increment had a 3% lower likelihood of PTSD (OR, 0.97; 95% CI, 0.96–0.99; p = 0.001). Conclusion Health literacy was found to be a protective factor against PTSD and modified the negative impact of long COVID-19 symptoms on PTSD.