A cross-section study of actual situations to postpartum care of 195 cases at Chi Linh district, Hai Duong province. There were 52.3% cases had been examined by Community Health Workers and among them 51.1% was good quality. The rate of postpartum care of the first week was low. 77.4% cases had provided the Home based mother and child record but it was used 15.6% only in the postpartum care. The occupations and mothers culture level influenced to knowledge and practice of postpartum care. The postpartum care by Community Health Workers for mothers was low not only in quality but also in quantity. There were 47.7% of mothers who have never been cared. It was necessary to improve postpartum care for mothers
Postpartum Period ; Delivery of Health Care ; Mothers

There are some problems in the postpartum requiring knowledge, attitude and practice of the mothers to take care themselves. Objectives: to describe knowledge, attitude and practice of mothers on postpartum care at Chi Linh district, Hai Duong province in 2003. Subjects: 195 mothers in postpartum period. Method: crossectional study of the knowledge, attitude and practice on postpatum care. Result: 40% of mothers have good knowledge on postpartum care and 57.4% lack of knowledge on FP in the postpartum period. 50.7% and 59.5% of mothers declaired that it is necessary to use iron and vitamin A in the postpartum period. In fact the percentage of mothers who using vitamin A was 57.4%. The percentage of mothers were using contraceptives was 42.1%. The 72.6% out of 113 mothers had not applied any contraceptive methods because they think pregnancy can not be occurned during postpartum period. Conclusion: It is needed to strengthen the communication and counseling to mothers in order to improve their knowledge, attitude and practice for postpartum care.
Postpartum Period, Mothers, Knowledge, Attitude

Background:Resistance to antibiotics due to extended \ufffd?spectrum \ufffd?Lactamase (ESBL) which increased quickly, made treatment much more difficult. However, this matter was not enough to be concerned in our country. Objectives: To investigate the prevalence of ESBL producing among clinical isolates of E.coli, K.pneumoniae and Enterobacter spp and the classification of ESBLs gene by PCR. Subjects and method: 663 strains, including 248 E.coli, 393 K.pneumoniae, 22 Enterobacter spp, isolated from patients in Viet Tiep hospital (Hai Phong), Bach Mai and Pediatric hospital (Ha Noi). ESBLs were detected using modified double \ufffd?disc method. The classification of ESBLs producing strains was implemented by PCR. Results:the percentage of ESBL producing in E.coli, K.pneumoniae and Enterobacter spp is 20.2; 18.3 and 36.4%, respectively. The ESBLs producing strains were co \ufffd?resistant to most of the tested antibiotics. These strains were prevalent in intensive care units (sputum or respiratory fluid samples). TEM, SHV, CTX \ufffd?M, OXA were 87.7; 62.3; 24.6 and 12.3%, respectively. They were detected alone or in combination in the same strain. Conclusion: The rate of ESBLs producing strains is high. ESBLs were marker for multi \ufffd?drug resistance. TEM and SHV type ESBLs are most prevalent in the tested strains.
beta-Lactamases ; Klebsiella pneumoniae ; Enterobacter ; Escherichia coli ;

Background: Acute lymphoblastic leukemia (ALL) is the most common cancer in children. Nowadays there have been achievements in treatment for ALL but side effects and toxicities of chemotherapy are still the major causes of death. Objectives: (1) To find out the rate and grades of side effects and toxicities of chemotherapy on blood forming organ of children with ALL ; (2) to study characteristics of toxicity on blood forming organ in phase of chemotherapy. Subjects and methods: 67 patients with ALL were admitted to Hematology and Oncology Departments of National Hospital of Pediatrics and were treated with chemotherapy of CCG (children cancer group) protocol. Grades of myelosuppression were followed by CCG criteria. Results (l) side effects and toxicities on blood forming organ were common and severe: Leucopenia accounted for 95,5% (grades 3 - 4: 83,6%); neutropenia was 100% (grades 3 - 4: 98,5%); thrombocytopenia was 92,5% (grades 3 - 4: 80,6%); anemia accounted for 98,5% (grades 3 - 4: 58,2%); lymphocytopenia was 89,6% (grades 3 - 4: 64,1%); and marked hypocellularity of marrow was 78,8% in the 14th day (grades 3 - 4: 57,4%) but (2) most of them occurred in the first 2 weeks. Conclusion: Side effects and toxicities of chemotherapy on blood forming organ was common and at quite severe levels but mainly occured in the first two weeks\r\n', u'\r\n', u'\r\n', u'
Precursor Cell Lymphoblastic Leukemia-Lymphoma/ blood

Background: A/H5N1 influenza virus spreads from birds to humans and cause influenza diseases with high mortality rate. Vaccination is the most effective way to protect communities from pandemic, reduce morbidity and mortality. The study of creating A/H5N1 influenza vaccines in conformity with Vietnam was the urgent need. Institute of Vaccine\u2019s Achievement (IVAC) studied production of inactivated influenza vaccine for human on egg-grown from reassortants NIBRG-14. Objectives: In order to produce experimentally A/H5N1 influenza vaccine for human in accordance with WHO requirements and set up a viable process for production of the vaccines. Subjects and method: 10 days embryonated eggs and NIBRG-14 strains were served to the study with LAL method to check endotoxin, Kijehdal method to test total protein. Results: IVAC had produced successfully 5 lots of absorbed vaccine A/H5N1 (FLUVAC) using NIBRG-14 strains and embryonated eggs. Initially, production and quality control processes had been set up at IVAC by applying the recommendations of WHO. Conclusion: The success of the study was a basis of the approval of the government to establish a influenza vaccine manufacturing facilities.
Influenza A Virus ; H5N1 Subtype ; Influenza Vaccines ; Humans ; Eggs

Background: Salmonella typhi (S.typhi) is the major cause of human typhoid fever outbreaks. In fact, there were various typhoid fever outbreaks that occurred in China, and India that was caused by S.typhi strain without Vi antigen. Objective: To determine whether the S.typhi strains with mutation of gene encoding Vi antigen exists in Vietnam and the rate of mutation (if they exists). Subject and methods: 450 S.typhi isolates were collected in the Northern, Central and Southern Region of Vietnam during 1995 and 2005. The isolates were analyzed by the PCR method in order to detect mutants by using 2 primer pairs of tviB and DE. Results and Conclusion: There was no clear evidence on the relationship between the widely used Typhi Vi vaccine in Vietnam and the existence and spread of the mutation of gene encoding Vi antigen of S.typhi. 30 out of 450 isolates mutated losing the gene encoding of Vi antigen, making it 6.67%. These isolates were spread out between 1995 and 2005 throughout the Northern, Central and Southern Regions of Vietnam, with a peak in 1999. A noteworthy point was the rate of mutation of S.typhi losing the gene encoding of Vi antigen in Vietnam during the period of study. However, the mutation rate of S.typhi in Vietnam was still higher than the ratio of similar mutations being published in the other countries worldwide and higher than the recommended level of the World Health Organization.
gene mutation ; Salmonella typhi

Dravet syndrome is a rare and catastrophic type of epilepsy in infants. Acute encephalopathy has been sporadically reported in patients with Dravet syndrome; however, the risk factors for this serious complication have not been identified. We report two patients with a clinical diagnosis of Dravet syndrome who experienced acute encephalopathy initiated by refractory status epilepticus. SCN1A mutational analysis revealed a previously reported nonsense mutation in one patient and a novel missense mutation in the other. Analysis of our cases and previously published cases revealed that patients with Dravet syndrome who have a more severe phenotype have an increased likelihood of developing acute encephalopathy compared with patients with less severe phenotypes.
Epilepsies, Myoclonic

Background: hepatitis due to virus B is now one of the leading concerns in the community health care throughout the world. Vietnam was a country located in high risk areas for hepatitis B virus (HBV) infection with rate of HBV infection in the community ranged from 11.3 to 25.5%, the rate of HBsAg positive in pregnant women from 12-16%. Objectives: to evaluate knowledge and practice on HBV prevention among pregnant women in Hanoi in 2005-2006 period; to study on some related factors of HBsAg positive rate. Subjectives and Method: a cross sectional study (with analysis on knowledge and practice about HBV prevention) was carried out on 1.300 pregnant women above 28 gestational weeks at Hanoi Obstetrics/Gynecology Hospital in 2005. Results: the rates of women with knowledge about HBV prevention were 38.5% at good level, 24.4% at acceptable level, and 37.7% at unacceptable level. The rates of practice on HBV prevention were 58.5% at satisfied level and 41.5% at notsatified level. Knowledge was likely related to practice, age, educational level, and HBV positive rate. Practice on HBV prevention was also related to HBV infection. Conclusions: the rates of women with knowledge about HBV prevention at good level were relatively high. The rates of practice on HBV prevention at satisfied level were relatively low. Related factors of HBsAg positive rate: knowledge and practice about HBV prevention.
Hepatitis B/ prevention & ; control ; Hepatitis B Surface Antigens ; Health Knowledge ; Attitudes ; Practice ; Pregnant Women ;

Background: Standard treatment for pleural infection includes of drainage and antibiotics. Chest tube drainage often fails if the fluid is loculated by fibrinous adhesions. Intrapleural fibrinolysis may facilitate pleural drainage. Objective: To evaluate the role of Streptokinase (STK) in the treatment of empyema and exudative pleural effusions. Subjects and method: A study included 34 patients (21 patients with exudative pleural effusions, 13 patients with empyema), aged 15-77 years. All patients received intrapleural STK daily with dose of 300.0000-500.000 UI for empyema and 300.000 UI for exudative pleural effusions. Response was assessed by clinical outcome, pleural fluid drainage, chest radiography, pleural ultrasound. Results: Mean pleural fluid drainage after STK instillation was higher in all patients. Pleural fluid drainage was 640 \xb1 494 ml before STK instillation and 823 \xb1 755 ml after STK instillation for empyema; 765 \xb1 691 ml before STK instillation and 1,033 \xb1 757 ml after STK instillation for exudative pleural effusions. The success rate of clinical outcome was 100%. Only 2 patients required decortications. Fever occurred in 3 patients (8.8%) and allergy in 1 patient (3%). Conclusions: Intrapleural STK was safe and effective in the treatment of empyema and exudative pleural effusions. STK prevents pleural adhesions and reduces the risks for surgery.
Streptokinase/ therapeutic use ; Empyema ; Pleural/therapy ; Pleural Effusion/ therapy

Background: Chronic obstructive pulmonary disease (COPD) remains a major public health problem. It is the fourth leading cause of chronic morbidity and mortality in the United States, and is projected to rank fifth in 2020 in burden of disease caused worldwide. Objective: To research the epidemiology of COPD in the population of Bac Giang city and finding out the risk factors of COPD. Subjects and method: Cross-sectional survey of general population sample of 2,104 men and women with the age \ufffd?0 years in 30 wards of 11 communes of Bac Giang city. Data on respiratory symptoms, diseases, and risk factors were collected. Lung function tests were performed with Spiroanalyzer snoo, Japan. Results and conclusions: The incidence of COPD was 2.3%; in men 3.0% and in women 1.7%. The incidence of simple chronic bronchitis was 6.4%. People who smoked had higher rate of COPD than the others (OR = 2.8). The incidence of smoking in COPD was 55.9%. The three most important risk factors of COPD was the age \ufffd?0; smoking >15 pack/year and medical history of asthma.
Pulmonary Disease ; Chronic Obstructive/ epidemiology