Study on patients with epilepsy in 11 communes in Ho Tay has shown that 43% of patients with epilepsy were treated (of which treatment in provincial level 37%). The rate of patients with epilepsy received a treatment in cities, and delta was higher than this in mountain region. The efficacy of the treatment was not high, 42% patients treated as stopping the crisis.
Milieu Therapy ; Therapeutics ; Epilepsy

An evaluation of the situation of the country’s nuclear medicine department and the use of radioactive resources in Vietnam was implemented. Currently Vietnam has 200 equipments for X-ray generation, 28 radioactive resoureces; 7 centres and 22 facilities of the nuclear medicine which served millions patients everyear. This study also evaluated the networks of X-ray machines and other related medical equipment. From which the orientation and solutions for use of the radioactive resources and radioactive safety in Vietnam were recommendated
Elements, Radioactive ; Milieu Therapy

A study on the surgical pathology of the Cao Bang hospital in the summer- autumn, 2000 has shown that the emergency operation: included the digestive operation (mainly) folowings were traumatic, cardiovascular operations, cranial and cerebral operation and urological operation(rarely). The schedule operations comprised the thyroid disease, plastic surgeries and the digestive operation. The results suggested that it should strengthen the medical equipments for the digestive operation theatre and traumatic operation theatre.
Operations Research ; Milieu Therapy

Treatment of schizophrenia is one of the most challenging areas in the field of psychiatry. There has been much improvement in psycho-pharmacotherapy, and at present, psycho-pharmacotherapy along with milieu therapy and social rehabilitation is the standard first-line treatment for schizophrenia. Healing environment, a concept which has arisen from the architectural field, has similarities in meaning to milieu therapy in psychiatry. In other words, healing environment may be an encountering point between psychiatry and architecture. In this encountering, each field can understand each other and expand its concept to aid the treatment of schizophrenia and to plan the build-up of the entire environment considering its social and psychological effects. In this paper, we aim to establish the basic concept of healing environment to alleviate the psychopathologies in schizophrenic patients. We worked under the premise that physical setting affects human behavior and mind, and that physical setting should play a role as a medium with therapeutic potential for patients with medical problems. The aims of this paper are as follows. First, theoretical discussion of the concept and the constructs of healing environment : second, understanding of the schizophrenic symptoms that may be affected by supporting environment : and third, discussion of supporting environment that may alleviate the symptoms of schizophrenia.
Humans ; Milieu Therapy ; Rehabilitation ; Schizophrenia*

Alcohol use disorder is a one of major psychiatric problems in Korea. But after detoxification treatment, relapse is very frequent. Psychosocial therapy is a crucial element in alcoholism treatment and prognosis. There are so many psychosocial treatment modalities. In this article, various psychosocial treatments are explained. The main lists of introduced recent psychosocial treatments on alcoholism are as follows: therapeutic community, cognitive-behavioral therapy, motivation enhancement therapy, twelve step facilitation therapy, network therapy, and other community-based treatment. In Korea, in contrast to the importance of huge alcoholic problems, comprehensive alcoholism treatment system is weak. Therefore well-modified and Korean styled psychosocial treatment programs on alcoholism is requested.
Alcoholics ; Alcoholism* ; Humans ; Korea ; Motivation ; Prognosis ; Recurrence ; Therapeutic Community

PURPOSE: The purpose of this study was to explore the recovering process of men who had abused alcohol and has lived in a therapeutic community. METHODS: Individual in-depth interviews were used to collect data from 10 of these men who has lived in the therapeutic community for more than one year. Qualitative data from field notes and transcribed notes were analyzed using the grounded theory methodology developed by Strauss and Corbin. RESULTS: The core category about the recovering process of the men who had abused alcohol and are now in the therapeutic community was identified as “reconstructing a broken life”. The recovering process of these men in the therapeutic community consisted of four phases; ‘self-awareness stage’, ‘unfreezing stage’, ‘readjustment stage’, and ‘challenging stage’. CONCLUSION: In this study “reconstructing a broken life”, as the core category vividly showed joys and sorrows of men who had abused alcohol and has lived in the recovering process of managing the yoke of life-long disease. In this process of recovery from alcoholic dependence the men gradually adjusted themselves to their given condition. Also they gained coping strategies to care for, and protect themselves. Therefore health care providers can establish supportive programs in the clinical field to empower these men by reflecting their proactive coping strategies.
Alcoholics ; Grounded Theory ; Health Personnel ; Humans ; Male ; Qualitative Research ; Therapeutic Community*

OBJECTIVETo evaluate the efficacy and safety of Reduning injection for treating community-acquired pneumonia.

METHODLiteratures about randomized controlled trials of Reduning injection for treating community-acquired pneumonia were reviewed. The methodological quality of the trials was assessed by the Jadad scale, and evaluation was performed.

RESULTSeven RCTS were included. Reduning combined group (Reduning injection plus antibiotics and basic therapy) was compared with antibiotics group (antibiotics plus basic therapy). Meta-analysis showed that the relative risk (RR) for the total cure rate was 1.34, and 95% confidence interval (CI) was [1.19, 1.51]; RR for the total effective rate was 1.10, and 95% CI was [1.06, 1.15]. The weighted mean difference (WMD) in disappearance time of fever between the two groups was - 1.42, and 95% CI was [- 2.58, -0.26]; The WMD between the two groups for the total obvious effect rate of cough and expectoration were - 2.36, and 95% CI was [- 3.41, - 1.31]; Improve the time of pulmonary rales MD -2.30, 95% CI [- 2.61, - 2.00]; The WMD between the two groups in absorption of chest x-ray shadow was -2.36 and 95% CI [-2.52, -2.20]. Serious systematic adverse reactions had not been reported in the trials.

CONCLUSIONThe effect of combined therapy with Reduning injection plus antibiotics and basic therapy is better than that of antibiotics plus basic therapy. Reduning injection can improve the symptoms of cough and expectoration, shorten the fever time and facilitate the absorption of chest x-ray shadow without any significant adverse reactions. However, further high quality trials are needed.

OBJECTIVE: To investigate the use of antibiotics in children with community-acquired pneumonia (CAP) in multiple regions of China, and to provide a reference for CAP standard treatment and rational antibiotic use in children. METHODS: The medical data of 1 383 children with CAP who were hospitalized in the department of pediatrics in 10 grade A tertiary hospitals from 9 cities between April 14, 2014 and January 1, 2016 were reviewed, to analyze the status of antibiotic use in hospitalized children in North China, Northeast China, East China, and South China. RESULTS: The overall rate of antibiotic use in children with CAP was 89.08%, with 88.7% in North China, 95.5% in Northeast China, 83.3% in East China, and 86.6% in South China. The main types of antibiotics used were cephalosporins, macrolides, compound preparations of β-lactam antibiotics, polyphosphoric broad-spectrum antibiotics and other β-lactam antibiotics. The selection of antibiotics was generally rational, but antibiotics were still used in some patients with viral infection alone or a combined use of ≥2 kinds of antibiotics were noted in some patients with infection caused by one kind of pathogen. Irrational antibiotic use was observed in 131 children (10.63%). CONCLUSIONS There are high rates of antibiotic use and irrational use of antibiotics among children with CAP. Standard management of antibiotic use in children with CAP should be strengthened.
Anti-Bacterial Agents ; therapeutic use ; Child ; Child, Hospitalized ; China ; Community-Acquired Infections ; drug therapy ; Humans

PURPOSE: The purpose of this study was to describe the experience of Korean university students who participated in a therapeutic community. METHODS: Qualitative descriptive research was used. A focus group, in-depth interviews, participant-observation, and self-reports were used to collect data from 9 Korean university students. Participants lived with drug addicts for 6 weeks at DAYTOP in New York, USA. Thematic analysis was used for data analysis. RESULTS: Seven themes and 32 subthemes were found: 1) understanding myself through mutual observation: self-discovery, self-acceptance, self-differentiation, career choices, breaking an addictive habit; 2) healing emotional wounds: trust building, self-closure, recognition of emotional wounds, peaceful mind; 3) being honest with my emotions: understanding addicts, expression of emotions, attitudes about confrontation, confronting others: 4) expressing myself: time management, expression of thanks, I-message, behavior modification, taking a stand; 5) balancing responsibility: attitudes about leaders and work, sharing work, supplementing, sharing opinions; 6) becoming interested in others: understanding family members, recognition of differences, asking about concerns of others, asking for forgiveness, conversation with family members ; 7) becoming interested in the community: attitudes about community, keeping rules, role model, active participation. CONCLUSION: These results show that a therapeutic community can be effective in changing participants' inner selves and behaviors.
Behavior Therapy ; Career Choice ; Drug Users ; Focus Groups ; Forgiveness ; Humans ; Statistics as Topic ; Therapeutic Community* ; Time Management ; Wounds and Injuries

Anti-Bacterial Agents ; administration & dosage ; therapeutic use ; Child ; Community-Acquired Infections ; diagnosis ; epidemiology ; therapy ; Humans ; Pneumonia ; diagnosis ; epidemiology ; therapy