Background: In 24 years, Expanded Programe on Immunization\r\n', u'(EPI) at Thua Thien Hue province achieve high efficiency, reduce remarkably infection rate of children disease in EPI. Objectives: Assessment of instruments and cold chain at City, District Health Center and Commune Health station. Assessment of knowledge and practice EPI of medical officers in districts and communes. Subjects and method: Instrument, cold chain system and officers at City, District Health Center and Commune Health station. Method: Cross-section descriptive study; Observe instruments and cold chain at Health stations and fill in available forms. Interview medical officers, observe practical manipulation and fill in available forms. Results: The rate of good knowledge varied from 61,64% to 94,55% and the rate of appropriate practice was from 45,70% to 80,92%. On average, each commune health station had 0,421 refrigeration; 0,128 ice cabinet; 0,258 cold box; 2,259 thermoses; 6,623 ice packs; 2,826 thermometers and11,321 safe boxes. All commune health stations have vaccine containing thermos; one station has no thermometer; two have no safe box and five have no ice pack. Conclusion: All commune health stations have essential instruments, cold chain. Very few health station lack of one or some types. Medical officers almost have basic knowledge about expandedimmunization, the rate of answering right theoretical questions from 61,64% to 94,55%. Practical manipulation had still many errors, rate of manipulation right only 45,70% to 80,92%. District officers manipulated right higher than commune officers.\r\n', u'
Refrigeration/ instrumentation ; Vaccination/ instrumentation ; mortality ; methods ; Health Knowledge ; Attitudes ; Practice ;

During the five-year period of 1991-1995, there were 840 children suffered from primary nephrotic syndrome including 52 of acute renal failure with a frequency of 6.19%. In treating, 35.72% of patients got a most rapid decrease of oedema, 66.67% remained lasting oedema, 19.23% got a urine volume restored after 3 days. Before the treatment, hypertension occupied 44.68% and after treatment 27.68% of patients. In 52 studied patients, good response to the treatment occurred in 44 (84.62)%, 8 (15.38%) got the chronic form of renal or died. In regard to laboratory data, in patients with light decrease of blood albumin level, renal function were well restored, while with large decrease, it was worse even could be transformed to chronic or deadly form. In 90% of patients, the BUN/blood creatinine ratio was 20
Nephrotic Syndrome ; Kidney Failure, Acute ; diagnosis ; child

The bacillary dysentery can occur in all age but rarely in children under 6 months in the pediatric department of Bach mai Hospital had a warning in the food hygience and safety and drug administration for infant. The first baby was treated by Negram in the condition of disease free. The second baby was treated by Negram in the fifth day, within 2 days and discharged in the condition of disease free.
Dysentery, Bacillary ; child