Vietnam has made progress developing rehabilitation medicine over the past several decades. After the Vietnam War ended in 1975, several centers for disabled people were established providing healthcare, prosthetics, and rehabilitation. Rehabilitation medicine training began in 1988 with the founding of a rehabilitation faculty at Hanoi Medical University. Now most central and provincial hospitals have rehabilitation departments, though challenges remain around human resources, equipment, and continuing to build the rehabilitation network nationwide. Going forward, Vietnam aims to further develop rehabilitation services and training, prevention, research, and international cooperation.
Introduction: Spontaneous Osteonecrosis of the Knee (SONK) is a devastating and debilitating disease that mainly affl icts the
elderly. A conservative approach may forgo the need for surgical intervention. This case report describes an orthopaedic patient diagnosed with SONK. After fi ve months of conservative treatment, the patient was able to walk without pain and remained clinically stable for seven years.
Case Presentation: A 49-year-old male patient diagnosed with SONK of the left knee elected to undergo conservative management in lieu of surgical intervention. Seven years later the patient’s symptoms and MRI demonstrate a dramatic improvement.
Cauda equina syndrome (CSE) is classically featured by the compression of the distal lumbar, sacral and coccygeal nerve roots at the deep end of the conus medullaris at the L1 and L2 vertebral level. Although this disease has a low incidence in the population, ranging from 1:33,000 to 1:100,000 inhabitants, its sequela still generate extreme public healthcare costs (Angus et al., 2015).
The clinical signs and peculiar features of the pathology are: severe back pain, often accompanied by sciatica; saddle(joint)anesthesia; sphincter and sexual dysfunction; and lower limb weakness (Balasubramanian et al.,2010).The presence of all these signs simultaneously is not typically required for diagnosis(Cook et al.,2007). The clinical history and the neurological examination pave to the need for diagnostic confirmation through complementary exams such as computed tomography (CT) and the gold standard, magnetic resonance imaging (MRI)
Crimson Publishers-Management of Heterotopic Ossification of the Elbow in Pat...CrimsonPublishersOPROJ
Management of Heterotopic Ossification of the Elbow in Patients with Elbow and Brain Injury a Retrospective Study by V Psychoyios in Orthopedic Research Online Journal
Physiotherapy professionally addresses varied population groups of all ages with various health statuses during hospitalization. The services are provided in the various hospitalization frameworks: in acute states in general hospitals, in departments in rehabilitation, geriatric and long-term hospitals (nursing care, complex nursing care, dementia, prolonged and semi-acute ventilation).
Bhaskar Health News and Medical Education is leading source for trustworthy health, medical, science and technology news and information. Providing world health information Medical Education.
Bhaskar Health News and Medical Education is dedicated to medical students, physiotherapists, doctors, nurses, paramedics, physician associates, dentists, pharmacists, midwives and other healthcare professionals.
We're committed to being your source for expert health guidance. Bhaskar Health and Medical Education.
Source : https://www.bhaskarhealth.com
Health Shop: https://www.bhaskarhealth.org
@drrohitbhaskar @bhaskarhealth
#DrRohitBhaskar #BhaskarHealth
#Health #Medical #News #Physiotherapy
Technology and Spinal Cord Injury (SCI): How could technology further help th...Hillary Green
Dr. Josh Geering, PT, DPT, from the Dallas VA Medical Center's Spinal Cord Injury & Disorders Center presents at the UT Arlington Research Institute's Symposium on Biomedical Technologies.
Introduction: Spontaneous Osteonecrosis of the Knee (SONK) is a devastating and debilitating disease that mainly affl icts the
elderly. A conservative approach may forgo the need for surgical intervention. This case report describes an orthopaedic patient diagnosed with SONK. After fi ve months of conservative treatment, the patient was able to walk without pain and remained clinically stable for seven years.
Case Presentation: A 49-year-old male patient diagnosed with SONK of the left knee elected to undergo conservative management in lieu of surgical intervention. Seven years later the patient’s symptoms and MRI demonstrate a dramatic improvement.
Cauda equina syndrome (CSE) is classically featured by the compression of the distal lumbar, sacral and coccygeal nerve roots at the deep end of the conus medullaris at the L1 and L2 vertebral level. Although this disease has a low incidence in the population, ranging from 1:33,000 to 1:100,000 inhabitants, its sequela still generate extreme public healthcare costs (Angus et al., 2015).
The clinical signs and peculiar features of the pathology are: severe back pain, often accompanied by sciatica; saddle(joint)anesthesia; sphincter and sexual dysfunction; and lower limb weakness (Balasubramanian et al.,2010).The presence of all these signs simultaneously is not typically required for diagnosis(Cook et al.,2007). The clinical history and the neurological examination pave to the need for diagnostic confirmation through complementary exams such as computed tomography (CT) and the gold standard, magnetic resonance imaging (MRI)
Crimson Publishers-Management of Heterotopic Ossification of the Elbow in Pat...CrimsonPublishersOPROJ
Management of Heterotopic Ossification of the Elbow in Patients with Elbow and Brain Injury a Retrospective Study by V Psychoyios in Orthopedic Research Online Journal
Physiotherapy professionally addresses varied population groups of all ages with various health statuses during hospitalization. The services are provided in the various hospitalization frameworks: in acute states in general hospitals, in departments in rehabilitation, geriatric and long-term hospitals (nursing care, complex nursing care, dementia, prolonged and semi-acute ventilation).
Bhaskar Health News and Medical Education is leading source for trustworthy health, medical, science and technology news and information. Providing world health information Medical Education.
Bhaskar Health News and Medical Education is dedicated to medical students, physiotherapists, doctors, nurses, paramedics, physician associates, dentists, pharmacists, midwives and other healthcare professionals.
We're committed to being your source for expert health guidance. Bhaskar Health and Medical Education.
Source : https://www.bhaskarhealth.com
Health Shop: https://www.bhaskarhealth.org
@drrohitbhaskar @bhaskarhealth
#DrRohitBhaskar #BhaskarHealth
#Health #Medical #News #Physiotherapy
Technology and Spinal Cord Injury (SCI): How could technology further help th...Hillary Green
Dr. Josh Geering, PT, DPT, from the Dallas VA Medical Center's Spinal Cord Injury & Disorders Center presents at the UT Arlington Research Institute's Symposium on Biomedical Technologies.
In the changing scenario of pharmacy practice in India, for successful practice of
Hospital Pharmacy, the students are required to learn various skills like drug distribution,
drug dispensing, manufacturing of parenteral preparations, drug information, patient
counselling, and therapeutic drug monitoring for improved patient care.
It is the small topic from the 3rd unit of Bsc nursing, delivery of community health nursing , in which u will come to know about organization, staffing and functions of rural health services provided by Govt.
An institution providing medical and surgical treatment and nursing care for sick or injured people.
By WHO "Directory of Hospitals in India, 1988" is to some extent simple and short.
According to this,
definition. "A hospital is an institution which is operated for the medical surgical and/or obstetrical care of in-patients and which is treated as a hospital by the Centrally State Government/Local bodies or licensed by the appropriate authority.
1. Patient care:- patient care involves diagnosis, treatment ofllness or injury preventive medicine, rehabilitation, convalescent care, dental care, personalized services
2. Education services :- The education services are two form:-
a. Medical & allied health profession education: - Teaching of physician nurses, pharmacist, medical technologist, medical social service worker, hospital administration & training, dietician etc.
b. Patient education: - children, general education, social education for rehabilitation health care & also patient counseling.
3.Research: - Research is important to advanced medical knowledge against disease & to improve hospital service. This is important for better health care of patient.
4. Public health care: - public health is important to assist the community to reduce chance of illness & to improve general health population.
historical development of community health nursing and community health nursing- world and India
M.Sc. Nursing 1st year
Community health nursing
unit-I
An overly wordy look at the impact of the Sandinista revolution in NIcaragua and its impact of health care and health care policy. Created for ANTH216 class I'm teaching, New slideset this year so will likely undergo some revision in the future.
Similar to Rehabilitation Situation in Vietnam (20)
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
2. ContentsContents
• Vietnam in brief
• Overview of medical history of Vietnam
• Overview of rehabilitation medicine in Vietnam
• Policy and strategy of rehabilitation medicine
development to year 2020
• Rehabilitation Medicine: network and
achievement.
3. ThankfulnessThankfulness
• First of all, I would like to give special thank to Rector
of Mahidol University, Dean and Deputy Dean of
Faculty of Medicine Siriraj Hospital, give me a special
chance to see a beautiful country Kingdom of Thailand
and also a special occasion to study, improve my
knowledge and exchange challenge with Prof, Dr, PT
and OT in Siriraj Hospital.
• I also to give special thank to Prof. Chirayu
Auewarakul, Associate.Prof. Witsanu Kumthornthip had
helped me so much when I was preparing documents to
leave for Thailand.
• Thanks every body in here to give me a gold time to
give talk. I hope that I will become familiar with every
people in here soon;
4. hot dispute region
with China
Thanh Hoa province (my hospital)
Middle region
South region
Equatorial line
South East Asia Region
North region
Hanoi capital
5. Vietnam in briefVietnam in brief
• Region: South East Asia
• Area: 331.698 km², divided into 63 provinces.
• Population: about 90.000.000
• Ethnic: 54, in those Vietnamese are 73.594.427 people,
occupied 85%; and 53 is minority ethnic occupied 15%;
• Economic: developing country, orientation market
economic, open to every countries world wide.
• Dr. Cam Ba Thuc is Thai minority ethnic with
population of 1.550.423 people (1.8%) (Statistic 2009).
7. Healthcare at feudal periodHealthcare at feudal period
• Period 1010 – 1026: Ly Dynasty open Health Care
Bureau, most of medicine man were Monks.
• Period 1226 – 1339: Tran Dynasty established Health
Care Institution, starting training medicine man. At this
time, Sir Tue Tinh (born 1330) was a distinguish
medicine man.
• 17th Century (Le Dynasty): Sir Le Huu Trac (1720 -
1791) was a distinguish medicine man.
• Till now, many prescriptions and publication of two
distinguish medicine man still being used in Vietnam.
• Therapy: manual medicine and acupunctures.
• Medication: most of medication were herbs.
8. Sir Le Huu Trac (1720Sir Le Huu Trac (1720 -- 1791)1791)
distinguish medicine man of Vietnamdistinguish medicine man of Vietnam
• Religion of medical arts dedicated to protecting human life, take
care of the worry….
• Medical profession is an honorable profession, practitioners must
study hard and well….
9. Healthcare at French colonial timeHealthcare at French colonial time
• Since 1858, French people occupied Vietnam
• Year 1888 French colony established Department of
Indochina Public Health, and started to set up some
hospital in North, Middle and South of Vietnam.
• Year 1902: Indochina Governor (of French) established
Indochina Medical School (Ecole de Médecine de
l’Indochine) in Hanoi (now known is Hanoi Medical
University), this Medical School consist of a school, two
hospital (now known are VietDuc and BachMai) and an
Institute of Anatomy. Training doctor (4 year in Vietnam
and two year in France); nurse and resident practice.
10. Healthcare at French colonial timeHealthcare at French colonial time
• The first Rector of Indochina Medical School was Doctor
Alexandre Yersin (very well-known person), He found
bacteria named Yersinia pestis caused Plague Disease.
• At this period: founded 4 Pasteur Institutes: Hanoi,
Nhatrang, Dalat, Saigon (Hochiminh city).
• This was a starting point of modern medicine in Vietnam,
many field quite good such as operation, internal
medicine, bacteria, parasite and immunology were
developed but I don’t know that the rehabilitation
medicine were noticed or not.
11. Dr. Alexandre YersinDr. Alexandre Yersin
First Rector of Indochina Medical SchoolFirst Rector of Indochina Medical School
BBig friend of Vietnamig friend of Vietnam
12. Healthcare at Vietnam war timeHealthcare at Vietnam war time
North of Vietnam: Democratic and Republic of VN
- Subsidies and close economy, lack of food and many
facility, this is very difficult time in the North;
- Every provinces has provincial general hospital; and has
district medical centre;
- Has several Medical School, training doctor and nurse.
- Lack medication and medical equipment, has low quality
of health care;
- Several central hospitals and provincial general hospitals
has department of physical therapy, all physician were
trained from communist nation such as Soviet Union
(Russia), East Germany, or China ..etc..
13. Healthcare at Vietnam war timeHealthcare at Vietnam war time
South of Vietnam: Republic of Vietnam:
- Open and market economy, has some modern hospital;
- All medical standard based on American Standard.
- Has Saigon Medical School;
- Has many qualified doctor
- Rehabilitation medicine were quite developed;
- Till now, some Hospital in Hochiminh city has old
rehabilitation department in good condition.
- Published some Textbook of Physical Therapy and
Rehabilitation;
- Published Dictionary (English-French-Vietnamese) of
Physical Therapy and Rehabilitation.
15. After 1975, ended Vietnam warAfter 1975, ended Vietnam war
• After the war We have many invalid people, many
people suffer from orange agent and many people had
mental illness because of war.
• Several Centre for Care Invalid and Centre for
Orthopedic were established, provide services for
invalid people such as:
+ Healthcare
+ Provide prosthesis and orthotic devices
+ Orthopedic surgery
+ Care for invalid people with spinal cord injury;
brain injury; amputee …etc…
16. After 1975, ended Vietnam warAfter 1975, ended Vietnam war
• Some doctors was sent to study in Netherlands about
care and rehabilitation for invalid people with spinal
cord injury (SCI), most of them are retired now,
• Many invalid people with SCI still alive and well now.
• Many invalid people can not return their home, they
have to spend their lifetime in these centre.
• Period 1975-1989: border dispute with Cambodia.
• Period 1979-1980: border dispute with China
• Now many Centre for Care Invalid People still
existence
17. Founded and DevelopmentFounded and Development
of Rehabilitation Medicine in Vietnamof Rehabilitation Medicine in Vietnam
• Year 1988, Founded Rehabilitation Faculty in Hanoi
Medical University.
• Training for medical students
• Training for doctors
• Since 1996, training residents doctors in Rehabilitation
Centre of Bachmai Hospital.
• Since 1997, traning master and fellow doctors in
Rehabilitation Centre of Bachmai Hospital.
18. Founded and DevelopmentFounded and Development
of Rehabilitation Medicine in Vietnamof Rehabilitation Medicine in Vietnam
• All middle level medical school has rehabilitation
department, training for middle level medical students.
• Most of Central Hospitals has Rehabilitation dept.
• Many Provincial Hospitals has Rehabilitation dept;
• Several district hospitals has Rehabilitation Medicine
Unit in Department of Traditional Medicine .
• Vietnam Rehabilitation Association (VINAREHA) was
established in 1991.
• Three school of medical technique was established
(Haiduong – Danang – Hochiminh city) to training
Physical Therapist.
19. Founded and DevelopmentFounded and Development
of Rehabilitation Medicine in Vietnamof Rehabilitation Medicine in Vietnam
• Year 1999: established Central Rehabilitation Hospital
in Thanh Hoa province;
• Many province established Rehabilitation Hospital;
• Community Based Rehabilitation (CBR) was carried out
since 1987, this program was sponsored by Health
Volunteer Oversea (HVO), Vietnam Veteran American
Fund (VVAF), AIFO of Italian ..etc..
• Since 2003, Handicap International (Belgium) helped
Vietnam to set up Spinal Cord Injury Network.
20. Law and Policy related to disable personLaw and Policy related to disable person
• The Nation Constitution (1946, 1959, 1980, 1992,
2012) confirm that disabled persons are equal citizens;
• The Ordinance on disabled persons adopted by National
Congress in 1998;
• State president signed agreement with International
Convention on the rights of persons with disabilities in
2007; this was adopted by National Congress in 2014
• Law on disabled persons adopted by National Congress
in 2010; had effected since 1st day of January 2011.
• Prime Minister had approved scheme assistance for
disable person period 2006 – 2010.
21. Law and Policy related to disable personLaw and Policy related to disable person
• Prime Minister had approved scheme developing
healthcare network to year 2020: consist of developing
rehabilitation hospital;
• Prime Minister had approved scheme assistance for
disable person period 2012 – 2020; some major aim are:
“ Every year, 90% of people with disabilities have access
to health services under various forms; 90% of children
from birth to 6 years old be screened for early detection
of congenital defects, developmental disorders and early
intervention; about 70,000 children and adults with
disabilities are provided service of orthopedic surgery,
rehabilitation and appropriate aids”./.
22. Law and Policy related to disable personLaw and Policy related to disable person
• Prime Minister had approved Target Health Programs
period 2012 – 2015; in this consist of CBR program;
• Most of disable person are provided health insurance,
monthly living expenditure.
• The Circular Letter No12 year 1993 of Ministry of
Health, Its regulation: every hospital around nation must
have department of rehabilitation.
• Since 2007, Minister of Health directed to enhance
developing rehabilitation.
• Rehabilitation Medicine was concerned in recent years
24. NetworkNetwork
• Central Line:
Rehabilitation Centre of Bach Mai hospital is
the highest of academy
Central Rehabilitation Hospital (Thanh Hoa
province)
100% of Central Hospital has Rehabilitation
departments
25. NetworkNetwork
• Provincial line:
Vietnam has 64 provinces, in those 38 provinces has
Rehabilitation Hospital.
98% of Provincial General Hospital has Rehabilitation
department;
There are 23 hospitals or Medical Centers belonged to
other Ministry (such as Ministry of Defend, Public
Security, Labor – Invalid and Social Affair, Industry
and Trade, Transportation), all of these has
rehabilitation department.
26. NetworkNetwork
• District Line:
Most of District Hospital has Traditional Medicine
department, there are Traditional Medicine Doctors
works in these place;
Under the Regulation of Ministry of Health, all
Traditional Medicine department of district hospital
take over rehabilitation service for disable patients.
In these, Doctors and Nurses were trained Physical
Therapy and Rehabilitation;
27. NetworkNetwork
• Commune Line:
Every commune has a CHS (Community Health
Station);
Every CHS has a staff who take over the task on
rehabilitation medicine;
Task on rehabilitation medicine consist of rehabilitation
for inpatients and outpatients, follow up patients in
community, participate community based rehabilitation;
28. Vietnam Rehabilitation AssociationVietnam Rehabilitation Association
• Abbreviation: VINAREHA
• Consist of over 1.500 participants
• All participants are professor, doctors, nurse, physical
therapist from central line to commune line
• Chairman: Prof. Tran Trong Hai
• Office: Hanoi School of Public Health
• Has its regulation, approved by Ministry of Inside Affair
29. Human ResourcesHuman Resources
• Doctors:
Rehabilitation doctors
Residents doctors on Rehabilitation
Fellow doctors on Rehabilitation
Associate Professor: 08 (retired 05)
Professor: 01 (retired)
• Physical Therapist
Not have Occupation Therapist
30. Education and TrainingEducation and Training
• Hanoi Medical University: training doctor, resident,
fellow doctor.
• Hue University of Medicine and Pharmacy: training
doctor; bachelor of rehabilitation.
• Hochiminh University of Medicine and Pharmacy:
training doctor, physical therapist.
• Haiduong University of Medical Technique: Training
physical therapist;
• Danang University of Medical Technique: Training
physical therapist;
• Viet cot School (Ministry of Labor Invalid and Social
Affair): training technician of prosthesis and orthotics
31. AchievementAchievement
• Consultation: every year 1.092.405 patients (statistic 2012)
• Inpatients: every year 190.466 patients (statistic 2012)
• Community Based Rehabilitation (CBR): CBR program
cover 51 province; every rehabilitation hospital has their
own CBR program depend on policy of province;
• Screen for patients under 6 year old and early
intervention: every rehabilitation hospital has their own
program depend on policy of province (till now not have
any statistic).
32. ChallengeChallenge
• Some province not have Rehabilitation Hospital;
• Some provincial general hospital not have rehabilitation
department (remote area);
• Lack of Human Resource (especially rehabilitation
doctor; Occupation Therapist);
• Low investment; Lack of Medical Equipment
(especially high technology equipment);
• Not have much experience on building rehabilitation
network, training doctor and PT, not have any
Curriculum on training OT in medical school
33. Orientation in futureOrientation in future
• Training human resource,
• Building medical rehabilitation network
• Invest more modern equipment for rehabilitation
hospital and rehabilitation departments
• Improve quality of rehabilitation service
• Continuing community based rehabilitation
• Making appropriate policy on rehabilitation,
especially for rehabilitation workers.
34. Orientation in futureOrientation in future
• Increase research sciences on medical rehabilitation
and publish more documents
• Enhance ability of rehabilitation faculty of all
Medical School;
• Enhance prevention of accidents, screen for early
detection and early intervention
• Building curriculum for training OT
• International cooperation on rehabilitation
