Objective: To identify the disabilities among children under 16 years of age being managed in Quang Xuong district, Thanh Hoa province in 2020. Methods: Cross-sectional study design was employed, there were 228 children with disabilities aged 1 to 15 years old in Quang Xuong district, Thanh Hoa province. Regarding types of disability: Children with mobility difficulties made up the highest percentage (50.0%), followed by children with learning difficulties (17.1%) and difficulties in listening and speaking (14.0%). The levels of disability were mild (6.6%), severe (73.2%), and especially severe (20.2%). The most common cause of disability was congenital (91.2%). The percentage of children with a disability for 5 years was 71.0%. Among children with disabilities, 50% fall within the category of mobility difficulties. Most children had severe or especially severe disabilities. Most of these disabilities were congenital. It is crucial to develop programs for early detection and early treatment of children with disabilities in the community as well as to promote rehabilitation programs at home. It is essential to provide education for mothers about health during pregnancy in order to ensure adequate nutrition for mothers and children, periodical antenatal check-ups, and the prevention of infection and injury which will all help reduce congenital disabilities. Keywords: Children with disabilities, under 16 years old, Thanh Hoa province.

Community-based rehabilitation (CBR) has been proven effective for people with disabilities (PWDs) and their families, saving medical resources, and is particularly suitable for developing countries1,2. However, in Vietnam, due to the lack of facilities and CBR human resources, the rehabilitation needs of PWDs were not met. Thanh Chuong is a district that has implemented CBR activities at commune health stations for PWDs, in conjunction with the project on victims of the toxic chemical Dioxin. Several duties have been assigned to commune health workers as stated in the CBR program, yet commune health workers were not assigned specifically to do rehabilitation tasks. This study aims to describe the current status of CBR activities at commune health stations, in Thanh Chuong district, Nghe An Province in 2022. The study used a cross-sectional design, mixed methods were employed. The study was conducted from December 2021 to August 2022. Qualitative data are analyzed thematically. Participants were mainly female, about half of them aged 30-49 years old, most of them are nursing, and general medical staff and no staff had a rehabilitation background. The level of performance and confidence in performing the tasks were similar. Among the 8 tasks assigned to the commune health stations, 3 tasks have been performed in 38 communes at different levels including making management records, classifying PWDs, and reporting on transferring PWDs to higher levels. However, these activities are not carried out properly and sufficiently and there was no list of people with disabilities. It is necessary to review the list of CBR activities and have policies to support these activities at the grassroots level, especially to have a health worker in charge of CBR available to fully implement the program's activities, thus helping PWDs integrate into the community, and reducing caring burden or caregivers for PWDs.

Objectives: Describe the needs and level of met needs for rehabilitation for patients with lumbar degenerative disc disease (DDD). Methods: The study used a cross- sectional descriptive design, data were collected from 150 inpatients with DDD in three departments of internal medicine, surgery, and acupuncture of the hospital. The assessment of needs and meeting the needs of the patient's rehabilitation is based on five types of needs (including rehabilitation for pain relief, rehabilitation for mobility for patients, postural rehabilitation, mental care and nutritional care for patients. Assessment of rehabilitation needs for patients with lower back pain is based on the criteria for diagnosis and treatment of patients with DDD according to the "Guidelines for diagnosis and treatment of osteo-muscular diseases” by the Ministry of Health, the questionnaire includes a set of questions on five rehabilitation needs. The data were analyzed descriptively using software SPSS 20.0. Results: There were 89,47% of patients with all five groups of rehabilitation needs, the need for rehabilitation and pain relief accounted for 98%; meeting the needs for mobilization reached 79.33%; the need for postural rehabilitation accounted for 97,33%; mental care needs account for 80,00%, nutritional care need was 92,67%. Conclusion: The current needs of rehabilitations is high among patients in the traditional medicine hospital, accounting for 89,47%. Hospitals need to strengthen their response to nutritional care needs, postural rehabilitation needs, by improving the professional qualifications of medical staff, considering related policies so that patients can receive faster treatment. Keywords: Needs, care, rehabilitation, lumbar spine degeneration, Vietnam

To improve the rate of patients with ischemic stroke who have treated with Alteplase and effective treatment, Pho Noi General Hospital has applied a multimodal intervention model in the pre-hospital and in-hospital stages, and after discharge. This study aims to evaluate the results of the model at Pho Noi General Hospital from January 2021 to June 2022 particularly the rate of early admits and the clinical outcome, and comparing with the period 2018 – 2020, which has not applied the intervention model. The study showed that 29,5% and 34,4% of patients came early at the 4.5 hour and 6 hours window after symptom onset, respectively, which were statistically significantly higher when they had compared with the period 2018-2020. The door-needle time in the post-intervention period was 45,5 minutes, which was statistically significantly lower than in the pre-intervention period, which was 50,9 minutes. Patients being in the post-intervention stage had the rate of mRS 0-2 at discharge of 47,9%, which was statistically significantly higher than in the pre-intervention period of 41.6%. Conclusion: Our study shows that, after 1.5 years of applying the multimodal intervention model in the management of stroke patients in Pho Noi General hospital, the proportion of patients arriving early within the 4.5-hour and 6 hours window increased; decreased needle-to-door time and increased mRS 0-2 rate at discharge. Key word: Acute ischemic stroke, thrombolysis, clinical outcome, reperfusion treatment.