The joint degeneration can occur in all people in the world. The rate of joint degeneration in men was the same as this in women. However, the rate of knee joint degeneration in women was higher than this in men while the rate of hip joint degeneration in men was higher than this in women. The principles of the treatment comprised the reduction of process of joint damage, especially prevention of the articulate cartilage degeneration and pain relief, maintenance of the moving ability and minimization of the handicap
Knee ; Knee Injuries ; Joints

42 patients with gonarthritis were diagnosed according to ARA standard at Bachmai Hospital. Gonarthritis is commonly seen in females age over 50 with 85,7%. Favorable factors of disease are working hard jobs with 64.3%, menopausal age is 80,6% and women had 3 children or over. Features of clinical and X-ray symptoms were not different previous studies.
Clinical Trial [Publication Type] ; X-Rays

Clnical and endoscopic manifestations of gastro-duodenal injuries in 178 patients caused by nonsteroidal anti-inflammatory drugs (NSAID) were compared with these of 84 patients without treatment of NSAID. We concluded that abnomal rate in gastro-duodenal endoscopy is 86.0 % in the group treated by NSAID. Gastric injury rate is 80.9 %, including 22.5% of gastric ulcer (p<0.01). Duodenal injury rate is 29.2 %. including 22.5% of duodenal ulcer (p<0.01). Clinical features: epigastric pain rate is 42.7%; abdominal distention is 11.8%. These symploms are useful in predicting gastrointestinal injuries. These lesions more likely severe if the patient have following factors: above 60 years old; alcoholism, smosking, using NSAIDs for long time, using high dose of the NSAIDs. There is not relation between endoscopic manifestations, type of rheumatic disease and HP infections.
Anti-Inflammatory Agents, Peptic Ulcer

Authors introduced some classes of drugs for treating rheumatic arthritis. Basic drug group includes biological agents, anti TNF drugs such as Entanercept- Enbrel; Infliximab; Adalimumab- Humira. In non-steroidal anti-inflammatory drugs (NSAIDs) group, there are Meloxixam - Mobic; Nimesulide- B- Nalgesine; Nise, Celecoxib- Celebrex; Rofecoxib- Vioxx; Valdecoxib-Bextra; Parecoxib- Dynastat; Etoricoxib-arcoxia. Group of slow released antirheumatic drugs included diacetylrÐine or diacerhÐine (ART 50). A new therapy that gave rapid and long lasting pain relieve, more viscosity of articular fluid is administration of sodium hyaluronate (Hyalgan, Ostenil, Hyruan) intra-articular injection
Antirheumatic Agents ; Drugs, Investigational ; Pharmaceutical Preparations

This paper introduced the non-steroid anti inflammatory drugs in the treatment of arthropathy including classification, mechanism of action, principles of using, major drugs, indication, contraindication, effects and side effects, drug- drug interaction, dosage and administration, how to reduced and manage the side effects in the gastrointestinal tract.
Anti-Inflammatory Agents, Non-Steroidal ; Arthropathy, Neurogenic ; therapeutics

The value of formula Kt/v has been calculated by Daurgidas method in order to assess the effectiveness of chronic hemodialysis on 22 patients from Dialysis Center of Friendship hospital. These patients had mean Kt/v=1.33, with range from 0.92 to 1.67. Patients with Kt/v value (1.33 seem to have better recovery ability. Good effect of dialysis, with Kt/v(1.33 could be achieved by two-session-per-week hemodialysis, using high efficiency dialyzes and with session lasting at least 5 hours
Renal Dialysis ; Periodicals ; Kidney, Artificial

A study on 125 patients, who were operated on lumbar spinal disk herniation, included 67 men and 58 women, from 18-70 years old. These patients were divided into 2 groups: group 1 was given epidural anesthesia: 34 men and 32 women used bupivacaine 1mg/kg –1, fentanyl 1µg/kg-1, adrenaline 1/2000.000 with a volume of desensitizer was 1.5 – 1.6ml/spinal cord unit. Fentanyl was mixed into drug injected in extra dura mater. Group 2 was given subarachnoid anesthesia: 33 men and 26 women used bupivacaine 0.15mg/kg –1, fentanyl 1µg/kg-1. Respiration indexes had been measured before and after anesthesia 30 minutes. Results: 30 minutes after anesthesia, group 2 had a decrease of the respiration indexes such as VC, VC%, FEV1, and Tiffeneau, compared that before anesthesia (p<0.05). In the group 1, the respiration indexes reduced not significantly with p> 0.05. Subarachnoid anesthesia had Tiffeneau and VC% were lower than epidural anesthesia (p<0.05). The respiration indexes of subarachnoid anesthesia group decreased but still in the allowance limitation.
Respiration ; Hernia ; Anesthesia ; Surgery

From June 1993 to October 2001, in Central Institute of Pediatrics and Viet Duc Hospital, 13 cases of plastic surgery were performed to restore the clitoris and vagina. Among them, 12 female patients with virilisant adrenogenital syndrome had had indication of clitoris restoration surgery, 1 patient with true hermaphrodism. The restored clitoris accessed proper size with normal development and sensation
Surgery, Plastic ; Mucous Membrane ; Vagina ; Penis

After utilization of CT scanner in the diagnosic of patients with severe head injuries, IH is more frequently reported. Patients with head injuries associated with IH have worse prognosis than that with no IH. This suggests that cranio-cerebral trauma is the major cause of that bad prognosis.
Injections, Intraventricular ; Prognosis

Background: Leg bone fracture is common seen in orthopedic trauma. Currently, the trend of treatment is using a less invasive technique. Especially, with application of C-Arm in surgery, closed Kuntscher nailing technique has made the treatment of leg bone fractures achieving more new improvements. Objectives: To summarize the experiences in the technical implementation process and to assess results of treatment. Subjects and method: A descriptive, retrospective study was conducted on 112 patients was confirmed diagnosed with leg bone fractures (81 males, 31 females, the average aged 29\xb15.3), were operated in Da Nang General Hospital from January, 2004 to June, 2006. All of them were performed with Kuntscher intramedullary nail in tibia without opening fracture cavity, in condition of without C-Arm. Results: The patients with combined injuries included 5 cases of 2 legs fracture, 2 cases of hip fracture, 5 cases of leg fracture in 2 stages, 1 case of collabone fracture. Postoperative observations: no case of infection, patients were discharged after 2-7 days, the average length of hospitalization was 3\xb12.4 days. Complication: 1 case of secondary deviation, no case of any delay to heal bone, broken nails. Recording a case of nail was rise up to cause painfully and synovial capsule inflammation of knee joint. Conclusion: The implementation of this less invasive technique should be orderly done. The most ideal indication was tibial shaft fractures in stage of middle 1/3. Because of a minimally invasive technique so patients were less painful, fracture healing quickly, early mobilization could be set, surrounding joints were not affected.
Tibial Fractures/surgery ; Fracture Fixation ; Intramedullary/ methods ;