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

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

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

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 ;

Effect of marcaine plus fentanyl combination for lumbar epidural anesthesia was investigated in random series of 33 patients who were undergoing lumbar discectomy. Patients received 1mg/kg marcaine with 1mcg/kg fentanyl. The volume of local anesthetic solution was calculated basing on the number of segments that needed to block: 1.5 - 1.6ml per segment. It was found that the marcaine plus fentanyl combination provided high effect (100%) on epidural anesthesia, rapid onset (7.51.8 min), long working duration (33070 min), caused milder hemodynamic changes, decreased the incidence of adverse events and produced satisfactory operating condition.
Bupivacaine ; Fentanyl ; Anesthesia, Epidural

A prospective study involved 64 patients (43 men, 21 women) aged from 20 to 62 years with lumbar disc herniation who had operated at Military Hospital 103. These patients were divided into 2 groups. Group 1 received marcaine (0.25%-0.375%) plus fentanyl, group 2 received marcaine (0.35% - 0.5%) alone for lumbar epidural anesthesia. The volume of local anesthetic solutions injected epidurally was calculated based on number of segments that had to block, with dose of 1.5 - 1.6 ml per segment. The results showed that compare with marcaine alone, the combination of marcaine and fentanyl provided better analgesic effect, faster onset and longer duration of action, caused milder hemodynamic changes, decreased the incidence of adverse effects and produced satisfactory post-operative condition
Bupivacaine ; Fentanyl ; Analgesia, Epidural

The study was carried out in Ba Dinh district of Ha Noi. The results of the study on 724 women aged 20 to 59 years old showed that the prevalence of overweight was rather high: 16.6% (pre-obesity: 15.5% and obesity grade 1: 1.1%). The prevalence of overweight is increased with increasing age, the highest prevalence was observed among women 50-59 years old (19.9%). The percentages of women with the waist-hip ratio >0.85 was 33.6%; and the waist circumference 80cm was 35.3% and the percentage of body fat >30% was very high 45.8%.
Overweight ; Obesity ; Women