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

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

21 patients aged 2-76 years old (7 males, 14 females) with blistering dermatosis were diagnosed and treated in HCM city- dermatovenerology Hospital from May 1996 to May 1997- control group included subjects without blister. Primary diagnosis, routine tests, biopsy of blister, patho-anotomical examination and direct immunofluorescence assays, antibodies were conducted on the skin areas near by the blisters. Results showed that by direct IF assays, antibodies were detects as immunoflobulines and complements adhered on the skin, which got diagnostic values, to help to defimite and to differenciate in blistering dermatoses, dpecially in difficult cases.
Diagnosis ; Skin Diseases ; Fluorescent Antibody Technique

Conventional thyroidectomy requires a transverse cervical incision and a cutting of myocutaneos flaps to gain access to the thyroid. This approach leaves an undesirable scar on the anterior surface of the neck especially for young patients. Endoscopic thyroidectomy is a new minimally invasive technique that permits thyroid excision results of conventional thyroidectomy. From May 2003 to January 2005, the authors have performed 200 cases of endoscopic thyroidectomy at Surgical Department of national Hospital of Endocrinology. The indication for operation included thyroid nodule multinodules located in 1 lobe. The average of nodule size is 2.6cm (1.0-5.6cm). To access the thyroid, the authors use 2 approach: breast approach (100 cases) and auxiliary approach (100 cases) - There are 122 cases of lobectomy (61%), 78 of subtotal lobectomy (39.0%). - The mean operative time was 98.6 minutes (40-180), the mean blood loss was 8.6ml(0-100). - There is no mortality, the life-threaten complication as well as the hypocalcimia and there is not the conversion to open surgery. There is only one patient of the transient hoarseness. Conclusion: Endoscopic lobectomy of thyroid is feasible and safe for single nodule or multinodules located in the same lobe. There may be 2 approaches: anterior breast wall and auxiliary approach.
Thyroidectomy ; Endoscopy ; Breast

From 14 June 2002 to 30 June 2004, at the surgery department of the Hospital of Endocrinology had performed the endoscopic thoracic sympathectomy on 131 patients (61 males, 70 females), in ranging of age from 11 year old to 50. Thoracoscopic sympathectomy can performed easily and effectivelly in semi-Fowler posittion, turning the opposite with a single-lumen endotracheal tube. The rate of dry hand was 98.8% of patient. There was no death, there was no patient with hematothorax. There were 2 cases with complication of one side pneumothorax by adhesion but having good results after one day of drainaging closed pleuroperitoneal. After operation 40 patients were re-examined had pneumothorax in chest and back
Hyperhidrosis ; Therapeutics ; Sympathectomy ; Thoracica ; Endoscopy

249 patients (28 males, 221 females) undergone surgical treatment for thyroid cancer at the Hospital of Endocrinology from the 7th January 2002 to the 30th June 2004. Thyroid cancer was more likely in male than in female. The clinical signs were not usually acute and likely passed by in the early stage of this disease. The fine needle aspiration was the paraclinical method which had the most value in order to diagnose thyroid cancer before surgery. Total thyroidectomy or total thyroidectomy associated with cervical node dissection were the most common procedure in durgical treatment for thyroid cancer. Papillary carcinoma and follicular carcinoma in 94%. Complications and sequel after operation for parathyroid and laryngeal nerve were low in 249 patients undergone surgical treatmnent
Thyroid Neoplasms ; diagnosis ; Therapeutics ;

From May 2003 to 30 June 2004, 173 patients including 163 females and 10 males suffering from thyroidectomy was performed safely, successfully. Surgeon must prosess good skill on open surgery as well as on endoscopic surgery. The indication of this method was a routine only in nodule goiter in one lobe, but in multinoduli goiter in two lobes and in basedow the operationc success was still limited, especially for basedow disease, it must be prepare well pior to operation. It can made the incision from the anterior wall of the chest or from armpit with more cosmetic benefits
Thyroidectomy ; endoscopy ; methods