scholarly journals AB0189 LIPOPROTEIN ABNORMALITIES IN RHEUMATOID ARTHRITIS PATIENTS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1119.1-1119
Author(s):  
L. Nacef ◽  
Y. Besbes ◽  
Y. Mabrouk ◽  
H. Ferjani ◽  
K. Maatallah ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Demographic Data ◽  
Calcium Score ◽  
Healthy Person ◽  
Mean Value ◽  
Immunological Parameters ◽  
American College Of Rheumatology ◽  
Patient Consent ◽  
The Mean ◽  
High Level

Background:The lipid paradox is termed the decreased cholesterol level in rheumatoid arthritis (RA). Nevertheless, the apolipoprotein levels are usually higher than a healthy person and are predictors of cardiovascular events.Objectives:We aimed to describe lipid abnormalities in RA patients and to look for predictor factors of these changes.Methods:The prospective study was carried out on patients with RA who met the 2010 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) classification criteria. These patients were followed in the rheumatology department of the Kassab Institute.We collected the socio-demographic data, biological and immunological parameters.The lipid assessment included: a measurement of total cholesterol (TC), HDL, LDL, and triglycerides (TG). Lipoproteins APOA1 and APOB were measured. All data were collected after patient consent.Results:Of the 47 patients recruited, 78.7% were female. The mean age was 52.5 ±11.06 [32-76]. The average RA progressed from 86.25 ±63 months [5-288] and was erosive in 81.6% of cases. The rheumatoid factor (RF) was positive in 57.8% of patients, and citrullinated antipeptide antibodies (ACPA) were present in 62.2%. Eight patients had a previous CV history.Mean TC was 4.42 ±1.3 [1.2-7.58], mean HDL was 1.38 ±0.73 [0.18-4.10], mean LDL was 2.55 ±1.16 [0.24-5.54]. The mean TG value was 1.28 ±0.6 [0.24-5.54]. TC elevation was found in 9.1% of cases, HDL in 21.3% of cases, LDL in 5.5% of cases, and TG in 16.4% of cases. Mean APOB/APOA1 ratio was 0.67 ±0.18 [0,46-1,11]. LDL elevation was associated to a high DAS28 (p=0.06, r=0.512). APOA1 was associated to a low DAS28 (p=0.04, r=-0.642).The mean value of APO A1 was 1.36 ±0.21 [0.84-1.81], that of APOB was 0.90 ±0.22 [0.58-1.40]. APOA1 values were lower in patients with high-level LDL (p=0.767). The APOB value was associated with lipid disturbance without significant correlation (p=0.291).Conclusion:Lipid test abnormalities can be found in RA patients outside of any known CV risk factors. APOA1 seems to have a protective effect. Screening and treatment of these abnormalities can prevent CV risk.References:[1]Miguel Bernardes and al. Coronary artery calcium score in female rheumatoid arthritis patients: Associations with apolipoproteins and disease biomarkers. Int J Rheum Dis. 2019;00:1–16.[2]Anna So dergren and al. Biomarkers associated with cardiovascular disease in patients with early rheumatoid arthritis. PLOS ONE. August 5, 2019.Disclosure of Interests:None declared

scholarly journals POS0548 OPTIMAL ASSESSMENT OF THE RHEUMATOID ARTHRITIS ANKLE AND HINDFOOT: A COMPARATIVE STUDY BETWEEN CLINICAL EXAMINATION AND ULTRASONOGRAPHY

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 508.2-509
Author(s):  
K. Maatallah ◽  
H. Boussaa ◽  
H. Riahi ◽  
H. Ferjani ◽  
M. Habechi ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Clinical Examination ◽  
Demographic Data ◽  
Power Doppler ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Therapeutic Decisions ◽  
The Mean ◽  
Foot Disease

Background:Foot disease is a common problem in rheumatoid arthritis (RA). Therapeutic decisions are often based on clinical examination (CE) alone, which can be adversely affected by factors such as deformity, obesity, and peripheral edema. Ultrasonography (US) has previously been shown to be more sensitive than CE for detecting synovitis and tenosynovitis in RA forefeet, but few data exist for the hindfoot and ankle.Objectives:The aim of this study was to compare CE and US for the detection of hindfoot and ankle synovitis and tenosynovitis in patients with established RA.Methods:We conducted a cross-sectional study including patients with RA (ACR/EULAR 2010). Demographic data and disease parameters were collected. CE was performed by a rheumatologist for the presence or absence of tenderness, swelling, and mobility restriction of both ankles. The following tendons were examined for tenosynovitis: tibialis anterior (TA) and posterior (TP), fibularis longus (FL), and brevis (FB) (assessed together). In a second time, US examination of the tibiotalar, talonavicular, and subtalar joints and the same tendons as CE was performed by a blinded radiologist experienced in musculoskeletal imaging using a Philips HD11 device with a high-frequency linear transducer. The presence or absence of synovitis and tenosynovitis was recorded, and the composite synovitis score (power doppler / grayscale ultrasound (PDUS)) was measured for each joint. The US score of each patient was defined by the sum of the composite scores of the joints studied (0-30). A p-value <0.05 was considered significant.Results:Sixty-two feet were examined in 31 RA patients (25 women and six men) with a mean age of 54.8±10.8 years old [32-70]. The mean disease duration was 8.5±7.2 years [1-37]. Rheumatoid Factor (RF) and Anti-Citrullinated Peptides Antibodies (ACPA) were positive in 61.3% and 83.8% of cases. The mean DAS28 ESR was 3.8±1.5 [0.6-7].Clinical examination of ankles revealed tenderness in 57.4% of cases, swelling in 38.8% of cases, and restriction in the range of motion in 11.1% of cases. TA tenosynovitis was noted in 14.8% of cases, TP tenosynovitis in 22.2% of cases, and FL and FB tenosynovitis in 31.5% of cases.US showed tibiotalar synovitis in 59.3% of cases, talonavicular synovitis in 64.8% of cases, and subtalar synovitis in 46.3% of cases. TA tenosynovitis was noted in 5.6% of cases, TP tenosynovitis in 22.2% of cases, and FB and FL tenosynovitis in 25% and 11.1% of cases respectively.An association was found between clinical tenderness and US synovitis of the tibiotalar joint (p=0.013) and the talonavicular joint (p=0.027). No association was noted between clinical swelling and US synovitis in these joints.No association was noted between clinical and US tenosynovitis of TA (p=0.279), TP (p=0.436), FB (p=0.495) and FL (p=0.315).Conclusion:Clinical examination of RA ankles may be challenging and needs to be coupled with US, which is more sensitive and accurate in the detection of synovitis and tenosynovitis.Disclosure of Interests:None declared

scholarly journals AB0101 THE IMPACT OF TIME SPAN TO ACHIEVE BOOLEAN REMISSION FOR MAINTAINING DISEASE ACTIVITY AFTER ACQUISITION IN RHEUMATOID ARTHRITIS PATIENT

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1079.1-1079
Author(s):  
I. Yoshii
Keyword(s):  
Rheumatoid Arthritis ◽  
Disease Activity ◽  
Disease Duration ◽  
Remission Rate ◽  
Mean Value ◽  
Time Span ◽  
Mean Values ◽  
The Mean ◽  
The Relationship

Background:Boolean remission criteria is one most popular and stringent criteria in treating patient with rheumatoid arthritis (RA), because it may guarantees a stable clinical course after attaining remission.Objectives:Impact of time span from initiation to achieving Boolean remission on maintaining disease activity, daily activities, and quality of life after attaining Boolean remission was investigated from daily clinical practice data.Methods:685 patients with RA since August 2010 under the T2T strategy were treated. They were monitored for their TJC, SJC, PGA, EGA, CRP, and disease activity indices such as CDAI, SDAI, DAS28, and Boolean criteria at every visit. HAQ-DI score, pain score using visual analog scale (PS-VAS), and EQ-5D were also monitored, and the quality of life score (QOLS) calculated from EQ-5D was determined at every visit from the time of diagnosis (baseline).Of 685 patients, 465 patients had achieved Boolean remission >1 times, and were consecutively followed up for >3 years. These patients were enrolled in the study. Time span from the first visit to first Boolean remission was calculated. The relationship between the time span and each of background parameters, and the relationship between the time span and each of the mean values of the SDAI score, HAQ score, PS-VAS, SHS, and QOLS at the first Boolean remission and thereafter was evaluated statistically.Patients were subsequently divided into the G ≤ 6 and G > 6 groups based on the achievement of first Boolean remission within two groups: time span G ≤ 6 months and G > 6 months. The two groups were compared with regard to the SDAI score, HAQ score, PS-VAS, SHS, and QOLS at first visit and at the time of first Boolean remission, and the mean values of these parameters after remission were evaluated statistically. Moreover, changes of these parameters and the mean Boolean remission rate after the first remission, and SDAI remission rate at the first Boolean remission to thereafter were compared between the two groups statistically.Results:Out of 465 patients, females comprised 343 (73.7%), and the mean age was 67.8 years (range, from 21–95 years). The mean disease duration at first visit was 6.1 years (range, from 1 months–45 years). The mean follow up length was 88.1 months (range: 36–122 months; median: 85 months) and mean time span from the first visit to the first Boolean remission was 8.1 months. The mean SDAI score, HAQ score, PS-VAS, and the QOLS at first visit were 13.3, 0.467, 33.2, and 0.834, respectively. Among the study parameters, PS-VAS and QOLS were significantly correlated with the time span. For parameters at the first Boolean remission, HAQ-DI score, PS-VAS, and QOLS demonstrated significant correlation with the time span, whereas SDAI, HAQ-DI score, PS-VAS, SHS, and QOLS after the Boolean remission demonstrated significant correlation with the time span.The comparison between the G ≤ 6 and the G > 6 groups revealed that the disease duration, HAQ score, and PS-VAS at baseline in the G > 6 were significantly higher than that in the G ≤ 6 group, and QOLS in the G ≤ 6 group was significantly higher than that in the G > 6 group at baseline. Similarly, the HAQ score and PS-VAS at the first Boolean remission in the G > 6 group were significantly higher than that in the G ≤ 6 group, whereas QOLS in the G ≤ 6 group demonstrated no significant difference compared with that in the G > 6 group.The mean value of the SDAI score after the first Boolean remission in the G > 6 group was significantly higher than that in the G ≤ 6 group. Similarly, the SDAI score, HAQ score, and PS-VAS after the first Boolean remission in the G > 6 group were also significantly higher than those in the G ≤ 6 group, and the mean value of the QOLS in the G ≤ 6 group were significantly higher than that in the G > 6 group. The Boolean remission rate and SDAI remission rate after the first Boolean remission were significantly higher in the G ≤ 6 group than those in the G > 6 group.Conclusion:Attaining Boolean remission ≤ 6 months for RA has significant benefit for more stable disease control, that leads good maintenance of ADL.Disclosure of Interests:None declared

ASSOCIATED DISEASES IN ROTAVIRUS GASTROENTERITIS IN CHILDREN HOSPITALIZED IN CLINICAL INFECTIOUS DISEASES HOSPITAL OF CONSTANTA

2017 ◽  
Vol 20 (3) ◽  
pp. 130-134
Author(s):  
Simona Diaconu ◽  
◽  
Simona Claudia Cambrea ◽  
Lucian Cristian Petcu ◽  
Sorin Rugina ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Respiratory Disease ◽  
Medical Records ◽  
Digestive Disease ◽  
Demographic Data ◽  
Mean Value ◽  
Maximum Temperature ◽  
Rotavirus Gastroenteritis ◽  
Associated Diseases ◽  
The Mean

Our study included 505 children hospitalized in the Clinical Hospital of Infectious Diseases Constanta in 2011-2012 with gastroenteritis with rotavirus. We analyzed the medical records of the patients and extracted demographic data, temperature, and frequency of vomiting and diarrheic stools. We divided the group of cases into 4 groups associated with: respiratory disease (RD) – 160 cases, digestive disease (DD) – 52 cases, eruptive disease (ED) – 11 cases, and a group without other associated diseases (simple) – 282 cases. We found significant differences between the four groups regarding the number of stools, the number of vomiting per day, the mean value of maximum temperature, the mean value of hospitalization.

Literature Review : Burnout pada Perawat Selama Pandemi COVID-19

2021 ◽  
Vol 1 ◽  
pp. 1300-1305
Author(s):  
Arti Ayuningtiyas ◽  
Benny Arief Sulistyanto
Keyword(s):  
Literature Review ◽  
Emotional Exhaustion ◽  
Mean Value ◽  
Moderate Level ◽  
Personal Accomplishment ◽  
Google Scholar ◽  
Inclusion Criteria ◽  
Nurse Burnout ◽  
The Mean ◽  
High Level

AbstractDuring the Covid-19 pandemic, nurses are at the forefront. Many nurses experience stress and fatigue due to increased workload. Stress and fatigue that is obtained at work, both physical and psychological fatigue, is known as Burnout. This study aimed to describe the incidence of Burnout experienced by nurses during the Covid 19 Pandemic. This research is a literature review. This study was looking for some articles from PubMed,Garuda, and Google Scholar, with keyword. There were 5 articles that matched the research inclusion criteria. Critical analysis of 5 articles used the JBI instrument. These articles used the mean calculation. In the Emotional Exhaustion category, the mean value was 22.75 and SD was 8.828. it meant that the burnout level in the Emotional Exhaustion category was at a moderate level. In the depersonalization category, the mean value was 7.54 with SD 4.248. it meant that the burnout level in the depersonalization category was at a moderate level. In the personal accomplishment category, the mean was 19.676 with SD of 6.7. it mean that the burnout level in this category was a high level. The nurses experience burnout during the Covid-19 pandemic. The Emotional exhaustion category is a moderate level, depersonalization is at a moderate level, and personal accomplishment is at a high level.Keywords: Nurse, Burnout, Covid-19 pandemic AbstrakDimasa pandemi Covid-19 perawat berada pada garda terdepan, banyak perawat mengalami stress dan kelelahan dikarenakan beban kerja meningkat. Stress dan Kelelahan yang didapat saat kerja baik itu kelelahan fisik maupun psikis dikenal dengan nama Burnout penelitian ini bertujuan untuk mendeskripsikan kejadian Burnout yang dialami Perawat selama Pandemi Covid 19. Penelitian ini adalah literatur review. Hasil pencarian artikel dari database online yaitu Pubmed,Garuda dan Google Scholar, dengan kata kunci di dapatkan 5 artikel yang sesuai dengan kriteria inklusi penelitian. Analisa telaah kritis terhadap 5 artikel menggunakan instrument JBI. Terdapat 5 Artikel yang menggunakan perhitungan mean di dapatkan hasil kategori Emotional Exhaustion nilai mean sebanyak 22.75 dan SD 8.828 dimana hasil menunjukkan level burnout pada level sedang. Kategori depersonalization dengan nilai mean 7.54 dengan SD 4.248 dimana hasil burnout pada level sedang. Kategori personal accomplishment hasil mean 19.676 dengan SD 6.7 dimana hasil burnout menunjukkan level tinggi. Dari 5 Artikel yang di telaah di dapatkan Perawat mengalami Burnout selama pandemic Covid-19, kategori Emotional Exhaustion berada pada level sedang, depersonalization berada pada level sedang, dan personal accomplishment pada level tinggi.Kata Kunci : Perawat, Burnout, pandemi Covid-19

scholarly journals Coupling and Coordination Degrees of the Core Water–Energy–Food Nexus in China

2019 ◽  
Vol 16 (9) ◽  
pp. 1648 ◽  
Author(s):  
Shasha Xu ◽  
Weijun He ◽  
Juqin Shen ◽  
Dagmawi Mulugeta Degefu ◽  
Liang Yuan ◽  
...  
Keyword(s):  
Complex System ◽  
Sustainable Development ◽  
Mean Value ◽  
Key Factors ◽  
The Core ◽  
The Mean ◽  
Development Levels ◽  
High Level ◽  
Coordination Development ◽  
Coordination Degree

Achieving sustainable development in the water–energy–food (WEF) nexus is gaining global attention. The coupling and coordination degrees are a way to measure sustainable development levels of a complex system. This study assessed the coupling and coordination degrees of the core WEF nexus and identified key factors that affect sustainable development. First, an index system for assessing coupling and coordination degrees of the core WEF nexus was built. Second, the development levels of three subsystems as well as the coupling and coordination degrees of the core WEF nexus in China were calculated. The results showed that from 2007 to 2016, the mean value of the coupling degree was 0.746 (range (0.01, 1)), which was a high level. This proved that the three resources were interdependent. Hence, it was necessary to study their relationship. However, the mean value of the coordination degree was 0.395 (range (0, 1)), which was a low level. This showed that the coordination development of the core WEF nexus in China was low. It is necessary to take some measures to improve the situation. According to the key factors that affect the development levels of water, energy, and food subsystems, the authors put forward some suggestions to improve the coordination development of the WEF system in China.

Earthquake Related Injuries: Assessment of 854 Victims of the 2003 Bam Disaster Transported to Tertiary Referral Hospitals

2008 ◽  
Vol 23 (6) ◽  
pp. 510-515 ◽  
Author(s):  
Hassan Ali Mohebbi ◽  
Shaban Mehrvarz ◽  
Masoud Saghafinia ◽  
Yadollah Rezaei ◽  
Seyed Mohsen Towliat Kashani ◽  
...  
Keyword(s):  
Medical Care ◽  
Injury Severity ◽  
Demographic Data ◽  
Mean Value ◽  
Outcome Data ◽  
Tertiary Referral ◽  
Disaster Victims ◽  
Richter Scale ◽  
Referral Hospitals ◽  
The Mean

AbstractBackground:In December 2003, the residents of Bam, Iran experienced an earthquake that measured 6.6 on the Richter scale and destroyed >90% of the city. After the assessment and initial treatment of injuries at national and international field hospitals, a considerable number of victims (approximately 12,000) were transferred to tertiary referral hospitals around the country. Objective: This report evaluated the injuries of 854 victims transferred to 12 referral hospitals in Tehran.Methods:The demographic data, injury patterns, injury severity score (ISS), diagnosis, treatment, and outcome data of 854 Bam earthquake victims were assessed.Results:There were 467 (54.7%) males and 387 (45.3%) females. The mean age of the patients was 29.0 years. Transportation by aircraft was the most common method used for evacuation, which was used to evacuate 555 patients (65%). Fifty-four percent of the victims required initial medical aid at field hospitals before transportation to Tehran. There were 1,322 patients with injuries, of which, fractures of the lower extremities were the most common (331; 25%). Limb fixation was the most commonly performed primary procedure in emergency wards (389 cases, 39.9%). The mean value ±SD for ISS was 6.7 ±5.2. Orthopedic operations were the most frequent surgical procedures performed (195/260 operations, 75%) and the overall mortality rate was 1.6% (n = 14).Conclusions:Along with the crucial importance of aid provided by national and international field hospitals in disasters, suitable triage of casualties and preparedness of tertiary referral centers in unaffected regions also play an important role in providing medical care to disaster victims. During these situations, the number of victims cannot be predicted accurately, and sufficient medical care, particularly for orthopedic problems, can be provided by referral centers.

scholarly journals PERIODONTAL HEALTH STATUS EVALUATION USING CPITN SCORE, IN A GROUP OF PATIENTS WITH RHEUMATOID ARTHRITIS

2015 ◽  
Vol 24 (4) ◽  
pp. 214-219
Author(s):  
Dan Piperea-Sianu ◽  
◽  
Adela Maria Ceau ◽  
Alexandru G. Croitoru ◽  
Alice Piperea-Sianu ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Oral Hygiene ◽  
Meta Analysis ◽  
Mean Value ◽  
Healthy Population ◽  
Treatment Needs ◽  
Multifactorial Diseases ◽  
Periodontal Index ◽  
Community Periodontal Index ◽  
The Mean

Introduction. The relationship between periodontal disease (PD) and rheumatoid arthritis (RA) is currently only partially known, both being chronic multifactorial diseases that may share common pathogenic mechanisms and etiological factors. In a previous meta-analysis we concluded that patients with RA are more commonly affected by PD and develop more severe forms of the disease, compared to the general population. Objectives. The current study aimed to assess the degree of periodontal damage and oral hygiene on a group of patients diagnosed with RA. Methods. The study was conducted on a group of 30 patients, 6 sextants being assessed in each patient (180 potentially evaluable sextants). Establishing the degree of periodontal damage and oral hygiene was achieved by determining the Community Periodontal Index of Treatment Needs (CPITN) and Oral Hygiene Index (IHB, also known as OHI). Results. The mean CPITN score/sextant was 1.92. After clinical examination we found 10 edentulous sextants that could not be evaluated. As a result of the distribution of the scores on all the 170 evaluable sextants, we obtained: CPITN 0 – 11.1%, CPITN 1 – 23.6%, CPITN 2 – 32.4%, CPITN 3 – 27.6%, CPITN 4 – 5.3%. After analyzing the oral hygiene index the mean value we found was 16. Distribution of IHB intervals was: IHB 0-12 (40%), IHB 13-24 (53.3%), IHB 25-36 (6.6%). Discussion and conclusions. Comparing our results to data from the literature, in our group of patients with RA the only CPITN index criteria significantly increased, compared to the healthy population, were gingival bleeding on probing and the number of periodontal pockets with 4-5.5 mm depth.

scholarly journals Market Orientation Practices among Micro-Sized Enterprises: A Descriptive Evidence using MKTOR Scale

2018 ◽  
Vol 2 (4) ◽  
pp. 1-8
Author(s):  
Dzulkarnain Musa
Keyword(s):  
Market Orientation ◽  
Random Sampling ◽  
Customer Orientation ◽  
Descriptive Analysis ◽  
Sampling Technique ◽  
Mean Value ◽  
Stratified Random Sampling ◽  
Competitor Orientation ◽  
The Mean ◽  
High Level

Previous studies have found that market orientation practices were important in benefiting the continuity of the business firms. In this regard, the study tries to focus on the market orientation practices using MKTOR scale including customer orientation, competitor orientation and coordination between functions. The survey type of study was carried out among 136 micro-sized enterprises in Perlis and grouped into four major towns using stratified random sampling technique. Results from the descriptive analysis were shown that the mean value for the three market orientation constructs was at medium high level. The issue gives an overview of moderate market orientation practices amongst such enterprises. This finding provides useful enlightenment to micro-sized enterprises and related parties in developing the business in the future. Some implications to the related parties and future suggestions were discussed.

scholarly journals The knowledge level of rheumatoid arthritis patients about their disease in a developing country. A study in 168 Bangladeshi RA patients

2019 ◽  
Vol 39 (4) ◽  
pp. 1315-1323 ◽  
Author(s):  
A. K. M. Kamruzzaman ◽  
Minhaj Rahim Chowdhury ◽  
Md Nazrul Islam ◽  
Imtiaz Sultan ◽  
Shamim Ahmed ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Mass Media ◽  
Disease Control ◽  
Developing Country ◽  
Disease Duration ◽  
Demographic Data ◽  
Education Level ◽  
Patient Knowledge ◽  
Knowledge Level ◽  
The Mean

Abstract Objectives To assess disease-related knowledge of rheumatoid arthritis (RA) patients Patients and methods Consecutive RA patients were invited from the rheumatology departments of BSMM University, Dhaka, Bangladesh. The Bangla version of the Patient Knowledge Questionnaire (B-PKQ) was used. Correlations between the B-PKQ scores and clinical-demographic data were measured using Pearson’s correlation coefficient. Impact of independent variables on the level of knowledge about RA was analyzed through multiple regression analysis. Possible explanatory variables included the following: age, disease duration, formal education level, and Bangla Health Assessment Questionnaire (B-HAQ) score. Analysis of variance (ANOVA) was used to test the difference between demographical, clinical, and socioeconomic variables. For statistical analysis, SPSS statistics version 20 was used. Results A total of 168 RA patients could be included. The mean B-PKQ score was 9.84 (range 1–20) from a possible maximum of 30. The mean time for answering the questionnaire was 24.3 min (range 15–34). Low scores were observed in all domains but the lowest were in medications and joint protection/energy conservation. Knowledge level was higher (15.5) in 6 patients who had RA education before enrollment. B-PKQ showed positive correlation with education level (r = 0.338) and negative correlation with HAQ (r = −0.169). The B-PKQ showed no correlation with age, disease duration, having first degree family member with RA, education from other sources (neighbor, RA patient, nurses), or information from mass media. Conclusions Disease-related knowledge of Bangladeshi RA patients was poor in all domains. Using these findings, improved education and knowledge will result in better disease control.Key Points• Little is known about the knowledge of RA patients regarding their disease and its treatment in Bangladesh and in developing countries in general.• We found that the knowledge of Bangladeshi RA patients regarding their disease was poor in all domains; it correlated positive with education level and negative with function (HAQ), but showed no correlation with age or disease duration.• The findings of this study can be used for improving current patient education programs by health professionals and through mass media.• Better disease control of RA may be achieved by improving patient knowledge in a developing country like Bangladesh, but also in other parts of the world.

scholarly journals Longterm Outcomes and Treatment After Myocardial Infarction in Patients with Rheumatoid Arthritis

2013 ◽  
Vol 40 (5) ◽  
pp. 605-610 ◽  
Author(s):  
Sara S. McCoy ◽  
Cynthia S. Crowson ◽  
Hilal Maradit-Kremers ◽  
Terry M. Therneau ◽  
Veronique L. Roger ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Myocardial Infarction ◽  
Reperfusion Therapy ◽  
Population Based ◽  
Short Term ◽  
Similar Treatment ◽  
American College Of Rheumatology ◽  
The Mean ◽  
Mortality Hazard Ratio ◽  
Recurrent Ischemia

Objective.To investigate the risk profiles, treatment, and outcomes of patients with rheumatoid arthritis (RA) with myocardial infarction (MI) and matched MI patients without RA.Methods.We used a population-based cohort of Olmsted County, Minnesota, residents with MI from the period 1979–2009. We identified 77 patients who fulfilled the American College of Rheumatology 1987 criteria for RA and 154 MI patients without RA matched for age, sex, and calendar year. Data collection from medical records included RA and MI characteristics, antirheumatic and cardioprotective medications, reperfusion therapy, and outcomes (mortality, heart failure, and recurrent ischemia).Results.The mean age at MI was 72.4 years and 55% of patients were female in both cohorts. Cardiovascular risk factor profiles, MI characteristics, and treatment with reperfusion therapy or cardioprotective medications were similar in MI patients with and those without RA. Patients with RA experienced poorer longterm outcomes compared to patients without RA — for mortality: hazard ratio (HR) 1.47; 95% CI 1.04, 2.08; and for recurrent ischemia: HR 1.51; 95% CI 1.04, 2.18.Conclusion.MI patients with RA received similar treatment with reperfusion therapy and cardioprotective medications and had similar short-term outcomes compared to patients without RA. Patients with RA had poorer longterm outcomes. Despite similar treatment, MI patients with RA had worse longterm outcomes than MI patients without RA.

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