Creatine Derivatives: Rapid Complete Relief of Pain by Topical or Transcutaneous Administration

Our research reveals that non-toxic creatine derivatives, especially N-acetyl-creatine ethyl ester, to be therapeutically effective on topical application or by superficial subcutaneous injection over sites of pain to rapidly alleviate or eliminate pain associated with various inflammatory conditions including arthritis, acute common headache, osteoarthritis, psoriatic arthritis, rheumatoid arthritis and various other pains associated with inflammation.

CASE REPORT ON MANAGEMENT OF AMAVATA W.S.R RHEUMATOID ARTHRITIS

Amavata is a second common joint disorder. Amavata is a disease of Rasavaha Strotas. It is mainly produced due to Ama and vitiation of Vata Dosha. According to the clinical features, Amavata is compared with Rheumatoid arthritis. Rheumatoid arthritis is a chronic, progressive autoimmune arthropathy. This disease affects the mainly young population. Hence it is a most burning problem in society. Ayurveda has taken the foremost place in the management of many diseases one of them is Amavata. Here an effort was made to treat the male of age 47 years, using multiple ayurvedic treatments. A diagnosed patient is treated with Sin Hand Guggul, Mahasudarshan With, Eranda Tail, Valuka Pottali Sweda, Sanshmani Vati. The end of the 60th day of treatment resulted in the improve- ment of overall symptoms. Keywords: Amavata, Ama, Sinhanaad Guggul, Valuka Pottali sweda, case report

HUBUNGAN TINGKAT PENGETAHUAN DENGAN SIKAP KELUARGA TENTANG PERAWATAN ARTHRITIS RHEUMATOID PADA LANSIA DI DESA PAMALAYAN

Penelitian ini dilatarbelakangi oleh permasalahan yang sering terjadi pada lansia yaitu arhtritis rheumatoid. Dampak bagi keluarga akan terganggu dan keluarga sebagai orang terdekat harus mampu menjalankan tugasnya di bidang kesehatan. Tujuan penelitian ini untuk mengetahui hubungan tingkat pengetahuan dengan sikap keluarga tentang perawatan arthritis rheumatoid pada lansia di Desa Pamalayan Kecamatan Cijeungjing Kabupaten Ciamis. Pengetahuan merupakan hasil tahu dan ini terjadi setelah orang melakukan penginderaan terhadap suatu objek tertentu. Sikap merupakan reaksi atau respon yang masih tertutup dari seseorang terhadap suatu stimulus atau objek. Jenis penelitian yang digunakan adalah deskriptif korelasional dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah kaluarga yang terdapat lansia dengan arthritis rheumatoid sebanyak 125 orang dengan menggunakan teknik pengambilan sampel secara purposif sampling. Instrumen yang digunakan adalah kuesioner. Hasil penelitian menunjukkan bahwa terdapat hubungan tingkat pengetahuan dengan sikap keluarga tentang perawatan arthritis rheumatoid pada lansia dengan p-value = 0,000. Saran bagi keluarga adalah harus memiliki pengetahuan yang cukup tentang arthritis rheumatoid dan upaya pencegahannya.This research is motivated by a problem that often occurs in the elderly, namely rheumatoid arthritis. The impact on the family will be disrupted and the family as the closest person must be able to carry out their duties in the health sector. The purpose of this study was to determine the relationship between the level of knowledge and family attitudes about treating rheumatoid arthritis in the elderly in Pamalayan Village, Cijeungjing District, Ciamis Regency. Knowledge is the result of knowing and this occurs after people have sensed a certain object. Attitude is a reaction or response that is still closed from a person to a stimulus or object. The type of research used is descriptive correlation with cross sectional approach. The population in this study were 125 elderly families with rheumatoid arthritis using purposive sampling technique. The instrument used is a questionnaire. The results showed that there was a relationship between the level of knowledge and family attitudes about treating rheumatoid arthritis in the elderly with p-value = 0.000. Suggestions for families are to have sufficient knowledge about rheumatoid arthritis and its prevention efforts.

The Effect of non-Surgical Periodontal Treatments on the Severity of Arthritis Rheumatoid

Background: periodontal disease with alveoli bone degeneration and losing teeth is seen in many people, including those with arthritis rheumatoid. Objective This study aims to evaluate the effect of non-surgical periodontal treatments on the severity of arthritis rheumatoid. Methods: this randomized control clinical trial was conducted on 60 patients who concurrently had arthritis and mild to moderate periodontitis. Patients divided into three groups of 20 subjects (group C had tooth cleaning and antibiotic therapy, group B had only tooth cleaning and group A was control). DAS28 questionnaire was filled out for all three groups at the beginning of the study. After ending the treatment and improvement, patients were examined in days 45 and 90 in terms of improvement indicators for arthritis rheumatoid. Data were finally analyzed by SPSS18. Results: the highest reduction rate of ESR, DAS28, CRP and RF was in different time periods in tooth cleaning intervention +antibiotic group and then, teeth cleaning group. The lowest reduction was seen in control group. RF, CRP and DAS28 indices showed significant differences in different time periods in tooth cleaning group and tooth cleaning+ antibiotic group (P<0.05). Conclusion: non-surgery periodontal treatment and RA indices, without considering the medicines used for treatment, had positive effect on the treatment of this disease.

Efektifitas Terapi Kompres Jahe dan Kompres Serai Hangat untuk Menurunkan Intensitas Nyeri Arthritis Rheumatoid pada Lanjut Usia

Rheumatoid arthritis is one of the most common diseases in society and is one of the groups of diseases that is always found in the practice of general practitioners. this disease attacks the joints and some only attack the tissues around the joints. The purpose of this study is to find out whether there are differences in the treatment of ginger compresses and warm lemongrass compresses against the reduction in the intensity of Rheumatoid Arthritis Pain in the Elderly at Tresna Werdha Budi Luhur Social Home in Jambi. The research design used was Pre-Experiment using One Group Pre-Post Test Design. Research has been done at the Budi Luhur Werdha Home in Jambi (PSTW). The sampling method was by purposive sampling with a sample of 18 respondents with ginger compress intervention and 18 respondents with lemongrass intervention. Analysis data used univariate analysis and bivariate analysis with the Dependent T-Test. The results were no differences in the intervention of ginger compresses and warm lemongrass compresses to the intensity of rheumatoid arthritis pain in the elderly in PSTW Jambi City. Both of them have a p-value of 0,000, meaning they both have a significant effect on decreasing the intensity of arthritis rheumatoid pain in the elderly in PSTW. It is recommended for health workers, it should be able to continue to motivate the elderly by providing education and demonstration, especially regarding the handling of pain in a non-pharmacological way through alternative and complementary techniques.

Perbedaan Pengetahuan Lansia Sebelum Dan Sesudah Diberikan Penyuluhan Kesehatan Tentang Arthritis Rheumatoid

Arthritis rheumatoid dapat terjadi pada semua jenjang umur dari kanak-kanak sampai lansia. Kejadian arthritis rheumatoid pada lansia dipengaruhi oleh beberapa faktor salah satunya yaitu disebabkan oleh kurangnya pengetahuan. Tujuan penelitian mengetahui perbedaan pengetahuan lansia sebelum dan sesudah diberikan penyuluhan kesehatan tentang arthritis rheumatoid di Desa Kelbung Kecamatan Sepulu Kabupaten Bangkalan. Penelitian ini menggunakan design cross sectional dengan one grup pra-post test design. Populasi dalam penelitian ini adalah seluruh lansia yang memilki riwayat arthritis rheumatoid sebanyak 38 lansia denngan besar sampel 35 lansia dengan menggunakan simple random sampling. Pengambilan data menggunakan kuesioner. Analisa data mengunakan wilcoxon sign rank test Penelitian diperoleh bahwa lansia sebelum diberikan penyuluhan kesehatan sebagian besar memiliki pengetahuan kurang sebanyak 15 lansia (42,9%). Sedangkan sesudah diberikan penyuluhan kesehatan memiliki pengetahuan kurang 6 lansia (17,1%). Ada perbedaan pengetahuan lansia sebelum dan sesudah diberikan penyuluhan kesehatan tentang arthritis rheumatoid di Desa Kelbung Kecamatan Sepulu Kabupaten Bangkalan.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ATHRITIS RHEUMATOID PADA LANSIA DI WILAYAH KERJA PUSKESMAS MUARA KATI KABUPATEN MUSI RAWAS

Arthritis Rheumatoid paling banyak ditemui dan biasanya dari faktor, genetik, jenis kelamin, infeksi, berat badan/obesitas, usia, selain ini faktor lain yang mempengaruhi terhadap penyakit Arthritis Rheumatoid adalah tingkat pengetahuan penyakit sendiri memang masih sangat kurang, baik pada masyarakat awam maupun kalangan medis (Mansjoer, 2011).Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan kejadian Arthritis Rheumatoid pada lansia diwilayah kerja Puskesmas MuaraKati tahun 2018. Penelitian ini menggunakan metode Survey Analitik dengan pendekatan Cross Sectional. Adapun responden ini adalah Pengambilan sampel dilakukan secara Accidental Sampling yaitu semua lansia yang berkunjung ke poliklinik Puskesmas Muara Kati tahun 2018 yang berjumlah 339 orang dengan mengambil kasus atau responden yang kebetulan ada atau terjadi. Sebagian besar responden berjenis kelamin terhadap kejadian AthritisRheumatoid pada lansia diperoleh hasil tertinggi yaitu kategori laki-laki berjumlah 54 (63.5%) orang. Sebagian besar Usia lansia yang mempunyai penyakit Athritis Rheumatoid pada lansia diperoleh hasil tertinggi yaitu usia pertengahan berjumlah 47 (55.3%) responden. Dari responden pengetahuan terhadap kejadian Athritis Rheumatoid pada lansia diperoleh hasil tertinggi yaitu kategori baik berjumlah 36 (42.4%) orang. Kejadian Athritis Rheumatoid pada lansia di wilayah kerja Puskesmas Muara Kati di peroleh hasil tertinggi yaitu responden yang menderita AthritisRheumatoid sebanyak 51 (60.0%). Tidak ada hubungan yang bermakna antara jenis kelamin terhadap kejadian Athritis Rheumatoid pada lansia diwilayah kerja Puskesmas Muara KatiTahun 2018. Hasil penelitian ini dapat di jadikan untuk mengembangkan pendidikan tentang cara mendeteksi gejala dari penyakit rematik pada lansia dapat di jadikan bahan pertimbangandalam pemberian penyuluhan kesehatan pada lansia, terutama penyuluhan tentang penyakit yang menyerang usia lanjut. Rheumatoid arthritis or achy rheumatic pain is also a degenerative disease that causes damage to cartilage (cartilage) of the joints and adjacent bones, accompanied by proliferation of bone and soft tissue in and around the affected area (Priyanto, 2009). The purpose of this study was to determine the factors associated with the incidence of Rheumatoid Arthritis in the elderly in the work area of Muara Kati Health Center in 2018. This study used an Analytical Survey method with a Cross Sectional approach. The respondents were all elderly who visited the Muara Kati Puskesmas clinic in 2018, totaling 339 people. Most of the respondents who were sex with the incidence of Rheumatoid Athritis in the elderly obtained the highest results, namely the male category totaling 54 (63.5%) people. Most of the age of the incidence of Rheumatoid Athritis in the elderly obtained the highest results, namely middle age, amounting to 47 (55.3%) respondents. Nearly the majority of respondents knowledge of the incidence of Rheumatoid Athritis in the elderly obtained the highest results in the good category totaling 36 (42.4%) people. Most of the incidence of Rheumatoid Athritis in the elderly in the working area of the Muara Kati Health Center was obtained the highest results, respondents who suffered from Rheumatoid Athritis were 51 (60.0%). There is no significant relationship between sex with the incidence of Rheumatoid Athritis in the elderly in the work area of Muara Kati Health Center in 2018. There is a significant relationship between age and the incidence of Rheumatoid Athritis in the work area of Muara Kati Health Center in 2018. There is a significant relationship between knowledge of events Rheumatoid Athritis in the working area of the Muara Kati Health Center in 2018.