• Title/Summary/Keyword: RHEUMATOID

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Rheumatoid Arthritis (류미티스관절염)

  • Kang, Jeom-Deok
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.14 no.2
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    • pp.16-24
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    • 2008
  • Anatomy: Advanced knowledges of cellular and molecular biology led to the development of therapies of rheumatoid arthritis(RA). Rheumatoid arthritis (RA) is a chronic, recurrent, systemic inflammatory disease and results in major deformity or dysfunction of joints. Etiology: Rheumatoid arthritis is now concevied as autoimmune disease. There have been many trials to define the immunological changes in rheumatoid arthritis. But now pathogenesis and significance of immunoglobulin complement and rheumatoid factor are not full accepted. Syndrome: Joints are characteristically involved with early inflammatory changes in the synovial membrane, peripheral portions of the articular cartilage, and lation tissue(pannus) forms, covers, and erodes the articular cartilage, bone and ligaments within the jiont capsule. Inflammatory changes also occur in tendon sheaths(tenosynovitis), and if subjected to a lot of friction, the tendons may fray or rupture. Extra-articular pathological changes sometimes occur, these include rheumatoid nodules, atrophy and fibrosis of muscles, and mild cardiac changes. Treatment: Tumor necrosis factor(TNF) inhibitor for the treatment of rheumatoid arthritis(RA) induces not only significant improvement of symptoms and signs of RA but also substantial inhibition of progressive joint damage.

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A Case Study on the Improvement of Rheumatoid Arthritis Using Ortho-Cellular Nutrition Therapy (OCNT) (세포교정영양요법(OCNT)을 이용한 류마티스 관절염 개선 사례 연구)

  • Yeon Choi
    • CELLMED
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    • v.13 no.11
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    • pp.39.1-39.3
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    • 2023
  • Objective: A case report on the improvement of rheumatoid arthritis using Ortho-Cellular Nutrition Therapy (OCNT) Methods: A Korean woman in her 50s is suffering from rheumatoid arthritis. Results: Rheumatoid arthritis improved after performing OCNT. Conclusion: OCNT can be helpful in the treatment of patients with rheumatoid arthritis.

A Case Study on the Improvement of Rheumatoid Arthritis Using Ortho-Cellular Nutrition Therapy (OCNT) (세포교정영양요법(OCNT)을 이용한 류마티스 관절염 개선 사례 연구)

  • Yeon Choi
    • CELLMED
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    • v.13 no.9
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    • pp.36.1-36.4
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    • 2023
  • Objective: A case report on the improvement of rheumatoid arthritis using Ortho-Cellular Nutrition Therapy (OCNT). Methods: A Korean woman in her 60s, suffering from rheumatoid arthritis. Results: Rheumatoid arthritis improved after performing OCNT. Conclusion: OCNT can be helpful in the treatment of patients with rheumatoid arthritis.

The influence of Self-efficacy on Activities of Daily Living in Patients with Rheumatoid Arthritis (류마티스 관절염환자의 자기효능감에 따른 질병상태와 일상활동의 정도)

  • Lee, Hae Ran;Park, Jeong Sook
    • Korean Journal of Adult Nursing
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    • v.12 no.1
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    • pp.5-16
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    • 2000
  • The aim of this study was to investigate the differences in the level of disease condition and ADL by self-efficacy in patients with rheumatoid arthritis. The subjects of the study consisted of eighty-four outpatients with rheumatoid arthritis at a university hospital in Taegu between July 20, 1999 and August 25, 1999. The instruments used in this study were the self-efficacy developed by Lorig et al. (1989), the pain scale developed by Lee and Song(1987), the erythrocyte sedimentation rate(ESR), the pain joint count to measure disease condition scale, and the ADL scale developed by Katz et al. (1970) and Barthel(1973). Analysis of data was done by use of descriptive statistics: Pearson Correlation, Chi-square test, t-test, ANOVA and Scheffe, with the SPSS program. The major findings can be summarized as follows: 1. The first hypothesis, "There will be differences in the level of disease condition by self-efficacy in patients with rheumatoid arthritis" was partially supported. 1-1. "There will be differences in the level of pain by self-efficacy in patients with rheumatoid arthritis" was supported(F=3.422, p=.037). 1-2. "There will be differences in the level of ESR by self-efficacy in patients with rheumatoid arthritis" was the Disease Condition and supported (F=3.314, p=.041). 1-3. "There will be differences in the level of pain joints count by self-efficacy in patients with rheumatoid arthritis" was rejected(F=2.602, p=.080). 2. The second hypothesis, "There will be differences in the level of ADL by self-efficacy in patients with rheumatoid arthritis" was supported(F=7.067, p=.001). With the above results, it can be concluded that the higher level of self-efficacy contributed to the better level of disease condition and ADL in patients with rheumatoid arthritis. Therefore, by providing nursing intervention to promote the level of self-efficacy of rheumatoid arthritis patients with low self-efficacy, disease condition and ADL would be much better.

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A Study on Trust in Health Care Professionals among Rheumatoid Arthritis Patients (류마티스 관절염 환자의 의료인에 대한 신뢰에 관한 조사연구)

  • Yoo, Kyung Hee
    • Journal of muscle and joint health
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    • v.22 no.2
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    • pp.114-120
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    • 2015
  • Purpose: The purpose of this study was to identify factors associated with trust in health care professionals among patients with rheumatoid arthritis. Methods: Subjects for this study were 247 patients registered in general hospitals and the period of data collection was from February 25 to May 20, 2014. The data were analyzed with t-test and ANOVA. Results: The mean of trust in health care professionals was 3.11 in patients. There were significant differences in trust in health care professionals by age, marriage, and executing exercise of patients with rheumatoid arthritis. Conclusion: Trust in health care professionals among patients with rheumatoid arthritis was important to manage rheumatoid arthritis. To promote trust in health care professionals among patients with rheumatoid arthritis, subjects' age, marriage state and executing exercise in their daily living should be considered.

A Study on Rheumatoid Arthritis Treatment (류마티스 관절염 치료에 대한 고찰)

  • Choi, Hyun-Suk
    • Journal of Korean Physical Therapy Science
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    • v.4 no.4
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    • pp.511-518
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    • 1997
  • For the perfect cure of rheumatoid arthritis, the ultimate hope of patients and therapist, it is necessary to find a patient early and treat him properly and to teach him what rheumatoid arthritis is. 1. Although rheumatoid arthritis is a chronic disease and its cause is uncertain matke the patient understand that there are many ways to reduce symptoms and to prevent deformation. 2. Explain the peculiarity and the procedure of rheumatoid arthritis to the patient and encourage him. 3. Teach the patient how to protect his arthrosises by showing him concrete movement. 4. Teach the patient or his family the ways to relieve rheumatoid arthritis easily in his house for continuous remedy. In order to make that remedy most effective for the patient, a complex and balanced treatment, considering medication, surgical teatment and rehabilitative treatment, has to be applied, which needs team work. Team work occurs when doctors, physiotherapists, nurses, nutritionists, clinical psychologists, prosthesis manufacturers, social workers, employment agents and the family of the patient work together. The members of the tern have to onderstand the procedure of the treatment of rheumatoid arthritis and apply proper remedies according to the condition of the patient.

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Case Report of Seronegative Rheumatoid Arthritis by Herb Medication and Acupuncture (체질처방 및 오행침 치료로 호전된 혈청 음성 류마티스 관절염 환자의 증례보고 3례)

  • Park, Jung-Chul;Song, Yun-Kyung;Lim, Hyung-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.1
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    • pp.91-99
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    • 2010
  • Objectives: This study is to report three cases those have an meaning for rheumatoid arthritis treatment by oriental medicine. In this case rheumatoid arthritis patients have phalangeal and carpal joints disorder mainly. Methods: These patients were treated by acupuncture and herb medication. Results: After treatment, the conditions of patients were improved with oriental medicine, so in two cases rheumatoid arthritis disappeared, but in one case rheumatoid arthritis not appeared. Conclusions: These results suggested that oriental medical treatment was effective to improve the condition of rheumatoid arthritis patients.

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Cytologic Findings of Rheumatoid Pleuritis in Pleural Effusion - A Case Report - (흉막강액에서 진단된 류마티스성 흉막염 - 세포학적 소견 1예 보고 -)

  • Cha, Hee-Jeung;Min, Soo-Kee;Kim, Joon-Mee;Chu, Young-Chae
    • The Korean Journal of Cytopathology
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    • v.8 no.1
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    • pp.47-51
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    • 1997
  • Patients with rheumatoid arthritis of any degree of severity or duration may develop necrotizing granulomatous pleuritis, a morphologic replica of the inflammatory reaction characteristic of rheumatoid synovitis and rheumatoid nodules. The principal feature is the background composed of granular, amorphous, particulate material or debris of various hues. The material is sometimes eosinophilic sometimes more cyanophilic, or even green in the Papanicolaou stain. Within this background are elongated, fibroblast-like epithelioid cells, numerous multinucleated giant cells and degenerating leukocytes. The combination of the debris, spindle epithelioid ceils, and multinucleated giant cells in fluid is pathognomonic for rheumatoid pleuritis. We experienced a hcase of rheumatoid pleuritis showing these characteristic cytologic findings. The patient was a 63 year-old man with positive rheumatoid factor. The pleual fluid specimen revealed elongated epithelioid cells and multinucleated giant cells on a background of amorphous granular material.

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A Case Report of Systemic Type Juvenile Rheumatoid Arthritis with Fever and Eruption (고열, 발진을 동반하는 전신형(systemic) 소아기 류마티스 관절염(juvenile rheumatoid arthritis; JRA) 환아 증례 1례 보고)

  • Yoo, Chang-Kil;Lee, Yun-Ju
    • The Journal of Pediatrics of Korean Medicine
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    • v.23 no.1
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    • pp.73-83
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    • 2009
  • Objectives This study is to report a case that has an important meaning as a result of treating Juvenile Rheumatoid Arthritis. We investigated a patient who had to maintain his life with western medicines such as DMARDs, NSAIDs and steroids for a long time. The patient has recovered from all symptoms and his ESR, CRP has been back to normal range with oriental medicine treatment. Methods The patient had fever, especially repeated fever during the afternoon, pain and swelling of joints, generalized skin eruption, anorexia, delayed growth, weight loss, fatigue. So we treated him with herbal medicine and reduced his western medicine. The aim of treatment was recovery from Juvenile Rheumatoid Arthritis after discontinuance of all western medicine. Results The symptoms of systemic type Juvenile Rheumatoid Arthritis was vanished and the patient maintains his condition with oriental medicine treatment after stopped all DMARDs such as MTX(methotrexate) and NSAIDs. His ESR and CRP levels were back to the normal range. After this treatment the patient's height and weight has been increased which showed a significant meaning in growth to the child. Conclusions This study showed that oriental medicine can elevate the Juvenile Rheumatoid Arthritis patient's quality of life with continuous health care and treatment for major problem. For more accurate studies, further studies would be needed with more cases.

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The Influence of Family Support on the Activities of Daily Living & Quality of Life among the Patients with Rheumatoid Arthritis (류마티스 관절염 환자가 받는 가족지지 정도에 따른 일상활동과 삶의 질 차이)

  • Park, Sun-Young;Park, Jeong-Sook
    • Journal of muscle and joint health
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    • v.7 no.1
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    • pp.63-76
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    • 2000
  • The aim of this study was to investigate the difference in the level of ADL & QOL by family support in the patients with rheumatoid arthritis. The subjects of the study consisted of fifty-six outpatients with rheumatoid arthritis at a university hospital in Taegu. The instrument used in this study were the family support scale developed by Kang(1984), the ADL scale by Katz et al.(1970) and Barthel(1973), the QOL scale developed by Jo(1993). Data was analysed using descriptive statistics, Pearson Correlation, Chi-square, ANOVA with SPSS program. The major findings are as follows : 1. There was not significant differences in the level of ADL by family support in the patients with rheumatoid arthritis(F=.436, p=.649). 2. There was significant differences in the level of QOL by family support in the patients with rheumatoid arthritis(F=3.782, p=.029). This study showed that the higher level of family support contributed to the better level of QOL in the patients with rheumatoid arthritis. It is recommended to promote the level of family support of rheumatoid arthritis patients with low family support QOL.

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