• Title/Summary/Keyword: Arthritis patient

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The studies of east-western medicine on Rheumatoid arthritis (류머티스성 관절염(Rheumatoid arthritis)에 대한 동서의학적(東西醫學的) 고찰(考察))

  • Kwon, Young-Dal;Song, Yong-Sun
    • The Journal of Korean Medicine
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    • v.15 no.2 s.28
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    • pp.373-396
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    • 1994
  • The studies look at the causes, pathology, symptom, diagnosis, treatment of rheumatoid arthritis in the sight of east-western medicine. Following are the results : 1. Rheumatoid arthritis korean-medically belongs to symptom such as Bi(痺), Poung Bi(風痺), Tong Poung(痛風), Youk Jeol Poung(歷節風), Bak Hoe Poung(白虎風), Bak Hoe Youk Jeol Poung(白虎歷節風), etc. 2. The causes of Rheumatoid arthritis are endopathic and exopathic : endopathically it tis related to Chil Jeong(七情) and visceral imbalance, and exopathically it is related to Euk Eum (六淫) and environmental factors. 3. To figure out rheumatoid arthritis, we need to diagnose first the joint symptom and the general body condition, we need about 6 weeks to get the exact decision after the serologic test, the immune and inheritance test, the synovium test. 4. There are four kinds of treatments for rheumatoid arthritis : medicin, acupucture and moxibustion, suction cup and purging away the blood, physical therapy. Cheong Eol So Bi(淸熱消痺) can be used for the acute stage and Jang Bu Seong Shai(臟腑盛衰) is to be considered for the chronic stage. 5. Rheumatoid arthritis should be constantly treated to prevent the patient from the deformity of joint complication.

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Subcutaneous tissue calcification in a patient with rheumatoid arthritis (류마티스 관절염 환자에서 발생한 피하조직 석회화)

  • Kim, Dong Hyun;Kim, Kyung Jin;Kwon, Sung Min;Cha, Sung Ouk;Lee, Jung Ouk
    • Journal of Yeungnam Medical Science
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    • v.33 no.2
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    • pp.120-124
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    • 2016
  • Subcutaneous tissue calcification in rheumatic diseases usually occurs in connective tissue diseases, such as systemic lupus erythematosus, scleroderma, and dermatomyositis. Domestic cases of calcification in rheumatoid arthritis have not been reported. The mechanism of subcutaneous tissue calcification may differ depending on the cause and it can develop on all parts of the body. Calcification occurring in rheumatic diseases is a major mechanism of tissue damage caused by chronic inflammation. No standard therapy for calcification has been established; however, many studies have reported on medical and surgical treatment. We report on subcutaneous tissue calcification in a rheumatoid arthritis patient tissue calcification on both sides of the buttocks, the upper limbs, and the lower limbs.

The Relationship between Psychosocial Factors and Symptoms of Patient with Rhematoid Arthritis (류마티스 관절염 환자의 심리사회적 요인과 증상과의 관계)

  • Kang, Hyun-Sook;Han, Sang-Sook
    • Journal of muscle and joint health
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    • v.6 no.2
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    • pp.295-309
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    • 1999
  • This study was done to Identify the relations between psychosocial factors and symptoms of patient with rheumatoid arthritis. Its subjects were 150 outpatients selected at H. Rheumatism clinic from July to August in 1998. Data were collected by means of questionnaires using interview. Those data were analyzed by Frequency, t-test, ANOVA, pearson's correlation using SPSS window 8.0. The results were as follows : 1) The level of family support was relatively high and the level of self-efficacy and performance of daily living activities were average. Among their symptoms, fatigue and pain were frequent problems. 2) Family support was different by educational level, self-efficacy and physical, psychological symptoms were different by performance of regular exercise. 3) The family support was inversely related to physical symptoms especially ADL, while it was not related to psychological symptoms except a reverse correlation between depression and anxiety, and family support. Self-efficacy held a reverse correlation with both physical and psychological symptoms. And there was a close relationship between symptoms. In conclusion it was found that the promotion of family support, self-efficacy and exercise-performance holds a key post in reducing symptoms of rheumatoid arthritis.

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Analysis Study of Quality of Life in Home stayed Arthritis Patients (재가 관절염환자의 삶의 질 관련요인 분석)

  • Suh, Moon-Ja;Kim, Keum-Soon;Roh, Kook-Hee
    • Journal of muscle and joint health
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    • v.9 no.2
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    • pp.166-176
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    • 2002
  • The purpose of this study was done to identify analysis study quality of life in home stayed arthritis patients. The subject for this study were 56 arthritis patients in K city and boundary area resident, and period of data collection was from July, 2000 to November, 2000. The results are as follows. 1. Mean score of Quality of life was $171.13{\pm}44.08$(range from 66 to 244), Mean score of depression was $36.71{\pm}12.11$(range from 18 to 64), score of social support was $3.96{\pm}5.30$(range from 0 to 19), and score of stress was $322.80{\pm}34.18$(26 to 2316). 2. Main demographic factor influenced upon quality of life was age, sex, educational level and marital status, and main Physical factor influenced upon qualify of life was height, systolic and diastolic blood pressure. 3. Quality of life was correlated negatively with depression, and positively social support. 4. quality of life in home arthritic patient was explained 68% by depression, age and social support. In conclusion, nursing intervention of arthritic patient in home considers age, social support and depression in order to promote quality of life.

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The Septic Knee Arthritis Caused by Klebsiella pneumoniae in a Patient with Type 2 Diabetes Mellitus and Osteoarthritis of the Knee (제2형 당뇨 및 골관절염을 동반한 환자에서 발생한 Klebsiella pneumoniae균에 의한 화농성 관절염)

  • Ha, Joong-Won;Lee, Sanghyeon;Park, Sang-Hoon;Kim, Tae-Yup
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.1
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    • pp.67-71
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    • 2019
  • Klebsiella pneumoniae causes that liver abscess mostly, also spread to pneumonia, meningitis, urinary tract infections. Septic arthritis caused by K. pneumoniae is a quite rare and has not been reported in Korea. Therefore, the authors report a case of the septic arthritis in the knee joint caused by K. pneumoniae in a patient with type 2 diabetes mellitus and osteoarthritis of the knee that successfully treated by early detection and arthroscopic synovectomy.

Septic arthritis of the temporomandibular joint: a case report

  • Yang, Sung-Won;Cho, Jin-Yong;Kim, Hyeon-Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.4
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    • pp.227-230
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    • 2016
  • Septic arthritis of the temporomandibular joint (TMJ) is a rare disease. The most common symptoms of this disease are acute malocclusion, limited mouth opening, swelling, and tenderness of affected TMJ. These symptoms are often confused with internal derangement of the articular disc, rheumatoid arthritis, retrodiscitis, or osteoarthritis. Therefore, differential diagnosis by image examination is required. Usually, antimicrobial treatment and surgical drainage by needle aspiration, arthroscopy, or arthrotomy are effective treatment approaches. In this study, a patient who was diagnosed with septic arthritis was treated with arthrocentesis and antibiotics without significant complications. We present a case report with a review of the literature.

The Relationship between Pain and Psychosocial Factors of Patients with Arthritis (관절염 환자의 통증과 심리.사회적 상태와의 관계)

  • Kil Suk-Yong;Oh Won-Oak;Suk Min-Hyun
    • Journal of Korean Public Health Nursing
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    • v.20 no.1
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    • pp.79-86
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    • 2006
  • Purpose: This study was conducted to examine the relationship among pain, family support, self-efficacy, depression of patients with arthritis. Method: The subjects of this study consisted of 96 patients with arthritis. The data was analyzed ANOVA. Duncan test. Pearson Correlation Coefficients using SAS. Result: Pain showed significant differences according to depression(F=8.12, p=0.001), self efficacy(F=11.52, p<.000) and not significant differences family support(F=0.34, p=0.714). There was a significant negative correlation between family support and depression(r=-.48, p<.000), depression and self efficacy(r=-.41, p<.000). Conclusion: Therefore, for the management of arthritis patient it is required continuous self-management and proper program on self-efficacy promotion.

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Irreducible Spacer Subluxation after Total Ankle Replacement Arthroplasty in a Patient with Rheumatoid Arthritis: A Case Report (류마티스 환자의 발목 인공관절 치환술 이후 발생한 정복되지 않는 충전물의 아탈구: 증례 보고)

  • Seo, Dong-Kyo;Kim, Sang Young
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.4
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    • pp.181-184
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    • 2021
  • End-stage ankle arthritis is a debilitating condition that causes functional limitations and consequently a poor quality of life. Total ankle replacement arthroplasty is a good alternative to arthrodesis for preserving the ankle's range of motion. However, many complications can occur in patients with rheumatoid arthritis and with poor soft tissue and bone conditions. A 61-year-old female experienced spacer subluxation after surgery, which was not reduced by medial soft tissue release and spacer change. Buttress plating was found to be a good treatment option to prevent spacer subluxation and can be considered in patients with rheumatoid arthritis with bone erosion and soft tissue damage.

Delayed Diagnosis of a Tibial Stress Fracture Associated with Glucocorticoid and Methotrexate Therapy in a Patient with Rheumatoid Arthritis: A Case Report

  • Shin, Hye Jeong;Lim, Yi Gun;Lee, Gi Hyang;Lee, Hyun Seok;Song, Beom Yong;Choi, Yoo Min
    • Journal of Acupuncture Research
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    • v.39 no.1
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    • pp.64-69
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    • 2022
  • The risk of stress fractures is associated with rheumatoid arthritis (RA), which can aggravate bone loss. We report the case of a patient who was on long-term medication for RA presenting with lower extremity pain on the left and swelling without trauma. Magnetic resonance imaging and plain radiographs at the previous hospital showed no signs of fracture, but radiographs performed later, revealed a stress fracture of the left distal tibia. The stress fracture may have occurred due to multiple reasons such as long-term use of methotrexate and glucocorticoids, active RA, postmenopausal state, and immobility. Suspicion of a stress fracture should not be ruled out especially in RA patients with persistent pain, even if the radiographical findings are normal. Additional imaging and follow-ups are essential. The patient's pain was relieved with Korean medicine treatments, which suggests their potential application for stress fractures in RA patients.

The Effects of the Resistance Exercise Program on the Rheumatoid Arthritis Patient's Functional Disability, Biochemical Parameters, Self-Efficacy and Family Support (저항운동 프로그램이 류마티스 관절염 환자의 기능장애, 생화학적 지수, 자기효능감 및 가족지지도에 미치는 영향)

  • Kil Suk-Yong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.4 no.1
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    • pp.87-101
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    • 1997
  • This Research is an attempt to find out what effects the resistance exercise program has on the rheumatoid arthritis patient's functional disability and biochemical parameters. The research took place from June to November 1996, and the target included an experimental group of 25 cases of rheumatoid arthritis and a control group of 26 cases of rheumatoid arthritis taken from the Anam Medical Center at Korea University. The resistance exercise program was executed on these patients five times a week during a period of eight weeks. Before and after the experiments, measurements of functional disability score, ESR, CRP, self-efficacy, and family support were taken and closely analysed. The results of this analysis are as follows : 1. After the experiment, the experimental group had less functional disabilities compared to the control group(t=9.11, P=0.0017). 2. After the experiment, the ESR of both the experimental and the control groups decrease, but there was not notable difference between the two groups(t=0.07, P=0.9546). 3. After the experiment, the CRP of both the experimental and the control groups decreased, with no significant different between them(t=0.53, P=0.6022). 4. After the experiment, the self-efficacy of the experimental group increased significantly compared to the control group(t=3.15, P=0.0042), but the self-efficacy had no effect on the actual practice of the program. 5. After the experiment, the family support of the experimental group was higher than of the control group(t=6.33, P=0.0013), but again the family support had no effect on the actual practice of the program. Judging from the results of these experiments, the resistance exercise program not only diminishes rheumatoid arthritis patients' functional disabilities, but also has a great influence on increasing their self-efficacy and family support. Concluding, in diminishing the functional disabilities of rheumatoid arthritis, the resistance exercise program would be appropriate nursing intervention.

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