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Current rheumatology diagnosis & treatment
A practice-pertinent reference for primary care providers, the book simplifies the treatment of difficult-to-manage rheumatologic diseases and disorders, such as arthritis, lupus, and sarcoidosis. Provides updated review of NSAIDs in light of current controversies and developments, expanded coverage of rheumatoid arthritis, added material in the increasingly relevant area of clinical genetics, and new chapter on Pearls in Hospital Rheumatology, filled with no-nonsense diagnostic and treatment advice for the student, trainee, or clinician.
Book
PARE0011 Ask the users - establishing a digital user panel
BackgroundA high level of user involvement is one way of assuring campaigns to be relevant to people with RMD's. This is true for all projects within the PARE organisations. The Danish Rheumatism Association would like to strengthen our political campaigning and we found this goal could be reached by establishing a representative digital user panel. A representative digital user panel would give us quicker, more relevant and high quality information about the opinion of the users and their experience within many different aspects of living with RMD's in Denmark.ObjectivesThe Danish Rheumatism Association wanted to strengthen the impact of our political campaigning. We wanted to establish a representative user panel consisting of 1500 Danes with RMD's. A digital user panel was found to be a quick and efficient tool to secure real life experiences and knowledge from the users. The user panel would make us interact with our users in even better ways and through that we were able to strengthen our political campaigning.MethodsIn 2016 we tried to recruit participants among our members to assure that the panel was representative, but that was more difficult than we expected and we had to use other channels to recruit too. We wanted to ask the user panel about different themes 6–8 times each year. We investigated the collected data and used them directly in our political campaigning and communicative work – without the time waster of making fancy reports.ResultsIt turned out to be more difficult to establish a representative user panel than we thought. The barriers were various, but we succeeded in the end. The knowledge gained from the user panel has focused and strengthened our political work. This obtained influence would have been very difficult or even impossible to achieve without the experiences of the users. In our presentation we will go into details about the barriers of the establishing phase, share how we use the panel, give examples of how the answers are an added value and show how it helped us gain more political impact.ConclusionsAfter overcoming several barriers it will possible to establish a digital user panel which can help organisations to improve their political campaigning.Disclosure of InterestNone declared
Journal Article
Rheumatology
Concise, portable, and user-friendly, The Washington Manual® Rheumatology Subspecialty Consult, Third Edition, provides essential information on inpatient and outpatient management of rheumatologic diseases and disorders. This edition offers state-of-the-art content on how to perform the musculoskeletal exam and arthrocentesis, what laboratory testing may prove useful, and which medications are appropriate, including dosages and recommended monitoring. Ideal for residents, fellows, and practicing physicians who need quick access to current scientific and clinical information in rheumatology, the manual is also useful as a first-line resource for internists and other primary care providers.The Washington Manual® is a registered mark belonging to Washington University in St. Louis to which international legal protection applies. The mark is used in this publication by Wolters Kluwer Health under license from Washington University.
eBook
SP0174 Ways of supporting volunteers
The promotion of volunteer workers is an indispensable part of the human resources policy of self-help organizations and requires specific concepts. Using the example of the rheumatism league Baden-Württemberg -an organization with 65,000 members, 3,000 volunteers and 10 fulltime employees- there will be shown best- practice examples.A successful concept covers the areas of recruitment, training, support and integration.The support of volunteers should include four key areas:1. Transfer of knowledge and professional competences2. Individual support for personal development3. Promotion of teamwork and social skills4. Framework conditions (insurance cover, reimbursement of expenses)The implementation of these requirements should be carried out by specifically trained volunteer managers on the basis of a strong and motivating personal relationship.This strategy can be seen as a precondition for establishing a long-term relationship of the volunteer with the association, a successful local work, satisfied members and volunteers who perceive their work as satisfying and fulfilling.Silke SsymankDeputy managing directorRheumatism League Baden-Württemberg e.V., GermanyDisclosure of InterestNone declared
Journal Article
Rheumatic diseases: immunological mechanisms and prospects for new therapies
This authoritative review volume provides a wide-ranging account of the immunological mechanisms that underlie many rheumatic diseases. Advances in our understanding of the immunopathology of diseases such as rheumatoid arthritis, ankylosing spondylitis and SLE, are paving the way for the development of effective and rational new therapies. This exciting prospect is an important stimulus for ground-breaking research into these diseases and the investigation of new therapeutic options. As the first book to focus exclusively on this burgeoning area of clinical research, this is an invaluable and contemporary account for all rheumatologists, clinical immunologists and those seeking to develop effective new therapies to combat rheumatic diseases.
eBook
1788 Colchicine Toxicity Presenting as Esophagitis
INTRODUCTION:Colchicine, a commonly prescribed medication for numerous medical conditions, is notorious for causing harm in the stomach and small intestine. Less commonly, damage can occur in other organs, such as the esophagus.CASE DESCRIPTION/METHODS:A 72-year-old male with a history of gout presented to the gastroenterology clinic with a several month progression of pyrosis and dysphagia. Upper endoscopy was performed which revealed erosive esophagitis. Biopsies were obtained which revealed mitotic arrest of the cells in metaphase. On review of his medications, he had been on long-term colchicine therapy for management of his gout.DISCUSSION:Colchicine, an anti-inflammatory medication, acts at the cellular level by interrupting mitosis. This is achieved through disrupting neutrophil microtubules and ultimately preventing neutrophil migration and adhesion, thus, decreasing the inflammation associated with diseases, such as gout. Microscopically, mitotic arrest is commonly seen in metaphase with evidence of ringed mitoses, glandular cell apoptosis, and epithelial pseudostratification. Within the gastrointestinal tract, colchicine is most notable for causing side effects such as diarrhea and nausea. However, due to its prevention of cellular division, it can cause injury to rapidly proliferating cells within the gastrointestinal tract. Most commonly, this occurs in the small bowel and gastric antrum. We present a rare case in which evidence of colchicine toxicity is identified within the esophagus. In our patient, colchicine was discontinued and he was treated with proton pump inhibitor therapy with improvement of his symptoms.
Journal Article