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Related Concept Videos

Factors Affecting Illness01:18

Factors Affecting Illness

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When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
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Rheumatic Heart Disease IV: Nursing Management01:20

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AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
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Rheumatic Heart Disease III: Medical Management01:21

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Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
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Factors Affecting the Risk of Infection01:26

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The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
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Genome-wide Association Studies-GWAS01:11

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Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
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Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Related Experiment Video

Updated: Aug 17, 2025

Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain
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Factors Associated With Quality Care Among Adults With Rheumatoid Arthritis.

Anne V Seyferth1, Meghan N Cichocki1, Chien-Wei Wang1

  • 1Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor.

JAMA Network Open
|December 12, 2022
PubMed
Summary
This summary is machine-generated.

Predictors for rheumatoid arthritis (RA) quality care markers remain unclear. This study found that while most RA patients met some quality markers, factors like income and comorbidities influenced adherence, highlighting the need for targeted early interventions.

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Area of Science:

  • Rheumatology
  • Health Services Research
  • Epidemiology

Background:

  • Quality care markers for rheumatoid arthritis (RA) are established, but predictors for achieving them are not well understood.
  • Identifying factors associated with quality care is crucial for improving patient outcomes in RA management.

Purpose of the Study:

  • To investigate the factors associated with meeting quality care markers in patients diagnosed with rheumatoid arthritis (RA).

Main Methods:

  • A retrospective cohort study utilized insurance claims data from 2009-2017.
  • Sequential logistic regression models evaluated quality care markers within one year post-RA diagnosis in patients aged 18-64.
  • The MarketScan Research Database provided data for over 581,000 RA patients.

Main Results:

  • 68.7% of RA patients met at least one quality care marker; 31.3% met none.
  • Annual laboratory testing and rheumatologist referral were the most common markers met.
  • Hepatitis B screening before disease-modifying antirheumatic drug (DMARD) initiation was the least met marker (3.2%).
  • Women were more likely to meet most markers, except hepatitis B screening with DMARDs.
  • Lower income was associated with lower odds of referral and testing but higher odds for other markers.
  • Medicare patients and those with comorbidities were less likely to meet quality markers.

Conclusions:

  • Rheumatologist referral and DMARD receipt showed downstream associations with quality care markers.
  • Patient characteristics significantly varied associations with meeting quality care markers.
  • Prioritizing early and targeted care, especially for vulnerable populations, is essential for ensuring continued quality care in RA.