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Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

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Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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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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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 (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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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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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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RheumMadness: Creating an Online Community of Inquiry in Rheumatology.

David L Leverenz1, Akrithi U Garren2, Guy Katz3

  • 1Duke University School of Medicine, Durham, North Carolina.

Arthritis Care & Research
|February 27, 2023
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Summary

RheumMadness, an online rheumatology education tournament, successfully fostered social constructivist learning. The educational impact was evaluated using the community of inquiry (CoI) framework, showing positive engagement and learning outcomes.

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Area of Science:

  • Medical Education
  • Rheumatology
  • Digital Learning

Background:

  • Traditional rheumatology education can be enhanced with innovative digital tools.
  • Social constructivist learning theories emphasize collaborative knowledge construction.
  • The Community of Inquiry (CoI) framework provides a model for evaluating online learning experiences.

Purpose of the Study:

  • To assess the educational impact of RheumMadness, an online rheumatology concept tournament.
  • To evaluate the learning experience through the lens of the Community of Inquiry (CoI) framework.
  • To determine if RheumMadness promotes social constructivist learning in rheumatology.

Main Methods:

  • RheumMadness utilized a tournament bracket of 16 rheumatology concepts.
  • Participants engaged by creating scouting reports, listening to podcasts, social media discussions, and submitting brackets.
  • Educational experience was measured using direct analytics and an adapted 34-item CoI survey assessing cognitive, social, and teaching presence.

Main Results:

  • 100 brackets were submitted, with high engagement metrics for scouting reports (92 views/report) and podcasts (163 downloads/episode).
  • Social media engagement included 486 tweets using #RheumMadness.
  • Survey results indicated strong agreement with CoI presence: 70.3% cognitive, 61.7% social, and 84.9% teaching; engagement correlated with CoI scores (r=0.72, P<0.001).

Conclusions:

  • RheumMadness effectively created an online Community of Inquiry (CoI).
  • The platform fostered social constructivist learning principles within rheumatology education.
  • The study demonstrates the potential of gamified online tournaments for medical education.