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Related Concept Videos

Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

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...
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

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...
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

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...
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
Genome-wide Association Studies-GWAS01:11

Genome-wide Association Studies-GWAS

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.
GWAS does not require the identification of the target gene involved in...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

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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Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain
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Rheumatology Care Among Indigenous Populations.

Cheryl Barnabe1

  • 1Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

Rheumatic Diseases Clinics of North America
|May 7, 2026
PubMed
Summary

Indigenous populations face health disparities due to historical factors impacting rheumatic disease care. This article discusses improving arthritis care by aligning rheumatology services with Indigenous worldviews and community-led interventions.

Keywords:
Community-based participatory researchEpidemiologyHealth inequityHealth policyHealth systemsIndigenous peoplesModels of careRheumatology

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Area of Science:

  • Rheumatology
  • Indigenous Health
  • Epidemiology

Background:

  • Indigenous populations possess unique traditional care systems.
  • Colonialism has led to sociopolitical disparities affecting Indigenous health outcomes.
  • Rheumatic diseases present a significant disease burden for global Indigenous communities.

Purpose of the Study:

  • To discuss the epidemiology and disease burden of rheumatic diseases in Indigenous populations.
  • To analyze determinant factors influencing arthritis care delivery for Indigenous peoples.
  • To propose strategies for rheumatology care providers to align services with Indigenous worldviews and improve care quality.

Main Methods:

  • Literature review on rheumatic diseases and Indigenous health.
  • Analysis of sociopolitical factors impacting arthritis care.
  • Presentation of community-driven intervention models.

Main Results:

  • Significant health disparities exist for Indigenous populations regarding rheumatic diseases.
  • Determinant factors, including historical and sociopolitical influences, shape arthritis care access and quality.
  • Community-driven interventions demonstrate positive outcomes for Indigenous peoples with arthritis.

Conclusions:

  • Rheumatology care must be adapted to Indigenous worldviews and realities for improved quality.
  • Collaborative, community-centered approaches are essential for advancing arthritis care for Indigenous peoples.
  • Addressing sociopolitical determinants is crucial for equitable rheumatic disease management in Indigenous communities.