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The Impact of Life-Long Illness on Women: A Qualitative Study of Low Socio-Economic Rheumatoid Arthritis (RA) Patients
Item type: Journal Article • Journal: Journal of Psychology in Africa • Authors: Pamela Naidoo --- University of Western Cape,The purpose of this qualitative, ethnographic study was to explore the impact of a chronic disease on low socio-economic women with RA in South Africa. Ten women participants with a mean age of 48 years and a mean duration of... -
Modern management of rheumatoid arthritis—making a case for early aggressive medical treatment
Item type: Journal Article • Journal: South African Family Practice • Authors: M Tikly --- Division of Rheumatology,Rheumatoid arthritis (RA) is a chronic inflammatory joint disease that affects approximately 1% of the adult population. Some 30 to 40% of patients experience work disability within five years of onset of the disease, but early aggressive medical treatment has... -
A diagnostic approach to the common arthritic conditions
Item type: Journal Article • Journal: South African Family Practice • Authors: M Tikly --- Division of Rheumatology, M A Makda --- Division of Rheumatology,Arthritis is a common cause of pain and disability in adults. In this article, the first in a series of two articles on arthritis, a clinical approach to musculoskeletal disorders is reviewed, with emphasis on the history and examination as... -
Healthy lifestyle interventions in general practice Part 11: Lifestyle and arthritic conditions—rheumatoid arthritis
Item type: Journal Article • Journal: South African Family Practice • Authors: MP Schwellnus --- UCT/MRC Research Unit for Exercise Science and Sports Medicine, Department of Human Biology, South Africa DN Patel --- , South Africa C Nossel --- , South Africa M Dreyer --- , South Africa S Whitesman --- Institute for Mindfulness, South Africa EW Derman --- UCT/MRC Research Unit for Exercise Science and Sports Medicine, Department of Human Biology, South AfricaRheumatoid arthritis (RA) is a chronic, systemic, inflammatory autoimmune disorder that causes symmetrical polyarthritis of large and small joints. RA affects about 0.5–1% of the population and is more common in females than males. In recent years, it has been... -
Current approach to diagnosis and management of osteoarthritis
Item type: Journal Article • Journal: South African Family Practice • Authors: C Ickinger --- Division of Rheumatology, M Tikly --- Division of Rheumatology,Osteoarthritis (OA) is a common chronic degenerative joint disorder and a major cause of pain and disability, especially in the elderly. The prevalence is steadily rising due to an increase in life expectancy and certain lifestyle factors. OA is a... -
Healthy lifestyle interventions in general practice Part 10: Lifestyle and arthritic conditions—Osteoarthritis
Item type: Journal Article • Journal: South African Family Practice • Authors: MP Schwellnus --- UCT/MRC Research Unit for Exercise Science and Sports Medicine, DN Patel --- Vitality Wellness, C Nossel --- Vitality Wellness, M Dreyer --- Vitality Wellness, S Whitesman --- Institute for Mindfulness, South Africa EW Derman --- UCT/MRC Research Unit for Exercise Science and Sports Medicine,Chronic musculoskeletal disease is one of the most common causes of disability worldwide with considerable economic impact in health care. Osteoarthritis (OA) is the most common chronic musculoskeletal disease affecting a large proportion of the population with an increasing predicted... -
Rheumatoid arthritis
Item type: Journal Article • Journal: South African Family Practice • Authors: Mahmood Ally --- Department of Internal Medicine, Faculty of Health Sciences, Bridget Hodkinson --- Department of Medicine, Groote Schuur Hospital, Faculty of Health Sciences,Immune-mediated inflammatory disorders include a clinically diverse group of conditions that share similar pathogenic mechanisms. Conditions such as rheumatoid arthritis (RA), psoriasis, spondyloarthropathy, inflammatory bowel disease and connective-tissue disease are characterised by immune dysregulation and chronic inflammation. This review will... -
Current approach to diagnosis and management of osteoarthritis
Item type: Journal Article • Journal: South African Family Practice • Authors: C Ickinger --- Division of Rheumatology, M Tikly --- Division of Rheumatology,Osteoarthritis (OA) is a common chronic degenerative joint disorder and a major cause of pain and disability, especially in the elderly. The prevalence is steadily rising due to an increase in life expectancy and certain lifestyle factors. OA is a... -
Gouty arthritis: an approach for general practice
Item type: Journal Article • Journal: South African Family Practice • Authors: M Tikly --- Division of Rheumatology, K Makan --- Division of Rheumatology,Gout is a common crystal-induced inflammatory arthritis, the prevalence and clinical complexity of which is increasing in the face of a growing aged population with multiple co-morbidities. Recent epidemiological studies emphasise that lifestyle factors strongly influence the development of hyperuricaemia... -
Exercise prescription in the management of rheumatoid arthritis
Item type: Journal Article • Journal: South African Family Practice • Authors: K Nolte --- Department of Biokinetics, DC Janse van Rensburg --- Section Sports Medicine, University of Pretoria,Background: Over the last few years, the types of exercises prescribed for patients with rheumatoid arthritis (RA) have changed. There is also increasing knowledge on the physical status and physical activity levels of these patients. This article aims to give... -
Consultation outcomes for musculoskeletal conditions at two community health centres in Cape Town
Item type: Journal Article • Journal: South African Family Practice • Authors: MK Namane --- Metro District Health Services, Western Cape Department of Health, Community Health Division and Family Medicine Division, Faculty of Health Sciences, Stellenbosch and Family Medicine Division, Faculty of Health Sciences, AA Kalla --- Head of Unit, Rheumatic Diseases Unit, Faculty of Health Sciences, TN Young --- Centre for Evidence-Based Medicine, Community Health Division Faculty of Health Sciences,Objectives: To compare the proportion of patients with documented diagnoses and management plans when they presented with musculoskeletal complaints at two community health centres (CHCs) using two models of care: one with a rheumatology outreach service and the other with... -
Functional limitations and coping mechanisms of women aged 60 years and older with self-reported hand osteoarthritis
Item type: Journal Article • Journal: South African Family Practice • Authors: J McIntyre --- Department of Occupational Therapy, South Africa RWE Joubert --- Department of Occupational Therapy, South Africa SS Ramklass --- School of Clinical Medicine, South AfricaBackground: Hand osteoarthritis (HOA) is common in older women who seem to cope with the associated limitations in hand function. The importance of identifying coping mechanisms within a local context might have implications for intervention, especially with the introduction of... -
The anti-inflammatory properties of simvastatin can benefit statin-naïve rheumatoid arthritis patients with associated risks for cardiovascular disease
Item type: Journal Article • Journal: South African Family Practice • Authors: AO Komolafe --- Department of Pharmacology, South Africa MMTM Ally --- Department of Internal Medicine, South Africa JJ Van Tonder --- Department of Pharmacology, South Africa OBW Greeff --- Department of Pharmacology, South AfricaBackground: The anti-inflammatory properties of statins are well documented. The aim of this study was to determine if statins may offer therapeutic benefits in rheumatoid arthritis (RA) patients that are also at risk for cardiovascular disease. -
Staphylococcus aureus bacteraemia in children: a formidable foe
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: T Pretorius --- Department of Anaesthesia, South Africa B Brennan --- Department of Anaesthesia, South Africa J Thomas --- Department of Anaesthesia, South AfricaStaphylococcus aureus remains one of the most common causes of bacteraemia in children. In order to evade and overcome the immune responses of its host and any antimicrobial therapies aimed at destroying it, this organism, through various mechanisms, continues to... -
Early rheumatoid arthritis: focus on RA in the developing world
Item type: Journal Article • Journal: South African Family Practice • Authors: Mahmood MTM Ally --- Faculty of Health Sciences, Department of Internal Medicine, South Africa Pieter WA Meyer --- Faculty of Health Sciences, Department of Immunology, South Africa Ronald Anderson --- Faculty of Health Sciences, Department of Immunology, South AfricaA review was undertaken of pathogenic mechanisms in early rheumatoid arthritis (RA) and strategies for cost-effective management of RA in the developing world. Pitfalls in early disease are explored and the importance of aggressive measurable disease control is emphasised. -
Disseminated fungal infection in an HIV-infected patient due to Aureobasidium pullulans
Item type: Journal Article • Journal: Southern African Journal of Infectious Diseases • Authors: Wesley G. van Hougenhouck-Tulleken --- Division of Rheumatology, Department of Internal Medicine, South Africa Garrison Mathole --- Department of Internal Medicine, South Africa Alan Karstaedt --- Division of Infectious Diseases, Department of Internal Medicine, South Africa Nimmisha Govind --- Division of Rheumatology, Department of Internal Medicine, South Africa Magendhree Moodley --- Department of Clinical Microbiology and Infectious Diseases, National Health Laboratory Service, South Africa Sharona Seetharam --- Department of Clinical Microbiology and Infectious Diseases, National Health Laboratory Service, South Africa Nelesh P. Govender --- National Institute for Communicable Diseases(Centre for Opportunistic, Tropical and Hospital Infections), a division of the National Health Laboratory Service, South Africa Colin N. Menezes --- Division of Infectious Diseases, Department of Internal Medicine, South AfricaIn South Africa, novel fungal pathogens have emerged as an important cause of disease in HIV-infected individuals. The clinical presentation is characteristically prolonged, insidious and the diagnosis elusive, often being made post mortem. We report an HIV-infected individual with a... -
Knee osteoarthritis and perceived social support amongst patients in a family medicine clinic
Item type: Journal Article • Journal: South African Family Practice • Authors: Temitope Ilori --- Department of Preventive Medicine and Primary Care, Nigeria Modupe M Ladipo --- Department of Preventive Medicine and Primary Care, Nigeria Adetola M Ogunbode --- Department of Family Medicine, Nigeria Abimbola M Obimakinde --- Department of Preventive Medicine and Primary Care, NigeriaBackground: Knee osteoarthritis is a chronic disease affecting the lives of patients and their families, with the family characteristics moderating the illness course. The perceived social support received by a patient helps in determining the health and functionality of the...