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Archive for the ‘Arthritis’ Category

Researchers Present Global Effort to Develop Machine Learning Tools for Automated Assessment of Radiographic Damage in Rheumatoid Arthritis – Yahoo…

Sunday, November 7th, 2021

NEW YORK, Nov. 6, 2021 /PRNewswire/ -- Crowdsourcing has become an increasingly popular way to develop machine learning algorithms to address many clinical problems in a variety of illnesses. Today at the American College of Rheumatology (ACR) annual meeting, a multicenter team led by an investigator from Hospital for Special Surgery (HSS) presented the results from the RA2-DREAM Challenge, a crowdsourced effort focused on developing better methods to quantify joint damage in people with rheumatoid arthritis (RA).

HSS Logo (PRNewsfoto/Hospital for Special Surgery)

Damage in the joints of people with RA is currently measured by visual inspection and detailed scoring on radiographic images of small joints in the hands, wrists and feet. This includes both joint space narrowing (which indicates cartilage loss) and bone erosions (which indicates damage from invasion of the inflamed joint lining). The scoring system requires specially trained experts and is time-consuming and expensive. Finding an automated way to measure joint damage is important for both clinical research and for care of patients, according to the study's senior author, S. Louis Bridges, Jr., MD, PhD, physician-in-chief and chair of the Department of Medicine at HSS.

"If a machine-learning approach could provide a quick, accurate quantitative score estimating the degree of joint damage in hands and feet, it would greatly help clinical research," he said. "For example, researchers could analyze data from electronic health records and from genetic and other research assays to find biomarkers associated with progressive damage. Having to score all the images by visual inspection ourselves would be tedious, and outsourcing it is cost prohibitive."

"This approach could also aid rheumatologists by quickly assessing whether there is progression of damage over time, which would prompt a change in treatment to prevent further damage," he added. "This is really important in geographic areas where expert musculoskeletal radiologists are not available."

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For the challenge, Dr. Bridges and his collaborators partnered with Sage Bionetworks, a nonprofit organization that helps investigators create DREAM (Dialogue on Reverse Engineering Assessment and Methods) Challenges. These competitions are focused on the development of innovative artificial intelligence-based tools in the life sciences. The investigators sent out a call for submissions, with grant money providing prizes for the winning teams. Competitors were from a variety of fields, including computer scientists, computational biologists and physician-scientists; none were radiologists with expertise or training in reading radiographic images.

For the first part of the challenge, one set of images was provided to the teams, along with known scores that had been visually generated. These were used to train the algorithms. Additional sets of images were then provided so the competitors could test and refine the tools they had developed. In the final round, a third set of images was given without scores, and competitors estimated the amount of joint space narrowing and erosions. Submissions were judged according to which most closely replicated the gold-standard visually generated scores. There were 26 teams that submitted algorithms and 16 final submissions. In total, competitors were given 674 sets of images from 562 different RA patients, all of whom had participated in prior National Institutes of Health-funded research studies led by Dr. Bridges. In the end, four teams were named top performers.

For the DREAM Challenge organizers, it was important that any scoring system developed through the project be freely available rather than proprietary, so that it could be used by investigators and clinicians at no cost. "Part of the appeal of this collaboration was that everything is in the public domain," Dr. Bridges said.

Dr. Bridges explained that additional research and development of computational methods are needed before the tools can be broadly used, but the current research demonstrates that this type of approach is feasible. "We still need to refine the algorithms, but we're much closer to our goal than we were before the Challenge," he concluded.

About HSS

HSS is the world's leading academic medical center focused on musculoskeletal health. At its core is Hospital for Special Surgery, nationally ranked No. 1 in orthopedics (for the 12th consecutive year), No. 4 in rheumatology by U.S. News & World Report (2021-2022), and the best pediatric orthopedic hospital in NY, NJ and CT by U.S. News & World Report "Best Children's Hospitals" list (2021-2022). HSS is ranked world #1 in orthopedics by Newsweek (2021-2022). Founded in 1863, the Hospital has the lowest complication and readmission rates in the nation for orthopedics, and among the lowest infection rates. HSS was the first in New York State to receive Magnet Recognition for Excellence in Nursing Service from the American Nurses Credentialing Center five consecutive times. The global standard total knee replacement was developed at HSS in 1969. An affiliate of Weill Cornell Medical College, HSS has a main campus in New York City and facilities in New Jersey, Connecticut and in the Long Island and Westchester County regions of New York State, as well as in Florida. In addition to patient care, HSS leads the field in research, innovation and education. The HSS Research Institute comprises 20 laboratories and 300 staff members focused on leading the advancement of musculoskeletal health through prevention of degeneration, tissue repair and tissue regeneration. The HSS Global Innovation Institute was formed in 2016 to realize the potential of new drugs, therapeutics and devices. The HSS Education Institute is a trusted leader in advancing musculoskeletal knowledge and research for physicians, nurses, allied health professionals, academic trainees, and consumers in more than 130 countries. The institution is collaborating with medical centers and other organizations to advance the quality and value of musculoskeletal care and to make world-class HSS care more widely accessible nationally and internationally.


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Researchers Present Global Effort to Develop Machine Learning Tools for Automated Assessment of Radiographic Damage in Rheumatoid Arthritis - Yahoo...


Livestreaming Fitness Classes Can Improve Pain, Joint Stiffness, and Fatigue – Everyday Health

Sunday, November 7th, 2021

Remote classes such as yoga, Pilates, and tai chi are beneficial for people with musculoskeletal problems such as osteoarthritis (OA), rheumatoid arthritis (RA), and osteoporosis, according to research presented at the American College of Rheumatology 2021 annual meeting.

After attending biweekly 60-minute low-intensity Zoom fitness classes at six-week increments, participants improved physically and became more socially active, say researchers at the Hospital for Special Surgery (HSS) in New York City.

RELATED: Whats Your Arthritis Lifestyle Type?

Out of the 355 people assessed (among a total of 6,779 participants), 161 self-reported a musculoskeletal condition. Affecting the joints, bones, or muscles, musculoskeletal conditions include inflammatory arthritis and other chronic conditions associated with pain, functional limitations, and disability.

Participants were mostly female, older than 60, and white. That group reported that with any level of participation at every six-week virtual exercise session, they achieved:

Those who said they attended twice a week or more for six weeks reported even more improvement:

Live remote exercise programs offer a two-way interactive experience: participants connect to a video conference or meeting remotely with a computer, smartphone, or tablet device, usually from their own home. During the class, people may have the opportunity to talk with others and get personal feedback from the instructor, who can see and hear them via the devices camera and microphone.

HSS offered a remote, live class that had to be taken at a scheduled time but provided direct interaction with the instructor and other students. Unlike prerecorded classes online (often free) that allow you to participate whenever you choose, the live classes allow for interaction and professional oversight. Online or on-demand fitness classes are similar to the one-way classes offered via recording on a videotape or DVD.

RELATED: 6 Simple Yoga Poses for Psoriatic Arthritis

According to the Centers for Disease Control (CDC), loneliness affects more than one-third of adults age 45 and and up and nearly one-fourth of adults age 65 and older. (Obviously, the COVID-19 pandemic made human connection vastly more difficult.) There are many health risks associated with social isolation, including dementia, mental health issues, and premature death.

A study published in June 2017 inQuality in Ageing and Older Adults found a strong connection between social isolation and loneliness and chronic musculoskeletal diseases. To work on that, the HSS research team built a social component into their exercise programs. We made sure our classes were structured to increase interactions with others. We promoted a dialogue before the class began so people could talk and catch up with each other. They said it helped promote social connections, says Titilayo Ologhobo, MPH, the director of outcomes and data analytics at HSS and the new studys author.

RELATED: Tai Chi Might Help Reduce Belly Fat in Middle-Aged and Older Adults

The team did not collect data comparing virtual and in-person classes, but the feedback they received was that people enjoyed the virtual program because of the time flexibility and the convenience of working out at home. Other barriers to exercise known to challenge people with arthritis and other conditions are physical accessibility, travel conditions, and pain with movement. Research published in Physical Therapy and Rehabilitation Journal found that people with osteoarthritis experienced the following obstacles to exercising regularly at in-person classes.

Ologhobo stresses that you shouldnt start any new exercise regimen before consulting with your healthcare provider. Your doctor can help you assess whether a given program is appropriate for your level of fitness and health. If you have moderate or severe disease, you may want to check in with a physical therapist who can evaluate the safety and efficacy of a given program for you and suggest specific resources. Here are some virtual sites that offer gentle exercise. Consider a trial class or trial membership before you make a financial commitment. If none of these work for you, ask your healthcare provider or physical therapist for suggestions.

The takeaway for rheumatologists and others who care for people with painful musculoskeletal conditions appears to be to encourage participation in these types of classes. Amid the uncertainties caused by the pandemic, shifting to virtual programming provided older adults with musculoskeletal conditions continued access to effective community programs and reduced the negative impact of isolation. Implementation of virtual online exercise programs can be successful when assessing the needs of your target audience, considering potential barriers to program participation, and tailoring virtual programs to meet patients specific needs, Ologhobo said in a press release.

RELATED:How Fitness Helps You Manage Chronic Disease

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Livestreaming Fitness Classes Can Improve Pain, Joint Stiffness, and Fatigue - Everyday Health


Arthritis: Three of the ‘worst foods’ for causing inflammation – ‘you may want to avoid’ – Daily Express

Sunday, November 7th, 2021

There are also a number of factors which might make inflammation and pain worse. The main goals of arthritis treatments are to reduce symptoms and improve quality of life. Arthritis or other similar conditions that affect the joints, impacts more than 10 million people in the UK. People of all ages can suffer from the health issue, including children, though there are some modifiable risk factors that may help stave off the condition.

Arthritis is not a single disease, but instead a way of referring to joint pain or joint disease. There are more than 100 types of arthritis and related conditions.

Osteoarthritis and rheumatoid arthritis are the two most common types of arthritis.

Currently, the NHS notes that there is no cure for arthritis, but there are many treatments that can help slow it down.

There are also a number of factors that can increase your risk of developing the condition. If you have arthritis, your joints will most likely feel stiff and be hard to move, you may also find that the area around your joints may feel warm, look red or puffy.

READ MORE:The common mistake people make when showering that can be 'harmful' - pharmacist's warning

University Health says that incorporating foods high in omega-3 fatty acids, protein and fibre into your diet, may help reduce joint pain and inflammation.

Some foods can actually trigger inflammation, so if you have an arthritis diagnosis it may be worth cutting these down in yourdiet.

Itadds: On the other hand, there are certain foods you may want to avoid. Processed foods, food with added sugars and red meats may cause inflammation.

It suggests avoiding ice cream, fast food, cakes, bread and biscuits, as well as beef and pork.


If you notice symptoms or are concerned about arthritis it is important to speak to your GP.

The NHS encourages those living with arthritis to eat a healthy and balanced diet and maintain a healthy weight.

They explain diets should consist of a variety of foods from all five food groups. These are fruit and vegetables, starchy foods, and meat, fish, eggs and beans.

The health body adds that you should include milk and dairy foods, and foods containing fat and sugar.

"Finding out whats causing your pain is key to finding the right treatment and self-help options, says Versus Arthritis (VA).

As well as causing pain and stiffness, inflammation can cause permanent damage to a joint, so starting effective treatment early on can help to minimise damage.

Its important to see a doctor if you get any new symptoms or if you have any trouble with drugs youre taking, VA adds.

Treatment for most arthritis aims to slow the condition's progress and minimise joint inflammation.

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Arthritis: Three of the 'worst foods' for causing inflammation - 'you may want to avoid' - Daily Express


Foods that can worsen arthritis symptoms: Listen to Ayurveda-prescribed dos and don’ts – Times Now

Sunday, November 7th, 2021

Ayurvedic diet  |  Photo Credit: iStock Images

When you have arthritis, your body is already in an inflammatory state. One is battling pain and other symptoms that if left unattended can cause other chronic conditions such as obesity, heart disease and diabetes. Here's what Ayurveda says about pro-inflammatory foods and things to avoid.

The name for Rheumatoid Arthritis in Ayurvedic texts is "Amavata". Ayurvedic texts prescribe specific diet and treatment procedures such as Virechanakarma.

As per a study that is published in the Journal of Research in Ayurveda, Amavata is a disease in which vitiation of Vata Dosha and accumulation of Ama take place in joint(s), and it simulates rheumatoid arthritis (RA) in modern parlance. Shamana (conservative) and Shodhana (biological purification of the body) treatments are advised in Ayurveda whereas anti-inflammatory, analgesics, steroids, and disease-modifying antirheumatic drugs are required for its management as per modern medicine, which is not free from side effects.

The study cites the case of a lady patient with Rheumatoid Arthritis. "As the patient did not get any relief with Shamana Chikitsa (ayurvedic or modern medicinal treatment), it was decided to go for Shodhana Chikitsa (Panchakarma). The patient underwent Virechanakarma (therapeutic purgation) as per indication mentioned in the classics of Ayurveda."

After a follow-up of 1 year, the patient was found free from almost all signs and symptoms of Amavata. The quality of life was improved significantly and the patient was enjoying a normal healthy life with no exacerbation.

Asper a report in, along with the medicines, the patient must also observe pathya (dos and don't) to help the healing process.

What to eat and what to banish from your platter?

Planet Ayurveda prescribes the following dos and don'ts where diet is concerned.

Cereals to consume: Quinoa, buckwheat, brown rice, oats, little millet, corn, Kamut, wheatCereals to avoid: Barley, Rye, White rice

Fruits to consume: Apple, Banana, Cherry, Avocado, Peaches, pear, pomegranate, Sapodilla, apricot, blueberry, amlaFruits to be avoided: All citrus fruits like lemon, oranges, sweet lemon, etc, strawberry, mango, kiwi

Vegetables to be consumed: Ridge gourd, pumpkin, spinach, potato, drumstick, carrot, broccoli, onion, ginger, beetroot, bitter gourd, round gourd, mushroom, bottle gourd, kale zucchini, turnips, beans.Vegetables to avoid: Tomatoes, eggplant or brinjal, radish

Pulses to consume: All pulses and legumesPulses to avoid: None but limit the use of Black gram/kidney beans

Dairy products to consume: Occasionally or limited intake of ghee, skimmed milk (by adding turmeric) and low-fat yoghurtDairy products to avoid: All the other milk products

Oils to be consumed: Sunflower oil, ghee, olive oil, mustard oil, rice bran oilOil to avoid: Canola oil, Palm oil, coconut oil

Ayurveda bans all stale food, bakery products, fried foods, pickles, refined sugar, vinegar, packaged food, processed and junk foods, says It also cites Ayurvedic texts that layimportance upon weightloss to beat arthritis. Yoga and massage as well as pranayam are stressed upon. Avoid spices, stress, and drinking at least 8-10 glasses of water, says Planet Ayurveda.

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Foods that can worsen arthritis symptoms: Listen to Ayurveda-prescribed dos and don'ts - Times Now


Lisa Hilinski: What to know about effects on arthritis as colder temperatures arrive –

Sunday, November 7th, 2021

Lisa Hilinski| Special to the Erie Times-News

With just 10 minutes of exercise a day, you can slow pains of aging

Apparently less than 10 minutes of walking a day may keep arthritis away. Buzz60's Maria Mercedes Galuppo has more.


As colder weather arrives, many arthritic patients are convinced the lower temperatures and varying barometric pressures can increase their pain.

Having more than a decade of experience training clients with arthritis, I find this to be true.

With that said, scientists have yet to provide actual evidence that lower temperatures or varying humidity make arthritis worse. Yet, they seem to believe their patients on some levelbecause the connectionbetween weather and arthritis has been studied a lot.

If youre someone whosearthritis tends to ignite at this time of year, here are some things we can tell you about your condition:

While everyone isunique, the consensus is that arthritis symptoms lessen with various types of movement. Positive outcomes have been shown with flexibility training andstrength training, as well as cardiovascular training.

Lisa Hilinski: Exercise can increase productivity at the workplace with happier, healthier employees

The worst thing you can do as someone with arthritis is sit around. While this holds true for any population, its particularly true for those with arthritis.

Sitting creates stiff joints, which results in more pain when its time to move around. You want to create more blood flow to your joints and keep those joints happy.

Regular exercise will be valuable for those with arthritis, but you dont need to be super structured.

Some days youre going to wake up feeling like a million bucks, and other days youll wake up feeling like a truck hit you. Its important to read your body and do what its telling you.

More Lisa Hilinski: Train your body to go in all directions to avoid injury, losing range of motion

On the days when youre feeling your worst, do something low impact, like general cardiovascular training. On the days when your body is feeling good, do some lower-impact strength training.

Use some lighter dumbbells and resistance bands, and give yourself a full body workout.

Flexibility training can be done every day and should be performed both statically and dynamically.

Overall, move your body to keep it happy this winter,and let your body tell you what it needs.

Lisa Hilinski is owner of Premier Personal Training.

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Lisa Hilinski: What to know about effects on arthritis as colder temperatures arrive -


The 13p herbal tea that could help ease the pain caused by arthritis – Coventry Live

Sunday, November 7th, 2021

Arthritis is a painful and debilitating condition that affects many millions of people in the UK.

While there is medication to help control the pain there are also many simple lifestyle and dietary changes that can help to manage it.

One natural remedy is contained in a very cheap and tasty herbal tea that could help ease joint pain, the Express reports.

Read more Coventry news

Arthritis is caused by swelling around the joints and damage to the cartilage that keeps joints moving.

Osteoarthritis is the most common type of arthritis in the UK.

It tends to affect people over the age of 40 and women in particular.

Anyone who feels they may have arthritis os advised to speak to their GP about possible treatments available.

But dietary changes and cutting out foods known to cause inflammation, as well as eating more foods with anti-inflammatory properties, are often recommended.

People who suffer from the condition may also be advised to lose weight as being heavier can put more strain on your joints.

So, could a 13p tea help to reduce arthritis pain?

Rosehip tea is a herbal tea made from the rose plant and has a floral but tart taste.

Rosehip was used by ancient civilisations as a natural remedy for many conditions, ranging from toothache to rabies.

Today rosehip extract is linked to many health benefits, including boosting the immune system, reducing inflammation and improving heart health.

Is it something that can help people manage arthritis?

Rosehip contains two substances believed to reduce joint inflammation and pain - polyphenols and anthocyanins.

Polyphenols are compounds found in plants and plant-based foods that are high in antioxidants.

Anthocyanins are a type of antioxidant known for their purple colour. It is the substance which gives blueberries, aubergines, red cabbages and blackberries their vibrant colours.

Rosehip is also high in vitamin C, which is noted for its antioxidant properties, as well as boosting the functioning of the immune system.

Research has been carried out on rosehips healthy properties.

One four-month study of 100 people with osteoarthritis, found taking five grams of rosehip extract every day, saw reduced pain for 65 per cent of those who took part.

Studies have also noted rosehip can have a positive effect on weight loss, which can help manage joint pain and arthritis.

A cup of rosehip tea is just three calories, so it makes for a great low-calorie alternative to sugary drinks. It is also caffeine free.

The evidence that is currently available as to its benefits has focused on studies where participants take a more concentrated rosehip extract.

But rosehip tea is a very cheap and easily available alternative.

You can pick up a bag of 20 teabags from Holland & Barrett for just 2.59.

If youre adventurous you could even try making some yourself by brewing your own dried rosehips in boiling water.

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The 13p herbal tea that could help ease the pain caused by arthritis - Coventry Live


Arthritis diet: The 13p tea to reduce painful symptoms of arthritis – Express

Sunday, November 7th, 2021

There are many simple lifestyle changes you can make to help manage arthritis. Could this herbal tea reduce inflammation and help with painful joints?

Arthritis is a very common condition caused by swelling around your joints and damage to the cartilage that keeps your joints moving.

The most common type of arthritis in the UK is osteoarthritis, which is most common in people over the age of 40, and most prevalent in women.

If you suspect you might have arthritis, its best to speak to your GP about possible treatments available for you.

Changes to your diet, such as cutting out foods known to cause inflammation, and eating more foods with anti-inflammatory properties, are often recommended to people with arthritis.

Some people with arthritis will also be advised to lose weight or maintain a healthy body weight, as being heavier can put more strain on your joints.

Could this 13p tea help to reduce arthritis pain?

READ MORE:Pfizer booster shot: Expect 'arthralgias' to be likely

The evidence available at the moment has focused on studies where participants take a more concentrated rosehip extract.

However, if you prefer to drink rosehip tea you can pick up a bag of 20 teabags for just 2.59 from Holland & Barrett.

Alternatively, you can try brewing your own dried rosehips in boiling water.

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Arthritis diet: The 13p tea to reduce painful symptoms of arthritis - Express


Arthritis: Experts hail powerful Asian tea that can dramatically decrease pain – Birmingham Live

Sunday, November 7th, 2021

Excruciating arthritis symptoms can be decreased with this simple but powerful tea from South Asia.

Over 10 million people in the UK suffer from arthritis, a condition that can affect those of all ages.

Arthritis is a common health condition which causes chronic pain in your joints. It damages joints, bones and can impact other body parts depending on the type.

Osteoarthritis is the most common variant of the condition, accounting for 9 million cases and usually, but not exclusively, develops after the age of 40.

It initially affects the smooth cartilage lining of the joint, then once the cartilage lining starts to roughen and thin out, the tendons and ligaments have to work harder causing excruciating pain.

There are two types of arthritis, osteoarthritis and rheumatoid. While osteoarthritis is caused by day-to-day wear-and-tear, rheumatoid arthritis is when your body's immune system attacks the joint capsule, which houses all parts of the joint responsible for seamless movement.

The attacks can eventually result in the cartilage being totally destroyed, leaving the sufferer with painful bone-on-bone movement.

Inflammation in the body can make symptoms of both types significantly worse, but drinking this tea could significantly lessen your pain.

In a study published on the US National Library of Medicine National Institutes of Health, it found that an active compound in turmeric, called curcumin, was effective in reducing pain in patients with osteoarthritis.

Not only this, but they found patients experienced no side effects after drinking the tea.

Though it can't restore joints and cartilage to pre-arthritis condition, it reduces swelling responsible for much of the pain associated with the condition.

Turmeric tea has also been shown to relieve period pains of women, relaxing blood vessels around the uterus.

The active ingredient that reduces swelling in turmeric, curcumin, makes up only 3-5 percent of the spice. Therefore, those looking for a higher dose are recommend to take a daily curcumin supplement of 200 to 1000mg, that contains 95 percent curcuminoids.

Turmeric has long been used in South and South East Asian cooking and medicine. Numerous studies are underway exploring its medical potential in the West.

The NHS highlights these main signs as symptoms of arthritis:

If you are experiencing any of these symptoms, contact your healthcare provider.

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Arthritis: Experts hail powerful Asian tea that can dramatically decrease pain - Birmingham Live


Air Pollution Linked to Increased Rheumatoid Arthritis Severity – HealthDay News

Sunday, November 7th, 2021

TUESDAY, Nov. 2, 2021 (HealthDay News) -- Air pollution is associated with increased rheumatoid arthritis (RA) disease severity, according to a study published in the October issue of Rheumatology.

Giovanni Adami, M.D., Ph.D., from the University of Verona in Italy, and colleagues collected longitudinal data of patients affected by RA and the daily concentrations of air pollutants in the Verona area to examine the correlation between RA flares and air pollution in a case-crossover study. Exposure to pollutants was compared in the 30- and 60-day periods preceding an arthritic flare relative to the 30- and 60-day exposure preceding a low-disease activity visit.

Data were included for 888 RA patients with 3,396 follow-up visits. The researchers identified an exposure-response relationship between air pollutant concentration and the risk for having abnormal C-reactive protein (CRP) levels. The risk for having CRP levels 5 mg/L were increased for patients exposed to higher concentrations of air pollutants. In the 60-day period preceding a flare, concentrations of carbon monoxide, nitric oxide, nitrogen dioxide, oxides of nitrogen, particulate matter with a diameter of 2.5 m or less, and ozone were higher.

"The excessive risk was seen even at very low levels of exposure, even below the proposed threshold for the protection of human health," the authors write. "Our study has important and direct consequences. In order to reduce the burden of RA, public and environmental health policy makers should aim to diminish gaseous and particulate matter emissions to a larger extent than currently recommended."

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Air Pollution Linked to Increased Rheumatoid Arthritis Severity - HealthDay News


Is rheumatoid arthritis a disability? Benefits and more – Medical News Today

Monday, August 30th, 2021

Rheumatoid arthritis is a chronic condition in which the bodys immune system attacks its own tissues. The condition typically causes swelling, stiffness, and pain in the joints. However, it may also affect other areas of the body, including the cardiovascular system, kidneys, skin, and eyes.

For some, rheumatoid arthritis (RA) symptoms can significantly affect their ability to carry out day-to-day tasks. In these situations, the person may qualify for disability benefits.

This article discusses when RA is a disability, how to know if a person living with RA qualifies for benefits, and how to claim them. We also provide tips on how to manage the symptoms of RA.

RA is a progressive condition, meaning that it will worsen over time. The pace at which the disease progresses will depend on multiple factors, including:

In a 2008 study of RA and work disability in the United States, 35% of people stopped working within 10 years of their initial RA diagnosis.

According to the Global Healthy Living Foundation, to qualify for disability benefits, a person would need to show that they are unable to work for a year or that working may result in death.

The Social Security Administration (SSA) considers RA a disability if a person meets the following eligibility criteria:

The SSA calculates work credits based on the total amount a person earns each year. According to the SSA, in 2021, a person can receive one credit for every $1,470 of earned income for a maximum of four credits per year.

Though the amount needed per credit often increases each year, a person can accumulate credits at different points in their life. They will not disappear if a person stops working for several years.

Disability benefits, more commonly known as Social Security Disability Income (SSDI), are available for qualified individuals. To qualify, a person must have worked and paid into social security for a number of years.

The SSA outlines the number of years a person needs to have worked to qualify for SSDI. The number of years varies based on the age of the person. According to the SSA, people 3142 years old need to have earned 20 credits in the 5 years before becoming disabled.

However, a person aged 62 years or older needs to have earned 40 credits in the 10 years before becoming disabled.

According to the SSAs monthly statistical snapshot, the average monthly benefit in June 2021 for people under 65 years old with a disability was $1,310.

The SSA classifies RA under inflammatory arthritis.

According to the SSA, to qualify for SSDI, a person living with RA needs to meet one or more of the following criteria:

In determining benefits, the SSA will also look at a persons ability to sustain work based on their Social Securitys Medical-Vocational Guidelines.

The guidelines use the Residual Functional Capacity (RFC) to determine how much work a person living with RA can reasonably carry out. The RFC classification outlines four broad categories based on the physical demands of a persons work. They include:

If a person cannot complete their expected work based on their disability and experience level, they may qualify for full benefits. However, a person who can complete light or sedentary work may not be eligible if they can work in a sedentary position.

The RFC also takes into account the following factors to determine if a person should receive SSDI:

People may apply for SSDI benefits online here or by calling 800-772-1213.

The SSA provides an Adult Disability Checklist to help people determine what they need before applying for disability benefits. They provide one checklist for completing an application online and another for completing an application over the phone.

The checklist details the documents and information a person needs to apply for benefits. Some of the information a person will need includes:

There is no cure for RA, but there are ways to manage its symptoms and slow its progression. The goal of most treatment plans is to:

Some standard treatment options include:

A person should talk to their doctor if they notice worsening or continued symptoms. Working closely with a doctor is important for managing symptoms and reducing the severity of RA.

RA is a chronic disease that primarily affects the joints but can also affect other parts of the body. The condition can progress to the point that a person finds it difficult or impossible to maintain their occupation.

The SSA classifies RA as a type of inflammatory arthritis. A person with RA may qualify for benefits if they become unable to work. A person must document that they meet the Social Security criteria for disability before receiving any benefits.

Although there is no cure for RA, a person can manage the condition with medications, therapies, and appropriate lifestyle changes.

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Is rheumatoid arthritis a disability? Benefits and more - Medical News Today


Pandemic surge causes major shortage of a drug that treats rheumatoid arthritis and severe Covid-19 – CNN

Monday, August 30th, 2021

The Virginia woman says she and her whole family got the vaccine as soon as it was available. She's immunocompromised and susceptible to getting really sick if she caught Covid-19. She has lupus and rheumatoid arthritis and it is these diseases that add an extra layer to her frustration and anger.

"We did our part to preserve ourselves, our community, in trying to help battle this by getting vaccinated," Melendez said. "It's just unfortunate that the ignorance and laziness, for lack of better words, of other people who avoided taking the vaccine and ended up in the hospital with Covid, now has to impact me."

The antibody treatment blocks an inflammatory protein called IL-6 that causes damage in rheumatoid arthritis. That same protein plays a role in some of the serious symptoms in people with severe Covid-19 infections.

In the United States, supplies of several dose levels of this medicine have been out of stock since last Monday.

A life saver and life changer

For patients with Covid-19, the drug can be lifesaving. For patients with rheumatoid arthritis, like Melendez, it can be life-altering.

"It has restored my ability to have a fully functioning life," Melendez said. "Before it, it was so bad that simple things like brushing my teeth, combing my hair, opening a bottle of water, unfastening a pair of jeans, going to a restaurant, feeding myself were all challenges. Standing up and walking was hard. That's how bad my RA gets and I'm only 47."

Without the medication, even for a month, people can suffer debilitating flare-ups.

"It isn't easy to switch drugs, especially when you're on a serious drug like Actemra," Taylor said. "You surely don't want to be bouncing around."

Genetech is expanding manufacturing

On Thursday, Genentech sent a notice to customers saying it was "working as urgently as possible to expedite replenishments and increase manufacturing capacity and supply wherever possible."

The company said the medicine should be available for distribution starting Monday, August 30, but "given continued tight supply, Genentech anticipates additional intermittent periods of stockouts in the months ahead if the pandemic continues at the current pace."

A subcutaneous injectible form of Actemra that has not been authorized to treat Covid-19 is still available for patients with rheumatoid arthritis. Snow suggested patients ask their doctors about it. It's unclear if insurance would cover it.

And for hospitalized Covid-19 patients, there are some alternatives if Actemra is not available.

"We also strongly encourage Roche to facilitate technology transfer and knowledge and data sharing to broaden access to this important treatment," the WHO said in its statement.

More pandemic shortages

"All it takes is a little spike in demand and we have problems," Fox said.

Because of the uncertainty of surges, some facilities also hoarded some medication. Genentech recently said it would not take orders back, and that should cut down on hoarding, Fox said.

"The same as any other manufacturer, they're going to make enough for what they think they need for the year. Nobody wants to have extra inventory sitting around," Ganio said.

Ganio said the American Society of Health System Pharmacists has also heard reports of shortages of in-line filters that are used with IV bags. There's been more demand for them due to the increasing use of the Regeneron antibody cocktail used to treat people with Covid-19.

"It's very frustrating. In shortage after shortage after shortage the manufacturer does not have a plan for when they can't supply product. It's often 'good luck, we're out,' " Fox said. "All decisions are made about the business first and unfortunately, there's no requirement to make anything, no matter how life saving it is."

"I know I can't be the only person who's sitting here today on edge," Melendez said. "I want to make sure they don't forget about us."

The rest is here:
Pandemic surge causes major shortage of a drug that treats rheumatoid arthritis and severe Covid-19 - CNN


Rheumatoid arthritis and diabetes: Link, prevention, treatment – Medical News Today

Monday, August 30th, 2021

Rheumatoid arthritis (RA) is a type of inflammatory arthritis and autoimmune disorder. People with RA have an increased risk of diabetes, while diabetes can also raise the risk of RA. Excessive inflammation, lifestyle factors, and genetics may be among the factors that connect the two conditions.

RA and diabetes also share several risk factors and causes, including certain medications.

This article discusses the link between RA and diabetes and explains how people can prevent and treat each of these conditions.

Although diabetes and RA share some similarities in terms of their causes and risk factors, they are very different conditions.

RA is an inflammatory autoimmune disease in which the bodys immune system mistakenly attacks healthy cells and tissue. It often causes inflammation in the joints of the hands, knees, or wrists. In some cases, it may affect the lungs, heart, eyes, or other organs throughout the body.

Type 2 diabetes is the most common form of diabetes. In a person living with the condition, the body either does not produce enough insulin or does not use it effectively. In either case, blood sugar levels will elevate.

The most likely connection between type 2 diabetes and RA involves inflammation and a buildup of cytokines known as tumor necrosis factor (TNF) in the body. The Arthritis Foundation notes that TNF plays a necessary role in wound healing by causing an inflammatory effect. However, it can be harmful when too much TNF is circulating in the body.

In RA, the immune systems attack on the joints causes TNF to build up in the body. In type 2 diabetes, fat cells mainly produce TNF, which can cause the body to develop insulin resistance over time. As a result, it is possible that the inflammation and TNF associated with RA could increase the risk of a person developing type 2 diabetes.

Other possible connections between RA and type 2 diabetes involve medications and lifestyle factors that can act as risk factors for both conditions.

Certain medications, such as corticosteroids, can increase the likelihood of developing type 2 diabetes. Also, RA might lead to a person having a more sedentary lifestyle, which is a risk factor for type 2 diabetes.

People living with type 1 diabetes may also be at higher risk of developing RA and vice versa.

The Global Healthy Living Foundation, a nonprofit organization, explains that type 1 diabetes is an autoimmune disorder in which the immune system mistakenly attacks insulin-producing cells. It notes that a person living with one autoimmune disorder has an increased chance of developing a second one at some point in their lifetime.

People living with RA may have an increased risk of developing type 2 diabetes. Researchers have found that people living with RA are 23% more likely to develop type 2 diabetes compared with the general population.

In a 2020 review, researchers noted that RA can negatively affect a persons insulin resistance, which can cause the body to develop more fat. They also reported that many people with RA who develop type 2 diabetes also have other risk factors, including obesity.

People living with RA may be more likely to develop type 1 diabetes, as both conditions are autoimmune disorders. A person who has an autoimmune condition is more likely to develop another one during their lifetime.

The Arthritis Foundation suggests that people over the age of 45 years get screenings for diabetes every 3 years, noting that this is particularly important for those living with RA.

Learn more about risk factors for type 2 diabetes.

People living with type 1 diabetes have a higher risk of developing RA. In part, this may be due to both conditions being autoimmune disorders. There also may be a genetic link between the two conditions research has shown that the gene PTPN22 is linked to both conditions.

Some researchers believe that the inflammation associated with type 2 diabetes triggers RA in people who are genetically predisposed. A 2014 study in Taiwan supports this theory, finding that living with type 2 diabetes increases the risk of RA in females.

It is unclear whether type 1 or 2 diabetes could make RA symptoms worse. However, similar lifestyle changes can help both conditions, including:

Doctors can help create an effective treatment plan for a person living with RA, diabetes, or both.

A doctor can recommend a combination of medications alongside self-care strategies to slow the progression of RA and prevent joint damage. The CDC says that possible strategies for people living with RA include:

Learn some tips for dealing with rheumatoid arthritis flare-ups here.

The Arthritis Foundation notes that treating a person living with RA and type 2 diabetes is not much different than treating a person living with RA alone. One of the most important aspects for a person living with both conditions is to get regular exercise to help prevent heart disease.

A doctor may recommend a combination of medications and lifestyle adjustments to manage diabetes. In some cases, a person may find that diet and exercise modifications are enough to control their blood sugar.

If a person cannot control their blood sugar with diet and exercise alone, a doctor may recommend medication. They may recommend drugs to help the body process sugar or prescribe insulin.

Read a review of therapies and lifestyle changes for diabetes here.

RA and diabetes share some similar features, and a person with one condition may have an increased risk of the other.

People living with type 1 diabetes may have an increased risk of RA, and vice versa, due to the connection between autoimmune disorders and genetics. The inflammation associated with type 2 diabetes may put individuals with this form of diabetes at higher risk of RA. RA can make a person more likely to develop type 2 diabetes by affecting their insulin resistance.

A person living with RA should get regular screenings and watch for warning signs of diabetes. A person with a diagnosis of type 2 diabetes should follow their doctors treatment advice.

See original here:
Rheumatoid arthritis and diabetes: Link, prevention, treatment - Medical News Today


Drug used to treat rheumatoid arthritis and COVID-19 in short supply –

Monday, August 30th, 2021

A medication used widely in treating rheumatoid arthritis is out of stock due to a rise in COVID-19 hospitalizations, affecting patients in the U.S. and Utah. (Adam Sotelo, KSL-TV)

SALT LAKE CITY A medication used widely in treating rheumatoid arthritis is out of stock due to a rise in COVID-19 hospitalizations, affecting patients in the U.S. and Utah.

Sharon Greenwood, of Utah County, was diagnosed with rheumatoid arthritis when she was just 12 years old.

"There is no cure," Greenwood said. "Even if (arthritis) gets in your jaw, then eating is a problem because you can't chew."

Decades later and a dozen or so failed treatments, Greenwood finally has a medication that works for her tocilizumab, known by the brand name Actemra. She has been using the treatment for 10 years.

"Without it, the pain is completely debilitating," Greenwood explained.

However, Greenwood says her monthly treatment is now out of reach.

"I went in for my treatment on Wednesday with the hospital," Greenwood said that's when her nurse at Intermountain American Fork Hospital told her there was a major shortage.

"Apparently, just that morning, the drug had been called in. The nurses were told they were not to use it for anyone because it was being confiscated and gathered up to be sent to a central location," Greenwood said.

Greenwood said she was one of the last rheumatoid arthritis patients to get their treatment.

"The nurse apparently had my drug in her hand and the pharmacist said 'No, we have to take that,' and she said 'No, our patient is here waiting for it,'" she said.

#EXCLUSIVE- "There's no guarantee," Hundreds of patients... are out of crucial treatment for rheumatoid arthritis, Actemra. @genentech says surge in #COVID19 hospitalizations is to blame for unsatiable demand...& it's affecting Utahns like Sharon Greenwood. Story now on

Greenwood said nurses told her the drug was going to be reserved for COVID-19 and possibly cancer patients as the delta variant fuels a surge in virus cases and hospitalizations.

"They told me they were hoping to have more come in in about 4-6 weeks, which will be around the time I have my next appointment, but there's no guarantee," Greenwood said, explaining that she is worried about the possibility of not getting her next treatment.

On June 24, the FDA issued an emergency use authorization for Actemra to treat COVID-19 patients in hospitals, including adults and kids age 2 and older.

"The EUA is based on results from four randomized, controlled studies that evaluated Actemra for the treatment of COVID-19 in more than 5,500 hospitalized patients. The results of these studies suggest that Actemra may improve outcomes in patients receiving corticosteroids and requiring supplemental oxygen or breathing support," said a company spokesperson for Genentech, the U.S. manufacturer of Actemra.

Genentech is the sole manufacturer and supplier of the drug in the U.S. Its parent company, Roche, manufactures the drug outside of the U.S.

However, despite efforts to ramp up production, Genentech confirmed in a written response to KSL, "they're experiencing a temporary stock out" of the drug in the U.S. since Aug. 16.

A company spokesperson added they expect to receive scheduled replenishments by the end of August. However, they warned, if the pandemic continues to spread at its current pace, there could be more shortages in weeks and months ahead.

"The dramatic emergence of the COVID-19 delta variant, as well as the unexpected slowing of vaccination rates in the U.S., has led to an overwhelmingly high incidence of COVID-19 hospitalizations in certain areas of the country. This new wave of the pandemic has led to Genentech experiencing an unprecedented demand for Actemra IV well-over 400% of pre-COVID levels over the last two weeks alone and it continues to increase," said Lindsey Mathias, senior manager of Genentech corporate relations.

In the meantime, Greenwood said her doctor and nurses told her the drug is being stockpiled and rationed priority is going to COVID-19 patients.

"For me, it's about quality of life. But for them, it's a matter of life or death, and so it does need to go to them first because they are the greater need," Greenwood said.

Nevertheless, Greenwood said the situation underscores the impact of others' choice not to be vaccinated as Intermountain experts have previously stated 90% of hospitalized COVID-19 patients are unvaccinated.

"Unless you suffer from rheumatoid arthritis, you may never know that choosing not to be vaccinated is affecting people like me," Greenwood said, "My hope is that people would choose wisely."

The World Health Organization, in conjunction with UnitAid, released a statement last week calling on the company to ensure equal access to the medicine and look for ways to increase global supplies.

KSL's Garna Mejia is also in contact with Intermountain Healthcare, Greenwood's health care provider, for more information on what exactly the supply shortage looks like in Utah. An update is expected later this week.

The most updated information on the U.S. supply of Actemra can be found here, while information on world supplies can be found here.

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Drug used to treat rheumatoid arthritis and COVID-19 in short supply -


Poverty Tied to Worse Functional Status in Rheumatoid Arthritis – HealthDay News

Monday, August 30th, 2021

TUESDAY, Aug. 24, 2021 (HealthDay News) -- Worse functional status and increased probability of functional decline are seen for patients with rheumatoid arthritis (RA) with lower socioeconomic status (SES), according to a study published online Aug. 4 in JAMA Network Open.

Zara Izadi, M.Pharm., from the University of California in San Francisco, and colleagues examined the association between SES and functional status in patients with RA using data from the American College of Rheumatology's Rheumatology Informatics System for Effectiveness registry. Data were included for 83,965 patients with a confirmed RA diagnosis who were seen at participating rheumatology practices.

The researchers found that the mean functional status score was worse at lower SES levels for all measures (e.g., Multidimensional Health Assessment Questionnaire quintile 1 and 5: 1.79 and 2.43, respectively). The probability of functional decline was 14.1 and 18.9 percent in the highest and lowest SES quintile, respectively, in longitudinal analyses. Disease activity partially mediated the association between SES and functional decline (7 percent).

"We found important disparities in functional status by SES in a national cohort of individuals with RA, despite utilization of rheumatology care," the authors write. "Future qualitative research is important to further our understanding of factors that affect functional status, including factors outside of medical care that can be intervened on."

Several authors disclosed financial ties to the pharmaceutical industry.

Abstract/Full Text

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Poverty Tied to Worse Functional Status in Rheumatoid Arthritis - HealthDay News


Effect of Introducing Biologics to Patients with Rheumatoid Arthritis on the Risk of Venous Thromboembolism: a Nationwide Cohort Study – DocWire News

Monday, August 30th, 2021

In the United States, 100,000-300,000 patients die from venous thromboembolism (VTE) each year, with more than 500,000 people related hospitalizations. While in Europe, 500,000 people die from VTE each year. Patients with rheumatoid arthritis are at increased risk of VTE. The use of biologics in patients with rheumatoid arthritis may be associated with an increased risk of VTE. We identified all patients who had been newly approved for Catastrophic Illness Card of rheumatoid arthritis extracted the claims data from the National Health Insurance research database and Registry for Catastrophic Illness Patient Database from 2003 to 2016. VTE was defined as the presence of inpatient VTE diagnostic codes (including DVT or PE) according to the discharge diagnosis protocol. An analysis of VTE variables indicated that the incidence of VTE in the biologic group (14.33/10,000 person-years) was higher than that in the conventional drug group (12.61/10,000 person-years). As assessed by the Cox proportional hazards model, the relative HR for VTE in the biologic group (HR: 1.11; 95% CI 0.79-1.55) versus that in the conventional drug group did not reach a significant difference. In conclusion, this study found no significant differences in risk were observed between the use of conventional DMARDs and biologics.

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Effect of Introducing Biologics to Patients with Rheumatoid Arthritis on the Risk of Venous Thromboembolism: a Nationwide Cohort Study - DocWire News


Mississippi hospitals dealing with global shortage of arthritis drug tocilizumab used to treat severely ill COVID-19 patients Mississippi hospitals…

Monday, August 30th, 2021

COLUMBUS, Miss. (WCBI) As hospitals across Mississippi and around the country continue to deal with high numbers of COVID-19 patients, yet another one of their resources is running low.

One of the challenges we face is, How do we treat patients in a consistent fashion?' says North Mississippi Health Services Chief Medical Officer Dr. Jeremy Blanchard.

The U.S. Food and Drug Administration approved tocilizumab for emergency use in late June. Two months later, a global shortage of the drug has drawn the concern of the World Health Organization.

Sometimes either those medications or our testing supplies have come at risk, Dr. Blanchard says. Most recently, we have one of our medicationsthat we use with severe respiratory dysfunctions that has a threatened supply chain right now.

The WHO says tocilizumab can play a key part in keeping patients alive and reducing the need for mechanical ventilation for the severely ill.

Very similar to the hydroxychloroquine family (of drugs) used in rheumatoid arthritis, says Hank Norwood, a pharmacist for Allegro Family Clinics.

Now Mississippi hospitals must rely on alternatives.

The steroid inhalers, the steroid packs, the antibiotic packs, and the breathing inhalers, Norwood says.

Dr. Jeremy Blanchard says NMHS hospitals have algorithms to help guide them in choosing the best treatment for a patient.

What they are is, if A happens then do B and if B happens then you do C, he explained. Its based on a positive test and a set of symptoms that says you have COVID.

But Dr. Blanchard says the best way to treat COVID is still to prevent someone from getting it.

If you were going to look at what evidence do we have that really has been effective in treating and managing COVID, the three biggies that come up first are going to be vaccination, masking and monoclonal antibodies, he says.

The WHO says it is working to expand the number of manufacturers of tocilizumab across the globe.

Continue reading here:
Mississippi hospitals dealing with global shortage of arthritis drug tocilizumab used to treat severely ill COVID-19 patients Mississippi hospitals...


East Lake valedictorian goes to Harvard to study medicine and cure moms arthritis –

Monday, August 30th, 2021

Lorena Britton and her mother, Rosa, moved to Boston this month. It marked the fulfillment of a goal the teen set over a decade ago: to attend Harvard University.

TARPON SPRINGS, Fla. Lorena Britton still remembers the moment she found out she would be attending her dream school.

That was December 17, the teen said. That was just like the best day of my life. We got the news at 7 p.m. and I stayed up all night.

The East Lake High School class of 2021 valedictorian only applied to one university. Attending Harvard had always been her goal since the day she came home from elementary school and asked her mother, Rosa, which school was the best in the nation. They even took a trip to Boston when Lorena was eight years old.

Weve had this mutual goal of getting there, said Lorena. Its such a special place to be.

Now, they both are there.

Im very proud, said Rosa, whom her daughter describes as her biggest cheerleader. So far, she hasnt let me down.

In mid-August, Lorena and Rosa packed up everything they owned and left Florida for Boston. It took four days to make the drive from the Sunshine State due to Rosas health issues. Shes been living with increasingly debilitating rheumatoid arthritis since she was 22 years old.

Brushing my teeth is hard, said Rosa, who emigrated from Venezuela knowing very little English two decades ago.

Lorena has been the caretaker for her mother for the last 8-10 years, helping with everyday tasks most able-bodied people take for granted. Her mothers arthritis has gotten progressively worse.

Thats why Lorena chose Harvard.

Its mostly the reason I want to be a doctor to help people like her, said Lorena. I just love learning.

Rheumatoid arthritis has attacked Rosas joints. She has limited mobility and is in constant pain. Lorena hopes her studies in regenerative biology at Harvard will lead to finding a breakthrough treatment or cure for her mothers physical issues.

Its been attacking me very aggressively. I cannot use my hands. I keep my spirits up and try to do my best, be happy, and all I can do is pray to God to see my Lorenas success, said Rosa. My life has been like a trial of fire.

Classes begin on September 1 for Lorena. She is eager to get back to the classroom. For a decade shes been dreaming of this day.

For herself, and her mother.

With modern science and stem cells we can probably find a cure for my moms disease, Lorena said. We depend on each other.

Lorena was awarded $2,000 from Achieva after the credit union heard about her story. Achieva has awarded $26,000 in scholarship funds this year, bringing its total to more than $200,000 in scholarships in the past 14 years.

Lorena plans to get a degree in developmental and regenerative biology.

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East Lake valedictorian goes to Harvard to study medicine and cure moms arthritis -


Incidence of Venous Thromboembolism in Rheumatoid Arthritis, Results from a "Real-life" Cohort and an Appraisal of Available Literature -…

Monday, August 30th, 2021

Background and Purpose

Rheumatoid arthritis (RA) is associated with an increased risk of venous thromboembolism (VTE) occurrence. In this work, we assessed the incidence and predictive factors of VTE in our real-life cohort of RA patients. To contextualize our results, we reviewed the available literature about this topic, we performed a retrospective analysis of prospectively followed-up patients with RA attending our Rheumatologic Clinic between January 2010 and December 2020.

Each patient was investigated for VTE occurrence. Incident cases were reported as incidence proportion and incidence rate per 1000 person-years at risk. Possible predictive factors were also exploited by regression analyses. Available literature about this topic was also assessed.

In this evaluation, 347 consecutive patients without previous evidence of VTE, attending our Rheumatologic Clinic from 2010 to 2020, were studied. In our real-life cohort, the incidence proportion of VTE was 3.7% (2.7-4.7%) and considering over 1654 person-years, an incidence rate of 7.8 1000 (2.5-11.7). Exploratively assessing predictive factors in our cohort, older age (hazard ratio [HR] 1.07, 95% confidence interval [CI] 1.01-1.14, p = .015), higher body mass index (HR 1.37, 95% CI 1.04-1.80, P = .026), and longer disease duration (HR 1.11, 95% CI 1.03-1.20, P = .006) resulted to be significant predictors of VTE occurrence during the follow-up.In our real-life cohort, VTE burden has been suggested in patients with RA.

Comparing our results with previous data derived from randomized controlled trials and administrative data, some different findings were retrieved about incidence of VTE. Assessing predictive factors, older age, higher body mass index, and longer disease duration resulted to be significant predictors of VTE occurrence during the follow-up. Taking together these observations, a further evaluation of this issue on specific designed studies is needed to provide more generalizable results to the daily clinical practice.

Continue reading here:
Incidence of Venous Thromboembolism in Rheumatoid Arthritis, Results from a "Real-life" Cohort and an Appraisal of Available Literature -...


Arthritis: Signs and symptoms to look out for, treatment and tips to prevent – Times Now

Tuesday, August 17th, 2021

Arthritis: Signs and symptoms to look out for, treatment and tips to prevent | Photo Credit: Pixabay 

New Delhi:Joints, the point at which two bones meet, play an important role in the body's ability to move. Conditions affecting the joint can cause major discomfort and hindrance to lifestyle due to the obstruction in movement. Arthritis is a type of condition that affects the joints. The common areas that may be affected by this condition include hands, knees, feet, hips, and lower back. According to the Centers for Disease Control and Prevention (CDC), arthritis is one of the leading causes of work disability.

Common arthritis types include osteoarthritis, septic arthritis, gout, thumb arthritis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, juvenile idiopathic arthritis, and reactive arthritis. If you notice the following symptoms in your joints, consult a doctor:

The risk factors of arthritis may include sex, genetics, joint trauma or injury, age, and obesity. Treatment of this condition focuses on reducing joint damage, pain management, and symptoms regulation. It can be diagnosed through methods such as direct arthrography, radiography, musculoskeletal system MRI, CRP test, and synovial fluid analysis. Depending on the type of arthritis, the treatment may involve physical therapy, medication, occupational therapy, occupational therapy, lifestyle regulation, and surgery.

Here are some tips for arthritis prevention:

Disclaimer: Tips and suggestions mentioned in the article are for general information purpose only and should not be construed as professional medical advice. Always consult your doctor or a dietician before starting any fitness programme or making any changes to your diet.

Arthritis: Signs and symptoms to look out for, treatment and tips to prevent - Times Now


5 foods to avoid with arthritis to reduce pain

Tuesday, August 17th, 2021

Some people find that making changes to their diet improves their arthritis symptoms. This may involve avoiding inflammatory foods, such as saturated fat and sugar. It may also involve avoiding foods that are high in purines.

In this article, we look at five types of food a person with arthritis may benefit from avoiding, as well as foods that may help.

Read on to find out which foods to avoid with arthritis.

Several types of fat increase inflammation in the body. According to the Arthritis Foundation, a person with arthritis should limit:

One study in Nutrients indicates that people who drink regular sugar-sweetened soda have an increased risk of RA. Harvard Health note that excess sugar consumption also increases the risk of dying from heart disease. It can also lead to obesity, inflammation, and other chronic diseases.

Many products contain added sugars. Always check food labels on breakfast cereals, sauces, and soft drinks, as these may contain surprising amounts of added sugars.

AGEs are inflammatory compounds that can accumulate in tissues, particularly as someone ages. An article in Patient Education explains that people with diseases such as diabetes and RA often have increased AGE levels. So, reducing AGE levels may help reduce inflammation.

Fat and sugar both increase AGE levels in the body. Some food processing methods and high temperature cooking also increase the AGE levels in food.

Nightshades are a group of vegetables that contain the compound solanine. Studies have not confirmed that nightshades can trigger arthritis pain, but the Physicians Committee for Responsible Medicine indicate that removing them from the diet helps improve symptoms in some people.

Nightshade vegetables include:

The Arthritis Foundation advise that people who suspect nightshades might exacerbate symptoms exclude them from their diet for a couple of weeks, then reintroduce them one at a time.

Keeping a food diary may help a person keep track of any reactions they have to a specific food.

For people who have gout, a doctor may advise a low purine diet combined with the medication.

Purines are substances in foods that the body converts to uric acid. Uric acid can build up in the bloodstream, causing a gout attack. According to the Centers for Disease Control and Prevention (CDC), the following foods are high in purines:

However, a 2018 review identified that some purine-rich vegetables, such as cauliflower, mushrooms, and beans, have no links to gout risk.

There are several types of arthritis, all of which cause pain, swelling, and stiffness in the joints. The most common form of arthritis is osteoarthritis. Other forms include:

According to the Centers for Disease Control and Prevention (CDC), 23% of adults in the United States have a form of arthritis.

What a person eats can help:

Usually, inflammation protects the body from harm by helping defend against bacteria and aiding wound healing. However, when inflammation persists for an extended period, chronic symptoms can develop.

What a person eats has an impact on inflammation levels. Some foods are inflammatory, and others are anti-inflammatory.

According to the Arthritis Foundation, numerous studies show that anti-inflammatory foods can reduce arthritis pain and progression.

A persons body weight also influences inflammation levels. Fat cells produce cytokines, which are immune cells that increase inflammation.

A person can use diet to maintain a moderate weight, which may help with inflammation and also reduce pressure on the joints.

Finally, some types of arthritis have specific trigger foods. For example, foods that are high in purines can contribute to a gout attack.

Consuming the following foods may benefit people with arthritis.

The Arthritis Foundation list the following as types of fat that can reduce inflammation:

Coconut oil may also be beneficial for arthritis. Animal studies show that even though coconut oil is a saturated fat, it has anti-inflammatory properties. Researchers need to carry out more controlled studies to confirm this benefit in humans.

According to the Physicians Committee for Responsible Medicine, some studies indicate that plant-based diets can decrease RA symptoms. The Arthritis Foundation suggest that the following fruits and vegetables may be especially beneficial for people with arthritis:

Eating an anti-inflammatory diet can help someone stay healthy and avoid the symptoms of inflammation. One of the most researched anti-inflammatory diets is the Mediterranean diet.

The Mediterranean diet focuses on the following foods:

The diet also includes moderate levels of dairy products but limits sugar, alcohol, and red meat.

The Arthritis Foundation note that a Mediterranean diet can reduce inflammation and pain in people with osteoarthritis and protect against fracture risk.

Some people who follow the Mediterranean diet may also lose weight without counting calories or limiting portion sizes because the diet is predominantly plant-based.

A large population-based 2018 study found that men who followed the Mediterranean diet had a lower risk of developing RA. Another study suggests that the antioxidants in the Mediterranean diet may decrease pain for people with RA.

Other tips that may help someone to manage their arthritis include:

Foods that increase inflammation, such as sugar and saturated fat, may worsen arthritis symptoms. Some people may also find that foods high in purines and nightshades trigger arthritis flare-ups.

To identify triggers, a person can try excluding suspected foods for a couple of weeks, then reintroducing them one at a time.

Anti-inflammatory foods may help someone with arthritis manage their symptoms. These include plant-based foods, such as fruits, vegetables, whole grains, and anti-inflammatory fats.

Someone with arthritis who is struggling to find the best eating plan may wish to speak to a registered dietitian.

5 foods to avoid with arthritis to reduce pain


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