The Key Facts on Arthritis provides readers with essential, easy-to-read information on both arthritis and other rheumatic diseases. Compiled in a simplified manner, this guide helps patients navigate these painful diseases without enduring the complicated nature of medical terminology. By making a patient-friendly manual to the causes, treatment, and ongoing research of arthritis and rheumatic diseases, one can easily determine what they are facing and how to live their life to the fullest.

Viele Menschen leiden unter Kniegelenkschmerzen und sind stark in ihrer Mobilitat und damit in ihrer Lebensqualitat eingeschrankt. Ca. 160.000 Menschen erhalten jahrlich in Deutschland einen Kniegelenkersatz. Vier Spezialisten geben Betroffenen und Interessierten einen UEberblick uber die Erkrankung, die Diagnostik, die Therapie und vor allem uber den Verlauf nach einer Kniegelenkersatzoperation.

Unter den zahlreichen Kunstgelenken, die in den letzten 21ahrzehnten entwickelt und implantiert worden sind, spielen Schultergelenkendoprothesen noch eine ver- gleichsweise geringe Rolle. Dies hangt v.a. mit den anatomischen, biomechani- schen und funktionellen Besonderheiten des Schultergelenks zusammen. Nur an wenigen Kliniken liegen im deutschen Sprachraum bisher gr613ere Erfah- rungen mit der Schuiterendoprothetik vor. Sie beziehen sich hauptsachlich auf Pati- enten mit Gelenkzerst6rungen nach schweren Unfallfolgen, Knochentumoren, rheumatoider Arthritis oder degenerativen Schultererkrankungen. So wird viel- leicht verstandlich, warum das Thema "ktinstlicher Schultergelenkersatz" auf unse- ren Kongressen und Symposien bisher kaum zur Sprache kam. Es lag deshalb nahe, die 35. lahrestagung Nordwestdeutscher Orthopaden im lu- ni 1985 in Kiel zum Anlal3 zu nehmen, den gegenwartigen Stand der Schulterendo- prothetik einmal ausfUhrlich darzustellen und zu diskutieren. Dazu wurden viele der fUhrenden Spezialisten aus dem europaischen Ausland, aus Ubersee und dem deutschen Sprachraum eingeladen, urn tiber ihre Erfahrungen zu berichten. Die Veranstaltung erstreckte sich tiber 2Y2 Tage, die Teilnehmerzahl war auf etwa 100 begrenzt. Eine hervorragende Simultantibersetzung durch Frau Dr. med. A. Beisel, Heidel- berg (Leitung), Mrs. K. Band und Herrn Dip\.-Volksw. E. Feldberg, alle Konferenz- dolmetscher A. I. I. C, sorgte fUr einen lebendigen Gedankenaustausch aller Teil- nehmer, der in keiner Weise zeitlich eingeschrankt war. In der vorliegenden Monographie sind samtliche Beitrage und die wesentlichen Diskussionsbemerkungen zusammengefal3t.

This case study explores the narratives of four women with the chronic autoimmune disease known as lupus. The author used participant observation in his role as Community Occupational Therapist (and son) to gain access to a convenience sample of four women diagnosed with lupus. He asked them to keep written diaries about their day-to-day experiences of living with the illness. These diaries were later given to the author to read, study and analyse. Additionally, the author's personal ethnography as a son was submitted as data for this study. This ethnographic writing centred on the life of one sole informant, his mother, who later died with the disease whilst in the care of paid health professionals. The findings and conclusions from this study will have implications for future research projects into the social impact of living with Lupus.

Approximately four million people in the United States have Sjogren's syndrome, a chronic illness which is extremely difficult to diagnose, and even more difficult to treat. Sjogren s syndrome is an autoimmune disease characterized by an overactive immune system that targets moisture-producing glands in the body. It manifests itself in multi-system dryness potentially affecting every system in the body including, but not limited to, the eyes, mouth, joints, lungs, nervous system, liver, kidneys, and bladder. People with Sjogren's often go undiagnosed for years, their symptoms dismissed by doctors or classified as psychosomatic. All the while, the patient is increasingly unable to participate in daily life. Written by Sjogren's sufferers from various regions of the United States and Canada and including a foreword by Steven Taylor, CEO of the Sjogren's Syndrome Foundation, Tales From the Dry Side offers up the stories of thirteen courageous men and women who share their journey with diagnosis, symptoms, and treatment of Sjogren's, as well as candid portraits of how this illness has affected their families, their personal lives, and their careers. Each first-hand account brings the reader through the medical maze that each contributor has had to navigate in their quest for wellness. This book brings hope and comfort to the millions suffering from Sjogren's syndrome and to those who suffer from any of the eighty other identified autoimmune diseases, as well as to anyone faced with overwhelming obstacles. "Books like this are a wonderful opportunity to have the Sjogren's story come to life. I am humbled by those patients that are willing to tell their story. Women and men who are willing to stand up, share their struggles and their triumphs as they manage this confusing and common, yet unknown disease." - Steven Taylor, Chief Executive Officer, Sjogren's Syndrome Foundation

Dieser umfassende Uberblick vermittelt Ihnen klinikbezogen das aktuelle Wissen zur allgemeinen und speziellen Pathologie der Gelenkerkrankungen und des Bindegewebes.
Didaktisch klar, mit umfangreichem Abbildungsmaterial
- Fundierte Darstellung der Pathogenese und Morphologie
- Detaillierte Beschreibung der einzelnen Krankheiten
- Mikroskopischer, makroskopischer und Rontgenbefund ubersichtlich in synoptischen Tableaus
Ein Handbuch und Nachschlagewerk, das Ihnen praktische Entscheidungshilfen fur die Befundinterpretation und Therapie liefert."

A 24-year-old woman attends rheumatology outpatients with an eight-week history of painful hands. On examination she is tearful and thin. You are the medic on duty... 100 Cases in Orthopaedics and Rheumatology presents 100 scenarios commonly seen by medical students and junior doctors in orthopaedic and rheumatology clinics, or in the emergency department. A succinct summary of the patient's history, examination and initial investigations, with clinical and/or imaging photographs, is followed by questions on the diagnosis and management of each case. The answer includes a detailed discussion on each topic, with further illustration where appropriate, providing an essential revision aid as well as a practical guide for students and junior doctors. Making clinical decisions and choosing the best course of action is one of the most challenging and difficult parts of training to become a doctor. These cases will teach students and junior doctors to recognize important symptoms and signs and, where appropriate, their relationship to other medical conditions, and to develop their diagnostic and management skills.

Ziel des Buches ist es, AErzte und Forschende fur die wichtigen langfristigen gesundheitlichen Auswirkungen eines fruhen, anhaltenden und schweren Traumas zu sensibilisieren. Der Autor, Internist, Rheumatologe und Grundlagenforscher in der Psychoneuroimmunologie, zeigt Zusammenhange zwischen widrigen Kindheitserlebnissen und typischen Folgeproblemen bei Erwachsenen auf. Nach fruhen traumatischen Erlebnissen und kindlichem Stress kommt es haufiger zu psychischen Erkrankungen, chronischen Schmerzen, Schlafstoerungen, Zahnproblemen, Adipositas, Herz-Kreislauferkrankungen, Asthma, Diabetes mellitus und chronischer Entzundung. Anhand einer Auswahl an Erkrankungen koennen unmissverstandlich die langfristigen Folgen fruher Kindheitstraumata aufgezeigt werden. Diese kindlichen Erlebnisse erzeugen eine Art Langzeitprogrammierung, die negativ im Erwachsenenalter einwirkt. Aus seiner psychoneuroimmunologischen Perspektive identifiziert Rainer Straub vier Faktoren, die das Gehirn mit dem Immunsystem verknupfen und an der chronischen Immunaktivierung beteiligt sind: vom Gehirn ausgehende direkte Verknupfer, indirekte Verknupfer, die uber hormonelle und neuronale Bahnen funktionieren, extrakorporale - die Umweltfaktoren - und pleiotrope Verknupfer - die Genvarianten.

Rheumatoid Arthritis (RA) is a chronic disabling joint disease. Empowering patients with RA to self manage the disease can lead to changes in behaviour, pain or physical health and psychosocial health status. Limited evidence exists for the efficacy of comprehensive Occupational Therapy (OT) intervention for patients with RA in improving functional ability. This study aimed to evaluate the impact of comprehensive OT intervention on patients with RA in producing a sustained improvement in patients' functional ability. It was found that a comprehensive in-patient occupational therapy programme does lead to sustained significant improvement in functional ability and Health related quality of life (HR-QOL). Focus groups and home based intervention appears to have a clinically significant impact on disease activity.