Abstract: From the most ancient time, mechanical disorders of the spine were one of the major concerns of mankind. Perhaps no other disease has initiated so many different treatments, during the history of Medicine. All these methods are said to be efficient, if not the most efficient, by their promoter. It is interesting to note that each of these methods acts upon a different mechanism. It is therefore Understandable if one asks ...
Rheumatoid Arthritis (RA): Management problems - Intractable disease.
Abstract: It is difficult to define what exactly is intractable RA. Intractable RA may be defined as a patient. resistant to standard treatment. The difficult point is how to define the standard treatment. Shall we say intractable disease to a patient resistant to single DMARD and an NSAID? Or shall we say intractabIe disease to a patient resistant to a combination of DMARD with low dose steroid and associated NSAID who ...
Rheumatoid Arthritis: Management problems - Anticoagulation.
Abstract: Rheumatoid arthritis is a common disease occurring in 1% of the population. Therefore it is not unusual to see a rheumatoid arthritis patient who needs anticoagulation therapy for another reason than her or his RA. Anticoagulation therapy has no contra-indication for RA itself. However many drugs used in RA may interfere with anticoagulant drugs. The major problem arises from NSAIDs, particularly salicylate. These drugs have a synergistic effect on coumadin ...