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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Rheumatology international 19 (1999), S. 59-60 
    ISSN: 1437-160X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0703
    Source: Springer Online Journal Archives 1860-2000
    Topics: Energy, Environment Protection, Nuclear Power Engineering , Medicine
    Notes: Abstract. The purpose of the present study was to examine the response, as indicated by the production of stress-ethylene, of the lichen Usnea hirta, to a buffered acidic solution and to a solution containing bisulfite ion, both at pH 4.0. In addition, the study investigated the accumulation capacity of U. hirta transplanted either to the vicinity of two streets with slow traffic, or to the vicinity of a highway in the city of Oulu, N. Finland for a short period (45 d), and to analyze the comparative production of stress-ethylene and the amounts of airborne elements accumulated in the thallus. Thalli of U. hirta manifested a high accumulation capacity for K, Ca, Na, Mg, Fe, Zn, and Mn in samples exposed in one of the two streets with slow traffic in Oulu, in comparison with thalli left at the control site in the forest outside of the city. Two of the observed elements, Pb and Ca, exhibited a positive correlation with the concentration of ethylene detected consecutive to the treatment of lichen thalli with H2O (pH 6.8). The concentrations of stress-ethylene in lichen thalli retrieved from the streets with slow traffic and less cars (14,000 per day), soaked in solutions of NaHSO3 (pH 4.0), were higher than those produced by thalli retrieved from a site near the highway (with 25,000 cars per day) and by thalli left in the forest. It is suggested that the streets with slow traffic and less cars are more polluted than the highway as a result of bad ventilation conditions and a slow rate of dispersion of airborne pollutants.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1434-9949
    Keywords: Rheumatoid Arthritis ; Cervical Spine ; Subluxation ; Glucocorticoids
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A cross-sectional, retrospective computerized analysis of risk factors for anterior atlantoaxial subluxation (AAS) was performed. Logistic regression performed on the clinical variables involved in 145 cases of rheumatoid arthritis (RA) disclosed a high joint score index and a low blood haemoglobin level as significant independent risk factors. This means that the development of anterior AAS is connected with widespread RA. Linear multiple regression analysis showed an association between the extent of anterior AAS in millimetres and the spread of erosions of the dens of axis and negative correlation with the severity of vertical atlantoaxial dislocation (VD). This suggests that whereas the presence of anterior AAS is connected with the severity of the systemic disease, its actual extent is associated with signs of local involvement, other than severe VD. The duration or cumulative dosage of glucocorticoids were not associated with the development or extent of anterior AAS, nor with the severity of vertical dislocation. This suggests that low dose glucocorticoid treatment is not involved with the development of rheumatoid changes in the upper cervical spine. It should be borne in mind, of course, that although no correlation was found, a causal relation cannot be excluded.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1434-9949
    Keywords: First carpometacarpal joint ; Radiography ; Rheumatoid arthritis ; Subluxation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of our study was to assess the incidence of subluxation of the first carpometacarpal joint (CMC I) and to evaluate which degree of subluxation produces swan-neck deformity of the thumb in rheumatoid arthritis (RA) occurring over 20 years. The hands of 83 rheumatoid factor (RF)-positive RA patients with recent (≤6 months) arthritis were evaluated radiographically at onset and at 1, 3, 8 and 15 years; 68 patients were evaluated at 20 years from entry. Subluxation was assessed in millimetres and compared with the MCP-I angle measurement to evaluate the thumb deformity. A statistical end-point analysis was performed between two different grades of subluxation. Subluxation of 2–3 mm was non-specific and only one third of these thumbs showed swan-neck deformity. At the end-point, subluxation of ≥4 mm was present in 17% of the thumbs, 81% of which had the swan-neck deformity; only five thumbs did not show this deformity, but presented deformed and unstable MCP I and interphalangeal joints. The frequency of swan-neck deformity was highly significantly (p〈0.0001) increased in the thumbs with severe CMC I subluxation (≥4 mm) compared with lesser subluxation (〈4 mm). When subluxation of the CMC I exceeds 4 mm, the swanneck deformity of the thumb is a common consequence. This deformity is often progressive, and the hand function of such patients should be followed up carefully, both clinically and radiographically.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Clinical rheumatology 13 (1994), S. 492-495 
    ISSN: 1434-9949
    Keywords: Atlanto-axial Subluxation ; Cervical Spine ; Rheumatoid Arthritis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Atlanto-axial subluxation and dislocation in rheumatoid arthritis is a multidirectional abnormality. The most common subluxations take place anteriorly, vertically or laterally. Posterior atlanto-axial subluxations are rare. The distance between a line tangential to the anterior aspect of the axis (C2) and the most posterior aspect of the anterior arch of the atlas (C1) could be used to measure the displacement in posterior atlanto-axial subluxation. Routine measurement of this distance could give us a better idea of the frequency of this type of affection in rheumatoid arthritis of the cervical spine. Serial measurements might be used to estimate the progression of the disease.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1434-9949
    Keywords: Atlantoaxial subluxation ; Cervical spine ; Radiography ; Rheumatoid arthritis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The value of lateral view cervical spine radiography in various positions of the neck was assessed in patients with rheumatoid atlantoaxial subluxation (AAS). We wanted to find out how much information is lost if only neutral position radiographs are used. The series consisted of 65 rheumatoid patients with unstable AAS. Lateral view cervical spine radiographs were taken in the neutral position and during flexion and extension. Neutral position radiographs would have failed to confirm the diagnosis of AAS in 31 cases (48%) and would have failed to record its true severity in 43 cases (66%); their diagnostic sensitivity was 52%. The sensitivity of the neutral radiographs in showing the reversibility of AAS was 48%. Routine cervical spine radiography of rheumatoid patients should include lateral view radiographs taken during flexion and extension. The result may be applied to magnetic resonance imaging, which is usually performed in the neutral position.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Clinical rheumatology 15 (1996), S. 181-184 
    ISSN: 1434-9949
    Keywords: Diagnosis ; Rheumatoid Arthritis ; Ultrasonography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Two cases of unilateral abnormal ultrasonographic findings in the hip joints are introduced. The correct diagnoses were detected by radiography after the failure of intra-articular glucocorticoid injections given as first aid. Ultrasonography (US) has poor specificity, since all phenomena causing effusion into the joint cavity may be detected as abnormal by US, and may include stress fractures and malignant myeloma, as we show here. In the case of an abnormal ultrasonographic finding in a joint, the recent radiological status should also be considered.
    Type of Medium: Electronic Resource
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  • 8
    ISSN: 1434-9949
    Keywords: Amyloidosis ; C-reactive protein ; Juvenile chronic arthritis ; Proteinuria ; Rheumatoid arthritis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We studied whether the low serum C-reactive protein (S-CRP) level in patients with inflammatory arthritis and proteinuria was due to the loss of CRP into urine. In 19 patients with secondary amyloidosis (14 with rheumatoid arthritis and five with juvenile chronic arthritis), S-CRP was measured with both immunoturbidimetric and radioimmunoassays. The concentration of urinary CRP was measured with a double-antibody radioimmunoassay. One patient with the most extensive proteinuria (12 g/24 h) excreted CRP at 14 mg/24 h, while in 18 of 19 patients only negligible, if any, amounts of CRP were found in 24-h urine samples. Proteinuria of 〈8 g/24 h did not reduce the S-CRP level. Proteinuria exceeding this level may result in increased excretion of CRP into urine and consequently may result in a reduced S-CRP level.
    Type of Medium: Electronic Resource
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  • 9
    ISSN: 1434-9949
    Keywords: Key words:Functional index – Spondylarthropathy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract: The aim of the study was to compare and evaluate the usefulness of Finnish versions of two functional indices used in spondylarthropathies. Seventy consecutive inpatients with different kinds of spondylarthropathies filled in self-administered questionnaires: the Bath Ankylosing Spondylitis Functional Index (BASFI) and the Dougados Functional Index for spondylarthropathies (DFI). Cronbach’s α as a coefficient of internal consistency was analysed for BASFI and DFI. Test-retest reliability was evaluated in 30 patients. For validity the functional indices were compared with the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), erythrocyte sedimentation rate (ESR), spinal movement measures of chest expansion (CE), Schober S1 test and occiput-to-wall distance (OWD), and radiological changes in the lumbar spine (RTGLS) and sacroiliac joints (RTGSI). The reproducibility of the indices BASFI and DFI was good; the intraclass correlation coefficient (ICC) for reliability was 0.99 and 0.98, and the coefficient of internal consistency (Cronbach’s α) was 0.94 for both BASFI and DFI. The functional indices correlated well with each other, r= 0.85 (95% CI 0.78–0.90). Validity in terms of correlation coefficients between disease activity index BASDAI and functional indices BASFI and DFI was 0.74 (95% CI 0.60–0.84) and 0.69 (95% CI 0.53–0.80), respectively. BASFI and DFI correlated with spinal mobility measurements and RTGLS, but DFI did not correlate with RTGSI. Neither BASFI nor DFI correlated with ESR and disease duration, and only DFI correlated with age. In conclusion, BASFI and DFI are reliable and valid for Finnish inpatients with spondylarthropathies. It is important to know that cultural differences do not reduce the usefulness of these indices.
    Type of Medium: Electronic Resource
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