Arthritis: Preferred Learning Methods Among Arizona Therapists

Wickersham, Elizabeth; Fike, M. Laurita; Rousseau, Elizabeth; Boyer, John T.; Meredith, Keith; Clay, Catherine A.

doi:10.5014/ajot.36.8.509

Cited by 4 publications

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“…Likelihood ratio tests were used to compare this model with the full model. 17 Comparison with the full model (equally estimated disease and observed disease risks) was used to test the gene-dose effect. For the comparison of the effect of shared epitope on rheumatoid arthritis risk between France and Syria, a multivariate logistic model was built including the shared epitope status and the country.…”

Section: Discussionmentioning

confidence: 99%

Rheumatoid arthritis and genetic markers in Syrian and French populations: different effect of the shared epitope

Kazkaz

Marotte

Hamwi

et al. 2007

Annals of the Rheumatic Diseases

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Objective: To investigate whether ethnic differences exist in the effect of the shared epitope and selected cytokine gene polymorphisms on the susceptibility and severity of rheumatoid arthritis in Syria (Damascus) and France (Rhône-Alpes area). Methods: 156 patients with rheumatoid arthritis and 120 healthy controls from Syria were compared with 512 patients with rheumatoid arthritis and 471 healthy controls from France. Shared epitope status, cytokine gene polymorphisms interleukin (IL)-1B +3954, IL-1RN +2018 and tumour necrosis factor a promoter (2238 and 2308) were analysed by enzyme-linked oligosorbent assay. Joint destruction was defined by a right wrist Larsen score >2. Odds ratios (ORs) were calculated. Results: In both countries, a dose effect was observed between the shared epitope copy number and rheumatoid arthritis (Syria: OR 1 v 0 copies = 1.6, p = NS; OR 2 v 0 = 15.3, p,0.01; and France: OR 1 v 0 = 2.3, p,0.001; OR 2 v 0 = 7.2, p,0.001). A dose effect was also observed between the shared epitope copy number and joint destruction in Syria (OR 1 v 0 = 2.2, p = NS; OR 2 v 0 = 9.9, p,0.01) and France (OR 1 v 0 = 1.8, p,0.01; OR 2 v 0 = 4.8, p = 0.001). The dose effect of the shared epitope was greater in Syria than in France. Only the 2238 tumour necrosis factor a polymorphism was associated with joint destruction in the Syrian population (p,0.05). However, after adjustment for age, sex, disease duration and rheumatoid factor for severity, this association disappeared. Conclusion: The frequency of the shared epitope was increased in the French population with rheumatoid arthritis and in controls, but the association between the shared epitope and joint destruction was more pronounced in the Syrian population, with an OR of almost 10 for the homozygotes.

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Section: Discussionmentioning

confidence: 99%

Rheumatoid arthritis and genetic markers in Syrian and French populations: different effect of the shared epitope

Kazkaz

Marotte

Hamwi

et al. 2007

Annals of the Rheumatic Diseases

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A controlled study of rheumatology review course effects

Guccione

Brady

Schroeder³

et al. 1987

J. Contin. Educ. Health Prof.

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Tbi3 Solonioti j b it r-gro itp design s t u d~~ inr Iestigated the Cfficts of u Continuing educationRei,ieii' Coime in RlJeirmatoloK)~ (RCR) n the last ten years, continuing education has I become a major growth industry due to the widely held belief that it maintains professional knowledge and slull. Advocates of continuing education maintain that it sustains the effectiveness o f health providers, thereby assuring the public of quality care. Opponents of continuing education cite factors such as high operational costs and inconsistent results of continuing education el-aluation studies to support their position.1 Studies o f continuing medical and nursing education, however, suggest that well-designed programs can effect positive changes in knowledge and behavior which, in turn, result in at least short-term iniprolrernent in patient care and or patient oiitcomes.*j3j.* These outcomes are especially salient to continuing education of xthritis health professionals for several reasons. First. studies indicate that a majority of patients nit11 musculoskeletal complaints are evaluated and followed by general internists or other health professionals rather than by rheumatologists.5 Second, a study of health professional

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Rheumatology Education in an Undergraduate Program of Physical Therapy

et al. 1987

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Few physical therapy education programs offer formal rheumatology courses taught by specialists in the field of rheumatic diseases. We modified, evaluated, and formalized a rheumatology course for undergraduate physical therapy students taught by a rheumatologist and a specially trained physical therapist. Although the course is applicable to our undergraduate program, the process we used to modify and evaluate the course content could be useful to others in their development of similar courses elsewhere. Our intent in discussing this process, the course content, and the rationale for our study is to stimulate a national review of rheumatology course content in physical therapy education programs.

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Arthritis: Preferred Learning Methods Among Arizona Therapists

Cited by 4 publications

References 1 publication

Rheumatoid arthritis and genetic markers in Syrian and French populations: different effect of the shared epitope

Rheumatoid arthritis and genetic markers in Syrian and French populations: different effect of the shared epitope

A controlled study of rheumatology review course effects

Rheumatology Education in an Undergraduate Program of Physical Therapy

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