Rheumatologist in Dubai Healthcare City

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July 2016

regen treatments to enhance ortho surgical outcome 1 1

Regenerative adjunctive treatment is the next logical step in the progression of surgical intervention. Biologically augmented or regenerative techniques are at the very forefront of modern treatment and have the potential to transform the practice of medicine and surgery significantly in a very short period. Less than 20 years ago, one of the first applications of platelet-rich growth factors was successfully used to help augment dental implantation.

From this starting point progressive advancements have been made, but much remains to be learned. Although the basic science remains in its infancy, especially in the areas of signaling, regulation, and mechanism, regenerative knowledge has expanded significantly in volume and across disciplines. The purpose of this review is to provide a road map of the significant developments in preclinical and clinical results involving biological solutions to improve rotator cuff, ligament, meniscus, and articular cartilage surgical repair.

A research paper on ‘Regenerative Treatments to Enhance Orthopedic Surgical Outcome’, Click to view the PDF

 

rheumatoid arthritis

Background/Purpose
Prior to the establishment of RA standards set by the ACR, a widespread discrepancy was formed between practices, which were treating patients with RA with di!erent levels of care. Thus, in order to regulate quality, the ACR implemented the following quality indicators worldwide: tuberculosis screening prior to biological disease modifying drugs (DMARDs), periodic assessment of disease activity, functional status assessment, assessment and classification of disease prognosis, glucocorticoid management, treatment with DMARDs, and follow up treatment with DMARDs.

The aim of our study was to audit our management of RA patients, and assess whether the before mentioned quality indicators were being implemented in our practice and whether this was reflected in better RA disease control.

Click to view the full article in PDF

 

rheumatoid arthritis01

Abstract

To better understand the factors that affect low disease activity (DAS28 ≤ 3.2, LDA) in rheumatoid arthritis (RA) and barriers within the UAE, demographic/ treatment data and DAS28 scores were collected through chart reviews of 182 consecutive RA patients seen at a private clinic in Dubai over a 2-month period. Patients were separated into a LDA group and a group comprised of moderate (3.2 < DAS28 < 5.1) or high disease activity (DAS28 ≥ 5.1) (MHDA). We then examined variables that may be associated with LDA and re-examined the MHDA group for barriers. While 97 (53 %) of the 182 patients had achieved the treatment target of DAS28 ≤ 3.2, 85 (47 %) had MHDA. A significantly larger portion of LDA patients had been previously treated with sulfasalazine (36 in LDA vs. 14 in MHDA, P = 0.002) or was presently on biological treatments (24 vs. 9, P = 0.013). For the 85 MHDA patients, 40 (22 % of 182) exhibited resistant disease with 25 (13.7 % of 182) failing their current first tier disease-modifying anti-rheumatic drug (DMARD) treatment or combinations and 15 (8.2 % of 182) failing current anti-TNF or biologic treatment. Reasons listed were primarily socioeconomic with 40 % of the resistant disease group unable to afford biologicals and 52 % of the patientdriven preference group discontinuing DMARDs against professional advice. Going forward, emphasis on the agreement between patient and rheumatologist on treatment, specifically regarding how DMARDs help relieve symptoms and their proper use, could help reduce the percentage of MHDA patients in the UAE.

Keywords Rheumatoid arthritis · Disease activity score · Disease control · Treat to target

Click to view the full article in PDF

 

types of lupus

Types of lupus

There can be five types of lupus:

Systemic lupus erythematosus (SLE) is the most common form and one which is referred to as “lupus“. This can affect many parts of the body In mild or serious tones. Though it’s seen mainly in women of child-bearing age, it can affect any time, in childhood or old age.
Discoid lupus erythematosus is a chronic skin disorder. Angry red rashes can appear anywhere on the body, including the face and scalp, lasting from a few days to years. with recurrence. They can become thick and scaly and cause scarring. A small percentage of people with discoid lupus have or subsequently develop SLE.
Subacute cutaneous. lupus erythematosus are skin lesions that appear on parts of the body exposed to sun. They are known to leave scars.
Drug-induced lupus is a form of lupus caused by medication. Some antlseizure and high blood pressure medication. and antibi­otics. antifungals. thyroid medication. and oral contraceptive pills are known to have indu”ced lupus. Symptoms are similar to SLE’s – arthritis. rash, fever. and chest pain – and go away completely when the drug is stopped.

Click to view the full Types of Lupus article in PDF

 

Celebrating World Arthritis Day 2015

Painful and debilitating, arthritis affects one in five people in the Middle East.

Contrary to popular belief, the chronic disease does not only occur in the elderly. Children and teenagers are also susceptible, with the most severe forms occurring mostly in younger people, and the average age of onset between 40 and 60 years.

Read more: http://www.dubaiweek.ae/news/4315/this-week-world-arthritis-day-2015-in-dubai/

Celebrating World Arthritis Day 2015

Rheumatological Diseases -Understanding, Assessment and Patient Communication CME

Park Regis Hotel, Dubai

A workshop aimed at Nurses throughout the Gulf region will take place on 31st May 2013, Park Regis Hotel, Dubai

Date: May 31, 2013
Time: 8.30am to 4.30pm
Venue: Park Regis Hotel, Dubai

PhysioArt Physiotherapy Center, Beach Park Plaza, Jumeirah

Join us for our first lecture evening as we present an interactive session all about juices and exercise tips for the summer.

Date: May 21, 2013
Time: 6.00pm
Venue: PhysioArt Physiotherapy Center, Beach Park Plaza, Jumeirah

Presenters:
Marcel Schmidt – Senior Physiotherapist at PhysioArt
Maya Kobeissi – Dietician at Dr. Humeira Badsha Medical Center
Vishwas Chhabra – Yoga and Lifestyle Consultant

For more info please contact Fadia on 04 385 6677 or e-mail [email protected]

Park Regis Kris Kin Hotel, Dubai (Opp. Burjman Center)

The Emirates Arthritis Foundation is organizing its first Patient Support Event of 2013 sponsored by Pfizer on Healthy Eating and Exercise for Arthritis.

The topics covered in the event are:

  • Arthritis & it’s Treatment – Dr. Humeira Badsha
  • Nutrition & Arthritis – Maya Kobeissi
  • Get fit wherever you sit – Dr. Vishwas Chhabra
  • Pain Relief & Physiotherapy for Arthritis – Dr. Marcel Schmidt

Please RSVP and let us know if you can join us

Date: April 18, 2013
Time: 4.30pm to 7.30pm
Venue: Park Regis Kris Kin Hotel, Dubai (Opp. Burjman Center)

Radisson Blu – Shaikh Zayed (sponsored by Abott)

Dr. Humeira Badsha invites patients for a Free Seminar & Dinner at Radisson Royal Hotel, Dubai (sponsored by Abott).

Date: January 11, 2013

Topic:
5:30pm – Ankylosing Spondylitis by Dr. Humeira Badsha
6:00pm – Exercises & Techniques for Ankylosing Spondylitis by Mr. Marcel (Physiotherapist)
6:30pm – Yoga Session with Mr. Vishwash Chhabra

Attire: Exercise Clothes

RSVP: Please e-mail [email protected] or contact us: +9714 3856009

In case you need driving directions to the venue, click here:
www.radissonblu.com/royalhotel-dubai/location

Professor Nicola Maffulli

Prof. Maffulli has published more than 900 peer-reviewed articles in scientific journals and 12 books on Orthopaedic Surgery and in Sports Medicine. Prof. Maffulli has a particular scientific interest in the physiopathology of sports injuries, including anterior cruciate ligament and tendon injuries, and great expertise in arthroscopic techniques of the knee and foot and ankle.


He was Professor of Trauma and Orthopaedic Surgery at Keele University School of Medicine (2001-2008), Centre Lead and Professor of Sports and Exercise Medicine, at Queen Mary University of London, Barts and The London School of Medicine and Dentistry, London (2008-2013), and has now taken up the Chair in Musculoskeletal Disorders in Salerno University School of Medicine, Italy, maintaining an Honorary Chair in Sport and Exercise Medicine at Queen Mary University of London, and a Visiting Professorship in Trauma and Orthopaedic Surgery at Keele University School of Medicine.


A keen athlete in his younger days, his old dream of going to the Olympics has been granted in London: he has been the Field of Play doctor for the Olympic Wrestling Tournament, and has lead a group of seven orthopedic surgeons to administer the Orthopaedic Foot and Ankle care for both the Olympics and the Paralympics. He is one among a small handful of surgeons to have been awarded the FRCP.

I thank Prof. Nicola Maffulli for joining our team and his confidence in us. He is now our Consultant Orthopaedic and Sports Injury surgeons.

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