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Market in Detroit. Branch members have engaged in numerous fund raising projects to support charitable and cultural needs. Branch 58 is also a life member of the Ukrainian Museum in New York. For twenty years, Mrs. Nelligan served as our Festival Committee Chair for the Downtown Metro Detroit Hart Plaza Riverfront Ethnic Festivals, working tirelessly to arrange for opening-day ceremony receptions, coordinating contests, and assisting with cultural programs. Justine inspired Branch 58 to be outstanding — the artifacts, foods and beverages at our booths had to be perfect. Monies realized from the Festivals were eventually donated to the Ukrainian Village Building Fund, a residence for seniors. Branch 58 was one of the largest single contributors to this project, donating over $45,000.00. Justine Malaniak-Nelligan served on the Ukrainian Village Board -- her mother, Mary Malaniak, was one of the first residents at the Village. Justine was a true friend, a leader, an energizer, who approached every project with great understanding, a positive attitude, lots of pizzazz, a light touch, and a sense of humor. It is no wonder that she was elected to serve as our branch president ten times. We were blessed and we will miss her. Justine is survived by her husband Andrew J., children, and grandchildren. Funeral services were held on October 31, 2000 at St. Scholastica Catholic Church; the internment took place at Holy Sepulchre Cemetery. — Julia C. Stoiko, President UNWLA Branch 58, Detroit ARTHRITIC DISORDERS by Ihor Magun, M.D. Osteoarthritis is one of the most common rheumatologic diseases. Weight bearing areas of the body are the most commonly involved. The knee joint is the most frequently affected, but the disease can also affect the hand (especially the thumb base), the hip and the spine. Trauma as well as repetitive joint use are the most important risk factors. Pain is aggravated by joint use and is relieved by rest. The pain associated with osteoarthritis is generally described as an ache. As the disease progresses, this pain can be persistent. Stiffness, especially in the morning and after long periods of inactivity can occur. After about thirty minutes of activity, this stiffness subsides. Osteoarthritis develops in one of three ways. In some cases, the cartilage and the bone structure are normal, but excessive weight and prolonged standing cause narrowing of the joint space and ultimately, bone meets bone and produces pain. In other cases, there are underlying problems with either the cartilage or the bone. Some cases of osteoarthritis have no explanation — these are described as idiopathic (of unknown origin or cause). The disease is not always progressive and can actually stabilize. Diagnosis of osteoarthritis is through clinical examination and x-ray findings. No laboratory studies are involved in diagnosis. Rheumatoid arthritis usually involves sym metrical joints. There are associated systemic symptoms of prolonged morning stiffness, weight loss, fatigue or even fever. The cause of rheumatoid arthritis remains unknown. Early inflammatory response is initiated by an unknown stimulus and is followed by repeated episodes of pain, swelling and tenderness. Pain is the most common manifestation of rheumatoid arthritis. Persistent inflammation produces a variety of characteristic deformities, especially of the hands. Laboratory tests are available for diagnostic purposes. Many of the tests are used to predict future progression of the disease. Treatment of these conditions must be individualized. Weight loss is often recommended for patients with osteoarthritis. Keeping active and using medication to reduce pain or inflammation is an option. There are also disease modifying medications whose mechanism is not pain or inflammation suppression, but actually slowing down the disease process. Joint injections, physical therapy and certain surgical procedures are other possible treatment choices. Obviously, addressing the problem in a timely manner is important. Discussing the condition with your physician is the fist step. Proper diagnosis and selection of treatment may make the activities of daily life possible, easier or pain free. “НАШЕ ЖИТТЯ”, СІЧЕНЬ 2001 21
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