Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain : Large-Scale Epidemiological Study

(1) Aims: To assess the incidence of inflammatory bowel disease (IBD) in Spain, to describe the main epidemiological and clinical characteristics at diagnosis and the evolution of the disease, and to explore the use of drug treatments. (2) Methods: Prospective, population-based nationwide registry. Adult patients diagnosed with IBD-Crohn's disease (CD), ulcerative colitis (UC) or IBD unclassified (IBD-U)-during 2017 in Spain were included and were followed-up for 1 year. (3) Results: We identified 3611 incident cases of IBD diagnosed during 2017 in 108 hospitals covering over 22 million inhabitants. The overall incidence (cases/100,000 person-years) was 16 for IBD, 7.5 for CD, 8 for UC, and 0.5 for IBD-U; 53% of patients were male and median age was 43 years (interquartile range = 31-56 years). During a median 12-month follow-up, 34% of patients were treated with systemic steroids, 25% with immunomodulators, 15% with biologics and 5.6% underwent surgery. The percentage of patients under these treatments was significantly higher in CD than UC and IBD-U. Use of systemic steroids and biologics was significantly higher in hospitals with high resources. In total, 28% of patients were hospitalized (35% CD and 22% UC patients, p < 0.01). (4) Conclusion: The incidence of IBD in Spain is rather high and similar to that reported in Northern Europe. IBD patients require substantial therapeutic resources, which are greater in CD and in hospitals with high resources, and much higher than previously reported. One third of patients are hospitalized in the first year after diagnosis and a relevant proportion undergo surgery

Correction : Chaparro et al. Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological Study. J. Clin. Med. 2021, 10, 2885

The authors wish to make the following corrections to this paper [...]

RICORS2040 : The need for collaborative research in chronic kidney disease

Chronic kidney disease (CKD) is a silent and poorly known killer. The current concept of CKD is relatively young and uptake by the public, physicians and health authorities is not widespread. Physicians still confuse CKD with chronic kidney insufficiency or failure. For the wider public and health authorities, CKD evokes kidney replacement therapy (KRT). In Spain, the prevalence of KRT is 0.13%. Thus health authorities may consider CKD a non-issue: very few persons eventually need KRT and, for those in whom kidneys fail, the problem is 'solved' by dialysis or kidney transplantation. However, KRT is the tip of the iceberg in the burden of CKD. The main burden of CKD is accelerated ageing and premature death. The cut-off points for kidney function and kidney damage indexes that define CKD also mark an increased risk for all-cause premature death. CKD is the most prevalent risk factor for lethal coronavirus disease 2019 (COVID-19) and the factor that most increases the risk of death in COVID-19, after old age. Men and women undergoing KRT still have an annual mortality that is 10- to 100-fold higher than similar-age peers, and life expectancy is shortened by ~40 years for young persons on dialysis and by 15 years for young persons with a functioning kidney graft. CKD is expected to become the fifth greatest global cause of death by 2040 and the second greatest cause of death in Spain before the end of the century, a time when one in four Spaniards will have CKD. However, by 2022, CKD will become the only top-15 global predicted cause of death that is not supported by a dedicated well-funded Centres for Biomedical Research (CIBER) network structure in Spain. Realizing the underestimation of the CKD burden of disease by health authorities, the Decade of the Kidney initiative for 2020-2030 was launched by the American Association of Kidney Patients and the European Kidney Health Alliance. Leading Spanish kidney researchers grouped in the kidney collaborative research network Red de Investigación Renal have now applied for the Redes de Investigación Cooperativa Orientadas a Resultados en Salud (RICORS) call for collaborative research in Spain with the support of the Spanish Society of Nephrology, Federación Nacional de Asociaciones para la Lucha Contra las Enfermedades del Riñón and ONT: RICORS2040 aims to prevent the dire predictions for the global 2040 burden of CKD from becoming true

Desarrollo del sistema de administración de acervo documental SAAD en grupo consultor SA.

TESINA IF7.78 ING.INFORM

Desarrollo del sistema de administración de acervo documental SAAD en grupo consultor SA.

TESINA IF7.78 ING.INFORM

Calidad percibida de las instalaciones de fitness y wellness en establecimientos hoteleros

Fitness and wellness services in hotels are innovative and successful ways to carry out healthy physical activities for maintaining and improving quality of life. They also require important investments as well as other relevant resources. The aim of this article is to show critical items related to customer's quality perception in fitness and wellness facilities, in order to optimize service management and subsequent improvement actionsLos servicios de fitness y wellness de los establecimientos hoteleros, por su orientación a la salud y el bienestar, gozan actualmente de una creciente acogida para el cliente y configuran, en consecuencia, una oferta complementaria valiosa que requiere una importante inversión y unos gastos de explotación relevantes (gestión, mantenimiento, personal). Conocer los factores que modulan la percepción de calidad por parte del cliente es determinante para optimizar el diseño del servicio y la gestión de estos recursos

Emotional communication keys of the hotel offer to improve the capture of the client 2.0

[EN] On the current markets, the hotel sector needs visibility and improve the web positioning in the Internet channels to reach to the maximum number of clients. The Instituto de Biomecanica de Valencia is performing a study to analyze the key factors of the hotel communication in the web environments. This study puts special attention in the description and the image of the hotel room as a fundamental element in the available information in search engines and social networks. The aim of the study is to know the key factors that determine the perceived quality by the client 2.0.[ES] En los mercados actuales, el sector hotelero necesita visibilidad y posicionamiento en los canales de internet para acceder al máximo número de clientes. El Instituto de Biomecánica (IBV) está realizando un estudio para analizar los factores de éxito de la comunicación hotelera en los entornos web. Este estudio pone especial atención en la descripción y en la imagen de la habitación de hotel como elementos fundamentales en la información disponible en buscadores y redes sociales. El objetivo del estudio es conocer los factores clave que determinan la calidad percibida por el cliente 2.0.Estudio co-financiado por IMPIV con fondos FEDER en el marco del Plan de Competitividad de la Empresa valenciana, convocatoria 2010. Proyecto IMPCCC/2010/54, Actividades de Inteligencia Competitiva de la Asociación CVIDA.Benítez Bermejo, EJ.; Laparra Hernandez, J.; Gómez González, A.; Jiménez Bustos, C.; Domínguez Martínez, E.; Soriano Garcia, C.; Marzo Rosello, R.... (2011). Claves de la comunicación 2.0 en la oferta hotelera. Revista de biomecánica. (56):79-81. http://hdl.handle.net/10251/38185S79815