Hand osteoarthritis: clinical phenotypes, molecular mechanisms and disease management

Osteoarthritis (OA) is a highly prevalent condition and the hand is the most commonly affected site. Patients with hand OA frequently report symptoms of pain, functional limitations, and frustration in undertaking everyday activities. The condition presents clinically with changes to the bone, ligaments, cartilage and synovial tissue, which can be observed using radiography, ultrasonography or MRI. Hand OA is a heterogeneous disorder and is considered to be multifactorial in aetiology. This review provides an overview of the epidemiology, presentation and burden of hand OA, including an update on hand OA imaging (including the development of novel techniques), disease mechanisms and management. In particular, areas for which new evidence has substantially changed the way we understand, consider and treat hand OA are highlighted. For example, genetic studies, clinical trials and careful prospective imaging studies from the past 5 years are beginning to provide insights into the pathogenesis of hand OA that might uncover new therapeutic targets in disease

Integrating biodiversity, remote sensing, and auxiliary information for the study of ecosystem functioning and conservation at large spatial scales

Assessing patterns and processes of plant functional, taxonomic, genetic, and structural biodiversity at large scales is essential across many disciplines, including ecosystem management, agriculture, ecosystem risk and service assessment, conservation science, and forestry. In situ data housed in databases necessary to perform such assessments over large parts of the world are growing steadily. Integrating these in situ data with remote sensing (RS) products helps not only to improve data completeness and quality but also to account for limitations and uncertainties associated with each data product. Here, we outline how auxiliary environmental and socioeconomic data might be integrated with biodiversity and RS data to expand our knowledge about ecosystem functioning and inform the conservation of biodiversity. We discuss concepts, data, and methods necessary to assess plant species and ecosystem properties across scales of space and time and provide a critical discussion of outstanding issues