5 research outputs found
Trends in hip fracture in patients with rheumatoid arthritis: Results from the Spanish National Inpatient Registry over a 17-year period (1999–2015). TREND-AR study
Purpose T o analyse trends in hip fracture (HF) rates in
patients with rheumatoid arthritis (RA) over an extended
time period (17 years).
Methods T his observational retrospective survey
was performed by reviewing data from the National
Surveillance System for Hospital Data, which includes
more than 98% of Spanish hospitals. All hospitalisations
of patients with RA and HF that were reported from 1999
to 2015 were analysed. Codes were selected using the
Ninth International Classification of Diseases, Clinical
Modification: ICD-9-CM: RA 714.0 to 714.9 and HF 820.0
to 820.3. The crude and age-adjusted incidence rate of
HF was calculated by age and sex strata over the last
17 years. General lineal models were used to analyse
trends.
Results Between 1999 and 2015, 6656 HFs occurred
in patients with RA of all ages (84.25% women, mean
age 77.5 and 15.75% men, mean age 76.37). The ageadjusted
osteoporotic HF rate was 221.85/100 000
RA persons/ year (women 227.97; men 179.06). The HF
incidence rate increased yearly by 3.1% (95% CI 2.1 to
4.0) during the 1999–2015 period (p<0.001) and was
more pronounced in men (3.5% (95% CI 2.1 to 4.9)) than
in women (3.1% (95% CI 2.3 to 4.1)). The female to male
ratio decreased from 1.54 in 1999 to 1.14 in 2015.
The average length of hospital stays (ALHS) decreased
(p<0.001) from 16.76 days (SD 15.3) in 1999 to 10.78
days (SD 7.72) in 2015. Age at the time of hospitalisation
increased (p<0.001) from 75.3 years (SD 9.33) in 1999 to
79.92 years (SD 9.47) in 2015. There was a total of 326
(4.9%) deaths during admission, 247 (4.4%) in women and
79 (7.5%) in men (p<0.001).
Conclusion I n Spain, despite the advances that have
taken place in controlling disease activity and in treating
osteoporosis, the incidence rate of HF increased in both
male and female patients with RA.This work has a help for the research provided by the Society of Rheumatology of the Community of Madrid (SORCOM)
Sustainability of traditional ecological knowledge: importance, distribution, endemicity and conservation of Spanish medicinal plants
Trabajo presentado en la 58th Annual Meeting of the Society for Economic Botany (Living in a global world: local knowledge ans sustainability), celebrada en Braganza (Portugal) del 4 al 9 de junio de 2017.-- IECTB authors: L Aceituno, R Acosta, A Alvarez, E Barroso, J Blanco, MA Bonet, L
Calvet, E Carrio, R Cavero, U DAmbrosio , L Delgado, J Fajardo, I Fernandez-Ordonez,
J Garcia, T Garnatje, JA Gonzalez, R Gonzalez-Tejero, A Gras, E Hernandez-Bermejo, E
Laguna, JA Latorre, C. Lopez, MJ Macia, E Marcos, V Martinez, G Menendez, M Molina, R
Morales, LM Munoz, C Obon, R Ontillera, M Parada, A Perdomo, I Perez, MP Puchades,
V Reyes-Garcia, M Rigat, S Rios, D Rivera, R Rodriguez, O Rodriguez, R Roldan, L San
Joaquin, FJ Tardio, JR Vallejo, J Valles, H Velasco and A Verde.More than 17,000 of the plant species of the world have been used as medicines. The
Mediterranean basin, and specifically Spain, has a great floristic and ethnobotanical richness,
comprising its useful flora around 3,000 plant species. This paper studies medicinal
plants traditionally used in Spain in order to analyze the sustainability of their exploitation.
Given that sustainability is related to the amount of the resource and its gathering
pressure, its availability and cultural importance were analysed based on: the number
of papers cited from a selection of over 180 papers, the number of 10x10 km UTM grid
cells in which the plants were represented, the number of phytosociological inventories in
which the presence of the plant has been registered, and searched on their current conservation
status in European, national and regional legislations. The total number of wild
or naturalized medicinal species in Spain reaches 1,393, 15% of them being endemic. A
positive correlation was found among cultural importance and abundance (ρ=0.48) and
among cultural importance and distribution (ρ=0.502), showing that abundant widely distributed
species are those more commonly used. Most of the medicinal plants (72%) do
not appear on the consulted regulations and do not have any legal protection or known
threat and only 11 species are registered in any of the annexes of the European Habitats
directive. While this study confirms that people tend to select as medicinal abundant and
widely distributed species, many other criteria are used for selecting them.Peer reviewe