The prevalence, incidence and management of low back pain with radiating leg pain in Dutch general practice:A population-based cohort study in the Rijnmond Primary Care Database

BACKGROUND: Radiating leg pain is common in patients with low back pain (LBP). In this study, we aimed to determine the prevalence and incidence of LBP with radiating leg pain in Dutch general practice, and to describe the prescribed medications and requested imaging diagnostics.METHODS: The Rijnmond Primary Care Database containing over 500,000 primary care patients was used to select patients ≥18 years with LBP with radiating leg pain between 2013 and 2021. Data on patient characteristics, LBP episodes, prescribed medication and requested imaging in the first 3 months of an episode was extracted. Descriptive statistics were used to present patient characteristics and diagnostic/therapeutic interventions.RESULTS: A total of 27,695 patients were included. The total number of LBP with radiating leg pain episodes in these patients was 36,268. In 2021, the incidence and prevalence were 19.1 and 25.7 per 1000 patient years, respectively. In 60% of patients, the episode duration was shorter than 1 month. In 62% of the episodes, patients visited the general practitioner (GP) one to two times. In 59% of the episodes, at least one medication was prescribed, non-steroidal anti-inflammatory drugs (NSAIDs) being the most common one (45%). In approximately 11% of the episodes, additional diagnostic imaging was requested.CONCLUSION: LBP with radiating leg pain is common in Dutch general practice patients. About 2/3rd were prescribed pain medications. Dutch request few to none diagnostic imaging for these patients which is in line with clinical practice guidelines.SIGNIFICANCE: In this new study, we have gained insights into the incidence and prevalence of LBP with radiating leg pain in Dutch general practice. Both remained fairly stable over the study period of 9 years (2013-2021). Overall, the care burden regarding seeking contact with the GPs and the requested diagnostics seem not to be that high. In 62% of the care episodes, there were one or two consultations with the GP, and in 11% of the episodes a diagnostic imaging was requested. Pain medications frequently prescribed (i.e. 2/3rd of the episodes), with NSAIDs being the most common ones.</p

The prevalence, incidence and management of low back pain with radiating leg pain in Dutch general practice:A population-based cohort study in the Rijnmond Primary Care Database

BACKGROUND: Radiating leg pain is common in patients with low back pain (LBP). In this study, we aimed to determine the prevalence and incidence of LBP with radiating leg pain in Dutch general practice, and to describe the prescribed medications and requested imaging diagnostics.METHODS: The Rijnmond Primary Care Database containing over 500,000 primary care patients was used to select patients ≥18 years with LBP with radiating leg pain between 2013 and 2021. Data on patient characteristics, LBP episodes, prescribed medication and requested imaging in the first 3 months of an episode was extracted. Descriptive statistics were used to present patient characteristics and diagnostic/therapeutic interventions.RESULTS: A total of 27,695 patients were included. The total number of LBP with radiating leg pain episodes in these patients was 36,268. In 2021, the incidence and prevalence were 19.1 and 25.7 per 1000 patient years, respectively. In 60% of patients, the episode duration was shorter than 1 month. In 62% of the episodes, patients visited the general practitioner (GP) one to two times. In 59% of the episodes, at least one medication was prescribed, non-steroidal anti-inflammatory drugs (NSAIDs) being the most common one (45%). In approximately 11% of the episodes, additional diagnostic imaging was requested.CONCLUSION: LBP with radiating leg pain is common in Dutch general practice patients. About 2/3rd were prescribed pain medications. Dutch request few to none diagnostic imaging for these patients which is in line with clinical practice guidelines.SIGNIFICANCE: In this new study, we have gained insights into the incidence and prevalence of LBP with radiating leg pain in Dutch general practice. Both remained fairly stable over the study period of 9 years (2013-2021). Overall, the care burden regarding seeking contact with the GPs and the requested diagnostics seem not to be that high. In 62% of the care episodes, there were one or two consultations with the GP, and in 11% of the episodes a diagnostic imaging was requested. Pain medications frequently prescribed (i.e. 2/3rd of the episodes), with NSAIDs being the most common ones.</p

Study of Todebin dam reservoir in Zanjan province in order to aquaculture possibility

The Todebin dam reservoir has been constructed in central part of Abhar in the Zanjan province which has been studied with aquaculture purpose. This study was conducted on biotic and abiotic factors. The plankton, benthos and fishes were identified and the parasitology and bacteriology studies were performed on the lake fishes. Then the fisheries potential of the lake was calculated in respect of final fish farming amount and the fish releasing. The results showed the Bacillariophyta was dominated ِduring the study. the highest abundance of phytoplankton was between 2.1 and 12.5 million cells.l^-1 in the upper layer of lake as compared with the lower layer. The genus Cyclotella and Dinobryon belong to phytoplankton and Keratella and Polyathera belong to zooplankton were dominanted abundance. The mean biomass of benthos was varied from 5.5 to 29.5 g.m -2 and the Chironomidae had the most abundance. The ichtiology survey showed the presence of four cultured species and the Goldfish. The hydro-chemical results indicated no restriction for aquaculture activity. The oxygen average was more than 8 mg/l. The average of phosphate, nitrogen and hardness were measured 0.09±0.04, 2±0.8 and 237±94.5 mg/l., respectively. For the most hydrochemical factores, the values were significantly different between upper and bottom layers of the lake. The oxygen production and Chl-a amount were measured about 0.73 mg/l. and 7/03 µg/l., respectively. According to climatic restrictions, the cold fish culture is preferred than to culture of warm fishes. While the natural capacity of the lake was about 5 tones to warm fish culture, the fish production of trout was estimated about 40 tones. This volume will be available during four months periods and twice a year

Biological survey of Caspian kutum (Rutilus kutum) released fingerlings in Sefidroud River (Guilan Province)

Kutum fish (Rutilus kutum) is an anadromous cyprinid species that spawns in adjusted rivers to the Caspian Sea. Many million fingerlings were artificially produced and annually released in these rivers specifically in Sefidrud River by Iranian Fisheries Organization. In this study were estimated the staying period of Kutum fingerlings in Sefidrud River and its diet and growth. A small piece of the caudal fin was cut as a tagging method. About 50000 and 5200 individuals were marked during July and September 2013, respectively. The marked fish had an average total length 53.2±5.6 mm and body weight 1.11±0.26 g and were released in river around two kilometers of the estuary. The sampling of fishes had been earlier started from Feb. 2012 and continued until Feb. 2013 at five stations. Four stations were along river from three Kilometer of estuary to estuary and one station was in right side of estuary in the sea coast. The results showed that marked samples after releasing time were distributed in all studied area from 3 kilometers of estuary to estuary but they migrate mainly toward Caspian Sea in a short time. However the marked samples were observed in estuary and the sea coast after 6 and 24 hours of their releasing time, respectively, Kutum fingerlings remained in Sefidrud river ecosystem in a longer time, at least until end of our sampling period i.e. 105 days. The coefficient of vacuity index of the natural feeding study was 0.0, 49.0 and 30.6 % for phytoplankton, zooplankton and benthos, respectively. The average of GastroSomatic index, intensity of fullness and condition factor were calculated 6.30±3.25, 174.6±153.2 and 0.92±0.09, respectively. A temporal and spatial variation on main food items were observed in gut content of fish fingerlings from different locations and seasons. Gut contents were generally included 59 genera of phytoplankton, 15 groups of zooplankton and 10 groups of benthos. Nitzschia, Navicula and Synedra were dominated among phytoplankton genera with 45.83, 18.02 and 15.99 %, respectively. Among zooplankton groups; the Rotaria, Moeina and Difflugia were dominated with 22.30, 20.86 and 15.83%, respectively. Chironomidae and Gammaridae were the main food items among fed benthic animals with 83.67 and 11.15%, respectively. Furthermore 48 phytoplankton genera, 32 zooplankton genera and 6 benthic families were identified in ecosystem of Sefidrud river. Bacillariophyta phylum (with 23 genus), Rotatoria (with17 genus) and Chironomidae family were dominated in each mentioned groups, respectively. It is concluded that the Kutum fingerlings stay in Sefidrud River for a long time, although most of them migrate to Caspian Sea during first month after releasing. However dietary indices were normal in studied samples, the condition factor index seems to be low