- The aim of this study was to ascertain the prevalence of traumatic crown fractures in a childhood population and identify the risk factors associated with the same. A cross-sectional study was conducted, covering 470 schoolchildren and surveying socio-demographic variables, overweight, overbite, number of teeth, cause, setting, season, type of injury and restoration. We measured prevalence, performed univariate and multivariate analyses of risk factors for crown fracture, and calculated the Odds Ratio (OR) and its 95% confidence intervals (95% CI). Prevalence of traumatic crown fractures to permanent incisors was 17.4% (95% CI: 14-20.8). Falls were the most frequent cause of dental trauma (43.9%). Boys and children with overbite registered a 2.13- and 1.81-fold higher risk of crown fractures, respectively. Owing to high prevalence, crown fractures in schoolchildren aged 10 years constitute a public health problem. Being male and having overbite are risk factors for crown fracture. Healthcare promotion and education at health centres is called for to prevent such injuries.
In Spain, the prevalence of self-medicated drug use is higher in women than men. In our population, the influence of unhealthy lifestyles, such as alcohol and tobacco consumption, is related to a higher likelihood of self-medication.
OBJECTIVETo examine trends in nontraumatic lower-extremity amputations (LEAs) over an 8-year period in patients with and without diabetes in Spain.RESEARCH DESIGN AND METHODSWe identified all patients who underwent an LEA using national hospital discharge data. Discharges were grouped by diabetes status: type 1 diabetes, type 2 diabetes, and no diabetes. The incidence of discharges attributed to amputations were calculated overall and stratified by diabetes status and year. We calculated length of stay and in-hospital fatality stratified by diabetes status and type of LEA.RESULTSFrom 2001 to 2008, 46,536 minor LEAs and 43,528 major LEAs were performed. In patients with type 1 diabetes, the incidence of minor and major amputations decreased significantly from 2001 to 2008 (0.88–0.43 per 100,000 inhabitants and 0.59–0.22 per 100,000 inhabitants, respectively). In patients with type 2 diabetes, the incidence of minor and major LEAs increased significantly (9.23–10.9 per 100,000 inhabitants and 7.12–7.47 per 100,000 inhabitants). Hospital stay was similar among type 1 diabetic and type 2 diabetic subjects, according to the type of LEA. Only in-hospital mortality for minor LEAs among type 1 diabetic subjects decreased significantly (4.0% in 2001 vs. 1.6% in 2008).CONCLUSIONSOur national data show a decrease in the incidence of major and minor LEAs in patients with type 1 diabetes and an increase among patients with type 2 diabetes. Further improvement is necessary in the preventive care and early treatment of patients with diabetes. The management of foot lesions, especially among type 2 diabetic patients, is particularly urgent.
Background: In the last decade, the number of foreign residents in Spain has doubled and it has become one of the countries in the European Union with the highest number of immigrants There is no doubt that the health of the immigrant population has become a relevant subject from the point of view of public healthcare. Our study aimed at describing the potential inequalities in the use of healthcare resources and in the lifestyles of the resident immigrant population of Spain.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.