RA patients need more in- and outpatient healthcare services and suffer significantly more often from comorbidities. The general practitioner is the most frequently visited physician. Other consulted physicians are rheumatologists, ophthalmologists, orthopedists/orthopedic surgeons and internists not specialized in rheumatology. The study highlights the need to create consensus treatment algorithms and maintain a close interdisciplinary and intersectoral cooperation and communication.
Growth and survival of trees in an upland silvopastoral system have been shown to be positively correlated with planting density. Tree growth form also contributes to the value of the tree crop. In this experiment five silvopastoral treatments, hybrid larch (Larix eurolepis, 100, 200 and 400 trees-ha-1 ) and sycamore (Acer p.seudoplatanu.v, 100 and 400 trees.ha-I ) were subjectively assessed for growth form from 0 (dead) to 10 (perfect). Scores 0! were classed as 'poor' (for pulping or chipping); scores of 7-10 were classed as 'good' (at least of building quality). The sycamore had previously been form-pruncd to produce a single leading shoot. Hybrid larch had previously been pruned to remove branches below I .8 m to reduce the sail effect of the canopy. Hybrid larch had 22°l0 (± 8), 41 °lo (± 4) and 46% (± 10) of 'good' trees at 100, 200 and 400 trees-ha respectively.Sycamore had 55% (± 12) and 85°l0 (± 5) of 'good' trees for 100 and 400 trees-ha-1 . These results show that good tree growth form is associated with higher planting densities most probably due to animal behaviour effects modifying plant growth conditions (Sibbald et
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