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Sample records for belgian post-menopausal women

  1. Calcium and vitamin D in post menopausal women

    Directory of Open Access Journals (Sweden)

    Sameer Aggarwal

    2013-01-01

    Full Text Available Calcium and Vitamin D are widely used therapies for Osteoporosis. Vitamin D is not a vitamin in true sense since it is produced in response to the action of sunlight on skin. Vitamin D has multiple roles in the body, not all of them well-understood. Vitamin D supplementation must be considered a form of hormone replacement therapy. Therefore it raises all the questions about efficacy, dose, and side effects. The Efficacy of use of Calcium and Vitamin D in all post menopausal women in terms of the prevention of fracture is uncertain. The Annual worldwide sales of these supplements have been several billion dollars. The variation of the results from various studies of Calcium and Vitamin D supplementation in elderly women suggest that benefit of calcium plus vitamin D on bone mineral density or the risk of fracture is small and may vary from group to group and baseline Vitamin D status. Women taking supplemental vitamin D and calcium have a statistically increased incidence of renal stones, according to evidence from the Women′s Health Initiative. Studies have shown association between calcium use and increased risk for cardiovascular disease. In a recent review of evidence from 6 randomized trials evaluating the use of vitamin D and calcium to prevent fractures in postmenopausal women who are not living in a nursing home or other institution, the United States Preventive Task Force (USPTF found no evidence of a benefit from supplementation with 400 IU or less of vitamin D3 and 1000 mg or less of calcium. Also in a report from institute of Medicine Committee, there was insufficient evidence, particularly from randomized trials, that vitamin D treatment affected the risk of non skeletal outcomes like risk of cancer, cardiovascular disease, diabetes, infections, autoimmune disease, and other extra skeletal outcomes.

  2. Biomarkers of vascular function in pre- and recent post-menopausal women of similar age

    DEFF Research Database (Denmark)

    Nyberg, Michael Permin; Seidelin, Kåre; Rostgaard Andersen, Thomas;

    2014-01-01

    Menopause is associated with an accelerated decline in vascular function, however, whether this is an effect of age and/or menopause and how exercise training may affect this decline remains unclear. We examined a range of molecular measures related to vascular function in matched pre- and post-menopausal...... women before and after 12 weeks of exercise training. Thirteen pre-menopausal and ten recently post-menopausal (1.6±0.3 (mean±SEM) years after final menstrual period) women only separated by three years (48±1 vs. 51±1 years) were included. Before training, diastolic blood pressure, soluble intercellular...... adhesion molecule-1 (sICAM-1) and skeletal muscle expression of thromboxane A synthase were higher in the post-menopausal women compared to the pre-menopausal women, all indicative of impaired vascular function. In both groups, exercise training lowered diastolic blood pressure, the levels of sICAM-1...

  3. Impaired cardiac response to exercise in post-menopausal women: relationship with peripheral vascular function.

    Science.gov (United States)

    Yoshioka, J; Node, K; Hasegawa, S; Paul, A K; Mu, X; Maruyama, K; Nakatani, D; Kitakaze, M; Hori, M; Nishimura, T

    2003-04-01

    Endothelial dysfunction has been demonstrated in post-menopausal women. To assess the relationship between peripheral vascular reserve and cardiac function during exercise in post-menopausal women, 91 subjects, who had no ischaemic findings on myocardial SPECT, were assigned to four groups: pre-menopausal women (n=13), post-menopausal women (n=33), younger men aged 50 years (n=35). First-pass radionuclide angiography was performed before and during bicycle exercise to calculate ejection fraction (EF) and peripheral vascular resistance (VR). There were no differences in haemodynamic variables among the groups at baseline. The per cent increase in EF=(exercise EF - resting EF)x100/resting EF, and the per cent decrease in VR=(resting VR - exercise VR)x100/resting VR were depressed in the post-menopausal women (0.4+/-2% and 35+/-3%, respectively) compared to the pre-menopausal women (10+/-3% and 47+/-3%, respectively; PPost-menopausal women exhibited depressed cardiac function during exercise, which may be related to the impairment of peripheral vascular function after menopause.

  4. Ginger Supplementation Enhances Working Memory of the Post-Menopause Women

    Directory of Open Access Journals (Sweden)

    Naritsara Saenghong

    2011-01-01

    Full Text Available Problem statement: Cognitive impairment is one important problem in post-menopausal women. Although hormone therapy can improve this condition, it also produces adverse effect. Recent findings showed that this condition could be mitigated by the herb. Ginger or Zingiber officinale Roscoe, a plant in a family of Zingiberaceae, was previously demonstrated the neuroprotection and cognitive enhancing effects. Therefore, this study was set up to determine whether ginger rhizome extract could improve attention and working memory of the post-menopausal women. Approach: Sixty healthy post-menopausal women were randomly assigned to receive either placebo or standardized plant extract at doses of 400 and 800 mg once daily for 3 months. After the assessment of biographic information, they were evaluated the working memory and cognitive function using computerized battery test and the auditory oddball paradigm of event related potential before and after 3-month of intervention. Results: The ginger treated group decreased N100 and P300 latencies but increased N100 and P300 amplitudes in accompany with the enhanced working memory including the power of attention, continuity of attention, speed and quality of memory. Conclusion: Our results suggested that ginger is the potential cognitive enhancer for post-menopausal women. However, further researches are still required.

  5. Study on the serum prolactin (PRL) level in post-menopausal women

    International Nuclear Information System (INIS)

    Objective: To explore the clinical value of determination of serum PRL levels inpost-menopausal women. Methods: Serum PRL levels were determined with RIA in 596 post-menopausal women (age 45-59, mean 55). Results: The normal range of serum PRL level in this laboratory was 0-30 ng/ml. Among the 596 women tested, 77(13%) had their PRL levels above 30 ng/ml. Further investigation with CT and/or MRI revealed presence of micro-pituitary-adenoma in 31 of the Symptoms of menopausal syndrome and osteoporosis were much more severe in women with hyperprolactinemia then in those without. Conclusion: As hyperprolactinemia might be a high risk factor for development of breast cancer, hormone replacement therapy (HRT) in menopausal women with hyperprolactinemia should be applied very cautiously, even withheld at all. Determination of serum prolactin levels in post-menopausal women is of practical clinical value. (authors)

  6. A Comparative Study of Lipid Profile and Oestradiol in Pre- and Post-Menopausal Women

    Science.gov (United States)

    Reddy Kilim, Srinivas; Chandala, Srinivasa Rao

    2013-01-01

    Objectives: To investigate the relationship between the menopausal status and related hormonal variation of oestradiol with plasma lipid concentrations. Material and Methods: Fifty premenopausal women and fifty postmenopausal women subjects were selected. Data was collected through clinical evaluation from questionnaires and laboratory investigations. Plasma oestradiol and lipid profile determinations were done by using competitive binding immunoassay methods and enzymatic methods respectively. Student’s T test and Pearson’s test of correlation were used for the statistical analysis. P-values of < 0.05 were considered to be statistically significant. Results: There was a significant increase in serum Total Cholesterol (TC), Triglycerides (TG), LDL-cholesterol and VLDL-cholesterol levels in post-menopausal women. HDL-cholesterol level was significantly decreased in post-menopausal women. The calculated atherogenic index (Total Cholesterol/HDL ratio) was significantly increased in post-menopausal women as compared to that in premenopausal women. Oestradiol concentration was significantly lower (p<0.001) in post-menopausal women. Discussion: Oestrogen changes the vascular permeability by increasing nitrous oxide production. It maintains a healthy lipoprotein profile. It stabilizes the endothelial cells, enhances antioxidant effect and alters fibrinolysis protein. All these cardioprotective mechanisms are lost in menopause. Postmenopausal women develop an increased risk for cardiovascular disease. Conclusion: Menopause leads to changes in lipid profile by reducing HDL, and elevating Total Cholesterol (TC), triglycerides (TG), LDL-cholesterol and VLDL-cholesterol, thus increasing the risk for cardiovascular disease. These changes are caused by reduced oestrogen concentrations which are seen in menopause. PMID:24086849

  7. Phenolic metabolites of anthocyanins following a dietary intervention study in post-menopausal women

    OpenAIRE

    de Ferrars, Rachel M; Cassidy, Aedín; Curtis, Peter; Kay, Colin D.

    2014-01-01

    Scope Numerous studies feeding anthocyanin-rich foods report limited bioavailability of the parent anthocyanins. The present study explores the identity and concentration of the phenolic metabolites of anthocyanins in humans. Methods and results Anthocyanin metabolites were quantified in samples collected from a previously conducted 12-wk elderberry intervention study in healthy post-menopausal women. Individual 1-, 2- and 3-h post-bolus urine samples and pooled plasma samples following acute...

  8. Vascular and Nutrigenomic effects of grapefruit flavanones consumption: A RCT in post-menopausal women

    OpenAIRE

    Habauzit, Veronique; Milenkovic, Dragan; Verny, Marie-Anne; Barber Chamoux, Nicolas; Bobby, Céline; Mazur, André; Dubray, Gerard; Morand, Christine

    2015-01-01

    The consumption of citrus fruits is associated with health benefits. However, clinical data regarding the effects of grapefruit flavanone consumption on vascular function are lacking. The present clinical study aimed at 1) characterizing the specific role of naringin in the effect of a long-term consumption of grapefruit juice on vascular function in humans and 2) analyzing changes in PBMCs transcriptome profile induced by grapefruit naringin. 52 healthy post-menopausal women were enrolled...

  9. Predictors of weight variation and weight gain in peri- and post-menopausal women.

    Science.gov (United States)

    Pimenta, Filipa; Maroco, João; Ramos, Catarina; Leal, Isabel

    2014-08-01

    This research encompasses a community sample of 497 women in peri- and post-menopause and uses structural equation modelling to investigate the structural models of weight variation and weight gain. Variables such as body shape concerns, depression, stress and life events are explored. Weight gain (from pre-menopause to current menopausal status) was observed in 69 per cent of participants. The predictors of weight gain were lower education level (β = -.146, p = .017), less or no physical exercise (β = -.111, p = .021), having a recent psychological problem (β = .191, p post-menopause (β = .147, p = .013) and more frequent body shape concerns (β = .313, p menopause is recommended; risk groups should be targeted considering the predictors of weight increase.

  10. Memory Decline in Peri- and Post-menopausal Women: The Potential of Mind-Body Medicine to Improve Cognitive Performance.

    Science.gov (United States)

    Sliwinski, Jim R; Johnson, Aimee K; Elkins, Gary R

    2014-01-01

    Cognitive decline is a frequent complaint during the menopause transition and among post-menopausal women. Changes in memory correspond with diminished estrogen production. Further, many peri- and post-menopausal women report sleep concerns, depression, and hot flashes, and these factors may contribute to cognitive decline. Hormone therapy can increase estrogen but is contraindicated for many women. Mind-body medicine has been shown to have beneficial effects on sleep, mood, and hot flashes, among post-menopausal women. Further, mind-body medicine holds potential in addressing symptoms of cognitive decline post-menopause. This study proposes an initial framework for how mind-body interventions may improve cognitive performance and inform future research seeking to identify the common and specific factors associated with mind-body medicine for addressing memory decline in peri- and post-menopausal women. It is our hope that this article will eventually lead to a more holistic and integrative approach to the treatment of cognitive deficits in peri- and post-menopausal women.

  11. Reproductive history and pancreatic cancer incidence and mortality in a cohort of post-menopausal women

    OpenAIRE

    Stevens, Richard J.; Roddam, Andrew W; Green, Jane; Pirie, Kirstin; Bull, Diana; Reeves, Gillian K.; Beral, Valerie

    2009-01-01

    There is inconsistent evidence about the effect of reproductive history on women’s risk of pancreatic cancer. In the Million Women Study, a prospective cohort of middle-aged women in the UK, we examined associations between reproductive history and pancreatic cancer incidence and mortality, controlling for age, socioeconomic status, geographic region, body mass index, smoking and history of diabetes. During 7.1 million person-years of follow-up in 995,192 post-menopausal women there were 1,18...

  12. Lifetime exercise activity and breast cancer risk among post-menopausal women.

    Science.gov (United States)

    Carpenter, C L; Ross, R K; Paganini-Hill, A; Bernstein, L

    1999-08-01

    Lifetime exercise activity has been linked to breast cancer risk among young women. However, no study has specifically evaluated whether lifetime exercise activity is related to the breast cancer risk of post-menopausal women. We conducted a population-based case-control study of post-menopausal white women (1123 newly diagnosed cases and 904 healthy controls) aged 55-64 who lived in Los Angeles County, California, USA to evaluate this relationship. Although neither exercise activity from menarche to age 40 years, nor exercise after age 40 separately predicted breast cancer risk, risk was lower among women who had exercised each week for at least 17.6 MET-hours (metabolic equivalent of energy expenditure multiplied by hours of activity) since menarche than among inactive women (odds ratio (OR) = 0.55; 95% confidence interval (CI) 0.37-0.83). Exercise activity was not protective for women who gained considerable (> 17%) weight during adulthood. However, among women with more stable weight, breast cancer risk was substantially reduced for those who consistently exercised at high levels throughout their lifetime (OR = 0.42; 95% CI 0.24-0.75), those who exercised more than 4 h per week for at least 12 years (OR = 0.59; 95% CI 0.40-0.88), and those who exercised vigorously (24.5 MET-hours per week) during the most recent 10 years (OR = 0.52; 95% CI 0.32-0.85). Strenuous exercise appears to reduce breast cancer risk among post-menopausal women who do not gain sizable amounts of weight during adulthood.

  13. Dietary Factors Contributing to Osteoporosis among Post Menopausal Saudi Women

    Science.gov (United States)

    Alsaif, Mohammed A.; Khan, Latifa K.; Alhamdan, Adel A. H.; Alorf, Saada M.; Al-Othman, Abdulaziz M.; Makki, Rabab J.

    This study was designed to investigate the dietary components which are likely to contribute to osteoporosis in postmenopausal Saudi women. In the present study, 36 osteoporotic postmenopausal and 25 healthy postmenopausal women as cases and controls respectively were selected from Armed Forces Hospital, Riyadh, Saudi Arabia. The study has designed to collect the data about the general characteristics (age, marital status, education, number of pregnancies, activity level, income and housing), anthropometric measurements, medical history and dietary intake by using both the methods (24 h recall, food frequency questionnaire). Serum samples were analyzed for calcium, phosphorus, vitamin D and Para Thyroid Hormone (PTH) and they were correlated with Bone Mineral Density (BMD). Food intake items were correlated with hip, neck and spin BMD. In results, cases found significantly older than controls and had history of bone fractures. Cases were consumed significantly less dietary calcium than controls. Serum parameters did not show any significant differences. However significant correlation was found between serum level of PTH and calcium with BMD of spine and right neck femur respectively. Banana and Mataziz (locally prepared dish with vegetables) showed positive correlation with hip BMD. A negative significant correlation was found between Arabian coffee and right neck femur BMD. In conclusion, Saudi women require encouragement to consume adequate amounts of calcium, fruits and vegetables in combination with maintaining a daily physical activity and space in child birth.

  14. Combination of estrogen replacement and exercise protects against HDL oxidation in post-menopausal women.

    Science.gov (United States)

    Lawler, J M; Hu, Z; Green, J S; Crouse, S F; Grandjean, P W; Bounds, R G

    2002-10-01

    The incidence of atherosclerosis and cardiovascular disease (CVD) in women increases following menopause and has been associated with a reduction in circulating estrogen. Increased CVD risk is also perpetuated by sedentary lifestyle. Growing evidence indicates that oxidation of lipoproteins leads to a powerful immune response, disruption of normal lipoprotein function, and deposition of atherosclerotic plaques. For example, once high-density lipoproteins (HDL) are oxidized, they lose the ability to a) participate in reverse transport of cholesterol to the liver, and b) protect low-density lipoproteins (LDL) against oxidation. The purpose of this study was to determine the effects of combining estrogen replacement and exercise upon lipid peroxidation of the HDL fraction (HDL-ox). Blood samples were drawn from 34 post-menopausal women from four groups: women who were not receiving estrogen replacement and who were sedentary (NSD) (n = 9); women who were not receiving estrogen replacement and who were participating in regular exercise (NEX) (n = 8); women who were receiving estrogen replacement and who were sedentary (ESD) (n = 8); and women who were receiving estrogen replacement and who were participating in regular exercise (EEX) (n = 9). Total-HDL cholesterol was significantly higher (pexercise in post-menopausal women may be most effective in reducing oxidation of HDL in vivo.

  15. Critical review of health effects of soyabean phyto-oestrogens in post-menopausal women

    DEFF Research Database (Denmark)

    Cassidy, A.; Albertazzi, P.; Nielsen, I. L.;

    2006-01-01

    included. For emerging areas all available human studies in post-menopausal women were reviewed. In order to make cross comparisons between studies the doses of isoflavones were calculated as aglycone equivalents. There is a suggestion, but no conclusive evidence, that isoflavones from the sources studied...... improve endothelial function. For menopausal symptoms there is currently limited evidence that soyabean-protein isolates, soyabean foods or red-clover (Trifolium pratense L.) extract are effective but soyabean isoflavone extracts may be effective in reducing hot flushes. There are too few RCT studies...

  16. Acute effects of walking on inflammatory and cardiovascular risk in sedentary post-menopausal women.

    Science.gov (United States)

    Davis, Jillian; Murphy, Marie; Trinick, Tom; Duly, Ellie; Nevill, Alan; Davison, Gareth

    2008-02-01

    Biochemical markers of inflammation are emerging as new predictors of risk of cardiovascular disease (CVD) and may alter acutely with exercise. Few studies have been conducted on the effects of walking on these markers or whether different walking intensities elicit varied effects. As there is growing interest in modifiable lifestyle factors such as walking to reduce CVD risk, these inflammatory responses warrant investigation. The aim of this study was to compare the effects of walking at 50% versus 70% of predicted maximal heart rate on C-reactive protein (CRP), plasma fibrinogen, and triglycerides in sedentary post-menopausal women. Twelve post-menopausal women (mean age 58 years, s +/-6; stature 1.62 m, s+/-0.06; body mass 66.8 kg, s +/-6.2) completed two 30-min treadmill walks in a randomized cross-over design. Fasted blood samples were taken (for the determination of plasma fibrinogen, CRP, and lipids) before, immediately after, and 1 and 24 h after exercise. Triglyceride concentrations decreased from pre-exercise to 24 h post exercise at both walking intensities (time x group interaction, P 0.05). The results of this study suggest that fasting plasma triglycerides are decreased on the morning after 30 min of brisk walking at either 50% or 70% of maximal heart rate (moderate and vigorous intensity).

  17. Expression of estrogen receptors in the pelvic floor of pre- and post-menopausal women presenting pelvic organ prolapse

    Directory of Open Access Journals (Sweden)

    Marie Laure Kottler

    2011-10-01

    Full Text Available The precise role of estrogen in the pathogenesis of pelvic organ prolapse (POP is still unclear, while the results concerning the effect of selective estrogen receptor modulators on pelvic organ prolapse are contradictory. Our aim was to test whether alteration in the expression of estrogen receptors in the pelvic floor of preand post-menopausal women is related to genital prolapse status. The mRNA levels of ERα and ERβ in 60 biopsy specimens were measured. Significantly higher expression of ERα and higher ERα/ERβ ratio were demonstrated in post-menopausal women compared to pre-menopausal women. Higher expression of ERα and higher ERα/ERβ ratio were detected in all studied groups with POP, thus it did not reach significance in the post-menopausal group. Pre-menopausal and post-menopausal women presenting pelvic organ prolapse had no difference in the ERα expression. Our preliminary study may indicate that pelvic organ prolapse is associated with higher expression of ERα/ERβ in the pelvic floor of both pre- and post-menopausal women; thus not reaching statistical significance in the post-menopausal women was probably due to the group’s size. We believe that the inevitable changes in the estrogen receptor expression over women’s different lifetimes may affect the risk of genital prolapse progression, and might contribute to the further search for appropriate selective estrogen receptor modulators as a treatment for women with pelvic organ prolapse. (Folia Histochemica et Cytobiologica 2011; Vol. 49, No. 3, pp. 521–527

  18. Physical Activity Level of Post-menopausal Women with Low Bone Mineral Density.

    Science.gov (United States)

    Dallanezi, Glauber; Freire, Beatriz Funayama Alvarenga; Nahás, Eliana Aguiar Petri; Nahás-Neto, Jorge; Corrente, José Eduardo; Mazeto, Gláucia Maria Ferreira da Silva

    2016-05-01

    Introduction Proper physical activity is related to the prevention and the treatment of osteoporosis. Purpose To assess the level of physical activity (PA) in post-menopausal women with low bone mineral density (BMD). Methods This cross-sectional clinical study included 123 post-menopausal women. The inclusion criteria were: age of ≥ 45 years with last menses at least 12 months prior to the initiation of the study, and bone density scan (BDS) values measured over the preceding 12 months. Women with severe osteoarthritis were excluded. Women were allocated into three groups, according to BMD measured by BDS [osteoporosis (OP; 54 women), osteopenia (35 women), and normal bone density (NBD; 35 women)], and compared for general, clinical, and anthropometric data, and for PA level. The latter was assessed using the International Physical Activity Questionnaire (IPAQ), in metabolic equivalent of task (MET) units. Participants were classified as sedentary, active or very active. Quantitative variables were compared using ANOVA followed by Tukey's test. Associations between qualitative variables were tested by Chi-square (χ2) or Fisher's exact test. In order to check for differences among groups and IPAQ domains, a generalized linear model with Gamma distribution was adjusted for values in METs. Results The OP group differed from the NBD group regarding age (61.8 ± 10.1 and 52.9 ± 5.4 years), percentage of participants with self-declared white ethnicity (43.9 and 28.0%), body mass index (BMI - 25.7 ± 5.4 and 30.9 ± 5.1 kg/m(2)), and time since menopause (15.5 ± 7.5 and 5.8 ± 4.5 years). Smoking rates were higher in the OP (55.6%) and NBD groups (33.3%) than in the osteopenia group (11.1%). Within the OP group, the rate of subjects with sedentary lifestyles was higher (42.6%), and time spent sitting was greater (344.3 ± 204.8 METs) than in the groups with osteopenia (20.0% and 300.9 ± 230.6 METs) and NBD (17.7% and 303

  19. Impact of Estrogen Therapy on Lymphocyte Homeostasis and the Response to Seasonal Influenza Vaccine in Post-Menopausal Women.

    Directory of Open Access Journals (Sweden)

    Flora Engelmann

    Full Text Available It is widely recognized that changes in levels of ovarian steroids modulate severity of autoimmune disease and immune function in young adult women. These observations suggest that the loss of ovarian steroids associated with menopause could affect the age-related decline in immune function, known as immune senescence. Therefore, in this study, we determined the impact of menopause and estrogen therapy (ET on lymphocyte subset frequency as well as the immune response to seasonal influenza vaccine in three different groups: 1 young adult women (regular menstrual cycles, not on hormonal contraception; 2 post-menopausal (at least 2 years women who are not receiving any form of hormone therapy (HT and 3 post-menopausal hysterectomized women receiving ET. Although the numbers of circulating CD4 and CD20 B cells were reduced in the post-menopausal group receiving ET, we also detected a better preservation of naïve B cells, decreased CD4 T cell inflammatory cytokine production, and slightly lower circulating levels of the pro-inflammatory cytokine IL-6. Following vaccination, young adult women generated more robust antibody and T cell responses than both post-menopausal groups. Despite similar vaccine responses between the two post-menopausal groups, we observed a direct correlation between plasma 17β estradiol (E2 levels and fold increase in IgG titers within the ET group. These findings suggest that ET affects immune homeostasis and that higher plasma E2 levels may enhance humoral responses in post-menopausal women.

  20. Impact of Estrogen Therapy on Lymphocyte Homeostasis and the Response to Seasonal Influenza Vaccine in Post-Menopausal Women

    Science.gov (United States)

    Engelmann, Flora; Rivera, Andrea; Park, Byung; Messerle-Forbes, Marci; Jensen, Jeffrey T.; Messaoudi, Ilhem

    2016-01-01

    It is widely recognized that changes in levels of ovarian steroids modulate severity of autoimmune disease and immune function in young adult women. These observations suggest that the loss of ovarian steroids associated with menopause could affect the age-related decline in immune function, known as immune senescence. Therefore, in this study, we determined the impact of menopause and estrogen therapy (ET) on lymphocyte subset frequency as well as the immune response to seasonal influenza vaccine in three different groups: 1) young adult women (regular menstrual cycles, not on hormonal contraception); 2) post-menopausal (at least 2 years) women who are not receiving any form of hormone therapy (HT) and 3) post-menopausal hysterectomized women receiving ET. Although the numbers of circulating CD4 and CD20 B cells were reduced in the post-menopausal group receiving ET, we also detected a better preservation of naïve B cells, decreased CD4 T cell inflammatory cytokine production, and slightly lower circulating levels of the pro-inflammatory cytokine IL-6. Following vaccination, young adult women generated more robust antibody and T cell responses than both post-menopausal groups. Despite similar vaccine responses between the two post-menopausal groups, we observed a direct correlation between plasma 17β estradiol (E2) levels and fold increase in IgG titers within the ET group. These findings suggest that ET affects immune homeostasis and that higher plasma E2 levels may enhance humoral responses in post-menopausal women. PMID:26859566

  1. Vaginal microbiome and epithelial gene array in post-menopausal women with moderate to severe dryness.

    Science.gov (United States)

    Hummelen, Ruben; Macklaim, Jean M; Bisanz, Jordan E; Hammond, Jo-Anne; McMillan, Amy; Vongsa, Rebecca; Koenig, David; Gloor, Gregory B; Reid, Gregor

    2011-01-01

    After menopause, many women experience vaginal dryness and atrophy of tissue, often attributed to the loss of estrogen. An understudied aspect of vaginal health in women who experience dryness due to atrophy is the role of the resident microbes. It is known that the microbiota has an important role in healthy vaginal homeostasis, including maintaining the pH balance and excluding pathogens. The objectives of this study were twofold: first to identify the microbiome of post-menopausal women with and without vaginal dryness and symptoms of atrophy; and secondly to examine any differences in epithelial gene expression associated with atrophy. The vaginal microbiome of 32 post-menopausal women was profiled using Illumina sequencing of the V6 region of the 16S rRNA gene. Sixteen subjects were selected for follow-up sampling every two weeks for 10 weeks. In addition, 10 epithelial RNA samples (6 healthy and 4 experiencing vaginal dryness) were acquired for gene expression analysis by Affymetrix Human Gene array. The microbiota abundance profiles were relatively stable over 10 weeks compared to previously published data on premenopausal women. There was an inverse correlation between Lactobacillus ratio and dryness and an increased bacterial diversity in women experiencing moderate to severe vaginal dryness. In healthy participants, Lactobacillus iners and L. crispatus were generally the most abundant, countering the long-held view that lactobacilli are absent or depleted in menopause. Vaginal dryness and atrophy were associated with down-regulation of human genes involved in maintenance of epithelial structure and barrier function, while those associated with inflammation were up-regulated consistent with the adverse clinical presentation.

  2. Vaginal microbiome and epithelial gene array in post-menopausal women with moderate to severe dryness.

    Directory of Open Access Journals (Sweden)

    Ruben Hummelen

    Full Text Available After menopause, many women experience vaginal dryness and atrophy of tissue, often attributed to the loss of estrogen. An understudied aspect of vaginal health in women who experience dryness due to atrophy is the role of the resident microbes. It is known that the microbiota has an important role in healthy vaginal homeostasis, including maintaining the pH balance and excluding pathogens. The objectives of this study were twofold: first to identify the microbiome of post-menopausal women with and without vaginal dryness and symptoms of atrophy; and secondly to examine any differences in epithelial gene expression associated with atrophy. The vaginal microbiome of 32 post-menopausal women was profiled using Illumina sequencing of the V6 region of the 16S rRNA gene. Sixteen subjects were selected for follow-up sampling every two weeks for 10 weeks. In addition, 10 epithelial RNA samples (6 healthy and 4 experiencing vaginal dryness were acquired for gene expression analysis by Affymetrix Human Gene array. The microbiota abundance profiles were relatively stable over 10 weeks compared to previously published data on premenopausal women. There was an inverse correlation between Lactobacillus ratio and dryness and an increased bacterial diversity in women experiencing moderate to severe vaginal dryness. In healthy participants, Lactobacillus iners and L. crispatus were generally the most abundant, countering the long-held view that lactobacilli are absent or depleted in menopause. Vaginal dryness and atrophy were associated with down-regulation of human genes involved in maintenance of epithelial structure and barrier function, while those associated with inflammation were up-regulated consistent with the adverse clinical presentation.

  3. The effect of depressive symptomatology on plasma cortisol responses to acute bicycle exercise among post-menopausal women

    NARCIS (Netherlands)

    van der Pompe, G.; Bernards, N; Meijman, T.F.; Heijnen, C.J

    1999-01-01

    The present study was designed to elucidate the effect of depressive symptomatology on the cortisol response to strenuous exercise. Thirteen healthy, post-menopausal women participated in this study. The results show that acute bicycle exercise activates the hypothalamic-pituitary-adrenal (HPA) axis

  4. Reproducibility over time of measurements of androgens, estrogens and hydroxy estrogens in urine samples from post-menopausal women

    NARCIS (Netherlands)

    Rinaldi, S.; Moret, C.N.; Kaaks, R.; Biessy, C.; Kurzer, M.S.; Dechaud, H.; Peeters, P.H.M.; Noord, P.A.H. van

    2003-01-01

    Sex steroid concentrations in urine samples from post-menopausal women have been associated with risk of various chronic diseases. The basic requirement for the assessment of risk in such largescale epidemiological studies is that subjects be ranked accurately by their average, long-term hormone lev

  5. Sternal Insufficiency Fractures of Post-menopausal Women:Retrospective Analysis of 17 Cases

    Institute of Scientific and Technical Information of China (English)

    Zhe-yuan Huang; Bi-long Yi; Hao-yuan Liu

    2012-01-01

    Objective To retrospectively investigate the clinical characteristics of sternal insufficiency fractures (SIFs) of post-menopausal women.Methods Findings on the clinical presentation,associated diseases,and imaging of SIFs in 17 postmenopausal women admitted to our hospital between February 1999 and January 2009 were reported.Results Twelve patients complained of severe pain in their anterior chest.Other symptoms included cough (5 cases),dyspnoea (3 cases),breathlessness (3 cases),and wheeze (2 cases).Four patients had no discomfort.The sternums of 11 cases were tender to palpation.Seventeen patients had osteoporosis.Other associated diseases were chronic obstructive pulmonary disease (7 cases),rheumatoid arthritis (3 cases),systemic lupus erythematosus (1 case),asthma (1 case),and thoracic vertebral fracture (13 cases).Nine patients had received glucocorticoid treatment.The fractures were located in the body of the sternum in 15 patients,in the manubrium in 1 patient,and in the manubriosternal junction in 1 patient.Displaced fracture was present in 13 cases.Lateral radiography of the sternum showed a fracture line in 14 patients.In the remaining 3 cases,other imaging examinations such as bone scan,computed tomography or magnetic resonance imaging demonstrated the presence of a fracture.Conclusions Osteoporosis,glucocorticoid therapy,chronic obstructive pulmonary disease,and rheumatoid arthritis might be risk factors for SIFs.SIFs should be considered in the differential diagnosis of chest pain.

  6. Putative relationship between hormonal status and serum pyrrolidone carboxypeptidase activity in pre- and post- menopausal women with breast cancer.

    Science.gov (United States)

    Carrera-González, María del Pilar; Ramírez-Expósito, María Jesús; Dueñas, Basilio; Martínez-Ferrol, Julia; Mayas, María Dolores; Martínez-Martos, José Manuel

    2012-12-01

    In breast cancer, hormonal changes are rather constant in post-menopausal women since they tend to vary only over long time spans. However, in pre-menopausal women, the development of breast cancer is associated with hormonal physiological variations. The aim of the present work was to analyse the changes in circulating levels of gonadotropin-releasing hormone (GnRH), follicle-stimulating hormone (FSH) and luteinizing hormone (LH) in pre- and post-menopausal women that were healthy or with breast cancer, and their connection to serum pyrrolidone carboxypeptidase (Pcp) activity. We observed significant changes in the hormonal profile in post-menopausal women with breast cancer compared to the control group. In pre-menopausal women, we found significant changes in circulating GnRH levels with respect to the healthy group. Our present results support the existence of neuroendocrine misregulation that could be involved in tumour progression, with Pcp being a potentially new pharmacological target in breast cancer treatments.

  7. Compliance and treatment satisfaction of post menopausal women treated for osteoporosis. Compliance with osteoporosis treatment

    Directory of Open Access Journals (Sweden)

    Huas Dominique

    2010-08-01

    Full Text Available Abstract Background Adherence to anti-osteoporosis treatments is poor, exposing treated women to increased fracture risk. Determinants of poor adherence are poorly understood. The study aims to determine physician- and patient- rated treatment compliance with osteoporosis treatments and to evaluate factors influencing compliance. Methods This was an observational, cross-sectional pharmacoepidemiological study with a randomly-selected sample of 420 GPs, 154 rheumatologists and 110 gynaecologists practicing in France. Investigators included post-menopausal women with a diagnosis of osteoporosis and a treatment initiated in the previous six months. Investigators completed a questionnaire on clinical features, treatments and medical history, and on patient compliance. Patients completed a questionnaire on sociodemographic features, lifestyle, attitudes and knowledge about osteoporosis, treatment compliance, treatment satisfaction and quality of life. Treatment compliance was evaluated with the Morisky Medication-taking Adherence Scale. Variables collected in the questionnaires were evaluated for association with compliance using multivariate logistic regression analysis. Results 785 women were evaluated. Physicians considered 95.4% of the sample to be compliant, but only 65.5% of women considered themselves compliant. The correlation between patient and physician perceptions of compliance was low (κ: 0.11 [95% CI: 0.06 to 0.16]. Patient-rated compliance was highest for monthly bisphosphonates (79.7% and lowest for hormone substitution therapy (50.0%. Six variables were associated with compliance: treatment administration frequency, perceptions of long-term treatment acceptability, perceptions of health consequences of osteoporosis, perceptions of knowledge about osteoporosis, exercise and mental quality of life. Conclusion Compliance to anti-osteoporosis treatments is poor. Reduction of dosing regimen frequency and patient education may be useful

  8. Mammographic parenchymal texture as an imaging marker of hormonal activity: a comparative study between pre- and post-menopausal women

    Science.gov (United States)

    Daye, Dania; Bobo, Ezra; Baumann, Bethany; Ioannou, Antonios; Conant, Emily F.; Maidment, Andrew D. A.; Kontos, Despina

    2011-03-01

    Mammographic parenchymal texture patterns have been shown to be related to breast cancer risk. Yet, little is known about the biological basis underlying this association. Here, we investigate the potential of mammographic parenchymal texture patterns as an inherent phenotypic imaging marker of endogenous hormonal exposure of the breast tissue. Digital mammographic (DM) images in the cranio-caudal (CC) view of the unaffected breast from 138 women diagnosed with unilateral breast cancer were retrospectively analyzed. Menopause status was used as a surrogate marker of endogenous hormonal activity. Retroareolar 2.5cm2 ROIs were segmented from the post-processed DM images using an automated algorithm. Parenchymal texture features of skewness, coarseness, contrast, energy, homogeneity, grey-level spatial correlation, and fractal dimension were computed. Receiver operating characteristic (ROC) curve analysis was performed to evaluate feature classification performance in distinguishing between 72 pre- and 66 post-menopausal women. Logistic regression was performed to assess the independent effect of each texture feature in predicting menopause status. ROC analysis showed that texture features have inherent capacity to distinguish between pre- and post-menopausal statuses (AUC>0.5, pmenarche, ethnicity, contraception use and hormonal replacement therapy (HRT) use lead to a modest model improvement (AUC=0.78) while texture features maintained significant contribution (p<0.05). The observed differences in parenchymal texture features between pre- and post- menopausal women suggest that mammographic texture can potentially serve as a surrogate imaging marker of endogenous hormonal activity.

  9. Non-hormonal treatment of vulvo-vaginal atrophy-related symptoms in post-menopausal women.

    Science.gov (United States)

    Tersigni, C; Di Simone, N; Tempestilli, E; Cianfrini, F; Russo, R; Moruzzi, M C; Amar, I D; Fiorelli, A; Scambia, G; Villa, P

    2015-01-01

    In post-menopausal period vulvo-vaginal atrophy (VVA)-related symptoms may seriously affect women's quality of life. Hormonal replacement therapy effectively relieves these symptoms but it is not always safe or accepted, and a non-hormonal treatment is often needed instead. Over a period of 12 weeks, we tested the effect of a twice-a-week vulvo-vaginal application of a hyaluronic acid, AC collagen, isoflavones and vitamins-based cream (Perilei Pausa) on 35 women in post-menopausal period, reporting VVA-related symptoms. After 12 weeks of treatment with Perilei Pausa a significant improvement in vaginal dryness, vulvo-vaginal itching, dyspareunia (P vaginal paleness and petechiae was also reduced (P = 0.037, P = 0.016 and P = 0.032, respectively). No significant difference in terms of maturation value of cervico-vaginal epithelium was observed. In conclusion, Perilei Pausa may represent an effective and safe alternative treatment of symptomatic VVA in post-menopausal women.

  10. Residential proximity to major roadways and incident hypertension in post-menopausal women.

    Science.gov (United States)

    Kingsley, Samantha L; Eliot, Melissa N; Whitsel, Eric A; Wang, Yi; Coull, Brent A; Hou, Lifang; Margolis, Helene G; Margolis, Karen L; Mu, Lina; Wu, Wen-Chih C; Johnson, Karen C; Allison, Matthew A; Manson, JoAnn E; Eaton, Charles B; Wellenius, Gregory A

    2015-10-01

    Living near major roadways has been associated with increased risk of cardiovascular morbidity and mortality, presumably from exposure to elevated levels of traffic-related air and/or noise pollution. This association may potentially be mediated through increased risk of incident hypertension, but results from prior studies are equivocal. Using Cox proportional hazards models we examined residential proximity to major roadways and incident hypertension among 38,360 participants of the Women's Health Initiative (WHI) Clinical Trial cohorts free of hypertension at enrollment and followed for a median of 7.9 years. Adjusting for participant demographics and lifestyle, trial participation, and markers of individual and neighborhood socioeconomic status, the hazard ratios for incident hypertension were 1.13 (95% CI: 1.00, 1.28), 1.03 (0.95, 1.11), 1.05 (0.99, 1.11), and 1.05 (1.00, 1.10) for participants living ≤50, >50-200, >200-400, and >400-1000 m vs >1000 m from the nearest major roadway, respectively (ptrend=0.013). This association varied substantially by WHI study region with hazard ratios for women living ≤50 m from a major roadway of 1.61 (1.18, 2.20) in the West, 1.51 (1.22, 1.87) in the Northeast, 0.89 (0.70, 1.14) in the South, and 0.94 (0.75, 1.19) in the Midwest. In this large, national cohort of post-menopausal women, residential proximity to major roadways was associated with incident hypertension in selected regions of the U.S. If causal, these results suggest residential proximity to major roadways, as a marker for air, noise and other traffic-related pollution, may be a risk factor for hypertension. PMID:26282224

  11. Free living energy expenditure in post menopausal women before and after exercise training.

    Science.gov (United States)

    Keytel, L R; Lambert, M I; Johnson, J; Noakes, T D; Lambert, E V

    2001-06-01

    The aim of the study was to determine the effects of 8 weeks of moderate exercise training, on 24-hour free living energy expenditure in previously sedentary post-menopausal women. The experimental group (EX) included 9 women. Ten non-exercising control subjects (CON) were recruited to undergo pre- and post-testing. Estimated total daily energy expenditure (TDEE), total 24-hour heart beats (HB), total energy intake (TEI), resting metabolic rate, maximal oxygen consumption (VáO2max), body composition, and submaximal heart rate were measured before and after the exercise intervention. Body composition did not change (body fat % in CON 34.0 +/- 4.0% vs. 33.9 +/- 3.6% and EX 34.1 +/- 4.0% vs. 34.0 +/- 3.4%). Mean submaximal heart rate during steady-state exercise in EX was lower after training compared to CON (p post, respectively), RMR (CON 134.2 +/- 9.4 vs. 136.9 +/- 15.0 KJ/kgFFM/day, and EX 138.4 +/- 6.4 vs. 140.7 +/- 14.2 KJ/kgFFM/day, pre vs. post, respectively), TEI (CON 7.9 +/- 2.2 vs. 8.2 +/- 2.5 MJ, and EX 9.4 +/-1.6 vs. 8.3 +/- 2.8 MJ), nor HB (CON 110,808 +/- 12,574 vs. 107,366 +/- 12,864 beats, and EX 110,188 +/- 9,219 vs. 114,590 +/- 12,750 beats) change over 8 weeks in either group. These data suggest that a moderate exercise program may not impact on TDEE, RMR, TEI, or HB in previously sedentary, older women.

  12. Association between Soy Isoflavone Intake and Breast Cancer Risk for Pre- and Post-Menopausal Women: A Meta-Analysis of Epidemiological Studies

    OpenAIRE

    Meinan Chen; Yanhua Rao; Yi Zheng; Shiqing Wei; Ye Li; Tong Guo; Ping Yin

    2014-01-01

    BACKGROUND: Conclusions drawn from meta-analyses on the association between soy isoflavone intake and breast cancer risk for pre- and post-menopausal women are not fully consistent. These meta-analyses did not explore the influence of different study designs on the pooled results on the basis of distinguishing between pre- and post-menopausal women. METHODOLOGY AND PRINCIPAL FINDINGS: We performed a meta-analysis of 35 studies which reported results of association between soy isoflavone intak...

  13. Neoadjuvant hormonal therapy is associated with comparable outcomes to neoadjuvant chemotherapy in post-menopausal women with estrogen receptor-positive breast cancer

    OpenAIRE

    Marcus, David M.; Switchenko, Jeffrey M.; Roshan ePrabhu; Ruth eO'Regan; Amelia eZelnak; Carolina eFasola; Donna eMister; Torres, Mylin A.

    2013-01-01

    Objectives: We compared outcomes in post-menopausal estrogen receptor-positive (ER+) breast cancer patients treated with neoadjuvant hormonal therapy (NAHT) or neoadjuvant chemotherapy (NACT).Methods: We retrospectively identified post-menopausal women who received either NAHT or NACT for non-metastatic, non-inflammatory, ER+, Her2neu negative breast cancer from 2004 to 2011. We compared long-term rates of locoregional relapse free survival (LRFS), distant metastasis free survival (DMFS), ...

  14. Neoadjuvant Hormonal Therapy is Associated with Comparable Outcomes to Neoadjuvant Chemotherapy in Post-Menopausal Women with Estrogen Receptor-Positive Breast Cancer

    OpenAIRE

    Marcus, David M.; Switchenko, Jeffrey M.; Prabhu, Roshan; O’Regan, Ruth; Zelnak, Amelia; Fasola, Carolina; Mister, Donna; Torres, Mylin A.

    2013-01-01

    Objectives: We compared outcomes in post-menopausal estrogen receptor-positive (ER+) breast cancer patients treated with neoadjuvant hormonal therapy (NAHT) or neoadjuvant chemotherapy (NACT). Methods: We retrospectively identified post-menopausal women who received either NAHT or NACT for non-metastatic, non-inflammatory, ER+, Her2neu negative breast cancer from 2004 to 2011. We compared long-term rates of locoregional relapse free survival (LRFS), distant metastasis free survival (DMFS),...

  15. Pyometra presenting in conjunction with bowel cancer in a post-menopausal women: a case report

    OpenAIRE

    Soleymani majd, Hooman; Watermeyer, Sean; Ismail, Lamiese

    2008-01-01

    This case describes a 71 year old, post-menopausal woman who developed vaginal discharge. This complaint ultimately led to the discovery of bowel cancer in conjunction with a large sterile pyometra. The pyometra was not due to genital malignancy. The most likely conclusion is that the pyometra may have arisen as an inflammatory response to the adjacent bowel pathology. This case report highlights the need for clinicians to consider non-gynaecological cancer as a possible cause for otherwise u...

  16. Concentrations of isoflavones in plasma and urine of post-menopausal women chronically ingesting high quantities of soy isoflavones.

    Science.gov (United States)

    Mathey, J; Lamothe, V; Coxam, V; Potier, M; Sauvant, P; Bennetau-Pelissero, C

    2006-06-01

    Soy food or food supplements based on soy containing isoflavones (Isos) are increasingly available in Western countries. However, the variability of Isos levels in urine and plasma in humans during chronic ingestion is poorly documented. Nevertheless, this is the way these compounds will most probably be used in the future, especially if the soy-based supplements market goes on increasing. Here, glycosilated Isos in an enriched extract of Prevastein equal to 100 mg of equivalent Isos aglycone was given daily to 27 post-menopausal women for 30 days and to 12 post-menopausal women for 60 days. Volunteers were given Prevastein in a cereal bar (25 mg Isos) and in a yoghurt (25 mg Isos) both at breakfast and dinner. Plasma samples were collected after overnight fasting. Urine samples were aliquots of a 24 h collection checked on volume and creatinin excretion levels. Genistein, daidzein and equol were measured at day 0 and every 15 days afterwards, using original specific ELISAs. Constant levels were reached from the 15th day. About 59.2% of the volunteers were significant equol producers in the first experiment and 58.3% in the second. A large variability in plasma and urine levels was observed among post-menopausal women consuming 100 mg Isos per day, although remaining relatively stable in each individual subject. This could partly account for the controversial effects of Isos recorded so far in clinical studies. So Isos plasma levels would have to be assayed during chronic exposures, and could help to better understand the large variability of the effects classically observed in clinical studies. ELISA techniques could be easily exported to analytical laboratories to help physicians and nutritionists with their prescriptions. PMID:16513315

  17. Effect of laser acupuncture combined with a diet-exercise intervention on metabolic syndrome in post-menopausal women

    OpenAIRE

    El-Mekawy, Hanan S.; ElDeeb, Abeer M; Hassan O. Ghareib

    2014-01-01

    This study aimed to evaluate the effect of laser acupuncture combined with a diet-exercise intervention on features of the metabolic syndrome (MetS). Twenty-eight obese post-menopausal women were randomly distributed to the control and laser acupuncture group. The control group received the diet-exercise intervention and the study group received the same intervention and sessions of laser acupuncture, 3 times/week for 12 weeks. Anthropometric measurement, fasting blood glucose and insulin lev...

  18. Treatments for post-menopausal osteoporotic women, what's new? How can we manage long-term treatment?

    Science.gov (United States)

    Herrero, Soledad; Pico, Yolanda

    2016-05-15

    Since the mid-1980s, postmenopausal osteoporosis (PMO) has been considered a serious public health concern because of the associated fractures. Pharmacological therapies that effectively reduce the number of fractures by improving bone mass have been and are being developed continuously. Most current agents inhibit bone loss by reducing bone resorption, but emerging therapies may increase bone mass by stimulating bone formation. Furthermore, nowadays, the most representative pharmaceuticals have been prescribed long enough to include the reporting of some adverse effects. This review discusses osteoporotic drugs that are approved or are under investigation for the treatment of post-menopausal women (PMW), paying particular attention to long-term treatments. PMID:26923729

  19. Diagnostic Efficacy of Panoramic Radiography in Detection of Osteoporosis in Post-Menopausal Women with Low Bone Mineral Density

    Directory of Open Access Journals (Sweden)

    Sunanda Bhatnagar

    2013-01-01

    Full Text Available Objective: The aim of the study was to evaluate panoramic radiograph, a commonly taken dental radiograph as a screening tool to detect early osseous changes (normal, mildly or severely eroded of the mandibular inferior cortex and measure the mandibular cortical width (CW in post-menopausal women and correlate it with the bone mineral density (BMD measured by the ultrasound bone sonometer at the mid-shaft tibia region. Materials and Methods: The study included females between 45 years and 65 years of age in their post-menopausal stage (no menstruation for at least 6-12 months. Mandibular indices (mandibular CW and mandibular cortical shape were evaluated from panoramic radiographs. The BMD assessment was carried out at the mid-shaft tibia region, exactly half-way between the heel and the knee joint perpendicular to the direction of the bone, using an ultrasound bone sonometer. It is a non-invasive device designed for quantitative measurement of the velocity of ultrasound waves as "speed of sound" in m/s, capable of measuring bone density at one or more skeletal sites. Using 1994 WHO criteria the study subjects were categorized as Group 1: Normal, Group 2: Osteopenia, Group 3: Osteoporosis. (WHO T score for tibia BMD can be used as a standard. Results: The diagnostic efficacy of the panoramic radiograph in detecting osseous changes in post-menopausal women with low BMD was shown to have 96% specificity and 60% sensitivity with mandibular cortical shape and 58% specificity and 73% sensitivity with mandibular CW measurement. Factorial ANOVA analysis carried out indicated a significant correlation of BMD classification with mandibular cortical shape (F = 29.0, P < 0.001, partial eta squared [η2 ] =0.85, a non-significant correlation with mandibular CW, (F = 1.6, P = 0.23, η2 = 0.86, and a more significant correlation with combined cortical shape and width (F = 3.3, P < 0.05, η2 = 0.70. Conclusion: The study concludes that the combined mandibular

  20. Osteocalcin carboxylation is not associated with body weight or percent fat changes during weight loss in post-menopausal women.

    Science.gov (United States)

    Centi, Amanda J; Booth, Sarah L; Gundberg, Caren M; Saltzman, Edward; Nicklas, Barbara; Shea, M Kyla

    2015-12-01

    Osteocalcin (OC) is a vitamin K-dependent bone protein used as a marker of bone formation. Mouse models have demonstrated a role for the uncarboxylated form of OC (ucOC) in energy metabolism, including energy expenditure and adiposity, but human data are equivocal. The purpose of this study was to determine the associations between changes in measures of OC and changes in body weight and percent body fat in obese, but otherwise healthy post-menopausal women undergoing a 20-week weight loss program. All participants received supplemental vitamins K and D and calcium. Body weight and body fat percentage (%BF) were assessed before and after the intervention. Serum OC [(total (tOC), ucOC, percent uncarboxylated (%ucOC)], and procollagen type 1N-terminal propeptide (P1NP; a measure of bone formation) were measured. Women lost an average of 10.9 ± 3.9 kg and 4 %BF. Serum concentrations of tOC, ucOC, %ucOC, and P1NP did not significantly change over the twenty-week intervention, nor were these measures associated with changes in weight (all p > 0.27) or %BF (all p > 0.54). Our data do not support an association between any serum measure of OC and weight or %BF loss in post-menopausal women supplemented with nutrients implicated in bone health.

  1. The theory of modulated hormone therapy for the treatment of breast cancer in pre- and post-menopausal women

    Science.gov (United States)

    Wiley, Teresa S.; Haraldsen, Jason T.

    2012-03-01

    We present a theory that questions the standard of care for pre- and post-menopausal women with breast cancer. Through the use of modulated hormones to mimic the natural multiphasic fluctuations of estrogen and progesterone cycles of healthy young women, it can be expected that patients will not only exhibit increased quality of life such as better sleep, well-being, and libido, but also memory improvement and less joint pain. Additionally, this regimen may engage genetic pathways that protect women in youth from breast cancers. We present a mathematical basis for the coupling of the hormone cycles through the use of Gaussian curves that provides the foundation of a new format of hormone replacement in women.

  2. The theory of modulated hormone therapy for the treatment of breast cancer in pre- and post-menopausal women

    Directory of Open Access Journals (Sweden)

    Teresa S. Wiley

    2012-03-01

    Full Text Available We present a theory that questions the standard of care for pre- and post-menopausal women with breast cancer. Through the use of modulated hormones to mimic the natural multiphasic fluctuations of estrogen and progesterone cycles of healthy young women, it can be expected that patients will not only exhibit increased quality of life such as better sleep, well-being, and libido, but also memory improvement and less joint pain. Additionally, this regimen may engage genetic pathways that protect women in youth from breast cancers. We present a mathematical basis for the coupling of the hormone cycles through the use of Gaussian curves that provides the foundation of a new format of hormone replacement in women.

  3. Study on the relationship between serum testosterone level and forearm distal bone density in post-menopausal women

    International Nuclear Information System (INIS)

    Objective: To study the relationship between the androgen level and bone density in post-menopausal women. Methods: Serum testosterone (T) level and forearm distal bone density (BMD) were measured in 39 past-menopausal women who had never taken any estrogen or calcium preparation. Their serum estradiol (E2) levels were about the same. According to their BMD, the 39 subjects were divided into normal (n = 22) and osteoporotic (n = 17) groups. Results: The mean serum testosterone (T) level in the normal group was significantly higher than that in the osteoporotic group (p 1 = 0.72, r20.75; p 1 and r2 was 0.14, suggesting similarity of the positive cor-relationship for both groups (p > 0.05). Conclusion: Serum testosterone level seems to bear close relationship with bone density and osteoporosis

  4. The association between breast tissue optical content and mammographic density in pre- and post-menopausal women.

    Directory of Open Access Journals (Sweden)

    Kristina M Blackmore

    Full Text Available Mammographic density (MD, associated with higher water and lower fat content in the breast, is strongly related to breast cancer risk. Optical attenuation spectroscopy (OS is a non-imaging method of evaluating breast tissue composition by red and near-infrared light transmitted through the breast that, unlike mammography, does not involve radiation. OS provides information on wavelength dependent light scattering of tissue and on absorption by water, lipid, oxy-, deoxy-hemoglobin. We propose that OS could be an alternative marker of breast cancer risk and that OS breast tissue measures will be associated with MD. In the present analysis, we developed an algorithm to estimate breast tissue composition and light scattering parameters using a spectrally constrained global fitting procedure employing a diffuse light transport model. OS measurements were obtained from 202 pre- and post-menopausal women with normal mammograms. Percent density (PD and dense area (DA were measured using Cumulus. The association between OS tissue composition and PD and DA was analyzed using linear regression adjusted for body mass index. Among pre-menopausal women, lipid content was significantly inversely associated with square root transformed PD (β = -0.05, p = 0.0002 and DA (β = -0.05, p = 0.019; water content was significantly positively associated with PD (β = 0.06, p = 0.008. Tissue oxygen saturation was marginally inversely associated with PD (β = -0.03, p = 0.057 but significantly inversely associated with DA (β = -0.10, p = 0.002. Among post-menopausal women lipid and water content were significantly associated (negatively and positively, respectively with PD (β lipid = -0.08, β water = 0.14, both p<0.0001 and DA (β lipid = -0.10, p<0.0001; β water = 0.11, p = 0.001. The association between OS breast content and PD and DA is consistent with more proliferation in dense tissue of younger women, greater lipid content in low density tissue and higher water

  5. Cytokines and T-lymphocyte subsets in healthy post-menopausal women: estrogen retards bone loss without affecting the release of IL-1 or IL-1ra

    DEFF Research Database (Denmark)

    Abrahamsen, Bo; Bendtzen, Klaus; Beck-Nielsen, H

    1997-01-01

    Interleukin (IL)-1 is a potent inducer of bone resorption, and an increased secretion of the IL-1 agonists IL-1 alpha and IL-1 beta relative to the IL-1 receptor antagonist (IL-1ra) has been proposed as a mechanism leading to post-menopausal osteoporosis. T-lymphocytes are capable of secreting bone...... resorptive cytokines and have also been linked with bone metabolism and the development of osteoporosis. Cytokine secretion from whole blood cell cultures was compared between two randomized groups of healthy early post-menopausal women (mean age 52.5 yrs, N = 91) and lymphocyte subsets were quantitated......, and there was no effect of ERT on lymphocyte subsets. The number of CD3+ CD56+ T-cells showed a highly significant negative correlation with femoral and lumbar bone density in untreated women (r = -0.42, p

  6. Effect of laser acupuncture combined with a diet-exercise intervention on metabolic syndrome in post-menopausal women.

    Science.gov (United States)

    El-Mekawy, Hanan S; ElDeeb, Abeer M; Ghareib, Hassan O

    2015-09-01

    This study aimed to evaluate the effect of laser acupuncture combined with a diet-exercise intervention on features of the metabolic syndrome (MetS). Twenty-eight obese post-menopausal women were randomly distributed to the control and laser acupuncture group. The control group received the diet-exercise intervention and the study group received the same intervention and sessions of laser acupuncture, 3 times/week for 12 weeks. Anthropometric measurement, fasting blood glucose and insulin levels, homeostatic model assessment-insulin resistance (HOMA-IR), and lipid profile were assessed before and after the treatment course. Both groups showed a significant decrease in the anthropometric and metabolic parameters. However, laser acupuncture group showed a greater decrease in the waist (P = 0.001) and hip (P = 0.001) circumferences, cholesterol (P = 0.04), and insulin levels (P = 0.043) than the control group. These results suggest that laser acupuncture is a valuable approach that could be added to the diet-exercise intervention to correct features of the MetS. PMID:26425364

  7. Effect of laser acupuncture combined with a diet-exercise intervention on metabolic syndrome in post-menopausal women.

    Science.gov (United States)

    El-Mekawy, Hanan S; ElDeeb, Abeer M; Ghareib, Hassan O

    2015-09-01

    This study aimed to evaluate the effect of laser acupuncture combined with a diet-exercise intervention on features of the metabolic syndrome (MetS). Twenty-eight obese post-menopausal women were randomly distributed to the control and laser acupuncture group. The control group received the diet-exercise intervention and the study group received the same intervention and sessions of laser acupuncture, 3 times/week for 12 weeks. Anthropometric measurement, fasting blood glucose and insulin levels, homeostatic model assessment-insulin resistance (HOMA-IR), and lipid profile were assessed before and after the treatment course. Both groups showed a significant decrease in the anthropometric and metabolic parameters. However, laser acupuncture group showed a greater decrease in the waist (P = 0.001) and hip (P = 0.001) circumferences, cholesterol (P = 0.04), and insulin levels (P = 0.043) than the control group. These results suggest that laser acupuncture is a valuable approach that could be added to the diet-exercise intervention to correct features of the MetS.

  8. Effect of laser acupuncture combined with a diet-exercise intervention on metabolic syndrome in post-menopausal women

    Directory of Open Access Journals (Sweden)

    Hanan S. El-Mekawy

    2015-09-01

    Full Text Available This study aimed to evaluate the effect of laser acupuncture combined with a diet-exercise intervention on features of the metabolic syndrome (MetS. Twenty-eight obese post-menopausal women were randomly distributed to the control and laser acupuncture group. The control group received the diet-exercise intervention and the study group received the same intervention and sessions of laser acupuncture, 3 times/week for 12 weeks. Anthropometric measurement, fasting blood glucose and insulin levels, homeostatic model assessment-insulin resistance (HOMA-IR, and lipid profile were assessed before and after the treatment course. Both groups showed a significant decrease in the anthropometric and metabolic parameters. However, laser acupuncture group showed a greater decrease in the waist (P = 0.001 and hip (P = 0.001 circumferences, cholesterol (P = 0.04, and insulin levels (P = 0.043 than the control group. These results suggest that laser acupuncture is a valuable approach that could be added to the diet-exercise intervention to correct features of the MetS.

  9. Relationship of morningness-eveningness questionnaire score to melatonin and sleep timing, body mass index and atypical depressive symptoms in peri- and post-menopausal women

    OpenAIRE

    Meliska, Charles John; Martínez, Luis Fernando; López, Ana María; Sorenson, Diane Lynn; Nowakowski, Sara; Parry, Barbara Lockhart

    2011-01-01

    Previous work shows a relationship between measures of morning or evening preference (e.g., Morningness-Eveningness Questionnaire (MEQ) scores) and melatonin and sleep timing, body mass index (BMI) and mood. This study explores the relationship of these factors to atypical depression (ATD) symptoms, particularly increased appetite and hypersomnia, in depressed and non-depressed peri- and post-menopausal women. Participants were 19 normal control subjects and 10 depressed patients, 46 – 72 yea...

  10. Obesity in post menopausal women with a family history of breast cancer: prevalence and risk awareness

    OpenAIRE

    Begum, Parvin; Richardson, Caroline E; Carmichael, Amtul R.

    2009-01-01

    Background: Obesity and physical activity are modifiable risk factors in the development of postmenopausal breast cancer. The aim of this study was to assess the level of awareness and prevalence of these factors in women attending family history clinics. Methods: Women attending the breast cancer family history clinic from 2004 to 2006 completed a questionnaire (SP15 format) about their knowledge of and exposure to various diet and lifestyle factors. All women had been counselled by a Co...

  11. Food matrix and isoflavones bioavailability in early post menopausal women: A European clinical study

    NARCIS (Netherlands)

    Chanteranne, B.; Branca, F.; Kardinaal, A.; Wahala, K.; Braesco, V.; Ladroite, P.; Brouns, F.; Coxam, V.

    2008-01-01

    The estrogenic effects of soy isoflavones (IF) on symptoms of menopause are of particular interest. The aim of the present study was to improve compliance of IF in two IF-enriched foods providing the same IF circulating levels in postmenopausal women. Forty-two healthy postmenopausal women (mean age

  12. Vaginal microbiome and epithelial gene array in post-menopausal women with moderate to severe dryness

    NARCIS (Netherlands)

    R.B.S. Hummelen (Ruben); J.M. Macklaim (Jean); J.E. Bisanz (Jordan); J.-A. Hammond; A. McMillan (Amy); R. Vongsa (Rebecca); D. Koenig (David); G.B. Gloor (Gregory); G. Reid (Gregor)

    2011-01-01

    textabstractAfter menopause, many women experience vaginal dryness and atrophy of tissue, often attributed to the loss of estrogen. An understudied aspect of vaginal health in women who experience dryness due to atrophy is the role of the resident microbes. It is known that the microbiota has an imp

  13. Neoadjuvant hormonal therapy is associated with comparable outcomes to neoadjuvant chemotherapy in post-menopausal women with estrogen receptor-positive breast cancer

    Directory of Open Access Journals (Sweden)

    David M. Marcus

    2013-12-01

    Full Text Available Objectives: We compared outcomes in post-menopausal estrogen receptor-positive (ER+ breast cancer patients treated with neoadjuvant hormonal therapy (NAHT or neoadjuvant chemotherapy (NACT.Methods: We retrospectively identified post-menopausal women who received either NAHT or NACT for non-metastatic, non-inflammatory, ER+, Her2neu negative breast cancer from 2004 to 2011. We compared long-term rates of locoregional relapse free survival (LRFS, distant metastasis free survival (DMFS, and overall survival (OS using the Kaplan-Meier method. The Cox proportional hazards model was used to identify patient and disease factors significantly associated with these endpoints. Results: We identified 99 patients in our study, including 27 who received NAHT and 72 who received NACT. There were no differences in 4-year LRFS, DMFS, or OS between groups. On Cox proportional hazards modeling, the type of systemic therapy (NAHT vs. NACT was not associated with OS. However, patients with progesterone receptor (PR positive disease had a 92% lower risk of death compared to patients with PR negative disease.Conclusions: Our data suggest that outcomes are not adversely affected by NAHT in post-menopausal women with ER+ breast cancer. Therefore, NAHT is a viable and potentially less toxic option than NACT in appropriately selected patients. Furthermore, although PR negative disease appears to be associated with poor prognosis, intensification of systemic treatment with chemotherapy may not be associated with improvement of disease-related outcomes in this patient population.

  14. Effects of resistance training on resistin, leptin, cytokines, and muscle force in elderly post-menopausal women.

    Science.gov (United States)

    Prestes, Jonato; Shiguemoto, Gilberto; Botero, Joao Paulo; Frollini, Anelena; Dias, Rodrigo; Leite, Richard; Pereira, Guilherme; Magosso, Rodrigo; Baldissera, Vilmar; Cavaglieri, Claudia; Perez, Sergio

    2009-12-01

    It may be that resistance exercise can be used to prevent the degenerative processes and inflammation associated with ageing. Thus, the aim of the present study was to evaluate the effects of resistance training on cytokines, leptin, resistin, and muscle strength in post-menopausal women. Thirty-five sedentary women (mean age 63.18 years, s = 4.8; height 1.64 m, s = 0.07; body mass 57.84 kg, s = 7.70) were recruited. The 16 weeks of periodized resistance training consisted of two weekly sessions of three sets of 6-14 repetition maximum. Maximal strength was tested in bench press, 45 degrees leg press, and arm curl. Plasma tumour necrosis factor-alpha, interleukin-6, interleukin-15, leptin, and resistin were determined by enzyme-linked immunosorbent assay. Maximal strength on all measures was increased after 16 weeks. There were minor or no modifications in tumour necrosis factor-alpha and interleukin-15. Interleukin-6 was decreased 48 h after compared with baseline and declined after 16 weeks. Leptin decreased 24 h after compared with baseline and was reduced at baseline and 48 h after compared with pre-training. There was a decrease in resistin after 24 and 48 h compared with baseline and a decline in baseline and immediately after levels compared with pre-training. A possible explanation of the results of the present study is a lower production of pro-inflammatory cytokines by the innate immune system. Periodized resistance training seems to be an important intervention to reduce systemic inflammation in this population.

  15. Periodontitis and bone mineral density among pre and post menopausal women: A comparative study

    Directory of Open Access Journals (Sweden)

    Suresh Snophia

    2010-01-01

    Full Text Available Aim: The aim of the study was to assess the relationship between bone mineral density and periodontitis in premenopausal and postmenopausal women. Materials and Methods: Twenty women between the age group of 45-55 years were selected for this study. Ten premenopausal women with healthy periodontium constituted the control group and 10 postmenopausal women with ≥2mm of clinical attachment loss in> 30% of sites constituted the study group. All patients were assessed for plaque index, probing depth and clinical attachment loss. Radiographs (six IOPA and two posterior bitewing were taken and assessed for interproximal alveolar bone loss. The patients were scanned to assess the bone mineral density of lumbar spine (L2 and femur using dual energy X-ray absorptiometry (DEXA. Results: The bone mineral densities of lumbar spine (L2 and femur were significantly lower in the study group than the control group. Osteopenia of the lumbar spine and femur was observed in 60% whereas osteoporosis of lumbar spine was observed in 30% of cases in study group. Conclusion: Increased proportion of osteopenia and osteoporosis cases of lumbar spine and femur in postmenopausal women with periodontitis suggests that there is association between bone mineral density and periodontitis.

  16. Dose-response effect of exercise frequency on bone mineral density in post-menopausal, osteopenic women.

    Science.gov (United States)

    Kemmler, W; von Stengel, S

    2014-06-01

    The purpose of this study was to determine the long-term dose-response relationship of exercise frequency on areal bone mineral density (aBMD) in early post-menopausal women with osteopenia. Based on the 12-year results of the consequently supervised exercise group (EG) of the Erlangen Fitness and Osteoporosis Prevention Study, we retrospectively structured two exercise groups according to the overall exercise frequency. Changes in aBMD at lumbar spine and proximal femur as assessed by dual-energy x-ray absorptiometry technique were compared between a low-frequency exercise group (LEF-EG, n = 16) with 1.5-exercise group (HEF-EG, n = 25) with ≥ 2-3.5 sessions/week. Changes in aBMD at the lumbar spine and proximal femur were significantly more favorable in the HEF-EG compared with the LEF-EG; lumbar spine: (mean value ± standard deviation) 1.1 ± 4.7% vs -4.1 ± 3.0%; P = 0.001, ES: d' = 1.26; total hip: -4.4 ± 3.9% vs -6.7 ± 3.5%, P = 0.045, ES: d' = 0.70). BMD results of the LEF-EG did not significantly differ from the data of the non-training control group (lumbar spine: -4.4 ± 5.2%, total hip: -6.9 ± 5.0%). Although this result might not be generalizable across all exercise types and cohorts, it indicates that to impact bone, an overall exercise frequency of at least 2 sessions/week may be crucial, even if exercise is applied with high intensity/impact.

  17. Association of morning illumination and window covering with mood and sleep among post-menopausal women

    OpenAIRE

    Youngstedt, Shawn D.; Leung, Amy; Kripke, Daniel F.; Langer, Robert D.

    2004-01-01

    The antidepressant and sleep-promoting effects of light exposure might be useful for treating age-related mood and sleep disorders. In view of recent evidence suggesting beneficial effects of morning light, this study examined the associations of mood and sleep with morning light exposure, 24 h environmental illumination, and the degree to which the volunteers’ bedroom windows were covered in the morning. We examined 459 postmenopausal women participating an ancillary study of the Women’s Hea...

  18. THE IDEAL INVESTIGATIVE METHOD FOR EVALUATION OF ABNORMAL UTERINE BLEEDING IN PERI AND POST MENOPAUSAL WOMEN

    Directory of Open Access Journals (Sweden)

    Shagun

    2015-02-01

    Full Text Available AIM : The study was designed to compare the accuracy of t rans vaginal sonography , hysteroscopy , and histo pathological examination of endometrium after Dilatation & Curettage in cases of abnormal uterine bleeding , to detect different aetiology of abnormal uterine bleeding in these women and to formulate the ideal investigation of abnormal uterine bleeding in these women. METHODS: A total of 70 peri menopausal and postmenopausal women with abnormal uterine bleeding were taken into the study. After thorough history and clinical examination , the patient was sent for t rans vaginal ultra sonographic assessment , followed by a hysteroscopy & dilatation and curettage done as an indoor procedure with a 30 degree rigid hysteroscope (Carl storz with a 5 mm sheath. The endometrium was sent for histopathology. Diagnosis according to all the three modalities were compared and evaluated . RESULTS: While comparing between TVS and hysteroscopy in total study group taking hysteroscopy as standard , TVS showed a good sensitivity of 85.7% while specificity of 56.5 %. Whereas , during comparison between D & C and hysteroscopy in total study population taking hysteroscopy as standard , sensitivity of D & C came out to be 61.9% while specificity was 88.9%. This shows that D & C is missing a high percentage of cases. There was a fair strength of agreement between hysteroscopy and TVS. There was a moderate strength of agreement between hysteroscopy and Dilatation & curettage. CONCLUSION: TVS is more sensitive in diagnosing case s of fibroids mainly intramural and subserous ones which are missed by hysteroscopy. According to our study it can be concluded that TVS can be taken up as a first line of investigation since it is highly sensitive followed by hysteroscopic guided biopsy.

  19. Effects of exercise training and Mediterranean diet on vascular risk reduction in post-menopausal women.

    Science.gov (United States)

    Alkhatib, Ahmad; Klonizakis, Markos

    2014-01-01

    This study tested the potential risk-reduction benefits of Mediterranean Diet (MD) and regular exercise training on microvascular activity and cardiorespiratory capacity in postmenopausal women. Fifteen sedentary postmenopausal participants (age = 54.6 ± 3.6) were randomised into either exercise training or exercise combined with following MD for eight-weeks, and were assessed for their cardiorespiratory capacity, and upper- and lower-limb endothelial cutaneous vascular conductance (CVC) test using Laser Doppler Fluximetry (LDF), coupled with measuring endothelium-dependent Acetylcholine Chloride (Ach) and -dependent Sodium Nitropurruside (SNP) vasodilators. Exercise training improved cardiorespiratory capacity as indicated by ventilatory threshold (11.5 ± 2.1 vs. 14.0 ± 3.0 ml·kg-1·min-1, p exercise with MD showed a stronger improvement in Ach (p = 0.02, d = 0.36) of the lower limb, than in exercise alone group. The results suggest that regular moderate exercise improves microcirculatory vascular function and increases exercise tolerance, both are responsible for reducing cardiovascular risk in postmenopausal women. However, combining MD with exercise suggests additional microvascular vasodialiatory improvement, suggesting an effective strategy for further cardiovascular risk-reduction in this high-risk group.

  20. Food matrix and isoflavones bioavailability in early post menopausal women: An European clinical study

    Directory of Open Access Journals (Sweden)

    Brigitte Chanteranne

    2008-12-01

    Full Text Available Brigitte Chanteranne1,2, Francesco Branca3, A Kaardinal4, K Wahala5, Véronique Braesco6, Philippe Ladroite7, Fred Brouns8, Véronique Coxam1,21INRA, Centre Clermont-Ferrand – Theix, UMR1019, Unité Nutrition Humaine, St Genès Champanelle, France; 2Univ Clermont 1, UFR Médecine, UMR1019, Unité Nutrition Humaine, Clermont-Ferrand, France; 3INRAN, Human Nutrition Unit, Ardeatina, Rome, Italy; 4TNO Nutrition and Food Research, Zeist, The Netherlands; 5Department of Chemistry, University of Helsinki, Helsinki, Finland; 6Danone Vitapole, Le Plessis Robinson, France; 7Nutrition Santé, Ravel, France; 8Eridania Beghin Say, Vilvoorde Research and Development Centre, Vilvoorde, BelgiumAbstract: The estrogenic effects of soy isoflavones (IF on symptoms of menopause are of particular interest. The aim of the present study was to improve compliance of IF in two IF-enriched foods providing the same IF circulating levels in postmenopausal women. Forty-two healthy postmenopausal women (mean age: 53.28 years were recruited for a randomized, crossover, multicenter trial conducted in the Netherlands, Italy and France. Over 18 days, volunteers were assigned to two groups and supplemented with two different IF-enriched foods (100 mg IF aglycones/two servings. The first group had to eat two biscuits daily for three days. After a wash-out period (11 d, they received cereal bars for three days. The second group started with the cereal bars and finished with biscuits. After IF intake, plasma and urinary levels of genistein, daidzein, O desmethyl angolensin and equol significantly increased and returned to baseline level after the washout period. There was no difference between biscuits and cereals bars intake, as shown by group values at each end of experimental period (day 4 or day 18. Both matrixes are comparable in terms of IF-circulating levels and could be used independently.Keywords: soy isoflavones, bioavailability, food processing, postmenopausal women

  1. Evaluation of the Association Between Periodontal Parameters Osteoporosis and Osteopenia in Post Menopausal Women

    Directory of Open Access Journals (Sweden)

    Amir Moeintaghavi

    2013-01-01

    Full Text Available Objective: Different studies have reported contradictory results about the effect of osteoporosis on periodontal status. We performed this study to evaluate the periodontal status of menopausal women by methods with enough accuracy and confidence.Materials and Methods: This study was performed based on the evaluation of bone mineral density using dual energy X-ray absorptiometry in 2010. A total of 60 patients who met the inclusion criteria were selected and divided into three groups of osteoporosis, osteopenia, and normal. Then, evaluation of periodontal markers such as pocket depth (DP, attachment loss (AL, and tooth loss (TL was performed by a dental student. A panoramic radiography was performed for those who were suspicious of periodontal disease and bone decline. Finally, evaluation of the periodontal indexes was compared among the three groups using ANOVA with 95% confidence interval.Results: Mean bone decline was higher in the osteoporosis group compared to the other two groups, but the difference was not significant (P=0.065. In addition, mean of plaque index (P=0.123, pocket depth (P=0.856, attachment loss (p=0.525, and tooth loss (p=0.884, the number of people with attachment loss ≥ 2millimeter (P=0.866 and the number of people with alveolar bone loss ≥ 2 millimeter (P=0.348 were not significantly different between the three groups.Conclusion: In this study, no significant difference was observed between the three groups in terms of plaque index, pocket depth, attachment loss, or tooth loss. However, further studies are required that could control all the possible confounding variables.

  2. Association of morning illumination and window covering with mood and sleep among post-menopausal women

    Science.gov (United States)

    YOUNGSTEDT, Shawn D; LEUNG, Amy; KRIPKE, Daniel F; LANGER, Robert D

    2014-01-01

    The antidepressant and sleep-promoting effects of light exposure might be useful for treating age-related mood and sleep disorders. In view of recent evidence suggesting beneficial effects of morning light, this study examined the associations of mood and sleep with morning light exposure, 24 h environmental illumination, and the degree to which the volunteers’ bedroom windows were covered in the morning. We examined 459 postmenopausal women participating an ancillary study of the Women’s Health Initiative conducted at the University of California, San Diego Clinical Center, San Diego, CA, USA. At baseline, volunteers completed a 4-week sleep-recall questionnaire. Volunteers were then assessed for 5–7 days in their home environments with actigraphic wrist monitors. During home recording, self-reported mood was assessed. Morning illumination during the first 4 h after arising, 24-h illumination mesor (cosine-fitted mean), and illumination acrophase (cosine-fitted peak time) were calculated. Sleep was scored each night using validated wrist actigraphic methods. A sleep diary was completed each morning. During two 24-h periods, urine was collected approximately every 2 h during wakefulness and following any voidings during the sleep period. Cosine-fitting established the acrophase of urinary 6-sulfatoxymelatonin (aMT6s) excretion. Morning illumination and 24-h illumination were modestly associated with better mood and sleep. Associations of light with mood and sleep were consistently greater for subjects whose body clocks were delayed relative to the group median. Less morning window covering in the subjects’ bedrooms was associated with more morning light and less depressed mood. The results suggest that both morning and 24-h light exposure may be beneficial for older adults. PMID:25374475

  3. Impact of age on aortic wave reflection responses to metaboreflex activation and its relationship with leg lean mass in post-menopausal women.

    Science.gov (United States)

    Figueroa, Arturo; Jaime, Salvador J; Johnson, Sarah A; Alvarez-Alvarado, Stacey; Campbell, Jeremiah C; Feresin, Rafaela G; Elam, Marcus L; Arjmandi, Bahram H

    2015-10-01

    Wave reflection (augmentation pressure [AP] and index [AIx]) is greater in older women than men. Resting AP is a better wave reflection index than AIx in older adults. The negative relationship between wave reflection and lean mass (LM) has been inconsistent. We investigated the impact of age and LM on aortic hemodynamic responses to metaboreflex activation in post-menopausal women. Post-menopausal women, younger and older (n=20 per group) than 60 years, performed 2-min isometric handgrip at 30% of maximal force followed by 3-min post-exercise muscle ischemia (PEMI). We measured carotid-femoral pulse wave velocity (cfPWV) and femoral-ankle PWV (faPWV) at rest, and aortic systolic blood pressure (aSBP), pulse pressure (aPP), AP, AIx, and AIx-adjusted for heart rate (AIx@75) at rest and during PEMI using tonometry. Arm and leg LM were measured by DEXA. Resting cfPWV, aSBP, and aPP were higher, while AIx@75 and leg LM were lower in older than younger women. aSBP and aPP increased similarly during PEMI in both groups. Increases in AP (Ppost-menopausal women. Our findings suggest that the increased AP response to PEMI is related to leg arterial stiffness and muscle loss in older women.

  4. An assessment of QOL and its determining factors of post menopausal women in a rural area of West Bengal, India: A multivariate analysis

    Directory of Open Access Journals (Sweden)

    Sudeshna Ray

    2012-10-01

    Full Text Available Objective: The aim was to assess QOL and its determining factors among postmenopausal women of a rural area of West- Bengal in India. Methods: This cross-sectional study was conducted among 315 postmenopausal women and the data were collected using the modified menopause quality of life questionnaire of Hilditch. (Hilditch MENQOL. Results: Out of the 315 women who have been interviewed 243 (77% had poor quality of life. Multivariate analysis revealed that poor QOL was more among those who did not live with their own children [AOR (95% C.I. 4.26 (2.1–8.6], did not undertake regular exercise, [AOR (95% C.I. 2.88 (1.38–6.03], were literate [AOR (95% C.I. 2.5 (1.13–4.8], were monetarily dependent on their children [AOR (95% C.I. 2.5 (1.32–4.88], not living under one roof with children [AOR (95% C.I. 4.26 (2.1–8.6] and had attained menopause >5 years. [AOR (95% C.I. 4.82 (2.47–9.41]. Conclusion: Different stakeholders are required to mobilize the post-menopausal women through IEC activities to cope up with the stress of the post-menopausal phase and acquire a better quality of life beyond their reproductive age.

  5. Effect of Hormone Replacement Therapy on Serum Complement (C3,C4) and Immunoglobulin (IgG, IgM) Levels in Post-menopausal Women

    Institute of Scientific and Technical Information of China (English)

    Yi LIU; Liqun LV

    2008-01-01

    Serum C3, C4, IgG and IgM levels were evaluated in healthy post-menopausal women receiving short-term hormone replacement therapy (HRT) regimens and in untreated women. Serum C3, C4, IgM and IgG levels were assessed in 54 women receiving HRT therapy (CEE 0.625 mg+MPA 2.5 mg/day), and in 54 control women not receiving HRT. The results showed that the mean serum C3 and C4 levels were significantly higher in women receiving HRT than those untreated women (P<0.01). There was significant difference in lgG and IgM levels between two groups. It was con-cluded that HRT might be involved in the development of cardiovascular diseases through inflamma- tory mechanisms, as suggested by increased serum levels of C3 and C4.

  6. Long-term aerobic exercise and omega-3 supplementation modulate osteoporosis through inflammatory mechanisms in post-menopausal women: a randomized, repeated measures study

    Directory of Open Access Journals (Sweden)

    Kanaley Jill

    2011-10-01

    Full Text Available Abstract Background Evidence indicates that dietary fats and physical activity influence bone health. The purpose of this study was to examine the effects of long-term aerobic exercise and omega-3 (N-3 supplementation on serum inflammatory markers, bone mineral density (BMD, and bone biomarkers in post-menopausal women. Methods Seventy-nine healthy sedentary post-menopausal women aged 58-78 years participated in this study. Subjects were randomized to one of 4 groups: exercise + supplement (E+S, n = 21, exercise (E, n = 20, supplement (S, n = 20, and control (Con, n = 18 groups. The subjects in the E+S and E groups performed aerobic exercise training (walking and jogging up to 65% of HRmax, three times a week for 24 weeks. Subjects in the E+S and S groups consumed 1000 mg/d N-3 for 24 weeks. The lumbar spine (L2-L4 and femoral neck BMD, serum tumor necrosis factor (TNF α, interleukin (IL 6, prostaglandin (PG E2, estrogen, osteocalcin, 1, 25-dihydroxyvitamin D3 (1, 25 Vit D, C-telopeptide (CTX, parathyroid hormone (PTH and calcitonin (CT were measured at baseline, the end of week 12 and 24. Results Serum estrogen, osteocalcin, 1, 25 Vit D, CT, L2-L4 and femoral neck BMD measures increased (P 2 decreased (P 2-L4 and femoral neck BMD, estrogen, osteocalcin, and CT were negatively (P 2. PTH and CT were correlated positively and negatively with IL-6, respectively (P Conclusions The present study demonstrates that long-term aerobic exercise training plus N-3 supplementation have a synergistic effect in attenuating inflammation and augmenting BMD in post-menopausal osteoporosis.

  7. Circulating oxidative stress parameters in pre- and post-menopausal healthy women and in women suffering from breast cancer treated or not with neoadjuvant chemotherapy.

    Science.gov (United States)

    Ramírez-Expósito, María Jesús; Sánchez-López, Estefanía; Cueto-Ureña, Cristina; Dueñas, Basilio; Carrera-González, Pilar; Navarro-Cecilia, Joaquín; Mayas, María Dolores; Arias de Saavedra, José M; Sánchez-Agesta, Rafael; Martínez-Martos, José M

    2014-10-01

    We evaluate here the redox status in pre- and post-menopausal healthy women and in women with breast cancer in order to understand the consequences of the hormonal alterations of menopause for the oxidative stress status, its modifications with breast cancer and the influence of neoadjuvant chemotherapy (NC). To that, serum oxidative stress parameters (total antioxidant capacity, lipid peroxidation and protein oxidation), non-enzyme antioxidant defenses (total glutathione, uric acid and bilirubin) and enzyme antioxidant defenses (superoxide dismutase, catalase and glutathione peroxidase activities) were measured in healthy women and in women with breast cancer divided according to their menopausal status and that received or not NC. Circulating estradiol, progesterone, FSH and LH were also analyzed. We found that menopause itself modifies the redox status of healthy women, being most of these differences also reflected in women with breast cancer. However, several changes occur as a consequence of the disease. Furthermore, NC increases oxidative damage, decreases antioxidant defenses and eliminates the differences found in menopause. We conclude that the normal redox balance is disrupted by breast cancer but is also affected by the hormonal status promoted by menopause. In fact, NC nullifies the differences found between pre- and postmenopausal women in several antioxidant defense systems.

  8. Association between age at menarche and diabetes in Korean post-menopausal women: results from the Korea National Health and Nutrition Examination Survey (2007-2009).

    Science.gov (United States)

    Hwang, Eunjung; Lee, Kyong Won; Cho, Yoonsu; Chung, Hye Kyung; Shin, Min-Jeong

    2015-01-01

    Early menarche is known to be associated with diabetes, however this association remains controversial. Our study aimed to investigate the possible association between age at menarche and diabetes prevalence in post-menopausal Korean women. This study included 3,254 post-menopausal Korean women aged 50-85 years from the Korea National Health and Nutrition Examination Survey IV (KNHANES 2007-2009). Logistic regression analyses were used to estimate odds ratios (ORs) for diabetes prevalence. Levels of biochemical markers were compared according to groups by age at menarche. Women in the earlier menarche age group (10-12 years) showed higher levels of fasting blood glucose (FBG) and scores of homeostatic model assessment in the insulin resistance (HOMA-IR) index than other groups (p <0.05). After adjusting for potential confounding factors, early age at menarche was significantly associated with a higher prevalence of diabetes (OR 1.86, 95% confidence intervals [CI] 1.07-3.23). The observed association remained significant despite additional adjustment for body mass index and waist circumference (OR 1.82, 95% CI 1.03-3.23) and despite further adjustments for FBG levels and HOMA-IR index (OR 2.25, 95% CI 1.11-4.55). Our findings strengthen the hypothesis that younger age at menarche is associated with increased diabetes prevalence in the Korean population.

  9. Correlation of physical aptitude; functional capacity, corporal balance and quality of life (QoL) among elderly women submitted to a post-menopausal physical activities program.

    Science.gov (United States)

    de Souza Santos, César Augusto; Dantas, Estélio Enrique Martin; Moreira, Maria Helena Rodrigues

    2011-01-01

    The objective of this study was to evaluate the effect of physical activity from the "Menopause in Form" program on physical aptitude, functional capacity, corporal balance and QoL among elderly women. In addition, correlations among these variables were examined. The present work was a longitudinal study that was quasi-experimental and correlational. A total of 323 elderly women (age: 69.0±5.53 years) participated in this study. Subjects were non-institutionalized, post-menopausal individuals residing at the Elderly Care Center in Belém Municipality (Pará, Brazil) and practiced one activity (i.e., dancing or walking) over a 10-month period. The assessment protocols used were the following: the Fullerton functional fitness test battery (physical aptitude); the activities of daily living (ADL) indices (functional capacity); the Tinetti-scale (corporal balance); and the WHOQOL-OLD questionnaire (QoL). The adopted significance level was p<0.05. Results from the Wilcoxon test demonstrated significant differences for the post-test assessment of functional capacity (Δ%=5.63%; p=0.0001) and general QoL (Δ%=9.19%; p=0.001). These results suggest that the physical activities employed during the "Menopause in Form" program resulted in significant improvements in the functional capacity and QoL of post-menopausal elderly women.

  10. Association of collagen type I alpha1 (COLIA1) Sp1 polymorphism with osteoporotic fracture in Caucasian post-menopausal women: a meta-analysis.

    LENUS (Irish Health Repository)

    Ji, G-R

    2012-01-06

    This study was designed to summarize quantitatively the evidence for a relationship between collagen type I alpha1 (COLIA1) Sp1 polymorphism and osteoporotic fracture risk in Caucasian post-menopausal women. This meta-analysis included 16 studies, which analysed 2294 patients with fractures and 10 285 controls. The combined results showed that there was a significant difference in genotype distribution (SS odds ratio [OR] 0.72; Ss OR 1.18; ss OR 1.97) between patients with fractures and controls. When stratifying by the fracture site, it was found that: (i) patients with vertebral fractures had a significantly higher frequency of the Ss genotype and a lower frequency of the SS genotype than controls; and (ii) patients with non-vertebral fractures had a significantly higher frequency of the ss genotype and a lower frequency of the SS genotype than controls. This meta-analysis suggests that the COLIA1 Sp1 polymorphism may be associated with osteoporotic fracture in Caucasian post-menopausal women.

  11. The calciotropic hormone response to omega-3 supple-mentation during long-term weight-bearing exercise training in post menopausal women.

    Science.gov (United States)

    Tartibian, Bakhtiar; Maleki, Behzad Hajizadeh; Abbasi, Asghar

    2010-01-01

    The purpose of this study was to examine the effects of ingestion of omega-3 (n-3) and aerobic exercise intervention on the calcium regulating hormones in healthy postmenopausal women. To this end, 56 healthy sedentary postmenopausal women with mean age 57.7 ± 3.5 yrs participated in this study. Participants were randomly divided into exercise plus supple-ment (E+S; n = 14), exercise (E; n = 14), supplement (S; n = 14) and control (Con, n = 14) groups. The subjects in E+S and E groups performed aerobic exercise training (walking and jog-ging) up to 65% of exercise HRmax, three times a week for 16 weeks. Subjects in E+S and S groups were asked to consume 1000 mg/d omega-3 for 16 weeks. The blood ionized Calcium (Ca(+2)), Parathyroid hormone (PTH), estrogen and Calcitonin (CT) were measured before and after 16 weeks of exercise training. Results indicated that consuming 1000 mg·day(-1) omega-3 during 16 weeks and or the aerobic exercise, significantly increased CT (p = 0.001) in E+S, E and S groups and significantly decreased PTH (p = 0.001) levels in E+S and E groups, also significantly increased estrogen (p = 0.024) levels in E+S and E groups, but had no significant effects on blood Ca(+2) (p = 0.619) levels. The results of present study demonstrate that omega-3 in combination with regular aerobic exercise training have significant effects on serum CT, estrogen and PTH in non-athletic post-menopausal women, suggesting that participating in moderate intensity weight-bearing exercise and incorporating sources of omega-3 in the diet a possible intervention to help slow the loss of bone that occurs following menopause. Key pointsLong-term weight-bearing exercise was shown to prove positive effects on bone metabolism.Serum calciotropic hormone levels and Ca(+2) can be affected by exercise intensity as well as dura-tion.There is a good relationship between dietary omega-3 (n-3) and bone metabolism in post-menopausal women.Omega-3 in combination with long-term weight

  12. An exploratory study into the effect of exhausting bicycle exercise on endocrine and immune responses in post-menopausal women : Relationships between vigour and plasma cortisol concentrations and lymphocyte proliferation following exercise

    NARCIS (Netherlands)

    van der Pompe, G; Bernards, N; Kavelaars, A; Heijnen, C

    2001-01-01

    It is well-established that bicycle exercise alters the endocrine and immune responses in men, but little information is available for women, especially middle-aged, post-menopausal women. The purpose of our study was to document the endocrine and immune reactivity to exhausting bicycle exercise in

  13. Lipoprotein profile, glycemic control and physical fitness after strength and aerobic training in post-menopausal women with type 2 diabetes.

    Science.gov (United States)

    Zois, Christos E; Christos, Zois E; Tokmakidis, Savvas P; Volaklis, Konstantinos A; Kotsa, Kalliopi; Touvra, Anna-Maria; Douda, Eleni; Yovos, Ioannis G

    2009-08-01

    We studied the effects on blood lipids and physical fitness after a training program that combined strength and aerobic exercise in postmenopausal women with type 2 diabetes. Ten patients (55.0 +/- 5.2 years) followed four exercise sessions per week, two strength and two aerobic, and ten (59.4 +/- 3.2 years) served as a control group. Lipid profile, glycated hemoglobin (HbA(1c)), HOMA2 index, exercise stress and muscular testing were assessed at the beginning and after 16 weeks of training program. Exercise training increased significantly HDL-C (17.2%; P exercise time (17.8%) and muscular strength increased significantly (P post-menopausal women with type 2 diabetes.

  14. An exploratory study into the effect of exhausting bicycle exercise on endocrine and immune responses in post-menopausal women: relationships between vigour and plasma cortisol concentrations and lymphocyte proliferation following exercise.

    Science.gov (United States)

    van der Pompe, G; Bernards, N; Kavelaars, A; Heijnen, C

    2001-08-01

    It is well-established that bicycle exercise alters the endocrine and immune responses in men, but little information is available for women, especially middle-aged, post-menopausal women. The purpose of our study was to document the endocrine and immune reactivity to exhausting bicycle exercise in post-menopausal women, and to explore whether complaints of fatigue or low vigour are related to these exercise-induced responses. Thirteen healthy post-menopausal women participated in this study. We used a graded exercise protocol to study the kinetics of activation of the endocrine and immune system. We chose to examine hormones related to the hypothalamus-pituitary-adrenal (HPA) system such as adrenocorticotropin hormone (ACTH) and cortisol and hormones related to the pituitary such as prolactin (PRL) and growth hormone (GH). With regard to the immune system, we examined the natural killer (NK) cell activity and pokeweed (PWM)-induced lymphocyte proliferation in addition to changes in peripheral blood cell counts. Our results demonstrate that acute physical stress results in a strong release of ACTH, cortisol, GH and PRL. The bicycle test significantly increased the number of CD3+, CD4+, CD16/56+ (NK cells) and CD8+ cells in our group of post-menopausal women. Interestingly, NK activity did not increase significantly despite an increase in NK cell numbers. PWM-induced lymphocyte proliferation did not change either. In addition, our data support the hypothesis that low vigour in post-menopausal women interferes with the endocrine and immune responses to exhausting exercise. In women with complaints of low vigour we found lower cortisol responses and higher increments in the proliferative capacity of lymphocytes as compared to those with high vigour scores. NK activity was unrelated to exhaustive mood states. These data indicate that endocrine as well as immune system activity changes in response to exhausting exercise in middle-aged, post-menopausal women. In addition

  15. Fatores associados à dislipidemia na pós-menopausa Factors associated with women's dyslipidemia in the post-menopause

    Directory of Open Access Journals (Sweden)

    Ticihana Ribeiro de Oliveira

    2008-12-01

    sample showed to be homogeneous for the socioeconomic characteristics (income, occupation and schooling, physical activity practice, etilism and tabagism, and food ingestion, with no significant correlation with dyslipidemia. The groups presented an income up to two minimal wages, low schooling level (up to the fourth grade of lower school, and the housewife occupation. Smoking and drinking alcohol was not very frequent. Practicing physical activity was non-existent, thus characterizing a sedentary population. Food ingestion was adequate for carbohydrates, protein, lipids, but not for cholesterol (excessive and fibers (insufficient, in both groups. Concerning the anthropometric evaluation, there has been an association with dyslipidemia, as the body mass index (BMI and the waist circumference (WC were significantly larger in case than in control. The waist-hip ratio has been similar in both groups. Weight excess has been found in most of the cases (73.3% as almost half of them (44% presented WC >88 cm, which represents a very increased risk. CONCLUSIONS: it is possible to conclude that, in the studied sample, only the anthropometric measurements have been considered as risk factors associated with dyslipidemia, during post-menopause.

  16. Correlation between Female Sex Hormones and Electrodiagnostic Parameters and Clinical Function in Post-menopausal Women with Idiopathic Carpal Tunnel Syndrome

    Science.gov (United States)

    Mohammadi, Azam; Naseri, Mahshid; Namazi, Hamid; Ashraf, Mohammad Javad

    2016-01-01

    Objectives To investigate the role of sex-hormonal changes in idiopathic carpal tunnel syndrome (CTS) among post-menopausal women through measuring estrogen receptor (ER) expression in their transverse carpal ligament (TCL) and serum estrogen level, as well as determine the correlation between these factors and electrodiagnostic parameters and Boston score. Methods Biopsy samples of TCL were collected from 12 postmenopausal women who had undergone surgery for severe idiopathic CTS; control specimens were collected from 10 postmenopausal women without CTS who had undergone surgery for the other hand pathologies. To determine the distributions of ER in TCL, histological and immunohistochemical examinations were performed. Serum estrogen level was also measured. Electrodiagnosis and Boston questionnaire were used for CTS severity and determination of the patients' function. Results ER expression in TCL and serum estrogen level were not significantly different in the case group compared to the control group (P = 0.79 and P = 0.88, respectively). Also, there was no correlation between ER expression or serum estrogen level and electrodiagnostic parameters or Boston score. Conclusions Sex hormones cannot still be considered as the etiology of idiopathic CTS in postmenopausal women. The role of other factors such as wrist ratio and narrower outlet in females compared to the males should be considered along with hormonal changes. PMID:27617242

  17. The effects of water-based exercise in combination with blood flow restriction on strength and functional capacity in post-menopausal women.

    Science.gov (United States)

    Araújo, Joamira P; Neto, Gabriel R; Loenneke, Jeremy P; Bemben, Michael G; Laurentino, Gilberto C; Batista, Gilmário; Silva, Júlio C G; Freitas, Eduardo D S; Sousa, Maria S C

    2015-12-01

    Water-based exercise and low-intensity exercise in combination with blood flow restriction (BFR) are two methods that have independently been shown to improve muscle strength in those of advancing age. The objective of this study was to assess the long-term effect of water-based exercise in combination with BFR on maximum dynamic strength and functional capacity in post-menopausal women. Twenty-eight women underwent an 8-week water-based exercise program. The participants were randomly allocated to one of the three groups: (a) water exercise only, (b) water exercise + BFR, or (c) a non-exercise control group. Functional capacity (chair stand test, timed up and go test, gait speed, and dynamic balance) and strength testing were tested before and after the 8-week aquatic exercise program. The main findings were as follows: (1) water-based exercise in combination with BFR significantly increased the lower limb maximum strength which was not observed with water-based exercise alone and (2) water-based exercise, regardless of the application of BFR, increased functional performance measured by the timed up and go test over a control group. Although we used a healthy population in the current study, these findings may have important implications for those who may be contraindicated to using traditional resistance exercise. Future research should explore this promising modality in these clinical populations.

  18. The Effects of Exercising in Different Natural Environments on Psycho-Physiological Outcomes in Post-Menopausal Women: A Simulation Study.

    Science.gov (United States)

    White, Mathew P; Pahl, Sabine; Ashbullby, Katherine J; Burton, Francesca; Depledge, Michael H

    2015-09-23

    The current study examined potential psycho-physiological benefits from exercising in simulated natural environments among a sample of post-menopausal women using a laboratory based protocol. Participants cycled on a stationary exercise bike for 15 min while facing either a blank wall (Control) or while watching one of three videos: Urban (Grey), Countryside (Green), Coast (Blue). Blood pressure, heart rate and affective responses were measured pre-post. Heart rate, affect, perceived exertion and time perception were also measured at 5, 10 and 15 min during exercise. Experience evaluation was measured at the end. Replicating most earlier findings, affective, but not physiological, outcomes were more positive for exercise in the simulated Green and, for the first time, Blue environment, compared to Control. Moreover, only the simulated Blue environment was associated with shorter perceived exercise duration than Control and participants were most willing to repeat exercise in the Blue setting. The current research extended earlier work by exploring the effects of "blue exercise" and by using a demographic with relatively low average levels of physical activity. That this sample of postmenopausal women were most willing to repeat a bout of exercise in a simulated Blue environment may be important for physical activity promotion in this cohort.

  19. The Effects of Exercising in Different Natural Environments on Psycho-Physiological Outcomes in Post-Menopausal Women: A Simulation Study

    Directory of Open Access Journals (Sweden)

    Mathew P. White

    2015-09-01

    Full Text Available The current study examined potential psycho-physiological benefits from exercising in simulated natural environments among a sample of post-menopausal women using a laboratory based protocol. Participants cycled on a stationary exercise bike for 15 min while facing either a blank wall (Control or while watching one of three videos: Urban (Grey, Countryside (Green, Coast (Blue. Blood pressure, heart rate and affective responses were measured pre-post. Heart rate, affect, perceived exertion and time perception were also measured at 5, 10 and 15 min during exercise. Experience evaluation was measured at the end. Replicating most earlier findings, affective, but not physiological, outcomes were more positive for exercise in the simulated Green and, for the first time, Blue environment, compared to Control. Moreover, only the simulated Blue environment was associated with shorter perceived exercise duration than Control and participants were most willing to repeat exercise in the Blue setting. The current research extended earlier work by exploring the effects of “blue exercise” and by using a demographic with relatively low average levels of physical activity. That this sample of postmenopausal women were most willing to repeat a bout of exercise in a simulated Blue environment may be important for physical activity promotion in this cohort.

  20. THE CALCIOTROPIC HORMONE RESPONSE TO OMEGA-3 SUPPLE-MENTATION DURING LONG-TERM WEIGHT-BEARING EXERCISE TRAINING IN POST MENOPAUSAL WOMEN

    Directory of Open Access Journals (Sweden)

    Bakhtiar Tartibian

    2010-06-01

    Full Text Available The purpose of this study was to examine the effects of ingestion of omega-3 (n-3 and aerobic exercise intervention on the calcium regulating hormones in healthy postmenopausal women. To this end, 56 healthy sedentary postmenopausal women with mean age 57.7 ± 3.5 yrs participated in this study. Participants were randomly divided into exercise plus supple-ment (E+S; n = 14, exercise (E; n = 14, supplement (S; n = 14 and control (Con, n = 14 groups. The subjects in E+S and E groups performed aerobic exercise training (walking and jog-ging up to 65% of exercise HRmax, three times a week for 16 weeks. Subjects in E+S and S groups were asked to consume 1000 mg/d omega-3 for 16 weeks. The blood ionized Calcium (Ca+2, Parathyroid hormone (PTH, estrogen and Calcitonin (CT were measured before and after 16 weeks of exercise training. Results indicated that consuming 1000 mg·day-1 omega-3 during 16 weeks and or the aerobic exercise, significantly increased CT (p = 0.001 in E+S, E and S groups and significantly decreased PTH (p = 0.001 levels in E+S and E groups, also significantly increased estrogen (p = 0.024 levels in E+S and E groups, but had no significant effects on blood Ca+2 (p = 0.619 levels. The results of present study demonstrate that omega-3 in combination with regular aerobic exercise training have significant effects on serum CT, estrogen and PTH in non-athletic post-menopausal women, suggesting that participating in moderate intensity weight-bearing exercise and incorporating sources of omega-3 in the diet a possible intervention to help slow the loss of bone that occurs following menopause

  1. Racial and Ethnic Differences in Incident Hospitalized Heart Failure in Post Menopausal Women: The Women’s Health Initiative

    OpenAIRE

    Eaton, CB; Abdulbaki, AM; Margolis, KL; Manson, JE.; Limacher, M; L. Klein; Allison, MA; Robinson, JG; Curb, JD; Martin, LA; Liu, S; Howard, BV

    2012-01-01

    Background-The differences in the incidence of heart failure by race/ethnicity and the potential mechanisms for these differences are largely unexplored in women. Methods and Results-A total of 156 143 postmenopausal women free of self-reported heart failure enrolled from 1993 to 1998 at 40 clinical centers throughout the United States as part of the Women's Health Initiative and were followed up until 2005, for an average of 7.8 years, for incident hospitalized heart failure. Incident rates,...

  2. Does neighborhood walkability moderate the effects of intrapersonal characteristics on amount of walking in post-menopausal women?

    Science.gov (United States)

    Perry, Cynthia K; Herting, Jerald R; Berke, Ethan M; Nguyen, Huong Q; Vernez Moudon, Anne; Beresford, Shirley A A; Ockene, Judith K; Manson, Joann E; Lacroix, Andrea Z

    2013-05-01

    This study identifies factors associated with walking among postmenopausal women and tests whether neighborhood walkability moderates the influence of intrapersonal factors on walking. We used data from the Women's Health Initiative Seattle Center and linear regression models to estimate associations and interactions. Being white and healthy, having a high school education or beyond and greater non-walking exercise were significantly associated with more walking. Neighborhood walkability was not independently associated with greater walking, nor did it moderate influence of intrapersonal factors on walking. Specifying types of walking (e.g., for transportation) can elucidate the relationships among intrapersonal factors, the built environment, and walking.

  3. Effect of block-periodized exercise training on bone and coronary heart disease risk factors in early post-menopausal women: a randomized controlled study.

    Science.gov (United States)

    Kemmler, W; Bebenek, M; von Stengel, S; Engelke, K; Kalender, W A

    2013-02-01

    The purpose of this 12 month randomized exercise intervention was to determine the effect of a block-periodized multipurpose exercise program on bone mineral density (BMD) and parameters of the metabolic syndrome (MetS) in early post-menopausal women. Eighty-five subjects (52.3 ± 2.4 years) living in the area of Erlangen (Germany) were randomly assigned into an exercise (EG, n=43) or a wellness-control group (CG: n=42). The EG performed a periodized multipurpose exercise program with 4-6-week blocks of high-intensity bone-specific exercise intermitted by 10-12 weeks of exercise dedicated to increase endurance and reduce cardiac and metabolic risk factors. The CG performed a low-volume/low-intensity "wellness" program to increase well-being. After 12 months, significant exercise effects were observed for the lumbar spine (LS) BMD as assessed by quantitative computed tomography [total BMD (EG: -0.3 ± 2.1% vs CG: -2.1 ± 2.2%, P=0.015); trabecular BMD (EG: -0.7 ± 3.4% vs CG: -4.7 ± 4.9%, P=0.001) and dual-energy x-ray absorptiometry (DXA) (EG: -0.1 ± 2.2% vs CG: -2.0 ± 2.0%, P=0.002)]. However, no significant effects were observed for total hip BMD as assessed by DXA (P=0.152). Although all MetS parameters were favorably affected among the EG, only the effect for waist circumference was significant. In summary, short periods of bone-specific intervention embedded in longer periods of exercises dedicated to improve cardiovascular and metabolic risk factors positively affected BMD at the LS.

  4. Effects of a Pilates exercise program on muscle strength, postural control and body composition: results from a pilot study in a group of post-menopausal women.

    Science.gov (United States)

    Bergamin, M; Gobbo, S; Bullo, V; Zanotto, T; Vendramin, B; Duregon, F; Cugusi, L; Camozzi, V; Zaccaria, M; Neunhaeuserer, D; Ermolao, A

    2015-12-01

    Participation in exercise programs is heartily recommended for older adults since the level of physical fitness directly influences functional independence. The aim of this present study was to investigate the effects of supervised Pilates exercise training on the physical function, hypothesizing that a period of Pilates exercise training (PET) can increase overall muscle strength, body composition, and balance, during single and dual-task conditions, in a group of post-menopausal women. Twenty-five subjects, aged 59 to 66 years old, were recruited. Eligible participants were assessed prior and after 3 months of PET performed twice per week. Muscular strength was evaluated with handgrip strength (HGS) test, 30-s chair sit-to-stand test (30CST), and abdominal strength (AST) test. Postural control and dual-task performance were measured through a stabilometric platform while dynamic balance with 8 ft up and go test. Finally, body composition was assessed by means of dual-energy X-ray absorptiometry. Statistically significant improvements were detected on HGS (+8.22%), 30CST (+23.41%), 8 ft up and go test (-5.95%), AST (+30.81%), medio-lateral oscillations in open eyes and dual-task condition (-22.03% and -10.37%). Pilates was effective in increasing upper body, lower body, and abdominal muscle strength. No changes on body composition were detected. Results on this investigation indicated also that 12-week of mat Pilates is not sufficient to determine a clinical meaningful improvement on static balance in single and dual-task conditions.

  5. The effect of Korean pine nut oil on in vitro CCK release, on appetite sensations and on gut hormones in post-menopausal overweight women

    Directory of Open Access Journals (Sweden)

    Hendriks Henk FJ

    2008-03-01

    Full Text Available Abstract Appetite suppressants may be one strategy in the fight against obesity. This study evaluated whether Korean pine nut free fatty acids (FFA and triglycerides (TG work as an appetite suppressant. Korean pine nut FFA were evaluated in STC-1 cell culture for their ability to increase cholecystokinin (CCK-8 secretion vs. several other dietary fatty acids from Italian stone pine nut fatty acids, oleic acid, linoleic acid, alpha-linolenic acid, and capric acid used as a control. At 50 μM concentration, Korean pine nut FFA produced the greatest amount of CCK-8 release (493 pg/ml relative to the other fatty acids and control (46 pg/ml. A randomized, placebo-controlled, double-blind cross-over trial including 18 overweight post-menopausal women was performed. Subjects received capsules with 3 g Korean pine (Pinus koraiensis nut FFA, 3 g pine nut TG or 3 g placebo (olive oil in combination with a light breakfast. At 0, 30, 60, 90, 120, 180 and 240 minutes the gut hormones cholecystokinin (CCK-8, glucagon like peptide-1 (GLP-1, peptide YY (PYY and ghrelin, and appetite sensations were measured. A wash-out period of one week separated each intervention day. CCK-8 was higher 30 min after pine nut FFA and 60 min after pine nut TG when compared to placebo (p This study suggests that Korean pine nut may work as an appetite suppressant through an increasing effect on satiety hormones and a reduced prospective food intake.

  6. Effects of a Pilates exercise program on muscle strength, postural control and body composition: results from a pilot study in a group of post-menopausal women.

    Science.gov (United States)

    Bergamin, M; Gobbo, S; Bullo, V; Zanotto, T; Vendramin, B; Duregon, F; Cugusi, L; Camozzi, V; Zaccaria, M; Neunhaeuserer, D; Ermolao, A

    2015-12-01

    Participation in exercise programs is heartily recommended for older adults since the level of physical fitness directly influences functional independence. The aim of this present study was to investigate the effects of supervised Pilates exercise training on the physical function, hypothesizing that a period of Pilates exercise training (PET) can increase overall muscle strength, body composition, and balance, during single and dual-task conditions, in a group of post-menopausal women. Twenty-five subjects, aged 59 to 66 years old, were recruited. Eligible participants were assessed prior and after 3 months of PET performed twice per week. Muscular strength was evaluated with handgrip strength (HGS) test, 30-s chair sit-to-stand test (30CST), and abdominal strength (AST) test. Postural control and dual-task performance were measured through a stabilometric platform while dynamic balance with 8 ft up and go test. Finally, body composition was assessed by means of dual-energy X-ray absorptiometry. Statistically significant improvements were detected on HGS (+8.22%), 30CST (+23.41%), 8 ft up and go test (-5.95%), AST (+30.81%), medio-lateral oscillations in open eyes and dual-task condition (-22.03% and -10.37%). Pilates was effective in increasing upper body, lower body, and abdominal muscle strength. No changes on body composition were detected. Results on this investigation indicated also that 12-week of mat Pilates is not sufficient to determine a clinical meaningful improvement on static balance in single and dual-task conditions. PMID:26578458

  7. Impact of Tai Chi exercise on multiple fracture-related risk factors in post-menopausal osteopenic women: a pilot pragmatic, randomized trial

    Directory of Open Access Journals (Sweden)

    Wayne Peter M

    2012-01-01

    Full Text Available Abstract Background Tai Chi (TC is a mind-body exercise that shows potential as an effective and safe intervention for preventing fall-related fractures in the elderly. Few randomized trials have simultaneously evaluated TC's potential to reduce bone loss and improve fall-predictive balance parameters in osteopenic women. Methods In a pragmatic randomized trial, 86 post-menopausal osteopenic women, aged 45-70, were recruited from community clinics. Women were assigned to either nine months of TC training plus usual care (UC vs. UC alone. Primary outcomes were changes between baseline and nine months of bone mineral density (BMD of the proximal femur and lumbar spine (dual-energy X-ray absorptiometry and serum markers of bone resorption and formation. Secondary outcomes included quality of life. In a subsample (n = 16, quiet standing fall-predictive sway parameters and clinical balance tests were also assessed. Both intent-to-treat and per-protocol analyses were employed. Results For BMD, no intent-to-treat analyses were statistically significant; however, per protocol analyses (i.e., only including TC participants who completed ≥ 75% training requirements of femoral neck BMD changes were significantly different between TC and UC (+0.04 vs. -0.98%; P = 0.05. Changes in bone formation markers and physical domains of quality of life were also more favorable in per protocol TC vs. UC (P = 0.05. Changes in sway parameters were significantly improved by TC vs. UC (average sway velocity, P = 0.027; anterior-posterior sway range, P = 0.014. Clinical measures of balance and function showed non-significant trends in favor of TC. Conclusions TC training offered through existing community-based programs is a safe, feasible, and promising intervention for reducing multiple fracture risks. Our results affirm the value of a more definitive, longer-term trial of TC for osteopenic women, adequately powered to detect clinically relevant effects of TC on

  8. Effects of hormone replacement therapy and high-impact physical exercise on skeletal muscle in post-menopausal women: a randomized placebo-controlled study.

    Science.gov (United States)

    Sipilä, S; Taaffe, D R; Cheng, S; Puolakka, J; Toivanen, J; Suominen, H

    2001-08-01

    An age-related decline in muscle performance is a known risk factor for falling, fracture and disability. In women, a clear deterioration is observed from early menopause. The effect of hormone replacement therapy (HRT) in preserving muscle performance is, however, unclear. This trial examined the effects of a 12-month HRT and high-impact physical exercise regimen on skeletal muscle in women in early menopause. A total of 80 women aged 50-57 years were assigned randomly to one of four groups: exercise (Ex), HRT, exercise+HRT (ExHRT) and control (Co). The exercise groups participated in a high-impact training programme. The administration of HRT (oestradiol/noretisterone acetate) or placebo was carried out double-blind. Knee extension torque and vertical jumping height were evaluated. Lean tissue cross-sectional area (LCSA) and the relative proportion of fat within the muscle compartment were measured for the quadriceps and lower leg muscles. The ExHRT group showed significant increases in knee extension torque (8.3%) and vertical jumping height (17.2%) when compared with the Co group (-7.2%). Vertical jumping height also increased after HRT alone (6.8%). The LCSA of the quadriceps was increased significantly in the HRT (6.3%) and ExHRT (7.1%) groups when compared with the Ex (2.2%) and Co (0.7%) groups. Lower leg LCSA was also increased in the ExHRT group (9.1%) when compared with the Ex (3.0%) and Co (4.1%) groups. In addition, the increase in the relative proportion of fat in the quadriceps in the Co group (16.6%) was significant compared with those in the HRT (4.9%) and ExHRT (-0.6%) groups. Thus, in post-menopausal women, muscle performance, muscle mass and muscle composition are improved by HRT. The beneficial effects of HRT combined with high-impact physical training may exceed those of HRT alone.

  9. Wrinkle reduction in post-menopausal women consuming a novel oral supplement: a double-blind placebo-controlled randomized study

    Science.gov (United States)

    Jenkins, G; Wainwright, L J; Holland, R; Barrett, K E; Casey, J

    2014-01-01

    Synopsis Objective The maintenance of youthful skin appearance is strongly desired by a large proportion of the world's population. The aim of the present study was therefore to evaluate the effect on skin wrinkling, of a combination of ingredients reported to influence key factors involved in skin ageing, namely inflammation, collagen synthesis and oxidative/UV stress. A supplemented drink was developed containing soy isoflavones, lycopene, vitamin C and vitamin E and given to post-menopausal women with a capsule containing fish oil. Method We have performed a double-blind randomized controlled human clinical study to assess whether this cocktail of dietary ingredients can significantly improve the appearance of facial wrinkles. Results We have shown that this unique combination of micronutrients can significantly reduce the depth of facial wrinkles and that this improvement is associated with increased deposition of new collagen fibres in the dermis. Conclusion This study demonstrates that consumption of a mixture of soy isoflavones, lycopene, vitamin C, vitamin E and fish oil is able to induce a clinically measureable improvement in the depth of facial wrinkles following long-term use. We have also shown, for the first time with an oral product, that the improvement is associated with increased deposition of new collagen fibres in the dermis. Résumé Objectif Le maintien de l'apparence d'une peau jeune est vivement souhaité par une grande proportion de la population mondiale. L'objectif de la présente étude était donc d'évaluer l'effet sur les rides de la peau, d'une combinaison d'ingrédients rapportés à influer sur les facteurs clés impliqués dans le vieillissement de la peau, à savoir l'inflammation, la synthèse du collagène et le stress oxydatif / UV. Une boisson supplémentée a été élaborée contenant des isoflavones de soja, le lycopène, la vitamine C et la vitamine E et donnée aux femmes ménopausées avec une capsule contenant de l

  10. Diagnostic value of quantitative ultrasound and Osteoporosis self-assessment tool in comparison with DXA in detecting low bone mineral density in post-menopausal women in Riyadh, Kingdom of Saudi Arabia

    Directory of Open Access Journals (Sweden)

    AlJohara M AlQuaiz

    2015-11-01

    Full Text Available The objective of this study was to assess the diagnostic value of quantitative ultrasound (QUS and Osteoporosis self-assessment tool (OST compared with Dual Energy x-ray absorptiometry (DXA, and to identify the best cut-off value for determining low bone mineral density (BMD among postmenopausal women in Riyadh, Saudi Arabia. We conducted a community based cross-sectional study on 224 randomly selected post-menopausal women. Women visited primary heath care centers for answering self-administered questionnaireand screening for low BMD using QUS technique. OST was calculated based on age and weight. DXA scanwas performedforlumbar spine and femur neck at King Khalid University Hospital, Riyadh. Mean age of participants was 58.05(±8.97 years. The prevalence of low BMD at lumbar spine and femur neck was 56% and 28% respectively. The best cut-off value for QUS and OST was ≤-1 and ≤2 respectively. QUS yielded sensitivity and specificity of 73% vs 47% for lumbar spine (area under curve (AUC 0.56 and 84% vs 43% for femur neck (AUC 0.61. OST yielded sensitivity and specificity of 38% vs 84% for lumbar spine (AUC 0.62 and 48% vs 78% for femur neck (AUC 0.68. On combining the results, sensitivity and specificity were81% vs 41% (AUC 0.61 for lumbar spine and 89% vs 35% for femur neck (AUC 0.68 respectively. QUS and OST separately have limited diagnostic value, however on combining both instruments there is improvement in sensitivity to detect low BMD for both lumbar spine and femur neck.

  11. Post-Menopausal Vaginal Hemorrhage Related to the Use of a Hop-Containing Phytotherapeutic Product

    NARCIS (Netherlands)

    van Hunsel, Florence; van de Koppel, Sonja; van Puijenbroek, Eugène

    2015-01-01

    Two 54-year-old women developed abdominal cramps and vaginal hemorrhage as a result of endometrial hyperplasia during treatment with a hop-containing phytotherapeutic product (MenoCool®) for post-menopausal complaints. The women used the hop-containing phytotherapeutic product (418 mg of hop per tab

  12. VITAMIN-D RECEPTOR GENE POLYMORPHISM AND ITS RELATIONSHIP WITH BONE MINERAL DENSITY IN POST-MENOPAUSAL OSTEOPOROTIC WOMEN IN SHANGHAI

    Institute of Scientific and Technical Information of China (English)

    王卫庆; 高国峰; 宁光; 王曙; 罗邦尧

    2002-01-01

    Objective To examine the relationship between the vitamin D receptor(VDR) gene polymorphism and osteoporosis in postmenopausal women in Shanghai. Methods 102 postmenopausal women recruited from Ruijin Hospital were osteoporotic. We measured the lumbar vertebrae and femur of all patients with a modal dual-energy X-ray absorptionmetry, and also the serum osteocalcin by ELISA. The VDR gene was amplified using a polymerase chain reaction (PCR). The VDR genotypes were determined by the PCR-RFLP.Results bb, aa and TT genotype were found mainly in these osteoporosis patients, only one BB and two tt were found among these patients. No significant association was observed among three subgroups of bb, Bb and BB. Conclusion The rareness of B and t alleles suggested that it is unlikely that they are important factors for the heredity of osteoporosis in Chinese women. Thus VDR gene typing may be of little value in assessing the osteoporosis risk in Chinese population.

  13. Effects of long-term hormone replacement therapy on QT and corrected QT dispersion during resting and peak exercise electrocardiography in post-menopausal women.

    Science.gov (United States)

    Altunkeser, Bülent B; Ozdemir, Kurtulus; Içli, Abdullah; Celik, Cetin; Akyürek, Cemalettin; Gök, Hasan

    2002-01-01

    It is known that the QT interval is longer in women than men. Estrogen is reported to account for the QT interval prolongation in several studies conducted with hormone replacement therapy (HRT) in postmenopausal women. Along with this, there are conflicting data as regards the effects of HRT on QT interval and dispersion. Moreover, there is no evidence about the effect of HRT on exercise QT parameters. We compared QT parameters obtained from surface electrocardiograms during resting and peak exercise before and after 6 months of HRT consisting of estrogen plus progesterone in healthy postmenopausal women. Twenty-four healthy postmenopausal women were given 0.625 mg/day conjugated estrogens and 2.5 mg/day medroxyprogesterone acetate for 6 months. Exercise stress testing using the Bruce protocol was performed before and after HRT. QT maximum, minimum, dispersion and corrected QT maximum, minimum and dispersion were calculated during resting and peak exercise. HRT resulted in a significant increase in estradiol plasma levels from 24+/-10 pg/mL to 117+/-66 pg/mL (Pexercise (20+/-7 versus 25+/-10 ms; Pexercise QT parameters were unchanged. The resting QT parameters are not affected by long term HRT consisting of estrogen plus progesterone, which leads to an increase in QT dispersion and corrected QT dispersion during peak exercise.

  14. Effect of soy isolate protein and resistance exercises on muscle performance and bone health of osteopenic/osteoporotic post-menopausal women.

    Science.gov (United States)

    Shenoy, Shweta; Bedi, Reecha; Sandhu, Jaspal S

    2013-01-01

    There are contradictory reports regarding the effect of soy protein isolate on bone health in menopause. The main objective of this study was to assess the influence of soy isolate protein intake and resistance exercises on isokinetic muscle strength, endurance, power, and bone health parameters in osteopenic/osteoporotic postmenopausal women. Sixty osteoporotic sedentary women (mean age 54.55 years) were randomly assigned to three groups: soy isolate protein (Group A), soy + exercise group (Group B), and control group (Group C). Group B performed supervised progressive resistance exercises 4 times/week for 12 weeks. Muscle performance was measured by isokinetic dynamometry, and bone health was measured by ultrasound densitometry. Analysis of variance showed significant bone and muscle strength gains (p < .05) both in Group A and B, with the improvements more pronounced in Group B. Significant muscle performance changes, after intervention, were evident and bone strength increases may parallel changes in muscle strength.

  15. Risk of breast cancer by type of menopausal hormone therapy: a case-control study among post-menopausal women in France.

    Directory of Open Access Journals (Sweden)

    Emilie Cordina-Duverger

    Full Text Available BACKGROUND: There is extensive epidemiological evidence that menopausal hormone therapy (MHT increases breast cancer risk, particularly combinations of estrogen and progestagen (EP. We investigated the effects of the specific formulations and types of therapies used by French women. Progestagen constituents, regimen (continuous or sequential treatment by the progestagen, and time interval between onset of menopause and start of MHT were examined. METHODS: We conducted a population-based case-control study in France in 1555 menopausal women (739 cases and 816 controls. Detailed information on MHT use was obtained during in-person interviews. Odds ratios and 95% confidence interval adjusted for breast cancer risk factors were calculated. RESULTS: We found that breast cancer risk differed by type of progestagen among current users of EP therapies. No increased risk was apparent among EP therapy users treated with natural micronized progesterone. Among users of EP therapy containing a synthetic progestin, the odds ratio was 1.57 (0.99-2.49 for progesterone-derived and 3.35 (1.07-10.4 for testosterone-derived progestagen. Women with continuous regimen were at greater risk than women treated sequentially, but regimen and type of progestagen could not be investigated independently, as almost all EP combinations containing a testosterone-derivative were administered continuously and vice-versa. Tibolone was also associated with an increased risk of breast cancer. Early users of MHT after onset of menopause were at greater risk than users who delayed treatment. CONCLUSION: This study confirms differential effects on breast cancer risk of progestagens and regimens specifically used in France. Formulation of EP therapies containing natural progesterone, frequently prescribed in France, was not associated with increased risk of breast cancer but may poorly protect against endometrial cancer.

  16. The beneficial effects of exercise on BMD are lost after cessation: a 5-year follow-up in older post-menopausal women.

    Science.gov (United States)

    Englund, U; Littbrand, H; Sondell, A; Bucht, G; Pettersson, U

    2009-06-01

    This study investigates whether the positive effects on bone mineral density (BMD, g/cm(2)) and neuromuscular function following a combined weight-bearing program are sustained in older women, a longer period after cessation of training. Thirty-four women (18 exercisers and 16 controls) aged 73-88 years, who completed a 12-month randomized-controlled trial, were invited to a 5-year follow-up assessment of BMD and neuromuscular function. Both groups sustained significant losses in BMD of the femoral neck, trochanter, and Ward's triangle during the follow-up period. Significant losses were also seen in all neuromuscular function tests. The inter-group change was, however, significant only for maximal walking speed where the exercise group had a significantly greater loss. In conclusion, this study suggests that gains in bone density and neuromuscular functions achieved by training are lost after cessation of training. Continuous high-intensity weight-loading physical activity is probably necessary to preserve bone density and neuromuscular function in older women.

  17. Analysis of the Relationship between Estradiol and Follicle-Stimulating Hormone Concentrations and Polymorphisms of Apolipoprotein E and LeptinGenes in Women Post-Menopause

    Science.gov (United States)

    Rył, Aleksandra; Jasiewicz, Andrzej; Grzywacz, Anna; Adler, Grażyna; Skonieczna-Żydecka, Karolina; Rotter, Iwona; Sipak-Szmigiel, Olimpia; Rumianowski, Bogdan; Karakiewicz, Beata; Jurczak, Anna; Parczewski, Miłosz; Urbańska, Anna; Grabowska, Marta; Laszczyńska, Maria

    2016-01-01

    Background: Menopause is the permanent cessation of menstruation due to loss of ovarian follicular activity. A review of the available literature indicates that correlations between the changes that take place in a woman’s body after menopause and different genetic variants are still being sought. Methods: The study was conducted in 252 women who had completed physiological menopause. The women were divided into groups according to the time elapsed since menopause. The total concentrations of estradiol and follicle-stimulating hormone were determined by means of electrochemiluminescence. The apolipoprotein E (APOE) and lepitn (LEP) genotypes were determined by real-time PCR and polymerase chain reaction–restriction fragment length polymorphism, respectively. Results: We observed that people with the APOE3/E3 genotype entered menopause insignificantly later compared to other genotypes. Additionally, in the group of patients with the APOE3/E3 genotypes, differences in the E2 concentration were significantly related to the time since their last menstruation. There is no association found in the literature between these polymorphisms of the LEP gene and hormones. Conclusions: To date, attempts to formulate a model describing the association between E2 and FSH concentration with the polymorphisms of various genes of menopause in women have not been successful. This relationship is difficult to study because of the number of nongenetic factors. Environmental factors can explain variation in postmenopausal changes in hormone levels. PMID:27240396

  18. A Public Educational Guideline Development to Relieve Post Menopausal Hot Flashes Symptoms in Women between 45-60 Years Old Based on Proper Diet and Exercise

    Directory of Open Access Journals (Sweden)

    Rozita Firooznia

    2014-04-01

    Full Text Available Introduction: The study purpose was to develop a public education guideline for reducing menopausal symptoms and its complications based on proper diet and exercise in women between 45-60 years old. Methods: It was a combined study designed in two stages. The first stage was a systematic review. All of the articles which focused on the effects of diet and physical activity on reducing hot flash after menopause that published in Iran and abroad since 10 years ago were extracted and the results recorded. In the next stage, a panel of experts was held. Through a qualitative method, the specialists discussed the obtained results from the reviewed articles. The outcome presented in a booklet format. Results: 410 articles were obtained from external and internal sources, and by eliminating redundant and irrelevant articles, the results of 77 articles were analyzed; 40 of these articles were about diet and 37 articles were about physical activity. The summarized results showed that daily using of phytoestrogen supplements such as passion flower extract 60 drops, vitagnous extracts 40 drops, licorice extract powder 60 mg or ingestion of 60 g of baked soybean powder, along with moderate to high- intensity aerobic activities such as 30-45 minutes walking (3-5 days a week were effective in reducing the hot flash’s symptom of women between 45-60 years old. Conclusion: Finding showed that regular physical activities and dietary regimen containing phytoestrogens such as passion flower, vitagnous and licorice extract, and soybeans are effective to relieve hot flash symptoms in menopause women.

  19. Change in bone mass distribution induced by hormone replacement therapy and high-impact physical exercise in post-menopausal women.

    Science.gov (United States)

    Cheng, S; Sipilä, S; Taaffe, D R; Puolakka, J; Suominen, H

    2002-07-01

    The purpose of this intervention trial was to determine whether changes in bone mass distribution could be observed in postmenopausal women following hormone replacement therapy (HRT) and/or high-impact physical exercise. Eighty healthy women, aged 50-57 years, at menopause and with no previous use of HRT, were randomly assigned to one of four groups: HRT; exercise (Ex); HRT + Ex (ExHRT); and control (Co). HRT administration was conducted in a double-blind manner for 1 year using estradiol plus noretisterone acetate (Kliogest). The exercise groups participated in a 1 year progressive training program consisting of jumping and bounding activities. Subjects participated in two supervised sessions per week and were asked to perform a series of exercises at home 4 days/week. Bone measurements using a quantitative computed tomography scanner (Somatom DR, Siemens) were obtained from the proximal femur, midfemur, proximal tibia, and tibial shaft. Data were analyzed with a software program (BONALYSE 1.3) calculating density (g/cm(3)), cross-sectional area (CSA; mm(2)), and moments of inertia (I(max), I(min), I(polar)). In addition, the bone mass spectrum was determined as a function of the angular distribution around the bone mass center (polar distribution) and the distance from the bone mass center through the diaphyseal wall (radial distribution). After the 1 year period, there was an overall interaction of group x time in bone mineral density (BMD) at the proximal femur (p = 0.05) and tibial shaft (p = 0.035). Women in the ExHRT and HRT groups had increased proximal femur and tibial shaft BMD when compared with the change observed in the Co group (p = 0.024-0.011). The change was more pronounced in the cortical tibia, wherein the ExHRT group also differed from the Ex group (p = 0.038). No significant changes were found in bone CSA at any of the measured sites. The radial distribution indicated an increase of BMD in the endocortical part of the measured sites in the HRT

  20. Metabolismo de repouso de mulheres pós-menopausadas submetidas a programa de treinamento com pesos (hipertrofia Resting metabolism of post-menopause women submitted to a training program with weights (hypertrophy

    Directory of Open Access Journals (Sweden)

    Mara Cléia Trevisan

    2007-04-01

    Full Text Available O estudo objetivou avaliar o gasto energético de repouso (GER de mulheres pós-menopausadas submetidas a programa de treinamento com pesos. Foram estudadas 30 mulheres (FSH > 40mIU/mL entre 45 e 70 anos, separadas em dois grupos (GT: treinamento, n = 15 e GC: controle, n = 15. Calculou-se o índice de massa corporal (kg/m² e por meio da impedância bioelétrica (BIA determinaram-se o percentual de gordura corporal e a massa muscular. O GER foi obtido por meio da calorimetria indireta (O2 e CO2 respiratórios e calculado pela equação de Weir. A mensuração ocorreu após 12 horas de jejum, durante 30 minutos sob temperatura e umidade controladas. O GT participou do programa de treinamento com pesos durante 16 semanas, na freqüência de três vezes por semana. Os dados analisados pelos testes t de Student, Mann-Whitney e ANOVA (p The study had as objective to evaluate the resting energy expenditure (REE of post-menopause women submitted to a training program with weights. Thirty women, age between 45 and 70 years (FSH > 40 mIUmL, separated in two groups (TG: training n = 15 and CG: control n = 15 were studied. The body mass index (kg/m² was calculated and the body fat percentage and the muscular mass were determined through bioelectric impedance (BIA. The REE was obtained through indirect calorimetry (respiratory O2 and CO2 and calculated by the Weir equation. The measurement occurred after 12 hours of fasting, during 30 minutes under controlled temperature and humidity. The TG participated of the training program with weights during 16 weeks, in the frequency of three times per week. The analyzed data by the t-Student, Mann-Whitney and ANOVA tests (p < 0.05 demonstrated that the TG had body mass increased in the 1.8 kg mean, muscular mass in 2.0 kg and the REE presented increase of 8.4% in relation to the CG. In conclusion, the training with weights increased muscular mass and REE. Therefore, this kind of exercise is recommended part of

  1. Quality of life in post-menopausal osteoporosis

    Directory of Open Access Journals (Sweden)

    Ortolani Sergio

    2005-12-01

    Full Text Available Abstract Background To evaluate the impact of osteoporosis on the patients' quality of life, particularly in the absence of fractures. Methods 100 post-menopausal women (age 50-85 - 62 with uncomplicated primary osteoporosis and 38 with primary osteoporosis complicated by vertebral fractures; all already treated - were studied using two validated questionnaires: Qualeffo-41 for quality of life in osteoporosis, and Zung for depression. Data were compared to those of 35 controls of comparable age, affected by a different chronic disease (hypothyroidism. Results Family history of osteoporosis and T-score of spine were similar in the two subgroups of osteoporotic women. Body mass index, age at menopause and education level were similar in the two subgroups of osteoporotic women and in the control group. The patients affected by osteoporosis perceived it as a disease affecting their personal life with undesirable consequences: chronic pain (66% of women with fractures and 40% of women without fractures, impaired physical ability, reduced social activity, poor well-being (21% of women without fractures and depressed mood (42% of women irrespective of fractures. Overall, 41% of the women showed a reduced quality of life. On the contrary, in the control group only 11% reported a reduced quality of life. Conclusion The quality of life of osteoporotic patients should be investigated even before fractures, in order to develop appropriate counselling, support and care interventions to help patients develop efficient strategies for accepting the disease and coping with it.

  2. Vitamin D inadequacy in Belgian postmenopausal osteoporotic women

    Directory of Open Access Journals (Sweden)

    Collette Julien

    2007-04-01

    Full Text Available Abstract Background Inadequate serum vitamin D [25(OHD] concentrations are associated with secondary hyperparathyroidism, increased bone turnover and bone loss, which increase fracture risk. The objective of this study is to assess the prevalence of inadequate serum 25(OHD concentrations in postmenopausal Belgian women. Opinions with regard to the definition of vitamin D deficiency and adequate vitamin D status vary widely and there are no clear international agreements on what constitute adequate concentrations of vitamin D. Methods Assessment of 25-hydroxyvitamin D [25(OHD] and parathyroid hormone was performed in 1195 Belgian postmenopausal women aged over 50 years. Main analysis has been performed in the whole study population and according to the previous use of vitamin D and calcium supplements. Four cut-offs of 25(OHD inadequacy were fixed : Results Mean (SD age of the patients was 76.9 (7.5 years, body mass index was 25.7 (4.5 kg/m2. Concentrations of 25(OHD were 52.5 (21.4 nmol/L. In the whole study population, the prevalence of 25(OHD inadequacy was 91.3 %, 87.5 %, 43.1 % and 15.9% when considering cut-offs of 80, 75, 50 and 30 nmol/L, respectively. Women who used vitamin D supplements, alone or combined with calcium supplements, had higher concentrations of 25(OHD than non-users. Significant inverse correlations were found between age/serum PTH and serum 25(OHD (r = -0.23/r = -0.31 and also between age/serum PTH and femoral neck BMD (r = -0.29/r = -0.15. There is a significant positive relation between age and PTH (r = 0.16, serum 25(OHD and femoral neck BMD (r = 0.07. (P Vitamin D concentrations varied with the season of sampling but did not reach statistical significance (P = 0.09. Conclusion This study points out a high prevalence of vitamin D inadequacy in Belgian postmenopausal osteoporotic women, even among subjects receiving vitamin D supplements.

  3. Temporal changes in clinic and ambulatory blood pressure during cyclic post-menopausal hormone replacement therapy

    DEFF Research Database (Denmark)

    Sørensen, M B; Rasmussen, Verner; Jensen, Gorm Boje;

    2000-01-01

    OBJECTIVE: Post-menopausal hormone replacement (HRT) might protect against cardiovascular disease, possibly by arterial vasodilation and reduced blood pressure. Progestogens are needed to avoid endometrial disease but vascular effects are controversial. The objective was to assess temporal changes...... in blood pressure (BP) by two measurement techniques during a cyclic hormone replacement regimen. DESIGN AND METHODS: Sixteen healthy and normotensive post-menopausal women (age 55 +/- 3 years) were studied in a placebo-controlled, randomized crossover study, and were randomized to 17beta-oestradiol plus...... and in the ninth weeks of treatment in both periods. RESULTS: Clinic systolic and diastolic BP were reduced after 10 days of oestradiol (-5.1 and -3.2 mmHg respectively, P

  4. A experiência da perimenopausa e pós-menopausa com mulheres que fazem uso ou não da terapia de reposição hormonal Peri-menopausal and post-menopausal experience among women with and without hormone replacement therapy

    Directory of Open Access Journals (Sweden)

    Sônia Maria Garcia Vigeta

    2004-12-01

    Full Text Available Este estudo, uma pesquisa qualitativa, tem por objetivo conhecer o significado da perimenopausa/pós-menopausa e o vivenciar de seus sinais e sintomas para mulheres que usam ou não a terapia de reposição hormonal (TRH. Os dados empíricos foram obtidos por meio de entrevista realizada com 11 mulheres, de 45 a 59 anos de idade, usuárias ou não de TRH e freqüentadoras de diferentes serviços de saúde no Município de São Paulo, Brasil. A análise foi realizada por meio da hermenêutica. Os resultados mais significativos revelam que as mulheres que não fazem uso da TRH apresentam os sintomas da perimenopausa, mas convivem com eles; as mulheres que fazem uso da isoflavona procuram por terapias alternativas para os sintomas que as incomodam; ao passo que as mulheres sob o uso da TRH declaram uma sensação de bem estar. O artigo sugere a importância de capacitar os profissionais da área de saúde para compreenderem que a perimenopausa e a pós-menopausa fazem parte do processo de envelhecimento e, portanto, devem ser consideradas como processo vital e não patológico.This qualitative study focuses on peri-menopausal and post-menopausal experience and its signs and symptoms for women with and without use of hormone replacement therapy (HRT. Empirical data were obtained through interviews with 11 women (range: 45 to 59 years with or without HRT at different health clinics in the Municipality of São Paulo, Brazil. The analysis used the hermeneutic method. Most significantly, women who are not on HRT present peri-menopausal symptoms, but they "live with" such symptoms; meanwhile, women in use of isoflavone rely on alternative therapies for the bothersome symptoms; women using HRT report a feeling of wellbeing. The article suggests the importance of training health professionals to understand the peri-menopausal and post-menopausal periods as part of the aging process, and thus as a vital rather than pathological process.

  5. Oestradiol and sex hormone-binding globulin in premenopausal and post-menopausal meat-eaters, vegetarians and vegans

    OpenAIRE

    Thomas, H V; Davey, G. K.; Key, T.J.

    1999-01-01

    Endogenous oestradiol is strongly associated with breast cancer risk but its determinants are poorly understood. To test the hypothesis that vegetarians have lower plasma oestradiol and higher sex hormone-binding globulin (SHBG) than meat-eaters we assayed samples from 640 premenopausal women (153 meat-eaters, 382 vegetarians, 105 vegans) and 457 post-menopausal women (223 meat-eaters, 196 vegetarians, 38 vegans). Vegetarians and vegans had lower mean body mass indices (BMI) and lower plasma ...

  6. A comparative study of pre- and post-menopausal breast cancer: Risk factors, presentation, characteristics and management

    OpenAIRE

    Surakasula, Aruna; Nagarjunapu, Govardhana Chary; Raghavaiah, K. V.

    2014-01-01

    Objective: Breast cancer is the most common female cancer worldwide and is the second most commonly diagnosed cancer in Indian women. This study evaluates the differences between pre- and post-menopausal breast cancer women regarding risk factors, nature of disease presentation, tumor characteristics, and management. Methods: This is a prospective observational study, conducted in the Oncology Department of St. Ann's Cancer Hospital, for a period of 6 months from January to August 2012. Data ...

  7. A prospective cohort study of the combined effects of physical activity and anthropometric measures on the risk of post-menopausal breast cancer.

    Science.gov (United States)

    Bellocco, Rino; Marrone, Gaetano; Ye, Weimin; Nyrén, Olof; Adami, Hans-Olov; Mariosa, Daniela; Lagerros, Ylva Trolle

    2016-04-01

    Although keeping a healthy weight and being physically active are among the few modifiable risk factors for post-menopausal breast cancer, the possible interaction between these two risk factors remains to be established. We analyzed prospectively a cohort of 19,196 women who provided detailed self-report on anthropometric measures, physical activity and possible confounders at enrollment in 1997. We achieved complete follow-up through 2010 and ascertained 609 incident cases of post-menopausal invasive breast cancer. We calculated metabolic energy turnover (MET h/day) per day and fitted Cox proportional hazards models to estimate hazard ratios (HRs) with 95 % confidence intervals (CIs). The incidence of post-menopausal breast cancer among obese women (BMI ≥ 30 kg/m(2)) was 58 % higher (HR 1.58, CI 1.16-2.16) than in women of normal weight (18.5 ≤ BMI day) had 40 % higher incidence of post-menopausal breast cancer (HR 1.40, CI 1.11-1.75) than those in the highest tertile (≥ 38.2 MET h/day). The excess incidence linked to these two factors seemed to combine in an approximately additive manner; the incidence among the most obese and sedentary women was doubled (HR 2.07, CI 1.31-3.25) compared with the most physically active women with normal weight. No heterogeneity of the physical activity-linked risk ratios across strata of BMI was detected (p value for interaction = 0.98). This prospective study revealed dose-dependent, homogenous inverse associations between post-menopausal breast cancer incidence and physical activity across all strata of BMI, and between post-menopausal breast cancer incidence and BMI across all strata of physical activity, with no evidence of additive or multiplicative interaction between the two, suggesting independent effects.

  8. Observation of morning exercises and related nursing intervention on life quality of post-menopause women with coronary heart disease%晨练活动及护理干预改善绝经期冠心病妇女生活质量的研究

    Institute of Scientific and Technical Information of China (English)

    李萍; 李安娜; 庞琳; 刘冰; 赵雪; 李春江

    2013-01-01

    Objective To observe the improvement of universal and specifical quality of life score caused by morning exercises and related nursing intervention of post-menopausal women with coronary heart disease.Methods Thirty-five post-menopausal female patients with coronary heart disease (CHD) from a community of Shenyang south lake street were involved in the study.They participated in the morning exercises consisting of a constant speed walking on level road in the morning,with the speed of 50 ~ 80 m/min,once a day,lasting 30 ~ 50 min each time,3 ~ 5 times a week,with 12 weeks as one course of treatment,and received related nursing intervention referring to community nursing model during morning exercises.Thirty-two postmenopausal women with CHD who was not participated in the morning exercises were as control group.They were respectively received the assessment of health questionnaire (SF-36),Seattle angina symptoms questionnaire (SAQ) and post-menopausal women common physical and mental symptoms self rating scale (Kupperman self-rating scale) quality of life in 3 days and 12 weeks.Results No significant difference was found in the first SF-36 scale assessment (P > 0.05),while,12 weeks later,each dimension point of the morning exercises group was significantly higher than those of the first assessment as well as the control group.The SAQ score (87.02 ± 16.4) in morning exercises group was significantly higher than first assessment (64.59 ± 10.87),as well as the data 12 weeks later in control group (68.24 ± 9.98),the differences was statistically significant (t =2.483,2.290;P < 0.01).In the first assessment of Kupperman self-rating scale,each clause score and final score of the two groups was no significant difference (P > 0.05).While after 12 weeks,most clause scores and final score (24.62 ± 4.10) of the morning exercises group were significantly lower than the first assessment(31.24 ± 5.89) and the control group (29.95 ± 5.76),the differences was

  9. Influência da proteína de soja e dos exercícios com pesos sobre o gasto energético de repouso de mulheres na pós-menopausa Influence of soy protein and exercises with weights on the resting energy expenditure of women in post-menopause

    Directory of Open Access Journals (Sweden)

    Mara Cléia Trevisan

    2010-01-01

    Full Text Available OBJETIVO: Analisar a influência da ingestão alimentar de proteína da soja e dos exercícios com pesos sobre o gasto energético de repouso (GER de mulheres na pós-menopausa. MÉTODOS: Ensaio clínico, 16 semanas, envolvendo 60 mulheres, 59 (7 anos, distribuídas em quatro grupos: G1 (proteína da soja e exercício, G2 (placebo e exercício, G3 (proteína da soja e sem exercício e G4 (placebo e sem exercício. A proteína da soja e o placebo (maltodextrina foram distribuídos, aleatoriamente, sob a forma de pó, na porção de 25 gramas/dia. Foram 10 exercícios com pesos, realizados em três sessões semanais, com 3 séries de 8-12 repetições cada, carga de 60%-80% de uma repetição máxima (RM. O GER foi calculado a partir do O2 e CO2, obtidos por calorimetria indireta (Quinton-QMC®, durante 30 minutos, sob temperatura e umidade controladas. Na análise estatística foi utilizada ANOVA, teste T de Student e regressão múltipla, por meio do software Stata 9.2, αOBJECTIVE: The main objective of this study was to analyze the influence of soy protein ingestion and exercises with weights, on resting energy expenditure (REE of women in post-menopause. METHODS: Clinical trial, 16 weeks, involving 60 women, 59 (7 years, distributed in 4 groups: G1 (soy protein and exercise, G2 (placebo and exercise, 3 (soy protein and without exercise and 4 (placebo and without exercise. Randomly, soy protein and placebo (maltodextrin were distributed in powder form, in portions of 25 grams/ day. There were 10 exercises with weights, performed in 3 sessions a week with 3 sets of 8-12 repetitions each, load of 60-80% of 1 maximum repetition (RM. The REE was calculated from the O2 and CO2, obtained through indirect calorimetry (Quinton QMC® for 30 minutes under controlled temperature and humidity. For statistical analysis, ANOVA, Student's t test and multiple regression were used with the software Stata 9.2, α<0.05. RESULTS: Women presented homogeneity in

  10. Expression of COX-2 and MMP-9 in Patients with EMP in Pre-and Post-menopausal Women%COX-2和MMP-9在绝经前后子宫内膜息肉中的表达及其意义

    Institute of Scientific and Technical Information of China (English)

    薛翔; 郭维; 公丕军

    2012-01-01

    Objective To investigate the expression of Cyctooxygenase - 2 ( COX - 2 ) , matrix metalloproteinase- 9( MMP -9) in patients with endometrial polyps( EMP) in pre - and post - menopausal women and their relationship, and to investigate the pathogenesis of EMP. Methods 150 cases with EMP (45 from pre -menopausal women and the other 45 from post - menopausal women) and 60 cases with normal endometrium (30 were proliferative phase endometrium and the other 30 were atrophic endometrium) were collected. Immunohistochemical SP method was used to detect the expression of COX - 2 and MMP - 9 in each tissue. Results 1. In Premenopausal group: Expression of COX - 2 and MMP - 9 in epithelial cells and stroma of EMP were all significantly higher than those in the normal proliferative phase endometrium (P 0. 05 ) . 4. There was a significantly positive correlation between expression of COX -2 and MMP -9(r =0. 6135 ,P < 0.01). Conclusion The expression of COX - 2 is closely associated with MMP -9. Overexpression of COX -2 and MMP -9 in the EMP suggested that COX -2 and MMP -9 may play a role in development of EMP. The pathogenesis of pre - and postmenopausal endometrial polyps may be difference, which may be related to estrogen levels.%目的 研究绝经前、后子宫内膜息肉(EMP)中环氧合酶-2(COX-2)、基质金属蛋白酶-9(MMP-9)的表达及二者的相关性,为研究EMP形成机理提供线索.方法 选取存档石蜡标本共150例,其中绝经前、后EMP各45例,绝经前正常增生期子宫内膜和绝经后正常萎缩型子宫内膜各30例,用免疫组化SP法检测各组COX-2、MMP-9的表达情况,并分析两指标在EMP组织中的表达及相关性.结果 绝经前组COX-2、MMP-9在EMP腺体和间质的表达均显著高于二者在正常增生期子宫内膜中的表达(P<0.05).绝经后组COX-2、MMP-9在EMP间质和腺体中的表达均高于二者在绝经后正常萎缩型子宫内膜中的表达(P<0.05).COX-2在绝经前、后EMP腺体中

  11. Temporal changes in clinic and ambulatory blood pressure during cyclic post-menopausal hormone replacement therapy

    DEFF Research Database (Denmark)

    Sørensen, M B; Rasmussen, Verner; Jensen, Gorm Boje;

    2000-01-01

    blood pressure was again reduced (-3.6 mmHg, P= 0.037). Mean 24 h ambulatory systolic and diastolic blood pressures were significantly lower than clinic measurements (-15.7 and -5.9 mmHg, P blood pressure is reduced during a cyclic HRT regimen...... but the reduction varies with the HRT regimen, which might explain the diversity in previous BP findings during HRT. Norethisterone acetate might possess additive blood pressure-lowering effects in postmenopausal women.......OBJECTIVE: Post-menopausal hormone replacement (HRT) might protect against cardiovascular disease, possibly by arterial vasodilation and reduced blood pressure. Progestogens are needed to avoid endometrial disease but vascular effects are controversial. The objective was to assess temporal changes...

  12. Comparison of clinical semi-quantitative assessment of muscle fat infiltration with quantitative assessment using chemical shift-based water/fat separation in MR studies of the calf of post-menopausal women

    Energy Technology Data Exchange (ETDEWEB)

    Alizai, Hamza; Nardo, Lorenzo; Karampinos, Dimitrios C.; Joseph, Gabby B.; Yap, Samuel P.; Baum, Thomas; Krug, Roland; Majumdar, Sharmila; Link, Thomas M. [University of California, San Francisco, Musculoskeletal and Quantitative Imaging Research Group, Department of Radiology and Biomedical Imaging, San Francisco, CA (United States)

    2012-07-15

    The goal of this study was to compare the semi-quantitative Goutallier classification for fat infiltration with quantitative fat-fraction derived from a magnetic resonance imaging (MRI) chemical shift-based water/fat separation technique. Sixty-two women (age 61 {+-} 6 years), 27 of whom had diabetes, underwent MRI of the calf using a T1-weighted fast spin-echo sequence and a six-echo spoiled gradient-echo sequence at 3 T. Water/fat images and fat fraction maps were reconstructed using the IDEAL algorithm with T2* correction and a multi-peak model for the fat spectrum. Two radiologists scored fat infiltration on the T1-weighted images using the Goutallier classification in six muscle compartments. Spearman correlations between the Goutallier grades and the fat fraction were calculated; in addition, intra-observer and inter-observer agreement were calculated. A significant correlation between the clinical grading and the fat fraction values was found for all muscle compartments (P < 0.0001, R values ranging from 0.79 to 0.88). Goutallier grades 0-4 had a fat fraction ranging from 3.5 to 19%. Intra-observer and inter-observer agreement values of 0.83 and 0.81 were calculated for the semi-quantitative grading. Semi-quantitative grading of intramuscular fat and quantitative fat fraction were significantly correlated and both techniques had excellent reproducibility. However, the clinical grading was found to overestimate muscle fat. (orig.)

  13. Estudo de custo-efetividade do anastrozol adjuvante no câncer de mama em mulheres pós-menopausa Cost-effectiveness analysis of adjuvant anastrozol in post-menopausal women with breast cancer

    Directory of Open Access Journals (Sweden)

    Andre Deeke Sasse

    2009-01-01

    Full Text Available OBJETIVOS: Análise econômica com dados nacionais sobre a possível incorporação do anastrozol como terapia adjuvante hormonal no câncer de mama em pacientes pós-menopausa. MÉTODOS: Foi feita estimativa de custo-efetividade no tratamento adjuvante do câncer de mama, em mulheres pós-menopausa, do anastrozol versus tamoxifeno em três perspectivas: do paciente, de planos de saúde e do governo. Modelo de Markov foi desenvolvido utilizando dados extraídos de publicação do estudo ATAC após seguimento de 100 meses, com projeção de desfechos em 25 anos para uma coorte hipotética de 1000 pacientes com câncer de mama pós-menopausa no Brasil. Dados de utilização de recursos e custos associados foram obtidos de fontes preestabelecidas e de opinião de especialistas. O custo associado aos tratamentos foi extraído separadamente, dependendo do ponto de vista estudado. O benefício foi inserido no modelo para obtenção do custo por ano de vida ganho ajustado pela qualidade (QALY. RESULTADOS: Extrapolando benefícios encontrados para 25 anos de seguimento, o anastrozol, em relação ao tamoxifeno, resultou numa estimativa de ganho de 0,29 QALY. A razão de custo-efetividade por QALY ganho dependeu da perspectiva utilizada. Houve incremento de R$ 32.403,00/QALY no ponto de vista do SUS; de R$ 32.230,00/QALY no dos planos de saúde; e de R$ 55.270,00/QALY no das pacientes. CONCLUSÃO: O benefício encontrado no uso do anastrozol adjuvante em pacientes com câncer de mama operado na pós-menopausa está associado a grandes diferenças na razão de custo-efetividade, dependendo da perspectiva utilizada para o cálculo. Comparando com parâmetros usualmente aceitos pela OMS, o incremento é aceitável sob a perspectiva do SUS e dos planos de saúde, mas não sob a ótica do paciente.OBJECTIVES: Carry out an economic analysis of the incorporation of anastrozole as adjuvant hormone therapy in postmenopausal women with breast cancer in a Brazilian

  14. Efficacy of risedronate in a post-menopausal woman affected by osteoporosis and inflammatory bowel disease

    Directory of Open Access Journals (Sweden)

    Stefano Palomba

    2010-06-01

    Full Text Available Post-menopausal osteoporosis is a skeletal disease that can be asymptomatic and is sometimes underdiagnosed and undertreated. Post-menopausal osteoporosis can be associated with fractures and consequent impaired quality of life and increase of health care costs. Bisphosphonates are a therapeutic choice, because they proved to be effective in preventing bone loss. The current case report shows the efficacy of six-month risedronate administration in a post-menopausal woman affected by osteoporosis and inflammatory bowel disease in reducing biochemical bone turnover markers and increasing bone mineral density.

  15. Nitric oxide synthase inhibition attenuates cutaneous vasodilation during the post-menopausal hot flash

    Science.gov (United States)

    Hubing, Kimberly A.; Wingo, Jonathan E.; Brothers, R. Matthew; Coso, Juan Del; Low, David A.; Crandall, Craig G.

    2010-01-01

    Objective The purpose of this study was to test the hypothesis that local inhibition of nitric oxide and prostaglandin synthesis attenuates cutaneous vasodilator responses during post-menopausal hot flashes. Methods Four microdialysis membranes were inserted into forearm skin (dorsal surface) of 8 post-menopausal women (mean ± SD, 51±7 y). Ringers solution (control), 10mM Ketorolac (Keto) to inhibit prostaglandin synthesis, 10mM NG-L-arginine methyl ester (L-NAME) to inhibit nitric oxide synthase, and a combination of 10mM Keto + 10mM L-NAME were each infused at the separate sites. Skin blood flow at each site was indexed using laser-Doppler flowmetry. Cutaneous vascular conductance (CVC) was calculated as laser-Doppler flux/mean arterial blood pressure and was expressed as a percentage of the maximal calculated CVC (CVCmax) obtained following infusion of 50mM sodium nitropruside at all sites at the end of the study. Data from 13 hot flashes were analyzed. Results At the control site, the mean ± SD peak increase in CVC was 15.5±6% CVCmax units. This value was not different relative to the peak increase in CVC at the Keto site (13.0±5 % CVCmax units, P = 0.09). However, the peak increase in CVC during the flash was attenuated at the L-NAME and L-NAME + Keto sites (7.4±4 % CVCmax units and 8.7±7 % CVCmax units, respectively) relative to both the control and the Keto sites (P<0.05 for both comparisons). There were no significant differences in the peak increases in sweat rate between any of the sites (P = 0.24). Conclusions These data demonstrate that cutaneous vasodilation during a hot flash has a nitric oxide component. Increases in CVC despite the inhibition of prostaglandin synthesis suggest prostaglandins do not contribute to cutaneous vasodilation during a hot flash. PMID:20505548

  16. Effect of vaginal estrogen on post menopausal mood & sleep disturbance/ and sexual satisfaction

    Directory of Open Access Journals (Sweden)

    Eftekhar T

    2009-05-01

    Full Text Available "n Normal 0 false false false EN-GB X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Mood disturbances, such as anxiety, depression and psychological distress, are common among women in menopausal period. Effect of long term estrogen replacement on post menopausal  mood disturbances is curative but specifical studies has not done on the effects of vaginal hormonal therapy in mood disturbances in menopause. The aim of this study was objectives to clarify the effect extended by Hormon Replacement Therapy (HRT in improving post menopausal mood disturbances."n"n Methods: In a single blinded clinical trial, the effects of a four months application of vaginal esterogen (premarin versus placebo (n=20 in each groups were evaluated on mood status and sexual satisfaction, using the Hamilton depression score (HDS score, and self assessment of sexual function and pleasure. Four months after treatment completion (half applicator of nightly vaginal premarin or lubricant vaginally collected and analyzed with Statistical tests."n"n Results: Decline of the mean HDS scores (depression score was observed in the premarin group. The mean HDS score (depression after vaginal premarin decreased from (14.6±4.7 to (3.4±2.3. (p≤0.001 also, The HDS score in placebo group increased from (10.6±3.1 to (11±3

  17. The promise of post-menopausal pregnancy (PMP).

    Science.gov (United States)

    Landau, Ruth

    2004-01-01

    Postmenopausal pregnancy (PMP) is presented as a means of alleviating women's suffering by helping them realize their wish for a child of their "own." The availability of IVF technology and oocyte donation, both necessary for PMP, create the illusion of unlimited female fertility. The aim of this paper is twofold: (1) to examine the psychosocial, health, and ethical aspects of PMP; and (2) to answer the question of whether PMP's promise of unlimited fertility really offers more personal freedom and control for women. The paper concludes that PMP seems to increase, rather than to decrease, human suffering.

  18. EVALUATION OF THE EFFECTS OF HORMONAL SUBSTITUTION THERAPY UPON THE PERIODONTAL STATUS IN FEMALE PATIENTS DURING PRE- AND POST-MENOPAUSE

    Directory of Open Access Journals (Sweden)

    Irina Ursărescu

    2012-12-01

    Full Text Available Scope of the study. To evaluate the bone mass loss in women, during menopause and post-menopause (a period associated with a deficit of estrogen and the effect of the substitution hormonal therapy. Materials and method. The experimental group included 46 female subjects, evaluated in the beginning of menopause and also at post-menopause, with and without hormonal substitution therapy (in the moment of the consultation. The periodontal clinical (probing depth, CPITN, index of gingival recession, index of dental mobility, index of furcation involvement and radiological indices were evaluated, on following the evolution of the periodontal status from the first consultation in the 3 years. Results. It has been demonstrated that, in patients with periodontitis, early onset menopause and the estrogen deficit, the frequency of gingival bleeding on probing and the clinical loss of attachment were higher, comparatively with the patients having followed a hormonal substitution therapy. Discussion. Apparently, estrogen has a protecting effect upon the periodontium and also upon the severity of the periodontal disease. More than that, the alveolar bone that may be affected by osteoporosis also contributes to the benefic effects of HT, in preventing osteoporosis, the risk of suffering the negative effects of edentation in postmenopause women who receive HT being lower. Conclusions. The present study evidenced the increased incidence of both gingivitis and periodontal pathology, of the ratio of edentation in women at menopause, while the absence of the hormonal substitution therapy seems to be associated with the severity of the periodontal disease.

  19. study on the serum levels of E2, IL-6 and IGF-I in patients with post-menopausal osteoporosis (PMO)

    International Nuclear Information System (INIS)

    Objective: To study the changes of serum levels of E2, IL-6, IGF-I in patients with post-menopausal osteoporosis (PMO). Methods: Serum levels of E2(with CLIA), IL-6, IGF-I, BGP (with RIA) were measured in the following subjects: (1) 32 patients with PMO (2) 32 post-menopausal women without PMO and (3) 30 pre-menopausal controls. Serum P, Ca and AKP levels were also determined. Results: As a whole, serum levels of IL -6 in postmenopausal women were higher than those in controls. Levels in subjects with PMO were significantly higher than those without PMO (P2 and BMD index (r=-0. 587, - 0. 438 respectively, P2 and BMD index (r=0.569, 0.433 respectively, P2 levels will in someway promote the expression of IL-6 ( osteoclastic) and reduce the expression of IGF-I (osteoclastic), resulting in lessening of bone mass. HRT, despite of the controversy over cardio-vascalar safety, is beneficial for osteoporosis. (authors)

  20. Mechanisms underlying social inequality in post-menopausal breast cancer.

    Science.gov (United States)

    Hvidtfeldt, Ulla Arthur

    2014-10-01

    This thesis is based on studies conducted in the period 2010-2014 at Department of Public Health, University of Copenhagen and at Department of Epidemiology and Population Health, Albert Einstein College of Medicine, New York. The results are presented in three scientific papers and a synopsis. The main objective of the thesis was to determine mechanisms underlying social inequality (defined by educational level) in postmenopausal breast cancer (BC) by addressing mediating effects through hormone therapy (HT) use, BMI, lifestyle and reproductive factors. The results of previous studies suggest that the higher risk of postmenopausal BC among women of high socioeconomic position (SEP) may be explained by reproductive factors and health behaviors. Women of higher SEP generally have fewer children and give birth at older ages than women of low SEP, and these factors have been found to affect the risk of BC - probably through altered hormone levels. Adverse effects on BC risk have also been documented for modifiable health behaviors that may affect hormone levels, such as alcohol consumption, high BMI, physical inactivity, and HT use. Alcohol consumption and HT use are likewise more common among women of higher SEP. The analyses were based on the Social Inequality in Cancer (SIC) cohort and a subsample of the Women's Health Initiative Observational Study (WHI-OS). The SIC cohort was derived by pooling 6 individual studies from the Copenhagen area including 33,562 women (1,733 BC cases) aged 50-70 years at baseline. The subsample of WHI-OS consisted of two case-cohort studies with measurements of endogenous estradiol (N = 1,601) and insulin (N = 791). Assessment of mediation often relies on comparing multiplicative models with and without the potential mediator. Such approaches provide potentially biased results, because they do not account for mediator-outcome confounding, exposure-dependent mediator-outcome confounding, exposure-mediator interaction and interactions

  1. Scintigraphic examinations during pregnancy and in breast-feeding women: a survey of Belgian nuclear medicine physician's attitudes

    International Nuclear Information System (INIS)

    Radiation protection is of major importance in pregnant and breast feeding women. This work was undertaken to assess the practices of Belgian nuclear medicine physicians towards performing diagnostic tests during pregnancy and in breast feeding women. A questionnaire was sent to 201 Belgian nuclear medicine physicians; 82 answers (41 %) were received. 51 % of the responding physicians agree to perform lung perfusion scan during pregnancy provided a reduced dose is administered, 33% refuse to perform it during first three months and 24% refuse to perform it for pregnancies older than three months. For the Tc-99m ventilation scan 79% and 66% refuse to perform it before and after first three months. Better agreement was observed for other Tc-99m scintigraphies or tests using other radionuclides. In breast feeding women 89% agree to perform Tc-99m tests provided a breast feeding break; however, the duration of this break appears variable. The need for obtaining a written informed consent appears controversial. Given the variability of the attitudes of nuclear medicine physicians, official guidelines for nuclear medicine diagnostic tests during pregnancy is needed. (authors)

  2. Iodine deficiency among Belgian pregnant women not fully corrected by iodine-containing multivitamins: a national cross-sectional survey.

    Science.gov (United States)

    Vandevijvere, Stefanie; Amsalkhir, Sihame; Mourri, Ahmed Bensouda; Van Oyen, Herman; Moreno-Reyes, Rodrigo

    2013-06-28

    Low iodine intake during pregnancy may cause thyroid dysfunction in pregnant women and their newborn. In the present study, iodine status among a nation-wide representative sample of Belgian pregnant women in the first and third trimester of pregnancy was determined, and determinants of iodine status were assessed 1 year after the introduction of bread fortified with iodised salt. The women were selected according to a multistage proportionate-to-size sampling design. Urine samples were collected and a general questionnaire was completed face to face with the study nurse. The median urinary iodine concentration (UIC) among pregnant women (n 1311) was 124.1mg/l and 122.6 mg/g creatinine when corrected for urinary creatinine. The median UIC in the first trimester (118.3 mg/l) was significantly lower than that in the third trimester (131.0 mg/l) but significantly higher than among non-pregnant women (84.8 mg/l). Iodine-containing supplement intake was reported by 60.8% of the women and 57.4% of the women took this supplement daily. The risk of iodine deficiency was significantly higher in younger women, in women not taking iodine-containing supplements, with low consumption of milk and dairy drinks and during autumn. Women with a higher BMI had a higher risk of iodine deficiency but the risk was lower in women who reported alcohol consumption. The median UIC during pregnancy indicates iodine deficiency in Belgium and some women are at a higher risk of deficiency. The current low iodine intake in women of childbearing age precludes the correction of iodine deficiency in pregnant women supplemented with multivitamins containing 150 mg iodine as recommended. PMID:23084115

  3. Relationship of endometrial thickness detected by transvaginal sonography with the results of endometrial biopsy & hysteroscopic directed biopsy in post menopausal bleeding

    Directory of Open Access Journals (Sweden)

    Vahid Dastjerdi M

    2008-05-01

    Full Text Available Background: Post-menopausal hemorrhage is one of the most common complains in gynecologic clinics. More than 60% of these cases have abnormal findings in diagnostic work ups. There is contraversy about the best diagnostic method for evaluating post-menopausal hemorrhage. The aim of this study was to evaluate the results of Trans-Vaginal Ultrasonography and compare its result to ones derived from direct endometrial biopsy and Hysteroscopy findings.Methods: In a cross-sectional study, menopausal women who attended the outpatient clinic of Arash Hospital, Tehran University of medical Sciences, from April 2005 to March 2006 with the complain of hemorrhage were evaluated. In all of these patients, after getting informed consent, Trans-Vaginal Ultrasonography, Dilatation and Curettage and Hysteroscopy were performed.Results: The total number of 90 women was recruited to the study with the age range of 41-80 years. The mean age of participants was 53.84 ± 6 years and 4.3 ± 5.1 years had passed from their menopause. The mean thickness of endometrium, measured by Trans Vaginal ultrasonography was 6.25 ± 3.7 millimeter. In the biopsy derived specimens, the most finding pathological presentation was atrophy (48.9% and the Proliferative endometrium had the second prevalence (36.7%. Atrophy (44.4% and Proliferative endometrium (33.3% were the most prevalent finding in Hysteroscopy. There was a significant difference in endometrial thickness between groups of different pathological findings. A significant difference in endometrial thickness was also seen between groups with different Hysteroscopic finding. By grouping the data according to endometrial thickness, it became evident that endometrial thickness can predict the outcome of endometrial biopsy and Hysteroscopic finding efficiently. We used ROC curves to find the best grouping threshold for endometrial thickness to achieve the best sensitivity and specificity.Conclusion: Measuring the endometrial

  4. Electrospun polyurethane-dextran nanofiber mats loaded with Estradiol for post-menopausal wound dressing.

    Science.gov (United States)

    Unnithan, Afeesh Rajan; Sasikala, Arathyram Ramachandra Kurup; Murugesan, Priya; Gurusamy, Malarvizhi; Wu, Dongmei; Park, Chan Hee; Kim, Cheol Sang

    2015-01-01

    Post-menopausal wound care management is a substantial burden on health services, since there are an increased number of elderly populations linked with age-related delayed wound healing. The controlled estrogen replacement can accelerate healing of acute cutaneous wounds, linked to its potent anti-inflammatory activity. The electrospinning technique can be used to introduce the desired therapeutic agents to the nanofiber matrix. So here we introduce a new material for wound tissue dressing, in which a polyurethane-dextran composite nanofibrous wound dressing material loaded with β-estradiol was obtained through electrospinning. Dextran can promote neovascularization and skin regeneration in chronic wounds. This study involves the characterization of these nanofibers and analysis of cell growth and proliferation to determine the efficiency of tissue regeneration on these biocomposite polymer nanofibrous scaffolds and to study the possibility of using it as a potential wound dressing material in the in vivo models. PMID:25748849

  5. Low-Grade Inflammation, Oxidative Stress and Risk of Invasive Post-Menopausal Breast Cancer - A Nested Case-Control Study from the Malmo Diet and Cancer Cohort.

    Directory of Open Access Journals (Sweden)

    Joana A Dias

    Full Text Available Although cancer promotes inflammation, the role of inflammation in tumor-genesis is less well established. The aim was to examine if low-grade inflammation is related to post-menopausal breast cancer risk, and if obesity modifies this association.In the Malmö Diet and Cancer cohort, a nested case-control study was defined among 8,513 women free of cancer and aged 55-73 years at baseline (1991-96; 459 were diagnosed with invasive breast cancer during follow-up (until December 31st, 2010. In laboratory analyses of blood from 446 cases, and 885 controls (matched on age and date of blood sampling we examined systemic inflammation markers: oxidized (ox-LDL, interleukin (IL-1β, IL-6, IL-8, tumor necrosis factor (TNF-α, white blood cells, lymphocytes and neutrophils. Odds ratios (OR and 95% confidence intervals (CI for breast cancer risk was calculated using multivariable conditional logistic regression.Inverse associations with breast cancer were seen in fully-adjusted models, for 2nd and 3rd tertiles of ox-LDL, OR (95% CI: 0.65 (0.47-0.90, 0.63 (0.45-0.89 respectively, p-trend = 0.01; and for the 3rd tertile of TNF-α, 0.65 (0.43-0.99, p-trend = 0.04. In contrast, those in the highest IL-1β category had higher risk, 1.71 (1.05-2.79, p-trend = 0.01. Obesity did not modify associations between inflammation biomarkers and breast cancer.Our study does not suggest that low-grade inflammation increase the risk of post-menopausal breast cancer.

  6. Asymptomatic giant struma ovarii in a post-menopausal female:a case report%发生在绝经妇女的无症状巨大卵巢甲状腺肿瘤一例报道

    Institute of Scientific and Technical Information of China (English)

    Dong Xia; Qing Liu; Hui Yao; Jianwei Li; Liang Xu

    2013-01-01

    Struma ovarii, a rare varity of ovarian neoplasm, belongs to the group of monodermic teratomas mainly composed of thyroid tissue. The preoperative diagnosis is always difficult to identify without histopathological examination. Surgery is the only treatment because malignant alteration is possible and thyroid hyperactivity or hyperthyroidism may occur. Our patient, a post-menopausal women, had unilateral, large, multiloculated ovary mass of 20 cm × 15 cm × 10 cm size without any thyroid hyper activity. The radical excision of the tumor with right ovary was preformed. Histopathological examination confirmed struma ovarii. The post-operative period was uneventful and her thyroid function remained normal.

  7. Análise de correspondência para avaliação do perfil de mulheres na pós-menopausa e o uso da terapia de reposição hormonal Correspondence analysis for the evaluation of women's profile during post-menopause and hormone replacement therapy

    Directory of Open Access Journals (Sweden)

    Renata Nunes Aranha

    2004-02-01

    Full Text Available Neste estudo ilustra-se a utilização da técnica de análise de correspondência na caracterização do perfil das usuárias e das não-usuárias da Terapia de Reposição Hormonal (TRH. Analisou-se dados seccionais de 195 mulheres com relato de menopausa natural, entre 2.240 participantes do Estudo Pró-Saúde (Rio de Janeiro. As mulheres não-usuárias da TRH apresentaram perfil mais desfavorável em relação às usuárias dessa terapia, por exemplo, ganho ponderal mais acentuado na vida adulta, idade mais avançada, menopausa mais tardia e menor nível de escolaridade. O uso desta ferramenta analítica deveria ser estimulada na área da saúde, em análises exploratórias das inter-relações entre um grande número de variáveis em populações de interesse.This study illustrates the use of correspondence analysis to identify distinct profiles characterizing hormone replacement therapy (HRT users and non-users, allowing the visualization of concurrent characteristics associated with this self-selection process. We analyzed cross-sectional information provided by 195 women reporting natural menopause, among 2,240 participants in the Pro-Saude Study (Rio de Janeiro, Brazil. Non-users had an unfavorable profile, including greater weight gain during adult life, older age, later menopause, and less schooling. This analytic tool should be used more extensively in public health research, in exploratory analyses of the relations among a large number of variables in key populations.

  8. Abdominal Wall Metastasis of Uterine Papillary Serous Carcinoma in a Post-Menopausal Woman: A Case Report

    OpenAIRE

    Park, Jung-Woo; Hwang, Sung-Ook

    2014-01-01

    Uterine papillary serous carcinoma (UPSC) is an aggressive form of endometrial cancer characterized by a high recurrence rate and poor prognosis. We report a case of a 58-year-old post-menopausal woman with an abdominal wall metastasis in stage IA UPSC. After surgical staging, she did not receive additional adjuvant therapy. An egg sized palpable mass developed in the right lower abdomen after 8 months. Both Abdominopelvic computed tomography (CT) and positron emission tomography (PET)-CT rev...

  9. The effects of red clover on quality of life in post-menopausal women

    OpenAIRE

    Ehsanpour, Soheila; Salehi, Kobra; Zolfaghari, Behzad; Bakhtiari, Soheila

    2012-01-01

    Background: Due to symptoms and its complications, menopause influences the mental, psychological and physical health, social performance and familial relationships. Because of the undesirable side effects of hormone replacement therapy, tendency and desire toward alternative treatments in relieving menopausal symptoms have increased. Among the alternative therapies are herbs and among those, herbs with phytoestrogens are more preferable. Red clover is a rich source of phytoestrogens. The pre...

  10. Study about xerostomia, salivary flow rate and systemic conditions of postmenopausal women

    OpenAIRE

    Flávia Lopes Carvalho; Luciana Freitas Gomes e Silva; Fernanda Ferreira Lopes; Ana Emília Figueiredo de Oliveira

    2008-01-01

    Objective: To make a quantitative evaluation of salivary flow and occurrence of xerostomia in post-menopausal women, according to thesystemic condition related by the patients. Methods: The sample was composed of 20 post-menopausal women, who were submitted to anamnesis and completely stimulated sialometry. Results: The results revealed that 50% of the women examined related the presence of xerostomia; hyposalivation was more present than normal salivary flow and low salivary flow; among the ...

  11. Sedentary Lifestyle and High-Carbohydrate Intake are Associated with Low-Grade Chronic Inflammation in Post-Menopause: A Cross-sectional Study.

    Science.gov (United States)

    Alves, Bruna Cherubini; Silva, Thaís Rasia da; Spritzer, Poli Mara

    2016-07-01

    Introduction Cardiovascular disease (CVD) is the leading cause of death in post menopausal women, and inflammation is involved in the atherosclerosis process. Purpose to assess whether dietary pattern, metabolic profile, body composition and physical activity are associated with low-grade chronic inflammation according to high-sensitivity C-reactive protein (hs-CRP) levels in postmenopausal women. Methods ninety-five postmenopausal participants, with no evidence of clinical disease, underwent anthropometric, metabolic and hormonal assessments. Usual dietary intake was assessed with a validated food frequency questionnaire, habitual physical activity was measured with a digital pedometer, and body composition was estimated by bioelectrical impedance analysis. Patients with hs-CRP ≥10 mg/L or using hormone therapy in the last three months before the study were excluded from the analysis. Participants were stratified according to hs-CRP lower or ≥3 mg/L. Sedentary lifestyle was defined as walking fewer than 6 thousand steps a day. Two-tailed Student's t-test, Wilcoxon-Mann-Whitney U or Chi-square (χ(2)) test were used to compare differences between groups. A logistic regression model was used to estimate the odds ratio of variables for high hs-CRP. Results participants with hs-CRP ≥3 mg/L had higher body mass index (BMI), body fat percentage, waist circumference (WC), triglycerides, glucose, and homeostasis model assessment of insulin resistance (HOMA-IR) (p = 0.01 for all variables) than women with hs-CRP age and time since menopause, the odds ratio for hs-CRP ≥3 mg/L was higher for sedentary lifestyle (4.7, 95% confidence interval [95%CI] 1.4-15.5) and carbohydrate intake (2.9, 95%CI 1.1-7.7). Conclusions sedentary lifestyle and high-carbohydrate intake were associated with low-grade chronic inflammation and cardiovascular risk in postmenopause. PMID:27420776

  12. The effect of 48 weeks of aerobic exercise training on cutaneous vasodilator function in post-menopausal females.

    Science.gov (United States)

    Hodges, Gary J; Sharp, Lisa; Stephenson, Claire; Patwala, Ashish Y; George, Keith P; Goldspink, David F; Tim Cable, N

    2010-04-01

    Skin blood flow (SkBF) and endothelial-dependent vasodilatation decline with ageing and can be reversed with exercise training. We tested whether 48 weeks of training could improve SkBF and endothelial function in post-menopausal females; 20 post-menopausal subjects completed the study. SkBF was measured by laser-Doppler flowmetry (LDF). Cutaneous vascular conductance (CVC) was calculated as LDF/blood pressure. Resting CVC was measured at 32 degrees C and peak CVC at 42 degrees C. Cutaneous endothelial-dependent and -independent vasodilatations were determined by the iontophoresis of acetylcholine (ACh) and sodium nitroprusside (SNP), respectively. All assessments described were performed at entry (week 0), and after 6, 12, 24, 36, and 48 weeks of training. Resting CVC measures did not change (P > 0.05) throughout the study. Peak CVC increased (P exercise produces positive adaptations in the cutaneous vasodilator function to local heating as well as in cutaneous endothelial and endothelial-independent vasodilator mechanisms. Aerobic capacity was also significantly improved. These adaptations were further enhanced with progressive increases in exercise intensity.

  13. Abdominal wall metastasis of uterine papillary serous carcinoma in a post-menopausal woman: a case report.

    Science.gov (United States)

    Park, Jung-Woo; Hwang, Sung-Ook

    2014-04-01

    Uterine papillary serous carcinoma (UPSC) is an aggressive form of endometrial cancer characterized by a high recurrence rate and poor prognosis. We report a case of a 58-year-old post-menopausal woman with an abdominal wall metastasis in stage IA UPSC. After surgical staging, she did not receive additional adjuvant therapy. An egg sized palpable mass developed in the right lower abdomen after 8 months. Both Abdominopelvic computed tomography (CT) and positron emission tomography (PET)-CT revealed a metastatic lesion in the abdominal wall. Hence, surgical excision was performed. The pathological findings showed metastatic UPSC with clear resection margin. After the diagnosis of UPSC metastasis in the abdominal wall, she received chemotherapy utilizing paclitaxel and carboplatin. After 3 years, no evidence of recurrence was found. Therefore, we suggest that even when UPSC is confined to the endometrium without lymph node metastasis and without lymphovascular invasion, chemotherapy should be considered as a postoperative adjuvant therapy. PMID:25371890

  14. Efficacy and tolerability of high dose "ethinylestradiol" in post-menopausal advanced breast cancer patients heavily pre-treated with endocrine agents

    Directory of Open Access Journals (Sweden)

    Robertson John FR

    2006-07-01

    Full Text Available Abstract Background High dose estrogens (HDEs were frequently used as endocrine agents prior to the introduction of tamoxifen which carries fewer side effects. Due to the development of resistance to available endocrine agents in almost all women with metastatic breast cancer, interest has renewed in the use of HDEs as yet another endocrine option that may have activity. We report our experience with one of the HDEs ("ethinylestradiol" 1 mg daily in advanced breast cancer (locally advanced and metastatic in post-menopausal women who had progressed on multiple endocrine agents. Patients and methods According to a database of advanced breast cancer patients seen in our Unit since 1998, those who had complete set of information and fulfilled the following criteria were studied: (1 patients in whom further endocrine therapy was deemed appropriate i.e., patients who have had clinical benefit with previous endocrine agents or were not fit or unwilling to receive chemotherapy in the presence of potentially life-threatening visceral metastases; (2 disease was assessable by UICC criteria; (3 were treated with "ethinylestradiol" until they were withdrawn from treatment due to adverse events or disease progression. Results Twelve patients with a median age of 75.1 years (49.1 – 85 years were identified. Majority (N = 8 had bony disease. They had ethinylestradiol as 3rd to 7th line endocrine therapy. One patient (8% came off treatment early due to hepato-renal syndrome. Clinical benefit (objective response or durable stable disease for ≥ 6 months was seen in 4 patients (33.3% with a median duration of response of 10+ (7–36 months. The time to treatment failure was 4 (0.5–36 months. Conclusion Yet unreported, high dose "ethinylestradiol" is another viable therapeutic strategy in heavily pre-treated patients when further endocrine therapy is deemed appropriate. Although it tends to carry more side effects, they may not be comparable to those of other

  15. Cost-effectiveness of diagnostic strategies for the management of abnormal uterine bleeding (heavy menstrual bleeding and post-menopausal bleeding): a decision analysis.

    Science.gov (United States)

    Cooper, Natalie A M; Barton, Pelham M; Breijer, Maria; Caffrey, Orla; Opmeer, Brent C; Timmermans, Anne; Mol, Ben W J; Khan, Khalid S; Clark, T Justin

    2014-01-01

    BACKGROUND Heavy menstrual bleeding (HMB) and post-menopausal bleeding (PMB) together constitute the commonest gynaecological presentation in secondary care and impose substantial demands on health service resources. Accurate diagnosis is of key importance to realising effective treatment, reducing morbidity and, in the case of PMB, reducing mortality. There are many tests available, including transvaginal scan (TVS), endometrial biopsy (EBx), saline infusion sonography and outpatient hysteroscopy (OPH); however, optimal diagnostic work-up is unclear. OBJECTIVES To determine the most cost-effective diagnostic testing strategy for the diagnosis and treatment of (i) HMB and (ii) PMB. DATA SOURCES Parameter inputs were derived from systematic quantitative reviews, individual patient data (IPD) from existing data sets and focused searches for specific data. In the absence of data estimates, the consensus view of an expert clinical panel was obtained. METHODS Two clinically informed decision-analytic models were constructed to reflect current service provision for the diagnostic work-up of women presenting with HMB and PMB. The model-based economic evaluation took the form of a cost-effectiveness analysis from the perspective of the NHS in a contemporary, 'one-stop' secondary care clinical setting, where all indicated testing modalities would be available during a single visit. RESULTS Two potentially cost-effective testing strategies for the initial investigation of women with HMB were identified: OPH alone or in combination with EBx. Although a combination testing strategy of OPH + EBx was marginally more effective, the incremental cost-effectiveness ratio (ICER) was approximately £21,000 to gain one more satisfied patient, whereas for OPH it was just £360 when compared with treatment with the levonorgestrel intrauterine system (LNG-IUS) without investigation. Initial testing with OPH was the most cost-effective testing approach for women wishing to preserve

  16. Alternative methods for the treatment of post-menopausal troubles [Alternative Methoden zur Behandlung postmenopausaler Beschwerden

    OpenAIRE

    Wasem, Jürgen; Aidelsburger, Pamela; Schauer, Svenja; Grabein, Kristin

    2012-01-01

    Background Menopause is described as the transition from the reproductive phase of a women to the non reproductive. Changes in hormone levels might lead to complaints and health consequences especially during peri- and postmenopause. Hormone therapy has a potential damaging health risk profile and is recommended for temporal limited therapy for acute vasomotor symptoms only. Objective The present HTA-report aims to assess the effectiveness and the cost-effectiveness of alternative treatment m...

  17. High Vitamin C Intake with High Serum β-Cryptoxanthin Associated with Lower Risk for Osteoporosis in Post-Menopausal Japanese Female Subjects: Mikkabi Cohort Study.

    Science.gov (United States)

    Sugiura, Minoru; Nakamura, Mieko; Ogawa, Kazunori; Ikoma, Yoshinori; Yano, Masamichi

    2016-01-01

    Recent epidemiological studies show that antioxidant vitamins and carotenoids might be beneficial to the maintenance of bone health. Recently, we found that serum carotenoids were inversely associated with the risk of developing osteoporosis in post-menopausal Japanese female subjects. However, little is known about the vitamin alone and/or the combination of the vitamin and carotenoid with the risk of osteoporosis. The objective of this study was to investigate longitudinally whether antioxidant vitamins and their combination with carotenoids are associated with the risk of developing of osteoporosis. We conducted a follow-up study on 187 post-menopausal female subjects from the Mikkabi prospective cohort study. Those who participated in previous bone mineral density (BMD) surveys and completed four years of follow-up were examined longitudinally. During a four-year follow-up, fifteen of the post-menopausal female subjects developed new-onset osteoporosis. After adjustment for confounders, the odds ratios (OR) for osteoporosis in the highest tertiles of vitamins C and E and retinol intakes against the lowest tertiles were 0.15 (95% confidence interval (CI): 0.02-0.99), 0.50 (CI: 0.08-3.23), and 1.49 (CI: 0.36-6.22), respectively. Furthermore, a significantly lower odds ratio was observed in the higher vitamin C intake group (169-625 mg/d) with higher serum β-cryptoxanthin (1.88-10.53 μM) against the lower vitamin C intake group (47-168 mg/d) with lower serum β-cryptoxanthin (0.24-1.84 μM) used for the reference group (p<0.05). The combination of β-cryptoxanthin and vitamin C is inversely associated with the risk of developing osteoporosis in post-menopausal Japanese female subjects. PMID:27465725

  18. Alternative methods for the treatment of post-menopausal troubles [Alternative Methoden zur Behandlung postmenopausaler Beschwerden

    Directory of Open Access Journals (Sweden)

    Wasem, Jürgen

    2012-05-01

    Full Text Available [english] Menopause is described as the transition from the reproductive phase of a women to the non reproductive. Changes in hormone levels might lead to complaints and health consequences especially during peri- and postmenopause. Hormone therapy has a potential damaging health risk profile and is recommended for temporal limited therapy for acute vasomotor symptoms only.The present HTA-report aims to assess the effectiveness and the cost-effectiveness of alternative treatment methods for women with postmenopausal symptoms in Germany regarding patient relevant endpoints (reduction of symptoms and frequency of adverse events and improvement of quality of life.A systematic literature search was carried out in 33 relevant databases in September 2010. Citations were selected according to pre-defined criteria and were extracted and evaluated.In the systematic research 22 studies are identified for the effectiveness evaluation, 22 primary studies and one review.High doses of isolated genistein reduce the frequency/intensity of hot flashes while low doses of genistein show no significant effect. Intake of isoflavone extract such as genistein, daidzein, glycitein in various combinations does not have an effect on improvement of cognitive function or vaginal dryness. The effect of black cohosh and hop extract for menopausal complaints cannot be determined since results are heterogenous. The combination of isoflavone, black cohosh, monk’s pepper, valerian and vitamin E has a positive effect on menopause symptoms. Ginkgo biloba shows no significant effect on menopause symptoms and cognitive improvement beside mental flexibility. Acupuncture has a significant influence on hot flashes especially in severe cases.No final statement can be drawn regarding the effectiveness of alter­ne treatment methods due to qualitative shortcomings of included studies and a general limited availability of studies in this field. Furthermore, the generalization of the

  19. Symptomatic Ovarian Steroid Cell Tumor not Otherwise Specified in a Post-Menopausal Woman.

    Science.gov (United States)

    Sood, Neha; Desai, Kaniksha; Chindris, Ana-Maria; Lewis, Jason; Dinh, Tri A

    2016-06-28

    Steroid cell tumor not otherwise specified (NOS) is a rare subtype of sex cord stromal tumor of the ovary and contributes less than 0.1% of all ovarian neoplasms. The majority of tumors occur in pre-menopausal women (mean age: 43 years), in which 56-77% of patients present with virilization due to excess testosterone. An 80-year-old woman with worsening alopecia and excessive growth of coarse hair on abdomen and genital area was found to have elevated serum testosterone level (462 ng/mL). Radiologic studies were consistent with bilateral adrenal adenomas. Bilateral adrenal venous sampling ruled out the adrenal gland as origin of hormone secretion. A diagnostic and therapeutic bilateral salpingo-oophorectomy confirmed steroid cell tumor NOS of the left ovary. Post-operatively, the patient had complete resolution of her symptoms and normalization of testosterone level. Our case emphasizes the importance of a clinical suspicion for an occult testosterone secreting ovarian tumor in a symptomatic patient without obvious ovarian mass on imaging. PMID:27441075

  20. Treatment of generalized hyperhidrosis with oxybutynin in post-menopausal patients.

    Science.gov (United States)

    Kim, Won Oak; Kil, Hae Keum; Yoon, Kyung Bong; Yoo, Ji Hyun

    2010-05-01

    Postmenopausal hyperhidrosis is a form of secondary hyperhidrosis, and hormone-replacement therapy is a commonly used therapeutic option. However, some women do not benefit from this treatment, and oral anticholinergics are a logical alternative for reducing generalized sweating in these patients. Twenty-one patients were medicated with 5 or 10 mg of oxybutynin per day. After a 3-month follow-up period, efficacy was assessed with the Hyperhidrosis Disease Severity Scale (HDSS) and the Dermatology Life Quality Index (DLQI) was used to assess the improvement in patients' quality of life. The HDSS score was 3.2 +/- 0.4 (mean +/- SD) before medication and 1.9 +/- 0.4 after 3 months. The baseline DLQI score of 8.4 +/- 1.0 was reduced to 4.4 +/- 0.9. No serious side-effects or adverse events resulted from treatment. Oxybutynin was a well-tolerated, effective, and safe method for treating postmenopausal sweating. However, long-term medication and the limited effects of the treatment were disadvantages. PMID:20526549

  1. Symptomatic ovarian steroid cell tumor not otherwise specified in a post-menopausal woman

    Directory of Open Access Journals (Sweden)

    Neha Sood

    2016-06-01

    Full Text Available Steroid cell tumor not otherwise specified (NOS is a rare subtype of sex cord stromal tumor of the ovary and contributes less than 0.1% of all ovarian neoplasms. The majority of tumors occur in pre-menopausal women (mean age: 43 years, in which 56-77% of patients present with virilization due to excess testosterone. An 80-year-old woman with worsening alopecia and excessive growth of coarse hair on abdomen and genital area was found to have elevated serum testosterone level (462 ng/mL. Radiologic studies were consistent with bilateral adrenal adenomas. Bilateral adrenal venous sampling ruled out the adrenal gland as origin of hormone secretion. A diagnostic and therapeutic bilateral salpingooophorectomy confirmed steroid cell tumor NOS of the left ovary. Post-operatively, the patient had complete resolution of her symptoms and normalization of testosterone level. Our case emphasizes the importance of a clinical suspicion for an occult testosterone secreting ovarian tumor in a symptomatic patient without obvious ovarian mass on imaging.

  2. Study on reproductive endocrinological function in postmenopausal women treated with estriol

    International Nuclear Information System (INIS)

    Objective: To investigate the reproductive endocrinological function in postmenopausal women treated with ultralente estriol for 3 years. Methods: Serum levels of six reproductive hormones (FSH, LH, PRL, T, E2, P) were measured with RIA in 1) 136 normal 1-5yrs post-menopausal women 2) 48 post-menopausal women treated with estriol for 3 years 3) 131 healthy women of child-bearing age during follicular and luteal phases. Results: Serum levels of the six reproductive hormones in women of child-bearing age at both follicular and luteal phases were significantly different from those in post-menopausal women (p 2, P and T levels were not significant (p > 0.05). Conclusion: Serum reproductive hormones assay is important for monitoring hormone replacement therapy in aging women

  3. Study about xerostomia, salivary flow rate and systemic conditions of postmenopausal women

    Directory of Open Access Journals (Sweden)

    Flávia Lopes Carvalho

    2008-01-01

    Full Text Available Objective: To make a quantitative evaluation of salivary flow and occurrence of xerostomia in post-menopausal women, according to thesystemic condition related by the patients. Methods: The sample was composed of 20 post-menopausal women, who were submitted to anamnesis and completely stimulated sialometry. Results: The results revealed that 50% of the women examined related the presence of xerostomia; hyposalivation was more present than normal salivary flow and low salivary flow; among the patients who related having systemic ailments, cardiovascular diseases were the most frequent, followed by depression and nervousness. Conclusion: It was concluded that xerostomia and quantitative alteration in salivary flow are common among post-menopausal women, and that ailments of a psychological nature were shown to be related to the manifestation of xerostomia.

  4. Association of CYP2D6 and CYP2C19 polymorphisms and disease-free survival of Thai post-menopausal breast cancer patients who received adjuvant tamoxifen

    Directory of Open Access Journals (Sweden)

    Chamnanphon M

    2013-05-01

    .90%, and *36 (1 of 114, 0.90%; the CYP2C19 variant alleles were *2 (27 of 114, 23.70% and *3 (6 of 114, 5.30%. Kaplan–Meier estimates showed significantly shorter disease-free survival in patients with homozygous TT when compared to those with heterozygous CT or homozygous CC at nucleotides 100C>T and 1039C>T (CYP2D6*10 post-menopausal (log-rank test; P = 0.046. They also had increased risk of recurrence, but no statistically significant association was observed (hazard ratio 3.48; 95% confidence interval 0.86–14.07; P = 0.080.Conclusion: The CYP2D6 and CYP2C19 polymorphisms were not involved in tamoxifen efficacy. However, in the subgroup of post-menopausal women, the polymorphisms in CYP2D6 and CYP2C19 might be useful in predicting tamoxifen efficacy and clinical outcomes in breast cancer patients receiving adjuvant tamoxifen treatment. As the number of breast cancer patients was relatively small in this study, results should be confirmed in a larger group of prospective patients.Keywords: CYP2D6, CYP2C19, disease-free survival, tamoxifen, pharmacogenetics, breast cancer

  5. Study on the therapeutic effect of small dose of estradiol and progesterone on post-menopausal osteoporosis

    International Nuclear Information System (INIS)

    Objective: To explore the therapeutic effect and possible adverse side-effects of small dose of estradiol and progesterone on postmenopausal osteoporosis. Methods: Applying a GBD-928 mono-photon BMD radiometer, 68 women (past-menopausal over 3 years, age 52-59, body weight index 2 0.5 mg with MPA (medroxyprogesterone acetate) 0.5 mg daily. The medication laster for a whole years and BMD value was measured again. All subjects underwent gynecological physical examination, vaginal sonography, vaginal smear study and breast examination with infra-red ray both before and after the test period. Results: After one year medication, mean value of BMD in Group A was 0.49 ± 0.05, three percentage points higher than before. In Group B, this was 0.52 ± 0.06, another three percentage points higher. Ten Women with mild lobular hyperplasia and nine women with small uterine myoma (3) were all allocated to the hormone treated group. The lesions showed either little change or slight regression after the test period. Conclusion: Osteoporotic women receiving additional small doses of female hormones responded much better than those receiving calcium only. The WHI report which advised against HRT should be more critically studied

  6. The impact of vitamin D status on changes in bone mineral density during treatment with bisphosphonates and after discontinuation following long-term use in post-menopausal osteoporosis

    Directory of Open Access Journals (Sweden)

    Fogelman Ignac

    2007-01-01

    Full Text Available Abstract Background It is still unclear whether addition of calcium/vitamin D supplements leads to an incremental benefit in patients taking bisphosphonates and whether achievement of serum level of 25 (OH vitamin D of at least 70 nmol/L has an impact on the skeletal response to bisphosphonates. Moreover the maintenance of BMD after bisphosphonates withdrawal with the continuation of calcium/vitamin D supplements only, remains uncertain. The aims were to assess the impact of vitamin D status on changes in bone mineral density (BMD in firstly patients with post-menopausal osteoporosis on bisphosphonates and secondly following discontinuation of bisphosphonates after long-term use. Methods Two patient groups were recruited. The first study population comprised of 112 women treated with a bisphosphonate. The second study population consisted of 35 women who had been on bisphosphonates for > 5 years in whom the treatment agent was discontinued. Baseline BMD, changes in BMD following treatment, duration of treatment, serum 25 (OH vitamin D, parathyroid hormone (PTH, urine C-terminal telopeptides of type 1 collagen (CTX were obtained on the study participants. Results In the first study group, subjects with serum vitamin D concentrations (> 70 nmol/L had a significantly lower serum PTH level (mean [SEM] 41 2 ng/L. PTH concentrations of 41 ng/L or less was associated with a significantly higher increase in BMD at the hip following treatment with bisphosphonates compared to patients with PTH > 41 ng/L (2.5% [0.9] v/s -0.2% [0.9], P = 0.04. In the second study group, discontinuation of bisphosphonate for 15 months after long-term treatment did not result in significant bone loss at the lumbar spine and total hip, although a trend towards gradual decline in BMD at the femoral neck was observed. Conclusion the data suggest that optimal serum 25 (OH vitamin D concentration may lead to further reduction in bone loss at the hip in patients on bisphosphonates

  7. Two Belgian University Hospitals

    Directory of Open Access Journals (Sweden)

    M. Huylebrouck

    2012-01-01

    Full Text Available Background. Bevacizumab (BEV, a humanized immunoglobulin G1 monoclonal antibody that inhibits VEGF has demonstrated activity against recurrent high-grade gliomas (HGG in phase II clinical trials. Patients and Methods. Data were collected from patients with recurrent HGG who initiated treatment with BEV outside a clinical trial protocol at two Belgian university hospitals. Results. 19 patients (11 M/8 F were administered a total of 138 cycles of BEV (median 4, range 1–31. Tumor response assessment by MRI was available for 15 patients; 2 complete responses and 3 partial responses for an objective response rate of 26% for the intent to treat population were observed on gadolinium-enhanced T1-weighted images; significant regressions on T2/FLAIR were documented in 10 out of 15 patients (67%. A reduced uptake on PET was documented in 3 out of 4 evaluable patients. The six-month progression-free survival was 21% (95% CI 2.7–39.5. Two patients had an ongoing tumor response and remained free from progression after 12 months of BEV treatment. Conclusions. The activity and tolerability of BEV were comparable to results from previous prospective phase II trials. Reduced uptake on PET suggests a metabolic response in addition to an antiangiogenic effect in some cases with favorable clinical outcome.

  8. Modified Erxian Decoction Treatment of Post-menopause Patients with Microvascular Angina%二仙汤加味治疗绝经后微血管性心绞痛疗效观察

    Institute of Scientific and Technical Information of China (English)

    张玉芬; 陈艳秋; 陈钧; 刘镘利; 马静

    2012-01-01

    Objective: To observe the effects of modified Erxian decoction upon post-menopause patients with microvascular angina. Method: 80 post-menopause patients with microvascular angina were divided randomly into conventional treatment group ( control group ) and combined with modified Erxian decoction treatment group ( treatment group ) . After 4 weeks treatment, typical angina frequency and exercise ECG test were detected and compared within two groups. Results: After the combination with the modified Erxian decoction treatment, the angina attack frequency and ECG exercise test results were improved significantly compared with that in the control group. Conclusion: Modified Erxian decoction in combination with conventional drugs is the safe and effective treatment for post-menopause patients with microvascular angina.%目的:观察二仙汤加味治疗绝经后微血管性心绞痛的疗效.方法:将80例绝经后微血管性心绞痛患者随机分为常规治疗组(对照组)50例,伍用二仙汤治疗组(治疗组)30例.治疗4周后,比较两组心绞痛发作频率和心电图运动试验,包括ST段压低幅度的变化.结果:治疗组心绞痛发作频率和心电图运动试验结果显著改善,与对照组比较存在显著差异.结论:常规药物合二仙汤加味对绝经后微血管性心绞痛治疗安全有效.

  9. The uterine choriocarcinoma in postmenopausal women: specificities of diagnosis and treatment

    OpenAIRE

    Kaabia, Ons; Meddeb, Sawsen; Rhim, Mohamed Salah; Bibi, Mohamed; Khairi, Hedi

    2014-01-01

    Choriocarcinoma is a gestational trophoblastic tumor that mainly affects women of childbearing age. Cases of choriocarcinoma in postmenopausal women are exceptional. Through an observation and literature review, we propose to study the specific diagnosis and treatment features of this tumor in menopausal women. We report the observation of a pure uterine choriocarcinoma, which occurred in post-menopause. The diagnosis was made on the analysis of surgical specimens confirmed by measurement of ...

  10. Is candidiasis the true cause of vulvovaginal irritation in women with diabetes mellitus?

    OpenAIRE

    Rowe, B. R.; Logan, M N; Farrell, I; Barnett, A H

    1990-01-01

    Vulvovaginitis is common in diabetic women and is often treated with antifungal agents on the assumption that the causative organism is Candida albicans. In a survey of 100 consecutive diabetic women attending a diabetes clinic 36 had complained to their general practitioner about vulvovaginal irritation during the past three years and 26 were treated with antifungal agents without a vaginal examination or swabs being taken. In a separate study 27 post-menopausal women with non-insulin depend...

  11. Scintigraphic examinations during pregnancy and in breast-feeding women: a survey of Belgian nuclear medicine physician's attitudes; Examens scintigraphiques durant la grossesse et chez les femmes en periode d'allaitement: enquete a propos des attitudes pratiques des nuclearistes belges

    Energy Technology Data Exchange (ETDEWEB)

    Tondeur, M.; Ham, H. [Centre Hospitalier Universitaire Saint Pierre, Bruxellex (Belgium); Sand, A. [CEDRI, Vilvoorde (Belgium)

    2003-05-01

    Radiation protection is of major importance in pregnant and breast feeding women. This work was undertaken to assess the practices of Belgian nuclear medicine physicians towards performing diagnostic tests during pregnancy and in breast feeding women. A questionnaire was sent to 201 Belgian nuclear medicine physicians; 82 answers (41 %) were received. 51 % of the responding physicians agree to perform lung perfusion scan during pregnancy provided a reduced dose is administered, 33% refuse to perform it during first three months and 24% refuse to perform it for pregnancies older than three months. For the Tc-99m ventilation scan 79% and 66% refuse to perform it before and after first three months. Better agreement was observed for other Tc-99m scintigraphies or tests using other radionuclides. In breast feeding women 89% agree to perform Tc-99m tests provided a breast feeding break; however, the duration of this break appears variable. The need for obtaining a written informed consent appears controversial. Given the variability of the attitudes of nuclear medicine physicians, official guidelines for nuclear medicine diagnostic tests during pregnancy is needed. (authors)

  12. Vascular and Nutrigenomic effects of a long-term grapefruit juice consumption: a controlled randomized cross-over study in post-menopausal women

    OpenAIRE

    Habauzit, Veronique; Milenkovic, Dragan; Verny, Marie-Anne; Boby, Céline; Mazur, André; Dubray, Claude; Morand, Christine

    2013-01-01

    The consumption of some flavonoid rich foods has been shown to induce improvements in several intermediate markers of cardiovascular risk. Citrus fruits constitute a food source rich in a particular class of flavonoids, that of flavanones. Based on recent epidemiological data as well as on a large number of pre-clinical studies, citrus flavanones may exhibit interesting cardioprotective properties. However clinical evidences accounting for a benefit in consuming dietary flavanones to improve ...

  13. Polymorphisms in the P2X7 receptor gene are associated with low lumbar spine bone mineral density and accelerated bone loss in post-menopausal women

    DEFF Research Database (Denmark)

    Gartland, Alison; Skarratt, Kristen K; Hocking, Lynne J;

    2012-01-01

    The P2X7 receptor gene (P2RX7) is highly polymorphic with five previously described loss-of-function (LOF) single-nucleotide polymorphisms (SNP; c.151+1G>T, c.946G>A, c.1096C>G, c.1513A>C and c.1729T>A) and one gain-of-function SNP (c.489C>T). The purpose of this study was to determine whether th...

  14. The effect of Korean pine nut oil on in vitro CCK release, on appetite sensations and on gut hormones in post-menopausal overweight women

    NARCIS (Netherlands)

    Pasman, W.J.; Heimerikx, J.; Rubingh, C.M.; Berg, R. van den; O'Shea, M.; Gambelli, L.; Hendriks, H.F.J.; Einerhand, A.W.C.; Scott, C.; Keizer, H.G.; Mennen, L.I.

    2008-01-01

    Appetite suppressants may be one strategy in the fight against obesity. This study evaluated whether Korean pine nut free fatty acids (FFA) and triglycerides (TG) work as an appetite suppressant. Korean pine nut FFA were evaluated in STC-1 cell culture for their ability to increase cholecystokinin (

  15. Diagnostic efficacy of panoramic mandibular index to identify postmenopausal women with low bone mineral densities

    OpenAIRE

    Devi, B.K. Yashoda; Rakesh, Nagaraju; Ravleen, Nagi

    2011-01-01

    Objectives: The aim of the study was to compare and assess the accuracy of panoramic mandibular index (PMI) and antegonial index (AI) in the panoramic radiographs of postmenopausal women with normal and low skeletal bone mineral densities( BMD) diagnosed by using dual energy x-ray absorptiometry ( DXA). Study Design: In panoramic radiographs obtained from 40 post menopausal women( 20 normal and 20 osteoporo tic) aged between 50-75 who’s BMD has already been assessed by...

  16. A Belgian Approach to Learning Disabilities.

    Science.gov (United States)

    Hayes, Cheryl W.

    The paper reviews Belgian philosophy toward the education of learning disabled students and cites the differences between American behaviorally-oriented theory and Belgian emphasis on identifying the underlying causes of the disability. Academic methods observed in Belgium (including psychodrama and perceptual motor training) are discussed and are…

  17. Predictors of physical activity at 12 month follow-up after a supervised exercise intervention in postmenopausal women

    OpenAIRE

    Aparicio-Ting, Fabiola E; Farris, Megan; Courneya, Kerry S.; Schiller, Ashley; Friedenreich, Christine M.

    2015-01-01

    Background Few studies have examined recreational physical activity (RPA) after participating in a structured exercise intervention. More specifically, little is known about the long-term effects of exercise interventions in post-menopausal women. This study had two objectives: 1) To compare RPA in postmenopausal women in the exercise group and the control group 12 months after the end of the Alberta Physical Activity and Breast Cancer Prevention (ALPHA) Trial; and 2) To apply the Theory of P...

  18. Post-coital genital injury in healthy women

    DEFF Research Database (Denmark)

    Astrup, Birgitte Schmidt; Lykkebo, Annemette Wildfang

    2015-01-01

    , a single study of adolescent women, and none regarding post-menopausal women. Larger lesions requiring treatment are described casuistically. The purpose of this article is to provide a short, easy-to-read review of the literature regarding the prevalence and nature of female genital injury following......Female genital injury following penile sexual intercourse in healthy women is a matter of importance and debate in many parts of society. However, the literature on the subject is sparse. There are a few studies regarding minor injury that does not require treatment in adult, pre-menopausal women...

  19. Prevalence of Calcified Carotid Artery on Panoramic Radiographs in Postmenopausal Women

    OpenAIRE

    Taheri, Jamileh Beigom; Moshfeghi, Mahkameh

    2009-01-01

    Background and aims This study was designed to evaluate the prevalence of calcified carotid artery in 50 year-old and older postmenopausal dental outpatients for early diagnosis of individuals at risk of stroke. Materials and methods This is a descriptive study of 200 panoramic radiographs. These radiographs included post-menopausal women referring to the Department of Oral Medicine at Shahid Beheshti Faculty of Dentistry during 2006-2007. The x-ray machine, developer and film type were the s...

  20. Integrated modelling of the Belgian coastal zone

    OpenAIRE

    Delhez, E. J. M.; Carabin, G.

    2001-01-01

    The management of the water resources in coastal or delta plains asks for an integrated modelling of the water system at a regional scale. In the SALMON project, detailed descriptions of the groundwater, river and marine domains are provided by coupling appropriate numerical models of these different sub-systems.The application of this three-fold model to the Scheldt and Belgian Coastal Zone reveals a marked river plume extending along the Belgian Coast with strong offshore gradients. This pl...

  1. Strategic groups in the Belgian fishing fleet

    OpenAIRE

    Stouten, H.; A. HEENE; Gellynck, X.; Polet, H

    2011-01-01

    This study examines the heterogeneity of the Belgian fishing fleet based on “strategic groups”, a concept borrowed from the field of strategic management. Its objectives are: (1) to define strategic groups within the Belgian fishing fleet; (2) to examine the performance differences among these strategic groups; (3) to examine whether firms (i.e., vessels) move between strategic groups over time; and (4) to examine if firm-movement (i.e., vessel-movement) differs across strategic groups. In th...

  2. Benefits of Estrogen Replacement for Skeletal Muscle Mass and Function in Post-Menopausal Females: Evidence from Human and Animal Studies

    OpenAIRE

    Tiidus, Peter M.

    2011-01-01

    Age related loss of skeletal muscle mass and strength accelerates with the onset of menopause in women. Recent evidence from human and animal studies provides compelling evidence for the role of estrogen based hormone replacement therapy (HRT) in maintaining and enhancing muscle mass and strength and protecting against muscle damage. The physiological mechanisms by which estrogen can positively influence skeletal muscle mass and strength and protect against post-damage inflammation and disrup...

  3. Fatores associados à qualidade de vida após menopausa Factors related to quality of life in post-menopause

    Directory of Open Access Journals (Sweden)

    Dino Roberto Soares De Lorenzi

    2006-10-01

    Full Text Available OBJETIVO: Avaliar a qualidade de vida de mulheres na pós-menopausa. MÉTODOS: Estudo transversal de 323 mulheres pós-menopáusicas com idade entre 45 e 60 anos atendidas em um serviço universitário de atenção ao climatério entre junho e outubro de 2002. A qualidade de vida foi avaliada através do Women's Health Questionnaire. Na análise estatística, utilizou-se o teste t de Student e a análise de variância, seguidos de regressão linear múltipla. RESULTADOS: A qualidade de vida se mostrou comprometida entre a população estudada, em especial nos domínios relacionados a sintomas somáticos, humor deprimido e ansiedade. Por meio de análise multivariada, constatou-se que quanto menor a escolaridade (pOBJECTIVE: To assess quality of life of postmenopausal women. METHODS: A cross-section study of 323 women between 45 and 60 years of age attended at a university climacteric clinic from June to October 2002was carried out. Quality of life was assessed by the Women's Health Questionnaire (WHQ. Statistical analysis was performed with Student's t Test and analysis of variance, followed by multiple linear regression analysis. RESULTS: This study found quality of life impaired especially in the domains related to somatic symptoms, depressed mood, and anxiety. Multivariate analysis showed that lower educational level (p<0.01, frequency of sexual activity (p<0.01 and the confirmation of previous clinical co-morbidities (p=0.03 were associated to the worst scores of quality of life. On the other hand, regular physical activity was related to better quality of life (p=0.01. Hormone therapy, in particular, was not related to quality of life (p=0.48. CONCLUSION: Quality of life was found not only to be influenced by biological factors, but also by psychossocial and cultural factors. Middle aged women frequently attributed eventual symptoms associated to clinical co-morbidities or previous emotional difficulties to menopause, distorting their

  4. Association between the polymorphisms of angiotensin converting enzyme (Peptidyl-Dipeptidase A INDEL mutation (I/D and Angiotensin II type I receptor (A1166C and breast cancer among post menopausal Egyptian females

    Directory of Open Access Journals (Sweden)

    Rania Mohamed El Sharkawy

    2014-09-01

    Results: A statistically significant difference in AT1R A1166C SNP genotype frequencies was found among the studied groups. The patients group showed higher frequency of “CC” (2.9% vs 0% and “AC” (44.3% vs 24% and lower frequency of “AA” genotype (52.9% vs 76% than controls. The patients also showed significant higher frequency of allele “C” (25% vs 12% which was associated with increased breast cancer risk with an Odds ratio of 2.4444 (95% CI: 1.1967–4.9931. Testing the dominant model of inheritance revealed a statistically higher frequency of exposed genotypes “AC and CC” among the patients group (47.1% vs 24%, respectively; p = 0.013 with substantial increase in breast cancer risk among the exposed genotypes with an Odds ratio of 2.8243 (95% CI: 1.2679–6.2913. The present study demonstrated that (AC and CC genotypes of AT1R A1166C SNP and increased BMI can be considered as predictors for breast cancer risk among post menopausal Egyptian females. Results also revealed that A1166C SNP of AT1R gene and ACE/ID polymorphism could not be considered as predictors for breast cancer prognosis.

  5. Atividade física habitual e risco cardiovascular na pós-menopausa Habitual physical activity and cardiovascular risk in post menopause

    Directory of Open Access Journals (Sweden)

    Raimunda Beserra da Silva

    2006-08-01

    Full Text Available OBJETIVO: Avaliar a prevalência de atividade física habitual e risco cardiovascular em mulheres na pós-menopausa. MÉTODOS: Estudo de coorte transversal com 162 mulheres, entre 40 e 65 anos, em amenorréia há no mínimo 12 meses, acompanhadas no Ambulatório de Menopausa do CAISM/UNICAMP. As mulheres responderam oralmente o questionário International Physical Activity Questionnaire para avaliação do nível de atividade física, que abordou a freqüência e duração das atividades ocorridas durante uma semana normal, realizadas no transporte, trabalho, em casa e no lazer, classificando-as em sedentárias, insuficientemente ativas, ativas e muito ativas. Foram realizados exames laboratoriais para dosagem sérica de colesterol total, lipoproteína de alta densidade, lipoproteína de baixa densidade, triglicérides, glicemia de jejum e medidas de pressão arterial sistólica e diastólica. RESULTADOS: A média de idade das mulheres foi de 56,5 anos e idade na menopausa de 46 anos. A prevalência de atividade física foi de 83,3%, sendo que 2,5% foram classificadas como muito ativas, 80,8% ativas e 16,7% insuficientemente ativas. A maioria realizava atividades, principalmente no transporte e em casa, e apenas 38,3% realizavam atividade física durante o lazer. Nesta população, 87,7% das mulheres apresentavam escore de Framingham inferior a 10, considerado de baixo risco cardiovascular. CONCLUSÃO: Mulheres na pós-menopausa apresentam alta prevalência de atividade física habitual e baixa aderência ao exercício físico. O risco cardiovascular foi baixo na população estudada. É importante incentivar e orientar esta população a praticar atividade física compatível com suas condições físicas, estimulando a prática não somente da atividade física habitual, mas também do exercício físico.BACKGROUND: To evaluate the prevalence of habitual physical activity and cardiovascular risk in postmenopausal women. METHODS: A cross

  6. From pralines to multinationals. The economic history of Belgian chocolate

    OpenAIRE

    Garrone, Maria; Pieters, Hannah; Swinnen, Jo

    2015-01-01

    Belgium is associated with high-quality chocolate products and Belgian companies play an important role in cocoa processing. However, in historical perspective the global success and reputation of Belgian chocolate is a relatively recent phenomenon. Especially since the 1980s exports of "Belgian chocolates" have grown exponentially. We document the growth of the sector and discuss its determinants. Today, the very concept of "Belgian chocolate" faces challenges, as successful companies have b...

  7. Performance of X-ray absorptiometry in post-menopausal vertebral osteoporosis. Discriminant value of vertebral and femoral measurements, fracture threshold, reproducibility

    International Nuclear Information System (INIS)

    The aim of this study was to assess the performance of a new bone densitometry technique, X-ray absorptiometry, in vertebral osteoporosis with fracture(s). Vertebral and femoral (neck, Ward's triangle and trochanter) bone density was measured in 60 women with at least one vertebral compression fracture of osteoporotic origin (mean age: 61), 100 controls of the same age and in 40 young adults (mean age: 30). Osteoporosis patients had significantly (p2, this value giving the best compromise between sensitivity (83%) and specificity (95%) with 91% of subjects appropriately classifed. Reproducibility was assessed in the short term in 9 osteoporosis patients. The mean standard deviation of measurements was 0.017 g/cm2 (coefficient of variation: 2.6%) as compared with 0.010 g/cm2 (coefficient of variation: 0.8%) in the young adult. These results emphasise the true advance represented by X-ray absorptiometry in the area of bone densitometry, notably in the assessment and monitoring of demineralisation disorders

  8. Cross-sectional and longitudinal risk of physical impairment in a cohort of postmenopausal women who experience physical and verbal abuse

    OpenAIRE

    Cannell, M. Brad; Weitlauf, Julie C.; Garcia, Lorena; Andresen, Elena M; Margolis, Karen L.; Todd M. Manini

    2015-01-01

    Background Exposure to interpersonal violence, namely verbal and physical abuse, is a highly prevalent threat to women’s health and well-being. Among older, post-menopausal women, several researchers have characterized a possible bi-directional relationship of abuse exposure and diminished physical functioning. However, studies that prospectively examine the relationship between interpersonal abuse exposure and physical functioning across multiple years of observation are lacking. To address ...

  9. Tenofovir accelerates bone mass loss of the lumbar spine in the first years of menopause in HIV-infected women

    Directory of Open Access Journals (Sweden)

    E Garlassi

    2012-11-01

    Full Text Available Background: HIV-infected postmenopausal women have higher rates of bone loss than HIV negative women. We aimed to identify predictors of body mass density (BMD in HIV infected women entering menopause and to evaluate the pre- and post-menopausal BMD change, with regard to tenofovir (TDF use. Methods: Women with at least one DEXA measurement were enrolled. The observation period was divided into: “Reproductive period”, “Menopause transition period”, “Early menopause period”, “Late menopause period”. BMD of the lumbar spine (L1-4 and femur neck were measured by DEXA. Lowess smoothing curves were drawn to analyze impact of menopause and TDF on BMD. Three different longitudinal linear regression models with random effects were built. Longitudinal regression analysis fits cross sectional time series regression models and allows to analyze repeated measures for each patient. Results: Fifty-five women were included. Median age at enrollment was 46 years (IQ range 44–49. Median observation period was 16 months (IQ range 8; 23 and 33 months (IQ range 23; 72 for pre- and post-menopausal respectively. At enrollment mean CD4 cell count was 553 cell/mL (±269.62 and HIV-VL was undetectable in 77.5% of patients: 6 women were not undergoing ART. Most common backbone TDF/FTC (46.9% and ABC/3TC (20.4%. At the time of inclusion in the cohort osteopenia and ostoeporosis were present in 60% and 3.64%, respectively. At the time of last DEXA evaluation osteopenia and osteoporosis were present in 78.18% and 36.36%, respectively. The impact of menopause on lumbar BMD was depicted (fig. 1 using a lowess smoothing analysis according to current TDF exposure (as treated model. Lumbar BMD change predictors were years from menopause and TDF current exposure in the “Early menopause period” and years from menopause, Baseline lumbar BMD, BMI and vitD supplementation in the “Late menopause period”. Discussion: This is the first study analyzing BMD

  10. Performance communication of the Belgian Railway

    NARCIS (Netherlands)

    Gelders, Dave; Verckens, Jan Pieter; Galetzka, Mirjam; Seydel, Erwin

    2007-01-01

    Purpose – The purpose of this paper is to provide an insight into performance communication from an important public service, i.e. the Belgian Railway, towards its employees (internal) and stakeholders (external). Design/methodology/approach – A qualitative research approach was taken in the form o

  11. Advertising budgeting practices of Belgian industrial marketers.

    OpenAIRE

    François, Pierre

    2003-01-01

    The author reports on the results of a survey of a random sample of 102 belgian industrial companies, which measured which budget setting processes companies use, how they set budgets and the resulting budget composition. The objective of the study was first to compare the results with international practice, and second to try to explain their budgeting practices as a function of company, product and market characteristics measured in the same survey. The major conclusions are mixed : on the ...

  12. The Belgian Nuclear Higher Education Network

    International Nuclear Information System (INIS)

    Full text: BNEN, the Belgian Nuclear Higher Education Network has been created in 2001 by five Belgian universities and the Belgian Nuclear Research Centre (SCK-CEN) as a joint effort to maintain and further develop a high quality programme in nuclear engineering in Belgium. In a country where a substantial part of electricity generation will remain of nuclear origin for a number of years, there is a need for well educated and well trained engineers in this area. Public authorities, regulators and industry brought their support to this initiative. In the framework of the new architecture of higher education in Europe, the English name for this 60 ECTS programme is 'Master of Science in Nuclear Engineering'. To be admitted to this programme, students must already hold a university degree in engineering or equivalent. Linked with university research, benefiting from the human resources and infrastructure of SCK-CEN, encouraged and supported by the partners of the nuclear sector, this programme should be offered not only to Belgian students, but also more widely throughout Europe and the world. The master programme is a demanding programme where students with different high level backgrounds in engineering have to go through highly theoretical subjects like neutron physics, fluid flow and heat transfer modelling, and apply them to reactor design, nuclear safety and plant operation and control. At a more interdisciplinary level, the programme includes some important chapters of material science, with a particular interest for the fuel cycle. Radiation protection belongs also to the backbone of the programme. All the subjects are taught by academics appointed by the partner universities, whereas the practical exercises and laboratory sessions are supervised by researchers of SCK-CEN. The final thesis offers an opportunity for internship in industry or in a research laboratory. More information: http://www.sckcen.be/BNEN. (author)

  13. Optical remote sensing of Belgian coastal waters

    OpenAIRE

    Ovidio, F.; K. Ruddick; Vasilkov, A.; Burenkov, V.

    2001-01-01

    This paper summarises the research conducted at MUMM in optical remote sensing of Belgian coastal waters during the period 1997-2000. The motivation for this research consists of the need to provide information for marine environmental management of coastal eutrophication and sediment transport related problems. The basic products provided by optical remote sensing are maps of chlorophyll concentration and total suspended matter. A key contribution has been made for the atmospheric correction...

  14. The association between cardiorespiratory fitness and abdominal adiposity in postmenopausal, physically inactive South Asian women

    Directory of Open Access Journals (Sweden)

    I.A. Lesser

    2015-01-01

    Full Text Available In South Asians, a unique obesity phenotype of high abdominal fat is associated with increased cardiovascular risk. Low cardiorespiratory fitness (CRF is associated with abdominal fat and an increased risk of cardiovascular disease. The purpose of this paper is to determine whether CRF as assessed by VO2 peak, in post-menopausal South Asian women, was associated with body fat distribution and abdominal fat. Physically inactive post-menopausal South Asian women (n = 55 from the Greater Vancouver area were recruited and assessed from January to August 2014. At baseline, VO2 peak was measured with the Bruce Protocol, abdominal fat with CT imaging, and body composition with dual energy X-ray absorptiometry. ANOVA was used to assess differences in subcutaneous abdominal adipose tissue (SAAT, visceral adipose tissue (VAT and total abdominal adipose tissue (TAAT between tertiles of CRF. Bivariate correlation and multiple linear regression analyses explored the association between VO2 peak with SAAT, VAT, TAAT and body composition. Models were further adjusted for body fat and body mass index (BMI. Compared to women in the lowest tertile of VO2 peak (13.8–21.8 mL/kg/min, women in the highest tertile (25.0–27.7 mL/kg/min had significantly lower waist circumference, BMI, total body fat, body fat percentage, lean mass, SAAT, VAT and TAAT (p < 0.05. We found VO2 peak to be negatively associated with SAAT, VAT and TAAT, independent of age and body fatness but not independent of BMI. Further research is necessary to assess whether exercise and therefore improvements in CRF would alter SAAT, VAT and TAAT in post-menopausal South Asian women.

  15. Hormone-dependent effects of FGFR2 and MAP3K1 in breast cancer susceptibility in a population-based sample of post-menopausal African-American and European-American women

    OpenAIRE

    Timothy R Rebbeck; DeMichele, Angela; Tran, Teo V.; Panossian, Saarene; Bunin, Greta R.; Troxel, Andrea B.; Strom, Brian L

    2008-01-01

    FGFR2 and MAP3K1 are members of the RAS/RAF/MEK/ERK-signaling pathway and have been identified from genome-wide association studies to be breast cancer susceptibility genes. Potential interactions of these genes and their role with respect to tumor markers, hormonal factors and race on breast cancer risk have not been explored. We examined FGFR2 and MAP3K1 variants, breast tumor characteristics and hormone exposures in a population-based case–control sample of 1225 European-American (EA) and ...

  16. 运动对绝经后妇女骨量和骨代谢影响情况分析%The evaluation of effect of exercise therapy on bone mass and metabolism in women with post-menopause osteoporosis

    Institute of Scientific and Technical Information of China (English)

    周丽萍; 刘新; 王智红; 刘保华; 周维; 刘晓瑛

    2007-01-01

    目的:探讨运动对绝经后妇女骨密度和骨代谢的影响,并与药物治疗进行对比.方法:141例绝经后健康妇女随机分成3组,对照组46例,不进行任何干预措施;运动组50例,每周进行4~5次中等强度的体育运动,每次1~2 h;用药组45例,每日服用倍美安1粒+去甲基睾丸素2mg,连续8周.监测桡骨骨密度、AKP、尿CA/CR、尿HYP/CR.结果:运动组运动1年后骨密度明显增高,血AKP升高,尿CA/CR、尿HYP/CR减少,无副作用,用药组显效快且迅速.结论:运动可以提高绝经后妇女骨密度,减少骨丢失,无副作用,费用低,易于被接受,是一种预防绝经后骨质疏松的安全有效的方法,值得大力推广,特别是对于经济条件较差的人群.

  17. Clinical use of misoprostol for cervical ripening before transcervical procedures in non pregnant women: a randomized comparison of vaginal and sublingual administrations

    Directory of Open Access Journals (Sweden)

    T. Udhayakumari

    2015-01-01

    Conclusion: Even though we found sublingual route is an effective alternate to vaginal administration of misoprostol for cervical ripening before transcervical diagnostic procedures like endometrial biopsy, fractional curettage and dilatational curettage in non pregnant pre and post-menopausal women especially when women feel uncomfortable with vaginal route. However, the optimal dose and time interval remains to be identified. It needs larger randomized control trials are required to prove clinical significance if any. [Int J Res Med Sci 2015; 3(1.000: 30-35

  18. Focal epilepsy in the Belgian shepherd

    DEFF Research Database (Denmark)

    Berendt, Mette; Gulløv, Christina Hedal; Fredholm, Merete

    2009-01-01

    OBJECTIVES: To establish the mode of inheritance and describe the clinical features of epilepsy in the Belgian shepherd, taking the outset in an extended Danish dog family (199 individuals) of Groenendael and Tervueren with accumulated epilepsy. METHODS: Epilepsy positive individuals (living...... and deceased) were ascertained through a telephone interview using a standardised questionnaire regarding seizure history and phenomenology. Living dogs were invited to a detailed clinical evaluation. Litters more than five years of age, or where epilepsy was present in all offspring before the age of five......, were included in the calculations of inheritance. results: Out of 199 family members, 66 dogs suffered from epilepsy. The prevalence of epilepsy in the family was 33%. Fifty-five dogs experienced focal seizures with or without secondary generalisation, while four dogs experienced primary generalised...

  19. Effect of calcium and soy isoflavone supplementation on bone mineral density of women with different menstrual status

    Institute of Scientific and Technical Information of China (English)

    Asma Rashid; Rukhshan Khurshid; Asif Hanif; Mahjabeen Saleem; Latif Aftab

    2012-01-01

    In order to find out the effective alternative treatments in peri- and post-menopausal women,we carried out the research.Study design was observational experimental study with duration of 6 mon.A total of 250 female subjects were included in the study.Results showed that the bone mass density or T-score in menstruating women was increased after the use of calcium and showed a highly significant difference (P<0.001).In both peri- and post-menopausal women,the values of bone mass density or T-score was non significantly increased after the use of calcium.Values of bone mass density in peri- and postmenopausal women were significantly increased (P<0.001) after the use of phytoestrogen.It is concluded that phytoestrogen is a better treatment therapy of osteopenia/osteoporosis as compared to calcium treatment.However further research is needed in large number of women to meet a better conclusion.

  20. Women commencing anastrozole, letrozole or tamoxifen for early breast cancer: the impact of comorbidity and demographics on initial choice.

    Directory of Open Access Journals (Sweden)

    Anna Kemp

    Full Text Available Australian clinical guidelines recommend endocrine therapy for all women with hormone-dependent early breast cancer. Guidelines specify tamoxifen as first-line therapy for pre-menopausal women, and tamoxifen or an aromatase inhibitor (AI for post-menopausal women depending on the risk of recurrence based on tumour characteristics including size. Therapies have different side effect profiles; therefore comorbidity may also influence choice. We examined comorbidity, and the clinical and demographic characteristics of women commencing different therapies.We identified the first dispensing of tamoxifen, anastrozole or letrozole for women diagnosed with invasive breast cancer in the 45 and Up Study from 2004-2009 (N = 1266. Unit-level pharmacy and medical service claims, hospital, Cancer Registry, and self-reported data were linked to determine menopause status at diagnosis, tumour size, age, comorbidities, and change in subsidy restrictions. Chi-square tests and generalised regression models were used to compare the characteristics of women commencing different therapies.Most pre-menopausal women commenced therapy with tamoxifen (91%. Anastrozole was the predominant therapy for post-menopausal women (57%, followed by tamoxifen (28%. Women with osteoporosis were less likely to commence anastrozole compared with tamoxifen (anastrozole RR = 0.7, 95% CI = 0.5-0.9. Women with arthritis were 1.6-times more likely to commence letrozole than anastrozole (95% CI = 1.1-2.1. Tamoxifen was more often initiated in women with tumours >1 cm, who were also ≥75 years. Subsidy restriction changes were associated with substantial increases in the proportion of women commencing AIs (anastrozole RR = 4.3, letrozole RR = 8.3.The findings indicate interplay of comorbidity and therapy choice for women with invasive breast cancer. Most post-menopausal women commenced therapy with anastrozole; however, letrozole and tamoxifen were more often

  1. Dietary habits during adolescence - results of the Belgian Adolux Study

    OpenAIRE

    Paulus, Dominique; Saint-Remy, Annie; JeanJean, Michel

    2001-01-01

    STUDY: To analyse the usual dietary habits of Belgian adolescents from a high cardiovascular risk population. METHODS: A food frequency questionnaire (57 items) was administered to the whole sample. Complementary questions specified some types of food (eg fat content). A subgroup of 234 adolescents gave detailed information on portion size (picture book and food samples). SETTING: Twenty-four secondary schools in the Belgian province of Luxembourg. SUBJECTS: A total of 1,526 adolesce...

  2. Survival Among Belgian Centenarians (1870-1894 Cohorts)

    OpenAIRE

    Liu Yuzhi; Zhang Chunyuan; Foulon, M.; D. Chambre; Poulain, M.

    2001-01-01

    Poulain Michel, Chambre Dany, Foulon Michel.- Survival Among Belgian Centenarians (1870-1894 Cohorts) Calculating the probability of dying among post-centenarians is problematic and often flawed by a high risk of error. This is partly due to the unreliability of statistical data on centenarians, and partly to the small populations concerned. The Belgian centenarian database of over 4,000 centenarians in the 1870 to 1894 birth cohorts used here endeavours to compensate for these two failings. ...

  3. Immune activation in HIV-infected aging women on antiretrovirals--implications for age-associated comorbidities: a cross-sectional pilot study.

    Directory of Open Access Journals (Sweden)

    Maria L Alcaide

    Full Text Available Persistent immune activation and microbial translocation associated with HIV infection likely place HIV-infected aging women at high risk of developing chronic age-related diseases. We investigated immune activation and microbial translocation in HIV-infected aging women in the post-menopausal ages.Twenty-seven post-menopausal women with HIV infection receiving antiretroviral treatment with documented viral suppression and 15 HIV-negative age-matched controls were enrolled. Levels of immune activation markers (T cell immune phenotype, sCD25, sCD14, sCD163, microbial translocation (LPS and biomarkers of cardiovascular disease and impaired cognitive function (sVCAM-1, sICAM-1 and CXCL10 were evaluated.T cell activation and exhaustion, monocyte/macrophage activation, and microbial translocation were significantly higher in HIV-infected women when compared to uninfected controls. Microbial translocation correlated with T cell and monocyte/macrophage activation. Biomarkers of cardiovascular disease and impaired cognition were elevated in women with HIV infection and correlated with immune activation.HIV-infected antiretroviral-treated aging women who achieved viral suppression are in a generalized status of immune activation and therefore are at an increased risk of age-associated end-organ diseases compared to uninfected age-matched controls.

  4. Fuel cycle transition - A Belgian implementation scenario

    International Nuclear Information System (INIS)

    At the end of 2002 the total installed electric power in Belgium was 16,200 MWe of which 40% (6485 MWe) corresponds to the seven nuclear power plants installed on the two Belgian sites of Doel (4 power plants) and Tihange (3 power plants) and the 25% participation in the two French Units B1 and B2 at Chooz at the Belgian-French border. The nuclear installed power in Belgium is 5800 MWe. In 2003, the government decided to phase out the nuclear energy progressively by closing the Belgian NPPs after 40 years of operation. This means that the first generation units (Doel 1, Doel 2 and Tihange 1) will be closed in 2015 and the four other remaining units in 2022-2025. Nevertheless, this phase out is subject to various conditions: the guarantee of energy independence should not be affected and the engagement to respect the Kyoto agreement (reducing the CO2 production by 7.5% in 2010 as compared to the 1990 production). Thus the phase-out decision can be re-opened if the above mentioned conditions are not met. The paper has the following contents: 1. Introduction; 2. Actual fuel cycle; 3. Transition fuel cycle; 4. Calculations; 4.1. PWR modelling; 4.2. ADS modelling; 4.3. Calculation code; 5. Results; 5.1. PWR/EPR; 5.2. ADS; 6. Conclusions. In conclusion it is shown that the evaluated stock pile of waste in Belgium (with no increase of electricity demand) coming from the thermal reactors park is 4380 tons (52 t Pu, 9 t MA, 217 t FP) with phase out (i.e. between 1975, first PWR and 2025, last PWR) and 7825 tons (84 t Pu, 20 t MA, 381 t FP) without phase out (i.e. between 1975, first PWR and 2075, last EPR). According to this study, Belgium should keep all its first generation Pu for the eventual starting of the self burning FR. Indeed, the Pu needed to start the self burning FR is evaluated between 60 t and 90 t (based on 10 t to 15 t per GWe). With an homogeneous core loading, 54% of the MA could be eliminated after 24 years in three 600 MWth industrial ADS (corresponding

  5. Different compositions of pharmaceuticals in Dutch and Belgian rivers explained by consumption patterns and treatment efficiency

    NARCIS (Netherlands)

    Laak, ter T.L.; Kooij, P.J.F.; Tolkamp, H.; Hofman, J.

    2014-01-01

    In the current study, 43 pharmaceuticals and 18 transformation products were studied in the river Meuse at the Belgian-Dutch border and four tributaries of the river Meuse in the southern part of the Netherlands. The tributaries originate from Belgian, Dutch and mixed Dutch and Belgian catchments. I

  6. The Resilience Scale for Adults: Construct Validity and Measurement in a Belgian Sample

    Science.gov (United States)

    Hjemdal, Odin; Friborg, Oddgeir; Braun, Stephanie; Kempenaers, Chantal; Linkowski, Paul; Fossion, Pierre

    2011-01-01

    The Resilience Scale for Adults (RSA) was developed and has been extensively validated in Norwegian samples. The purpose of this study was to explore the construct validity of the Resilience Scale for Adults in a French-speaking Belgian sample and test measurement invariance between the Belgian and a Norwegian sample. A Belgian student sample (N =…

  7. A CO2-strategy for BTC [Belgian Development Agency

    Energy Technology Data Exchange (ETDEWEB)

    Bailly, J. [Prospect C and S, Brussels (Belgium); Hanekamp, E. [Partners for Innovation, Amsterdam (Netherlands)

    2008-09-15

    The CO2 footprint is determined the CO2 strategy is developed for the Belgian Technical Cooperation (BTC). BTC is the Belgian agency for development cooperation, and finances development projects in 23 partner countries. The CO2 footprint covered BTC's activities in 2007 in all their offices worldwide. Footprint and strategy were finalised and adopted by the Executive Board at the end of 2008. Meanwhile, the BTC began with the introduction of the proposed strategy. Partners for Innovation and Prospect were asked to support the introduction of the strategy and to determine the CO2 footprint of 2008.

  8. Validation of the IMMIDIET food frequency questionnaire in an adult Belgian population: a report from the Belgian case-control study on bladder cancer risk.

    Science.gov (United States)

    Brinkman, M T; Kellen, E; Zeegers, M P; van Dongen, M C J M S; Dagnelie, P C; Muls, E; Buntinx, F

    2011-01-01

    We evaluated the performance of the IMMIDIET food frequency questionnaire (FFQ) used to collect dietary data for the Belgian case-control study on bladder cancer. Thirty-seven men and women aged 50 years and older were recruited from the University Hospital in Leuven, Belgium. Participants completed the IMMIDIET FFQ, a 7-day diet diary and a 24-hour diet recall. Median intakes and inter-quartile ranges were calculated for 27 foods and nutrients from each dietary assessment method. All dietary factors were log-transformed and adjusted for energy using the nutrient density method. Pearson correlation coefficients were used to compare the different dietary assessment methods. Bland-Altman plots were also used to assess levels of agreement between the dietary methods. Energy, fruit and vegetable intake estimates were higher from the IMMIDIET FFQ compared with the two reference methods.The highest deattenuated correlations between the FFQ and 7-day diary were meat (0.58), bread (0.44), fruit (0.38) and fish (0.38). The highest deattenuated correlations between the FFQ and 24-hour recall were for fruit (0.72), fat (0.48), alcohol (0.44), cholesterol (0.42), monounsaturated fatty acid (0.42) and polyunsaturated fatty acid (0.41). Generally, correlation was lower for the micro-nutrients except for phosphorus (0.42), vitamin C (0.41) and calcium (0.40). The IMMIDIET FFQ is an appropriate instrument to measure usual dietary intake for the Belgian case-control study on bladder cancer risk. Further investigation of nutritional assessment methods is necessary. PMID:21485759

  9. EC initiatives promise mixed blessings: a Belgian utility perspective

    International Nuclear Information System (INIS)

    The potential effects on nuclear power of European Community initiatives are analysed from the viewpoint of a Belgian utility. The initiatives fall under the three broad headings of: East-West co-operation; completing the internal market; and carbon dioxide emission. (Author)

  10. The attitudes of Belgian adolescents towards peers with disabilities

    NARCIS (Netherlands)

    Bossaert, Goele; Colpin, Hilde; Pijl, Sip Jan; Petry, Katja

    2011-01-01

    This study aimed to explore Belgian adolescents' attitudes towards peers with disabilities and to explore factors associated with these attitudes. Based on the theory of persuasive communication, this study focused on receiver variables (the "whom"), characteristics of students with disabilities ("c

  11. Will Dutch Become Flemish? Autonomous Developments in Belgian Dutch

    Science.gov (United States)

    Van de Velde, Hans; Kissine, Mikhail; Tops, Evie; van der Harst, Sander; van Hout, Roeland

    2010-01-01

    In this paper a series of studies of standard Dutch pronunciation in Belgium and the Netherlands is presented. The research is based on two speech corpora: a diachronic corpus of radio speech (1935-1995) and a synchronic corpus of Belgian and Netherlandic standard Dutch from different regions at the turn of the millennium. It is shown that two…

  12. Continuing Vocational Training in Belgian Companies: An Upward Tendency

    Science.gov (United States)

    Buyens, Dirk; Wouters, Karen

    2005-01-01

    Purpose: As part of the European continuing vocational training survey, this paper aims to give an overview of the evolutions in continuing vocational training (CVT) in Belgian companies, by comparing both the results of the survey of 1994 and those of 2000/2001. Design/methodology/approach: In Belgium 1,129 companies took part in the survey of…

  13. The impact of EU law on Belgian consumer law terminology

    NARCIS (Netherlands)

    Cauffman, C.

    2012-01-01

    The implementation of EU directives in the field of consumer law distorted the Belgian legal terminology. In particular, consumer law terminology often differs from civil law terminology. The meaning of traditional civil law concepts is no longer respected in the field of consumer law. Moreover, the

  14. Exploring Pupils' Perceptions of Teacher Racism in Their Context: A Case Study of Turkish and Belgian Vocational Education Pupils in a Belgian School

    Science.gov (United States)

    Stevens, Peter A. J.

    2008-01-01

    This article employs ethnographic data gathered from one Belgian (Flemish) secondary school to explore the meaning Belgian and Turkish-speaking minority pupils enrolled in technical and vocational education attach to teacher racism and racial discrimination, and to explore variations between pupils in making claims of teacher racism. A symbolic…

  15. Tai Chi for osteopenic women: design and rationale of a pragmatic randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Fischer Mary

    2010-03-01

    Full Text Available Abstract Background Post-menopausal osteopenic women are at increased risk for skeletal fractures. Current osteopenia treatment guidelines include exercise, however, optimal exercise regimens for attenuating bone mineral density (BMD loss, or for addressing other fracture-related risk factors (e.g. poor balance, decreased muscle strength are not well-defined. Tai Chi is an increasingly popular weight bearing mind-body exercise that has been reported to positively impact BMD dynamics and improve postural control, however, current evidence is inconclusive. This study will determine the effectiveness of Tai Chi in reducing rates of bone turnover in post-menopausal osteopenic women, compared with standard care, and will preliminarily explore biomechanical processes that might inform how Tai Chi impacts BMD and associated fracture risks. Methods/Design A total of 86 post-menopausal women, aged 45-70y, T-score of the hip and/or spine -1.0 and -2.5, have been recruited from primary care clinics of a large healthcare system based in Boston. They have been randomized to a group-based 9-month Tai Chi program plus standard care or to standard care only. A unique aspect of this trial is its pragmatic design, which allows participants randomized to Tai Chi to choose from a pre-screened list of community-based Tai Chi programs. Interviewers masked to participants' treatment group assess outcomes at baseline and 3 and 9 months after randomization. Primary outcomes are serum markers of bone resorption (C-terminal cross linking telopeptide of type I collagen, bone formation (osteocalcin, and BMD of the lumbar spine and proximal femur (dual-energy X-ray absorptiometry. Secondary outcomes include health-related quality-of-life, exercise behavior, and psychological well-being. In addition, kinetic and kinematic characterization of gait, standing, and rising from a chair are assessed in subset of participants (n = 16 to explore the feasibility of modeling skeletal

  16. Endocrine identification of menopausal status of Sudanese women

    International Nuclear Information System (INIS)

    the early peri-menopause with mild signs and symptoms to the late peri-menopausal stage which almost resembles the post-menopause. The new classification system using its three key tools had successfully classified the heterogeneous peri-menopausal stage into three distinct sub-classes with characteristic hormonal and symptomatic manifestation for each. The three subclasses are early peri-menopausal women who are characterized by presence of normal hormonal levels (FSH and LH) but who suffer amenorrhea. FSH level of this subclass although within the normal range, it is higher than that of the preceding class pre-menopausal stage, but the difference is not statistically significant. Therefore, women who suffer irregular cycles and amenorrhea due to other endocrine causes (hyperprolactinaemia, hypo- and hyperthyroidism, etc) can be mis classified as early peri-menopausal. Therefore, the other endocrine causes should be ruled out before including them in this subclass by measurement of respective hormones, namely, prolactin and TSH levels. The second subclass is the med peri-menopausal women who are characterized by elevated FSH levels but unlike the preceding subclass they do not suffer amenorrhea, the reason for this is not clear, but it seems the ovary is still secreting sufficient oestrogen levels to prime the uterus and maintains regular menstrual cycles. However, further research with a larger sample size is needed to clarify this situation. The third subclass is the late peri-menopausal women who are having elevated FSH levels, but normal LH levels and they suffer amenorrhea, indicating the beginning of cessation menstruation. The new classification scheme indicated that LH levels increase sharply immediately after menopause signaling the end of reproductive life and beginning of the post menopausal life. The new classification scheme indicated that early post-menopausal women are those who have elevated FSH and LH, but who experience a menstrual cycle during the

  17. Legal claims against Belgian reactors?; Rechtsmittel gegen belgische Reaktoren?

    Energy Technology Data Exchange (ETDEWEB)

    Raetzke, Christian [CONLAR Consulting on Nuclear Law and Regulation, Leipzig (Germany)

    2016-06-15

    The Belgian reactors Tihange 2 and Doel 3 have been restarted in November 2015 after the problem of hydrogen flakes in the reactor pressure vessels had been investigated. The permission to restart has been the object both of critical statements by the German Federal Ministry of the Environment (BMUB) and of lawsuits filed with Belgian law courts by a group of German municipalities led by the city of Aachen and by the Land North-Rhine-Westphalia. According to a general principle of the law of nations, a state is not permitted to operate installations near its border, which cause significant environmental damage in a neighbouring state. However, it is not quite clear how this principle applies to the issue of potential accidents of nuclear power plants. According to the author, a tangible threat of an accident is required; mere doubts and concerns about the extent of safety margins are not sufficient.

  18. The Mandate System for the Belgian Public Prosecution

    Directory of Open Access Journals (Sweden)

    Bruno BROUCKER

    2009-12-01

    Full Text Available The law of 22 December 1998 introduced the mandate system for the heads of the Public Prosecution offices, which were appointed permanent before that. Theoretically, such a system needs to enhance, within the organization, effectiveness, efficiency, responsabilisation, and goal-orientation. However, the mandate system within the Belgian Public Prosecution was introduced prematurely, for dubious reasons and in a precipitate manner. In the current situation, the position of the mandate holder is uncertain, with a bounded autonomy and a low wage increase. Moreover, it remains impossible to intervene in the policy of appointed heads of office (during their mandate, the efficiency and effectiveness is only increased in some prosecution offices and a contract containing actual management responsibilities is absent. In sum: there is a large gap between the theoretical principles of mandate systems and the way it is introduced in the Belgian Public Prosecution.

  19. Belgian modified classification of Maastricht for donors after circulatory death

    OpenAIRE

    Evrard, Patrick; Belgian Working Group on DCD National Protocol; Lois, Fernande; Darius, Tom; De Pauw, Luc; Hantson, Philippe; Jacquemin, Dominique; Schamps, Geneviève; Van Deynse, Dominique; Rondelet, Benoît; Verschuren, Franck

    2014-01-01

    BACKGROUND: "Non-heart-beating donors," or, in a more recent and international definition, "donors after circulatory death," are a potential and additional group of deceased persons who are able to add organs to the pool. METHODS: A new classification is proposed on the basis of the result of a consensus of experts issued from all Belgian transplant centers. RESULTS: The first level of definition is simple and based on whether the situation is uncontrolled (categories I and II) or contr...

  20. Auditor Choice in the Belgian Nonprofit Sector: a Behavioral Perspective

    OpenAIRE

    REHEUL, Anne-Mie; Van Caneghem, Tom; Verbruggen, Sandra

    2011-01-01

    This study investigates auditor choice in Belgian nonprofit organizations from a behavioral perspective. We investigate whether auditor choice in favor of an auditor with a high (versus low) level of sector specialization is associated with the importance that nonprofit organizations attach to six auditor attributes: competence/integrity/deontology, working relationship with management, audit fee, practical execution of the audit, client oriented analysis and suggestions, and sector expertise...

  1. The Attitudes of Belgian Adolescents towards Peers with Disabilities

    OpenAIRE

    Bossaert, Goele; Colpin, Hilde; Pijl, Sip Jan; Petry, Katja

    2011-01-01

    This study aimed to explore Belgian adolescents' attitudes towards peers with disabilities and to explore factors associated with these attitudes. Based on the theory of persuasive communication, this study focused on receiver variables (the "whom"), characteristics of students with disabilities ("concerning who") and channel ("how"). An online survey was created and published on several popular websites for youngsters. Attitudes were assessed by means of the CATCH questionnair...

  2. A survey of bacteria found in Belgian dairy farm products

    OpenAIRE

    N'Guessan, E.; Godrie, T.; de Laubier, J.; di Tanna, S.; Ringuet, M.; Sindic, M.

    2015-01-01

    Description of the subject. Due to the potential hazards caused by pathogenic bacteria, farm dairy production remains a challenge from the point of view of food safety. As part of a public program to support farm diversification and short food supply chains, farm dairy product samples including yogurt, ice cream, raw-milk butter and cheese samples were collected from 318 Walloon farm producers between 2006 and 2014. Objectives. Investigation of the microbiological quality of the Belgian dairy...

  3. Internal finance and corporate investment: Belgian evidence with panel data

    OpenAIRE

    Barran, Fernando; Peeters, Marga

    1998-01-01

    In this paper the corporate investment decision under financial restrictions is investigated with Belgian firm data from 1984 to 1992. An investment Euler equation is derived from a dynamic optimization model with debt ceilings and an elastic credit supply. The model is estimated by GMM for different firm groups. An important aspect is that the sample is split according to a firm’s association with coordination centers. These centers have become the major external funding source of corpora...

  4. Dietary Intake of Artificial Sweeteners by the Belgian Population

    OpenAIRE

    Huvaere, Kevin; Vandevijvere, Stefanie Marie; Hasni, Moez; Vinkx, Christine; Van Loco, Joris

    2011-01-01

    Abstract In this study it was investigated whether the Belgian population older than 15 years was at risk of exceeding ADI levels of acesulfame-K, saccharin, cyclamate, aspartame, and sucralose through assessment of usual dietary intake of artificial sweeteners and specific consumption of table-top sweeteners. The conservative Tier 2 approach, for which an extensive label survey was performed, showed that mean usual intake was significantly lower than the respective ADIs for all sw...

  5. Characteristics and challenges of the modern Belgian veal industry

    OpenAIRE

    Pardon, Bart; CATRY, Boudewijn; Boone, Randy; Theys, Hubert; De Bleecker, Koen; Dewulf, Jeroen; Deprez, Piet

    2014-01-01

    In this paper, the modern Belgian veal industry is situated in a European context, and an overview is provided of the major past, present and future challenges for veal production. The production of white veal requires a specific diet and housing conditions to assure a controlled iron anemic state resulting in pale carcasses. In response to the increasing public concern about animal welfare, legal limits for hemoglobin (in 1990), the provision of a minimum quality of solid feed to assure rumi...

  6. Assessment of marine debris on the Belgian Continental Shelf

    OpenAIRE

    Van Cauwenberghe, L.; Claessens, M.; Vandegehuchte, M.B.; Mees, J.; Janssen, C. R.

    2013-01-01

    A comprehensive assessment of marine litter in three environmental compartments of Belgian coastal waters was performed. Abundance, weight and composition of marine debris, including microplastics, was assessed by performing beach, sea surface and seafloor monitoring campaigns during two consecutive years. Plastic items were the dominant type of macrodebris recorded: over 95% of debris present in the three sampled marine compartments were plastic. In general, concentrations of macrodebris wer...

  7. Sustainable groundwater extraction in coastal areas: a Belgian example

    OpenAIRE

    Vandenbohede, A.; Van Houtte, E.; Lebbe, L.

    2009-01-01

    Water extractions in coastal areas have to deal with salt water intrusion and lowering of hydraulic heads in valuable ecosystems. Therefore, sustainable management of fresh water resources in these areas is crucial. This is illustrated here with two water extractions in the western Belgian coastal plain which extract groundwater from a phreatic dune aquifer. One water extraction faced problems with salt water intrusion, while lowering of hydraulic heads was an issue for both. To remedy the sa...

  8. Crisis behind the figures? Belgian trade unions between strength, paralysis and revitalisation

    OpenAIRE

    Faniel, Jean

    2012-01-01

    Unlike most of the trade unions in European countries, Belgian unions managed to preserve a high and stable union density, and strong institutional positions. However, their situation is not blissful and the condition of both the workforce and the unions has been worsening for three decades. This article looks at the strengths and weaknesses of Belgian unions and presents four initiatives of union revitalisation recently developed. The argument is that Belgian unions do not fully size the sco...

  9. IS OXYTOCIN A KEY HORMONE FOR GENE REGULATION AND PHYSIOLOGICAL FUNCTION IN POSTMENOPAUSAL WOMEN; AN INQUEST INTO POSSIBLE MECHANISMS?

    Directory of Open Access Journals (Sweden)

    Manoj G Tyagi

    2012-12-01

    Full Text Available Oxytocin (OT is a pituitary hormone and acts on the oxytocin receptor which are expressed in the brain, heart, kidney and blood vessels. OT has been implicated in its role in social bonding, and oxytocin's role in the parasympathetic nervous system includes the control of memory and learning processes and of various types of behaviour such as feeding, locomotion, as well as maternal and sexual behaviour. Oxytocin is also suggested to participate in the control of cardiovascular functions, thermoregulation, and pain threshold and fluid balance. Inefficient thermoregulation leads to hot flashes, and is associated with memory loss is a common symptom of menopause. Several studies suggest that the use of oxytocin and additional substances that amplify its effects can be used for treating weight changes, mood swings, hot flushes, somatic discomfort, dry and ulcerous mucous membranes, fissures, and bone loss during pre-menopause, menopause itself and post menopause. This review suggests its possible role in gene regulation and physiological function in post menopausal women and the possible mechanisms.

  10. Planning and implementation of the Belgian nuclear programme

    International Nuclear Information System (INIS)

    In the first part of the paper, the authors recall Belgian conditions, initially as regards primary energy (high degree of energy consumption and high degree of dependence on other countries), and then as regards electricity (divided up according to energy sources and types of producer). In the second part, the method used in Belgium for planning electrical power production is explained. Particular emphasis is placed on both the economic and technical assumptions made (trends in fuel costs, method of calculating investment costs, etc.). The development required, for the period 1982-92, of the means of production is stated in the light of the assumptions made. Fuel cycle planning (front and back ends) is also described with a review of the principal stages, namely supply of natural uranium, enrichment, reprocessing, treatment of irradiated fuel, and geological storage of wastes. The third and last part of the paper looks back at events in the implementation of the Belgian nuclear programme in chronological order. The beginnings of nuclear development in Belgium are recalled, as is the decision to construct the first three units (Doel 1, Doel 2 and Tihange 1), which were completed and put into service in 1975. The programme now under way is also briefly described, together with the characteristics of Belgian power stations, especially those concerned with safety. In conclusion, the paper outlines the main advantages of the nuclear option for a country as vulnerable where energy is concerned, as Belgium. (author)

  11. 鲑鱼降钙素对绝经后骨质疏松性椎体骨折的治疗干预%EFFECTS OF SALMON CALCITONIN ON THE HEALING OF POST-MENOPAUSAL OSTEOPOROSIS AND VERTEBRAE FRACTURES OF THE FEMALE

    Institute of Scientific and Technical Information of China (English)

    钟俊; 刘世清

    2011-01-01

    Objectives: To probe the advangtages of treatment of post-menopausal osteoporosis vertebrae fractures with miacalcic. Methods: 97 patients of post-menopausal osteoporosis vertebrae fractures were selected to investigate the therapeutic effects of Miacalcic and compared with control group. Miacalcic group were treated with injecting Miacalcic 50IU/d on top of routine orthopedic treatment, and patients of control group were only treated with basic orthpaedic treatment. Results: A significant increase in serum bone glaprotein ( BGP) were found in Miacalcic group (t = 3.002, P < 0.01) and a significant decrease in urinary hydroxyproline/creatinine ratio (t = 7.21,P<0.01),as compared to the control after one month of treatment. The average time of fracture healing of Miacalcic group patients were shorter then that of control group. The back pain of Miacalcic group patients disappeared after four weeks of treatment. Conclusions: This study showed that Miacalcic was effective for the treatment of osteoporosis in post-menopausal female and beneficial to the healing of fracture and reducing the back pain.%目的:探讨女性绝经后骨质疏松性椎体骨折的鲑鱼降钙素治疗效果.方法:(1)选择2006年3月至2008年2月武汉大学人民医院骨科女性绝经后骨质疏松性椎体骨折患者97例.患者被随机分为2组:对照组44例,治疗组(鲑鱼降钙素组)53例.(2)两组患者均行卧硬板床、腰背部或胸背部垫软枕,口服钙尔奇D片等治疗.鲑鱼降钙素组在对照组干预措施基础上给予鲑鱼降钙素肌注,50IU/1次/d,连续1个月.(3)分别于治疗前、治疗后1个月采用放射免疫分析法测定血骨钙素、收集晨起第2次尿,偶氮三肿法测定尿钙、化学发光免疫分析法测定尿羟脯氨酸、碱性苦味酸法测定尿肌酐,并计算尿钙/尿肌酐与尿羟脯氨酸/尿肌酐比值.(4)开始治疗后4,6,8周复查脊柱X光正侧位片.了解骨折愈合情况.(5)分别与治疗后2、4周

  12. Heart rate variability characteristics in sedentary postmenopausal women following six months of exercise training: the DREW study.

    Directory of Open Access Journals (Sweden)

    Conrad P Earnest

    Full Text Available BACKGROUND: Decreased heart rate variability (HRV is associated with a higher risk of mortality. Overall, postmenopausal women have lower levels of HRV than premenopausal women, which may be additionally complicated by lifestyle related behaviors such as physical inactivity and obesity. Though cardiorespiratory exercise training increases HRV, little is known regarding the exercise dose necessary to promote this improvement. METHODOLOGY/PRINCIPAL FINDINGS: Our primary aim was to measure HRV in post-menopausal women following 6-months of exercise training. We examined supine resting HRV in 373 post-menopausal women (45-75 y after 6-months of randomly assigned and double-blinded administered exercise training exercise training at 50%, 100% and 150% of the NIH Consensus Development Panel's recommended minimal physical activity level. This corresponded to 4, 8, or 12 kcal/kg per week (KKW of energy expenditure. At baseline, we observed no significant differences in HRV or hormone replacement use between treatment groups. However, we did observe that Caucasian women and those taking antidepressant medications had lower levels of baseline HRV. After 6-months of exercise intervention, we observed a dose dependent increase in all parasympathetically derived time and frequency domain measurements across exercise groups after adjustment for age, ethnicity, antidepressants, and baseline rMSSD (all, P<0.001. For example, the parasympathetic index rMSSD was greater than control (23.19+/-1.0 for the 4-KKW (25.98+/-0.8; P = 0.14, 8-KKW (27.66+/-1.0; P<0.05, and 12-KKW (27.40+/-0.0; P<0.05 groups at follow-up. CONCLUSIONS/SIGNIFICANCE: Moderate intensity exercise training exercise is sufficient to improve HRV in previously sedentary postmenopausal women in a dose-dependent manner, as 4-KKW is insufficient to improve parasympathetic indices of HRV, while 12-KKW conferred no greater improvement than 8-KKW. TRIAL REGISTRATION: Clinicaltrials.gov NCT 00011193.

  13. Urinary isoflavonoids and risk of type 2 diabetes: a prospective investigation in US women.

    Science.gov (United States)

    Ding, Ming; Franke, Adrian A; Rosner, Bernard A; Giovannucci, Edward; van Dam, Rob M; Tworoger, Shelley S; Hu, Frank B; Sun, Qi

    2015-11-28

    To examine the association between urinary excretion of isoflavonoids and risk of type 2 diabetes (T2D), we conducted a nested case-control study among 1111 T2D pairs identified during 1995-2008 in the Nurses' Health Study (NHS) and NHSII, who were free of diabetes, CVD and cancer at urine sample collection. Urinary excretion of daidzein and genistein, as well as their metabolites O-desmethylangolensin (O-DMA), dihydrogenistein (DHGE) and dihydrodaidzein (DHDE) was assayed using liquid chromatography MS. Self-reported T2D incident cases were confirmed using a validated questionnaire. Higher urinary excretion of daidzein and genistein was associated with a lower risk of T2D in the combined cohorts. Comparing extreme tertiles of the urinary markers, the OR of T2D were 0·71 (95 % CI 0·55, 0·93) for daidzein and 0·74 (95 % CI 0·56, 0·97) for genistein, although the test for linear trend was not significant for genistein (P trend=0·03 and 0·15, respectively). DMA, DHDE and DHGE were non-significantly associated with a lower T2D risk. The inverse association of daidzein with T2D risk was stronger among post-menopausal women who did not use hormone replacement therapy (P interaction=0·001): the OR was 0·58 (95 % CI 0·34, 0·97) comparing extreme tertiles among these women. In conclusion, urinary excretion of isoflavones was associated with a lower T2D risk in US women, especially among post-menopausal women who did not use hormone. Further research is warranted to replicate these observations among western populations with similarly low overall isoflavone intake. PMID:26370252

  14. Hypnosis for hot flashes among postmenopausal women study: A study protocol of an ongoing randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Johnson Aimee K

    2011-10-01

    Full Text Available Abstract Background Hot flashes are a highly prevalent problem associated with menopause and breast cancer treatments. The recent findings from the Women's Health Initiative have important implications for the significance of a non-hormonal, mind-body intervention for hot flashes in breast cancer survivors. Women who take hormone therapy long-term may have a 1.2 to 2.0 fold increased risk of developing breast cancer. In addition, it is now known that hormone therapy with estrogen and progestin is associated with increased risk of cardiovascular disease and stroke. Currently there are limited options to hormone replacement therapy as non-hormonal pharmacological agents are associated with only modest activity and many adverse side effects. Because of this there is a need for more alternative, non-hormonal therapies. Hypnosis is a mind-body intervention that has been shown to reduce self-reported hot flashes by up to 68% among breast cancer survivors, however, the use of hypnosis for hot flashes among post-menopausal women has not been adequately explored and the efficacy of hypnosis in reducing physiologically measured hot flashes has not yet been determined. Methods/design A sample of 180 post-menopausal women will be randomly assigned to either a 5-session Hypnosis Intervention or 5-session structured-attention control with 12 week follow-up. The present study will compare hypnosis to a structured-attention control in reducing hot flashes (perceived and physiologically monitored in post-menopausal women in a randomized clinical trial. Outcomes will be hot flashes (self-report daily diaries; physiological monitoring; Hot Flash Related Daily Interference Scale, anxiety (State-Trait Anxiety Inventory; Hospital Anxiety and Depression Scale (HADS; anxiety visual analog scale (VAS rating; depression (Center for Epidemiologic Studies Depression Scale, sexual functioning (Sexual Activity Questionnaire, sleep quality (Pittsburgh Sleep Quality Index and

  15. Regional osteoporosis in western Sydney women

    Energy Technology Data Exchange (ETDEWEB)

    Larcos, G.; Lawson-Smith, R. [Westmead Hospital, Westmead, NSW (Australia). Department of Nuclear Medicine and Ultrasound

    1998-03-01

    Full text: Recently, 15% of elderly Japanese-American women have been shown to have marked heterogeneity of bone mineral density (BMD) between measured sites. The purposes of this study were to determine (1 ) the prevalence of this finding in an Australian population; and (2) potential association with clinical factors such as age, years since menopause (YSM), alcohol, smoking, family history, exercise, and body mass index. One hundred and fourteen peri-or post- menopausal Caucasian women (mean age 55 + 8.8 years) were referred for osteoporotic (OP) fracture risk assessment. Patients (pts) had no disorders or drugs known to affect BMD and no evidence of scoliosis or arthritic change. Bone densitometry of the lumbar spine (PA), hip and distal radius were measured using a Norland XR-26. According to WHO criteria, 30 pts (26%) were normal (T score > -1) at all sites; no pts (0%) had generalised OP (T score < -2.5); 29 (25%) had OP in one or two sites only (hip = 25, spine = 13, wrist = 1); the remaining 55 pts (48%) were osteogenic (-2.5 < T score < -1) in at least one site. Using multivariate logistic regression analysis, only YSM predicted regional OP (odds ratio = 1.14; pwomen; of clinical factors only YSM is independently associated with regional OP. Fracture risk classification may be improved by BMD measurement of multiple sites.

  16. Relationships between menstrual and menopausal attitudes and associated demographic and health characteristics: the Hilo Women's Health Study.

    Science.gov (United States)

    Morrison, Lynn A; Sievert, Lynnette L; Brown, Daniel E; Rahberg, Nichole; Reza, Angela

    2010-07-01

    The objective of this study was to examine the relation of menstrual attitudes to menopausal attitudes and the demographic and health characteristics associated with each. This cross-sectional study consisted of a randomly selected sample of 1,824 respondents aged 16 to 100 years in multi-ethnic Hilo, Hawai'i. Women completed questionnaires for demographic and health information, such as age, ethnicity, education, residency in Hawai'i, menopausal status, exercise, and attitudes toward menstruation and menopause. Women more often chose positive terms, such as "natural," to describe menstruation (60.8%) and menopause (59.4%). In bivariate analyses, post-menopausal women were significantly more likely to have positive menstrual and menopausal attitudes than pre-menopausal women. Factor analyses were used to cluster attitudes followed by linear regression to identify demographic characteristics associated with factor scores. Asian-American ethnicity, higher education, reporting more exercise, and growing up outside of Hawai'i were associated with positive menstrual attitudes. Higher education, older age, post-menopausal status, growing up outside of Hawai'i and having hot flashes were associated with positive menopausal attitudes. Bivariate correlation analyses suggested significant associations between factor scores for menstrual and menopausal attitudes. Both negative and positive menstrual attitudes were positively correlated with the anticipation of menopause, although negative attitudes toward menstruation were negatively correlated with menopause as a positive, natural life event. Demographic variables, specifically education and where one grows up, influenced women's attitudes toward menstruation and menopause and should be considered for inclusion in subsequent multi-ethnic studies. Further research is also warranted in assessing the relationship between menstrual and menopausal attitudes.

  17. Antiestrogenic effects of the fetal estrogen estetrol in women with estrogen-receptor positive early breast cancer.

    Science.gov (United States)

    Singer, Christian F; Bennink, Herjan J T Coelingh; Natter, Camilla; Steurer, Stefan; Rudas, Margaretha; Moinfar, Farid; Appels, Nicole; Visser, Monique; Kubista, Ernst

    2014-11-01

    Estetrol (E4) is a fetal estrogen with estrogenic effects on reproductive organs and bone in preclinical models and in postmenopausal women. However, E4 exerts antiestrogenic effects on breast cancer (BC) cell growth in vitro and in vivo. We have investigated the effect of 14 days preoperative treatment with 20mg E4 per day on tumor proliferation markers, sex steroid receptor expression and endocrine parameters in a prospective, randomized, placebo-controlled, preoperative window trial in 30 pre- and post-menopausal women with estrogen-receptor positive early BC. E4 had a significant pro-apoptotic effect on tumor tissue, whereas Ki67 expression remained unchanged in both pre- and post-menopausal women. E4 increased sex-hormone-binding globulin significantly thereby reducing the concentrations of bioavailable estradiol. Follicle-stimulating hormone levels decreased in postmenopausal women only and luteinizing hormone levels remained unchanged. Systemic insulin growth factor-1 levels decreased significantly. Intratumoral epithelial ERα expression decreased significantly and a trend was found towards an increased expression of ERβ. This clinical data support the preclinical findings that E4 has antiestrogenic effects on BC cells, whereas earlier studies have shown that E4 has estrogenic effects on reproductive tissues and bone. Further clinical studies seem acceptable and are needed to confirm the safety and efficacy of E4 for the breast in hormone replacement therapy, including hormone replacement therapy in women who have or have had BC, especially in those BC patients treated with aromatase inhibitors and suffering from serious complaints due to estrogen deficiency. PMID:24997853

  18. Aromatase inhibitors, efficacy and metabolic risk in the treatment of postmenopausal women with early breast cancer

    Directory of Open Access Journals (Sweden)

    Stefano Gonnelli

    2008-11-01

    Full Text Available Stefano Gonnelli1, Roberto Petrioli21Department of Internal Medicine, Endocrine-Metabolic Science and Biochemistry, University of Siena, Italy (Dir. R. Nuti.; 2Department of Human Pathology and Oncology, Medical Oncology Section, University of Siena, Italy (Dir. G. FranciniAbstract: The third-generation aromatase inhibitors (AIs, letrozole, anastrozole and exemestane, are becoming the first choice endocrine drugs for post-menopausal women with breast cancer, since they present greater efficacy when compared with tamoxifen in both adjuvant and metastatic setting. In particular, several large and well designed trials have suggested an important role for AIs in the adjuvant treatment of postmenopausal women with estrogen-receptor positive breast cancer either in the upfront, sequential or extended adjuvant mode. Overall, AIs are associated with a small but significant improvement in disease free survival. The expanding use of AIs in the treatment of early breast cancer means that individual patients will be exposed to the agents for longer durations, making it increasingly important to establish their long-term safety. This review focused on the effects of AIs on bone metabolism, serum lipids and cardiovascular risk. AIs have adverse effects on bone turnover with a reduction of bone mineral density and an increase in the rate of fragility fractures. With respect to tamoxifen AIs present lower thrombotic risk and a less favorable impact on lipid profile, whereas the true effects on cardiovascular risk still remain to be clarified. An adequate monitoring of bone mineral density (BMD and lipid profile could be recommended for post-menopausal women candidate to AIs.Keywords: breast cancer, aromatase inhibitors, bone loss, lipids, cardiovascular risk

  19. Aromatase inhibitors, efficacy and metabolic risk in the treatment of postmenopausal women with early breast cancer

    Directory of Open Access Journals (Sweden)

    Stefano Gonnelli

    2008-12-01

    Full Text Available Stefano Gonnelli1, Roberto Petrioli21Department of Internal Medicine, Endocrine-Metabolic Science and Biochemistry, University of Siena, Italy (Dir. R. Nuti.; 2Department of Human Pathology and Oncology, Medical Oncology Section, University of Siena, Italy (Dir. G. FranciniAbstract: The third-generation aromatase inhibitors (AIs, letrozole, anastrozole and exemestane, are becoming the first choice endocrine drugs for post-menopausal women with breast cancer, since they present greater efficacy when compared with tamoxifen in both adjuvant and metastatic setting. In particular, several large and well designed trials have suggested an important role for AIs in the adjuvant treatment of postmenopausal women with estrogen-receptor positive breast cancer either in the upfront, sequential or extended adjuvant mode. Overall, AIs are associated with a small but significant improvement in disease free survival. The expanding use of AIs in the treatment of early breast cancer means that individual patients will be exposed to the agents for longer durations, making it increasingly important to establish their long-term safety. This review focused on the effects of AIs on bone metabolism, serum lipids and cardiovascular risk. AIs have adverse effects on bone turnover with a reduction of bone mineral density and an increase in the rate of fragility fractures. With respect to tamoxifen AIs present lower thrombotic risk and a less favorable impact on lipid profile, whereas the true effects on cardiovascular risk still remain to be clarified. An adequate monitoring of bone mineral density (BMD and lipid profile could be recommended for post-menopausal women candidate to AIs.Keywords: breast cancer, aromatase inhibitors, bone loss, lipids, cardiovascular risk

  20. The Influence of the 1974 Oil Crisis on Sectoral Growth Rates in the Belgian Economy

    OpenAIRE

    F.BOSSIER; D. DUWEIN

    1981-01-01

    This paper briefly presents and analyses the behaviour of the different sectors of the Belgian economy during the period 1965-1978. Special attention is paid to the influence of the 1974 oil crisis on sectors of the Belgian economy. It is shown that the 1974 shock had different consequences according to the energy components of the sector

  1. Differences between Belgian and Brazilian group A Streptococcus epidemiologic landscape.

    Directory of Open Access Journals (Sweden)

    Pierre Robert Smeesters

    Full Text Available BACKGROUND: Group A Streptococcus (GAS clinical and molecular epidemiology varies with location and time. These differences are not or are poorly understood. METHODS AND FINDINGS: We prospectively studied the epidemiology of GAS infections among children in outpatient hospital clinics in Brussels (Belgium and Brasília (Brazil. Clinical questionnaires were filled out and microbiological sampling was performed. GAS isolates were emm-typed according to the Center for Disease Control protocol. emm pattern was predicted for each isolate. 334 GAS isolates were recovered from 706 children. Skin infections were frequent in Brasília (48% of the GAS infections, whereas pharyngitis were predominant (88% in Brussels. The mean age of children with GAS pharyngitis in Brussels was lower than in Brasília (65/92 months, p<0.001. emm-typing revealed striking differences between Brazilian and Belgian GAS isolates. While 20 distinct emm-types were identified among 200 Belgian isolates, 48 were found among 128 Brazilian isolates. Belgian isolates belong mainly to emm pattern A-C (55% and E (42.5% while emm pattern E (51.5% and D (36% were predominant in Brasília. In Brasília, emm pattern D isolates were recovered from 18.5% of the pharyngitis, although this emm pattern is supposed to have a skin tropism. By contrast, A-C pattern isolates were infrequently recovered in a region where rheumatic fever is still highly prevalent. CONCLUSIONS: Epidemiologic features of GAS from a pediatric population were very different in an industrialised country and a low incomes region, not only in term of clinical presentation, but also in terms of genetic diversity and distribution of emm patterns. These differences should be taken into account for designing treatment guidelines and vaccine strategies.

  2. Internal capital market efficiency of Belgian holding companies

    OpenAIRE

    Gautier, Axel; Malika HAMADI

    2004-01-01

    In this paper, we raise the following two questions. (1) Do Belgian holding companies operate an internal capital market to transfer financial resources amongst their subsidiaries? And if yes, (2) is the internal capital market efficient? To answer the first question, we check if group cash flow is a determinant of the group members investment spending. The answer is positive if the holding company’s subsidiary is affiliated to a coordination center and negative otherwise. To ans...

  3. Operating experience with diesel generators in Belgian nuclear power plants

    International Nuclear Information System (INIS)

    Various problems have occurred on the diesel generators in the Belgian nuclear power plants, independently of the D.G. manufacturer or from the operating crew. Furthermore no individual part of the D.G. can be incriminated as being the main cause of the incidents. The incidents reported in this paper are chosen because of the importance for the safety or for the long repair period. The unavailability of a D.G. can only be detected by periodic tests and controls. Combined with a good preventive maintenance, the risks of incidents can be reduced. (author)

  4. Hemophilia A in a Belgian Shepherd Malinois dog: case report.

    Science.gov (United States)

    Gavazza, A; Lubas, G; Trotta, M; Caldin, M

    2014-08-01

    This case report presents a Belgian Shepherd Malinois dog affected by hemophilia A recognized at the age of seven months. The clinical follow-up including all the diagnostic procedures leading to the final diagnosis and the course of this disorder are presented. This is a typical proband case demonstrating the appearance of this genetic disease in a breed never involved by this coagulation disorder so far documented that started an intensive and laborious plan to reduce the incidence of hemophilia A and the further appearance of new cases.

  5. [Post-menopausal osteoporosis: Up-to-date].

    Science.gov (United States)

    Briot, K; Roux, C

    2016-03-01

    Patients with a high risk of fragility fractures, and those with recent fractures, must receive the highest priority for anti-osteoporotic treatment, because of the consequences of some of these fractures (hip, vertebrae, pelvis, humerus). Both non pharmacological and pharmacological treatments must be used. The duration of the treatment is based on the assessment of fracture risk.

  6. REMOVABLE PARTIAL DENTURE MANAGEMENT ON POST-MENOPAUSE OSTEOPOROTIC FEMALE

    Directory of Open Access Journals (Sweden)

    Nina Ariani

    2015-06-01

    Full Text Available Osteoporosis is a condition of generalised skeletal fragility caused by diminishing bone amount and disturbance in bone microarchitecture with implication that the bone's ability to withstand forces is decreased. This condition leads to more bone resorption. Some researchers show that this condition also affects jaw bone. Therefore we must take this condition into consideration during prothodontic treatment. Dental prostheses are made to restore stomatognatic function as well as to preserve what was left including alveolar bone. The ability of dental prostheses to preserve residual alveolar bone differs according to type of prostheses. The case presented here propose the treatment of osteoporotic female in Prosthodontics Clinic FKG UI with removable partial denture. Considerations in selecting the type and design of dental prostheses and attempts to modify factors that might play a role in bone resorption in connection with the patient's physical and psychological status will be discussed. Thorough examination, careful planning and good communication with the patient can provide optimum results.

  7. Treatment of post-menopausal osteoporosis: beyond bisphosphonates.

    Science.gov (United States)

    Ishtiaq, S; Fogelman, I; Hampson, G

    2015-01-01

    Osteoporosis is a highly prevalent condition, characterized by compromised bone strength and fragility fractures and with an important associated socio-economic burden. Bisphosphonates are well established as the first line treatment for osteoporosis. However, while randomized control trials have in general demonstrated reasonable anti-fracture efficacy at the spine, they have shown moderate reduction in fracture incidence for non-vertebral sites. Furthermore, oral bisphosphonates are commonly associated with adverse gastrointestinal effects and both oral and parenteral bisphosphonates have been linked with osteonecrosis of the jaw and atypical femoral fracture, two rare but debilitating side effects. In addition, bisphosphonates are not recommended in patients with GFR odanacatib, a cathepsin K inhibitor and the anabolic agents, PTH analogue; PTH (1-34) and anti-sclerostin antibodies (activator of the Wnt pathway). Strontium ranelate will not be reviewed as recent reports highlight concerns surrounding its cardiovascular safety and together with an apparent increased risk of thrombosis, its future use remains uncertain. Some of these agents such as raloxifene, denosumab and teriparatide are already in clinical use whilst others are at varying stages of development. This review will provide an overview of the mechanisms of action of these therapeutic agents on the skeleton and assess their efficacy in osteoporosis and fracture prevention. PMID:25194424

  8. The Women's Health Questionnaire (WHQ: Frequently Asked Questions (FAQ

    Directory of Open Access Journals (Sweden)

    Hunter Myra S

    2003-09-01

    Full Text Available Abstract The Women's Health Questionnaire (WHQ is a measure of mid-aged women's emotional and physical health. Since its publication in 1992 the WHQ has been widely used in multinational clinical trials, in epidemiological studies as well as in the evaluation of non-medical treatments. In particular the WHQ has been included as a quality of life measure in trials of hormonal preparations for peri and post menopausal women and in studies using a variety of preventative interventions for mid-aged and older women. The questionnaire was developed in English and standardised on a sample of women aged 45–65 years. It is reliable, has good concurrent validity and is sensitive to detecting change, and is available in 27 languages. The range of subscales included in the WHQ enable a detailed assessment of dimensions of emotional and physical health, such as depression, anxiety, sleep problems, somatic symptoms, with optional subscales for menstrual problems and sexual difficulties. The WHQ is the first measure to be included in the MAPI Research Institute's database, the International Health-related Quality of Life Outcomes Database (IQOD. Drawing upon data from international studies this project aims to produce reference values for cross-culturally valid, reliable and responsive quality of life instruments. In addition to this work, a revised shorter version of the WHQ is currently being developed.

  9. Complete molar pregnancy in postmenopausal women.

    Science.gov (United States)

    Begum, Jasmina; Palai, Pallavee; Ghose, Seetesh

    2016-01-01

    Gestational trophoblastic disease (GTD) is an abnormal proliferation of trophoblastic tissue during pregnancy. It is a disease of reproductive age, and a few cases have also been seen in women with advanced age, although it is extremely rare in postmenopausal women. Here, we describe an uncommon case of complete hydatidiform mole (CHM) in a postmenopausal woman, who has presented to us with complaints of bleeding per vagina, vomiting with 22 weeks size gravid uterus. Ultrasound finding along with raised serum beta-human chorionic gonadotropin (β-HCG) 400,000 mIU/ml suggested the diagnosis of CHM. In view of postmenopausal status and future risk of postmolar gestational trophoblastic neoplasia, we performed a total abdominal hysterectomy. Uterus was 20 cm × 15 cm × 15 cm filled with cystic, grapes such as vesicles. Microscopic examination demonstrated generalized trophoblastic proliferation with hydropic degenerated villi suggested of benign CHM. Follow-up showed steady fall in serum β-HCG level and no evidence of any residual disease. A suspicion of GTD should be kept in mind while evaluating a patient with peri- or post-menopausal bleeding so that it will prevent a delay in diagnosis and treatment. PMID:27499598

  10. Complete molar pregnancy in postmenopausal women

    Science.gov (United States)

    Begum, Jasmina; Palai, Pallavee; Ghose, Seetesh

    2016-01-01

    Gestational trophoblastic disease (GTD) is an abnormal proliferation of trophoblastic tissue during pregnancy. It is a disease of reproductive age, and a few cases have also been seen in women with advanced age, although it is extremely rare in postmenopausal women. Here, we describe an uncommon case of complete hydatidiform mole (CHM) in a postmenopausal woman, who has presented to us with complaints of bleeding per vagina, vomiting with 22 weeks size gravid uterus. Ultrasound finding along with raised serum beta-human chorionic gonadotropin (β-HCG) 400,000 mIU/ml suggested the diagnosis of CHM. In view of postmenopausal status and future risk of postmolar gestational trophoblastic neoplasia, we performed a total abdominal hysterectomy. Uterus was 20 cm × 15 cm × 15 cm filled with cystic, grapes such as vesicles. Microscopic examination demonstrated generalized trophoblastic proliferation with hydropic degenerated villi suggested of benign CHM. Follow-up showed steady fall in serum β-HCG level and no evidence of any residual disease. A suspicion of GTD should be kept in mind while evaluating a patient with peri- or post-menopausal bleeding so that it will prevent a delay in diagnosis and treatment. PMID:27499598

  11. Cost-effectiveness of a 21-gene recurrence score assay versus Canadian clinical practice in women with early-stage estrogen- or progesterone-receptor-positive, axillary lymph-node negative breast cancer

    International Nuclear Information System (INIS)

    A 21-gene recurrence score (RS) assay may inform adjuvant systematic treatment decisions in women with early stage breast cancer. We sought to investigate the cost effectiveness of using the RS-assay versus current clinical practice (CCP) in women with early-stage estrogen- or progesterone-receptor-positive, axilliary lymph-node negative breast cancer (ER+/ PR + LN- ESBC) from the perspective of the Canadian public healthcare system. We developed a Markov model to project the lifetime clinical and economic consequences of ESBC. We evaluated adjuvant therapy separately in post- and pre-menopausal women with ER+/ PR + LN- ESBC. We assumed that the RS-assay would reclassify pre- and post-menopausal women among risk levels (low, intermediate and high) and guide adjuvant systematic treatment decisions. The model was parameterized using 7 year follow up data from the Manitoba Cancer Registry, cost data from Manitoba administrative databases, and secondary sources. Costs are presented in 2010 CAD. Future costs and benefits were discounted at 5%. The RS-assay compared to CCP generated cost-savings in pre-menopausal women and had an ICER of $60,000 per QALY gained in post-menopausal women. The cost effectiveness was most sensitive to the proportion of women classified as intermediate risk by the RS-assay who receive adjuvant chemotherapy and the risk of relapse in the RS-assay model. The RS-assay is likely to be cost effective in the Canadian healthcare system and should be considered for adoption in women with ER+/ PR + LN- ESBC. However, ongoing assessment and validation of the assay in real-world clinical practice is warranted

  12. Technical improvements in 19th century Belgian window glass production

    Science.gov (United States)

    Lauriks, Leen; Collette, Quentin; Wouters, Ine; Belis, Jan

    Glass was used since the Roman age in the building envelope, but it became widely applied together with iron since the 19th century. Belgium was a major producer of window glass during the nineteenth century and the majority of the produced window glass was exported all over the world. Investigating the literature on the development of 19th century Belgian window glass production is therefore internationally relevant. In the 17th century, wood was replaced as a fuel by coal. In the 19th century, the regenerative tank furnace applied gas as a fuel in a continuous glass production process. The advantages were a clean production, a more constant and higher temperature in the furnace and a fuel saving. The French chemist Nicolas Leblanc (1787-1793) and later the Belgian chemist Ernest Solvay (1863) invented processes to produce alkali out of common salt. The artificial soda ash improved the quality and aesthetics of the glass plates. During the 19th century, the glass production was industrialized, influencing the operation of furnaces, the improvement of raw materials as well as the applied energy sources. Although the production process was industrialized, glassblowing was still the work of an individual. By improving his work tools, he was able to create larger glass plates. The developments in the annealing process followed this evolution. The industry had to wait until the invention of the drawn glass in the beginning of the 20th century to fully industrialise the window glass manufacture process.

  13. The attitudes of Belgian adolescents towards peers with disabilities.

    Science.gov (United States)

    Bossaert, Goele; Colpin, Hilde; Pijl, Sip Jan; Petry, Katja

    2011-01-01

    This study aimed to explore Belgian adolescents' attitudes towards peers with disabilities and to explore factors associated with these attitudes. Based on the theory of persuasive communication, this study focused on receiver variables (the "whom"), characteristics of students with disabilities ("concerning who") and channel ("how"). An online survey was created and published on several popular websites for youngsters. Attitudes were assessed by means of the CATCH questionnaire among 167 adolescents between 11 and 20 years old. Univariate and multivariate regression analyses were conducted. Belgian adolescents had fairly tolerant attitudes towards peers with disabilities. Factors associated with more positive attitudes were being female, and viewing a video introduction of a peer with a disability before assessing attitudes. Factors such as having a parent, sibling or good friend with a disability and frequent contact with persons with disabilities did not remain significant in the overall model. The way in which students with disabilities are presented to their peers is very important. Further research is needed among larger samples, including more diverse variables, concerning the former mentioned categories, and also concerning the source (the "who") and message (the "what"). PMID:21257288

  14. Pyrrolizidine alkaloids in food and feed on the Belgian market.

    Science.gov (United States)

    Huybrechts, Bart; Callebaut, Alfons

    2015-01-01

    Pyrrolizidine alkaloids (PAs) are widely distributed plant toxins with species dependent hepatotoxic, carcinogenic, genotoxic and pneumotoxic risks. In a recent European Food Safety Authority (EFSA) opinion, only two data sets from one European country were received for honey, while one feed data set was included. No data are available for food or feed samples from the Belgian market. We developed an LC-MS/MS method, which allowed the detection and quantification of 16 PAs in a broad range of matrices in the sub ng g(-1) range. The method was validated in milk, honey and hay and applied to honey, tea (Camellia sinensis), scented tea, herbal tea, milk and feed samples bought on the Belgian market. The results confirmed that tea, scented tea, herbal tea and honey are important food sources of pyrrolizidine alkaloid contamination in Belgium. Furthermore, we detected PAs in 4 of 63 commercial milk samples. A high incidence rate of PAs in lucerne (alfalfa)-based horse feed and in rabbit feed was detected, while bird feed samples were less contaminated. We report for the first time the presence of monocrotaline, intermedine, lycopsamine, heliotrine and echimidine in cat food. PMID:26373269

  15. Relationship Of FEF25-75, PEFR And SVC With Estrogen And Progesterone Level In Postmenopausal Women

    Directory of Open Access Journals (Sweden)

    Afroza Begum

    2011-12-01

    Full Text Available Background: Deterioration of lung function is common in women after menopause, which may be related to very low estrogen and progesterone level.Objective: To observe FEF25-75, PEFR and SVC (slow vital capacity values in apparently healthy postmenopausal women to find out their relationships with serum estrogen and progesterone.Methods: This study was carried out in the Department of Physiology in BSMMU, Dhaka in the year 2007. 30 healthy postmenopausal women aged 45 to 60 years and 30 healthy premenopausal women aged 20 to 30 years during their different phases of menstrual cycle were studied. Postmenopausal women were residents of Dhaka city and premenopausal subjects were medical students. FEF25-75, PEFR and SVC of all subjects were measured by a digital micro spirometer. Their estrogen and progesterone levels were estimated by Micro particle Enzyme Immunoassay (MEIA method. Data were analyzed by Pearson’s correlation coefficient test, one way ANOVA and unpaired‘t’ testResults: The mean percentage of predicted values of FEF25-75 and PEFR were lower in postmenopausal women compared to those of follicular and luteal phases of premenopausal women but it was not significant. Measured values of SVC was Significantly (p<.001 lower in postmenopausal women compared to those of follicular and luteal phases of premenopausal women. Again Mean serum estrogen and progesterone levels were significantly (p<.001 lower in post menopausal women compared to those of follicular and luteal phases of premenopausal women. In post menopausal women, FEF25-75 was positively, PEFR and SVC were negatively correlated with progesterone level. PEFR and SVC showed positive correlattion and FEF25-75 showed negative correlation with serum estrogen level. All these correlations were statistically non significant. In premenopausal women FEF25-75 and PEFR showed positive correlation and SVC showed negative correlation with serum progesterone level. The relationships were

  16. Total reflection X-ray fluorescence analysis of oral fluids of women affected by osteoporosis and osteopenia

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez, Hector Jorge [Facultad de Matematica Astronomia y Fisica, Universidad Nacional de Cordoba, 5000 Cordoba (Argentina)], E-mail: jsan@famaf.unc.edu.ar; Valentinuzzi, Maria Cecilia [Facultad de Matematica Astronomia y Fisica, Universidad Nacional de Cordoba, 5000 Cordoba (Argentina); Grenon, Miram [Facultad de Odontologia, Universidad Nacional de Cordoba, 5000 Cordoba (Argentina); Abraham, Jose [Facultad de Matematica Astronomia y Fisica, Universidad Nacional de Cordoba, 5000 Cordoba (Argentina)

    2008-12-15

    Osteoporosis is a disease characterized by low bone mass and microarchitectural deterioration of bone tissue, leading to bone fragility and an increased susceptibility to fractures; the early stage of decreased bone density is called osteopenia. More than 200 million people are affected and about 50% of post-menopausic women are expected to develop the disease. Osteoporosis, osteopenia and periodontal disease have in common several risk factors, being hyperthyroidism and smoking habits the most important ones. There is scarce information in the literature about the association between periodontal disease and osteoporosis and/or osteopenia. Some works suggest that osteoporotic women are susceptible to a higher loss of periodontal insertion, alveolar bones, and teeth. Thirty adult post-menopausic women were studied; some of them were healthy (control group) and the rest of them were undergoing some stage of osteoporosis or osteopenia. All the subjects were healthy, non-smokers, not having dental implants, and with communitarian periodontal index higher than 1(CPI > 1). Samples of saliva and gingival crevice fluid were extracted with calibrated micro-capillaries and deposited on Si reflectors. Known amounts of Ga were added to the samples in order to act as internal standard for quantification by the total reflection x-ray fluorescence technique. Experimental concentrations of several elements (P, S, Cl, K, Ca, Cr, Fe, NI, Cu, and Zn) were determined. The concentration of some elements in saliva showed different behavior as compared to gingival crevice fluid. Some critical elements of bone composition, such as Ca and Zn, present very distinguishable behavior. Improvements in the statistics are required for a better assessment of a routine method and to establish some correlation with periodontal disease. TXRF seems to be a promising method to evaluate the evolution of osteoporosis.

  17. Total reflection X-ray fluorescence analysis of oral fluids of women affected by osteoporosis and osteopenia

    Science.gov (United States)

    Sánchez, Héctor Jorge; Valentinuzzi, María Cecilia; Grenón, Miram; Abraham, José

    2008-12-01

    Osteoporosis is a disease characterized by low bone mass and microarchitectural deterioration of bone tissue, leading to bone fragility and an increased susceptibility to fractures; the early stage of decreased bone density is called osteopenia. More than 200 million people are affected and about 50% of post-menopausic women are expected to develop the disease. Osteoporosis, osteopenia and periodontal disease have in common several risk factors, being hyperthyroidism and smoking habits the most important ones. There is scarce information in the literature about the association between periodontal disease and osteoporosis and/or osteopenia. Some works suggest that osteoporotic women are susceptible to a higher loss of periodontal insertion, alveolar bones, and teeth. Thirty adult post-menopausic women were studied; some of them were healthy (control group) and the rest of them were undergoing some stage of osteoporosis or osteopenia. All the subjects were healthy, non-smokers, not having dental implants, and with communitarian periodontal index higher than 1(CPI > 1). Samples of saliva and gingival crevice fluid were extracted with calibrated micro-capillaries and deposited on Si reflectors. Known amounts of Ga were added to the samples in order to act as internal standard for quantification by the total reflection x-ray fluorescence technique. Experimental concentrations of several elements (P, S, Cl, K, Ca, Cr, Fe, NI, Cu, and Zn) were determined. The concentration of some elements in saliva showed different behavior as compared to gingival crevice fluid. Some critical elements of bone composition, such as Ca and Zn, present very distinguishable behavior. Improvements in the statistics are required for a better assessment of a routine method and to establish some correlation with periodontal disease. TXRF seems to be a promising method to evaluate the evolution of osteoporosis.

  18. Annual report for the steering committee of the association Euratom-Belgian State for fusion 1999

    Energy Technology Data Exchange (ETDEWEB)

    Decreton, M

    1999-10-01

    This report is prepared for the annual steering committee meting of the Association Euratom - Belgian State in the area of fusion reactor technology. The Belgian contribution focuses on the assessment of the first wall and blanket materials under radiation and coolant interaction and on developments for the remote handling in maintenance activities. The period October 1998 to September 1999 is reported on.The fusion technology work performed at the Belgian Nuclear Research Centre SCK/CEN, the Department of Metallurgy and Materials Engineering of the Louvain University (Belgium) and S.A. Gradel, a Luxemburg-based organisation, is described.

  19. Annual report for the steering committee of the association Euratom-Belgian State for fusion 1999

    International Nuclear Information System (INIS)

    This report is prepared for the annual steering committee meting of the Association Euratom - Belgian State in the area of fusion reactor technology. The Belgian contribution focuses on the assessment of the first wall and blanket materials under radiation and coolant interaction and on developments for the remote handling in maintenance activities. The period October 1998 to September 1999 is reported on.The fusion technology work performed at the Belgian Nuclear Research Centre SCK/CEN, the Department of Metallurgy and Materials Engineering of the Louvain University (Belgium) and S.A. Gradel, a Luxemburg-based organisation, is described

  20. Assessment of the acrylamide intake of the Belgian population and the effect of mitigation strategies

    OpenAIRE

    Claeys, Wendie Liliane; Baert, Katleen; Mestdagh, Frédéric; Vercammen, Jan; Daenens, Paul; Meulenaer, Bruno De; Maghuin-Rogister, Guy; Huyghebaert, André

    2010-01-01

    Abstract The acrylamide (AA) intake of the Belgian consumer was calculated based on AA monitoring data of the Belgian Federal Agency for the Safety of the Food Chain (FASFC) and consumption data of the Belgian food consumption survey coordinated by the Scientific Institute for Public Health (3214 participants of 15 years or older). The average AA exposure, calculated probabilistically, was 0.4 ?g/kg bw/day (P97.5 = 1.6 ?g/kg bw/day) with as main contributors to the average intake c...

  1. Legacy of Colonialism in the Empowerment of Women in Rwanda

    OpenAIRE

    Ilaria Buscaglia; Shirley Randell

    2012-01-01

    The empowerment of women in Rwanda is rooted in colonial times. In the second half of the 1940s, the Belgian administration, together with religious missionaries, started some educational and social welfare programs for women, known as the foyers sociaux (social homes). This paper explores how this program of female promotion and its progeny affected the domestication of Rwandan women, what caused the situation to change following the genocide against the Tutsi in 1994, and what more might be...

  2. An Actigraphy Study of Sleep and Pain in Midlife Women – The SWAN Sleep Study

    Science.gov (United States)

    Kravitz, Howard M.; Zheng, Huiyong; Bromberger, Joyce T.; Buysse, Daniel J.; Owens, Jane; Hall, Martica H.

    2014-01-01

    Objective We examined whether women reporting nighttime pain would have more actigraphy-measured evidence for disturbed sleep and report feeling less rested compared to women without nighttime pain. Methods Up to 27 consecutive nights of actigraphy and sleep diary data were analyzed from each participant in this community-based study of 314 African-American (n=118), White (n=141), and Chinese (n=55) women, aged 48-58 years, who were pre-, peri- or post-menopausal and participating in the Study of Women's Health Across the Nation (SWAN) Sleep Study. Dependent variables were actigraphy-measured movement and fragmentation index, total sleep time, and sleep efficiency, and diary self-report of feeling rested after waking up. All outcomes were fit using linear mixed effect models to examine covariate-adjusted associations between the independent variable, nighttime pain severity, and sleep outcomes. Results Higher pain severity scores were associated with longer sleep duration but reduced sleep efficiency and feeling less rested. Women reporting nocturnal vasomotor symptoms had more sleep-related movement and sleep fragmentation, reduced sleep efficiency, and were less likely to feel rested after wakening, regardless of whether they reported pain. Conclusions Midlife women who report higher nighttime pain levels have more objective evidence for less efficient sleep, consistent with self-reported less restful sleep. Nocturnal vasomotor symptoms also can contribute to restlessness and wakefulness in midlife women. PMID:25706182

  3. Characteristics of suicide hotspots on the Belgian railway network.

    Science.gov (United States)

    Debbaut, Kevin; Krysinska, Karolina; Andriessen, Karl

    2014-01-01

    In 2004, railway suicide accounted for 5.3% of all suicides in Belgium. In 2008, Infrabel (Manager of the Belgian Railway Infrastructure) introduced a railway suicide prevention programme, including identification of suicide hotspots, i.e., areas of the railway network with an elevated incidence of suicide. The study presents an analysis of 43 suicide hotspots based on Infrabel data collected during field visits and semi-structured interviews conducted in mental health facilities in the vicinity of the hotspots. Three major characteristics of the hotspots were accessibility, anonymity, and vicinity of a mental health institution. The interviews identified several risk and protective factors for railway suicide, including the training of staff, introduction of a suicide prevention policy, and the role of the media. In conclusion, a comprehensive railway suicide prevention programme should continuously safeguard and monitor hotspots, and should be embedded in a comprehensive suicide prevention programme in the community.

  4. Characteristics of suicide hotspots on the Belgian railway network.

    Science.gov (United States)

    Debbaut, Kevin; Krysinska, Karolina; Andriessen, Karl

    2014-01-01

    In 2004, railway suicide accounted for 5.3% of all suicides in Belgium. In 2008, Infrabel (Manager of the Belgian Railway Infrastructure) introduced a railway suicide prevention programme, including identification of suicide hotspots, i.e., areas of the railway network with an elevated incidence of suicide. The study presents an analysis of 43 suicide hotspots based on Infrabel data collected during field visits and semi-structured interviews conducted in mental health facilities in the vicinity of the hotspots. Three major characteristics of the hotspots were accessibility, anonymity, and vicinity of a mental health institution. The interviews identified several risk and protective factors for railway suicide, including the training of staff, introduction of a suicide prevention policy, and the role of the media. In conclusion, a comprehensive railway suicide prevention programme should continuously safeguard and monitor hotspots, and should be embedded in a comprehensive suicide prevention programme in the community. PMID:24020492

  5. Belgian Workshop (November 2003) - Executive Summary and International Perspective

    International Nuclear Information System (INIS)

    The fourth workshop of the OECD/NEA Forum on Stakeholder Confidence (FSC) was hosted by ONDRAF/NIRAS, the Belgian Agency for Radioactive Waste Management and enriched fissile materials. The central theme of the workshop was 'Dealing with interests, values and knowledge in managing risk' within the Belgian context of local partnerships for the long term management of low-level, short-lived radioactive waste. The four-day workshop started with a half-day session in Brussels giving a general introduction on the Belgian context and the local partnership methodology. This was followed by community visits to three local partnerships, PaLoFF in Fleurus-Farciennes, MONA in Mol, and STOLA in Dessel. After the visits, the workshop continued with two full-day sessions in Brussels. One hundred and nineteen registered participants, representing 13 countries, attended the workshop or participated in the community visits. About two thirds were Belgian stakeholders; the remainder came from FSC member organisations. The participants included representatives of municipal governments, civil society organisations, government agencies, industrial companies, the media, and international organisations as well as private citizens, consultants and academics. The four-day meeting was structured as follows: Day 1 morning was devoted to introductory presentations. Information was given on the general radioactive waste management context in Belgium. Regarding the management of LLW, and in particular the search for a disposal facility site, the workshop heard about the local partnership methodology developed by university researchers of the University of Antwerp and the Fondation Universitaire Luxembourgeoise (FUL). These partnerships between the potential host municipalities and the radwaste agency have the mission to develop an integrated facility proposal adapted to local conditions. Community visits took place on Day 1 afternoon and Day 2. Visits offered an opportunity for

  6. The German and Belgian accreditation models for diabetic foot services.

    Science.gov (United States)

    Morbach, Stephan; Kersken, Joachim; Lobmann, Ralf; Nobels, Frank; Doggen, Kris; Van Acker, Kristien

    2016-01-01

    The International Working Group on the Diabetic Foot recommends that auditing should be part of the organization of diabetic foot care, the efforts required for data collection and analysis being balanced by the expected benefits. In Germany legislature demands measures of quality management for in- and out-patient facilities, and, in 2003, the Germany Working Group on the Diabetic Foot defined and developed a certification procedure for diabetic foot centres to be recognized as 'specialized'. This includes a description of management facilities, treatment procedures and outcomes, as well as the organization of mutual auditing visits between the centres. Outcome data is collected at baseline and 6 months on 30 consecutive patients. By 2014 almost 24,000 cases had been collected and analysed. Since 2005 Belgian multidisciplinary diabetic foot clinics could apply for recognition by health authorities. For continued recognition diabetic foot clinics need to treat at least 52 patients with a new foot problem (Wagner 2 or more or active Charcot foot) per annum. Baseline and 6-month outcome data of these patients are included in an audit-feedback initiative. Although originally fully independent of each other, the common goal of these two initiatives is quality improvement of national diabetic foot care, and hence exchanges between systems has commenced. In future, the German and Belgian accreditation models might serve as templates for comparable initiatives in other countries. Just recently the International Working Group on the Diabetic Foot initiated a working group for further discussion of accreditation and auditing models (International Working Group on the Diabetic Foot AB(B)A Working Group).

  7. Dietary intake of artificial sweeteners by the Belgian population.

    Science.gov (United States)

    Huvaere, Kevin; Vandevijvere, Stefanie; Hasni, Moez; Vinkx, Christine; Van Loco, Joris

    2012-01-01

    This study investigated whether the Belgian population older than 15 years is at risk of exceeding ADI levels for acesulfame-K, saccharin, cyclamate, aspartame and sucralose through an assessment of usual dietary intake of artificial sweeteners and specific consumption of table-top sweeteners. A conservative Tier 2 approach, for which an extensive label survey was performed, showed that mean usual intake was significantly lower than the respective ADIs for all sweeteners. Even consumers with high intakes were not exposed to excessive levels, as relative intakes at the 95th percentile (p95) were 31% for acesulfame-K, 13% for aspartame, 30% for cyclamate, 17% for saccharin, and 16% for sucralose of the respective ADIs. Assessment of intake using a Tier 3 approach was preceded by optimisation and validation of an analytical method based on liquid chromatography with mass spectrometric detection. Concentrations of sweeteners in various food matrices and table-top sweeteners were determined and mean positive concentration values were included in the Tier 3 approach, leading to relative intakes at p95 of 17% for acesulfame-K, 5% for aspartame, 25% for cyclamate, 11% for saccharin, and 7% for sucralose of the corresponding ADIs. The contribution of table-top sweeteners to the total usual intake (sucralose: 3.08 versus 3.03, expressed as mg kg(-1) bodyweight day(-1) at p95) showed that the latter group was not exposed to higher levels. It was concluded that the Belgian population is not at risk of exceeding the established ADIs for sweeteners. PMID:22088137

  8. Newspaper Coverage of Women's Sports during the 2000 Sydney Olympic Games: Belgium, Denmark, France, and Italy

    Science.gov (United States)

    Capranica, Laura; Minganti, Carlo; Billat, Veronique; Hanghoj, Signe; Piacentini, Maria Francesca; Cumps, Elke; Meeusen, Romain

    2005-01-01

    In general, women are well represented among sport participants and sport audiences but not in the media. Data show that women's sport is greatly under-reported and trivialized in newspapers. Therefore, the purpose of this study was to measure press coverage during the 2000 Summer Olympic Games in the largest circulating Belgian, Danish, French,…

  9. Working Paper 13-09 - Qualitative Employment Multipliers for the Belgian Environmental Industry

    OpenAIRE

    Adja Awa Sissoko; Bart Van den Cruyce

    2009-01-01

    The present paper computes cumulative employment generated by the Belgian environmental industry. Relying on Belgian input-output tables for the year 2000 and on detailed employment data (SAM sub ]matrix), we investigate the patterns of the employment in the environmental industry, by considering the worker types differentiated by gender, educational attainment or a combination of these characteristics. The employment multiplier analysis of environmental employment reveals some interesting di...

  10. A nationwide Hospital Survey on Patient Safety Culture in Belgian Hospitals: Analysis and Benchmarking

    OpenAIRE

    Vlayen, Annemie; Hellings, Johan; Claes, Neree; Schrooten, Ward

    2010-01-01

    Objective To measure patient safety culture in Belgian hospitals and to examine the homogeneous grouping of underlying safety culture dimensions. Methods The Hospital Survey on Patient Safety Culture was distributed organisation-wide in 180 Belgian hospitals participating in the federal program on quality and safety between 2007 and 2009. Participating hospitals were invited to submit their data to a comparative database. Homogeneous groups of underlying safety culture dimensions were sou...

  11. Compliance of Companies with Corporate Governance Codes: Case Study on Listed Belgian

    OpenAIRE

    Sven H. De Cleyn

    2014-01-01

    Listed and large companies become increasingly subject to internal and external pressure to comply with ethical and social standards. This article focuses on one aspect of this matter, namely the corporate governance issue. Within the framework of recent corporate scandals, this paper investigates whether and to which extent Belgian publicly listed SMEs comply with the Belgian Code on Corporate Governance after its first year of introduction, which has been constituted in the framework of the...

  12. Annual report for the steering committee of the association Euratom-Belgian State for fusion 1996

    Energy Technology Data Exchange (ETDEWEB)

    Moons, F.; Bogaerts, W.; Decreton, M.; Biver, E.; Coenen, S.; Benoit, Ph.; Coheur, L.; Deboodt, P.; Andreev, D.

    1996-09-01

    This report is prepared for the annual steering committee meting of the Association Euratom - Belgian State for Fusion. The period October 1995 to September 1996 is reported on.The fusion technology work performed at the Belgian Nuclear Research Centre SCK/CEN, the Department of Metallurgy and Materials Engineering of the Louvain University (Belgium) and S.A. Gradel, a Luxemburg company, is described.

  13. The radiological impact of the Belgian phosphate industry

    Energy Technology Data Exchange (ETDEWEB)

    Vanmarcke, H.; Paridaens, J. [Belgian Nuclear Research Centre, SCK.CEN, Boeretang 200, 2400 Mol (Belgium)

    2006-07-01

    The Belgian phosphate industry processes huge amounts of phosphate ore (1.5 to 2 Mton/year) for a wide range of applications, the most important being the production of phosphoric acid, fertilizers and cattle food. Marine phosphate ores show high specific activities of the natural uranium decay series (usually indicated by Ra-226) (e.g. 1200 to 1500 Bq/kg for Moroccan ore). Ores of magmatic origin generally contain less of the uranium and more of the thorium decay series (up to 500 Bq/kg). These radionuclides turn up in by-products, residues or product streams depending on the processing method and the acid used for the acidulation of the phosphate rock. Sulfuric acid is the most widely used, but also hydrochloric acid and nitric acid are applied in Belgium. For Flanders, the northern part of Belgium, we already have a clear idea of the production processes and waste streams. The five Flemish phosphate plants, from 1920 to 2000, handled 54 million ton of phosphate ore containing 65 TBq of radium-226 and 2.7 TBq of thorium- 232. The total surface area of the phosphogypsum and calcium fluoride sludge deposits amounts to almost 300 ha. There is also environmental contamination along two small rivers receiving the waste waters of the hydrochloric production process: the Winterbeek (> 200 ha) and the Grote Laak (12 ha). The data on the impact of the phosphate industry in the Walloon provinces in Belgium is less complete. A large plant produced in 2004 0.8 Mton of phosphogypsum, valorizing about 70 % of the gypsum in building materials (plaster, cement), in fertilizers, and in other products such as paper. The remainder was stored on a local disposal site. The radiological impact of the Belgian phosphate industry on the local population will be discussed. At present most contaminated areas are still recognizable as waste deposits and inaccessible to the population. However as gypsum deposits and other contaminated areas quickly blend in with the landscape, it is

  14. The role of biochemical of bone turnover markers in osteoporosis and metabolic bone disease: a consensus paper of the Belgian Bone Club.

    Science.gov (United States)

    Cavalier, E; Bergmann, P; Bruyère, O; Delanaye, P; Durnez, A; Devogelaer, J-P; Ferrari, S L; Gielen, E; Goemaere, S; Kaufman, J-M; Toukap, A Nzeusseu; Reginster, J-Y; Rousseau, A-F; Rozenberg, S; Scheen, A J; Body, J-J

    2016-07-01

    The exact role of biochemical markers of bone turnover in the management of metabolic bone diseases remains a topic of controversy. In this consensus paper, the Belgian Bone Club aimed to provide a state of the art on the use of these biomarkers in different clinical or physiological situations like in postmenopausal women, osteoporosis in men, in elderly patients, in patients suffering from bone metastasis, in patients with chronic renal failure, in pregnant or lactating women, in intensive care patients, and in diabetics. We also gave our considerations on the analytical issues linked to the use of these biomarkers, on potential new emerging biomarkers, and on the use of bone turnover biomarkers in the follow-up of patients treated with new drugs for osteoporosis. PMID:27026330

  15. A study on hormonal control of calcium homeostasis in egyptian women

    International Nuclear Information System (INIS)

    This investigation was conducted to study the possible role of circulating hormones that regulate the calcium flux, in addition to serum levels of the inorganic mineral contents, calcium and phosphorus, on the pathogenesis of post-menopausal osteoporosis in egyptian women. The investigation studied also the response of these variables to both of estradiol withdrawal and age progress. Five groups of 11 postmenopausal osteoporotic (mean age 73 -+ 2.3 years), 26 postmenopausal women (mean age 56.2 -+ 2.4 years), 17 premenopausal women (mean age 48.8 -+ 0.7 years), 26 premenopausal women (mean age 41.5 -+ o.7 years) and 11 young adult premenopausal women(mean age 27.3 -+ 0.9 years) were recruited for this study. The post-peri- and pre- groups were further classified into subgroups according to their chronological age. Serum was assayed for parathyroid hormone (PTH), 25-hydroxyvitamin D, (25-OHD3), calcitonin (CT) total calcium (Ca), and inorganic phosphorus (ph), concentrations of estradiol (E2) in all subjects were also assayed for further correlation. The obtained data showed that the levels of hormones were not significantly changed among the different groups and subgroups leading to normal calcium homeostasis. PTH and total calcium were significantly correlated with both estrodial levels and chronological age

  16. Prevalence of hormone replacement therapy in a sample of middle-aged women

    DEFF Research Database (Denmark)

    Pedersen, S H; Jeune, B

    1988-01-01

    A survey based on a postal questionnaire sent to a random sample of Danish women aged 40-59 yr living on the island of Fünen (n = 401, response rate = 79%) revealed that the overall prevalence of the use of hormone replacement therapy (HRT) was 16%, the highest rate being in the 50-54 age group (21......%). Among post-menopausal women the rate was 21% and it was highest of all (37%) in those who had undergone an artificial menopause. The median age at the start of treatment was 44.3 yr among the artificial menopause and 48.9 yr among the natural menopause subjects. About half of the women were treated...... with natural oestrogen alone and over a third with cyclic natural oestrogen in combination with progestogens. Almost one-third of the women had consulted their doctor about climacteric complaints and two-thirds of these were current or past users of HRT. The women had ambiguous feelings towards HRT...

  17. Sunscreen use and skin protection behaviour on the Belgian beach: a comparison 9 years later.

    Science.gov (United States)

    Devos, Steven A; Van der Endt, Johannes D; Broeckx, Walter; Vandaele, Mark; del Marmol, Veronique; Roseeuw, Diane; Maselis, Thomas

    2012-09-01

    Public health campaigns encourage people to protect themselves against skin cancer by using sunscreens and taking other protective measures. The objective is to estimate the impact of these campaigns on the rise of awareness among the general public. This study explores the prevalence and predictors of solar protection behaviour in a sample of beachgoers and compares these results to another similar study carried out 9 years earlier (i.e. summer 2001). During the month of August 2010, a total of 408 participants (144 men and 264 women) were randomly selected on their way to the Belgian beach in the city of Ostend, Belgium. The solar protection behaviour of each participant was assessed by direct observation and an interview. The exact same questions were asked as in 2001. The general risk awareness stays the same for skin aging and skin cancer but gets higher for sunburn. When we control these results for sex, the overall higher general awareness is completely because of the higher awareness of the female subgroup. As in 2001, risk awareness is considerably higher in the female subgroup than in the male one. As in 2001, sunscreen cream was the most popular preventive behaviour in 2010 (use of sunscreen with sun protection factor 15 or higher reported by 66.4%), followed by timed sun exposure (46.8%), use of clothing and hats (36.8%) and shade (34.1%). As in summer 2001 the sunscreen use is more popular in the female population. The use of protective clothing and hats is more popular in the male group. As solar protection has become part of the beach behaviour routine, there is room for improvement for their more frequent application, the use of a higher sun protection factor (15+), timed sunbathing, more use of clothing and hats and seeking shade. The results of this study can assist in evaluating the effectiveness of present sun-protection campaigns and health education programmes. PMID:22273847

  18. The importance of arthropod pests in Belgian pome fruit orchards.

    Science.gov (United States)

    Bangels, Eva; De Schaetzen, Charles; Hayen, Guy; Paternotte, Edouard; Gobin, Bruno

    2008-01-01

    Located in temperate, maritime climate with frequent rainfall, crop protection in Belgian orchards is dominated by fungicides. Though, the importance of arthropod pests should not be underestimated. Pcfruit, the former Research station of Gorsem, has been maintaining a warning system for fruit pests in Belgium since 1944. Therefore, various pests and beneficial's and their life cycle stages have been monitored in Gorsem and in different observation posts across Belgium, being part of a monitoring network. Although up to 3000 arthropod species are present in pome fruit orchards, about 25% can be considered as harmful and another 25% as beneficial. Out of those species, around 100 harmful and 50 beneficial organisms are omnipresent. The list of monitored species is extended yearly for upcoming or difficult to control organisms. Integrated pest management was introduced in the eighties, with the accent on using selective pesticides and saving beneficial organisms. A shift in pesticide use affected the importance of secondary pests, together with recent exceptional climatic conditions. Following many years of monitoring insects and mites and editing warning bulletins in our station, a ranking of the economical importance of different pest species is presented.

  19. [Orphan diseases and orphan medicines: a Belgian and European study].

    Science.gov (United States)

    Denis, Alain; Mergaert, Lut; Fostier, Christel; Cleemput, Irina; Simoens, Steven

    2009-12-01

    The objective of this study is to analyze policies concerning orphan medicines, used to treat patients suffering from a rare disease. The decisions about orphan designation and marketing authorization of orphan medicines are taken at European level, but each Member State is responsible for decisions regarding reimbursement. The European measures to encourage the development of orphan medicines, such as market exclusivity for a period of ten years, seem to be successful. However, this market exclusivity should be revised once the profitability of such medicines has clearly been demonstrated. Our study recommends the implementation of patient registries at the European level in order to describe the natural evolution of rare diseases and the efficacy of orphan medicines, the majority of which are relatively expensive. In 2008, Belgian social security services reimbursed orphan medicines for an amount of 66 million euro, accounting for more than 5% of the hospital pharmaceutical budget. The reimbursement of an orphan medicine to an individual patient is subject to multiple conditions. Our study recommends that a unique counter within the NIHDI is created which centralizes all reimbursement requests. The reimbursement of an orphan medicine must be linked to the provision of standardized information needed for a patient register. The NIHDI administration could then, in collaboration with external experts, evaluate reimbursement requests and ensure a coherent application of reimbursement criteria. PMID:20183989

  20. Terminal patients in Belgian nursing homes: a cost analysis.

    Science.gov (United States)

    Simoens, Steven; Kutten, Betty; Keirse, Emmanuel; Vanden Berghe, Paul; Beguin, Claire; Desmedt, Marianne; Deveugele, Myriam; Léonard, Christian; Paulus, Dominique; Menten, Johan

    2013-06-01

    Policy makers and health care payers are concerned about the costs of treating terminal patients. This study was done to measure the costs of treating terminal patients during the final month of life in a sample of Belgian nursing homes from the health care payer perspective. Also, this study compares the costs of palliative care with those of usual care. This multicenter, retrospective cohort study enrolled terminal patients from a representative sample of nursing homes. Health care costs included fixed nursing home costs, medical fees, pharmacy charges, other charges, and eventual hospitalization costs. Data sources consisted of accountancy and invoice data. The analysis calculated costs per patient during the final month of life at 2007/2008 prices. Nineteen nursing homes participated in the study, generating a total of 181 patients. Total mean nursing home costs amounted to 3,243 € per patient during the final month of life. Total mean nursing home costs per patient of 3,822 € for patients receiving usual care were higher than costs of 2,456 € for patients receiving palliative care (p = 0.068). Higher costs of usual care were driven by higher hospitalization costs (p < 0.001). This study suggests that palliative care models in nursing homes need to be supported because such care models appear to be less expensive than usual care and because such care models are likely to better reflect the needs of terminal patients.

  1. The usefulness of Belgian formulae in third molar-based age assessment of Indians.

    Science.gov (United States)

    Bhowmik, Biyas; Acharya, Ashith B; Naikmasur, Venkatesh G

    2013-03-10

    The third molars are one of few useful predictors for assessing the degree of maturity in adolescence and young adulthood. It has application in age estimation in the age group of 14-23 years, in general, and in juvenile/adult status prediction, in particular. Using a 10-stage grading of third molars, Gunst et al. developed regression formulae on a large sample of Belgians (n=2513) for estimating age. Their research has been recommended as a 'reference study' in age estimation guidelines. The present study has ventured to determine if estimating age in Indians using the Belgian formulae produced results comparable to those reported in the Belgian study; in addition, this study attempts to determine if the same formulae predicted juvenile/adult status (age aged between 14 and 23 years. The OPGs included a mix of one, two, three and four third molars. In total, 916 teeth were assessed using the same 10-stage grading. Age in each OPG was estimated by applying the relevant Belgian regression formulae (regression formulae are available for one, two, three and four third molars). To determine if the formulae produced age estimates comparable to those in the Belgian study, the percentage of Indian subjects whose actual age fell within the 68% confidence interval (CI) (calculated from the ± 1 S.D. value available for each Belgian formula) was ascertained. If ≥ 68% of Indian subjects' age fell inside this interval, it indicates that the Belgian formulae are applicable in Indians. To assess the suitability of the Belgian formulae in predicting juvenile/adult status in Indians, the accuracy of the age estimation per se was not considered, rather, the number of correct age predictions only was noted. Overall, ≈ 74% of Indian subjects' actual age fell within the 68% CI; with regards to the Belgian formulae being able to correctly predict juvenile/adult status, 78% of all subjects were categorized to the correct age group (age estimation per se of Indians; however, the

  2. Musculoskeletal pain among women of menopausal age in Puebla, Mexico.

    Science.gov (United States)

    Sievert, Lynnette Leidy; Goode-Null, Susan K

    2005-06-01

    Worldwide, complaints of musculoskeletal pain are more frequent than complaints of hot flashes amongst women of menopausal age. The purpose of this study was to examine musculoskeletal pain among women of menopausal age in the city of Puebla, Mexico. An opportunity sample was recruited from public parks and markets, with representation from all social classes (n=755). Mean age was 50.1 years, and the majority were employed as saleswomen in small businesses. Symptom frequencies were collected by open-ended interviews and with a structured symptom list that queried symptom experience during the two weeks prior to interview. In response to open-ended questions, "dolores de huesos" (bone pain) was volunteered by 47% of respondents as a symptom associated with menopause, second only to hot flashes (53%). From the structured symptom list, 55.8% and 55.6% reported back pain and joint stiffness during the two weeks prior to interview. Women with back pain and joint stiffness were less likely to report being active during their leisure time (p<.01). The results of backwards stepwise logistic regressions indicate that women with back pain were more likely to be older, with less education, a higher BMI, and ate less meat. Women with joint pain were more likely to be post-menopausal, with less education, more children, a higher BMI, and were likely to drink milk and coffee more than once/week but less than once/day. While menopause is not necessarily a risk factor for musculoskeletal pain, it is important to recognize the pervasiveness of this complaint among women of menopausal age. PMID:16917748

  3. Pedometer-Determined Physical Activity and Its Comparison with the International Physical Activity Questionnaire in a Sample of Belgian Adults

    Science.gov (United States)

    De Cocker, Katrien; Cardon, Greet; De Bourdeaudhuij, Ilse

    2007-01-01

    Pedometer-determined physical activity (PA) levels in Belgian adults were provided and compared to PA scores reported in the International Physical Activity Questionnaire (IPAQ). The representative sample (N = 1,239) of the Belgian population took on average 9,655 (4,526) steps/day. According to pedometer indices 58.4% were insufficiently active.…

  4. Compliance of Companies with Corporate Governance Codes: Case Study on Listed Belgian

    Directory of Open Access Journals (Sweden)

    Sven H. De Cleyn

    2014-09-01

    Full Text Available Listed and large companies become increasingly subject to internal and external pressure to comply with ethical and social standards. This article focuses on one aspect of this matter, namely the corporate governance issue. Within the framework of recent corporate scandals, this paper investigates whether and to which extent Belgian publicly listed SMEs comply with the Belgian Code on Corporate Governance after its first year of introduction, which has been constituted in the framework of the European Action Plan on Corporate Governance.In a sample of 78 Belgian listed SMEs, the compliance with the Code is analysed. After its first year of introduction, companies comply with on average 70% of the Code’s provisions. The most problematic topics in terms of disclosure of information seem to relate to (individual remuneration, private information and content of shareholders’ meetings.

  5. Estimate of intake of sulfites in the Belgian adult population.

    Science.gov (United States)

    Vandevijvere, S; Temme, E; Andjelkovic, M; De Wil, M; Vinkx, C; Goeyens, L; Van Loco, J

    2010-08-01

    An exposure assessment was performed to estimate the usual daily intake of sulfites in the Belgian adult population. Food consumption data were retrieved from the national food consumption survey. In a first step, individual food consumption data were multiplied with the maximum permitted use levels for sulfites, expressed as sulphur dioxide, per food group (Tier 2). In a second step, on the basis of a literature review of the occurrence of sulfites in different foods, the results of the Tier 2 exposure assessment and available occurrence data from the control programme of the competent authority, a refined list of foods was drafted for the quantification of sulphite. Quantification of sulphite was performed by a high-performance ion chromatography method with eluent conductivity detector in beers and potato products. Individual food consumption data were then multiplied with the actual average concentrations of sulfite per food group, or the maximum permitted levels in case actual levels were not available (partial Tier 3). Usual intakes were calculated using the Nusser method. The mean intake of sulfites was 0.34 mg kg(-1) bw day(-1) (Tier 2), corresponding to 49% of the acceptable daily intake (ADI) and 0.19 mg kg(-1) bw day(-1), corresponding to 27% of the ADI (partial Tier 3). The food group contributing most to the intake of sulfites was wines. The results showed that the intake of sulfites is likely to be below the ADI in Belgium. However, there are indications that high consumers of wine have an intake around the ADI.

  6. A survey of bacteria found in Belgian dairy farm products

    Directory of Open Access Journals (Sweden)

    N'Guessan, E.

    2015-01-01

    Full Text Available Description of the subject. Due to the potential hazards caused by pathogenic bacteria, farm dairy production remains a challenge from the point of view of food safety. As part of a public program to support farm diversification and short food supply chains, farm dairy product samples including yogurt, ice cream, raw-milk butter and cheese samples were collected from 318 Walloon farm producers between 2006 and 2014. Objectives. Investigation of the microbiological quality of the Belgian dairy products using the guidelines provided by the European food safety standards. Method. The samples were collected within the framework of the self-checking regulation. In accordance with the European Regulation EC 2073/2005, microbiological analyses were performed to detect and count Enterobacteriaceae, Listeria monocytogenes, Salmonella spp., Escherichia coli and Staphylococcus aureus. Results. Even when results met the microbiological safety standards, hygienic indicator microorganisms like E. coli and S. aureus exceeded the defined limits in 35% and 4% of butter and cheese samples, respectively. Unsatisfactory levels observed for soft cheeses remained higher (10% and 2% for S. aureus and L. monocytogenes respectively than those observed for pressed cheeses (3% and 1% and fresh cheeses (3% and 0% (P ≥ 0.05. Furthermore, the percentages of samples outside legal limits were not significantly higher in the summer months than in winter months for all mentioned bacteria. Conclusions. This survey showed that most farm dairy products investigated were microbiologically safe. However, high levels of hygiene indicators (e.g., E. coli in some products, like butter, remind us of applying good hygienic practices at every stage of the dairy production process to ensure consumer safety.

  7. Association between Smoking and Health Outcomes in Postmenopausal Women Living with Multiple Sclerosis

    Directory of Open Access Journals (Sweden)

    Rachel Jawahar

    2014-01-01

    Full Text Available Background. In multiple sclerosis (MS, symptom management and improved health-related quality of life (HrQOL may be modified by smoking. Objective. To evaluate the extent to which smoking is associated with worsened health outcomes and HrQOL for postmenopausal women with MS. Methods. We identified 251 Women’s Health Initiative Observational Study participants with a self-reported MS diagnosis. Using a linear model, we estimated changes from baseline to 3 years for activities of daily living, total metabolic equivalent tasks (MET hours per week, mental and physical component scales (MCS, PCS of the SF-36, and menopausal symptoms adjusting for years since menopause and other confounders. Results. Nine percent were current and 50% past smokers. Age at smoking initiation was associated with significant changes in MCS during menopause. PCS scores were unchanged. While women who had ever smoked experienced an increase in physical activity during menopause, the physical activity levels of women who never smoked declined. Residual confounding may explain this finding. Smoking was not associated with change in menopausal symptoms during the 3-year follow-up. Conclusion. Smoking was not associated with health outcomes among post-menopausal women with MS.

  8. Inhibin alpha gene G769A mutation in Chinese women with premature ovarian failure

    Institute of Scientific and Technical Information of China (English)

    Chen Xin-na; Chen Gui-an; Li Mei-zhi

    2006-01-01

    Objective: To examine whether the inhibin alpha (INHα) gene G769A mutation is present in Chinese women with idiopathic premature ovarian failure (POF). Methods: The study was carried out in 77 Chinese women with idiopathic POF and 35 normal controls(including 25 normal females with a regular menstrual history and 10 normal post-menopause women)by a case-control analysis. Genomic DNA was extracted from the peripheral blood of the patients and control subjects. The inhibin alpha gene was amplified by PCR. The PCR products were subsequently digested with enzyme BbvI, and then were subjected to electrophoresis on agarose gels and stained with ethidium bromide to determine the INHα G769A mutation. Results:With BbvI digestion three fragments of 130, 88 and 25 base pairs were noted for all 77 POF patiens and 35 controls, thus demonstrating normal inhibin alpha allele. No patient or control was heterozygous or homozygous for the mutant allele. Conclusions: The inhibin alpha gene mutation may be rare in Chinese women with POF. The etiology of idiopathic POF for most patients deserves further investigation.

  9. Belgian nuclear forum - launching the public debate on nuclear energy

    International Nuclear Information System (INIS)

    In the past decades, public opinion on nuclear power was dominated by a 'sleeping', indifferent majority. Nothing moved until (a minority of) opponents began to stir. Their activism strongly contrasted with the low-profile attitude of the nuclear players and pushed a considerable part of the indifferent majority towards a more negative attitude. A 2007 opinion poll (IFOP) confirmed this trend. The poll also revealed a major lack of objective and factual information. Incorrect and incomplete arguments tended to demonize nuclear energy, and 'nuclear' became a brand polarizing public opinion. This had a negative impact on decision-makers and culminated in the Belgian phase-out law of 2003. Based on the opinion poll, the members of the Belgian Nuclear Forum decided to launch a public information campaign, which they would jointly finance, with these goals: - In 3 to 4 years time, create greater public awareness on energy matters and move public opinion towards a more positive attitude. - Gain recognition of nuclear energy's legitimate place in the mix, and of the importance of peaceful nuclear applications. - Attract attention to the Belgian know-how and the importance of the industry on the scientific and economical level. - Optimize conditions for important nuclear issues such as long-term operation of NPPs, new nuclear research projects (MYRRHA),.. A 'push-pull' approach was adopted: push communication to the public (campaign) to pull (involve) decision-makers and get nuclear back on the political agenda. The Forum also opted for a sustained, long-term effort based on public campaigning, public relations and public affairs. Considering its long-time absence from the public debate, the Forum and its agency Saatchi and Saatchi agreed upon the following principles to underpin the campaign: - No 'pro-campaign'; that would be highly unrealistic and have a negative effect; - No taboos: bring up both the pros and cons; - No emotions: bring reason into a mainly emotional

  10. Belgian nuclear forum - launching the public debate on nuclear energy

    Energy Technology Data Exchange (ETDEWEB)

    Leclere, Robert [Belgian Nuclear Forum, Gulledelle, 1200 Brussels (Belgium); Van Landeghem, Yves [Saatchi and Saatchi Belgium, Avenue Rogier, 1030 Brussels (Belgium)

    2010-07-01

    In the past decades, public opinion on nuclear power was dominated by a 'sleeping', indifferent majority. Nothing moved until (a minority of) opponents began to stir. Their activism strongly contrasted with the low-profile attitude of the nuclear players and pushed a considerable part of the indifferent majority towards a more negative attitude. A 2007 opinion poll (IFOP) confirmed this trend. The poll also revealed a major lack of objective and factual information. Incorrect and incomplete arguments tended to demonize nuclear energy, and 'nuclear' became a brand polarizing public opinion. This had a negative impact on decision-makers and culminated in the Belgian phase-out law of 2003. Based on the opinion poll, the members of the Belgian Nuclear Forum decided to launch a public information campaign, which they would jointly finance, with these goals: - In 3 to 4 years time, create greater public awareness on energy matters and move public opinion towards a more positive attitude. - Gain recognition of nuclear energy's legitimate place in the mix, and of the importance of peaceful nuclear applications. - Attract attention to the Belgian know-how and the importance of the industry on the scientific and economical level. - Optimize conditions for important nuclear issues such as long-term operation of NPPs, new nuclear research projects (MYRRHA),.. A 'push-pull' approach was adopted: push communication to the public (campaign) to pull (involve) decision-makers and get nuclear back on the political agenda. The Forum also opted for a sustained, long-term effort based on public campaigning, public relations and public affairs. Considering its long-time absence from the public debate, the Forum and its agency Saatchi and Saatchi agreed upon the following principles to underpin the campaign: - No 'pro-campaign'; that would be highly unrealistic and have a negative effect; - No taboos: bring up both the pros and cons; - No

  11. Estudo exploratório da associação entre o perfil lipídico e a densidade mineral óssea em mulheres menopausadas, em hospital de referência de Campinas Association between lipid profile and bone mineral density in post-menopausal women

    OpenAIRE

    Silval Fernando Cardoso Zabaglia; Adriana Orcesi Pedro; Aarão Mendes Pinto Neto; Telma Guarisi; Lucia Helena Simões da Costa Paiva; Eduardo Lane

    1998-01-01

    O objetivo deste estudo foi avaliar a possível associação entre algumas variáveis do perfil lipídico e a densidade mineral óssea e se estas variáveis poderiam ser usadas como indicadoras de massa óssea em mulheres menopausadas, atendidas no ambulatório de menopausa do CAISM-Unicamp, no ano de 1995. Estudaram-se 72 pacientes pós-menopausadas, sem fatores de risco para doenças cardiovasculares e para osteoporose, por meio da dosagem de colesterol total e frações e da avaliação da densidade mine...

  12. 有氧运动对绝经后妇女血脂代谢和胰岛素敏感性的影响%The Effect of Aerobic Exercise on Serum Lipid and Insulin Resistance of Post-Menopausal Women

    Institute of Scientific and Technical Information of China (English)

    陈松娥

    2007-01-01

    目的:研究有氧运动对绝经后妇女血脂和胰岛素抵抗的影响.方法:对24名绝经后妇女随机分为有氧运动组和对照组,12周有氧运动后测定血脂含量、血糖和血胰岛素浓度.结果:TG和LDL显著低于运动前自身水平,而HDL则显著高于运动前自身水平,胰岛素敏感性明显高于对照组和运动前自身水平.结论:有氧运动可改善绝经后妇女的血脂水平和胰岛素敏感性.

  13. 不同运动方式对绝经后女性IL -6、TNF -α和hs - CRP的影响%Effects of Different Modes of Exercise Training on IL- 6,TNF-α and hs- CRP in Post- menopausal Women

    Institute of Scientific and Technical Information of China (English)

    施曼丽

    2011-01-01

    目的 比较12周有氧运动或抗阻训练对绝经后女性白细胞介素-6(IL -6)、肿瘤坏死因子-α(TNF -α)和高敏C-反应蛋白(hs -CRP)影响的差异,为制定特异性的运动处方提供依据.方法 将符合标准的受试者随机分为有氧运动组(18人),抗阻训练组(17人)和对照组(20人).有氧运动组和抗阻训练组进行每周3次、共12周的运动干预,对照组保持日常生活习惯不变.实验前后分别测定血清IL -6、TNF -α、hs - CRP等指标.结果12周运动干预后,有氧运动组血清IL -6较运动前下降了13% (P<0.01),血清TNF-α(P >0.05)和hs - CRP(P >0.05)无显著性变化;抗阻训练组血清IL -6较运动前无显著性变化(P>0.05),但血清TNF -α和hs - CRP分别下降了11% (P<0.05)和26% (P <0.05).对照组所有指标的变化不明显.相关分析显示,实验前hs- CRP基础值与BMI(r=0.36,P<0.01)、空腹血糖(r=0.23,P<0.05)和IL -6(r=0.22,P<0.01)正相关,与VO2max(r=- 0.29,P<0.05)负相关;实验后hs - CRP的变化值与BMI的变化值(r=0.21,P<0.05)正相关.结论 绝经妇女慢性全身性炎症状态与其BMI、血糖水平和体内炎症因子的水平有关;12周有氧运动或抗阻训练均能有效改善绝经后女性慢性全身性炎症状态,但抗阻训练的效果优于有氧运动,其原因与BMI的改善有关.

  14. Changes in the physique and functional indexes of post-menopausal women after aerobic exercise for 12 weeks%有氧运动12周干预绝经后妇女体质形态及功能指标

    Institute of Scientific and Technical Information of China (English)

    陈松娥; 彭峰林; 邓树勋

    2007-01-01

    目的:观察有氧运动对绝经后妇女体质中相关生理生化指标的影响.方法:实验于2005-03/12在邵阳学院运动康复中心进行.选择自愿接受康复中心康复训练的绝经后妇女24名,年龄50~65岁.按随机数字表法分为有氧运动组和对照组,每组12名.所有受试者保持平时的饮食习惯及一般的体力活动.严格遵守作息时间,不随意打乱生活规律.有氧运动方式为慢跑,运动强度采用的靶心率的计算方法:靶心率=(最大心率-安静心率)×0.6~0.85+安静心率;同时用自觉用力程度监控运动强度,自觉用力程度的Borg记分从12~16(即从"稍累"到"累").每次持续时间40 min,每周星期一、三、五锻炼3次.每次运动前有10~15 min准备活动,运动后有5 min整理活动.实验前和有氧运动12周后分别测定两组对象身高、体质量、心率、血压、腰围、臀围、体脂率、血糖、血脂等体质指标,进行比较.结果:纳入的24名绝经后妇女全部进入结果分析.有氧运动组运动后体质量指数、腰围、臀围、体脂率分别为(23.1±3.0)kg/m2,(75.1±3.6)cm,(91.8±6.0)cm和(26.1±4.2)%,与运动前比较,明显下降[(24.8±3.5)kg/m2,(76.5±4.2)cm,(93.9±6.4)cm,(27.8±3.0)%,P<0.05];体脂率与对照组比较,差异明显[(27.1±3.7)%,P<0.05].运动后安静心率、安静收缩压和舒张压分别为(70.7±4.8)次/min,(107.5±16.8)mm Hg(1 mm Hg=0.133 kPa)和(73.6±12.1)mm Hg,与运动前比较,明显降低[(74.7±4.8)次/min,(114.3±12.9)mm Hg和(76.0±6.6)mm Hg,P<0.01];与对照组比较,差异也明显[(74.7±5.1)次/min,(114.0±15.1)mmHg和(75.4±13.3)mm Hg,P<0.05].运动后握力、背肌力和最大吸氧量分别为(25.2±3.8),(63.2±4.4)kg,(49.8±0.9)mL/(kg·min),与运动前比较,均有增加(P<0.05),背肌力与对照组比较,差异明显[(59.2±3.3)kg,P<0.05].训练前后血糖变化不明显(P>0.05).有氧运动组血总胆固醇与运动前和对照组比较,变化不明显(P>0.05),三酰甘油和低密度脂蛋白胆固醇低于运动前(P<0.05),高密度脂蛋白胆固醇高于运动前(P<0.05).结论:有氧运动可有效地改善绝经后妇女的体质相关生理生化指标,可成为预防冠心病等疾病的有效措施.

  15. Clinical observation of pelvic floor muscle exercise combined with estrogen in the treatment of stress urinary incontinence in post-menopausal women%盆底肌肉锻炼联合雌激素治疗绝经妇女压力性尿失禁的临床观察

    Institute of Scientific and Technical Information of China (English)

    鄂春翔; 贾虹; 郑之琦; 刘阳

    2009-01-01

    目的:观察盆底肌肉锻炼联合雌激素治疗绝经妇女压力性尿失禁的疗效.方法:将44例绝经妇女压力性尿失禁患者随机分为试验组和对照组,前者采用雌激素治疗联合盆底肌肉锻炼,后者单纯盆底肌肉锻炼.治疗后观察评定尿失禁改善情况,比较分析应用雌激素后的疗效.结果:试验组和对照组总有效率分别为100%和50%,差异具有显著性(P<0.01).试验组用药后血清促卵泡素水平显著下降,雌激素水平上升至卵泡早期水平,体重、血脂及肝肾功能变化均无统计学意义.结论:盆底肌肉锻炼联合雌激素治疗绝经妇女压力性尿失禁疗效较好,值得临床推广.

  16. An Experimental Research on the Influence of Resistance Bodybuilding Exercise with Resilience Belt and Square Dance on Post-menopause Women's Bone Mineral Density%弹力带抗阻健身操和广场舞对绝经后女性骨密度影响的实验研究

    Institute of Scientific and Technical Information of China (English)

    黄中华

    2016-01-01

    探讨不同健身形式对绝经后女性骨代谢的影响.60名健康女性随机分成3组,每组20人(弹力带抗阻健身操组、广场舞组和对照组),进行6个月的运动干预.分别在实验前后测定所有受试者腰椎(L2 L4)、股骨颈、Wards三角及大转子的骨密度(BMD).结果:弹力带抗阻练习组各方面BMD显著高于实验前,各部位BMD在抗阻训练后的增长幅度明显高于广场舞组和对照组;广场舞组各方面指标略有提升;对照组骨密度指标均显著下降.结论:弹力带抗阻练习的建骨效应明显,它是有氧运动与力量练习的有效融合,其效果独特,且安全、易操作,是中老年人健身建骨的首选运动方案.

  17. High Prevalence of Vitamin D Deficiency in Pregnant Women: A National Cross-Sectional Survey

    OpenAIRE

    Vandevijvere, Stefanie; Amsalkhir, Sihame; Van Oyen, Herman; Moreno-Reyes, Rodrigo

    2012-01-01

    An increasing number of studies suggest that vitamin D deficiency during pregnancy is associated with multiple adverse health outcomes in mothers, neonates and children. There are no representative country data available on vitamin D status of pregnant women in Europe. The aim of this study was to estimate the prevalence of vitamin D deficiency among Belgian pregnant women and to assess the determinants of vitamin D status in the first and third trimester of pregnancy. The women were selected...

  18. Core and fuel feasibility study for improved flexibility on the Belgian Nuclear Power Plants

    International Nuclear Information System (INIS)

    A feasibility study has been performed for extended power modulations on Belgian NPPs. The goal is to make the existing nuclear power units in Belgium more flexible without implementing hardware modifications and guaranteeing safety at all times. As the critical part of the feasibility study, the impacts on the core behaviour and fuel performance have been studied in detail. It is concluded that all existing fuels loaded in the Belgian plants allow up to 30 power modulations per fuel cycle without changing the currently applied fuel cycle management. This is also supported by the extensive experience feedback of the fuel products for flexible operations in European countries. (author)

  19. Non-destructive method for internal quality determination of belgian endive (cichorium intybus l.)

    OpenAIRE

    De Baerdemaeker J.; Quenon V.

    2000-01-01

    A method and process were developed to nondestructively measure the length of the floral stalk in Belgian endive Cichorium intybus L. Current X-ray technology proved to be a feasible method. A detection algorithm was developed based on the minimal transmitted intensities along the length. The method is very accurate with an absolute precision of 4.9 mm and allows the study of the influence of storage conditions and time on the Belgian endive internal quality. The growth of the floral stalk is...

  20. Osteochondrosis of the occipital condyles and atlanto-occipital dysplasia in a Belgian horse

    OpenAIRE

    Muirhead, Tammy; McClure, J.T.; Bourque, Andrea; Pack, LeeAnn

    2003-01-01

    A lesion in the cervical region of a 14-month-old Belgian gelding with severe ataxia was suspected. Necropsy revealed symmetric focal cartilage defects compatible with osteochondrosis of the occipital condyles and atlanto-occipital dysplasia. To our knowledge this is the first equine report of symmetrical osteochondrosis of the occipital condyles causing neurologic signs.

  1. The role of the sickness funds in the Belgian health care market

    NARCIS (Netherlands)

    W. Nonneman (Nonneman); E.K.A. van Doorslaer (Eddy)

    1994-01-01

    textabstractThis article reviews some of the salient features of the Belgian health care finance and delivery system. Special attention is paid to the role played by the third-party payers, i.e. the Health Insurance Associations (HIAs) in administering the compulsory national health insurance progra

  2. Can metacognition compensate for intelligence in the first year of Belgian higher education?

    NARCIS (Netherlands)

    Minnaert, A

    1996-01-01

    This study reports on the effects of metacognitive knowledge and skills compensating for intelligence in relation to academic performance in the first year of Belgian higher education. About 600 freshmen of educational sciences, medicine and psychology participated in this project. Tasks and questio

  3. Comparing Compositional Effects in Two Education Systems: The Case of the Belgian Communities

    Science.gov (United States)

    Danhier, Julien; Martin, Émilie

    2014-01-01

    The Belgian educational field includes separate educational systems reflecting the division of the country into linguistic communities. Even if the French-speaking and the Dutch-speaking communities keep sharing important similarities in terms of funding rules and structures, they present a huge gap between their respective pupils'…

  4. Clonal Expansion of the Belgian Phytophthora ramorum Populations Based on New Microsatellite Markers

    Science.gov (United States)

    Coexistence of both mating types A1 and A2 within the EU1 lineage of Phytophthora ramorum has only been observed in Belgium, begging the question whether sexual reproduction is occurring. A collection of 411 Belgian P. ramorum isolates was established during a seven year survey. Our main objective w...

  5. Non-suicidal self-injury among Dutch and Belgian adolescents: Personality, stress and coping

    NARCIS (Netherlands)

    Kiekens, G.; Bruffaerts, R.; Nock, M.K.; Ven, M.O.M. van de; Witteman, C.L.M.; Mortier, P.; Demyttenaere, K.; Claes, L.

    2015-01-01

    Background This study examines: (1) the prevalence of Non-Suicidal Self-Injury (NSSI) among Dutch and Belgian adolescents, (2) the associations between Big Five personality traits and NSSI engagement/versatility (i.e., number of NSSI methods), and (3) whether these associations are mediated by perce

  6. Speaking Turkish in Belgian primary schools: teacher beliefs versus effective consequences

    NARCIS (Netherlands)

    O. Ağırdağ; K. Jordens; M. Van Houtte

    2014-01-01

    In this mixed-method study, we explore teachers’ beliefs concerning the use of the Turkish language by Turkish children in Belgian primary schools, and we compare these findings with the effective consequences of language maintenance. The qualitative analyses revealed that teachers have very negativ

  7. Validity of predictive equations for resting energy expenditure in Belgian normal weight to morbid obese women

    NARCIS (Netherlands)

    Weijs, J.M. Peter; Vansant, A.A.M. Greet

    2010-01-01

    Background & aims: Individual energy requirements of overweight and obese adults can often not be measured by indirect calorimetry, mainly due to the time-consuming procedure and the high costs. To analyze which resting energy expenditure(REE)predictive equation is the best alternative for indirect

  8. Breast cancer in Mexican women: an epidemiological study with cervical cancer control

    Directory of Open Access Journals (Sweden)

    Víctor Tovar-Guzmán

    2000-04-01

    Full Text Available INTRODUCTION: In Mexico, breast cancer (BC is one of the main causes of cancer deaths in women, with increasing incidence and mortality in recent years. Therefore, the aim of the study is identify possible risk factors related to BC. METHODS: An epidemiological study of hospital cases of BC and controls with cervical uterine cancer (CUCA was carried out at eight third level concentration hospitals in Mexico City. The total of 353 incident cases of BC and 630 controls with CUCA were identified among women younger than 75 years who had been residents of the metropolitan area of Mexico City for at least one year. Diagnosis was confirmed histologically in both groups. Variables were analyzed according to biological and statistical plausibility criteria. Univariate, bivariate and multivariate analyses were carried out. Cases and controls were stratified according to the menopausal hormonal status (pre and post menopause. RESULTS: The factors associated with BC were: higher socioeconomic level (OR= 2.77; 95%CI = 1.77 - 4.35; early menarche (OR= 1.32; 95%CI= 0.88 - 2.00; old age at first pregnancy (>31 years: OR= 5.49; 95%CI= 2.16 - 13.98 and a family history of BC (OR= 4.76; 95% CI= 2.10 - 10.79. In contrast, an increase in the duration of the breastfeeding period was a protective factor (>25 months: OR= 0.38; 95%CI= 0.20 - 0.70. CONCLUSIONS: This study contributes to the identification of risk factors for BC described in the international literature, in the population of Mexican women. Breastfeeding appears to play an important role in protecting women from BC. Because of changes in women`s lifestyles, lactation is decreasing in Mexico, and young women tend not to breastfeed or to shorten the duration of lactation.

  9. Breast cancer in Mexican women: an epidemiological study with cervical cancer control

    Directory of Open Access Journals (Sweden)

    Tovar-Guzmán Víctor

    2000-01-01

    Full Text Available INTRODUCTION: In Mexico, breast cancer (BC is one of the main causes of cancer deaths in women, with increasing incidence and mortality in recent years. Therefore, the aim of the study is identify possible risk factors related to BC. METHODS: An epidemiological study of hospital cases of BC and controls with cervical uterine cancer (CUCA was carried out at eight third level concentration hospitals in Mexico City. The total of 353 incident cases of BC and 630 controls with CUCA were identified among women younger than 75 years who had been residents of the metropolitan area of Mexico City for at least one year. Diagnosis was confirmed histologically in both groups. Variables were analyzed according to biological and statistical plausibility criteria. Univariate, bivariate and multivariate analyses were carried out. Cases and controls were stratified according to the menopausal hormonal status (pre and post menopause. RESULTS: The factors associated with BC were: higher socioeconomic level (OR= 2.77; 95%CI = 1.77 - 4.35; early menarche (OR= 1.32; 95%CI= 0.88 - 2.00; old age at first pregnancy (>31 years: OR= 5.49; 95%CI= 2.16 - 13.98 and a family history of BC (OR= 4.76; 95% CI= 2.10 - 10.79. In contrast, an increase in the duration of the breastfeeding period was a protective factor (>25 months: OR= 0.38; 95%CI= 0.20 - 0.70. CONCLUSIONS: This study contributes to the identification of risk factors for BC described in the international literature, in the population of Mexican women. Breastfeeding appears to play an important role in protecting women from BC. Because of changes in women`s lifestyles, lactation is decreasing in Mexico, and young women tend not to breastfeed or to shorten the duration of lactation.

  10. Pesticide exposure of two age groups of women and its relationship with their diet.

    Science.gov (United States)

    Rivas, Ana; Cerrillo, Isabel; Granada, Alicia; Mariscal-Arcas, Miguel; Olea-Serrano, Fatima

    2007-08-15

    The widespread presence of organochlorine (OC) pesticides in human samples may be explained by the environmental exposure of the population. Foods are considered a constant source of exposure, despite compliance with maximum permitted residue levels. This study aimed to examine the relationship between nutritional habits of women in Southeast Spain and their serum concentrations of OCs. A semi-quantitative questionnaire was used to estimate the frequency of consumption of foods by two age groups of women, pre-menopausal (Pre-M) and post-menopausal (Post-M), and their serum pesticide levels were measured by gas chromatography (GC) with electron capture detector and confirmed by GC and mass spectrometry. The Pre-M group showed significantly higher serum concentrations of all OCs studied with the exception of DDE. The groups significantly differed in consumption of all food groups with the exception of fruit. In the Pre-M group, the mean serum p,p-DDT concentration was significantly associated with milk/yoghurt (presidue levels to minimize this threat to human and animal health. PMID:17477954

  11. Transdermal hormone therapy in postmenopausal women: A review of metabolic effects and drug delivery technologies

    Directory of Open Access Journals (Sweden)

    Nathan W Kopper

    2008-10-01

    Full Text Available Nathan W Kopper, Jennifer Gudeman, Daniel J ThompsonKV Pharmaceutical, St. Louis, MO, USAAbstract: Vasomotor symptoms (VMS associated with menopause can cause significant discomfort and decrease the quality of life for women in the peri-menopausal and post-menopausal stages of life. Hormone therapy (HT is the mainstay of treatment for menopausal symptoms and is currently the only therapy proven effective for VMS. Numerous HT options are available to treat VMS, including estrogen-only and estrogen-progestogen combination products to meet the needs of both hysterectomized and nonhysterectomized women. In addition to selecting an appropriate estrogen or estrogen-progestogen combination, consideration should be given to the route of administration to best suit the needs of the patient. Delivery systems for hormone therapy include oral tablets, transdermal patches, transdermal topical (nonpatch products, and intravaginal preparations. Oral is currently the most commonly utilized route of administration in the United States. However, evidence suggests that oral delivery may lead to some undesirable physiologic effects caused by significant gut and hepatic metabolism. Transdermal drug delivery may mitigate some of these effects by avoiding gut and hepatic first-pass metabolism. Advantages of transdermal delivery include the ability to administer unmetabolized estradiol directly to the blood stream, administration of lower doses compared to oral products, and minimal stimulation of hepatic protein production. Several estradiol transdermal delivery technologies are available, including various types of patches, topical gels, and a transdermal spray.Keywords: estradiol, hormone therapy, menopause, transdermal drug delivery, vasomotor symptoms

  12. Belgian recommendations on ANA, anti-dsDNA and anti-ENA antibody testing.

    Science.gov (United States)

    Van Blerk, M; Bossuyt, X; Humbel, R; Mewis, A; Servais, G; Tomasi, J P; Van Campenhout, C; Van Hoovels, L; Vercammen, M; Damoiseaux, J; Coucke, W; Van de Walle, P

    2014-04-01

    Autoantibodies to nuclear antigens, i.e. antinuclear antibodies (ANA), antibodies to double-stranded DNA (dsDNA) and extractable nuclear antigens (ENA), are useful as diagnostic markers for a variety of autoimmune diseases. In March 2010, the Belgian national External Quality Assessment Scheme sent a questionnaire on ANA, anti-dsDNA and anti-ENA antibody testing designed by the Dutch EASI (European Autoimmunity Standardization Initiative) team, to all clinical laboratories performing ANA testing. Virtually all laboratories completed the questionnaire (97·7%, 127/130). This paper discusses the results of this questionnaire and provides valuable information on the state-of-the-art of ANA, anti-dsDNA and anti-ENA antibody testing as practiced in the Belgian laboratories. In addition, this work presents practical recommendations developed by the members of the advisory board of the scheme as a result of the outcome of this study.

  13. Diagnosis, pathophysiology and management of chronic migraine: a proposal of the Belgian Headache Society.

    Science.gov (United States)

    Paemeleire, Koen; Louis, Paul; Magis, Delphine; Vandenheede, Michel; Versijpt, Jan; Vandersmissen, Bart; Schoenen, Jean

    2015-03-01

    Chronic migraine (CM) is a disabling neurological condition affecting 0.5-2 % of the population. In the current third edition of the International Classification of Headache Disorders, medication overuse is no longer an exclusion criterion and CM is diagnosed in patients suffering from at least 15 headache days per month of which at least eight are related to migraine. CM is difficult to treat, and preventive treatment options are limited. We provide a pathogenetic model for CM, integrating the latest findings from neurophysiological and neuroimaging studies. On behalf of the Belgian Headache Society, we present a management algorithm for CM based on the international literature and adapted to the Belgian situation. Pharmacological treatment options are discussed, and recent data on transcranial and invasive neuromodulation studies in CM are reviewed. An integrated multimodal treatment programme may be beneficial to refractory patients, but at present, this approach is only supported by a limited number of observational studies and quite variable between centres.

  14. Reproductive pattern of Cuban women living in the municipality of Plaza de la Revolución, Havana, Cuba.

    Science.gov (United States)

    Vázquez, Vanessa; Camargo, Ana M; Acosta, Marlen; Alonso, Verónica; Luna, Francisco

    2015-07-01

    This paper assesses the reproductive and abortion patterns of women living in Plaza de la Revolución, a municipality of Havana, Cuba, by studying the factors influencing birth and abortion rates. Socio-demographic data and female reproductive histories were collected in a survey of 1200 post-menopausal women living in the municipality. Average ages at menarche and at menopause were 12.71 and 48.39 years, respectively, thus yielding a potential long reproductive period of 35.68 years, indicating high fertility. Although the mean pregnancy rate was 3.81 pregnancies per woman, the live birth rate at time of delivery was only 1.89 due to the high rate of abortions: 40% of all pregnancies were voluntarily interrupted. Among the biological and socio-cultural variables that were found to influence the rate of live births were those related marriage pattern, especially age at first union. Demographic variables such as pregnancy order, maternal age and marital status were the main determinants of the abortion pattern, with abortion being used as a method of birth control in order to obtain the desired family size, and most women (75.2%) using contraceptives.

  15. Why do women stop reproducing before menopause? A life-history approach to age at last birth.

    Science.gov (United States)

    Towner, Mary C; Nenko, Ilona; Walton, Savannah E

    2016-04-19

    Evolutionary biologists have long considered menopause to be a fundamental puzzle in understanding human fertility behaviour, as post-menopausal women are no longer physiologically capable of direct reproduction. Menopause typically occurs between 45 and 55 years of age, but across cultures and history, women often stop reproducing many years before menopause. Unlike age at first reproduction or even birth spacing, a woman nearing the end of her reproductive cycle is able to reflect upon the offspring she already has-their numbers and phenotypic qualities, including sexes. This paper reviews demographic data on age at last birth both across and within societies, and also presents a case study of age at last birth in rural Bangladeshi women. In this Bangladeshi sample, age at last birth preceded age at menopause by an average of 11 years, with marked variation around that mean, even during a period of high fertility. Moreover, age at last birth was not strongly related to age at menopause. Our literature review and case study provide evidence that stopping behaviour needs to be more closely examined as an important part of human reproductive strategies and life-history theory. Menopause may be a final marker of permanent reproductive cessation, but it is only one piece of the evolutionary puzzle. PMID:27022074

  16. Sensitivity analyses of thermal bridges: confrontation with the new Belgian EPB-methodology

    OpenAIRE

    Delghust, Marc; Huyghe, Willem; Janssens, Arnold

    2011-01-01

    As governments continue to impose more and higher energetic requirements for buildings, they also need better assessment-tools to take into account as many parameters as possible. This results in continuous developments of new calculation methods and softwares, where a balance has to be found between practicality and accuracy. To answer this problem, specifically with regard to the thermal bridges, the three Belgian regions developed a new and common pragmatic approach for assessing therma...

  17. The Gay Men Sex Studies: prevalence of sexual dysfunctions in Belgian HIV+ gay men

    OpenAIRE

    Vansintejan J; Janssen J; Van De Vijver E; Vandevoorde J; Devroey D

    2013-01-01

    Johan Vansintejan, Joris Janssen, Erwin Van De Vijver, Jan Vandevoorde, Dirk Devroey Department of Family Medicine, Vrije Universiteit Brussel (VUB), Brussels, Belgium Abstract: The aim of this Internet-based survey was to investigate the prevalence and associated predictors of sexual dysfunctions in Belgian self-reported HIV-positive men who have sex with other men. Of the 72 participants, 56% had a mild-to-severe erectile dysfunction, and 15% reported a hypoactive sexual desire disorder. Th...

  18. The Gay Men Sex Studies: prevalence of sexual dysfunctions in Belgian HIV+ gay men

    OpenAIRE

    Vansintejan, Johan

    2013-01-01

    Johan Vansintejan, Joris Janssen, Erwin Van De Vijver, Jan Vandevoorde, Dirk Devroey Department of Family Medicine, Vrije Universiteit Brussel (VUB), Brussels, Belgium Abstract: The aim of this Internet-based survey was to investigate the prevalence and associated predictors of sexual dysfunctions in Belgian self-reported HIV-positive men who have sex with other men. Of the 72 participants, 56% had a mild-to-severe erectile dysfunction, and 15% reported a hypoactive sexual desire disorder. T...

  19. Joint Estimation of Mark-up and Bargaining Power Parameters for Belgian Manufacturing

    OpenAIRE

    Dobbelaere, Sabien

    2002-01-01

    This paper applies several extensions of Hall's (1988) methodology to analyse imperfections in both the product and the labour market for firms in the Belgian manufacturing industry over the period 1988-1995. We investigate (1) the heterogeneity in mark-up and bargaining power parameters among 17 sectors within the manufacturing industry, (2) whether higher bargaining power parameters are associated with higher mark-ups and (3) whether both parameters are influenced by cyclical and competitio...

  20. Waste disposal[1997 Scientific Report of the Belgian Nuclear Research Centre

    Energy Technology Data Exchange (ETDEWEB)

    Neerdael, B.; Marivoet, J.; Put, M.; Verstricht, J.; Van Iseghem, P.; Buyens, M.

    1998-07-01

    The primary mission of the Waste Disposal programme at the Belgian Nuclear Research Centre SCK/CEN is to propose, develop, and assess solutions for the safe disposal of radioactive waste. In Belgium, deep geological burial in clay is the primary option for the disposal of High-Level Waste and spent nuclear fuel. The main achievements during 1997 in the following domains are described: performance assessment, characterization of the geosphere, characterization of the waste, migration processes, underground infrastructure.

  1. Decommissioning of the BR3 PWR[1997 Scientific Report of the Belgian Nuclear Research Centre

    Energy Technology Data Exchange (ETDEWEB)

    Massaut, V.

    1998-07-01

    The dismantling and the decommissioning of nuclear installations at the end of their life-cycle is a new challenge to the nuclear industry. Different techniques and procedures for the dismantling of a nuclear power plant on an existing installation, the BR-3 pressurized-water reactor, are described. The scientific program, objectives, achievements in this research area at the Belgian Nuclear Research Centre SCK-CEN for 1997 are summarized.

  2. New Belgian Law on Research on Human Embryos: Trust in Progress Through Medical Science

    OpenAIRE

    Pennings, G

    2003-01-01

    The new Belgian law on research on embryos in vitro accepts all types of research directed at therapeutic purposes and at increased medical knowledge. This includes research for germline and somatic gene therapy, therapeutic cloning, and the development of embryonic stem cell lines. As this presupposes the creation of embryos for research, this too is allowed. Other goals like sex selection for nonmedical reasons, eugenic practices and reproductive cloning are prohibited. In general, the law ...

  3. Software support for manufacturing operations in Belgian SMEs: one size fits all?

    OpenAIRE

    Desmarey, Thierry; Degryse, Kris; Cottyn, Johannes

    2011-01-01

    Manufacturing companies face a big challenge to bridge the gap between their business and manufacturing processes. The urge to increase efficiency makes it necessary to align the business and manufacturing processes. Small and Medium-sized Enterprises (SMEs) experience several barriers to adopt software support for manufacturing operations. This paper gives an overview of a research study conducted in Belgian SMEs. The research studied the current adoption of software support for manufacturin...

  4. Adaptation of the European crop growth monitoring system to the Belgian conditions.

    OpenAIRE

    Buffet, D.; Dehem, Didier; Wouters, K.; Tychon, Bernard; Oger, Robert; Veroustraete, F.

    1999-01-01

    The aim of the Belgian Crop Growth Monitoring System (B-CGMS) is the elaboration of an integrated information system predicting reliable, timely and objective estimates of crop yields and monitoring calamity sites at regional scales. Seven major crops are concerned by the project : winter wheat, winter barley, fodder maize, winter rape seed, potatoes, sugar beet and permanent meadow. The main tasks in the adaptation of the European model come down to the completion and the improvement of the ...

  5. Information Availability, Information Quality and the Financial Structure of Belgian SME's.

    OpenAIRE

    Van Campenhout, Geert; Van Caneghem, Tom

    2009-01-01

    In this paper we test whether the amount and/or quality of financial statement information affect the financial structure of Small and Medium Enterprises (SMEs). We explore this issue for Belgian SMEs because there are important differences in disclosure and audit requirements among them. Consistent with the traditional view that asymmetric or incomplete information restricts access to external funds, our results indicate that both the amount and the quality of financial statement information...

  6. Perceived work ability and turnover intentions: a prospective study among Belgian healthcare workers

    OpenAIRE

    Derycke, Hanne; Clays, Els; Vlerick, Peter; D'hoore, William; Hasselhorn, Hans Martin; Braeckman, Lutgart

    2012-01-01

    AIM: To report a study exploring prospective relations between nurses' perceived work ability and three forms of turnover intentions, respectively, intent to leave the ward, organization and profession. BACKGROUND: Turnover of nursing staff is a major challenge for healthcare settings and for healthcare in general, urging the need to improve retention. DESIGN: Survey. METHODS: Based on the longitudinal data of the Belgian sample from the European Nurses' Early Exit study, a total of 1531 heal...

  7. Using Firm-Level Data to Assess Gender Wage Discrimination in the Belgian Labour Market

    OpenAIRE

    Borowczyk Martins, Daniel; Vandenberghe, Vincent

    2010-01-01

    In this paper we explore a matched employer-employee data set to investigate the presence of gender wage discrimination in the Belgian private economy labour market. We identify and measure gender wage discrimination from firm-level data using a labour index decomposition pioneered by Hellerstein and Neumark (1995), which allows us to compare direct estimates of a gender productivity differential with those of a gender labour costs differential. We take advantage of the panel structure of the...

  8. Firm-level Evidence on Gender Wage Discrimination in the Belgian Private Economy

    OpenAIRE

    Vandenberghe, Vincent

    2011-01-01

    In this paper we explore a matched employer-employee data set to investigate the presence of gender wage discrimination in the Belgian private economy labour market. Contrary to many existing papers, we analyse gender wage discrimination using an independent productivity measure. Using firm-level data, we are able to compare direct estimates of a gender productivity differential with those of a gender wage differential. We take advantage of the panel structure to identify gender-related diffe...

  9. Average daily nitrate and nitrite intake in the Belgian population older than 15 years

    OpenAIRE

    Temme, Liesbeth; Vandevijvere, Stefanie Marie; Vinkx, Christine; Huybrechts, Inge; Goeyens, Leo; Van Oyen, Herman

    2011-01-01

    Abstract The aim of this study was to assess the dietary intake of nitrate and nitrite in Belgium. The nitrate content of processed vegetables, cheeses and meat products was analyzed. These data were completed by data from non-targeted official control and from literature. In addition, the nitrite content of meat products was measured. Concentration data for nitrate and nitrite were linked to food consumption data of the Belgian Food Consumption Survey. This study included 3245 res...

  10. Use of Information, Product Innovation and Financial Performance on Belgian Glasshouse Holdings

    OpenAIRE

    Taragola, Nicole; Huylenbroeck, Guido Van; Van Lierde, Dirk

    2002-01-01

    In order to meet the changing needs and preferences of consumers it will be important for Belgian glasshouse growers to change from a production-driven to a customer-driven strategy. More than ever, use of information and product innovation become critical factors in the changing competitive environment. The aim of the research is to analyse the relationship between business and managerial characteristics, use of information sources, product innovation and financial performance of the firm. T...

  11. Mafia Practices and Italian Entrepreneurial Activities in the Belgian Food Sector. Research Objectives

    OpenAIRE

    De Biase, Marco

    2014-01-01

    This research aims to study the social and economic processes which encourage the spread of mafia practices among some Italian entrepreneurs in the Belgian food sector. My working hypothesis is that mafia practices are violent and predatory strategies to monopolize the economic market, which rely on the use of heterogeneous and cross-class social networks. In this view, these activities of old and new Italian entrepreneurs in Belgium are not the result of the exportation of mafia methods thro...

  12. Phthalates dietary exposure and food sources for Belgian preschool children and adults.

    Science.gov (United States)

    Sioen, Isabelle; Fierens, Tine; Van Holderbeke, Mirja; Geerts, Lieve; Bellemans, Mia; De Maeyer, Mieke; Servaes, Kelly; Vanermen, Guido; Boon, Polly E; De Henauw, Stefaan

    2012-11-01

    Numerous studies have indicated that for phthalates, the intake of contaminated foods is the most important exposure pathway for the general population. Up to now, data on dietary phthalate intake are scarce and - to the authors' knowledge - not available for the Belgian population. Therefore, the purpose of this study was: (1) to assess the long-term intake of the Belgian population for eight phthalates considering different exposure scenarios (benzylbutyl phthalate (BBP); di-n-butyl phthalate (DnBP); dicyclohexyl phthalate (DCHP); di(2-ethylhexyl) phthalate (DEHP); diethyl phthalate (DEP); diisobutyl phthalate (DiBP); dimethyl phthalate (DMP), di-n-octyl phthalate (DnOP)); (2) to evaluate the intake of BBP, DnBP, DEP and DEHP against tolerable daily intake (TDI) values; and (3) to assess the contribution of the different food groups to the phthalate intake. The intake assessment was performed using two Belgian food consumption databases, one with consumption data of preschool children (2.5 to 6.5 years old) and another of adults (≥15 years old), combined with a database of phthalate concentrations measured in over 550 food products sold on the Belgian market. Phthalate intake was calculated using the 'Monte Carlo Risk Assessment' programme (MCRA 7.0). The intake of DEHP was the highest, followed by DiBP. The intake of BBP, DnBP and DEP was far below the TDI for both children and adults. However, for DEHP, the 99th percentile of the intake distribution of preschoolers in the worst case exposure scenario was equal to 80% of the TDI, respectively. This is not negligible, since other exposure routes of DEHP exist for children as well (e.g. mouthing of toys). Bread was the most important contributor to the DEHP intake and this may deserve further exploration, since the origin of this phthalate in bread remains unclear.

  13. Floating seaweed in the neustonic environment: a case study from Belgian coastal waters

    OpenAIRE

    Vandendriessche, S; Vincx, M.; Degraer, S.

    2007-01-01

    Floating seaweeds form the most important natural component of all floating material found on the surface of oceans and seas. Notwithstanding the absence of natural rocky shores, ephemeral floating seaweed clumps are frequently encountered along the Belgian coast. From October 2002 to April 2003, seaweed samples and control samples (i.e. surface water samples from a seaweed-free area) were collected every other week. Multivariate analysis on neustonic macrofaunal abundances showed significant...

  14. Estimating an Ex Ante Cost Function for Belgian Arable Crop Farms

    OpenAIRE

    Hansen, Kristiana; Baudry, Alexandre; De Blander, Rembert; Frahan, Bruno Henry de; Polome, Philippe

    2009-01-01

    We estimate a farm-level cost function for Belgian crop farms using FADN data over the study period 1996-2006. We rely on an estimation of farmers' expected yields at the time cropping decisions are made rather than actual yields observed in the FADN data. The use of an ex ante cost function improves the cost function estimation. We subsequently suggest how our cost function can be used in simulations to analyze farmer response to changes in output price risk.

  15. Analysis of business demography using markov chains : an application to Belgian data

    OpenAIRE

    François Coppens; Fabienne Verduyn

    2009-01-01

    This paper applies the theory of finite Markov chains to analyse the demographic evolution of Belgian enterprises. While other methodologies concentrate on the entry and exit of firms, the Markov approach also analyses migrations between economic sectors. Besides helping to provide a fuller picture of the evolution of the population, Markov chains also enable forecasts of its future composition to be made, as well as the computation of average lifetimes of companies by branch of activity. The...

  16. Analysis of business demography using markov chains: an application to Belgian data

    OpenAIRE

    Coppens, François; Verduyn, Fabienne

    2009-01-01

    This paper applies the theory of finite Markov chains to analyse the demographic evolution of Belgian enterprises. While other methodologies concentrate on the entry and exit of firms, the Markov approach also analyses migrations between economic sectors. Besides helping to provide a fuller picture of the evolution of the population, Markov chains also enable forecasts of its future composition to be made, as well as the computation of average lifetimes of companies by branch of activity. The...

  17. Salt water infiltration in two artificial sea inlets in the Belgian dune area

    OpenAIRE

    Vandenbohede, A.; Lebbe, L.; Gysens, S.; Delecluyse, K.; DeWolf, P.

    2008-01-01

    In the dune area of the Westhoek Nature Reserve, situated in the western Belgian coastal plain, two artificial tidal inlets were made aiming to enhance biodiversity. The infiltration of salt water in these tidal inlets was carefully monitored because a fresh water lens is present in the phreatic dune aquifer. This forms an important source of fresh water which is for instance exploited by a water company. The infiltration was monitored over a period of two years by means of electromagnetic bo...

  18. Psychological dimensions of unemployment: a gender comparison between Belgian and South African unemployed.

    OpenAIRE

    Yannick Griep; Sebastiaan Rothmann; Wouter Vleugels; Hans De Witte

    2012-01-01

    This study sought to compare South African and Belgian unemployed in their subjective experience of unemployment, committed towards employment and job search behaviour. We also considered gender differences regarding the psychological dimensions of unemployment between Belgium and South Africa. A cross-sectional survey design was used. Unemployed people were sampled from the Potchefstroom area in South Africa (N = 381) and the Brussels area in Belgium (N = 305). The Experiences of Unemploymen...

  19. The productivity and export spillovers of the internationalisation behaviour of Belgian firms

    OpenAIRE

    Michel Dumont; Bruno Merlevede; Christophe Piette; Glenn Rayp

    2010-01-01

    This paper analyses to what extent the decision to start exporting may be subject to spillovers of the internationalisation behaviour of other (foreign and domestic) firms. We distinguish between two possible channels: effects on productivity and effects on the perceived level of sunk costs of exporting. For both channels, we consider geographical and activity or industry-based linkages between firms. For a sample Belgian firms we find evidence of significant spillovers on productivity as wel...

  20. An empirical study on human resource planning in Belgian production companies

    OpenAIRE

    Van den Bergh, Jorne; Belien, Jeroen; Hoskens, Brent

    2013-01-01

    This paper investigates human resource planning in Belgian production companies. First, a literature study is developed to serve as a basis for the results of the empirical research. The literature study is mainly based on papers in the field of operations research that provide interesting insights such as the research-application gap, which is the lack of implementation of models provided by literature. The most important part of this paper is the empirical research. The empirical research i...

  1. Predicting the environmental risks of radioactive discharges from Belgian nuclear power plants

    International Nuclear Information System (INIS)

    An environmental risk assessment (ERA) was performed to evaluate the impact on non-human biota from liquid and atmospheric radioactive discharges by the Belgian Nuclear Power Plants (NPP) of Doel and Tihange. For both sites, characterisation of the source term and wildlife population around the NPPs was provided, whereupon the selection of reference organisms and the general approach taken for the environmental risk assessment was established. A deterministic risk assessment for aquatic and terrestrial ecosystems was performed using the ERICA assessment tool and applying the ERICA screening value of 10 μGy h−1. The study was performed for the radioactive discharge limits and for the actual releases (maxima and averages over the period 1999–2008 or 2000–2009). It is concluded that the current discharge limits for the Belgian NPPs considered do not result in significant risks to the aquatic and terrestrial environment and that the actual discharges, which are a fraction of the release limits, are unlikely to harm the environment. -- Highlights: • Impact of radioactive discharges by the Belgian NPPs of Doel and Tihange on wildlife was evaluated. • Deterministic risk assessment for aquatic and terrestrial ecosystems performed with the ERICA tool. • NPP discharge limits do not result in significant risks to the aquatic and terrestrial environment. • Actual discharges, a fraction of the release limits, are unlikely to harm the environment

  2. Determination of contamination pathways of phthalates in food products sold on the Belgian market.

    Science.gov (United States)

    Van Holderbeke, Mirja; Geerts, Lieve; Vanermen, Guido; Servaes, Kelly; Sioen, Isabelle; De Henauw, Stefaan; Fierens, Tine

    2014-10-01

    As numerous studies have indicated that food ingestion is the most important exposure pathway to several phthalates, this study aimed to determine possible contamination pathways of phthalates in food products sold on the Belgian market. To do this, concentrations of eight phthalates (dimethyl phthalate (DMP), diethyl phthalate (DEP), diisobutyl phthalate (DiBP), di-n-butyl phthalate (DnBP), benzylbutyl phthalate (BBP), dicyclohexyl phthalate (DCHP), di(2-ethylhexyl) phthalate (DEHP) and di-n-octyl phthalate (DnOP)) were determined in 591 foods and 30 packaging materials. In general, the four most prominent phthalates in Belgian food products were DEHP, DiBP, DnBP and BBP. Special attention was given to the origin of these phthalates in bread, since high phthalate concentrations (especially DEHP) were determined in this frequently consumed food product. Phthalates seemed to occur in Belgian bread samples due to the use of contaminated ingredients (i.e. use of contaminated flour) as well as due to migration from phthalate containing contact materials used during production (e.g. coated baking trays). Also the results of the conducted concentration profiles of apple, bread, salami and two cheese types revealed the important role of processing - and not packaging - on phthalate contents in foods.

  3. Hypoglycemia perception: Cross-cultural differences in Punjabi and Hindi speaking postmenopausal women

    Directory of Open Access Journals (Sweden)

    Jaikrit Bhutani

    2013-01-01

    Full Text Available Introduction: The cross cultural differences in perception of menopausal symptoms are well known and these differences in perception of hypoglycemic symptoms in Russian-speaking and Caucasian postmenopausal women have been reported. Aims and objectives: This study assessed cross - linguistic and cross - cultural differences in symptomatology of self reported hypoglycemia, between Punjabi and Hindi speaking diabetic post menopausal women. Material and Methods: Thirty Punjabi speaking and 20 Hindi speaking diabetic postmenopausal women aged over 50 years, were recruited for this study. Each subject was asked, what happens to you when you have low sugar? in the language of her choice, and spontaneous answers were recorded verbatim. Statistical analysis: The data so obtained was analyzed by paper and pen method to obtain an understanding of the frequency of self reporting of various symptoms and then analyzed using Statistical Package for Social Science ver.19.0. Results: Symptoms of hollowness, cold sweats and headache correlated significantly (P < 0.0001, P = 0.0001 and P = 0.03 respectively. One difference was noted in women from rural vs. urban background: Inability to concentrate was more frequent in urban women (4/23 vs rural women (0/27 (P < 0.0001. Discussion: To our knowledge, this is the first exploratory work highlighting the differences in self reported hypoglycemia symptomatology, based on linguistic background. In India and other countries with multi ethnic, multi linguistic societies, linguistic competence in hypoglycemia history taking is important. Limitations: Incidence of hypoglycemia in the subjects enrolled was not assessed. Many of the subjects in the Punjabi speaking cohort were bilingual. Some symptoms of hypoglycemia may have been missed or over-reported by participants. Conclusion: Diabetes care professionals should be aware that persons with diabetes from varying linguistic backgrounds may report symptoms of hypoglycemia

  4. Genetic Contributions to Urgency Urinary Incontinence in Women

    Science.gov (United States)

    RICHTER, Holly E; WHITEHEAD, Nedra; ARYA, Lily; RIDGEWAY, Beri; ALLEN-BRADY, Kristina; NORTON, Peggy; SUNG, Vivian; SHEPHERD, Jonathan P.; KOMESU, Yuko; GADDIS, Nathan; FRASER, Matthew; TAN-KIM, Jasmine; MEIKLE, Susan; PAGE, Grier P

    2015-01-01

    Purpose To identify genetic variants associated with urgency urinary incontinence (UUI) in post-menopausal women. Materials and Methods A two-stage genome wide association analysis was conducted to identify variants associated with UUI. The Women’s Health Initiative-Genomics & Randomized Trials Network (GARNET) sub-study with 4,894 genotyped post-reproductive white women was randomly split into independent discovery and replication cohorts. Genome-wide imputation was performed using IMPUTE2 with the 1000-Genomes-ALL-Phase-I integrated variant set as a reference. Controls reported no UUI at enrollment or follow-up; cases reported monthly or greater UUI and leaked sufficiently to wet/soak underpants/clothes. Logistic regression models were used to predict UUI case versus control status based on genotype, assuming additive inheritance. Age, obesity, diabetes and depression were included in the models as covariates. Results Following quality control, 975,508 single nucleotide polymorphisms (SNPs) in 2,241 cases (discovery=1,102, replication=1,133) and 776 controls (discovery=405, replication=371) remained. Genotype imputation resulted in 9,077,347 SNPs and insertions/deletions with minor allele frequency >0.01 available for analysis. Meta-analysis of the discovery and replication samples identified six loci on chromosomes 5, 10, 11, 12 & 18 associated with UUI at p<10−6. Three of the loci were within genes, the zinc finger protein 521 (ZFP521) gene on chromosome 18q11, the ADAMTS16 gene on chromosome 5p15, and the CIT gene on chromosome 12q24. The other three loci were intergenic. Conclusions Although environmental factors also likely contribute, this first exploratory Genome-Wide Associated Study (GWAS) for UUI suggests that genetic variants in the ZFP521, CIT, and ADAMTS16 genes might account for some of the observed heritability of the condition. PMID:25524241

  5. Obesity, weight gain, and ovarian cancer risk in African American women.

    Science.gov (United States)

    Bandera, Elisa V; Qin, Bo; Moorman, Patricia G; Alberg, Anthony J; Barnholtz-Sloan, Jill S; Bondy, Melissa; Cote, Michele L; Funkhouser, Ellen; Peters, Edward S; Schwartz, Ann G; Terry, Paul; Schildkraut, Joellen M

    2016-08-01

    Although there is growing evidence that higher adiposity increases ovarian cancer risk, little is known about its impact in African American (AA) women, the racial/ethnic group with the highest prevalence of obesity. We evaluated the impact of body mass index (BMI) 1 year before diagnosis and weight gain since age 18 years on ovarian cancer risk in a population-based case-control study in AA women in 11 geographical areas in the US. Cases (n = 492) and age and site matched controls (n = 696) were identified through rapid case ascertainment and random-digit-dialing, respectively. Information was collected on demographic and lifestyle factors, including self-reported height, weight at age 18 and weight 1 year before diagnosis/interview. Multivariable logistic regression was used to compute odds ratios (OR) and 95% confidence intervals (CI), adjusting for potential covariates. Obese women had elevated ovarian cancer risk, particularly for BMI ≥ 40 kg/m(2) compared to BMI <25 (OR = 1.72, 95% CI: 1.12-2.66; p for trend: 0.03). There was also a strong association with weight gain since age 18 (OR: 1.52; 95% CI: 1.07-2.16; p for trend: 0.02) comparing the highest to lowest quartile. In stratified analyses by menopausal status, the association with BMI and weight gain was limited to postmenopausal women, with a 15% (95% CI: 1.05-1.23) increase in risk per 5 kg/m(2) of BMI and 6% (95% CI: 1.01-1.10) increase in risk per 5 kg of weight gain. Excluding hormone therapy users essentially did not change results. Obesity and excessive adult weight gain may increase ovarian cancer risk in post-menopausal AA women. PMID:27038123

  6. Adapting to the System or the Student? Exploring Teacher Adaptations to Disadvantaged Students in an English and a Belgian Secondary School

    Science.gov (United States)

    Stevens, Peter A. J.; Van Houtte, Mieke

    2011-01-01

    This article builds on research on teacher adaptations to students by exploring how Belgian and English national contexts influence teachers' definitions of educational success, their explanations of educational failure, and their allocation of scarce educational resources to disadvantaged students. Ethnographic data from one Flemish (Belgian) and…

  7. Dental maturity in Belgian children using Demirjian's method and polynomial functions: new standard curves for forensic and clinical use.

    Science.gov (United States)

    Chaillet, N; Willems, G; Demirjian, A

    2004-12-01

    Dental maturity was studied from dental panoramic radiographs of 2523 Belgian children (1255 girls and 1268 boys) aged 2 to 18 years. The aim was to compare the efficiency of two methods of age prediction: Demirjian's method, using differently weighted scores, and polynomial functions. The two methods present some differences: Demirjian is used to determine the maturity score as a function of age and polynomial functions are used to determine age as a function of the maturity score. We present, for each method, gender-specific dental maturity tables and curves for Belgian children. Girls always present advanced dental maturity compared with boys. The polynomial functions are highly reliable (0.21% of incorrect classifications) and the percentile method, using Belgian weighted scores, is very accurate (+/- 2.08 years on average, between 2 and 16 years of age).

  8. Psychometric properties of the Belgian coach version of the coach-athlete relationship questionnaire (CART-Q).

    Science.gov (United States)

    Balduck, A-L; Jowett, S

    2010-10-01

    The study examined the psychometric properties of the Belgian coach version of the Coach-Athlete Relationship Questionnaire (CART-Q). The questionnaire includes three dimensions (Closeness, Commitment, and Complementarity) in a model that intends to measure the quality of the coach-athlete relationship. Belgian coaches (n=144) of athletes who performed at various competition levels in such sports as football, basketball, and volleyball responded to the CART-Q and to the Leadership Scale for Sport (LSS). A confirmatory factor analysis proved to be slightly more satisfactory for a three-order factor model, compared with a hierarchical first-order factor model. The three factors showed acceptable internal consistency scores. Moreover, functional associations between the three factors and coach leadership behaviors were found offering support to the instrument's concurrent validity. The findings support previous validation studies and verify the psychometric properties of the CART-Q applied to Belgian coaches of team sports. PMID:19804577

  9. Association of a single nucleotide polymorphism at 6q25.1,rs2046210, with endometrial cancer risk among Chinese women

    Institute of Scientific and Technical Information of China (English)

    Guoliang Li; Qiuyin Cai; Yong-Bing Xiang; Regina Courtney; Jia-Rong Cheng; Bo Huang; Ji-Rong Long; Hui Cai; Wei Zheng; Xiao-Ou Shu

    2011-01-01

    A recent genome-wide association study identified a new susceptibility locus for breast cancer, rs2046210, which is a single nucleotide polymorphism (SNP) located upstream of the estrogen receptor α (ESR1) gene on chromosome 6q25.1. Given that endometrial cancer shares many risk factors with breast cancer and both are related to estrogen exposure and that rs2046210 is in close proximity to the ESR1 gene, we evaluated the association of SNP rs2046210 with endometrial cancer risk among 953 cases and 947 controls in a population-based, case-control study conducted in Shanghai, China. Logistic regression models were used to derive odds ratios (ORs) and 95% confidence intervals (95% Cis) after adjusting for potential confounders. We found that the A allele of rs2046210, linked to an increased risk of breast cancer, was associated with increased but not statistically significant risk of endometrial cancer (OR = 1.16, 95% CI = 0.96-1.41 for the GA and AA genotypes compared with the GG genotype); the association was stronger among post-menopausal women (OR = 1.28, 95% CI = 1.00-1.65). The association tended to be stronger among women with higher or longer estrogen exposure than among women with relatively lower or shorter exposure to estrogen. Our study suggests that rs2046210 may play a role in the etiology of endometrial cancer. Additional studies are needed to confirm our findings.

  10. Effects of eccentric exercise on systemic concentrations of pro- and anti-inflammatory cytokines and prostaglandin (E2): comparison between young and postmenopausal women.

    Science.gov (United States)

    Conceição, Miguel Soares; Libardi, Cleiton Augusto; Nogueira, Felipe Romano Damas; Bonganha, Valéria; Gáspari, Arthur Fernandes; Chacon-Mikahil, Mara Patrícia Traina; Cavaglieri, Cláudia Regina; Madruga, Vera Aparecida

    2012-09-01

    The present study aimed to analyze the magnitude of muscle damage and inflammatory responses induced by eccentric exercise in young (YW) and postmenopausal women (PMW). Seventeen healthy women (nine YW, 23.89 ± 2.03 years; and eight PMW, 51.13 ± 5.08 years) performed five sets of six maximal eccentric actions of the elbow flexors. Changes in isometric strength, range of motion, muscle soreness, and upper-arm circumference were evaluated pre, post, 24, 48, and 72 h following eccentric exercise. Changes in creatine kinase activity, interleukin 6 (IL-6), interleukin 10 (IL-10), tumor necrosis factor-α (TNF-α), and prostaglandin E(2) (PGE(2)) were measured pre, 24, 48, and 72 h following eccentric exercise. For intra and inter-group analysis, a two-way repeated measures ANOVA was applied followed by a Tukey's post hoc test. Pearson's correlation was used to analyze the correlations between variables. It was observed no differences between groups for the markers of muscle damage, although significant modifications (p Post menopausal women showed significantly higher values for TNF-α (p post-eccentric exercise compared to pre. Further, IL-10 was higher for YW than PMW 72 h post-eccentric exercise. Significant correlations (p exercise compared to PMW.

  11. Influence of dabigatran and rivaroxaban on routine coagulation assays. A nationwide Belgian survey.

    Science.gov (United States)

    Van Blerk, Marjan; Bailleul, Els; Chatelain, Bernard; Demulder, Anne; Devreese, Katrien; Douxfils, Jonathan; Jochmans, Kristin; Mullier, François; Wijns, Walter; Soumali, Mohamed Rida; Coucke, Wim; Vernelen, Kris; Van de Walle, Philippe

    2015-01-01

    The Belgian national External Quality Assessment Scheme performed a nationwide survey using lyophilised plasma samples spiked with dabigatran or rivaroxaban to demonstrate to the Belgian clinical laboratories how these drugs affect their routine coagulation assays prothrombin time (PT), activated partial thromboplastin time (aPTT), fibrinogen and antithrombin. Virtually all Belgian laboratories performing routine coagulation testing (189/192) participated in the survey. Both, dabigatran and rivaroxaban significantly prolonged the PT and aPTT in a concentration- and reagent-dependent manner. PT reagents were more influenced by rivaroxaban than by dabigatran and aPTT reagents more influenced by dabigatran than by rivaroxaban. Among PT reagents, Neoplastin R® was the most sensitive to rivaroxaban and Innovin® and Thromborel S® the least sensitive. Converting PT results to INR only increased the variability between reagents. Among aPTT reagents, Actin FSL® was the least sensitive to dabigatran while the other aPTT reagents showed slightly higher sensitivities. The presence of dabigatran led to falsely reduced fibrinogen concentrations when measured with a low thrombin concentration reagent. The presence of dabigatran caused an overestimation of the antithrombin level when measured with a thrombin-based activity assay and the presence of rivaroxaban an overestimation of the antithrombin level when measured with a FXa-based assay. Instrument-related differences were found for all tested parameters. In conclusion, this paper provides detailed information on the effect of dabigatran and rivaroxaban on routine coagulation assays as performed with a large number of reagent/instrument combinations. PMID:25231101

  12. The Belgian nuclear higher education network: the evolution of an academic programme in nuclear engineering

    International Nuclear Information System (INIS)

    The master-after-master in nuclear engineering provided by the Belgian Nuclear higher Education Network (BNEN) is a one-year, 60 ECTS programme which combines the expertise of six Belgian universities and SCK.CEN, the Belgian Nuclear Research Centre, which participates through its Academy for Nuclear Science and Technology. It was created in close collaboration with representatives of academia, research centres, industry and other nuclear stakeholders. The BNEN consortium Due to its modular programme, BNEN is accessible for both full-time students (mainly young engineering graduates) as well as young professionals already employed in the nuclear industry. The programme is offered in English to facilitate the participation of international students. One of the important aspects of the BNEN programme is the fact that exercises and hands-on sessions in the specialised laboratories of SCK.CEN complement the theoretical classes to bring the students into contact with all facets of nuclear energy. Several of SCK.CEN's researchers provide valuable contributions to the programme through seminars and practical exercises. From their daily practices and responsibilities they give an expert view on the subjects that are being taught. In 2012, in the framework of an official accreditation process all aspects of the BNEN programme were audited by an international visitation panel. The most important outcome of this process is the current reform of the academic programme, which will be implemented in the academic year 2014-2015, taking into account the recommendations by the visitation panel. In this paper, the history of the BNEN programme will be discussed, the new BNEN programme will be presented as well as the process that has led to its implementation. (authors)

  13. Hundred and eighty years of fleet dynamics in the Belgian sea fisheries

    OpenAIRE

    Lescrauwaet, A.-K.; Fockedey, N.; Debergh, H.; Vincx, M.; Mees, J.

    2013-01-01

    Understanding the impact of fisheries on the commercial fish stocks requires detailed catch statistics and data on the dynamics of fleet and catch effort, at least before industrial fishing started. Most time-series on the fleet dynamics start after the 1980s, at times when major changes in fleet characteristics had already taken place. In the present paper, the results of the integration of data on fleet size (from 1830), tonnage (from 1842) and engine power (kW, from 1912) of the Belgian se...

  14. Determining the marketing mix for a start-up travel agency aimed at the Belgian market

    OpenAIRE

    Hanák, Marek

    2014-01-01

    This thesis suggests a marketing mix consisting of 4 P's for a start-up travel agency. It created a product according to the quantitative research, n=140, and a qualitative research on the Belgian market. It includes the price of the product according to a competitor analysis, price expectation of the segment and a calculation of all costs connected with providing the service. It suggests also a promotion strategy aimed at the target audience and describes the place in terms point of sale ded...

  15. Opinion of Belgian egg farmers on hen welfare and its relationship with housing type

    OpenAIRE

    Stadig, Lisanne; Ampe, Bart; Van Gansbeke, Suzy; Van den Bogaert, Tom; D'Haenens, Evelien; Heerkens, Jasper; Tuyttens, Frank

    2016-01-01

    As of 2012, the EU has banned the use of conventional cages (CC) for laying hens, causing a shift in housing systems. This study’s aim was to gain insight into farmers’ opinions on hen health and welfare in their current housing systems. A survey was sent to 218 Belgian egg farmers, of which 127 (58.3%) responded, with 84 still active as egg farmer. Hen welfare tended to be less important in choosing the housing system for farmers with cage than with non-cage systems. Respondents currently us...

  16. Age diversity practices through an OD approach. Interventions in Belgian organizations

    OpenAIRE

    Martens,Hilda; Lambrechts, Frank; DE WEERDT, Sven; VANDENBERK, Anneleen

    2005-01-01

    People need to work longer. Belgian legal regulations do not stimulate people to work longer. This will change in the future. Organizations will have to keep their workforce until the age of 60 to 65 instead of to 50 or 55. A (pro-)active change in mindset and behaviour of management, HR, workers, unions thus of all stakeholders of the organization is needed. How can we, by using an OD approach (OD), initiate and install a dynamic to make that the different parties, HR, management, workers an...

  17. Methods used to seismically upgrade. The safety related components of Belgian plants

    International Nuclear Information System (INIS)

    Belgian nuclear power amounts to about 6,000 MW, generated by seven plants that started operation as early as 1967. The latest plant started in 1985. Some of these plants were designed with no seismic requirements whatsoever. Even for those that had seismic requirements at the design stage, seismic demand was raised after design had been frozen (late during construction or at the 10 years revision). As a consequence all the plants had to undergo, to a variable extent, a seismic reevaluation and/or backfitting. Civil structures were concerned as well as electro-mechanical equipment and piping systems. The present paper deals with the mechanical aspect of the problem (equipment and piping). In order to minimize hardware modifications, advanced analytical techniques were used throughout the process, starting with the elaboration of a site specific spectrum, and using a full soil-structure interaction in order to get as 'realistic' as possible floor response spectra. In some instances, non linear elasto-plastic time history analysis was performed on piping-systems in order to qualify them without hardware modifications. In other cases a 'Load Coefficient Method' was used. Sometimes stresses or displacements taken from the original stress reports and scaled by comparison of applicable spectra, allowed to assess the seismic validity of the system under investigation. Seismic acceptability of installed active equipment is more difficult to demonstrate, as this is usually done by testing. This problem is a generic issue in the US, identified under the label USI-A-46 (Unresolved Safety Issue). It is treated by. a group of Utilities (SQUG = Seismic Qualification Utilities Group). The Belgian Utility is member of that group since 1985. The application of this program is starting in the US. SQUG methodology has been applied to three Belgian plants starting in 1988 and is now completed. The required fixes are being implemented. Experience gained in the process has been applied

  18. A STUDY OF CLINICAL PROFILE OF ISCHEMIC HEART DISEASE AMONG SOUTH INDIAN WOMEN IN A TERTIARY CARE CENTRE

    Directory of Open Access Journals (Sweden)

    Lokesh

    2015-05-01

    Full Text Available INTRODUCTION : Our study was done to study in detail the clinical profile of cases admitted with ischemic heart diseases in women at ICCU VIMS Bellary . Objectives : are. (1 To study the clinical profile of ischemic heart diseases in women. ( 2 To identify the influence of well - defined risk factors in wome n with ischemic heart diseases. (3 To identify if there are any risk factors specific to wom en with ischemic heart diseases. MATERIAL AND METHODS : Ours is a clinical , prospective , observational and open study. The study subjects were women admitted in Intensive Coronary Care Unit of Vijayanagara institute of medical sciences hospital , Bellary with signs and symptoms suggestive of ischemic heart diseases. After obtaining a detailed history and clinical examinati on the patients were subjected to relevant investigations. The complete data was collected in specially designed case recording form and transferred into a Master chart which is then subjected to statistical analysis. RESULTS AND DISCUSSION : We studied 100 cases of ischemic heart diseases in women , out of which 82 patients presented with Acute MI , 14 patients with Unstable angina and 4 patients with stable angina , most of which were observed in post - menopausal women. Prognosis was good in patients who recei ved intensive care within 6 hours of onset of symptoms. Chest pain was the most common symptom of presentation. CONCLUSION : Our study had highlighted the fact that ischemic heart disease no longer remains gender neutral and has been found to be a principle killer in women and they suffer from IHD on account of preventable diseases like hypertension , diabetes mellitus , obesity. KEYWORDS : Ischemic heart disease ; Hypertension ; Acute MI ; Unstable angina.

  19. Evaluation of the Relationship between 5-HTT and MAO Gene Polymorphisms, Mood and Level of Anxiety among Postmenopausal Women

    Directory of Open Access Journals (Sweden)

    Elżbieta Grochans

    2014-12-01

    Full Text Available Objective: The aim of this study was to analyze how mood and anxiety level are related to the functional genetic polymorphism in the promoter region of SLC6A4 (5-HTTLPR and the 30-bp VNTR polymorphism in the MAO A promoter region. Methods: The study involved 272 postmenopausal women from Poland. The authors employed the State-Trait Anxiety Inventory for measuring levels of anxiety, the Mood Adjective Check List for measuring mood, and genetic tests. Results: Analysis did not show any statistically significant differences in the mean levels of anxiety, and mood disorders in women in relation to genotypes of the 5-HTTLPR (SLC6A4 polymorphism and the 30-bp VNTR polymorphism in the MAO A promoter region. However, these problems were more severe among women with s/s genotype. In the case of MAO A gene polymorphism, the level of anxiety was higher in women with a 4/4 genotype. Conclusions: The study did not prove the possibility of the identification of homogeneous groups of women with an elevated risk of developing anxiety and mood disorders during the post-menopausal period. Nevertheless, it showed that respondents with s/s genotype of the 44-bp polymorphism in the 5-HTT (SLC6A4 promoter region had the highest average anxiety levels both as a state and as a trait. Furthermore, the analysis of the 30-bp VNTR polymorphism in the MAO A promoter region demonstrated slight differences in anxiety levels between the women, indicating that those with a 4/4 genotype had higher severity of anxiety symptoms.

  20. The effects of ethinylestradiol and progestins ("the pill") on cognitive function in pre-menopausal women.

    Science.gov (United States)

    Gogos, Andrea; Wu, YeeWen Candace; Williams, Amy S; Byrne, Linda K

    2014-12-01

    Oral contraceptives (OCs), often referred to as "the pill", are the most commonly employed form of reversible contraception. OCs are comprised of combined synthetic estrogen and progestin, which work to suppress ovulation and subsequently protect against pregnancy. To date, almost 200 million women have taken various formulations of OC, making it one of the most widely consumed classes of medication in the world. While a substantial body of literature has been dedicated to understanding the physical effects of OCs, much less is known about the long term consequences of OC use on brain anatomy and the associated cognitive effects. Accumulating evidence suggests that sex hormones may significantly affect human cognition. This phenomenon has been commonly studied in older populations, such as in post-menopausal women, while research in healthy, pre-menopausal women remains limited. The current review focused on the effects of OCs on human cognition, with the majority of studies comparing pre-menopausal OC users to naturally cycling women. Human neuroimaging data and animal studies are also described herein. Taken together, the published findings on OC use and human cognition are varied. Of those that do report positive results, OC users appear to have improved verbal memory, associative learning and spatial attention. We recommend future research to employ blinding procedures and randomised designs. Further, more detailed information pertaining to the specific generation and phasic type of OCs, as well as menstrual cycle phase of the OC non-users should be considered to help unmask the potential impact of OC use on human cognition. PMID:25266552

  1. Risk perception of the Belgian population. Results of the public opinion survey in 2006

    Energy Technology Data Exchange (ETDEWEB)

    Van Aeken, K.; Turcanu, C.; Bombaerts, G.; Carle, B.; Hardeman, F.

    2007-01-15

    The Belgian Nuclear Research Center SCK-CEN 2006 risk perception barometer is based on over 1000 Computer Assisted Personal Interviews, taken from persons selected to be representative for the Belgian 18+ population, and all realized in the period March 21st to April 12th 2006. Besides the classical background variables used to obtain the quota for representativity (age, language, habitat, gender and social class), we also included a series of questions assessing the sociological context and the psychological personality profile. The main topics in the survey were I) risk perception and confidence in authorities; II) acceptance of legal norms for food products; III) acceptance of countermeasures for the food chain in case of a radiological contamination and associated consumers behaviour; IV) energy; v) disposal of radioactive waste; vi) perception of the Chernobyl accident and its consequences. Some of the questions asked in 2006 are similar to those enquired in the SCK barometer of 2002, in order to study the time evolution of the risk perception associated with various issues. For the part related to acceptance of legal norms and of countermeasures for the food chain, simulated news bulletins were used in order to better reproduce the real-life context of a contamination.

  2. Assessment of human exposure to benzene through foods from the Belgian market.

    Science.gov (United States)

    Medeiros Vinci, Raquel; Jacxsens, Liesbeth; Van Loco, Joris; Matsiko, Eric; Lachat, Carl; de Schaetzen, Thibault; Canfyn, Michael; Van Overmeire, Ilse; Kolsteren, Patrick; De Meulenaer, Bruno

    2012-08-01

    Benzene is a volatile organic compound known to be carcinogenic to humans (Group 1) and may be present in food. In the present study, 455 food samples from the Belgian market were analyzed for benzene contents and some possible sources of its occurrence in the foodstuffs were evaluated. Benzene was found above the level of detection in 58% of analyzed samples with the highest contents found in processed foods such as smoked and canned fish, and foods which contained these as ingredients (up to 76.21 μg kg(-1)). Unprocessed foods such as raw meat, fish, and eggs contained much lower concentrations of benzene. Using the benzene concentrations in food, a quantitative dietary exposure assessment of benzene intake was conducted on a national representative sample of the Belgian population over 15 years of age. The mean benzene intake for all foods was 0.020 μg kg bw d(-1) according to a probabilistic analysis. These values are below the minimum risk level for oral chronic exposure to benzene (0.5 μg kg bw d(-1)).

  3. Different Regional Approaches to Cultural diversity Interpreting the Belgian Cultural Diversity Policy Paradox

    Directory of Open Access Journals (Sweden)

    Ilke Adam

    2015-11-01

    Full Text Available In Belgium, the authority over cultural diversity policies resulting from immigration has been devolved from the central state to the regions since 1970. Consequently, Flanders and Francophone Belgium have progressively developed divergent policy tools. By describing the divergent evolution of Francophone and Flemish cultural diversity policies, our paper demonstrates the existence of a “Belgian Cultural Diversity Paradox”, namely the existence of more multicultural minority rights in the region that has most experienced electoral success by an extreme-right anti-immigrant party (Flanders, and a more colour blind and radical secular approach in the region where anti-immigrant politicization is barely a factor (Francophone Belgium. This finding is counter-intuitive because an important strand of immigrant policy research has emphasized the relationship between the politicization of immigration and restrictive immigrant citizenship rights. Our paper demonstrates that the different degrees of politicization of immigration in Flanders and Francophone Belgium cannot fully account for divergent cultural diversity policies. By insisting on the historical path dependency of the linguistic and religious cleavages in Belgium and their overlap, this paper offers an addendum to the politicization approach. The historical linguistic and religious differences of the Belgian regions clearly mediate the impact of the politicization of immigration on both sides of the linguistic border.

  4. SCK-CEN 2006 barometer on risk perception of the Belgian population

    International Nuclear Information System (INIS)

    Starting with 2000, the expert group Society and Policy Support carries out research on various aspects of risk governance. Measuring several risk perception items at regular intervals with the Belgian population is an important part of this research. SCK-CEN has organised a first risk perception barometer in 2002 and a second one in 2006. The 2006 barometer is based on 1063 Computer Assisted Personal Interviews, with a duration of approximately 35 minutes. The large scale of the survey ensures that general trends can be detected and allows specific and detailed analysis on subgroups of the population. Besides the classical background variables used to obtain a sample representative for the Belgian 18+ population (age, language, habitat, gender and social class), several questions were included assessing the sociological context and the psychological personality profile. A series of questions on risk perception, confidence in authorities and specific nuclear topics were repeated in 2006 and constitute a fixed core, allowing comparison over time in Belgium, as well as with the results from the IRSN French barometer. In addition, a number of topics such as acceptance of legal norms and management options for radioactively contaminated milk, energy, nuclear waste and the perception of the Chernobyl accident were covered in detail in the 2006 edition of the SCK-CEN barometer

  5. The energy sources and nuclear energy - The point of view of the Belgian Catholic Church

    International Nuclear Information System (INIS)

    The problems related to the environment are reported regularly to the public by means of the newspapers, on radio and television. The story is the product of a journalistic process and in general does not bear much resemblance to the original event. The rate and type of reportage depend not only on the body of data available to the journalist but on the information sources the journalist chosen to use. The same story is reported in a positive or negative way. Finally people are overwhelmed by contradictory information and became uncertain or frightened. In order to provide the general public with objective information about nuclear energy in particular and to made a statement about the position of the Belgian Catholic Church concerning this matter, the results of the study were published in Dutch under the form of a book with the title 'The Energy Sources and Nuclear Energy - Comparative analysis and ethical thoughts written the same author. Thia paper is a short survey of the results of the study and to present the point of view of the Belgian Catholic Church in the energy debate

  6. Preventive Care Use among the Belgian Elderly Population: Does Socio-Economic Status Matter?

    Directory of Open Access Journals (Sweden)

    Sarah Hoeck

    2013-12-01

    Full Text Available Objective: To analyze the association between influenza and pneumococcus vaccination and blood cholesterol and blood sugar measurement by Belgian elderly respondents (≥65 years and socio-demographic characteristics, risk factors, health status and socio-economic status (SES. Methods: A cross-sectional study based on 4,544 non-institutionalized elderly participants of the Belgian Health Interview Surveys 2004 and 2008. Multivariate logistic regression models were constructed to examine the independent effect of socio-demographic characteristics, risk factors, health status and SES on the four preventive services. Results: After adjustment for age, sex, region, survey year, living situation, risk factors (body mass index, smoking status, physical activity and health status (self-assessed health and longstanding illness lower educated elderly were significantly less likely to report a blood cholesterol and blood sugar measurement. For instance, elderly participants with no degree or only primary education were less likely to have had a cholesterol and blood sugar measurement compared with those with higher education. Pneumococcus vaccination was not related to educational level, but lower income groups were more likely to have had a pneumococcus immunization. Influenza vaccination was not significantly related to SES. Conclusion: The results highlight the need to promote cholesterol and blood sugar measurement for lower SE groups, and pneumococcus immunization for the entire elderly population. Influenza immunization seems to be equally spread among different SE groups.

  7. On the role of radiologists in the Belgian PROject on CAncer of the REctum, PROCARE.

    Science.gov (United States)

    Penninckx, F; Danse, E

    2006-01-01

    Radiologists are involved at all stages of the treatment of patients with rectum cancer: in the preoperative staging, in the diagnosis of postoperative complications, in the detection of recurrent or metastatic disease during follow-up, in the monitoring of the therapeutic effect of palliative therapy. PROCARE is a Belgian national project to improve outcome in all patients with rectum cancer. Guidelines were made by a multidisciplinary workgroup and are available on the web. Decentralised implementation of guidelines is organised by the scientific and professional organisations. It is planned that a central review committee of radiologists, delegated by the Royal Belgian Society of Radiology, will survey the quality of preoperative staging. Overall quality of care will be assured by registration in a specific national database starting in 2006. Participating teams will receive annual feedback. Radiologists should provide data on cTNM staging and cCRM. Differentiation between cT2 and cT3, cN0 and cN+, and measurement of the cCRM in mm are crucial as they have a relevant impact on treatment strategy. While spiral abdominal CT is adequate for cM staging, high-resolution MRI is highly recommended and, in fact, a necessity for locoregional staging because its adequacy is superior to that of CT-scan and EUS. However, EUS is mandatory when local excision is considered, i.e. for cT1N0 lesions. PMID:16607873

  8. Analysis of phthalates in food products and packaging materials sold on the Belgian market.

    Science.gov (United States)

    Fierens, T; Servaes, K; Van Holderbeke, M; Geerts, L; De Henauw, S; Sioen, I; Vanermen, G

    2012-07-01

    Phthalates are organic lipophilic compounds that are principally used as plasticiser to increase the flexibility of plastic polymers. Other applications are a.o. the use of phthalates in printing inks and lacquers. Human exposure to phthalates mainly occurs via food ingestion and can induce adverse health effects. In this study, the presence of eight phthalate compounds--dimethyl phthalate (DMP), diethyl phthalate (DEP), diisobutyl phthalate (DiBP), di-n-butyl phthalate (DnBP), benzylbutyl phthalate (BBP), di(2-ethylhexyl) phthalate (DEHP), dicyclohexyl phthalate (DCHP) and di-n-octyl phthalate (DnOP)--was investigated in 400 food products, divided over eleven groups, and packages sold on the Belgian market. For this purpose, suitable extraction techniques were developed and validated for four different matrices, namely high-fat foods, low-fat food products, aqueous-based beverages and packaging materials. The instrumental analysis was performed by means of gas chromatography-low resolution-mass spectrometry with electron impact ionisation (GC-EI-MS). A wide variety of phthalate concentrations was observed in the different groups. DEHP was found in the highest concentration in almost every group. Moreover, DEHP was the most abundant phthalate compound, followed by DiBP, DnBP and BBP. This survey is part of the PHTAL project, which is the first project that discusses phthalate contamination on the Belgian food market.

  9. Key role of Chlamydophila psittaci on Belgian turkey farms in association with other respiratory pathogens.

    Science.gov (United States)

    Van Loock, M; Geens, T; De Smit, L; Nauwynck, H; Van Empel, P; Naylor, C; Hafez, H M; Goddeeris, B M; Vanrompay, D

    2005-04-25

    Two hundred turkey sera from eight Belgian and two French farms were tested for the presence of antibodies against avian pneumovirus (APV), Ornithobacterium rhinotracheale (ORT), Mycoplasma gallisepticum, Mycoplasma meleagridis and Chlamydophila psittaci. At slaughter, C. psittaci, APV and ORT antibodies were detected in 94, 34 and 6.5% of the turkeys, respectively. No antibodies against M. gallisepticum or M. meleagridis were present. Additionally, turkeys on three Belgian farms were examined from production onset until slaughter using both serology and antigen or gene detection. All farms experienced two C. psittaci infection waves, at 3-6 and 8-12 weeks of age. Each first infection wave was closely followed by an ORT infection starting at the age of 6-8 weeks, which was still detectable when the second C. psittaci infection waves started. Animals on farm A were not vaccinated against APV leading to an APV subtype B outbreak accompanying the first C. psittaci infection wave. Despite subtype A APV vaccination on farms B and C, the second C. psittaci infection waves were accompanied (farm B) or followed (farm C) by a subtype B APV infection. On all farms respiratory signs always appeared together with a proven C. psittaci, APV and/or ORT infection. This study suggests an association between C. psittaci, APV and ORT, and indicates the multi-factorial aetiology of respiratory infections in commercial turkeys. All three pathogens should be considered when developing prevention strategies for respiratory disease.

  10. Application of the CALUX bioassay for epidemiological study. Analyses of Belgian human plasma

    Energy Technology Data Exchange (ETDEWEB)

    Wouwe, N. van; Debacker, N.; Sasse, A. [Scientific Institute of Public Health, Brussels (BE)] (and others)

    2004-09-15

    The CALUX bioassay is a promising screening method for the detection of dioxin-like compounds. The observed good sensitivity, low number of false negative results as well as the good correlations with the GC-HRMS TEQ-values in case of feed and food analyses allow this method to climb in the first assessment methods' scale. The low amount of sample needed in addition to those latest advantages suggest that the CALUX bioassay could be a good screening method for epidemiological studies. The Belgian epidemiological study concerning the possible effect of the dioxin incident on the body burden of the Belgian population was an opportunity to test this method in comparison to the gold reference one: the GC-HRMS. The first part of this abstract presents epidemiological parameters (sensibility, specificity,) of the CALUX bioassay using CALUX TEQ-values as estimators of the TEQ-values of the 17 PCDD/Fs. The second part examines epidemiological determinants observed for CALUX and GCHRMS TEQ-values.

  11. Risk perception of the Belgian population. Results of the public opinion survey in 2006

    International Nuclear Information System (INIS)

    The Belgian Nuclear Research Center SCK-CEN 2006 risk perception barometer is based on over 1000 Computer Assisted Personal Interviews, taken from persons selected to be representative for the Belgian 18+ population, and all realized in the period March 21st to April 12th 2006. Besides the classical background variables used to obtain the quota for representativity (age, language, habitat, gender and social class), we also included a series of questions assessing the sociological context and the psychological personality profile. The main topics in the survey were I) risk perception and confidence in authorities; II) acceptance of legal norms for food products; III) acceptance of countermeasures for the food chain in case of a radiological contamination and associated consumers behaviour; IV) energy; v) disposal of radioactive waste; vi) perception of the Chernobyl accident and its consequences. Some of the questions asked in 2006 are similar to those enquired in the SCK barometer of 2002, in order to study the time evolution of the risk perception associated with various issues. For the part related to acceptance of legal norms and of countermeasures for the food chain, simulated news bulletins were used in order to better reproduce the real-life context of a contamination.

  12. Agglomeration of a comprehensive model for the wind-driven sand transport at the Belgian Coast

    Science.gov (United States)

    Strypsteen, Glenn; Rauwoens, Pieter

    2016-04-01

    Although a lot of research has been done in the area of Aeolian transport, it is only during the last years that attention has been drawn to Aeolian transport in coastal areas. In these areas, the physical processes are more complex, due to a large number of transport limiting parameters. In this PhD-project, which is now in its early stage, a model will be developed which relates the wind-driven sand transport at the Belgian coast with physical parameters such as the wind speed, humidity and grain size of the sand, and the slope of beach and dune surface. For the first time, the interaction between beach and dune dynamics is studied at the Belgian coast. The Belgian coastline is only 67km long, but densely populated and therefore subject to coastal protection and safety. The coast mostly consists of sandy beaches and dikes. Although, still 33km of dunes exist, whose dynamics are far less understood. The overall research approach consists of three pathways: (i) field measurements, (ii) physical model tests, and (iii) numerical simulations. Firstly and most importantly, several field campaigns will provide accurate data of meteo-marine conditions, morphology, and sand transport events on a wide beach at the Belgian Coastline. The experimental set-up consists of a monitoring station, which will provide time series of vegetation cover, shoreline position, fetch distances, surficial moisture content, wind speed and direction and transport processes. The horizontal and vertical variability of the event scale Aeolian sand transport is analyzed with 8 MWAC sand traps. Two saltiphones register the intensity and variations of grain impacts over time. Two meteo-masts, each with four anemometers and one wind vane, provide quantitative measurements of the wind flow at different locations on the beach. Surficial moisture is measured with a moisture sensor. The topography measurements are typically done with laser techniques. To start, two sites are selected for measurement

  13. Work related neck and upper limb symptoms (RSI) : high risk occupations and risk factors in the Belgian working population

    NARCIS (Netherlands)

    Blatter, B.M.; Bongers, P.M.; Witte, H. de

    1999-01-01

    In this study on prevalence and risk factors for work related neck or upper limb symptoms in the Belgian working population, the researchers have found an overall prevalence of work and upper limb symptoms occurring in the past 12 months of 39%. High risk occupations for neck and shoulder symptoms w

  14. Inter-party agenda-setting in the Belgian parliament: the role of party characteristics and competition

    NARCIS (Netherlands)

    R. Vliegenthart; S. Walgrave; C. Meppelink

    2010-01-01

    In this article we explore the inter-party agenda-setting dynamics in the Belgian parliament during the period 1993-2000 and investigate whether and when parties respond to the attention paid to issues by other parties in parliament. We rely on an elaborate coding of parliamentary questions and inte

  15. De communicatiefunctie in Belgische organisaties: Hoe excellent is deze ingevuld? [Communications functions in Belgian organizations: How excellently are they implemented?

    NARCIS (Netherlands)

    Gorp, B. van; Pauwels, L.M.A.

    2009-01-01

    This study presents data, which were obtained by a web survey (n = 750), concerning the position of communications in the hierarchical structure of Belgian organizations with at least 50 employees. Results show that 43 percent of the organizations in the sample have an integrated communications depa

  16. The Belgian Minister of Economy, Energy, Foreign Trade and Science Policy, Marc Verwilghen, with CERN's Director-General, Robert Aymar.

    CERN Multimedia

    Michel Blanc

    2005-01-01

    Marc Verwilghen, Belgian Minister of Economy, Energy, Foreign Trade and Science Policy, came to CERN on 8 April 2005, where he visited the CMS assembly hall and underground cavern, as well as the hall where the LHC superconducting magnets are being tested.

  17. Bone mineral density, body mass index and cigarette smoking among Iranian women: implications for prevention

    Directory of Open Access Journals (Sweden)

    Nguyen Nguyen D

    2005-06-01

    Full Text Available Abstract Background While risk factors of osteoporosis in Western populations have been extensively documented, such a profile has not been well studied in Caucasians of non-European origin. This study was designed to estimate the modifiable distribution and determinants of bone mineral density (BMD among Iranian women in Australia. Methods Ninety women aged 35 years and older completed a questionnaire on socio-demographic and lifestyle factors. BMD was measured at the lumbar spine (LS and femoral neck (FN using DXA (GE Lunar, WI, USA, and was expressed in g/cm2 as well as T-score. Results In multiple regression analysis, advancing age, lower body mass index (BMI, and smoking were independently associated with LS and FN BMD, with the 3 factors collectively accounting for 30% and 38% variance of LS and FN BMD, respectively. LS and FN BMD in smokers was 8% lower than that in non-smokers. Further analysis of interaction between BMI and smoking revealed that the effect of smoking was only observed in the obese group (p = 0.029 for LSBMD and p = 0.007 for FNBMD, but not in the overweight and normal groups. Using T-scores from two bone sites the prevalence of osteoporosis (T-scores ≤ -2.5 was 3.8% and 26.3% in pre-and post-menopausal women, respectively. Among current smokers, the prevalence was higher (31.3% than that among ex-smokers (28.6% and non-smokers (7.5%. Conclusion These data, for the first time, indicate that apart from advancing age and lower body mass index, cigarette smoking is an important modifiable determinant of bone mineral density in these Caucasians of non-European origin.

  18. Vaginal Fibroblastic Cells from Women with Pelvic Organ Prolapse Produce Matrices with Increased Stiffness and Collagen Content

    Science.gov (United States)

    Ruiz-Zapata, Alejandra M.; Kerkhof, Manon H.; Ghazanfari, Samaneh; Zandieh-Doulabi, Behrouz; Stoop, Reinout; Smit, Theo H.; Helder, Marco N.

    2016-01-01

    Pelvic organ prolapse (POP) is characterised by the weakening of the pelvic floor support tissues, and often by subsequent prolapse of the bladder outside the body, i.e. cystocele. The bladder is kept in place by the anterior vaginal wall which consists of a dense extracellular matrix rich in collagen content that is maintained and remodelled by fibroblastic cells, i.e. fibroblasts and myofibroblasts. Since altered matrix production influences tissue quality, and myofibroblasts are involved in normal and pathological soft tissue repair processes, we evaluated matrix production of cells derived from pre- and post-menopausal POP and non-POP control anterior vaginal wall tissues. Results showed that cells from postmenopausal POP women deposited matrices with high percentage of collagen fibres with less anisotropic orientation and increased stiffness than those produced by controls. There was a transient increase in myofibroblastic phenotype that was lost after the peak of tissue remodelling. In conclusion, affected fibroblasts from postmenopausal prolapsed tissues produced altered matrices in vitro compared to controls. Such aberrant altered matrix production does not appear to be a consequence of abnormal phenotypical changes towards the myofibroblastic lineage. PMID:26965792

  19. RISCOM Applied to the Belgian Partnership Model: More and Deeper Levels

    International Nuclear Information System (INIS)

    Technology participation is not a new concept. It has been applied in different settings in different countries. In this article, we report a comparing analysis of the RISCOM model in Sweden and the Belgian partnership model for low and intermediate short-lived nuclear waste. After a brief description of the partnerships and the RISCOM model, we apply the latter to the first and come to recommendations for the partnership model. The strength of the partnership approach is at the community level. In one of the villages, up to one percent of the population was motivated to discuss at least once a month for four years the nuts and bolts of the repository concept. The stress on the community level and the lack of a guardian includes a weakness as well. First of all, if communities come into competition, the inter-community discussions can start resembling local politics and can become less transparent. Local actors are concerned actors but actors at the national level are concerned as well. The local decisions influence how the waste will be transported. The local decisions also determine an extra cost of electricity. We therefore recommend a broad (in terms of territory) public debate on the participation experiments preceding and concluding the local participation process in which this local process maintains an important position. The conclusions of our comparative analysis are: (1) The guardian of the process at the national level is missing. Since the Belgian nuclear regulator plays a controlling role after the process, we recommend a technology assessment institute at the federal level. (2) We state that stretching in the partnership model can happen more profoundly and recommend a 'counter institute' at the European level. The role of non-participative actors should be valued. (3) Recursion levels can be taken as a point of departure for discussion about the problem framing. If people accept them, there is no problem. If people clearly mention issues that are

  20. RISCOM Applied to the Belgian Partnership Model: More and Deeper Levels

    Energy Technology Data Exchange (ETDEWEB)

    Bombaerts, Gunter; Bovy, Michel; Laes, Erik [SCKCEN, Mol (Belgium). PISA

    2006-09-15

    Technology participation is not a new concept. It has been applied in different settings in different countries. In this article, we report a comparing analysis of the RISCOM model in Sweden and the Belgian partnership model for low and intermediate short-lived nuclear waste. After a brief description of the partnerships and the RISCOM model, we apply the latter to the first and come to recommendations for the partnership model. The strength of the partnership approach is at the community level. In one of the villages, up to one percent of the population was motivated to discuss at least once a month for four years the nuts and bolts of the repository concept. The stress on the community level and the lack of a guardian includes a weakness as well. First of all, if communities come into competition, the inter-community discussions can start resembling local politics and can become less transparent. Local actors are concerned actors but actors at the national level are concerned as well. The local decisions influence how the waste will be transported. The local decisions also determine an extra cost of electricity. We therefore recommend a broad (in terms of territory) public debate on the participation experiments preceding and concluding the local participation process in which this local process maintains an important position. The conclusions of our comparative analysis are: (1) The guardian of the process at the national level is missing. Since the Belgian nuclear regulator plays a controlling role after the process, we recommend a technology assessment institute at the federal level. (2) We state that stretching in the partnership model can happen more profoundly and recommend a 'counter institute' at the European level. The role of non-participative actors should be valued. (3) Recursion levels can be taken as a point of departure for discussion about the problem framing. If people accept them, there is no problem. If people clearly mention issues

  1. Sustainability of Global and Local Food Value Chains: An Empirical Comparison of Peruvian and Belgian Asparagus

    Directory of Open Access Journals (Sweden)

    Jana Schwarz

    2016-04-01

    Full Text Available The sustainability of food value chains is an increasing concern for consumers, food companies and policy-makers. Global food chains are often perceived to be less sustainable than local food chains. Yet, thorough food chain analyses and comparisons of different food chains across sustainability dimensions are rare. In this article we analyze the local Belgian and global Peruvian asparagus value chains and explore their sustainability performance. A range of indicators linked to environmental, economic and social impacts is calculated to analyze the contribution of the supply chains to economic development, resource use, labor relations, distribution of added value and governance issues. Our findings suggest that none of the two supply chains performs invariably better and that there are trade-offs among and between sustainability dimensions. Whereas the global chain uses water and other inputs more intensively and generates more employment per unit of land and higher yields, the local chain generates more revenue per unit of land.

  2. Pesticides for apicultural and/or agricultural application found in Belgian honey bee wax combs.

    Science.gov (United States)

    Ravoet, Jorgen; Reybroeck, Wim; de Graaf, Dirk C

    2015-05-01

    In a Belgian pilot study honey bee wax combs from ten hives were analyzed on the presence of almost 300 organochlorine and organophosphorous compounds by LC-MS/MS and GC-MS/MS. Traces of 18 pesticides were found and not a single sample was free of residues. The number of residues found per sample ranged from 3 to 13, and the pesticides found could be categorized as (1) pesticides for solely apicultural (veterinary) application, (2) pesticides for solely agricultural (crop protection) application, (3) pesticides for mixed agricultural and apicultural (veterinary) application. The frequencies and quantities of some environmental pollutants bear us high concerns. Most alarming was the detection of lindane (gamma-HCH) and dichlorodiphenyltrichloroethane (including its breakdown product dichlorodiphenyldichloroethylene), two insecticides that are banned in Europe. The present comprehensive residue analysis, however, also reveals residues of pesticides never found in beeswax before, i.e. DEET, propargite and bromophos.

  3. Engineering for Operation of a Future Belgian Deep Geological Repository for ILW and HLW - 12379

    Energy Technology Data Exchange (ETDEWEB)

    Haverkamp, B.; Biurrun, E.; Nieder-Westermann, G.H. [DBE TECHNOLOGY GmbH, Peine (Germany); Van Humbeeck, H. [ONDRAF/NIRAS, Brussels (Belgium); Van Cotthem, Alain [Tractebel Engineering SA, Brussels (Belgium)

    2012-07-01

    In Belgium, an advanced conceptual design is being elaborated for deep geologic disposal of high level waste (HLW) and for low and intermediate level waste (LILW) not amenable for surface disposal. The concept is based on a shielded steel and concrete container for disposal of HLW, i.e., the Super-container. LILW will be disposed of in separately designed concrete caissons. The reference host rock is the Boom Clay, a poorly indurated clay formation in northeastern Belgium. Investigations into the potential host rock are conducted at the HADES underground research laboratory in Mol, Belgium. In 2009 the Belgian Agency for Management of Radioactive Waste and Enriched Fissile Materials (ONDRAF/NIRAS) initiated a four year research project aimed at confirming the fundamental feasibility of building and operating a repository. The goal of the program is to demonstrate at a detailed conceptual level that the proposed geologic disposal system can be safely constructed, operated, and progressively closed. Part of the broader research efforts being conducted includes evaluations optimization of the waste transportation shaft, subsurface transportation system, ventilation system, and evaluation of backfilling and sealing concepts for the repository design. The potential for implementation of a waste retrieval strategy encompassing the first 100 years after emplacement is also considered. In the framework of a four year research program aimed at confirming the fundamental feasibility of building and operating a repository in poorly indurated clay design studies have been underway to optimize the waste transportation shaft, subsurface transportation system, and ventilation system. Additionally backfilling and sealing concepts proposed for the potential repository have been reviewed in conjunction with impacts related to the potential future inclusion of a retrievability requirement in governing regulations. The main engineering challenges in the Belgian repository concept are

  4. COMPARISON OF TWO METHODS OF OPERATING THEATRE PLANNING: APPLICATION IN BELGIAN HOSPITAL

    Institute of Scientific and Technical Information of China (English)

    Sondes CHAABANE; Nadine MESKENS; Alain GUINET; Marius LAURENT

    2008-01-01

    Operating Theatre is the centre of the hospital management's efforts. It constitutes the most expensive sector with more than 10% of the intended operating budget of the hospital. To reduce the costs while maintaining a good quality of care, one of the solutions is to improve the existent planning and scheduling methods by improving the services and surgical specialty coordination or finding the best estimation of surgical case durations. The other solution is to construct an effective surgical case plan and schedule. The operating theatre planning and scheduling is the two important steps, which aim to make a surgical case programming with an objective of obtaining a realizable and efficient surgical case schedule. This paper focuses on the first step, the operating theatre planning problem. Two planning methods are introduced and compared. Real data of a Belgian university hospital "Tivoli" are used for the experiments.

  5. Safety culture in a Belgian nuclear research centre from a social science point of view

    International Nuclear Information System (INIS)

    This paper is the result of a reflection within the framework of a Ph.D. research at SCK-CEN (Belgian Nuclear Research Centre) in collaboration with the University of Liege. The starting point of the work was the 'safety culture' model presented in the IAEA report 75-INSAG-4. This model is applied to the working organization of the SCK-CEN, also considering the safety culture as an open concept given its multi dimensionality. The methodology is based on three methods: observations, focus groups and interviews. The fieldwork was limited to two main installations: a research reactor, and a dismantling site. The preliminary findings are based on the data resulting from 4 Focus Groups. The most prominent components of a safety culture and the multiplicity of safety cultures in a large organization such as SCK-CEN will be discussed. (author)

  6. Brief report: Citizenship concepts among adolescents. Evidence from a survey among Belgian 16-year olds.

    Science.gov (United States)

    Dejaeghere, Yves; Hooghe, Marc

    2009-06-01

    In this research note we investigate the occurrence of citizenship concepts among adolescents in Belgium. The analysis is based on the Belgian Youth Survey (2006), which is a representative survey among 6330 16-year olds in the country. Citizenship concepts were shown to be multi-dimensional, with distinct factors for conventional or electoral participation and civic engagement. A third, weaker factor could be distinguished covering obedience to the law. This structure is largely in line with earlier comparative analysis. An exploratory analysis suggests that these factors have different outcomes on actual or intended political participation behavior of adolescents. We discuss the relevance of these findings with regard to the current debates on civic education and civic engagement among younger age cohorts. PMID:19264354

  7. Brief report: Citizenship concepts among adolescents. Evidence from a survey among Belgian 16-year olds.

    Science.gov (United States)

    Dejaeghere, Yves; Hooghe, Marc

    2009-06-01

    In this research note we investigate the occurrence of citizenship concepts among adolescents in Belgium. The analysis is based on the Belgian Youth Survey (2006), which is a representative survey among 6330 16-year olds in the country. Citizenship concepts were shown to be multi-dimensional, with distinct factors for conventional or electoral participation and civic engagement. A third, weaker factor could be distinguished covering obedience to the law. This structure is largely in line with earlier comparative analysis. An exploratory analysis suggests that these factors have different outcomes on actual or intended political participation behavior of adolescents. We discuss the relevance of these findings with regard to the current debates on civic education and civic engagement among younger age cohorts.

  8. Congomania in Academia. Recent Historical Research on the Belgian Colonial Past

    Directory of Open Access Journals (Sweden)

    S.E. Kiangu

    2011-01-01

    Full Text Available The Congo has recently been the subject of much academic research. This article discusses the major trends and developments. It primarily focuses on the Congo crisis of 1960, which was commemorated in 2010 and has been inquired into by many historians, including American, British and Russian ones. A comparison of their conclusions reveals that Flanders has largely come to terms with its colonial past, but that the French-speaking community has a more problematic memory. Belgian academia, by contrast, has left the old controversies about Leopold II and Lumumba behind and embarked on the path of new imperial history. It approaches the Congolese past from new angles and with new paradigms, such as reciprocity, science, exhibition, representation, etc. Congolese academia suffers from the economic problems of the country, but has managed to produce a number of studies, focusing mainly on regions, religion, and resistance. Strikingly, Congolese historians have little criticism of the colonial era.

  9. Chemical analyses of dredged spoil disposal sites at the Belgian part of the North Sea.

    Science.gov (United States)

    De Witte, Bavo; Ruttens, Ann; Ampe, Bart; Waegeneers, Nadia; Gauquie, Johanna; Devriese, Lisa; Cooreman, Kris; Parmentier, Koen

    2016-08-01

    The chemical status of five dredged spoil disposal sites in the Belgian Part of the North Sea is evaluated. A linear mixed-effect model was applied to PCB, PAH and heavy metal data from 2005 to 2014. No decrease in PCB concentrations was found, with even an increase at two disposal sites. Hg/AL ratios increased with 62% at one disposal site (BR&WS2) from 2005 to 2006 to 2013-2014. Cu and Zn concentrations increased at two disposal sites. Additional harbour sampling suggests that the latter is possibly linked to antifouling paints. Based on OSPAR environmental assessment criteria, the current chemical status of the sites suggests no chronic effect of dredged spoil disposal. However, increasing time trend data for PCB, Hg, Cu and Zn demonstrate the importance of monitoring to identify adverse trends. PMID:27176939

  10. 1997 Scientific Report[1997 Scientific Report of the Belgian Nuclear Research Centre

    Energy Technology Data Exchange (ETDEWEB)

    Govaerts, P.

    1998-07-01

    The 1997 Scientific Report of the Belgian Nuclear Research Centre SCK-CEN describes progress achieved in nuclear safety, radioactive waste management, radiation protection and safeguards. In the field of nuclear research, the main projects concern the behaviour of high-burnup and MOX fuel, the embrittlement of reactor pressure vessels, the irradiation-assisted stress corrosion cracking of reactor internals, and irradiation effects on materials of fusion reactors. In the field of radioactive waste management, progress in the following domains is reported: the disposal of high-level radioactive waste and spent fuel in a clay formation, the decommissioning of nuclear installations, the study of alternative waste-processing techniques. For radiation protection and safeguards, the main activities reported on are in the field of site and environmental restoration, emergency planning and response and scientific support to national and international programmes.

  11. Health effects[1997 Scientific Report of the Belgian Nuclear Research Centre

    Energy Technology Data Exchange (ETDEWEB)

    Mahieu, L.

    1998-07-01

    The objectives of the research in the field of epidemiology , performed at the Belgian Nuclear Research Centre SCK-CEN are (1) to study cancer mortality and morbidity in nuclear workers in Belgium; (2) to document the feasibility of retrospective cohort studies in Belgium; (3) to participate in the IARC study. For radiobiology, the main objectives are: (1) to elucidate the mechanisms of the effects of ionizing radiation on the mammalian embryo during the early phase of its development, (2) to assess the genetic risks of maternal exposure to ionizing radiation, (3) to elucidate the mechanisms by which damage to the brain and mental retardation are caused in man after prenatal irradiation. The main achievements in these domains for 1997 are presented.

  12. Qualification of non-destructive examination for belgian nuclear reactor pressure vessel inspection

    Energy Technology Data Exchange (ETDEWEB)

    Couplet, D. [TRACTEBEL, Brussels (Belgium); Francoise, T. [Intercontrole, 94 - Rungis (France)

    2001-07-01

    In Service Inspection (ISI) participates to the assessment of Nuclear Reactor Pressure Vessel Integrity. The performance of Non Destructive Examination (NDE) techniques must be demonstrated according to predefined objectives. The qualification process is essential to trust the reliability of the information provided by NDE. In Belgian Nuclear Power Plants, the qualification was conducted through a collaboration between the vendor and a technical group from the Electricity Utility. The important facts of this qualification will be presented: - the detailed definition of the inspection and qualifications objectives, based on a combination of the ASME code and the European Methodology for Qualification; - the systematic verification of the NDE performance and limitations, for each ISI objective, through an adequate combination of tests on blocks and technical justification; - the continuous improvement of the NDE procedure; - the feedback and the lessons learnt from site experience; - the necessary multi-disciplinary approach (NDE, degradation mechanisms, structural integrity)

  13. Radiological optimization[1997 Scientific Report of the Belgian Nuclear Research Centre

    Energy Technology Data Exchange (ETDEWEB)

    Zeevaert, T.

    1998-07-01

    Radiological optimization is one of the basic principles in each radiation-protection system and it is a basic requirement in the safety standards for radiation protection in the European Communities. The objectives of the research, performed in this field at the Belgian Nuclear Research Centre SCK-CEN, are: (1) to implement the ALARA principles in activities with radiological consequences; (2) to develop methodologies for optimization techniques in decision-aiding; (3) to optimize radiological assessment models by validation and intercomparison; (4) to improve methods to assess in real time the radiological hazards in the environment in case of an accident; (5) to develop methods and programmes to assist decision-makers during a nuclear emergency; (6) to support the policy of radioactive waste management authorities in the field of radiation protection; (7) to investigate existing software programmes in the domain of multi criteria analysis. The main achievements for 1997 are given.

  14. Human biomonitoring of multiple mycotoxins in the Belgian population: Results of the BIOMYCO study.

    Science.gov (United States)

    Heyndrickx, Ellen; Sioen, Isabelle; Huybrechts, Bart; Callebaut, Alfons; De Henauw, Stefaan; De Saeger, Sarah

    2015-11-01

    Mycotoxins are important food contaminants responsible for health effects such as cancer, nephrotoxicity, hepatotoxicity or immunosuppression. The assessment of mycotoxin exposure is often based on calculations combining mycotoxin occurrence data in food with population data on food consumption. Because of limitations inherent to that approach, the direct measurement of biomarkers of exposure in biological fluids has been proposed as a suitable alternative to perform an accurate mycotoxin exposure assessment at individual level. For this reason, the BIOMYCO study was designed to assess mycotoxin exposure in Belgian adults and children using urinary biomarkers of exposure. Morning urine was gathered in a representative part of the Belgian population according to a standardised study protocol, whereby 155 children (3-12 years old) and 239 adults (19-65 years old) were selected based on random cluster sampling. These urine samples were analysed for the presence of 33 potential biomarkers with focus on aflatoxins, citrinin (CIT), fumonisins, trichothecenes, ochratoxin A (OTA), zearalenone and their metabolites using two validated LC-MS/MS methods. Nine out of the 33 analysed mycotoxins were detected whereby deoxynivalenol (DON), OTA, CIT and their metabolites were the most frequently detected. Deoxynivalenol-15-glucuronide was the main urinary DON biomarker and was found in all urine samples in the ng/mL range. Furthermore deoxynivalenol-3-glucuronide was quantified in 91% of the urine samples collected from children and in 77% of the samples collected from adults. Deoxynivalenol was detected in 70% and 37% of the samples of children and adults respectively. For the first time deepoxy-deoxynivalenol-glucuronide was detected in children's urine (17%). In the samples collected by adults, the prevalence was 22%. Whereas all these mycotoxins contaminated the urine samples in the ng/mL range, CIT and OTA were present in much lower concentrations (pg/mL). OTA contaminated 51

  15. Belgian citizens' and broiler producers' perceptions of broiler chicken welfare in Belgium versus Brazil.

    Science.gov (United States)

    Vanhonacker, F; Tuyttens, F A M; Verbeke, Wim

    2016-07-01

    New EU regulations require more stringent country-of-origin labeling, while imports of broiler meat from non-EU countries are increasing. In light of these trends, we have studied citizens' and producers' perceptions of broiler meat originating from Belgium versus Brazil and their perception of broiler production in Belgium versus Brazil. A particular focus was the association between country of origin and perceived level of animal welfare. We also investigated the perception of scaling-up and outdoor access in terms of perceived level of animal welfare. Cross-sectional survey data was collected among Flemish citizens (n = 541) and broiler producers (n = 114). In accordance with literature on general farm animal welfare, both stakeholder types claimed to allocate great importance to broiler welfare and generally agreed with the Welfare Quality model of broiler welfare. Citizens disagreed with the producers that 1) consumers are not willing to pay more for higher welfare products, 2) that broilers suffer little, 3) that broiler welfare in current Belgian production units is generally non-problematic, 4) that scaling-up production units would not have a positive impact on profitability nor a profoundly negative impact on broiler welfare, and 5) that the impact of providing broilers with outdoor access is negative for consumers, farmers, and broilers. Country of origin had a strong influence on the perception of both broiler production and broiler meat. Belgian citizens, and producers (much more than citizens) considered nearly all aspects related to broiler production and broiler meat to be significantly superior for chicken produced in Belgium compared to Brazil. Further research should focus on how these perceptions influence purchase intentions and production decisions. Future avenues for research are to quantify market opportunities for country-of-origin labeling and to investigate to which extent stakeholders' perceptions correspond with reality.

  16. Salmonella surveillance and control at post-harvest in the Belgian pork meat chain.

    Science.gov (United States)

    Delhalle, L; Saegerman, C; Farnir, F; Korsak, N; Maes, D; Messens, W; De Sadeleer, L; De Zutter, L; Daube, G

    2009-05-01

    Salmonella remains the primary cause of reported bacterial food borne disease outbreaks in Belgium. Pork and pork products are recognized as one of the major sources of human salmonellosis. In contrast with the primary production and slaughterhouse phases of the pork meat production chain, only a few studies have focussed on the post-harvest stages. The goal of this study was to evaluate Salmonella and Escherichia coli contamination at the Belgian post-harvest stages. E. coli counts were estimated in order to evaluate the levels of faecal contamination. The results of bacteriological analysis from seven cutting plants, four meat-mincing plants and the four largest Belgian retailers were collected from official and self-monitoring controls. The prevalence of Salmonella in the cutting plants and meat-mincing plants ranged from 0% to 50%. The most frequently isolated serotype was Salmonella typhimurium. The prevalence in minced meat at retail level ranged from 0.3% to 4.3%. The levels of Salmonella contamination estimated from semi-quantitative analysis of data relating to carcasses, cuts of meat and minced meat were equal to -3.40+/-2.04 log CFU/cm(2), -2.64+/-1.76 log CFU/g and -2.35+/-1.09 log CFU/g, respectively. The E. coli results in meat cuts and minced meat ranged from 0.21+/-0.50 to 1.23+/-0.89 log CFU/g and from 1.33+/-0.58 to 2.78+/-0.43 log CFU/g, respectively. The results showed that faecal contamination still needs to be reduced, especially in specific individual plants. PMID:19269567

  17. Risk assessment for furan contamination through the food chain in Belgian children.

    Science.gov (United States)

    Scholl, Georges; Huybrechts, Inge; Humblet, Marie-France; Scippo, Marie-Louise; De Pauw, Edwin; Eppe, Gauthier; Saegerman, Claude

    2012-08-01

    Young, old, pregnant and immuno-compromised persons are of great concern for risk assessors as they represent the sub-populations most at risk. The present paper focuses on risk assessment linked to furan exposure in children. Only the Belgian population was considered because individual contamination and consumption data that are required for accurate risk assessment were available for Belgian children only. Two risk assessment approaches, the so-called deterministic and probabilistic, were applied and the results were compared for the estimation of daily intake. A significant difference between the average Estimated Daily Intake (EDI) was underlined between the deterministic (419 ng kg⁻¹ body weight (bw) day⁻¹) and the probabilistic (583 ng kg⁻¹ bw day⁻¹) approaches, which results from the mathematical treatment of the null consumption and contamination data. The risk was characterised by two ways: (1) the classical approach by comparison of the EDI to a reference dose (RfD(chronic-oral)) and (2) the most recent approach, namely the Margin of Exposure (MoE) approach. Both reached similar conclusions: the risk level is not of a major concern, but is neither negligible. In the first approach, only 2.7 or 6.6% (respectively in the deterministic and in the probabilistic way) of the studied population presented an EDI above the RfD(chronic-oral). In the second approach, the percentage of children displaying a MoE above 10,000 and below 100 is 3-0% and 20-0.01% in the deterministic and probabilistic modes, respectively. In addition, children were compared to adults and significant differences between the contamination patterns were highlighted. While major contamination was linked to coffee consumption in adults (55%), no item predominantly contributed to the contamination in children. The most important were soups (19%), dairy products (17%), pasta and rice (11%), fruit and potatoes (9% each). PMID:22632631

  18. Is Dutch a Pluricentric Language with Two Centres of Standardization? An Overview of the Differences between Netherlandic and Belgian Dutch from a Flemish Perspective

    Directory of Open Access Journals (Sweden)

    Louw Robertus de

    2016-06-01

    Full Text Available Dutch, a West-Germanic language, is spoken by approximately 23 million people worldwide. In Europe, it is the language of all of the Netherlands and the northern part of Belgium, called Flanders. It is often said that since the Dutch and the Flemish speak Dutch differently, they in fact speak two different languages - Netherlandic Dutch and Belgian Dutch (Flemish. Linguists, however, argue they are not necessarily two separate languages but rather two varieties - a Netherlandic and a Belgian variety - of the same language, Dutch. Since there are a substantial number of grammatical, lexical, phonetic and even spelling differences between Belgian and Netherlandic Dutch, the question is whether Dutch is a pluricentric language with two centres of standardization or not. By explaining the socio-historical background of the Dutch language and giving a comprehensive overview of the differences between Netherlandic and Belgian Dutch, this article attempts to answer the aforementioned (research question.

  19. A Positive Pregnancy Test in the Post-Menopausal Psychiatric Patient—: What to Think?

    OpenAIRE

    Bashir, Imad; Ihenetu, Kenneth; Miller, James J.; Gim, Min-Hye; Lippmann, Steven

    2006-01-01

    Assaying the serum β-hCG is the pregnancy test employed to verify an early pregnancy. It becomes positive at approximately 10 days after conception. Knowing whether or not a patient is pregnant is critical to avoid exposure to medications or procedures that might be teratogenic. Psychiatric patients are sometimes suboptimal historians, so such β-hCG testing is especially worthwhile to assure recognition of an active, early-stage pregnancy.

  20. Benign Ovarian Dermoid Cyst Complicated with Infection in Post Menopausal Woman: An Unusual Case

    Directory of Open Access Journals (Sweden)

    M. Hasanzadeh Mofrad

    2009-10-01

    Full Text Available Introduction: Mature teratoma is the most common germ cell tumor(and the most common tumor of the ovary,composing more than 20% of all ovarian neoplasms .Super infection of dermoid ovarian cyst is very rare.Case Report: A 72 year-old woman was admitted to the gynecological outpatient clinic because of lower abdominal pain and fever. Gynecological examination and ultrasonography revealed a heterogeneous cystic mass in the right ovary. Abdominopelvic CT scan revealed a right ovarian mass (15×15 cm thought to be a dermoid cyst. Right adnexectomy was performed. The pathological evaluation suggested infected benign ovarian dermoid.Conclusion: They are the most common ovarian neoplasm found in adolescence and during pregnancy. Mature cystic teratoma may be complicated by torsion, rupture, and malignant change infection of a mature teratoma is a relatively uncommon event. However, based on our case and other cases, superinfection with abscess formation should be considered in the differential diagnosis whenever a patient with a documented pelvic mass and fever refers to gynecologists.

  1. Effect of vaginal estrogen on post menopausal mood & sleep disturbance/ and sexual satisfaction

    OpenAIRE

    Eftekhar T; Akhoondzadeh S; Ghanbari Z; Iranshahr R; Haghollahi F

    2009-01-01

    "n Normal 0 false false false EN-GB X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-fon...

  2. Working Paper 12-03 - An assessment of the risks to the medium-term outlook of the Belgian international economic environment

    OpenAIRE

    Eric Meyermans; Patrick Van Brusselen

    2003-01-01

    Each year, the Federal Planning Bureau (fpb) prepares a medium-term outlook for the Belgian economy with its macro-econometric hermes model. One of the key inputs of this exercise is a baseline scenario for the Belgian international economic environment, which includes an outlook for the output, imports, prices and financial variables of the major trading partners of Belgium. Traditionally, this international environment is based on the medium-term outlook presented by the European Commission...

  3. Community structure of the macrobenthos of an important Belgian wintering area for the Common Scoter (Melanitta nigra)

    OpenAIRE

    Degraer, S.; Vincx, M.; P. Meire; Offringa, H

    1998-01-01

    The shallow western Belgian Coastbanks are important wintering areas for the Common Scoters, reflecting the ecological importance of this environment. The diet of these seaducks consists of macrobenthos, mainly bivalves. The availability of these bivalves along the Belgian west-coast has been poorly documented and it is not clear to what extent the spatial distribution of the Scoters and the bivalves are linked. In October 1994, 40 macrobenthic samples were taken in the area. Multivariate tec...

  4. Risk factors for osteoporosis in urban Iranian postmenopausal women (A center based study

    Directory of Open Access Journals (Sweden)

    Afsane Keramat

    2007-01-01

    Full Text Available Introduction: Osteoporosis is recognized as a major healthcare problem in elders. Data on prevalence and risk factors of osteoporosis in developing countries is sparse. In this study we aim to define the risk factors of osteoporosis in a selected group of postmenopausal women in Tehran. Methods: This is a case-control, interview based study that was conducted in a popular public hospital (Shariati in Tehran during period 2002-2003. The sample sizes included 272 post menopausal women (136 case and 136 controls in the same age group. The case group were identified as osteoporotic patients based on WHO definition in spine and/or total femoral region interest using DEXA method and Lunar DPX machine. A self made questionnaire was used for data collection. It included some information on demographic, obstetrical and menstrual factors, medical and drug history, nutritional status, physical activity and life style. Risk factors for osteoporosis were calculated by adjusted odds ratios using multiple logistic regressions. Results: The significant (P 5 years (2.4, Parity >3, lactation >3 years, steroid therapy (3.6, Bone and joint disorders (2.34 teeth problems (2.30, education < 12 schooling yrs (2.6 and red meat consumption ≥ 4 times/w (2.1.Regular consumption of milk ≥ 3/w (0.4, cheese ≥ 30g/d (0.5, chicken (0.4, fish (0.3 and honey (0.42 appeared to be significant protective factors. Calcium supplementation (0.3, regular walking (0.4 and sunshine exposure (0.4 also reduced the risk significantly. Conclusion: Osteoporosis, in this study, appears to be associated with several risk factors. The association of environmental factors like diet, exercise and sunshine exposure with osteoporosis indicates need of more studies in this area and also the direction for elders, health strategies for osteoporosis prevention in Iran.

  5. An experiment in democracy: observing the Belgian local partnerships for the management of low-level radioactive waste

    International Nuclear Information System (INIS)

    Observations are offered on the FSC workshop and the Belgian local partnerships from the perspective of public participation theory and practice. A distinction is drawn between participatory democratic theory and pluralism in order to point out that partnerships exemplify the latter and are thus susceptible to the main shortcoming of pluralism, which is that the stakeholders become a club of experts, distant from the individual citizens. A model of risk decision making based on the notions of analysis and deliberation is presented as a means for analytically scrutinizing the workshop and the partnerships. The workshop successfully diversified deliberation by invoking numerous features including: Small group work, informal venues, stimulating short presentations, involvement of local stakeholders, rapporteurs, community visits, and structured discussion. One shortcoming of the workshop was that it could have displayed more continuity with previous workshops and also convey a sense of progress on the issues of interest. A second shortcoming was that it invoked a very singular dimension of risk (to human health) without devoting adequate attention to the other dimensions of risk (economic, ecological, psychological, sociological, and ethical). The partnerships performed well in many ways; in particular the following features were evaluated as being positive: genuine commitment by partnership staff and leadership to involve all stakeholders, some degree of self-selection by participants (voluntary participation), widespread education and outreach, a flexible timetable, genuine commitment from ONDRAF/NIRAS to see the process through, clear, capable, and respected leadership. Finally, the simple survival of the partnerships in Mal and Dessel suggest popular legitimacy and buy-in by participants. A handful of more critical observations were made about the partnerships as well. First, the near absence of women strikes a chord of concern that women may not feel comfortable

  6. Relationships between Menopausal and Mood Symptoms and EEG Sleep Measures in a Multi-ethnic Sample of Middle-Aged Women: The SWAN Sleep Study

    Science.gov (United States)

    Kravitz, Howard M.; Avery, Elizabeth; Sowers, MaryFran; Bromberger, Joyce T.; Owens, Jane F.; Matthews, Karen A.; Hall, Martica; Zheng, Huiyong; Gold, Ellen B.; Buysse, Daniel J.

    2011-01-01

    Study Objectives: Examine associations of vasomotor and mood symptoms with visually scored and computer-generated measures of EEG sleep. Design: Cross-sectional analysis. Setting: Community-based in-home polysomnography (PSG). Participants: 343 African American, Caucasian, and Chinese women; ages 48–58 years; pre-, peri- or post-menopausal; participating in the Study of Women's Health Across the Nation Sleep Study (SWAN Sleep Study). Interventions: None. Measurements and Results: Measures included PSG-assessed sleep duration, continuity, and architecture, delta sleep ratio (DSR) computed from automated counts of delta wave activity, daily diary-assessed vasomotor symptoms (VMS), questionnaires to collect mood (depression, anxiety) symptoms, medication, and lifestyle information, and menopausal status using bleeding criteria. Sleep outcomes were modeled using linear regression. Nocturnal VMS were associated with longer sleep time. Higher anxiety symptom scores were associated with longer sleep latency and lower sleep efficiency, but only in women reporting nocturnal VMS. Contrary to expectations, VMS and mood symptoms were unrelated to either DSR or REM latency. Conclusions: Vasomotor symptoms moderated associations of anxiety with EEG sleep measures of sleep latency and sleep efficiency and was associated with longer sleep duration in this multi-ethnic sample of midlife women. Citation: Kravitz HM; Avery E; Sowers MF; Bromberger JT; Owens JF; Matthews KA; Hall M; Zheng H; Gold EB; Buysse DJ. Relationships between menopausal and mood symptoms and Eeg sleep measures in a multi-ethnic sample of middle-aged women: the SWAN Sleep Study. SLEEP 2011;34(9):1221-1232. PMID:21886360

  7. Women's Health

    Science.gov (United States)

    Women have unique health issues. And some of the health issues that affect both men and women can affect women differently. Unique issues ... and men also have many of the same health problems. But these problems can affect women differently. ...

  8. Case report : A suspicion of cortico-cerebral necrosis in a Belgian Blue herd after ingestion of moulded silage

    OpenAIRE

    Guyot, Hugues; Sandersen, Charlotte; Aliaoui, Hamani; Brihoum, Mounir; Vandeputte, Sébastien; Rollin, Frédéric

    2004-01-01

    After ingestion of moulded beet pulp silage, cases of cortico-cerebral necrosis (CCN) and mortalities have been observed in a Belgian Blue (BB) herd. Contamination with Paecilomyces spp., a mould that produces byssochlamic acid, malformins and patulin, has been proven. Among these toxins, patulin is known to have cancerogenic, immunosuppressive and tremorgenic effects, but also acts on the respiratory and digestive systems. Twenty-five days after progressive introduction of bee...

  9. Confirmed Zika virus infection in a Belgian traveler returning from Guatemala, and the diagnostic challenges of imported cases into Europe.

    Science.gov (United States)

    De Smet, Birgit; Van den Bossche, Dorien; van de Werve, Charlotte; Mairesse, Jacques; Schmidt-Chanasit, Jonas; Michiels, Jo; Ariën, Kevin K; Van Esbroeck, Marjan; Cnops, Lieselotte

    2016-07-01

    We report the first laboratory-confirmed Zika virus (ZIKV) infection in a Belgian traveler after a three week holiday in Guatemala, December 2015. This case along with other imported cases into Europe emphases once again the need for accurate diagnostic tools for this rapidly emerging virus. The challenge is to diagnose patients in the acute phase, which appears short, as serological testing is complicated by cross-reactivity, vaccination status and scarce availability of specific ZIKV tests.

  10. Economic Importance of the Belgian Ports: Report 2005. Flemish maritime ports and Liège port complex

    OpenAIRE

    Lagneaux, Frédéric

    2007-01-01

    This paper is an annual publication issued by the Microeconomic Analysis service of the National Bank of Belgium. The Flemish maritime ports - Antwerp, Ghent, Ostend, Zeebrugge - and the Autonomous Port of Liège play a major role in their respective regional economies and in the Belgian economy, not only in terms of industrial activity but also as intermodal centres facilitating the commodity flow. This update paper provides an extensive overview of the economic importance and development of ...

  11. Economic Importance of the Belgian Ports : Report 2005. Flemish maritime ports and Liège port complex

    OpenAIRE

    Frédéric Lagneaux

    2007-01-01

    This paper is an annual publication issued by the Microeconomic Analysis service of the National Bank of Belgium. The Flemish maritime ports - Antwerp, Ghent, Ostend, Zeebrugge - and the Autonomous Port of Liège play a major role in their respective regional economies and in the Belgian economy, not only in terms of industrial activity but also as intermodal centres facilitating the commodity flow. This update paper provides an extensive overview of the economic importance and development of ...

  12. A stop-gain in the laminin, alpha 3 gene causes recessive junctional epidermolysis bullosa in Belgian Blue cattle

    OpenAIRE

    Sartelet, Arnaud; Harland, Chad; Tamma, Nico; Karim, Latifa; Bayrou, Calixte; Li, Wanbo; Ahariz, Naïma; Coppieters, Wouter; Georges, Michel; Charlier, Carole

    2015-01-01

    Four newborn purebred Belgian Blue calves presenting a severe form of epidermolysis bullosa were recently referred to our heredo-surveillance platform. SNP array genotyping followed by autozygosity mapping located the causative gene in a 8.3-Mb interval on bovine chromosome 24. Combining information from (i) whole-genome sequencing of an affected calf, (ii) transcriptomic data from a panel of tissues and (iii) a list of functionally ranked positional candidates pinpointed a private G to A nuc...

  13. Hydroclimatic modulation of diatom/Phaeocystis blooms in nutrient-enriched Belgian coastal waters (North Sea)

    OpenAIRE

    Breton, E.; Rousseau, V.; Parent, J.-Y.; Ozer, J.; C. Lancelot

    2006-01-01

    Statistical analysis of 14 yr (1988-2001) of intensive phytoplankton monitoring at Station 330 in the central Belgian Coastal Zone (BCZ, Southern Bight of the North Sea) indicates that the long-term diatom biomass trend and the spring dominance of Phaeocystis colonies over diatoms are determined by the combined effect of the North Atlantic Oscillation (NAO) and freshwater and continental nitrate carried by the Scheldt. The strong correlation between diatoms and the NAO index is largely explai...

  14. «One Difference Is Enough»: Towards a History of Disability in Belgian Congo (1908-1960

    Directory of Open Access Journals (Sweden)

    Evelyne Verhaegen

    2015-11-01

    Full Text Available This article aims to investigate the educational initiatives provided for Congolese people with disabilities during the Belgian colonization, 1908-1960. We found out disability strongly influenced the foundation of the Belgian colony and that it can be assumed that a significant number of Congolese in the Belgian colony were disabled. Yet no historical research about this subject can be found. The subject seemed to be hardly neglected and overlooked. It is this particular contradiction or silence in historiography that this article wants to elucidate. For this purpose, various and sometimes conflicting sources have been consulted. In addition to basic literature on the Belgian colonization and more specific literature on disability in relation to culture, various archives, such as audiovisual material and oral witnesses of this particular period have been included in this research. Our main finding is that in most of the colonial period little or no educational initiatives were provided for Congolese people with disabilities. This we explain by the very limited differentiation which was made between the Congolese themselves. We argue that the black man as such was considered as a rather alien figure and consequently the additional factor of disability remained hardly unnoticed. In the last years of the colonization an increased amount of educational initiatives emerged, which this article explains by the probable increased differentiation between blacks towards the end of the colonization. How to reference this article Verhaegen, E., Verstraete, P., & Depaepe, M. (2016. «One Difference Is Enough»: Hacia una historia de la discapacidad en el Congo Belga (1908-1960. Espacio, Tiempo y Educación, 3(1, 407-420. doi: http://dx.doi.org/10.14516/ete.2016.003.001.19

  15. Radical pluralism and free speech in online public spaces: the case of North Belgian extreme right discourses

    OpenAIRE

    Cammaerts, Bart

    2009-01-01

    Progressive political movements and activists are not the only ones appropriating Web 2.0 as a way to construct independent public spaces and voice counterhegemonic discourses. By looking at the other extreme of (post-)fascist movements, it will be shown that the internet also gives rise to anti-public spaces, voicing hatred and essentialist discourses. In this article, discourses of hate produced by North-Belgian (post-)fascist movements and activists will be analysed. Theoretically the anal...

  16. Structural and functional biological assessment of aggregate dredging intensity on the Belgian part of the North Sea

    OpenAIRE

    Backer, A De; Hillewaert, H.; Van Hoey, G; Wittoeck, J.; Hostens, K.

    2014-01-01

    Marine aggregate dredging in the Belgian part of the North Sea (BPNS) is restricted to four dedicated concession zones. Within these zones, there are areas under different dredging pressure, but with the advantage that these are situated within a similar habitat (cfr. similar sediment characteristics) . As such, this study assessed how different degrees of dredging pressure executed on a similar sandy habitat affect the benthic ecosystem. Possible responses of the macrobenthos on the dredging...

  17. Iron status and its determinants in a nationally representative sample of pregnant women.

    Science.gov (United States)

    Vandevijvere, Stefanie; Amsalkhir, Sihame; Van Oyen, Herman; Egli, Ines; Ines, Egli; Moreno-Reyes, Rodrigo

    2013-05-01

    Iron-deficiency anemia is associated with adverse neonatal health outcomes. Iron status and its determinants were assessed in a representative sample of Belgian pregnant women. Blood samples were collected and a questionnaire was completed face-to-face. Hemoglobin (Hb) and mean cell volume were measured using a Beckman Coulter Hematology Analyzer and serum ferritin (SF) and transferrin receptor (sTfr) concentrations by immunoassay. In total, 55 obstetric clinics and 1,311 pregnant women were included. Approximately 40% of third-trimester and 6% of first-trimester women had SF levels less than 15 μg/L. Approximately 21% of third-trimester and 4% of first-trimester women had anemia (Hb iron-deficient nonanemic (SF iron-deficiency anemia (SF iron deficiency (sTfr >8.5 mg/L). The median body iron stores were 8.1 mg/kg among first-trimester women, but only 3.6 mg/kg among third-trimester women. SF levels were significantly positively associated with age and education level, and were higher among nulliparous women and lower among North-African women. sTfr concentrations were significantly negatively associated with age and were lower among smokers, nulliparous women, and women who planned their pregnancy. Despite the fact that two thirds of Belgian pregnant women took iron-containing supplements, iron deficiency and iron-deficiency anemia were frequent in third-trimester women. The World Health Organization regards this as a moderate public health problem. National iron supplementation guidelines are needed in Belgium to optimize iron status during pregnancy.

  18. Improved Emergency Preparedness For Management Of The Food chain Via Stakeholder Involvement: Belgian and European Experience

    International Nuclear Information System (INIS)

    Initiatives involving stakeholder engagement have gained increasing importance in sustainable decision making for many risk-related issues. This paper describes a Belgian experience within a European context related to food management options in the event of a radioactive contamination of the food chain. Under the auspices of the European Commission's 5. Framework Programme, the F.A.R.M.I.N.G. (F.A.R.M.I.N.G. 2000) project (co-ordinated by H.P.A.) a stakeholder network was established in a number of European countries, following a successful approach originally adopted in the UK. In a comparable approach, national working groups were thus established in Belgium, Finland, France and Greece in order to organise stakeholder panels and to discuss the outcomes of scientific and technical research related to management options for the food chain. The results of these panels were exchanged between participating Member States and on a wider international basis at the W.I.S.D.O.M.2. workshop in 2003. The F.A.R.M.I.N.G. project had many achievements and there were also several important lessons learned for Belgium (Vandecasteele et al., 2005): Firstly, many stakeholders showed a real interest in tackling problems relating to food chain contamination; Secondly, the Belgian agricultural system is very intensive and technically and economically optimised, making many of the options envisaged difficult to implement; thirdly, the applicability of management options is also limited by political and legal issues (e.g. competencies, environmental legislation), operational constraints (e.g. waste treatment, supplies of materials), societal and ethical aspects (e.g. milk disposal to sea, animal welfare), and economics (e.g. who pays the intervention cost?); fourthly, there is a now a greater awareness of these problems in both the food production sector and among the experts involved in emergency management; Fifthly, increased attention is now given in Belgium to the medium and long

  19. Improved Emergency Preparedness For Management Of The Food chain Via Stakeholder Involvement: Belgian and European Experience

    Energy Technology Data Exchange (ETDEWEB)

    Hardeman, Frank; Carle, Benny [SCK.CEN, the Belgian Nuclear Research Centre, Boeretang 200, 2400 Mol (Belgium); Turcanu, Catrinel [Universite Libre de Bruxelles, Av. F. Roosevelt 50, 1050 Brussels (Belgium); Vandecasteele, Christian [FANC, Federal Agency for Nuclear Control, Ravensteinstraat 36, 1000 Brussels (Belgium)

    2006-07-01

    Initiatives involving stakeholder engagement have gained increasing importance in sustainable decision making for many risk-related issues. This paper describes a Belgian experience within a European context related to food management options in the event of a radioactive contamination of the food chain. Under the auspices of the European Commission's 5. Framework Programme, the F.A.R.M.I.N.G. (F.A.R.M.I.N.G. 2000) project (co-ordinated by H.P.A.) a stakeholder network was established in a number of European countries, following a successful approach originally adopted in the UK. In a comparable approach, national working groups were thus established in Belgium, Finland, France and Greece in order to organise stakeholder panels and to discuss the outcomes of scientific and technical research related to management options for the food chain. The results of these panels were exchanged between participating Member States and on a wider international basis at the W.I.S.D.O.M.2. workshop in 2003. The F.A.R.M.I.N.G. project had many achievements and there were also several important lessons learned for Belgium (Vandecasteele et al., 2005): Firstly, many stakeholders showed a real interest in tackling problems relating to food chain contamination; Secondly, the Belgian agricultural system is very intensive and technically and economically optimised, making many of the options envisaged difficult to implement; thirdly, the applicability of management options is also limited by political and legal issues (e.g. competencies, environmental legislation), operational constraints (e.g. waste treatment, supplies of materials), societal and ethical aspects (e.g. milk disposal to sea, animal welfare), and economics (e.g. who pays the intervention cost?); fourthly, there is a now a greater awareness of these problems in both the food production sector and among the experts involved in emergency management; Fifthly, increased attention is now given in Belgium to the medium and

  20. Modelling water and 36Cl cycling in a Belgian pine forest - Model for 36Cl cycling in a Belgian pine forest

    International Nuclear Information System (INIS)

    A simplified, 1-D soil-groundwater-vegetation model to represent the cycling of water and of 36Cl in a Belgian Scots pine forest is presented and discussed. The model contains a soil column with layers of different (but uniform) field capacity and soil porosity, which are penetrated by tree roots. Flow through porous media is assumed to circulate according to Darcy and Philips laws, using empirical soil hydraulic properties without recourse to Richards' equation. The vegetation is represented by means of a compartment model including simplified representation of sap flow, translocation and litterfall in relation to different parts of the tree. The water table height is variable according to the balance between precipitation, capillary rise, solar radiation, plant uptake and evapotranspiration. The influence of local fluvial sources of water can also be evaluated in a simplified way as a losing/gaining stream input to the soil column. Time dependent data on temperature, solar irradiation, rainfall, crop coefficient and leaf area index (LAI) are used as input to the model in order to calculate evapotranspiration and a simplified approach to foliar interception. The chlorine flux follows the water flux in both soil and the trees, using retardation in soil and experimentally measured translocation factors within the plant. The chlorine flux is optimised and validated with recourse to a previous 36Cl compartment model. Although considered to be a relatively simple model, initial results suggest a reasonable consistency between previously published water balance and field measurements in a Scots pine stand from the vicinity of Mol, Belgium. The mean soil water content is predicted to be around 25%, the plant water is stored in the order roots > plant above roots > leaf surfaces, water table height below ground fluctuates between 2.1 and 2.6 m compared with a measured water table height of 1.8 - 20 m and pine transpiration is less than 1.2 mm/d compared with a measured

  1. Modelling water and {sup 36}Cl cycling in a Belgian pine forest - Model for {sup 36}Cl cycling in a Belgian pine forest

    Energy Technology Data Exchange (ETDEWEB)

    Vives i Batlle, Jordi; Vandenhove, Hildegarde; Gielen, Sienke [Belgian Nuclear Research Centre, Boeretang 200, 2400 Mol (Belgium)

    2014-07-01

    A simplified, 1-D soil-groundwater-vegetation model to represent the cycling of water and of {sup 36}Cl in a Belgian Scots pine forest is presented and discussed. The model contains a soil column with layers of different (but uniform) field capacity and soil porosity, which are penetrated by tree roots. Flow through porous media is assumed to circulate according to Darcy and Philips laws, using empirical soil hydraulic properties without recourse to Richards' equation. The vegetation is represented by means of a compartment model including simplified representation of sap flow, translocation and litterfall in relation to different parts of the tree. The water table height is variable according to the balance between precipitation, capillary rise, solar radiation, plant uptake and evapotranspiration. The influence of local fluvial sources of water can also be evaluated in a simplified way as a losing/gaining stream input to the soil column. Time dependent data on temperature, solar irradiation, rainfall, crop coefficient and leaf area index (LAI) are used as input to the model in order to calculate evapotranspiration and a simplified approach to foliar interception. The chlorine flux follows the water flux in both soil and the trees, using retardation in soil and experimentally measured translocation factors within the plant. The chlorine flux is optimised and validated with recourse to a previous {sup 36}Cl compartment model. Although considered to be a relatively simple model, initial results suggest a reasonable consistency between previously published water balance and field measurements in a Scots pine stand from the vicinity of Mol, Belgium. The mean soil water content is predicted to be around 25%, the plant water is stored in the order roots > plant above roots > leaf surfaces, water table height below ground fluctuates between 2.1 and 2.6 m compared with a measured water table height of 1.8 - 20 m and pine transpiration is less than 1.2 mm/d compared

  2. A model reconstruction of riverine nutrient fluxes and eutrophication in the Belgian Coastal Zone since 1984

    Science.gov (United States)

    Passy, P.; Gypens, N.; Billen, G.; Garnier, J.; Thieu, V.; Rousseau, V.; Callens, J.; Parent, J.-Y.; Lancelot, C.

    2013-12-01

    The OSPAR convention signed in 1992 by 15 European states including Belgium and France pledged to reduce the nutrient (nitrogen N and phosphorus P) loads from land-based sources to the Channel and the North Sea to half of what they were in 1985. In this paper, we use a river basin-coastal sea chain model to describe the evolution of nutrient loads to the Belgian Costal Zone originating from the Seine, Somme and Scheldt watersheds from 1984 to 2007 in order to assess the N and P reduction with respect to the OSPAR goals and the resulting effect on coastal eutrophication, especially Phaeocystis blooms. Since the early 1990s, most nutrient reduction actions have been devoted to domestic and industrial wastewater treatment, resulting in a sharp P decrease between 1984 and 2007: from 260 to 90 kgP km- 2 for the Seine River and from 215 to 110 kgP km- 2 for the Scheldt River. In spite of improved N treatment of wastewater, there is no clear decrease of N loads, which mostly originate from leaching intensively cultivated arable lands. N fluxes at the outlet of the Seine and Scheldt rivers were, respectively, 1990 and 2210 kgN km- 2 in 1984 and 1830 and 1390 kgN km- 2 in 2007. However, this relatively low decrease appears to be more influenced by hydrological conditions than by better efficiency of N use in agriculture. We conclude from this analysis that the OSPAR objectives for P have been achieved, whereas for N radical changes in agricultural practices are still required. The P reduction achieved allows, for the period of concern, a 50% decrease of Phaeocystis colony blooms in the Belgian Coastal Zone, both in magnitude and duration. However, the simulated decrease, of maximum abundance, i.e., from 60 · 106 in 1984 to 30 · 106 cells l- 1 in 2007, is still insufficient when compared to the ecological-quality indicator of 4 · 106 cells l- 1. A further decrease of nutrients is still necessary to decrease undesirable blooms more satisfactorily.

  3. [The Belgian project for the prevention of cardiovascular diseases: a model of multifactorial prevention].

    Science.gov (United States)

    Kornitzer, M

    1989-01-01

    Résults are presented from the "belgian heart disease prevention project, part of the WHO european collaborative trial in the multifactorial prevention of coronary heart disease (CHD)". 19.409 men aged 40-59 yr took part; they were employed in thirty factories which formed the allocation units for a randomised controlled trial lasting 5-6 yr. The intervention package consisted largely of health education promoting a cholesterol-lowering diet, smoking cessation, weight control, physical activity, and treatment of arterial hypertension. A programme of information was supplemented by face-to-face counselling at the workplace by two physicians attached to the project. The coronary risk profile was reduced in the intervention group, compared with that in the control group, especially during the first 4 yr, by effects on serum cholesterol, number of cigarettes smoked daily, and arterial blood-pressure. Total mortality was 17.5% lower in the intervention group than in the control group (p = 0.038); coronary mortality was reduced by a non-significant 20.8% whereas CHD incidence (non-fatal myocardial infarction plus fatal myocardial infarction plus sudden deaths) was reduced by 24.5%, (P = 0.031). Non-fatal myocardial infarction (not a major end-point) was similarly reduced by 26.1% (p = 0.030). PMID:2679938

  4. Media content analysis of the Fukushima accident in two Belgian newspapers

    International Nuclear Information System (INIS)

    In case of a nuclear accident, the media play a major role in communicating with the public. It is therefore crucial to know what messages are the media delivering in a nuclear emergency and how do they frame the event. Analysing the media reporting on the Fukushima nuclear accident can benefit nuclear emergency management in two major aspects. On the one hand, such analysis shows how to deliver risk messages effectively through the media and on the other hand, it brings insights into the information that has to be communicated by the emergency managers to the mass media. The media analysis of the nuclear accident in Fukushima reported here was done by means of discourse and content analysis. The coding method followed explicit rules of coding and enabled large quantities of data to be categorized. The newspapers included in the analysis were the Belgian newspapers Le Soir (French language) and De Standaard (Dutch language). The media news were obtained from press clippings by Media data base at University Antwerp - MEDIARGUS for the period between 11th of March to 11th of May, 2011.

  5. Risk perception of the Belgian population. Results of the public opinion survey in 2009

    International Nuclear Information System (INIS)

    The SCK-CEN 2009 risk perception barometer is based on over 1000 Computer Assisted Personal Interviews, taken from persons selected to be representative for the Belgian 18+ population, and all realized in the period July and August 2009. An additional sample , N = 100 is taken from the for the population living in the communities of Lambusart and Wanfercee-Baulet in the municipality of Fleurus. Besides the classical background variables used to obtain the quota for representatively (age, language, habitat, gender and social class), we also included a series of questions assessing the communication and sociological context. The main topics in the survey were I) risk perception and confidence in authorities; II) Attitude towards science and technology and attitudes toward nuclear energy; III) stake holders engagement; IV)acceptance of legal norms for food products; v) media use; vi) evaluation of nuclear actors; VII) psychometric risk characteristics; VII) safety behaviour and anomy; ix) knowledge about nuclear domain; x) risk communication; xi) consumer's attitude towards food with radioactive contamination. Some of the questions asked in 2009 are similar to those enquired in the SCK barometer of 2006 and 2002, in order to study the time evolution of the risk perception associated with various issues.

  6. Processing practices contributing to Campylobacter contamination in Belgian chicken meat preparations.

    Science.gov (United States)

    Sampers, Imca; Habib, Ihab; Berkvens, Dirk; Dumoulin, Ann; Zutter, Lieven De; Uyttendaele, Mieke

    2008-12-10

    The aim of this study was to obtain insight into processing practices in the poultry sector contributing to the variability in Campylobacter contamination in Belgian chicken meat preparations. This was achieved by company profiling of eleven food business operators, in order to evaluate variation of processing management, in addition to statistical modelling of microbiological testing results for Campylobacter spp. contamination in 656 end product samples. Almost half (48%) of chicken meat preparation samples were positive for Campylobacter spp. Results revealed a statistically significant variation in Campylobacter contamination between 11 chicken meat producers across Belgium at both quantitative and qualitative detection levels. All producers provided Campylobacter-positive samples, but prevalence ranged from 9% up to 85% at single producer level. The presence or addition of skin during production of chicken meat preparations resulted in almost 2.2-fold increase in the probability of a sample being positive for Campylobacter, while chicken meat preparations made from frozen meat, or partly containing pre-frozen meat, had a significant (Odds Ratio=0.41; CI 95% 0.18:0.98) lower probability of being positive for Campylobacter. However, the quantitative results indicated that the positive freezing effect on Campylobacter count was compromised by the presence and/or adding of skin.

  7. The Gay Men Sex Studies: prevalence of sexual dysfunctions in Belgian HIV+ gay men

    Directory of Open Access Journals (Sweden)

    Vansintejan J

    2013-04-01

    Full Text Available Johan Vansintejan, Joris Janssen, Erwin Van De Vijver, Jan Vandevoorde, Dirk Devroey Department of Family Medicine, Vrije Universiteit Brussel (VUB, Brussels, Belgium Abstract: The aim of this Internet-based survey was to investigate the prevalence and associated predictors of sexual dysfunctions in Belgian self-reported HIV-positive men who have sex with other men. Of the 72 participants, 56% had a mild-to-severe erectile dysfunction, and 15% reported a hypoactive sexual desire disorder. The prevalence of premature ejaculation and anodyspareunia was 18% for both. Independent predictors for erectile dysfunction were frequency of masturbation, frequency of sex with partner, use of erectile enhancement drugs, having a passive sex role, and not having a steady relationship. Independent predictors for hypoactive sexual desire disorder were frequency of masturbation and having a lower lifetime number of sexual partners. Independent predictors for premature ejaculation were not having a steady relationship, having a lower lifetime number of sexual partners, and a lower level of education. The only independent predictor for anodyspareunia was having an active sex role. Keywords: homosexuality/male, sexual dysfunction, HIV, epidemiology

  8. Balancing selection on CDH2 may be related to the behavioral features of the Belgian Malinois.

    Directory of Open Access Journals (Sweden)

    Xue Cao

    Full Text Available The Belgian Malinois (BM is an excellent working dog that typically shows a circling behavior when placed in a confined space. Moreover, individuals showing moderate running in circles (one kind of obsessive compulsive behavior in confined spaces typically show better work performance compared to those without the circling behavior or to those with a serious circling behavior (which can be defined as an obsessive compulsive disorder (OCD. To determine whether the candidate gene CDH2, Cadherin 2, which is associated with OCD in the Doberman pinscher breed of dogs and in humans, was linked with this behavioral character in the BM, population genetic analyses were performed on a BM population and a natural population of the Chinese indigenous dog (CID. Many genetic signals of balancing selection were detected for one specific region of the CDH2 gene, which suggests that a genomic block, which is included in the CDH2 gene, experienced balancing selection in the BM, and that the CDH2 gene might be associated with the behavioral characteristics of the BM dog (a balance between circling behavior and work performance. Moreover one specific variant, G63913941A, which creates a predicted transcription factor-binding site, may be the key mutation in the CDH2 gene affecting the behavior of BMs by allowing the binding of a transcription factor and increasing CDH2 expression.

  9. Radiation dose to premature new-borns in the belgian neonatal intensive care units

    International Nuclear Information System (INIS)

    In the neonatal intensive care units (NICU), premature new-borns may be exposed to important doses. Because of their increased radiosensitivity and longer life expectancy, dose optimisation is of importance. The present study aimed at evaluating the dose of the most common radiographs in the Belgian NICU. Entrance surface kerma (ESK) and kerma area product (KAP) were collected in 17 NICU (among 19 in Belgium). Median ESK ranged from 13 to 172 μGy and from 8 to 117 μGy for chest and combined chest-abdomen radiographs, respectively; median KAP ranged from 1.4 to 14.2 mGy cm2 and from 3.8 to 28.1 mGy cm2 for chest and combined chest-abdomen radiographs, respectively. Those differences were due to large variations in the examination settings. Diagnostic reference levels (DRL) were set for chest and combined chest-abdomen radiographs. Though the radiograph dose was usually low, the cumulative dose per stay could be high. The wide, intercentre differences indicate that there is scope for dose reduction. The use of DRL should contribute to achieve this object. (authors)

  10. Characterization of ubiquitinated intraneuronal inclusions in a novel Belgian frontotemporal lobar degeneration family.

    Science.gov (United States)

    Pirici, Daniel; Vandenberghe, Rik; Rademakers, Rosa; Dermaut, Bart; Cruts, Marc; Vennekens, Krist'l; Cuijt, Ivy; Lübke, Ursula; Ceuterick, Chantal; Martin, Jean-Jacques; Van Broeckhoven, Christine; Kumar-Singh, Samir

    2006-03-01

    The most common histologic feature in patients with frontotemporal lobar degeneration (FTLD) is intracellular brain inclusions of yet uncharacterized proteins that react with antiubiquitin (Ub) antibodies, but not with tau or synuclein (FTLD-U). We identified a four-generation Belgian FTLD family in which 8 patients had dominantly inherited FTLD. In one patient, we showed frontotemporal atrophy with filamentous Ub-positive intracellular inclusions in absence of tau pathology or any alterations in the levels of soluble tau. We characterized the cellular and subcellular localization and morphology of the inclusions. Ub-positive inclusions predominantly occurred within neurons (>97%), but were also observed within oligodendroglia (approximately 2%) and microglia (INI) were up to approximately four-fold more frequent than the cytoplasmic inclusions, although the latter were more specific to neurons. The INIs frequently appeared spindle-shaped and 3-dimensional confocal reconstructions identified flattened, leaf-like structures. Ultrastructurally, straight 10- to 18-nm-diameter filaments constituted the spindle-shaped inclusions that occurred in close proximity to the nuclear membrane. Staining for HSP40, p62, and valosin/p97 was observed in only a minority of the inclusions. Whereas the precise nature of the protein remains elusive, characterization of such familial FTLD-U patients would be helpful in identifying a common denominator in the pathogenesis of familial and the more prevalent sporadic FTLD-U.

  11. Risk perception of the Belgian population. Results of the public opinion survey in 2009

    Energy Technology Data Exchange (ETDEWEB)

    Perko, T.; Turcanu, C.; Schroeder, J.; Carle, B.

    2010-02-15

    The SCK-CEN 2009 risk perception barometer is based on over 1000 Computer Assisted Personal Interviews, taken from persons selected to be representative for the Belgian 18+ population, and all realized in the period July and August 2009. An additional sample , N = 100 is taken from the for the population living in the communities of Lambusart and Wanfercee-Baulet in the municipality of Fleurus. Besides the classical background variables used to obtain the quota for representatively (age, language, habitat, gender and social class), we also included a series of questions assessing the communication and sociological context. The main topics in the survey were I) risk perception and confidence in authorities; II) Attitude towards science and technology and attitudes toward nuclear energy; III) stake holders engagement; IV)acceptance of legal norms for food products; v) media use; vi) evaluation of nuclear actors; VII) psychometric risk characteristics; VII) safety behaviour and anomy; ix) knowledge about nuclear domain; x) risk communication; xi) consumer's attitude towards food with radioactive contamination. Some of the questions asked in 2009 are similar to those enquired in the SCK barometer of 2006 and 2002, in order to study the time evolution of the risk perception associated with various issues.

  12. Carcass and meat quality in double-muscled Belgian Blue bulls and cows.

    Science.gov (United States)

    Fiems, L O; De Campeneere, S; Van Caelenbergh, W; De Boever, J L; Vanacker, J M

    2003-03-01

    Carcass and meat quality of 37 bulls and 91 cows of the Belgian Blue breed (double-muscled type) were compared. Age at slaughter averaged 648±73 and 1820±689 days, respectively. Both groups of cattle were finished on maize silage supplemented with concentrate, and were slaughtered at about 750 kg live weight. Females had a lower (P=0.004) cold carcass weight (469.7 kg) in comparison with bulls (500.8 kg), due to a reduced dressing percentage (63.8 vs. 66.6; P waterholding capacity (P⩽0.063) and was slightly more tender (P=0.120) than the LT of bulls. Increasing parity reduced dressing percentage and increased LT lightness (L*-value) in cows. Several carcass (SEUROP-grading, composition, LT-area) and meat quality traits (protein and fat contents, drip and cooking losses, a*-value) were better correlated with carcass weight than parity. It is concluded that meat quality of the aged LT of cows is not negatively affected by age, while some carcass quality traits decreased with advancing age. Carcass quality traits adjusted for age at slaughter were better for bulls, but LT meat quality characteristics were at least as good for females as for males.

  13. Opinion of Belgian Egg Farmers on Hen Welfare and Its Relationship with Housing Type.

    Science.gov (United States)

    Stadig, Lisanne M; Ampe, Bart A; Van Gansbeke, Suzy; Van den Bogaert, Tom; D'Haenens, Evelien; Heerkens, Jasper L T; Tuyttens, Frank A M

    2015-01-01

    As of 2012, the EU has banned the use of conventional cages (CC) for laying hens, causing a shift in housing systems. This study's aim was to gain insight into farmers' opinions on hen health and welfare in their current housing systems. A survey was sent to 218 Belgian egg farmers, of which 127 (58.3%) responded, with 84 still active as egg farmer. Hen welfare tended to be less important in choosing the housing system for farmers with cage than with non-cage systems. Respondents currently using cage systems were more satisfied with hen health than respondents with non-cage systems. Reported mortality increased with farm size and was higher in furnished cages than in floor housing. Feather pecking, cannibalism, smothering and mortality were perceived to be higher in current housing systems than in CC, but only by respondents who shifted to non-cage systems from previously having had CC. Health- and production-related parameters were scored to be more important for hen welfare as compared to behavior-related parameters. Those without CC in the past rated factors relating to natural behavior to be more important for welfare than those with CC. This difference in opinion based on farmer backgrounds should be taken into account in future research. PMID:26703742

  14. Opinion of Belgian Egg Farmers on Hen Welfare and Its Relationship with Housing Type

    Directory of Open Access Journals (Sweden)

    Lisanne M. Stadig

    2015-12-01

    Full Text Available As of 2012, the EU has banned the use of conventional cages (CC for laying hens, causing a shift in housing systems. This study’s aim was to gain insight into farmers’ opinions on hen health and welfare in their current housing systems. A survey was sent to 218 Belgian egg farmers, of which 127 (58.3% responded, with 84 still active as egg farmer. Hen welfare tended to be less important in choosing the housing system for farmers with cage than with non-cage systems. Respondents currently using cage systems were more satisfied with hen health than respondents with non-cage systems. Reported mortality increased with farm size and was higher in furnished cages than in floor housing. Feather pecking, cannibalism, smothering and mortality were perceived to be higher in current housing systems than in CC, but only by respondents who shifted to non-cage systems from previously having had CC. Health- and production-related parameters were scored to be more important for hen welfare as compared to behavior-related parameters. Those without CC in the past rated factors relating to natural behavior to be more important for welfare than those with CC. This difference in opinion based on farmer backgrounds should be taken into account in future research.

  15. Floating seaweed in the neustonic environment: A case study from Belgian coastal waters

    Science.gov (United States)

    Vandendriessche, Sofie; Vincx, Magda; Degraer, Steven

    2006-02-01

    Floating seaweeds form the most important natural component of all floating material found on the surface of oceans and seas. Notwithstanding the absence of natural rocky shores, ephemeral floating seaweed clumps are frequently encountered along the Belgian coast. From October 2002 to April 2003, seaweed samples and control samples (i.e. surface water samples from a seaweed-free area) were collected every other week. Multivariate analysis on neustonic macrofaunal abundances showed significant differences between seaweed and control samples in the fraction > 1 mm. Differences were less conspicuous in the 0.5-1 mm fraction. Seaweed samples were characterised by the presence of seaweed fauna e.g. Acari, Idotea baltica, Gammarus sp ., while control samples mainly contained Calanoida, Larvacea, Chaetognatha, and planktonic larvae of crustaceans and polychaetes. Seaweed samples (1 mm fraction) harboured considerably higher diversities (× 3), densities (× 18) and biomasses (× 49) compared to the surrounding water column (control samples). The impact of floating seaweeds on the neustonic environment was quantified by the calculation of the added values of seaweed samples considering biomass and density. These calculations resulted in mean added values of 311 ind m - 2 in density and 305 mg ADW m - 2 in biomass. The association degree per species was expressed as the mean percentage of individuals found in seaweed samples in proportion to the total density and biomass of that species (seaweed samples + control samples). Thirteen species showed an association percentage > 95%, and can therefore be considered members of the floating seaweed fauna.

  16. Evolution of marine storminess in the Belgian part of the North Sea

    Directory of Open Access Journals (Sweden)

    D. Van den Eynde

    2012-02-01

    Full Text Available Severe storms have affected European coast lines in the past but knowledge on changes in storminess for the last decades is still sparse. Climate change is assumed to be a main driving factor with the potential to induce changes on the intensity, duration and frequency of powerful marine storms, including a long-term influence on peak wind speeds, surges and waves. It is, therefore, important to investigate whether in the last decades changes in the magnitude of storms, their duration and frequency could be observed. Understanding trends in storminess in the last decades will help to better prepare coastal managers for future events, taking into account potential changes on storm occurrence and magnitude to improve planning of mitigation and adaptation strategies. The purpose of this study was to focus on the evolution of extreme wind conditions, wave height and storm surge levels in the North Sea Region, especially in the Belgian part of the North Sea (BPNS. Based on the analysis performed it is concluded that no clear trend can be observed for the occurrence of significant increasing extreme wind speeds over the BPNS. Furthermore, one can conclude that not enough scientific evidence is available to support scenarios with increased wave height or storminess.

  17. [The military radiologist Etienne Henrard (1870-1941) ... or the Belgian doctor Hirtz].

    Science.gov (United States)

    Van Tiggelen, R

    1995-01-01

    Etienne Henrard was undoubtedly the most important Belgian military radiologist. Besides his clinical radiological activities, he quickly became interested in stereoradiography and the removal of foreign bodies, which earned him international fame. During the First World War he continued his work and improved his techniques in the hospital "L'Océan" at De Panne, in collaboration with Antoine Depage. He was a Founding fellow member of the "Société belge de Radiologie" and of the "Journal belge de Radiologie", of which he was the Secretary (1909-1912), Vice-President (1913-1914), Président (1919-1920), Editor-in-Chief (1924-1940), and finally Treasurer (1932-1940). He was a founding fellow member, and later the President (1924-1938) and Honorary President of the "Union professionnelle des Médecins belges Radiologistes". He was the Honorary President of the Third Congress of Radiology in the French-speaking world. He was due to receive an international tribute, but an unfortunate date had been chosen: May 19, 1940.

  18. Phasic or terminal detrusor overactivity in women: age, urodynamic findings and sphincter behavior relationships

    Directory of Open Access Journals (Sweden)

    Françoise A. Valentini

    2011-12-01

    Full Text Available OBJECTIVES: To search for relationships between phasic (P and terminal (T DO with age, urodynamic findings and sphincter behavior during involuntary detrusor contraction in woman. MATERIALS AND METHODS: Urodynamic studies (triple lumen catheter 7F, seated position of 164 successive women referred for LUTS with diagnosis of DO were reviewed. Patients were stratified in 4 sub-groups: pre- (18-44y, peri- (45-54 y, post-menopause (55-74 y and oldest old (≥ 75 y. The urethral sensor was positioned at the level of the maximum urethral closure pressure for sphincter behavior analysis. A variation of at least 5 cmH2O in pressure (detrusor or urethra was chosen to assert DO or sphincter response. Sphincter response was classified as relaxation (re before or during DO, or steady (st. RESULTS: Occurrence of P and TDO was similar: 77 P and 87 T. The PDO group was significantly younger (p = 0.0003. TDO was more frequent in patients with a history of neurological disease. The percentage of PDO remained almost constant in age groups, while that of TDO increased with age from 6.7% to 23.2% (p = 0.0013. Uninhibited contraction occurred at a smaller bladder volume in the P group: 149 ± 95 vs. 221 ± 113 mL (p < 0.0001. Steady sphincter predominated in the TDO subgroup: 45.9% vs. 32.1% and increased significantly in each DO sub-group of ³ 75y. CONCLUSION: Steady sphincter during both P and TDO, and occurrence of TDO appear as specific of aging. The last result could be related to structural changes in the detrusor muscle with aging.

  19. Assessment of welfare of Brazilian and Belgian broiler flocks using the Welfare Quality protocol.

    Science.gov (United States)

    Tuyttens, F A M; Federici, J F; Vanderhasselt, R F; Goethals, K; Duchateau, L; Sans, E C O; Molento, C F M

    2015-08-01

    The Welfare Quality consortium has proposed a science-based protocol for assessing broiler chicken welfare on farms. Innovative features make the protocols particularly suited for comparative studies, such as the focus on animal-based welfare measures and an integration procedure for calculating an overall welfare status. These protocols reflect the scientific status up to 2009 but are meant to be updated on the basis of inter alia implementation studies. Because only few such studies have been done, we applied the Welfare Quality protocol to compare the welfare of broiler flocks in Belgium (representing a typical European Union (EU) country which implies stringent animal welfare legislation) versus Brazil (the major broiler meat exporter to the EU and with minimal animal welfare legislation). Two trained observers performed broiler Welfare Quality assessments on a total of 22 farms in Belgium and south Brazil. All of the farms produced for the EU market. Although the overall welfare was categorized as 'acceptable' on all farms, many country differences were observed at the level of the welfare principles, criteria, and measures. Brazilian farms obtained higher scores for 3 of the 4 welfare principles: 'good feeding' (P = 0.007), 'good housing' (P potential of the protocol. The results also call for more research into the effect of animal welfare legislation as broiler welfare on the south Brazilian farms appeared to be superior to that on the Belgian farms. Animal-based welfare assessments on a larger sample of farms are needed to evaluate to what extent these findings may be generalized.

  20. Multiyear Serological Surveillance of Notifiable Influenza A Viruses in Belgian Poultry: A Retrospective Analysis.

    Science.gov (United States)

    Marché, Sylvie; Houdart, Philippe; van den Berg, Thierry; Lambrecht, Bénédicte

    2015-12-01

    Surveillance of notifiable avian influenza (NAI) virus is mandatory in European member states, and each year a serological survey is performed to detect H5 and H7 circulation in poultry holdings. In Belgium, this serological monitoring is a combination of a stratified and a risk-based approach and is applied to commercial holdings with more than 200 birds. Moreover, a competitive nucleoprotein (NP) ELISA has been used as first screening method since 2010. A retrospective analysis of the serological monitoring performed from 2007 through 2013 showed sporadic circulation of notifiable low-pathogenicity avian influenza (LPAI) viruses in Belgian holdings with a fluctuating apparent flock seroprevalence according to years and species. Overall, the highest apparent flock seroprevalence was detected for the H5 subtype in domestic Anatidae, with 20%-50% for breeding geese and 4%-9% for fattening ducks. Positive serology against non-H5/H7 viruses was also observed in the same species with the use of the IDScreen influenza A antibody competition ELISA kit (ID-vet NP ELISA), and confirmed by isolation of H2, H3, H6, and H9 LPAI viruses. Among Galliformes, the apparent flock seroprevalence was lower, ranging between 0.3% and 1.3%. Circulation of notifiable LPAI viruses was only observed in laying hens with a similar seroprevalence for H5 and H7. Based on ID-vet NP ELISA results, no circulation of LPAI viruses, regardless the subtype, was observed in breeding chickens and fattening turkeys. Retrospectively, the use of an ELISA as first-line test not only reduced the number of hemagglutination inhibition tests to be performed, but also gave a broader evaluation of the prevalence of LPAI viruses in general, and might help to identify the most at-risk farms.

  1. Multiyear Serological Surveillance of Notifiable Influenza A Viruses in Belgian Poultry: A Retrospective Analysis.

    Science.gov (United States)

    Marché, Sylvie; Houdart, Philippe; van den Berg, Thierry; Lambrecht, Bénédicte

    2016-05-01

    Surveillance of notifiable avian influenza (NAI) virus is mandatory in European member states, and each year a serological survey is performed to detect H5 and H7 circulation in poultry holdings. In Belgium, this serological monitoring is a combination of a stratified and a risk-based approach and is applied to commercial holdings with more than 200 birds. Moreover, a competitive nucleoprotein (NP) ELISA has been used as first screening method since 2010. A retrospective analysis of the serological monitoring performed from 2007 through 2013 showed sporadic circulation of notifiable low-pathogenicity avian influenza (LPAI) viruses in Belgian holdings with a fluctuating apparent flock seroprevalence according to years and species. Overall, the highest apparent flock seroprevalence was detected for the H5 subtype in domestic Anatidae, with 20%-50% for breeding geese and 4%-9% for fattening ducks. Positive serology against non-H5/H7 viruses was also observed in the same species with the use of the IDScreen influenza A antibody competition ELISA kit (ID-vet NP ELISA), and confirmed by isolation of H2, H3, H6, and H9 LPAI viruses. Among Galliformes, the apparent flock seroprevalence was lower, ranging between 0.3% and 1.3%. Circulation of notifiable LPAI viruses was only observed in laying hens with a similar seroprevalence for H5 and H7. Based on ID-vet NP ELISA results, no circulation of LPAI viruses, regardless the subtype, was observed in breeding chickens and fattening turkeys. Retrospectively, the use of an ELISA as first-line test not only reduced the number of hemagglutination inhibition tests to be performed, but also gave a broader evaluation of the prevalence of LPAI viruses in general, and might help to identify the most at-risk farms. PMID:27309088

  2. Losses of glyphosate and AMPA via drainflow in a typical Belgian residential area

    Science.gov (United States)

    Tang, Ting; Boënne, Wesley; van Griensven, Ann; Seuntjens, Piet; Bronders, Jan; Desmet, Nele

    2014-05-01

    Urban hard surfaces are considered as important facilitators for pesticide transport into urban streams. To obtain concurrent high-resolution data for a detailed investigation on the losses of pesticide runoff from hard surfaces, a monitoring campaign was performed in a typical Belgian residential area (9.5 ha) between 7 May and 7 August, 2013. The campaign yielded a concurrent dataset of rainfall (1-mm rainfall interval), discharge (1-min interval), glyphosate application by the residents and the occurrences of glyphosate and its major degradation product - aminomethylphosphonic acid (AMPA) in the separated storm drainage outflow during 12 rainfall events. In addition, detailed information was obtained on the spatial characteristics of the study area. The resulting dataset allows us to investigate the relevance of catchment hydrology, urban surface properties and pesticide application to the transport and losses of glyphosate in a residential environment. During the campaign, glyphosate was only applied by local residents, mainly on their private driveways. As a result of their continuous use, both glyphosate and AMPA were detected in all analysed outflow samples, with maximum concentrations of 6.1 μg/L and 5.8 μg/L, respectively. Overall, the storm drainage system collected 0.43% of the applied amount of glyphosate. However, this loss rate varied considerably among rainfall events, ranging from 0.04% to 23.36%. According to statistical analysis of the 12 rainfall events, the loss rate was significantly correlated with three factors: the application amount prior to a rainfall event (p glyphosate application and the start of the rainfall event (negatively, p glyphosate. Furthermore, three types of glyphosate runoff were classified by a clustering analysis based on these factors: events dominated by runoff availability (runoff-limited), dominated by glyphosate availability (pesticide-limited) and controlled by both runoff and glyphosate availability. To sum up

  3. Active living neighborhoods: is neighborhood walkability a key element for Belgian adolescents?

    Directory of Open Access Journals (Sweden)

    De Meester Femke

    2012-01-01

    Full Text Available Abstract Background In adult research, neighborhood walkability has been acknowledged as an important construct among the built environmental correlates of physical activity. Research into this association has only recently been extended to adolescents and the current empirical evidence is not consistent. This study investigated whether neighborhood walkability and neighborhood socioeconomic status (SES are associated with physical activity among Belgian adolescents and whether the association between neighborhood walkability and physical activity is moderated by neighborhood SES and gender. Methods In Ghent (Belgium, 32 neighborhoods were selected based on GIS-based walkability and SES derived from census data. In total, 637 adolescents (aged 13-15 year, 49.6% male participated in the study. Physical activity was assessed using accelerometers and the Flemish Physical Activity Questionnaire. To analyze the associations between neighborhood walkability, neighborhood SES and individual physical activity, multivariate multi-level regression analyses were conducted. Results Only in low-SES neighborhoods, neighborhood walkability was positively associated with accelerometer-based moderate to vigorous physical activity and the average activity level expressed in counts/minute. For active transport to and from school, cycling for transport during leisure time and sport during leisure time no association with neighborhood walkability nor, with neighborhood SES was found. For walking for transport during leisure time a negative association with neighborhood SES was found. Gender did not moderate the associations of neighborhood walkability and SES with adolescent physical activity. Conclusions Neighborhood walkability was related to accelerometer-based physical activity only among adolescent boys and girls living in low-SES neighborhoods. The relation of built environment to adolescent physical activity may depend on the context.

  4. Criterion distances and correlates of active transportation to school in Belgian older adolescents

    Directory of Open Access Journals (Sweden)

    De Bourdeaudhuij Ilse

    2010-12-01

    Full Text Available Abstract Background Since physical activity levels in older adolescents have the potential to be increased by stimulating active transportation to school (ATS, the most important correlates of ATS should be determined before developing interventions, especially in those adolescents for whom the distance to school is feasible for active commuting. The main aims of this study were to determine criterion distances for ATS in Belgian older adolescents, to examine multidimensional correlates of ATS in adolescents living within a feasible distance from school and to investigate the associations of ATS with total physical activity and with other physical activities besides ATS. Methods In total, 1281 older adolescents (17-18 years from 20 general secondary schools in East- and West-Flanders completed a questionnaire on physical activity behaviors, demographic factors and psychosocial and physical environmental correlates of physical activity. Distance to school was objectively measured using Routenet online route planner. Results In total, 58.4% of the participants commuted actively to school. The criterion distance for ATS could be set at eight kilometers for cycling and two kilometers for walking. For those adolescents living within a feasible distance for ATS, gender, smoking status, walkability of the neighborhood and social modeling were associated with transportation mode choice. ATS was positively associated with total physical activity, but not significantly related to min/week of other physical activities. Conclusions For older adolescents living within eight kilometers of their school, interventions taking into account the correlates found to be related to ATS could possibly be effective to enhance ATS and to increase total physical activity levels. In the context of the overall physical activity decline in adolescence, also interventions targeting physical activity behaviors of adolescents living further away from school might be needed, but

  5. Detection and identification of xerophilic fungi in Belgian chocolate confectionery factories.

    Science.gov (United States)

    De Clercq, Nikki; Van Coillie, Els; Van Pamel, Els; De Meulenaer, Bruno; Devlieghere, Frank; Vlaemynck, Geertrui

    2015-04-01

    Chocolate confectionery fillings are generally regarded as microbiologically stable. The stability of these fillings is largely due to the general practice of adding either alcohol or preservatives. Consumer demands are now stimulating producers to move away from adding alcohol or other preservatives to their confectionery fillings and instead to search for innovative formulations. Such changes in composition can influence the shelf life of the product and may lead to spoilage by xerophilic fungi. The aim of this study was to test whether the production environment of Belgian chocolate confectionery factories and common ingredients of chocolate confectioneries could be potential sources of contamination with xerophilic fungal species. In the factory environment, the general and strictly xerophilic fungal spore load was determined using an RCS Air Sampler device in combination with DG18 and MY50G medium, respectively. Four basic ingredients of chocolate confectionery fillings were also examined for fungal spore levels using a direct plating technique. Detected fungi were identified to species level by a combination of morphological characterization and sequence analysis. Results indicated a general fungal spore load in the range of 50-250 colony forming units per cubic meter of air (CFU/m(3) air) and a more strict xerophilic spore load below 50 CFU/m(3) air. These results indicate rather low levels of fungal spores present in the factory environment. The most prevalent fungi in the factory environment were identified as Penicillium spp., particularly Penicillium brevicompactum. Examination of the basic ingredients of confectionery fillings revealed nuts to be the most likely potential source of direct contamination. In nuts, the most prevalent fungal species identified were Eurotium, particularly Eurotium repens. PMID:25475302

  6. Neuropsychiatric Inventory data in a Belgian sample of elderly persons with and without dementia

    Directory of Open Access Journals (Sweden)

    Squelard GP

    2012-10-01

    Full Text Available Gilles P Squelard,1 Pierre A Missotten,1 Louis Paquay,2 Jan A De Lepeleire,2 Frank JVM Buntinx,2 Ovide Fontaine,1 Stephane R Adam,1 Michel JD Ylieff11Clinical Psychology of Ageing, Qualidem Research Project, University of Liège (ULg, Liège, Belgium; 2KU Leuven, Department of Public Health and Primary Care, Leuven, BelgiumBackground/aims: This study assesses and compares prevalence of psychological and behavioral symptoms in a Belgian sample of people with and without dementia.Methods: A total of 228 persons older than 65 years with dementia and a group of 64 non-demented persons were assessed using the Neuropsychiatric Inventory (NPI in 2004.Results: Within the group without dementia, the most frequent symptoms were depression, agitation, and irritability. Within the group with dementia, the most common symptoms were depression, irritability, apathy, and agitation. Prevalence of delusions (P < 0.05, hallucinations (P < 0.05, anxiety (P < 0.05, agitation (P < 0.05, apathy (P < 0.01, aberrant motor behavior (P < 0.01, and eating disorders (P < 0.05 were significantly higher in the group with dementia.Conclusion: Depression, elation, irritability, disinhibition, and sleeping disorders are not specific to dementia. Agitation, apathy, anxiety, and delusions are more frequent in dementia but were not specific to the dementia group because their prevalence rates were close to 10% in the group without dementia. Hallucinations, aberrant motor behavior, and eating disorders are specific to dementia. The distinction between specific and nonspecific symptoms may be useful for etiological research on biological, psychological, and environmental factors.Keywords: behavior, behavior disorders, epidemiology, dementia, psychiatric symptoms, neuropsychiatry

  7. Sampling, prevalence and characterization of methicillin-resistant Staphylococcus aureus on two Belgian pig farms

    Directory of Open Access Journals (Sweden)

    Isabelle Dewaele

    2011-02-01

    Full Text Available This study investigated the spread of MRSA (methicillin-resistant Staphylococcus aureus on two Belgian pig farms. Pigs of different ages (from farrowing to slaughter age and sows as well as the barn environment were screened extensively on two occasions three months apart. A subset of MRSA isolates was tested for antimicrobial susceptibility to 16 antibiotics and was further characterized by pulsed-field gel electrophoresis. Ninety-five percent and 77% of the tested pigs on farm A and farm B, respectively, were colonized with MRSA. MRSA positive animals were detected in all age categories sampled on each sampling day. Piglets were already colonized in the farrowing unit with the same or other MRSA strains than their mother. The prevalence of MRSA colonized pigs increased significantly after weaning and decreased during the fattening period. Pigs carried MRSA mainly in the nares, followed by the perineum and skin and to a lesser degree the rectum. A pig could be contaminated or colonized with different MRSA strains at the same time. The barn environment was also found to be contaminated with different MRSA strains, including the air inlet and outlet. All isolates tested on both farms were resistant to both tetracycline and trimethoprim, while they were susceptible to rifampicin, mupirocin and linezolid. There was a significant difference in resistance prevalence between the two farms for the antibiotics gentamicin, kanamycin, tobramycin, tylosin, lincomycin and quinupristin/dalfopristin. Furthermore, several antibiotic resistance profiles were observed within one farm. This study clearly indicates that several MRSA strains circulate on one farm, from the nursery unit to the fattening unit. This is important to consider when attempts are made to remediate these farms.

  8. Belgian experience in applying the {open_quotes}leak-before-break{close_quotes} concept to the primary loop piping

    Energy Technology Data Exchange (ETDEWEB)

    Gerard, R.; Malekian, C.; Meessen, O. [Tractebel Energy Engineering, Brussels (Belgium)

    1997-04-01

    The Leak Before Break (LBB) concept allows to eliminate from the design basis the double-ended guillotine break of the primary loop piping, provided it can be demonstrated by a fracture mechanics analysis that a through-wall flaw, of a size giving rise to a leakage still well detectable by the plant leak detection systems, remains stable even under accident conditions (including the Safe Shutdown Earthquake (SSE)). This concept was successfully applied to the primary loop piping of several Belgian Pressurized Water Reactor (PWR) units, operated by the Utility Electrabel. One of the main benefits is to permit justification of supports in the primary loop and justification of the integrity of the reactor pressure vessel and internals in case of a Loss Of Coolant Accident (LOCA) in stretch-out conditions. For two of the Belgian PWR units, the LBB approach also made it possible to reduce the number of large hydraulic snubbers installed on the primary coolant pumps. Last but not least, the LBB concept also facilitates the steam generator replacement operations, by eliminating the need for some pipe whip restraints located close to the steam generator. In addition to the U.S. regulatory requirements, the Belgian safety authorities impose additional requirements which are described in details in a separate paper. An novel aspect of the studies performed in Belgium is the way in which residual loads in the primary loop are taken into account. Such loads may result from displacements imposed to close the primary loop in a steam generator replacement operation, especially when it is performed using the {open_quote}two cuts{close_quotes} technique. The influence of such residual loads on the LBB margins is discussed in details and typical results are presented.

  9. Risk factors for major depression during midlife among a community sample of women with and without prior major depression: are they the same or different?

    Science.gov (United States)

    Bromberger, J. T.; Schott, L.; Kravitz, H. M.; Joffe, H.

    2015-01-01

    Background Women’s vulnerability for a first lifetime-onset of major depressive disorder (MDD) during midlife is substantial. It is unclear whether risk factors differ for first lifetime-onset and recurrent MDD. Identifying these risk factors can provide more focused depression screening and earlier intervention. This study aims to evaluate whether lifetime psychiatric and health histories, personality traits, menopausal status and factors that vary over time, e.g. symptoms, are independent risk factors for first-onset or recurrent MDD across 13 annual follow-ups. Method Four hundred and forty-three women, aged 42–52 years, enrolled in the Study of Women’s Health Across the Nation in Pittsburgh and participated in the Mental Health Study. Psychiatric interviews obtained information on lifetime psychiatric disorders at baseline and on occurrences of MDD episodes annually. Psychosocial and health-related data were collected annually. Cox multivariable analyses were conducted separately for women with and without a MDD history at baseline. Results Women without lifetime MDD at baseline had a lower risk of developing MDD during midlife than those with a prior MDD history (28% v. 59%) and their risk profiles differed. Health conditions prior to baseline and during followups perception of functioning (ps < 0.05) and vasomotor symptoms (VMS) (p = 0.08) were risk factors for first lifetime-onset MDD. Being peri- and post-menopausal, psychological symptoms and a prior anxiety disorder were predominant risk factors for MDD recurrence. Conclusions The menopausal transition warrants attention as a period of vulnerability to MDD recurrence, while health factors and VMS should be considered important risk factors for first lifetime-onset of MDD during midlife. PMID:25417760

  10. Different periods of feed restriction before compensatory growth in Belgian Blue bulls: II. Plasma metabolites and hormones

    OpenAIRE

    Hornick, Jean-Luc; Van Eenaeme, Christian; Diez, Marianne; Minet, Vincent; Istasse, Louis

    1998-01-01

    Plasma metabolites and hormones were studied in 16 double-muscled Belgian Blue bulls maintained at low growth (.5 kg/d) for 114 (G2), 243 (G3), or 419 (G4) d (low growth period, LGP) before fattening (rapid growth period, RGP). Animals from the control group (CG) were fed a diet high in energy and protein. The animals from G2, G3, and G4 were fed a restricted amount of a diet low in energy and protein during LGP and the same diet as CG during RGP. Plasma glucose, alpha-amino nitrogen (AAN), N...

  11. Survey for the presence of specific free-living amoebae in cooling waters from Belgian power plants.

    Science.gov (United States)

    Behets, Jonas; Declerck, Priscilla; Delaedt, Yasmine; Verelst, Lieve; Ollevier, Frans

    2007-05-01

    Free-living amoebae (FLA) are distributed ubiquitously in aquatic environments with increasing importance in hygienic, medical and ecological relationships to man. In this study, water samples from Belgian industrial cooling circuits were quantitatively surveyed for the presence of FLA. Isolated, thermotolerant amoebae were identified morphologically as well as using the following molecular methods: enzyme-linked immunosorbent assay and isoenzyme electrophoresis and PCR. Thermophilic amoebae were present at nearly all collection sites, and the different detection methods gave similar results. Naegleria fowleri was the most frequently encountered thermotolerant species, and concentrations of thermotolerant FLA were correlated with higher temperatures.

  12. An Explorative Mapping of the Belgian Social Media Marketing Value Network and Its Usage of Personal Identifiable Information

    OpenAIRE

    Heyman, Rob; Pierson, Jo

    2014-01-01

    Research has shown an increase in both disclosure of personal data and means to gather this data on social media such as Facebook. Little research has been done to analyze what happens with this data and how it circulates between different actors. The aim of this research is to map a subset of the Belgian social media marketing companies as a value network and how these actors use social media users’ data for marketing campaigns. The answer to this research question was obtained through exper...

  13. Inventory and forecasting of maritime emissions in the Belgian sea territory, an activity-based emission model

    OpenAIRE

    Schrooten, Liesbeth; De Vlleger, Ina; Panis, Luc Int; Styns, Karel; TORFS, Rudi

    2008-01-01

    Air quality policy has focussed on land-based emissions for decades. In recent years, it has become increasingly clear that emissions from sea-going vessels can no longer be ignored. There is a growing need for detailed emission inventories to evaluate the impact of this transport mode on air quality and health.In this paper we present MOPSEA, an activity-based emission model to determine emissions from sea-going vessels. The model considers shipping activities of sea-going vessels on Belgian...

  14. Assessment of management alternatives for LWR wastes. Volume 4. Description of a Belgian scenario for PWR waste

    International Nuclear Information System (INIS)

    This report deals with the description of a management route for PWR waste relying to a certain extent on Belgian practices in this particular area. This description, which aims at providing input data for subsequent cost evaluation, includes all management steps which are usually implemented for solid, liquid and gaseous wastes from their production up to the interim storage of the final waste products. This study is part of an overall theoretical exercise aimed at evaluating a selection of management routes for LWR waste based on economical and radiological criteria

  15. Grandma plays favourites: X-chromosome relatedness and sex-specific childhood mortality †

    OpenAIRE

    Fox, Molly; Sear, Rebecca; Beise, Jan; Ragsdale, Gillian; Voland, Eckart; Knapp, Leslie A.

    2009-01-01

    Biologists use genetic relatedness between family members to explain the evolution of many behavioural and developmental traits in humans, including altruism, kin investment and longevity. Women's post-menopausal longevity in particular is linked to genetic relatedness between family members. According to the ‘grandmother hypothesis’, post-menopausal women can increase their genetic contribution to future generations by increasing the survivorship of their grandchildren. While some demographi...

  16. Shell Shock and the Kloppe: war neuroses amongst British and Belgian troops during and after the First World War.

    Science.gov (United States)

    Reid, Fiona; Van Everbroeck, Christine

    2014-01-01

    During the First World War combatants of all armies were prey to nervous disorders or psychological breakdown. These war neuroses were a response to the highly-industrialised nature of the warfare as well as to the fatigue engendered over four years of intense conflict. Yet while fear and mental breakdown were universal, national responses varied. A comparison of British and Belgian shell shock indicates that men suffered in very similar ways but that symptoms met with rather different responses: in Britain treatment and diagnostic regimes stressed the importance of class difference and shell shock was often linked to cowardice. These issues were not of overriding importance in the Belgian army. In the longer term shell shock became, and remained, a topic of political and social concern in Britain whereas in Belgium men suffering from kloppe (extreme fear) tended to be forgotten and the topic has not excited much popular interest or scholarly attention. Yet despite these differences one overarching theme remains clear, namely that despite the extensive experience of war neuroses during and after the First World War, there still remains a fierce stigma about the mental wounds of war.

  17. Recommendations for managing a suboptimal response to biologics for moderate-to-severe psoriasis: A Belgian perspective.

    Science.gov (United States)

    de la Brassinne, Michel; Ghislain, Pierre-Dominique; Lambert, Jo L W; Lambert, Julien; Segaert, Siegfried; Willaert, Fabienne

    2016-01-01

    Over the past decade, biologics have become the gold standard in the treatment of moderate-to-severe psoriasis for patients who have failed or who have contraindications to traditional systemic treatments. However, although practical recommendations on how to treat a suboptimal response to biologics exist in other chronic inflammatory diseases, they are only just beginning to emerge for psoriasis. This article aims to formulate recommendations in the case of a suboptimal response of psoriasis to biologics in the Belgian setting. A Belgian taskforce of psoriasis experts was convened to review the results of a literature search and formulate recommendations based on the available evidence and provide expert opinion to address gaps in the evidence. The taskforce has proposed a treatment algorithm for patients with a primary non-response or a secondary loss of response to help address an unmet need. Expert recommendations have been developed to address treatment strategies in case of a primary or secondary suboptimal response to biologics in the treatment of moderate-to-severe psoriasis in Belgium.

  18. Effect of daily concentrate intake at weaning on performance of Belgian Blue double-muscled rearing calves.

    Science.gov (United States)

    Fiems, Leo; De Boever, Johan; De Campeneere, Sam; Vanacker, José; De Brabander, Daniël

    2005-12-01

    Weaning at a different daily concentrate intake was investigated during a 140-d experimental period, using 54 male and 68 female newborn Belgian Blue double-muscled animals. They were divided into three comparable groups and received milk at 10% of their birth weight up to weaning. Concentrate was levelled off at a maximum daily intake of 3 kg, while grass hay was freely available. Weaning occurred at a daily concentrate intake level (CL) of 0.5, 0.75 and 1.0 kg, respectively. Weaning at an increased CL prolonged the milk-feeding period by 13.1 and 14.6 days, and resulted in a higher pre- and post-weaning growth rate (p calves tended to have a higher intake and a faster growth rate than females. It can be concluded that weaning should be delayed until Belgian Blue double-muscled calves consume at least 0.75 kg per day or more for reasons of welfare, although performance was hardly improved by weaning at a daily concentrate intake of more than 0.5 kg per day.

  19. Microbiota characterization of a Belgian protected designation of origin cheese, Herve cheese, using metagenomic analysis.

    Science.gov (United States)

    Delcenserie, V; Taminiau, B; Delhalle, L; Nezer, C; Doyen, P; Crevecoeur, S; Roussey, D; Korsak, N; Daube, G

    2014-10-01

    Herve cheese is a Belgian soft cheese with a washed rind, and is made from raw or pasteurized milk. The specific microbiota of this cheese has never previously been fully explored and the use of raw or pasteurized milk in addition to starters is assumed to affect the microbiota of the rind and the heart. The aim of the study was to analyze the bacterial microbiota of Herve cheese using classical microbiology and a metagenomic approach based on 16S ribosomal DNA pyrosequencing. Using classical microbiology, the total counts of bacteria were comparable for the 11 samples of tested raw and pasteurized milk cheeses, reaching almost 8 log cfu/g. Using the metagenomic approach, 207 different phylotypes were identified. The rind of both the raw and pasteurized milk cheeses was found to be highly diversified. However, 96.3 and 97.9% of the total microbiota of the raw milk and pasteurized cheese rind, respectively, were composed of species present in both types of cheese, such as Corynebacterium casei, Psychrobacter spp., Lactococcus lactis ssp. cremoris, Staphylococcus equorum, Vagococcus salmoninarum, and other species present at levels below 5%. Brevibacterium linens were present at low levels (0.5 and 1.6%, respectively) on the rind of both the raw and the pasteurized milk cheeses, even though this bacterium had been inoculated during the manufacturing process. Interestingly, Psychroflexus casei, also described as giving a red smear to Raclette-type cheese, was identified in small proportions in the composition of the rind of both the raw and pasteurized milk cheeses (0.17 and 0.5%, respectively). In the heart of the cheeses, the common species of bacteria reached more than 99%. The main species identified were Lactococcus lactis ssp. cremoris, Psychrobacter spp., and Staphylococcus equorum ssp. equorum. Interestingly, 93 phylotypes were present only in the raw milk cheeses and 29 only in the pasteurized milk cheeses, showing the high diversity of the microbiota

  20. The attitude of Belgian social insurance physicians towards evidence-based practice and clinical practice guidelines

    Directory of Open Access Journals (Sweden)

    Aertgeerts Bert

    2009-09-01

    Full Text Available Abstract Background Evidence-based medicine has broadened its scope and is starting to reach insurance medicine. Although still in its initial stages, physicians in the area of insurance medicine should keep up-to-date with the evidence on various diseases in order to correctly assess disability and to give appropriate advice about health care reimbursement. In order to explore future opportunities of evidence-based medicine to improve daily insurance medicine, there is a need for qualitative studies to better understand insurance physicians' perceptions of EBM. The present study was designed to identify the attitude of insurance physicians towards evidence-based medicine and clinical practice guidelines, and to determine their ability to access, retrieve and appraise the health evidence and the barriers for applying evidence to practice. Methods A cross-sectional survey study was carried out among all Dutch-speaking insurance physicians employed at one of the six Belgian social insurance sickness funds and at the National Institute of Disability and Health care Insurance (n = 224. Chi-square tests were used to compare nominal and ordinal variables. Student's t-tests, ANOVA, Mann-Whitney and Kruskal-Wallis were used to compare means of continuous variables for different groups. Results The response rate was 48.7%. The majority of respondents were positive towards evidence-based medicine and clinical practice guidelines. Their knowledge of EBM was rather poor. Perceived barriers for applying evidence to practice were mainly time and lack of EBM skills. Conclusion Although the majority of physicians were positive towards EBM and welcomed more guidelines, the use of evidence and clinical practice guidelines in insurance medicine is low at present. It is in the first place important to eradicate the perceived inertia which limits the use of EBM and to further investigate the EBM principles in the context of insurance medicine. Available high

  1. "Belgian black and red marbles" as potential candidates for Global Heritage Stone Resource

    Science.gov (United States)

    Tourneur, Francis; Pereira, Dolores

    2016-04-01

    The Paleozoic substrate of South Belgium is rich in compact limestones, able to take a good polished finishing and to be used as "marbles". Among them, the black and red varieties were and still are of special importance, intensively exploited and largely exported, almost worldwide. The pure black marbles were extracted mostly from Frasnian (Upper Devonian) and Viséan (Lower Carboniferous) strata, in many localities like Namur, Dinant, Theux and Basècles. Today only the Frasnian variety is still exploited in a spectacular underground quarry in Golzinne, close to the town of Gembloux. These black marbles, already known in Antiquity, were exported since the Middle Age, first in Western Europe, then, from the 19th c., at a larger scale, almost worldwide. Among their most frequent uses figured of course funeral objects, like the epitaph of the Pope Adrian the 1st, offered by Charlemagne and preserved in the St-Pieter basilica in Rom. Another famous reference is the tombs of the Dukes of Burgundy in Dijon, with white crystalline marble and alabaster. The red marbles are limestones from reefal origin, forming mudmounds more or less rich in fossils of Late Frasnian (Late Devonian) age. They show a strong variability in colors, from dark red to light pinkish grey, and in texture, with many sedimentary structures and/or tectonic veins. The outcrops are non-stratified, which allows extraction of large blocks, for example for high columns. Known in the Roman time, they were intensively exploited since at least the 16th c. During the 19th and beginning of 20th c., more than hundred quarries were active in South Belgium, from Rance at West to Chaudfontaine at East, around Philippeville and Rochefort. They were largely used both in civil and religious buildings, mostly for inside decoration, for examples as altars or fireplaces. Among the most symbolic places, the Belgian red marbles were massively employed in Versailles, like in the famous "Galerie des Glaces". But many

  2. European Influences in Spanish Popular Education: The Case of the Socialist "Casa Del Pueblo" of Madrid and the Belgian Model (1897-1929)

    Science.gov (United States)

    Guerena, Jean-Louis

    2006-01-01

    In Spain from the late nineteenth century, the "People's Houses" (Casas del Pueblo) corresponded to a desire to provide and organize a space of sociability for workers and their families. This formed part of the diverse Spanish popular education movement. This article focuses on the project to translate the model of the Belgian Maison du Peuple…

  3. The role of Callionymus lyra (L.) and C. reticulatus in the life cycle of Lernaeocera lusci in Belgian coastal waters (Southern Bight of the North Sea)

    NARCIS (Netherlands)

    Van Damme, P.A.; Maertens, D.; Arrumm, A.; Hamerlynck, O.; Ollevier, F.

    1993-01-01

    A survey of the dragonet Callionymus lyra and the reticulated dragonet C. reticulatus from Belgian coastal waters (Southern Bight of the North Sea) in June 1991 revealed 34% of dragonets infected with 1–7 Lernaeocera lusci. This same parasite infected 9% of the reticulated dragonets (mean intensity

  4. Evidence for association between the HLA-DQA locus and abdominal aortic aneurysms in the Belgian population: a case control study

    Directory of Open Access Journals (Sweden)

    Sakalihasan Natzi

    2006-07-01

    Full Text Available Abstract Background Chronic inflammation and autoimmunity likely contribute to the pathogenesis of abdominal aortic aneurysms (AAAs. The aim of this study was to investigate the role of autoimmunity in the etiology of AAAs using a genetic association study approach with HLA polymorphisms. Methods HLA-DQA1, -DQB1, -DRB1 and -DRB3-5 alleles were determined in 387 AAA cases (180 Belgian and 207 Canadian and 426 controls (269 Belgian and 157 Canadian by a PCR and single-strand oligonucleotide probe hybridization assay. Results We observed a potential association with the HLA-DQA1 locus among Belgian males (empirical p = 0.027, asymptotic p = 0.071. Specifically, there was a significant difference in the HLA-DQA1*0102 allele frequencies between AAA cases (67/322 alleles, 20.8% and controls (44/356 alleles, 12.4% in Belgian males (empirical p = 0.019, asymptotic p = 0.003. In haplotype analyses, marginally significant association was found between AAA and haplotype HLA-DQA1-DRB1 (p = 0.049 with global score statistics and p = 0.002 with haplotype-specific score statistics. Conclusion This study showed potential evidence that the HLA-DQA1 locus harbors a genetic risk factor for AAAs suggesting that autoimmunity plays a role in the pathogenesis of AAAs.

  5. The Five-Factor Personality Inventory as a Measure of the Five-Factor Model: Belgian, American, and Hungarian Comparisons with the NEO-PI-R

    Science.gov (United States)

    De Fruyt, Filip; McCrae, Robert R.; Szirmak, Zsofia; Nagy, Janos

    2004-01-01

    The lexically based Five-Factor Personality Inventory (FFPI) was correlated with the factors and facets of the Revised NEO Personality Inventory (NEO-PI-R) in Belgian (N = 265), American (N = 116), and Hungarian (N = 320) samples. Results were similar across the three cultures. Analysis of orthogonalized FFPI factors showed that three of…

  6. Comparison of external morphological traits of newborns to inner morpholical traits of the dam in the double-muscled Belgian Blue Beef breed.

    NARCIS (Netherlands)

    Coopman, F.; Gengler, N.; Groen, A.F.; Smet, de S.; Zeveren, van A.

    2004-01-01

    In the double-muscled (DM) Belgian Blue Beef (BBB) breed, caesarean section (CS) is used as a routine management tool to prevent dystocia. This practice is criticized on animal welfare grounds. With unassisted (natural) births, difficulties arise because of disproportion between the sizes of the new

  7. Obesity or overweight is associated with worse pathological response to neoadjuvant chemotherapy among Chinese women with breast cancer.

    Directory of Open Access Journals (Sweden)

    Sheng Chen

    Full Text Available BACKGROUND: To evaluate the relationship between body mass index (BMI and response to neoadjuvant chemotherapy (NCT for breast cancer among Chinese women. PATIENTS AND METHODS: A total of 307 eligible patients were assigned to receive four cycles of paclitaxel and carboplatin before standard surgery for breast cancer from 2007 to 2011 at Shanghai Cancer Hospital. The patients were categorized as obese, overweight, normal weight, or underweight based on BMI according to World Health Organization (WHO criteria. Pathological complete response (pCR was defined as no invasive cancer in the breast or axillary tissue. A logistic regression and the Chi-squared test were used for detecting the predictors of pCR and determining the relationship between BMI category and pCR rate in the subgroup analysis with respect to other variables. RESULTS: Categorical BMI, estrogen receptor (ER, and progesterone receptor (PR status were independent predictors of pCR according to the multivariate analysis. Patients with BMI≥25 were less likely to achieve a pCR to NCT compared with patients with BMI<25 (Odds ratio: 0.454, p = 0.033, multivariate analysis. In the subgroup analysis, the predictive value of BMI for pCR to NCT was significantly shown in post-menopausal patients (p = 0.004 and hormonal receptor status-negative patients (p = 0.038. The incidence of treatment-induced toxicity was similar among the different BMI categories. CONCLUSION: Higher BMI was associated with worse pCR to NCT. Further approaches to investigating the mechanism of this influence of BMI on treatment response and a more appropriate schedule for calculating NCT dose for high-BMI-patients should be considered.

  8. High resolution mapping of the tropospheric NO2 distribution in three Belgian cities based on airborne APEX remote sensing

    Science.gov (United States)

    Tack, Frederik; Merlaud, Alexis; Fayt, Caroline; Danckaert, Thomas; Iordache, Daniel; Meuleman, Koen; Deutsch, Felix; Adriaenssens, Sandy; Fierens, Frans; Van Roozendael, Michel

    2015-04-01

    An approach is presented to retrieve tropospheric nitrogen dioxide (NO2) vertical column densities (VCDs) and to map the NO2 two dimensional distribution at high resolution, based on Airborne Prism EXperiment (APEX) observations. APEX, developed by a Swiss-Belgian consortium on behalf of ESA (European Space Agency), is a pushbroom hyperspectral imager with a high spatial (approximately 3 m at 5000 m ASL), spectral (413 to 2421 nm in 533 narrow, contiguous spectral bands) and radiometric (14-bit) resolution. VCDs are derived, following a similar approach as described in the pioneering work of Popp et al. (2012), based on (1) spectral calibration and spatial binning of the observed radiance spectra in order to improve the spectral resolution and signal-to-noise ratio, (2) Differential Optical Absorption Spectroscopy (DOAS) analysis of the pre-processed spectra in the visible wavelength region, with a reference spectrum containing low NO2 absorption, in order to quantify the abundance of NO2 along the light path, based on its molecular absorption structures and (3) radiative transfer modeling for air mass factor calculation in order to convert slant to vertical columns. This study will be done in the framework of the BUMBA (Belgian Urban NO2 Monitoring Based on APEX hyperspectral data) project. Dedicated flights with APEX mounted in a Dornier DO-228 airplane, operated by Deutsches Zentrum für Luft- und Raumfahrt (DLR), are planned to be performed in Spring 2015 above the three largest and most heavily polluted Belgian cities, i.e. Brussels, Antwerp and Liège. The retrieved VCDs will be validated by comparison with correlative ground-based and car-based DOAS observations. Main objectives are (1) to assess the operational capabilities of APEX to map the NO2 field over an urban area at high spatial and spectral resolution in a relatively short time and cost-effective way, and to characterise all aspects of the retrieval approach; (2) to use the APEX NO2 measurements

  9. Women boxers

    DEFF Research Database (Denmark)

    Gems, Gerald; Pfister, Gertrud Ursula

    2014-01-01

    This article fills a gap in the very limited literature on women's boxing by examining the gendered space in which women engaged in the sport as participants in saloons, vaudeville theatres and the prize ring. In doing so, they challenged the contemporary gender order and disputed the notion...... of women as the weak sex. Vaudeville provided women with an opportunity to present physical performances that surpassed the restrictions placed on women within the mainstream middle-class society. This article includes biographical sketches of some of the outstanding female boxers of the era by drawing...

  10. BeTemper: thermal characterisation of the Belgian subsoil for shallow geothermal applications

    Science.gov (United States)

    Petitclerc, Estelle; Dusar, Michiel; Declercq, Pierre-Yves; Vanbrabant, Yves

    2015-04-01

    -ray Diffraction equipment, while the EDS (Energy-Dispersive X-ray Spectroscopy) and EBSD (Electron BackScattered Diffraction) modules is applied in order to evaluate the chemical and micro-textural content. Special attention is given to lithologies having a variable λ values to assess the influence of porosity and/or minor mineralogical phases on the heat transfer. The sample selection is conducted in order to be representative of the various lithologies composing the Belgian subsoil, taking into account their mineralogical composition, petrological texture along with their degree of alteration. A special emphasis is given to densely populated areas (eg. Sambre & Meuse valleys and large cities of Flanders). with the highest geothermal demands. Petitclerc, E., Dusar, M., Declercq, P-Y., Hoes, H., Laenen, B., Dagrain,F., Vanbrabant, Y., 2013. Overview and perspectives on shallow geothermal energy in Belgium. Proceedings SG6-12, EGC2013, Pisa, June 2013. Popov, Y., Bayuk, I., Parshin, A., Miklashevskiy, D., Novikov, S., Chekhonin, E., 2012. New methods and instruments for determination of reservoir thermal properties. Thirty-Seventh Workshop on Geothermal Reservoir Engineering, Stanford University, Stanford, California, January 30 - February 1, 2012. SGP-TR-194. Popov, Y., Pribnow, D.F.C., Sass, J.H, Williams, C., Burkhardt, H., 1999. Characterization of rock thermal conductivity by high-resolution optical scanning. Geothermics 28, pp 253-276.

  11. Polyneuropathy in a young Belgian patient: A novel heterozygous mutation in the WNK1/HSN2 gene.

    Science.gov (United States)

    de Filette, Jeroen; Hasaerts, Danielle; Seneca, Sara; Gheldof, Alexander; Stouffs, Katrien; Keymolen, Kathelijn; Velkeniers, Brigitte

    2016-02-01

    Hereditary sensory autonomic neuropathy (HSAN) is a rare condition, predominantly affecting the peripheral sensory nervous system, although variable motor and dysautonomic symptoms can be present. At least 7 clinical types of HSAN have been described, and different genetic mutations have been identified for each of these. HSAN IIA (OMIM #201300) is characterized by loss of pain and loss of temperature and touch sensation, with onset usually before the first decade. The mode of inheritance is autosomal recessive.(1) The causative gene, WNK1/HSN2, is located on locus 12p13.33 and is an isoform of the WNK1 (lysine deficient protein kinase 1) gene, which contains the HSN2 exon.(2,3) We describe 2 new heterozygous mutations in the WNK1/HSN2 gene in a Belgian patient with early-onset sensory polyneuropathy.

  12. Twenty years of Belgian North Sea aerial surveillance: a quantitative analysis of results confirms effectiveness of international oil pollution legislation.

    Science.gov (United States)

    Lagring, Ruth; Degraer, Steven; de Montpellier, Géraldine; Jacques, Thierry; Van Roy, Ward; Schallier, Ronny

    2012-03-01

    Over the years many policy measures have been taken to prevent illegal oil discharges from ships, like the MARPOL 73/78 Convention (1983) and the Bonn Agreement (1969/1983). However, the number of discharges remained high, leading to chronic oiling of seabirds and sensitive coastlines, therefore further measures were taken. The aim of this study is to quantify the effectiveness of two key legislative regulations: the IMO-designation of the North Sea as MARPOL Special Area which took effect in 1999, and the adoption of the EU Directive on Port Reception Facilities in 2000. Under study is the heavily navigated Belgian Surveillance Area, monitored since 1991, characterised by shallow waters with ecologically important sandbanks. The aerial surveillance data from 1991 to 2010 show a stepwise decrease in ship-source oil pollution. Three time periods can be distinguished with two turning points coinciding with the actual implementation of these key legislative measures, confirming their effectiveness.

  13. Polyneuropathy in a young Belgian patient: A novel heterozygous mutation in the WNK1/HSN2 gene.

    Science.gov (United States)

    de Filette, Jeroen; Hasaerts, Danielle; Seneca, Sara; Gheldof, Alexander; Stouffs, Katrien; Keymolen, Kathelijn; Velkeniers, Brigitte

    2016-02-01

    Hereditary sensory autonomic neuropathy (HSAN) is a rare condition, predominantly affecting the peripheral sensory nervous system, although variable motor and dysautonomic symptoms can be present. At least 7 clinical types of HSAN have been described, and different genetic mutations have been identified for each of these. HSAN IIA (OMIM #201300) is characterized by loss of pain and loss of temperature and touch sensation, with onset usually before the first decade. The mode of inheritance is autosomal recessive.(1) The causative gene, WNK1/HSN2, is located on locus 12p13.33 and is an isoform of the WNK1 (lysine deficient protein kinase 1) gene, which contains the HSN2 exon.(2,3) We describe 2 new heterozygous mutations in the WNK1/HSN2 gene in a Belgian patient with early-onset sensory polyneuropathy. PMID:27066579

  14. Inventory and forecasting of maritime emissions in the Belgian sea territory, an activity-based emission model

    Science.gov (United States)

    Schrooten, Liesbeth; De Vlieger, Ina; Int Panis, Luc; Styns, Karel; Torfs, Rudi

    Air quality policy has focussed on land-based emissions for decades. In recent years, it has become increasingly clear that emissions from sea-going vessels can no longer be ignored. There is a growing need for detailed emission inventories to evaluate the impact of this transport mode on air quality and health. In this paper we present MOPSEA, an activity-based emission model to determine emissions from sea-going vessels. The model considers shipping activities of sea-going vessels on Belgian territory, combined with individual vessel characteristics. We apply this model to study the effects of recent international efforts to reduce emissions from sea-going vessels in Belgian territorial waters for the current fleet and for two scenarios up to 2010. The emission model for Belgium, based on different vessel operating areas, reveals that most maritime emissions from the main engines will increase. CO 2 emissions will increase by 2-9% over the 2004-2010 period due to an increase in shipping activity. NO X emissions are projected to rise between 1% and 8% because the increase in activity offsets the reductions from the international maritime organisation (IMO) and European regulations. In contrast, SO 2 emissions will decrease by at least 50% in 6 years time. The switch of auxiliaries from heavy fuel oil to diesel oil at berth results in a large emission reduction (33%) for PM and small reductions for CO 2, NO X, CO and HC (4-5%). The choice between a bottom-up versus top-down approach can have important implications for the allocation of maritime emissions. The MOPSEA bottom-up model allocates only 0.7 Mton CO 2 to Belgium, compared to 24.2 Mton CO 2 based on bunker fuel inventories.

  15. Prevalence and origin of HIV-1 group M subtypes among patients attending a Belgian hospital in 1999.

    Science.gov (United States)

    Snoeck, Joke; Van Dooren, Sonia; Van Laethem, Kristel; Derdelinckx, Inge; Van Wijngaerden, Eric; De Clercq, Erik; Vandamme, Anne-Mieke

    2002-04-23

    HIV-1 group M strains are usually subtyped based on gag and/or env gene sequences. In our lab, part of the pol gene sequence was available in order to determine the genotypic anti-HIV drug resistance profile. To estimate the prevalence of the different HIV-1 subtypes in patients visiting the University Hospitals in Leuven in 1999 and for whom a genotypic drug resistance test was needed, we tried to use the pol sequence for subtyping. Recombination was investigated by similarity plots and bootscanning and subtyping was performed by phylogenetic analysis. The overall region spanning the entire protease and 747 nucleotides of the reverse transcriptase proved very suitable for subtyping, although there was a low phylogenetic signal at the beginning of the reverse transcriptase (nucleotides 0-250), as we demonstrated by likelihood mapping. Of the 41 samples analyzed, 21 belonged to subtype B. Of the other 20 non-B strains, 9 belonged to subtype C, 2 to subtype D and 1 to subtype A, G, H and J, respectively, 3 were CRF_02 (Circulating Recombinant Form), 1 was recombinant with a novel breakpoint and 1 sample was untypable. Although subtype B is still the most prevalent subtype in Belgium, it seems to be responsible for only half of the infections in this study. We could also document that the prevalence of subtype C is high in the Belgian native patients, especially among the heterosexually infected population. This could possibly be an indication for an epidemic spread of HIV-1 subtype C in Belgium, as for one third of these patients, no link to an endemic region could be found. The other non-B subtypes and the recombinants are mainly introduced by immigrants or by Belgian citizens traveling abroad. PMID:11955642

  16. A semi-probabilistic modelling approach for the estimation of dietary exposure to phthalates in the Belgian adult population.

    Science.gov (United States)

    Fierens, T; Standaert, A; Cornelis, C; Sioen, I; De Henauw, S; Willems, H; Bellemans, M; De Maeyer, M; Van Holderbeke, M

    2014-12-01

    In this study, a semi-probabilistic modelling approach was applied for the estimation of the long-term human dietary exposure to phthalates--one of world's most used families of plasticisers. Four phthalate compounds were considered: diethyl phthalate (DEP), di-n-butyl phthalate (DnBP), benzylbutyl phthalate (BBP) and di(2-ethylhexyl) phthalate (DEHP). Intake estimates were calculated for the Belgian adult population and several subgroups of this population for two considered scenarios using an extended version of the EN-forc model. The highest intake rates were found for DEHP, followed by DnBP, BBP and DEP. In the Belgian adult population, men and young adults generally had the highest dietary phthalate intake estimates. Nevertheless, predicted dietary intake rates for all four investigated phthalates were far below the corresponding tolerable daily intake (TDI) values (i.e. P99 intake values were 6.4% of the TDI at most), which is reassuring because adults are also exposed to phthalates via other contamination pathways (e.g. dust ingestion and inhalation). The food groups contributing most to the dietary exposure were grains and grain-based products for DEP, milk and dairy products for DnBP, meat and meat products or grains and grain-based products (depending on the scenario) for BBP and meat and meat products for DEHP. Comparison of the predicted intake results based on modelled phthalate concentrations in food products with intake estimates from other surveys (mostly based on measured concentrations) showed that the extended version of the EN-forc model is a suitable semi-probabilistic tool for the estimation and evaluation of the long-term dietary intake of phthalates in humans.

  17. Systeme de fautes et correction phonetique par la methode verbo-tonale des francophones belges qui apprenent l'espagnol (Phonetic Correction and the Verbo-tonal Method for Teaching Spanish to French-speaking Belgians)

    Science.gov (United States)

    Sarmiento Padilla, Jose

    1974-01-01

    Describes experiments in the field of phonetic correction. Several techniques used at the University of Mons for teaching Spanish pronunciation to French-speaking Belgians are explained. (Text is in French.) (PMP)

  18. Women and Diabetes

    Medline Plus

    Full Text Available ... Consumer Information by Audience For Women Women's Health Topics Women and Diabetes Share Tweet Linkedin Pin it ... Depression in Older Women More in Women's Health Topics Mammography Women and Diabetes HPV, HIV, Birth Control ...

  19. Clinical Analysis of the Treatment of Vertebroplasty Combined with Chinese Herbs in Menopausal Women with Thoracolumbar Osteoporotic Fractures%椎体成形术结合中药内服治疗女性绝经期胸腰椎骨质疏松性骨折的临床疗效分析

    Institute of Scientific and Technical Information of China (English)

    陈继征; 周瑜博; 董振宇; 吕发明

    2013-01-01

      [目的]探讨椎体成形术(percutaneous vertebroplasty,PVP)结合中药内服在治疗女性绝经期胸腰椎骨质疏松性骨折中疗效。[方法]将72例确诊为绝经期骨质疏松性骨折的患者分为对照组及治疗组。对照组单纯采用PVP,治疗组在对照组基础上加用中药内服治疗。评价并比较两组治疗前、治疗后1个月、治疗后3个月时的活动能力评分(MDS)、视觉模拟评分法( visual analogue scale,VAS)评分及疼痛缓解程度。[结果]治疗组治疗3个月后VAS评分明显低于对照组,差异有统计学意义(P<0.05);组内比较,两组在不同治疗时间(治疗前、治疗1个月后及治疗3个月后)VAS评分均较前明显降低,差异有统计学意义,(P<0.05)。两组在治疗1个月及3个月时的疼痛缓解率及MDS有效率相近,差异无统计学意义(P>0.05)。[结论]PVP结合中药内服能有效缓解绝经期胸腰椎骨质疏松性骨折女性疼痛及恢复活动能力。%[Objective] To investigate the application of Vertebroplasty(percutaneous vertebroplasty, PVP) combined with Chinese Herbs in the treatment of post-menopausal women thoracolumbar osteoporotic fractures.[Methods] From March 2011 to June 2012 in the Orthopedic Center in Traditional Chi-nese Medicine Hospital of Xinjiang Medical University ,72 patients diagnosed with post-menopausal osteoporotic fractures were randomly divided into control group and treatment group, the patients in control group were treated with vertebroplasty treatment, the patients in treatment group were treated with vertebroplasty combined with Chinese Herbs.The treatment was for kidney virtual loss, spleen and kidney deficiency type, spleen and kidney defi-ciency and blood stasis. Before treatment, 1 and 3 months after treatment Visual analogue scale(VAS), the activity scores(MDS) were evaluated and com-pared between the two groups.[Results] After 3 months of treatment VAS scores in

  20. Relationship between Carotenoids, Retinol, and Estradiol Levels in Older Women

    Directory of Open Access Journals (Sweden)

    Marcello Maggio

    2015-08-01

    Full Text Available Background. In vitro evidence suggests anti-estrogenic properties for retinol and carotenoids, supporting a chemo-preventive role of these phytochemicals in estrogen-dependent cancers. During aging there are significant reductions in retinol and carotenoid concentrations, whereas estradiol levels decline during menopause and progressively increase from the age of 65. We aimed to investigate the hypothesis of a potential relationship between circulating levels of retinol, carotenoids, and estradiol (E2 in a cohort of late post-menopausal women. Methods. We examined 512 women ≥ 65 years from the InCHIANTI study. Retinol, α-caroten, β-caroten, β-criptoxantin, lutein, zeaxanthin, and lycopene levels were assayed at enrollment (1998–2000 by High-Performance Liquid Chromatography. Estradiol and testosterone (T levels were assessed by Radioimmunometry (RIA and testosterone-to-estradiol ratio (T/E2, as a proxy of aromatase activity, was also calculated. General linear models adjusted for age (Model 1 and further adjusted for other confounders including Body Mass Index (BMI BMI, smoking, intake of energy, lipids, and vitamin A; C-Reactive Protein, insulin, total cholesterol, liver function, and testosterone (Model 2 were used to investigate the relationship between retinol, carotenoids, and E2 levels. To address the independent relationship between carotenoids and E2 levels, factors significantly associated with E2 in Model 2 were also included in a fully adjusted Model 3. Results. After adjustment for age, α-carotene (β ± SE = −0.01 ± 0.004, p = 0.02 and β-carotene (β ± SE = −0.07 ± 0.02, p = 0.0007 were significantly and inversely associated with E2 levels. α-Carotene was also significantly and positively associated with T/E2 ratio (β ± SE = 0.07 ± 0.03, p = 0.01. After adjustment for other confounders (Model 2, the inverse relationship between α-carotene (β ± SE = −1.59 ± 0.61, p = 0.01, β-carotene (β ± SE = −0.29

  1. Numerical modelling and hydrochemical characterisation of a fresh-water lens in the Belgian coastal plain

    Science.gov (United States)

    Vandenbohede, A.; Lebbe, L.

    2002-05-01

    The distribution of fresh and salt water in coastal aquifers is influenced by many processes. The influence of aquifer heterogeneity and human interference such as land reclamation is illustrated in the Belgian coastal plain where, around A.D. 1200, the reclamation of a tidally influenced environment was completed. The aquifer, which was filled with salt water, was thereafter freshened. The areal distribution of peat, clay, silt and sand influences the general flow and distribution of fresh and salt water along with the drainage pattern and results in the development of fresh-water lenses. The water quality in and around the fresh-water lenses below an inverted tidal channel ridge is surveyed. The hydrochemical evolution of the fresh water lens is reconstructed, pointing to cation exchange, solution of calcite and the oxidation of organic material as the major chemical reactions. The formation and evolution of the fresh water lens is modelled using a two-dimensional density-dependent solute transport model and the sensitivity of drainage and conductivities are studied. Drainage level mainly influences the depth of the fresh-water lens, whereas the time of formation is mainly influenced by conductivity. Résumé. La répartition de l'eau douce et de l'eau salée dans les aquifères littoraux est influencée par de nombreux mécanismes. L'influence de l'hétérogénéité de l'aquifère et des interférences anthropiques telles que la mise en valeur des terres est illustrée par la plaine côtière belge où, depuis l'an 1200, on a mis en valeur un environnement soumis aux marées. L'aquifère, qui contenait de l'eau salée, contient maintenant de l'eau douce. La distribution spatiale de tourbe, d'argile, de silt et de sable joue un rôle dans l'écoulement général et dans la répartition de l'eau douce et de l'eau salée le long du réseau de drainage et produit des lentilles d'eau douce. La qualité de l'eau dans et autour des lentilles d'eau douce sous une lev

  2. Analysis of HER2 expression and gene amplification in adenocarcinoma of the stomach and the gastro-oesophageal junction: rationale for the Belgian way of working.

    Science.gov (United States)

    Jouret-Mourin, A; Hoorens, A; De Hertogh, G; Vanderveken, J; Demetter, P; Van Cutsem, E

    2012-03-01

    The Human Epidermal growth factor Receptor 2 (HER2) has been established as a key player in the development of certain human tumors. ToGA trial has demonstrated that the addition of the monoclonal antibody blocking HER2 receptor, trastuzumab (Herceptin®), to chemotherapy significantly improves overall survival of patients with HER2-positive advanced or metastatic adenocarcinoma of the stomach or gastro-oesophageal junction. Therefore, it is essential that pathologists guarantee an accurate testing of HER2 status in these tumours. Following the international recommendations and the Belgian criteria for reimbursement of trastuzumab, a consortium of expert pathologists (Belgian Working Group Molecular Pathology) proposes an adaptation of the international guidelines in order to develop strategies for optimal performance, interpretation and reporting assays.

  3. Culture-general and -specific associations of attachment avoidance and anxiety with perceived parental warmth and psychological control among Turk and Belgian adolescents.

    Science.gov (United States)

    Güngör, Derya; Bornstein, Marc H

    2010-10-01

    Both the adolescent peer attachment and perceived parenting style literatures emphasize the role of the quality of the parent-child relationship in children's healthy adjustment beyond the family, but few studies have investigated links between adolescents' peer attachment and perceptions of parenting. We investigate relations of adolescents' perceptions of warmth and psychological control from parents with avoidance and anxiety in attachment to close friends in two contrasting cultures. Altogether, 262 Turk and 263 Belgian youth between 14 and 18 years of age participated. Cross-culturally, attachment avoidance was negatively related to maternal warmth, and attachment anxiety positively related to maternal and paternal control and negatively to paternal warmth. Beyond these general relations, attachment avoidance was associated with paternal psychological control in Belgians but not in Turks. The study provides cross-cultural evidence for specific relations between peer attachment and perceived parenting and suggests a culture-specific pathway for the development of attachment avoidance.

  4. 利用DNA指纹图谱技术对健康女性阴道菌群多样性的分析%Analysis of diversity of vaginal microbiota in healthy Chinese women by using DNAfingerprinting

    Institute of Scientific and Technical Information of China (English)

    肖冰冰; 廖秦平

    2012-01-01

    阴道优势菌种之一.%Objective: To analyze the diversity of healthy women' s vaginal dominant flora in different physiological states with PCR-denaturing gradient gel electrophoresis (PCR-DGGE) , to establish the basis for the future study of lower genital tract infections, and to provide a theoretical basis for the development of vaginal probiotics adapted to Chinese females. Methods; Women who underwent routine gynecologic examinations in Peking University First Hospital from October 2009 to January 2010 were enrolled, including 30 at reproductive age and 30 at post menopause age. Vaginal samples were collected and then total bacterial DNA was extracted. Universal bacterial primers were used to amplify the V3 region of 16S rDNA gene. PCR products were analyzed by denatured gradient gel electrophoresis (DGGE). Featured bands on DGGE were recovered, cloned and sequenced. Alignment with known sequence was made by using Blast on GenBank to identify bacterial strains so as to analyze the diversity of healthy women's vaginal dominant flora in different physiological states. Results; (1) Vaginal flora in healthy Chinese women at their reproductive age were relatively simple, Lactobacillus were the dominant bacteria. Common bacteria included: Lactobacillus crispatus, Lactobacillus iners, and Lactobacillus gasse-ri. While L. iners were the dominant vaginal bacteria that could not be recognized by traditional method. (2) Vaginal bacteria in the women at post menopause age were more complex than in those at reproductive age. Common bacteria included: Lactobacillus iners, Lactobacillus crispatus, Escherichia coli, Streptococcus agalactiae, Streptococcus gallolyticus, Veillonella sp. , Streptococcus intermedius, Streptococcus anginosus, Prevotella sp. , Anaerococcus lactolyticus and Bacteroides fragilis. Conclusion; Based on the DGGE analysis, the most common vaginal bacteria in Chinese healthy women at reproductive age are Lactobacillus crispatus, Lactobacillus iners, and Lactobacillus gasseri. the most

  5. Implementation of a program for type 2 diabetes based on the Chronic Care Model in a hospital-centered health care system: 'the Belgian experience'

    OpenAIRE

    Van Royen Paul; Vermeire Etienne; Wens Johan; Nobels Frank; Snauwaert Boris; Feyen Luc; Bastiaens Hilde; Sunaert Patricia; De Maeseneer Jan; De Sutter An; Willems Sara

    2009-01-01

    Abstract Background Most research publications on Chronic Care Model (CCM) implementation originate from organizations or countries with a well-structured primary health care system. Information about efforts made in countries with a less well-organized primary health care system is scarce. In 2003, the Belgian National Institute for Health and Disability Insurance commissioned a pilot study to explore how care for type 2 diabetes patients could be organized in a more efficient way in the Bel...

  6. Does Financial Hardship Explain Differences Between Belgian and South African Unemployed Regarding Experiences of Unemployment, Employment Commitment, and Job Search Behaviour?

    OpenAIRE

    Wouter Vleugels; Sebastiaan Rothmann; Yannick Griep; Hans De Witte

    2013-01-01

    The purpose of this study was to investigate whether Belgian and South African unemployed differed regarding three psychological dimensions of unemployment: affect (experiences of unemployment), attitudes (employment commitment), and behaviour (job search intensity). Moreover, we expected country of residence to indirectly influence unemployed people’s experiences, employment commitment, and job search intensity via financial hardship. A cross-sectional survey design was used to test our hypo...

  7. Medicine Women.

    Science.gov (United States)

    Beiswenger, James N., Ed.; Jeanotte, Holly, Ed.

    Described as a survival manual for Indian women in medicine, this collected work contains diverse pieces offering inspiration and practical advice for Indian women pursuing or considering careers in medicine. Introductory material includes two legends symbolizing the Medicine or Spirit Woman's role in Indian culture and an overview of Indians Into…

  8. Use of unmanned aerial vehicle (UAV) for the detection and surveillance of marine oil spills in the Belgian part of the North Sea

    International Nuclear Information System (INIS)

    This paper discussed the use of unmanned aerial vehicles (UAV) deployed by the Belgian Army in order to detect oil spills as well as for intelligence, reconnaissance and surveillance missions. The UAV are fitted with a dual sensor gyro-stabilized turret which combines a daylight camera and a thermal infrared camera. Live images of the sensors are transmitted in real time to control stations. All Belgian marine pollution surveillance platforms are coordinated by the Maritime Security Center of the Belgian Coast Guard. Satellite surveillance services provide real time information related to potential oil spills and other anomalies on the sea surface. Stand-by helicopters are also used for the rapid assessment of reported spills. The B-Hunter system is undetectable due to its small size and low noise signature, and can be used for the continuous monitoring of specific areas or for the tracking of suspect vessels. The system will also be used to monitor the progress of oil spill response operations as well as to provide information and guidance to response vessels. 6 refs., 2 figs

  9. Concordance of Results from Randomized and Observational Analyses within the Same Study: A Re-Analysis of the Women's Health Initiative Limited-Access Dataset.

    Directory of Open Access Journals (Sweden)

    Mark J Bolland

    Full Text Available Observational studies (OS and randomized controlled trials (RCTs often report discordant results. In the Women's Health Initiative Calcium and Vitamin D (WHI CaD RCT, women were randomly assigned to CaD or placebo, but were permitted to use personal calcium and vitamin D supplements, creating a unique opportunity to compare results from randomized and observational analyses within the same study.WHI CaD was a 7-year RCT of 1g calcium/400IU vitamin D daily in 36,282 post-menopausal women. We assessed the effects of CaD on cardiovascular events, death, cancer and fracture in a randomized design- comparing CaD with placebo in 43% of women not using personal calcium or vitamin D supplements- and in a observational design- comparing women in the placebo group (44% using personal calcium and vitamin D supplements with non-users. Incidence was assessed using Cox proportional hazards models, and results from the two study designs deemed concordant if the absolute difference in hazard ratios was ≤0.15. We also compared results from WHI CaD to those from the WHI Observational Study(WHI OS, which used similar methodology for analyses and recruited from the same population.In WHI CaD, for myocardial infarction and stroke, results of unadjusted and 6/8 covariate-controlled observational analyses (age-adjusted, multivariate-adjusted, propensity-adjusted, propensity-matched were not concordant with the randomized design results. For death, hip and total fracture, colorectal and total cancer, unadjusted and covariate-controlled observational results were concordant with randomized results. For breast cancer, unadjusted and age-adjusted observational results were concordant with randomized results, but only 1/3 other covariate-controlled observational results were concordant with randomized results. Multivariate-adjusted results from WHI OS were concordant with randomized WHI CaD results for only 4/8 endpoints.Results of randomized analyses in WHI CaD were

  10. The Association between Belgian Older Adults’ Physical Functioning and Physical Activity: What Is the Moderating Role of the Physical Environment?

    Science.gov (United States)

    Van Holle, Veerle; Van Cauwenberg, Jelle; Gheysen, Freja; Van Dyck, Delfien; Deforche, Benedicte; Van de Weghe, Nico; De Bourdeaudhuij, Ilse

    2016-01-01

    Background Better physical functioning in the elderly may be associated with higher physical activity levels. Since older adults spend a substantial part of the day in their residential neighborhood, the neighborhood physical environment may moderate associations between functioning and older adults’ physical activity. The present study investigated the moderating role of the objective and perceived physical environment on associations between Belgian older adults’ physical functioning and transport walking, recreational walking, and moderate-to-vigorous physical activity. Methods Data from 438 older adults were included. Objective physical functioning was assessed using the Short Physical Performance Battery. Potential moderators included objective neighborhood walkability and perceptions of land use mix diversity, access to recreational facilities, access to services, street connectivity, physical barriers for walking, aesthetics, crime-related safety, traffic speeding-related safety, and walking infrastructure. Transport and recreational walking were self-reported, moderate-to-vigorous physical activity was assessed through accelerometers. Multi-level regression analyses were conducted using MLwiN to examine two-way interactions between functioning and the environment on both walking outcomes. Based on a previous study where environment x neighborhood income associations were found for Belgian older adults’ moderate-to-vigorous physical activity, three-way functioning x environment x income interactions were examined for moderate-to-vigorous physical activity. Results Objectively-measured walkability moderated the association between functioning and transport walking; this positive association was only present in high-walkable neighborhoods. Moreover, a three-way interaction was observed for moderate-to-vigorous physical activity. Only in high-income, high-walkable neighborhoods, there was a positive association between functioning and moderate

  11. Correlation between absence of bone remodeling compartment canopies, reversal phase arrest, and deficient bone formation in post-menopausal osteoporosis

    DEFF Research Database (Denmark)

    Levin Andersen, Thomas; Hauge, Ellen M; Rolighed, Lars;

    2014-01-01

    Bone remodeling compartments (BRCs) were recently recognized to be present in patients with primary hyperparathyroidism and critical for bone reconstruction in multiple myeloma and endogenous Cushing's syndrome. The BRCs are outlined by a cellular canopy separating the bone remodeling events...

  12. Protective effects of beta glucan in brain tissues of post-menopausal rats: a histochemical and ultra-structural study.

    Science.gov (United States)

    Selli, Jale; Unal, Deniz; Mercantepe, Filiz; Akaras, Nurhan; Kabayel, Rabia; Unal, Bunyami; Atilay, Hilal

    2016-01-01

    Decline of estrogen during menopause has been associated with numerous significant changes that have been linked to many pathophysiological complications. In addition, ovarian hormone deficiency increases the production of reactive oxygen radicals which could result in oxidative stress and cell damage. While estrogen therapy is often considered to overcome the behavioral and physiological shortcomings, antioxidants are gaining popularity for their beneficial property. For this purpose, in the present study, utilizing the antioxidant properties of beta glucan has been examined in treatment of menopause induced oxidative stress in cerebral neurons. Four groups of female Wistar rats were used: control, ovariectomy, ovariectomy + estrogen treated and ovariectomy + beta glucan treated. We observed a significant increase in neural degeneration in ovariectomized rats as compared to controls. Moreover, increased oxidative stress in the brains of the ovariectomized rats has been detected by performing immunohistochemical analysis. A large number of immuno-positive cerebral neurons have been observed in ovariectomy group rat brains. Interestingly, providing beta glucan treatment to ovariectomized rats reduced the number of degenerated neurons. Our study is the first to examine light and electron microscopic examination and immunohistochemical and stereological analysis of estrogen depletion in rats and to test protective role of beta glucan in the experimental study. PMID:26486170

  13. Uterine cavernous haemangioma in a post-menopausal woman: CT and MRI findings mimicking uterine myoma with degeneration

    OpenAIRE

    Lee, E J; Kim, S H; Kim, Y.H.(Center for Underground Physics, Institute for Basic Science (IBS), Daejon, 305-811, Korea)

    2011-01-01

    Cavernous haemangioma is a very rare vascular malformation of the uterus. We describe the CT and MRI findings of a cavernous haemangioma in an 81-year-old female with recurrent menorrhagia. CT showed a well-marginated mass with multifocal calcifications and extensive haemorrhage, as well as necrosis in the anterior wall of the uterus. MRI revealed heterogeneous low- to high-signal intensities of the mass on T1 and T2 weighted images as well as portions with poor enhancement of the mass on con...

  14. Hypertensive crisis associated with high dose soy isoflavone supplementation in a post-menopausal woman: a case report [ISRCTN98074661

    Directory of Open Access Journals (Sweden)

    Johnston Carol S

    2005-06-01

    Full Text Available Abstract Background Isoflavones are gaining popularity as alternatives to hormone replacement therapy. However, few guidelines exist to inform the public as to an appropriate dose. This case involves a postmenopausal woman who experienced a hypertensive crisis while consuming a high-dose isoflavone supplement as part of a research protocol. Case Presentation The participant was part of a placebo-controlled crossover trial to investigate the potential synergism of the antioxidant activity of soy isoflavones and vitamin C. Upon entry into the study, this healthy, well-nourished, normotensive postmenopausal woman (51 years old, consumed the first of four randomly assigned treatments (500 mg vitamin C plus 5 mg/kg body weight soy isoflavones. During this treatment, the participant's systolic blood pressure spiked to a recorded 226/117 mmHg, necessitating medical intervention and discontinuation of study participation. Two plausible mechanisms for this hypertensive crisis are discussed. Conclusion Due to the availability and increasing popularity of soy supplements, practitioners should be aware of the potential side effects associated with their use. Practitioners counseling clients who are consuming soy isoflavone supplements should advise them that elevated blood pressure may be a potential side-effect to consider and monitor.

  15. 绝经女性平板运动试验Duke评分与冠脉造影相关性研究%Correlation study on Duke score combined with treadmill exercise testing and coronary angiography study of postmenopausal women

    Institute of Scientific and Technical Information of China (English)

    周云; 渠乐; 蒋华

    2013-01-01

    目的 研究平板运动试验(TET)及Duke评分对绝经后女性冠状动脉疾病辅助诊断的临床应用价值.方法 纳入绝经后女性患者102例,均行TET和冠状动脉造影(CAG)检查,其中TET阳性77例,阴性25例.以CAG为对照比较TET结合Duke评分对绝经后女性冠状动脉疾病诊断的敏感性和特异性.结果 TET与CAG结果的符合率为77.4%.TET的灵敏度为87.5%,特异度为53.3%.二者诊断冠心病的一致性达到中度(Kappa=0.43,P=0.000);Duke评分风险程度分级与CAG病变程度相关(rs=0.784,P=0.000);随着绝经年限的延长,冠脉分支病变加重,二者相关(rs =0.615,P=0.000);随着年龄的增长,Duke评分风险程度加重,二者呈正相关(rs=0.472,P=0.000);随着绝经年限的延长,Duke评分风险程度加重,二者相关(rs =0.511,P=0.000).结论 Duke评分风险程度分级与CAG病变程度相关,随着绝经年限的延长,Duke评分风险程度加重,二者相关.%Objective To study on clinical values of treadmill exercise test(TET) and Duke treadmill score for aided diagnosis of coronary artery disease in post-menopausal women.Methods 102 women who have coronary artery disease in post-menopausal period underwent the examination of TET and coronary angiography(CAG).TET showed 77 cases were positive and25 cases were negative.TET combined with Duke score compared with CAG,the sensitivity and specificity of the diagnosis of coronary artery disease in postmenopausal women were analyzed.Results Coincidence rate of examination of CAG with TET was 77.4%.The sensitivity of TET was 87.5%,;the specificity of TET was 53.3%.The consistency of both the diagnosis of coronary heart disease reached moderate(Kappa=0.43,P =0.000) ;Duke score risk degree and CAG pathological damage were related(rs =0.784,P =0.000).Coronary bifurcation lesions aggravated with prolonging duration of menopause,Coronary bifurcation lesions correlated with duration of menopause(rs =0.615,P =0.000).Duke score

  16. Women and Diabetes

    Science.gov (United States)

    ... Information by Audience For Women Women's Health Topics Women and Diabetes Share Tweet Linkedin Pin it More ... women during pregnancy. Diabetes and Pregnancy (CDC) Diverse Women in Clinical Trials Campaign Clinical trials can help ...

  17. Women's health

    Science.gov (United States)

    ... Nurse midwives This list may not be all-inclusive. References Freund K. Approach to women's health. In: ... Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WA. Also reviewed by David ...

  18. Tu Women

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    When honored guests visit, Tu women will block the door and invite them to show their respect by drinking three cups of wine. Only after this ritual can the guests be led indoors and shown to their seats.

  19. Women Words

    Institute of Scientific and Technical Information of China (English)

    Yuan Yuan

    2012-01-01

    Jiangyong County,a remote place in central China's Hunan Province,has been gathering more attention due to a strange-looking language passed down exclusively by women for hundreds of years. The language,which is called nushu,or women's script,is said to originate from Chinese square-block characters,but the orthography and pronunciation are quite different from all other branches of Chinese dialects.

  20. Enrichment and shifts in macrobenthic assemblages in an offshore wind farm area in the Belgian part of the North Sea.

    Science.gov (United States)

    Coates, Delphine A; Deschutter, Yana; Vincx, Magda; Vanaverbeke, Jan

    2014-04-01

    The growing development of offshore wind energy installations across the North Sea is producing new hard anthropogenic structures in the natural soft sediments, causing changes to the surrounding macrobenthos. The extent of modification in permeable sediments around a gravity based wind turbine in the Belgian part of the North Sea was investigated in the period 2011-2012, along four gradients (south-west, north-east, south-east, north-west). Sediment grain size significantly reduced from 427 μm at 200 m to 312 ± 3 μm at 15 m from the foundation along the south-west and north-west gradients. The organic matter content increased from 0.4 ± 0.01% at 100 m to 2.5 ± 0.9% at 15 m from the foundation. The observed changes in environmental characteristics triggered an increase in the macrobenthic density from 1390 ± 129 ind m⁻² at 200 m to 18 583 ± 6713 ind m⁻² at 15 m together with an enhanced diversity from 10 ± 2 at 200 m to 30 ± 5 species per sample at 15 m. Shifts in species dominance were also detected with a greater dominance of the ecosystem-engineer Lanice conchilega (16-25%) close to the foundation. This study suggests a viable prediction of the effects offshore wind farms could create to the naturally occurring macrobenthos on a large-scale. PMID:24373388

  1. From corporate governance to hospital governance. Authority, transparency and accountability of Belgian non-profit hospitals' board and management.

    Science.gov (United States)

    Eeckloo, Kristof; Van Herck, Gustaaf; Van Hulle, Cynthia; Vleugels, Arthur

    2004-04-01

    As a result of multiple developments in health care and health care policy, hospital administrators, policy makers and researchers are increasingly challenged to reflect on the meaning of good hospital governance and how they can implement it in the hospital organisations. The question arises whether and to what extent governance models that have been developed within the corporate world can be valuable for these reflections. Due to the unique societal position of hospitals--which involves a large diversity of stakeholders--the claim for autonomy of various highly professional groups and the lack of clear business objectives, principles of corporate governance cannot be translated into the hospital sector without specific adjustments. However, irrespective of these contextual differences, corporate governance can provide for a comprehensive 'frame of reference', to which the hospital sector will have to give its own interpretation. A multidisciplinary research unit of the university of Leuven has taken the initiative to develop a governance model for Belgian hospitals. As part of the preliminary research work a survey has been performed among 82 hospitals of the Flemish Community on their governance structure, the composition of the governance entities, the partition of competencies and the relationship between management and medical staff.

  2. Interactions between Neighborhood Social Environment and Walkability to Explain Belgian Older Adults’ Physical Activity and Sedentary Time

    Directory of Open Access Journals (Sweden)

    Veerle Van Holle

    2016-06-01

    Full Text Available This study examined associations between neighborhood social factors and physical activity (PA and sedentary behavior (SB in older adults. Furthermore, possible moderating effects of neighborhood walkability were explored. Data from 431 community-dwelling Belgian older adults (≥65 years were analyzed. Neighborhood social factors included measures of neighboring, social trust and cohesion and social diversity. Neighborhood walkability was measured objectively. Outcome measures were self-reported weekly minutes of domain-specific walking and TV viewing, and accelerometer-assessed weekly minutes of moderate-to-vigorous physical activity (MVPA and overall SB. A higher frequency of talking to neighbors was associated with higher levels of self-reported walking for transport and for recreation. Moderation analyses showed that only in highly-walkable neighborhoods, higher social diversity of the neighborhood environment was associated with more transport walking; and talking to neighbors and social interactions among neighbors were negatively associated with overall SB and television viewing, respectively. Findings suggest that a combination of a favorable neighborhood social and physical environment are important to promote older adults’ PA and limit SB.

  3. From corporate governance to hospital governance. Authority, transparency and accountability of Belgian non-profit hospitals' board and management.

    Science.gov (United States)

    Eeckloo, Kristof; Van Herck, Gustaaf; Van Hulle, Cynthia; Vleugels, Arthur

    2004-04-01

    As a result of multiple developments in health care and health care policy, hospital administrators, policy makers and researchers are increasingly challenged to reflect on the meaning of good hospital governance and how they can implement it in the hospital organisations. The question arises whether and to what extent governance models that have been developed within the corporate world can be valuable for these reflections. Due to the unique societal position of hospitals--which involves a large diversity of stakeholders--the claim for autonomy of various highly professional groups and the lack of clear business objectives, principles of corporate governance cannot be translated into the hospital sector without specific adjustments. However, irrespective of these contextual differences, corporate governance can provide for a comprehensive 'frame of reference', to which the hospital sector will have to give its own interpretation. A multidisciplinary research unit of the university of Leuven has taken the initiative to develop a governance model for Belgian hospitals. As part of the preliminary research work a survey has been performed among 82 hospitals of the Flemish Community on their governance structure, the composition of the governance entities, the partition of competencies and the relationship between management and medical staff. PMID:15033548

  4. Interactions between Neighborhood Social Environment and Walkability to Explain Belgian Older Adults' Physical Activity and Sedentary Time.

    Science.gov (United States)

    Van Holle, Veerle; Van Cauwenberg, Jelle; De Bourdeaudhuij, Ilse; Deforche, Benedicte; Van de Weghe, Nico; Van Dyck, Delfien

    2016-06-07

    This study examined associations between neighborhood social factors and physical activity (PA) and sedentary behavior (SB) in older adults. Furthermore, possible moderating effects of neighborhood walkability were explored. Data from 431 community-dwelling Belgian older adults (≥65 years) were analyzed. Neighborhood social factors included measures of neighboring, social trust and cohesion and social diversity. Neighborhood walkability was measured objectively. Outcome measures were self-reported weekly minutes of domain-specific walking and TV viewing, and accelerometer-assessed weekly minutes of moderate-to-vigorous physical activity (MVPA) and overall SB. A higher frequency of talking to neighbors was associated with higher levels of self-reported walking for transport and for recreation. Moderation analyses showed that only in highly-walkable neighborhoods, higher social diversity of the neighborhood environment was associated with more transport walking; and talking to neighbors and social interactions among neighbors were negatively associated with overall SB and television viewing, respectively. Findings suggest that a combination of a favorable neighborhood social and physical environment are important to promote older adults' PA and limit SB.

  5. [The Belgian and French medicine and the "Ordres" facing the "jewish question" during the Second World War].

    Science.gov (United States)

    Noterman, J

    2014-01-01

    The attitude of the medical community and the "Ordres" to the "jewish question" differs in Belgium and France. This difference originates before the Second World War. Xenophobia and antisemitism were stronger in France. In addition, the Belgian capitulation of May 1940 and the armistice of June 22 in France do not represent the same situation. In France, a legal government, under the direction of Marshal Pétain, took a series of xenophobic measures of which the Jews were the first victims. In Belgium, in the absence of any government, the General Secretaries in Ministries were the ones who had to apply the antijewish measures dictated by the German occupant. By law, they could not legislate on the political level. The "Ordre", of French physicians was created in late 1940 by the Vichy government. In Belgium, the "Ordre " had existed since 1938 but had been unable to meet in the absence of implement decrees. An "Ordre bis" was created in late 1941, the legality of which was questioned by many lawyers and physicians. The French "Ordre" was to apply the antijewish measures by taking responsibility for the selection of Jewish physicians entitled to practice. In Belgium, the "Ordre" frowned upon by the physicians, played no official role in this regard. It simply applied the antijewish measures dictated by the Germans without protesting. After the conflict, the leaders of the "Ordres" had a different fate in both countries. In France, they escaped sentences. In Belgium, they were heavily condemned.

  6. A stop-gain in the laminin, alpha 3 gene causes recessive junctional epidermolysis bullosa in Belgian Blue cattle.

    Science.gov (United States)

    Sartelet, Arnaud; Harland, Chad; Tamma, Nico; Karim, Latifa; Bayrou, Calixte; Li, Wanbo; Ahariz, Naima; Coppieters, Wouter; Georges, Michel; Charlier, Carole

    2015-10-01

    Four newborn purebred Belgian Blue calves presenting a severe form of epidermolysis bullosa were recently referred to our heredo-surveillance platform. SNP array genotyping followed by autozygosity mapping located the causative gene in a 8.3-Mb interval on bovine chromosome 24. Combining information from (i) whole-genome sequencing of an affected calf, (ii) transcriptomic data from a panel of tissues and (iii) a list of functionally ranked positional candidates pinpointed a private G to A nucleotide substitution in the LAMA3 gene that creates a premature stop codon (p.Arg2609*) in exon 60, truncating 22% of the corresponding protein. The LAMA3 gene encodes the alpha 3 subunit of the heterotrimeric laminin-332, a key constituent of the lamina lucida that is part of the skin basement membrane connecting epidermis and dermis layers. Homozygous loss-of-function mutations in this gene are known to cause severe junctional epidermolysis bullosa in human, mice, horse, sheep and dog. Overall, our data strongly support the causality of the identified gene and mutation. PMID:26370913

  7. [The Belgian and French medicine and the "Ordres" facing the "jewish question" during the Second World War].

    Science.gov (United States)

    Noterman, J

    2014-01-01

    The attitude of the medical community and the "Ordres" to the "jewish question" differs in Belgium and France. This difference originates before the Second World War. Xenophobia and antisemitism were stronger in France. In addition, the Belgian capitulation of May 1940 and the armistice of June 22 in France do not represent the same situation. In France, a legal government, under the direction of Marshal Pétain, took a series of xenophobic measures of which the Jews were the first victims. In Belgium, in the absence of any government, the General Secretaries in Ministries were the ones who had to apply the antijewish measures dictated by the German occupant. By law, they could not legislate on the political level. The "Ordre", of French physicians was created in late 1940 by the Vichy government. In Belgium, the "Ordre " had existed since 1938 but had been unable to meet in the absence of implement decrees. An "Ordre bis" was created in late 1941, the legality of which was questioned by many lawyers and physicians. The French "Ordre" was to apply the antijewish measures by taking responsibility for the selection of Jewish physicians entitled to practice. In Belgium, the "Ordre" frowned upon by the physicians, played no official role in this regard. It simply applied the antijewish measures dictated by the Germans without protesting. After the conflict, the leaders of the "Ordres" had a different fate in both countries. In France, they escaped sentences. In Belgium, they were heavily condemned. PMID:24908952

  8. Different periods of feed restriction before compensatory growth in Belgian Blue bulls: II. Plasma metabolites and hormones.

    Science.gov (United States)

    Hornick, J L; Van Eenaeme, C; Diez, M; Minet, V; Istasse, L

    1998-01-01

    Plasma metabolites and hormones were studied in 16 double-muscled Belgian Blue bulls maintained at low growth (.5 kg/d) for 114 (G2), 243 (G3), or 419 (G4) d (low growth period, LGP) before fattening (rapid growth period, RGP). Animals from the control group (CG) were fed a diet high in energy and protein. The animals from G2, G3, and G4 were fed a restricted amount of a diet low in energy and protein during LGP and the same diet as CG during RGP. Plasma glucose, alpha-amino nitrogen (AAN), NEFA, urea, creatinine, thyroxine (T4), 3,3',5'-triiodothyronine (T3), and IGF-I were measured in blood samples taken fortnightly. Plasma GH and insulin (I) profiles were measured in serial blood samples obtained at three times during growth. The RGP was characterized by an initial compensatory growth, by higher plasma glucose, AAN, and urea levels, and by lower plasma NEFA and creatinine levels. Plasma GH concentration decreased after refeeding. Plasma T4 increased linearly during refeeding, as opposed to T3, which showed a different profile in each group. Plasma IGF-I showed a curvilinear increase during RGP and reached a plateau after 3 mo in each compensating group. In G4, changes of plasma metabolites and hormones differed often distinctly from G2 or G3. During refeeding, higher nutrient supply improved the functionality of the somatotropic axis and increased the concentration of anabolic hormones, allowing rapid muscle deposition. However, animals underfed the longest period behaved differently from the other groups, possibly because they reached a more complete sexual maturity.

  9. Pandemic A/H1N1v influenza 2009 in hospitalized children: a multicenter Belgian survey

    Directory of Open Access Journals (Sweden)

    Blumental Sophie

    2011-11-01

    Full Text Available Abstract Background During the 2009 influenza A/H1N1v pandemic, children were identified as a specific "at risk" group. We conducted a multicentric study to describe pattern of influenza A/H1N1v infection among hospitalized children in Brussels, Belgium. Methods From July 1, 2009, to January 31, 2010, we collected epidemiological and clinical data of all proven (positive H1N1v PCR and probable (positive influenza A antigen or culture pediatric cases of influenza A/H1N1v infections, hospitalized in four tertiary centers. Results During the epidemic period, an excess of 18% of pediatric outpatients and emergency department visits was registered. 215 children were hospitalized with proven/probable influenza A/H1N1v infection. Median age was 31 months. 47% had ≥ 1 comorbid conditions. Febrile respiratory illness was the most common presentation. 36% presented with initial gastrointestinal symptoms and 10% with neurological manifestations. 34% had pneumonia. Only 24% of the patients received oseltamivir but 57% received antibiotics. 10% of children were admitted to PICU, seven of whom with ARDS. Case fatality-rate was 5/215 (2%, concerning only children suffering from chronic neurological disorders. Children over 2 years of age showed a higher propensity to be admitted to PICU (16% vs 1%, p = 0.002 and a higher mortality rate (4% vs 0%, p = 0.06. Infants less than 3 months old showed a milder course of infection, with few respiratory and neurological complications. Conclusion Although influenza A/H1N1v infections were generally self-limited, pediatric burden of disease was significant. Compared to other countries experiencing different health care systems, our Belgian cohort was younger and received less frequently antiviral therapy; disease course and mortality were however similar.

  10. Observational Study of a French and Belgian Multicenter Cohort of 23 Patients Diagnosed in Adulthood With Mevalonate Kinase Deficiency.

    Science.gov (United States)

    Durel, Cécile-Audrey; Aouba, Achille; Bienvenu, Boris; Deshayes, Samuel; Coppéré, Brigitte; Gombert, Bruno; Acquaviva-Bourdain, Cécile; Hachulla, Eric; Lecomte, Frédéric; Touitou, Isabelle; Ninet, Jacques; Philit, Jean-Baptiste; Messer, Laurent; Brouillard, Marc; Girard-Madoux, Marie-Hélène; Moutschen, Michel; Raison-Peyron, Nadia; Hutin, Pascal; Duffau, Pierre; Trolliet, Pierre; Hatron, Pierre-Yves; Heudier, Philippe; Cevallos, Ramiro; Lequerré, Thierry; Brousse, Valentine; Lesire, Vincent; Audia, Sylvain; Maucort-Boulch, Delphine; Cuisset, Laurence; Hot, Arnaud

    2016-03-01

    The aim of this study was to describe the clinical and biological features of Mevalonate kinase deficiency (MKD) in patients diagnosed in adulthood. This is a French and Belgian observational retrospective study from 2000 to 2014. To constitute the cohort, we cross-check the genetic and biochemical databases. The clinical, enzymatic, and genetic data were gathered from medical records. Twenty-three patients were analyzed. The mean age at diagnosis was 40 years, with a mean age at onset of symptoms of 3 years. All symptomatic patients had fever. Febrile attacks were mostly associated with arthralgia (90.9%); lymphadenopathy, abdominal pain, and skin lesions (86.4%); pharyngitis (63.6%); cough (59.1%); diarrhea, and hepatosplenomegaly (50.0%). Seven patients had psychiatric symptoms (31.8%). One patient developed recurrent seizures. Three patients experienced renal involvement (13.6%). Two patients had angiomyolipoma (9.1%). All but one tested patients had elevated serum immunoglobulin (Ig) D level. Twenty-one patients had genetic diagnosis; most of them were compound heterozygote (76.2%). p.Val377Ile was the most prevalent mutation. Structural articular damages and systemic AA amyloidosis were the 2 most serious complications. More than 65% of patients displayed decrease in severity and frequency of attacks with increasing age, but only 35% achieved remission. MKD diagnosed in adulthood shared clinical and genetic features with classical pediatric disease. An elevated IgD concentration is a good marker for MKD in adults. Despite a decrease of severity and frequency of attacks with age, only one-third of patients achieved spontaneous remission. PMID:26986117

  11. Régulation du télétravail et dialogue social. Le cas de la Belgique Telework regulation and social dialogue. The Belgian case

    Directory of Open Access Journals (Sweden)

    Jan De Schampheleire

    2006-07-01

    Full Text Available Dans le contexte belge, le télétravail se diffuse surtout de manière informelle pour des catégories de salariés disposant d’une certaine autonomie dans l’organisation de leur travail. La question de la régulation collective du télétravail se pose toutefois aux différents niveaux de la concertation sociale. Au niveau local, quelques entreprises pionnières se sont engagées dans la voie d’un encadrement concerté du télétravail. Les arrangements collectifs ou individuels qui s’en dégagent rendent alors compte des spécificités de l’organisation et du personnel. L’impulsion vient à présent du niveau national où une convention collective de travail a été conclue, en application de l’accord-cadre européen sur le télétravail de 2002. Cet article s’intéresse donc aux modalités de la négociation d’entreprise et au nouveau cadre interprofessionnel.Within a Belgian context, telework has been primarily developed in an informal way. Most importantly, it has involved workers who have autonomy in their organization of work. Introducing telework on a larger scale, however, requires consultation and negotiation on the various levels of collective industrial relations. Some Belgian pioneering enterprises have formalized telework. This has led to collective and individual arrangements that take into account the specificity of the organization and its personnel. At present, there is an impulse coming from a new Belgian collective agreement, which applies the 2002 European framework agreement on telework. This article thus focuses on the negotiation of telework with reference to enterprise agreements and the new collective agreement.

  12. Development of the body size in stallions of selected Bohemian-Moravian Belgian horse, Silesian Noriker and Noriker breeds in the Czech Republic

    Directory of Open Access Journals (Sweden)

    Jan NAVRÁTIL

    2016-06-01

    Full Text Available The aim of this work was to evaluate the basic body measurements (stick height at withers - KVH, tape height at withers - KVP, chest perimeter - OHR, shin perimeter - OHOL from data available from the 40th years of the 20th century in the Bohemian-Moravian Belgian horse, Silesian Noriker and Noriker breeds. The evaluation included a total of 1,080 stallions aged 2-3 years, used in mating and breeding. Processing and evaluation of a data set was done using Microsoft Office Excel and the statistical program SAS 9.3. Numerous statistically significant differences were found among the evaluated breeds (P < 0.05 to 0.01. The highest values of KVH, KVP and OHR were achieved by stallions of Bohemian-Moravian Belgian horse. The increase of the basic dimensions from 40´s years to 70´s – 90´s years was found during a detailed evaluation focusing on decade of stallions’ birth year. After year 2000, there was a dramatic +drop in the values of the fundamental physical dimensions. Statistically significant differences (P < 0.05 to 0.01 were evaluated primarily between stallions born in the 70´s years, and most other decades. A declining tendency in all assessed dimensions was observed during evaluation of the race and decade interaction effect mainly for the Czech-Moravian Belgian horse stallions born from 70´s, respectively 80´s. Apparent downward trend between the 90´s and stallions born after year 2000 was detected especially for stallions of Silesian Noriker breed. Decline of body size parameters was not observed for stallions of Noriker breed. The more likely slightly increased tendencies for KVH, KVP, OHR and OHOL were determined in Noriker stallions.

  13. Effect of menopause on lipid profile in relation to body mass index

    Directory of Open Access Journals (Sweden)

    Geetanjali Bade

    2014-01-01

    Full Text Available Background: Menopause is a natural event in the ageing process and signifies the end of reproductive years with cessation of cyclic ovarian function as manifested by cyclic menstruation. Lipid profile is altered in menopause because of various reasons. Objectives: The study was aimed to compare the lipid profile in women with normal body mass index (BMI = 18.9-24.9 and women with BMI = 25-29.9 in both pre- and post-menopausal group. Materials and Methods: Estimation of total cholesterol (TC by CHOD-PAP Cholesterol Oxidase - Peroxidase + Aminophenazone + Phenol method, triglyceride (TG by enzymatic calorimetric method, high density lipoprotein-cholesterol (HDL-C phosphotungstic acid method, low density lipoprotein-cholesterol (LDL-C by using Friedewald formula and very low density lipoprotein (VLDL was done by using the formula -VLDL = TG/5 in 30 women selected in each group. Results: Our study revealed that serum levels of TC, TG and LDL-C were significantly higher in post-menopausal women in comparison to their pre-menopausal counterparts, irrespective of BMI (P < 0.05. Similarly, HDL-C levels were significantly lower in post-menopausal women as compared with pre-menopausal women of similar BMI (P < 0.05. Conclusions: We found that serum levels of TC, TG and LDL-C were significantly higher in post-menopausal women in comparison to their pre-menopausal counterparts, irrespective of BMI. Similarly, HDL-C levels were significantly lower in post-menopausal women as compared to pre-menopausal women of similar BMI. Since we found similar changes in women of different BMIs, the difference in hormonal status is the probable cause of altered lipid profile. Hence, all post-menopausal women irrespective of body weight and BMI should be strongly counseled to have proper physical exercise and dietary habits to avoid the possible cardiovascular complications.

  14. Non-motor symptoms in a Flanders-Belgian population of 215 Parkinson’s disease patients as assessed by the Non-Motor Symptoms Questionnaire

    OpenAIRE

    Crosiers, David; Pickut, Barbara; Theuns, Jessie; De Deyn, Peter Paul; Van Broeckhoven, Christine; Martinez-Martin, Pablo; Chaudhuri, K. Ray; Cras, Patrick

    2012-01-01

    Background: Non-motor symptoms (NMS) in Parkinson’s disease (PD) are frequent, increase the patients’ disability and have an important negative impact on their quality of life. Methods: We used a Dutch translation of the Non-Motor Symptoms Questionnaire (NMSQuest) to identify NMS in a population of 215 Belgian PD patients. Results: A median number of 8 NMS was reported per patient. Urinary urgency (59.2 %), nocturia (56.9 %), insomnia (45.8 %), attention problems (45.5 %) and orthostatism (41...

  15. Rebellious Women

    DEFF Research Database (Denmark)

    Madsen, Peter

    2010-01-01

    At the background of a short presentation of concepts of discourse (in particular in Jürgen Habermas and Michel Foucault) and of the concept of shari'a a Spanish court case against an imam in reference to his publication on Women in Islam, where sura 4 verse 34 of the Quran is a central reference...

  16. Dietary patterns in Canadian men and women ages 25 and older: relationship to demographics, body mass index, and bone mineral density

    Directory of Open Access Journals (Sweden)

    Towheed Tanveer

    2010-01-01

    Full Text Available Abstract Background Previous research has shown that underlying dietary patterns are related to the risk of many different adverse health outcomes, but the relationship of these underlying patterns to skeletal fragility is not well understood. The objective of the study was to determine whether dietary patterns in men (ages 25-49, 50+ and women (pre-menopause, post-menopause are related to femoral neck bone mineral density (BMD independently of other lifestyle variables, and whether this relationship is mediated by body mass index. Methods We performed an analysis of 1928 men and 4611 women participants in the Canadian Multicentre Osteoporosis Study, a randomly selected population-based longitudinal cohort. We determined dietary patterns based on the self-administered food frequency questionnaires in year 2 of the study (1997-99. Our primary outcome was BMD as measured by dual x-ray absorptiometry in year 5 of the study (2000-02. Results We identified two underlying dietary patterns using factor analysis and then derived factor scores. The first factor (nutrient dense was most strongly associated with intake of fruits, vegetables, and whole grains. The second factor (energy dense was most strongly associated with intake of soft drinks, potato chips and French fries, certain meats (hamburger, hot dog, lunch meat, bacon, and sausage, and certain desserts (doughnuts, chocolate, ice cream. The energy dense factor was associated with higher body mass index independent of other demographic and lifestyle factors, and body mass index was a strong independent predictor of BMD. Surprisingly, we did not find a similar positive association between diet and BMD. In fact, when adjusted for body mass index, each standard deviation increase in the energy dense score was associated with a BMD decrease of 0.009 (95% CI: 0.002, 0.016 g/cm2 for men 50+ years old and 0.004 (95% CI: 0.000, 0.008 g/cm2 for postmenopausal women. In contrast, for men 25-49 years old

  17. Women's worth.

    Science.gov (United States)

    Bloch, N

    1992-01-01

    Jill Conway is a feminist historian, writer, teacher, and now-emerita 1st woman president of Smith College. She claims that women today still suffer from a great deal of oppression. Women around the world are currently in a disadvantage position. In 7 countries women do not have the right to vote. In the US less that .5% of top executives are women. The wage gap in the US between 1939 and 1989 has only shrunk $.10, from $.58-$.68. Conway points out that we are all constrained by our social mores, generational attitudes, political events, and economic circumstances. Few people are able to overcome these things in the way that they live their lives. Conway questions the validity of history written from a male dominated point of view. Around the world the value of women's work is almost always lower than that of men. India is just 1 example, there 75% of women are illiterate and 1/2 the population lives in poverty based on a caste system. Female literacy tripled in the 1st 30 years of independence and by 1981 it had reached 25%. The literacy gap is actually growing in India Today with 44% of girls aged 6 to 11, who are eligible to attend school, not doing so. Rural poverty keeps them at home because their domestic work is more valuable than their education. Other cultural tradition compound the problem: arranged marriages often result in motherhood for 14 year old girls. This is done for many reasons, 1 of which is crop failure insurance. When 2 families are combined through marriage, their total land share grows and they are thus more likely to have enough to eat. Education is just 1 necessary step. Developed nations must realize the realities that exist in the countries they provide aid for. In Africa for example, 70% of continent's food is produced by women. Yet the aid programs of the past have only been designed to offer assistant to men and create jobs for men. PMID:12317441

  18. Grassroots Women

    Directory of Open Access Journals (Sweden)

    Rebecca Kay

    2004-01-01

    Full Text Available The economic, social and political changes that have occurred in Russia over the last 10 years have had a profound effect on Russian women’s lives. Economic reform has brought poverty, insecurity and high levels of anxiety and stress to much of the population, both male and female. The impact of these changes on women was amplified in the early 1990s by their structural positioning both within the workforce and within the population, brought about by the legacies of the Soviet planned economy, Soviet attitudes to gender and long established demographic trends. Alongside these historical influences, ‘new’ essentialist attitudes towards gender and the appropriate roles and responsibilities of women in post-Soviet Russian society have been strongly promoted through the media, political and social discourses, imposing new pressures and dilemmas on many post-Soviet Russian women. Numerous women’s organisations have been established in Russia since the early 1990s, many of them with a specific remit of helping Russian women to overcome the upheavals and hardships which they face. Struggling to survive themselves with very few resources and minimal external support, Russia’s grassroots women’s organisations have nonetheless offered practical help and advice and emotional support and solidarity to their members. This paper is based on the findings of a period of intensive fieldwork carried out in 1995-6 with grassroots women’s organisations in Moscow and three Russian provincial centres. It will present the aims, activities and impact of the groups studied. It will also investigate the ways in which these groups and their membership positioned themselves in relation to the development of essentialist attitudes and opinions on gender within Russia on the one hand, and a dialogue with ‘western’ feminist theory and practice on the other.

  19. Women's Club

    CERN Multimedia

    CERN Women's Club

    2012-01-01

     Coffee Morning Tuesday 7th February 2012, 9:00 – 11:00 Bldg 504 (Restaurant n°2 – DSR) 1st Floor, Club Room 3 Presentation of cheque to Terre des Hommes Those interested in helping should come along. New arrivals and all members are cordially invited.You can enrol for membership, renew membership, find out about and sign up for our activities. Visit our website: http://club-womensclub.web.cern.ch/Club-WomensClub/

  20. Women's Club

    CERN Multimedia

    Club des Cernoises

    2012-01-01

    Coffee Morning   Tuesday 24th  April 2012, 9:00 – 14:00 Bldg 504, Ground Floor Spring Jumble Sale   Those interested in helping should come along. New arrivals and all members are cordially invited. You can enrol for membership, renew membership, find out about and sign up for our activities. Visit our website: http://club-womensclub.web.cern.ch/Club-WomensClub/