The Presence of Borrelia miyamotoi, A Relapsing Fever Spirochaete, in Questing Ixodes ricinus in Belgium and in The Netherlands.

PubMed

Cochez, C; Heyman, P; Heylen, D; Fonville, M; Hengeveld, P; Takken, W; Simons, L; Sprong, H

2015-08-01

Borrelia miyamotoi is a tick-borne bacterium that may cause relapsing fever in humans. As this pathogen has been discovered in Europe only recently, only little is known about its local impact on human health and its spatial distribution. In this study, we show the results of PCR screenings for B. miyamotoi in flagged Ixodes ricinus from Belgium and the Netherlands. B. miyamotoi was detected in nine of thirteen, and three of five locations from the Netherlands and Belgium, respectively. These outcomes indicate that B. miyamotoi is more spread than previously thought. The mean infection rate B. miyamotoi was 1.14% for Belgium and 3.84% for the Netherlands. © 2014 Blackwell Verlag GmbH.

Reintroduction of the invasive mosquito species Aedes albopictus in Belgium in July 2013

PubMed Central

Boukraa, Slimane; Raharimalala, Fara N.; Zimmer, Jean-Yves; Schaffner, Francis; Bawin, Thomas; Haubruge, Eric; Francis, Frédéric

2013-01-01

Since its first report in 2000, the invasive mosquito Aedes albopictus was not found any more during the different entomological inspections performed at its place of introduction in Belgium between 2001 and 2012. In July 2013, one adult male was captured at the same site (a platform of imported used tires located in Vrasene, Oost-Vlaanderen Province), during a monitoring using CO2-baited trap. This finding suggests the reintroduction of the species in Belgium via the used tire trade. PMID:24325893

Implementation of surveillance of invasive mosquitoes in Belgium according to the ECDC guidelines

PubMed Central

2014-01-01

Background In 2012, the new guidelines for the surveillance of IMS in Europe, produced by the European Centre for Disease Prevention and Control (ECDC), were tested in Belgium. This study aimed at (1) testing the usefulness and applicability in the field of the ECDC guidelines for the surveillance of IMS in Europe and (2) surveying IMS throughout Belgium. Methods First, the scenarios, which Belgium is facing, were identified according to the ECDC guidelines. Second, the surveillance strategy and the methods were identified based on the guidelines and adjusted to the Belgium context. Two areas colonised by IMS and 20 potential points of entry (PoE) were selected. Mosquito Magnet Liberty Plus (CO2-baited) traps (23) and oviposition traps (147) were set-up, and larval sampling was performed monthly or bi-monthly from July till October 2012. Finally, the costs and workload of the surveillance activities were compared to the estimates provided by the ECDC guidelines. Results Surveillance at 20 potential PoE (complying with scenario 1) revealed that no new IMS were established in Belgium. Surveillance at two sites colonised by IMS (scenario 2) indicated that although control measures have drastically reduced the Ae. j. japonicus population this species is still present. Furthermore, Ae. koreicus is permanently established. For both scenarios, the problems encountered are discussed and recommendations are given. In addition, the actual workload was lower than the estimated workload, while the actual costs were higher than the estimated ones. Conclusions The ECDC guidelines are helpful, applicable and efficient to implement surveillance of IMS in Belgium. Recommendations were customised to the local context (political demands, salary and investment costs, and existing expertise). The workload and costs related to the preparatory phase (i.e., planning, contacts with the PoE, writing a protocol) were found to be missing in the cost evaluation suggested in the guidelines. Updates on the occurrence of IMS in Belgium and the related risk for disease agents they can transmit will only be available once a structured and permanent surveillance system is implemented. PMID:24766783

The State University at Ghent, Belgium, Educates Engineers in Rwanda.

ERIC Educational Resources Information Center

Van Impe, W. F.

1989-01-01

Describes the historical development and programs of engineering education at the University of Rwanda in cooperation with a Belgium university. Provides lists of courses for electromechanical and civil engineering programs. (YP)

The current state of clinical ethics and healthcare ethics committees in Belgium

PubMed Central

Meulenbergs, T; Vermylen, J; Schotsmans, P

2005-01-01

Ethics committees are the most important practical instrument of clinical ethics in Belgium and fulfil three tasks: the ethical review of experimental protocols, advising on the ethical aspects of healthcare practice, and ethics consultation. In this article the authors examine the current situation of ethics committees in Belgium from the perspective of clinical ethics. Firstly, the most important steps which thus far have been taken in Belgium are examined. Secondly, recent opinion by the Belgian Advisory Committee on Bioethics with regard to ethics committees is presented and the activities of Belgian ethics committees are discussed. Finally, the option to bring research ethics and clinical ethics under the roof of just one committee is criticised using a pragmatic and a methodological argument. Concomitantly, the authors build an argument in favour of the further development of ethics consultation. PMID:15923477

Trends in lung cancer death rates in Belgium and The Netherlands: a systematic analysis of temporal patterns.

PubMed

Van Hemelrijck, Mieke J J; Kabir, Zubair; Connolly, Gregory N

2009-06-01

Belgium and The Netherlands have fairly similar smoking prevalence patterns, but distinct tobacco control policies. It is our aim to use lung cancer death rates, especially among the youngest age groups (30-39 years), as indicators of past smoking behavioral patterns to evaluate recent tobacco control efforts in both countries. Lung cancer mortality rates from 1954 to 1997 and from 1950 to 2000 were investigated in Belgium and The Netherlands, respectively, using the joinpoint regression modeling technique (log-linear Poisson models) to calculate annual percent change in death rate. In the most recent period (1984-2000) overall male lung cancer death rates have been declining at a faster rate in The Netherlands than in Belgium. In contrast, overall female lung cancer death rates (between 1950 and 2000) have been increasing at a faster rate in The Netherlands than in Belgium. Since 1988, however, APCs in death rates among Dutch females have begun to level off. Interestingly, during this same period, a significant annual decline of 7.7% among the youngest Dutch women (30-39 years) has been observed. Tobacco use prevention and interventions seem to have an impact on smoking prevalence, especially among younger age groups. In The Netherlands, where aggressive anti-tobacco campaigns were introduced a few years earlier than in Belgium, male lung cancer mortality rates have been declining more rapidly, and female lung cancer mortality rates have begun to level off.

Reintroduction of the invasive mosquito species Aedes albopictus in Belgium in July 2013.

PubMed

Boukraa, Slimane; Raharimalala, Fara N; Zimmer, Jean-Yves; Schaffner, Francis; Bawin, Thomas; Haubruge, Eric; Francis, Frédéric

2013-01-01

Since its first report in 2000, the invasive mosquito Aedes albopictus was not found any more during the different entomological inspections performed at its place of introduction in Belgium between 2001 and 2012. In July 2013, one adult male was captured at the same site (a platform of imported used tires located in Vrasene, Oost-Vlaanderen Province), during a monitoring using CO2-baited trap. This finding suggests the reintroduction of the species in Belgium via the used tire trade. © S. Boukraa et al., published by EDP Sciences, 2013.

Seroprevalence of Toxoplasma gondii in domestic sheep in Belgium.

PubMed

Verhelst, D; De Craeye, S; Vanrobaeys, M; Czaplicki, G; Dorny, P; Cox, E

2014-09-15

Even though infected sheep are a potential source of Toxoplasma gondii infection in humans, information is lacking concerning the seroprevalence of T. gondii infection in sheep in Belgium. We examined 3170 serum samples for anti-Toxoplasma IgG in sheep by total lysate antigen (TLA) enzyme-linked immunosorbent assay (ELISA). IgG to T. gondii was demonstrated in 87.4% of the tested sheep and in 96.2% of the 209 tested flocks. The seroprevalences in Antwerp (65.2%) and Wallonia (68.6%) are statistically lower than in the other regions in Belgium (96.7-97.8%) (P<0.05). The present study is the first report that analyzed the prevalence of T. gondii infection in sheep in Belgium and confirms the high prevalence of Toxoplasma-specific IgG antibodies in the sheep population. Copyright © 2014 Elsevier B.V. All rights reserved.

Burden of skin cancer in Belgium and cost-effectiveness of primary prevention by reducing ultraviolet exposure.

PubMed

Pil, Lore; Hoorens, Isabelle; Vossaert, Katrien; Kruse, Vibeke; Tromme, Isabelle; Speybroeck, Niko; Brochez, Lieve; Annemans, Lieven

2016-12-01

Skin cancer (melanoma- and non-melanoma skin cancer) is one of the most rapidly increasing cancers worldwide. This study analysed the current and future economic burden of skin cancer in Belgium and the cost-effectiveness of primary prevention of skin cancer. A retrospective bottom-up cost-of-illness study was performed, together with a Markov model in order to analyse the cost-effectiveness and the budget impact analysis of primary prevention of skin cancer in Belgium. Total prevalence of skin cancer in Belgium was estimated to triple in the next 20years. The total economic burden of skin cancer in 2014 in Belgium was estimated at €106 million, with a cumulative cost of €3 billion in 2034. The majority of this total cost was due to melanoma (65%). Over a period of 50years, both a sensitisation campaign and a total ban on sunbed use would lead to a gain in quality-adjusted life-years and cost-savings. For every euro invested in the campaign, €3.6 would be saved on the long-term for the healthcare payer. Policy makers and clinicians should promote UV protection strategies, as they were estimated to be dominant strategies. Copyright © 2016 Elsevier Inc. All rights reserved.

Impact of environmental discourses on public health policy arrangements: a comparative study in the UK and Flanders, (Belgium).

PubMed

Stassen, K R; Gislason, M; Leroy, P

2010-10-01

Theoretically inspired by discursive institutionalism and multi-level governance, this paper assesses the extent to which 'environmental health' has emerged as a new discourse at European level, the effects it has had on national public health governance in two European countries, and what mechanisms have triggered or hindered these effects. Comparison of the dynamics in public health policy arrangements in Flanders (Belgium) and the UK, nations influenced by both international and European environmental health discourses. The Policy Arrangement Approach was the analytical framework used to structure the results of this textual analysis. Despite their shared focus on environmental health, Belgium and the UK display quite different approaches to environmental health governance. While Belgium works on environmental health in a predominantly top-down approach, the UK has developed a more inward-facing approach to environmental health policies. The cases of the UK and Belgium show that, although these countries respond similarly to internationally agreed charters and both are members of the European Union, national differences in environmental health policies persist, mainly due to pre-existing national policy arrangements and the activities of national institutions. This leads to a divergent interplay between national and international institutions. Copyright © 2010 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Prevalence and demography of transsexualism in Belgium.

PubMed

De Cuypere, G; Van Hemelrijck, M; Michel, A; Carael, B; Heylens, G; Rubens, R; Hoebeke, P; Monstrey, S

2007-04-01

The Belgian medical world has acknowledged the diagnosis of transsexualism and accepted Sex Reassignment Surgery (SRS) as one of the steps in the treatment of choice since 1985. This prevalence and demographic study analyses data on all Belgian individuals who have undergone SRS since that year. All (188) plastic surgeons as well as all gender teams (Antwerp, Bruges, Ghent, and Liège) in Belgium were sent demographic questionnaires to be completed for each of their transsexual patients. The results show an overall prevalence of 1:12,900 for male-to-female and 1:33,800 for female-to-male transsexuals in Belgium. In Wallonia (the French-speaking region of Belgium) the prevalence is significantly lower than in Flanders (the Dutch-speaking region) and in Brussels (the bilingual capital region). In the total Belgian population the male/female sex ratio is 2.43:1, again with a substantial difference between Wallonia on the one hand and Flanders on the other. While in Flanders and in Brussels the prevalence is comparable to that in other Western European countries, in Wallonia it is markedly lower. Transsexualism in Wallonia appears to be socially less acceptable: persons suffering from gender dysphoria in that part of Belgium encounter more problems accessing gender clinics and receiving treatment.

Measuring personal exposure from 900MHz mobile phone base stations in Australia and Belgium using a novel personal distributed exposimeter.

PubMed

Bhatt, Chhavi Raj; Thielens, Arno; Redmayne, Mary; Abramson, Michael J; Billah, Baki; Sim, Malcolm R; Vermeulen, Roel; Martens, Luc; Joseph, Wout; Benke, Geza

2016-01-01

The aims of this study were to: i) measure personal exposure in the Global System for Mobile communications (GSM) 900MHz downlink (DL) frequency band with two systems of exposimeters, a personal distributed exposimeter (PDE) and a pair of ExpoM-RFs, ii) compare the GSM 900MHz DL exposures across various microenvironments in Australia and Belgium, and iii) evaluate the correlation between the PDE and ExpoM-RFs measurements. Personal exposure data were collected using the PDE and two ExpoM-RFs simultaneously across 34 microenvironments (17 each in Australia and Belgium) located in urban, suburban and rural areas. Summary statistics of the electric field strengths (V/m) were computed and compared across similar microenvironments in Australia and Belgium. The personal exposures across urban microenvironments were higher than those in the rural or suburban microenvironments. Likewise, the exposure levels across the outdoor were higher than those for indoor microenvironments. The five highest median exposure levels were: city centre (0.248V/m), bus (0.124V/m), railway station (0.105V/m), mountain/forest (rural) (0.057V/m), and train (0.055V/m) [Australia]; and bicycle (urban) (0.238V/m), tram station (0.238V/m), city centre (0.156V/m), residential outdoor (urban) (0.139V/m) and park (0.124V/m) [Belgium]. Exposures in the GSM900 MHz frequency band across most of the microenvironments in Australia were significantly lower than the exposures across the microenvironments in Belgium. Overall correlations between the PDE and the ExpoM-RFs measurements were high. The measured exposure levels were far below the general public reference levels recommended in the guidelines of the ICNIRP and the ARPANSA. Copyright © 2016 Elsevier Ltd. All rights reserved.

Education Policy Outlook: Belgium

ERIC Educational Resources Information Center

Golden, Gillian; Figueroa, Diana Toledo; Giovinazzo, Manon; Crosby, Shiana; Horvathova, Michaela

2017-01-01

This policy profile on education in Belgium is part of the "Education Policy Outlook" series, which presents comparative analysis of education policies and reforms across OECD countries. Building on the OECD's substantial comparative and sectoral knowledge base, the series offers a comparative outlook on education policy by providing…

Country Report: Belgium-Flemish Community

ERIC Educational Resources Information Center

Franken, Leni

2017-01-01

In the federal state of Belgium, education is, since the constitutional amendment of 1988, organised in an autonomous way by the Flemish, French and German Communities. Within each Community, there are different kinds of schools: "private" (but state funded) schools, which are mainly, but not exclusively, Catholic, and…

New Developments

ERIC Educational Resources Information Center

Lohmander, Maelis Karlson; Vandenbroeck, Michel; Pirard, Florence; Peeters, Jan; Alvestad, Marit

2009-01-01

New developments and challenges regarding early childhood education (ECE) policy and practice in Norway and in the Flemish and French communities in Belgium are presented in this issue. There are clear differences between the countries when comparing systems they have chosen for ECE. In Belgium, supervision and responsibilities for education,…

Ageism in Belgium and Burundi: a comparative analysis

PubMed Central

Marquet, Manon; Missotten, Pierre; Schroyen, Sarah; Nindaba, Desiderate; Adam, Stéphane

2016-01-01

Background Recent cross-cultural comparisons between Asian and Western cultures have shown that ageism arises more from the lack of availability of social and economic resources for older adults than from the culture itself. We tested this assumption by conducting a survey among people living in a least developed country compared with those living in a developed country. Participants and methods Twenty-seven Belgians living in Belgium, 29 Burundians living in Belgium, and 32 Burundians living in Burundi were included in this study. Their attitudes toward older adults were assessed using several self-reported measures. Results Statistical analyses confirmed that older people are more negatively perceived by Burundians living in Burundi than by Burundians and Belgians living in Belgium, whose attitudes did not differ from each other. Conclusion Consistent with our hypothesis, our results suggest that the level of development of a country and more particularly the lack of government spending on older people (pension and health care systems) may contribute to their younger counterparts perceiving them more negatively. PMID:27601889

Social security status and mortality in Belgian and Spanish male workers.

PubMed

Duran, Xavier; Vanroelen, Christophe; Deboosere, Patrick; Benavides, Fernando G

2016-01-01

To assess differences in mortality rates between social security statuses in two independent samples of Belgian and Spanish male workers. Study of two retrospective cohorts (Belgium, n=23,607; Spain, n=44,385) of 50-60 year old male employees with 4 years of follow-up. Mortality rate ratios (MRR) were estimated using Poisson regression models. Mortality for subjects with permanent disability was higher than for the employed, for both Belgium [MRR=4.56 (95% CI: 2.88-7.21)] and Spain [MRR=7.15 (95% CI: 5.37-9.51)]. For the unemployed/early retirees, mortality was higher in Spain [MRR=1.64 (95% CI: 1.24-2.17)] than in Belgium [MRR=0.88 (95% CI: 0.46-1.71)]. MRR differences between Belgium and Spain for unemployed workers could be partly explained because of differences between the two social security systems. Future studies should further explore mortality differences between countries with different social security systems. Copyright © 2016 SESPAS. Published by Elsevier Espana. All rights reserved.

Geographic distribution of suicide and railway suicide in Belgium, 2008-2013: a principal component analysis.

PubMed

Strale, Mathieu; Krysinska, Karolina; Overmeiren, Gaëtan Van; Andriessen, Karl

2017-06-01

This study investigated the geographic distribution of suicide and railway suicide in Belgium over 2008--2013 on local (i.e., district or arrondissement) level. There were differences in the regional distribution of suicide and railway suicides in Belgium over the study period. Principal component analysis identified three groups of correlations among population variables and socio-economic indicators, such as population density, unemployment, and age group distribution, on two components that helped explaining the variance of railway suicide at a local (arrondissement) level. This information is of particular importance to prevent suicides in high-risk areas on the Belgian railway network.

Vocational Education and Training in Belgium.

ERIC Educational Resources Information Center

Geers, Frederik; Van Weydeveldt, Reinald

This document describes the vocational education and training system in Belgium, beginning in chapter 1 with the administrative, demographic, and economic background in which the training system exists. Chapter 2 provides a brief historical review of the development of the training system; arrangements for initial training; and arrangements for…

The Demand for Higher Education in Belgium.

ERIC Educational Resources Information Center

Duchesne, I.; Nonneman, W.

1998-01-01

Investigates determinants behind the spectacular higher education enrollment growth in Belgium since 1953, using a demand model that integrates consumption and investment aspects and empirically tests time-series data specifications between 1953 and 1992. Income and foregone earnings are driving enrollments. Income, opportunity costs, and the wage…

Educational Expansion in Belgium: A Sociological Analysis Using Systems Theory.

ERIC Educational Resources Information Center

Vanderstraeten, Raf

1999-01-01

Educational expansion is the result of an intricate interplay between individual expectations and characteristics of the educational subsystem. Using systems theory, this article presents figures on educational participation in Belgium. Educational policy cannot steer or control educational expansion. The system can only react autonomously.…

Time trend of clinical cases of Lyme disease in two hospitals in Belgium, 2000-2013.

PubMed

De Keukeleire, Mathilde; Vanwambeke, Sophie O; Kabamba, Benoît; Belkhir, Leila; Pierre, Philippe; Luyasu, Victor; Robert, Annie

2017-12-05

As several studies indicated an increase in Lyme disease (LD), notably in neighbouring countries, concerns have arisen regarding the evolution of Lyme disease in Belgium. In order to confirm or infirm the increase of LD in Belgium, we focused on hospital admissions of patients diagnosed with LD between 2000 and 2013 based on hospital admission databases from two hospitals in Belgium. Hospital databases are a stable recording system. We did a retrospective analysis of the medical files of patients hospitalized with Lyme disease in two Belgian hospitals between 2000 and 2013. The annual number of cases of LD for the two studied Belgian hospitals remained stable between 2000 and 2013, ranging from 1 for the Cliniques universitaires Saint-Luc to 15 for the the Clinique Saint-Pierre. No increasing trend were noted in the estimated annual incidence rate but the average estimated annual incidence rate was higher for the hospital Saint-Pierre (8.1 ± 3.7 per 100,000 inhabitants) than Saint-Luc (2.2 ± 1.5 per 100,000 inhabitants). The number of hospital cases of LD peaked between June and November. Based on hospital admissions with LD, no increasing trend was observed for the period 2000-2013 in the two studied Belgian hospitals. This is in line with other studies carried out in Belgium.

An Astronomical Survey Conducted in Belgium

ERIC Educational Resources Information Center

Nazé, Yaël; Fantaine, Sébastien

2014-01-01

This paper presents the results of the first survey conducted in Belgium about the interest in and knowledge of astronomy. Two samples were studied, the public at large (667 questionnaires) and students (2589 questionnaires), but the results are generally similar in both samples. We evaluated people's interest, main information source and…

High-throughput screening (HTS) and modeling of the retinoid ...

EPA Pesticide Factsheets

Presentation at the Retinoids Review 2nd workshop in Brussels, Belgium on the application of high throughput screening and model to the retinoid system Presentation at the Retinoids Review 2nd workshop in Brussels, Belgium on the application of high throughput screening and model to the retinoid system

Labor Unions and Political Parties in Belgium

ERIC Educational Resources Information Center

Lorwin, Val R.

1975-01-01

The balance of power inside the dominant socialist and Catholic blocs in Belgium, which were once incontestably led by the political elites, has been shifting toward the trade unions. Regionalism has fragmented the political system far more than the industrial relations system; the unions' political influence will continue in importance. (Author)

Regional Inequality in Reading Performance: An Exploration in Belgium

ERIC Educational Resources Information Center

Ning, Bo; Van Damme, Jan; Van Den Noortgate, Wim; Gielen, Sarah; Bellens, Kim; Dupriez, Vincent; Dumay, Xavier

2016-01-01

In the 2009 Programme for International Student Assessment, the Flemish community of Belgium outscored its French community in reading, with low achievers accounting for a large proportion of the score gaps. In this study, between-community comparisons based on the Blinder-Oaxaca decomposition method showed that the Flemish community benefits…

Leadership Training Program for Medical Staff in Belgium

ERIC Educational Resources Information Center

Claes, Neree; Brabanders, Valérie

2016-01-01

Today healthcare is facing many challenges in a volatile, uncertain, complex and ambiguous environment. There is a need to develop strong leaders who can cope with these challenges. This article describes the process of a leadership training program for healthcare professionals in Belgium (named "Clinical Leadership Program" or…

Primary Education and the Fight against Alcoholism in Belgium at the Turn of the Century.

ERIC Educational Resources Information Center

De Vroede, Maurice

1985-01-01

Actions taken to counter alcoholism in Belgium toward the end of the 19th century are discussed. Why the primary school was enlisted in the fight against the social problem, what initiatives were developed, and what results were achieved are considered. (RM)

Religious and Citizenship Education in Belgium/Flanders: Suggestions for the Future

ERIC Educational Resources Information Center

Franken, Leni

2014-01-01

In Belgium (Flanders), citizenship education is one of the cross-curricular achievements, but it is not scheduled as a separate school subject. Alternatively, citizenship education is integrated in diverse school subjects and particularly in the religious education classes. However, with this didactical approach, two problems arise. First,…

First Do No Harm: Euthanasia of Patients with Dementia in Belgium

PubMed Central

Cohen-Almagor, Raphael

2016-01-01

In Memory of Ed Pellegrino Euthanasia in Belgium is not limited to terminally ill patients. It may be applied to patients with chronic degenerative diseases. Currently, people in Belgium wish to make it possible to euthanize incompetent patients who suffer from dementia. This article explains the Belgian law and then explores arguments for and against euthanasia of patients with dementia. It probes the dementia paradox by elucidating Dworkin’s distinction between critical and experiential interests, arguing that at the end-of-life this distinction is not clearcut. It argues against euthanasia for patients with dementia, for respecting patients’ humanity and for providing them with more care, compassion, and good doctoring. PMID:26661050

Some Research Centers for Plasma Physics and Solid State Physics in the Netherlands and Belgium. Part II. Belgium,

DTIC Science & Technology

plasma column and observed the interesting phenomenon of plasma ejection. At FUB, Balescu and Prigogine direct a group of sixty theoreticians doing...outstanding work in statistical physics. Balescu is writing another graduate textbook on non-equilibrium statistical mechanics. He is tackling the

Territoriality and Freedom of Language: The Case of Belgium

ERIC Educational Resources Information Center

van der Jeught, Stefaan

2017-01-01

Language law in Belgium is based on two concepts. The territoriality principle entails that official language use varies from one linguistic region to another. The constitutional freedom of language is an essential complement to territoriality and grants residents the right to use the language of their choice. In the monolingual regions of the…

"It Is Not Easy": Challenges for Provider-Initiated HIV Testing and Counseling in Flanders, Belgium

ERIC Educational Resources Information Center

Manirankunda, Lazare; Loos, Jasna; Debackaere, Pieterjan; Nostlinger, Christiana

2012-01-01

This study identified physicians' HIV testing practices and their barriers toward implementing provider-initiated HIV testing and counseling (PITC) for Sub-Saharan African migrants (SAM) in Flanders, Belgium. In-depth interviews were conducted on a purposive sample of 20 physicians (ten GPs and ten internists). GPs performed mainly…

78 FR 34644 - Stainless Steel Plate in Coils From Belgium: Preliminary Results of Antidumping Duty...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-10

... Coils From Belgium: Preliminary Results of Antidumping Duty Administrative Review; 2011-2012 AGENCY... of the scope of the order, see the ``Decision Memorandum for the Preliminary Results of Antidumping... Preliminary Decision Memorandum are identical in content. Preliminary Results of the Review As a result of...

76 FR 50495 - Stainless Steel Plate From Belgium, Italy, Korea, South Africa, and Taiwan

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-15

... Review] Stainless Steel Plate From Belgium, Italy, Korea, South Africa, and Taiwan Determinations On the.... 1675(c)), that revocation of the countervailing duty order on stainless steel plate from South Africa... Africa, and Taiwan would be likely to lead to continuation or recurrence of material injury to an...

76 FR 53882 - Continuation of Antidumping and Countervailing Duty Orders: Stainless Steel Plate in Coils From...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-30

... Coils From Belgium, the Republic of Korea, South Africa, and Taiwan AGENCY: Import Administration... steel plate in coils (SSPC) from Belgium, the Republic of Korea (Korea), South Africa, and Taiwan would...) order on SSPC from South Africa would likely lead to continuation or recurrence of a countervailable...

OECD Reviews of School Resources: Flemish Community of Belgium

ERIC Educational Resources Information Center

Nusche, Deborah; Miron, Gary; Santiago, Paulo; Teese, Richard

2015-01-01

This report for the Flemish Community of Belgium forms part of the Organisation for Economic Cooperation and Development (OECD) Review of Policies to Improve the Effectiveness of Resource Use in Schools and explores how resources can be governed, distributed, utilised and managed to improve the quality, equity and efficiency of school education.…

Genetic basis and clonal population structure of antibiotic resistance in Campylobacter jejuni isolated from broiler carcasses in Belgium

USDA-ARS?s Scientific Manuscript database

The aim of this study was to investigate the population structure and antimicrobial resistance profiles of a set of Campylobacter jejuni strains isolated from broiler carcasses in Belgium, and to further analyze the molecular mechanisms responsible for the resistance phenotypes. Minimum inhibitory c...

Outplacement and Re-Employment Measures during Organizational Restructuring in Belgium: Overview of the Literature and Results of Qualitative Research

ERIC Educational Resources Information Center

De Witte, Hans; Vandoorne, Jan; Verlinden, Roel; De Cuyper, Nele

2005-01-01

Purpose: Aims to review the research literature and legislation on outplacement and re-employment interventions in Belgium and present results of qualitative research and case studies of companies, regarding interventions during organizational restructuring. Design/methodology/approach: Comprises a literature review, qualitative (semi-structured…

European Research into Occupational Profiles in the Conservation of the Architectural Heritage.

ERIC Educational Resources Information Center

Cresti, Federico

1991-01-01

A study was conducted in Europe to determine what occupations and job skills are involved in the rehabilitation of architecturally significant buildings and in the restoration of monuments. Final reports were received from Belgium, France, and Italy. Experience in Belgium shows that there are specific provisions for restoration works, whereas…

Educational Reconstruction in Belgium. Bulletin, 1921, No. 39

ERIC Educational Resources Information Center

Montgomery, Walter A.

1921-01-01

Belgium's progress in rehabilitation has been the most marked of all the countries devastated by the World War. In resumption of operation of the iron and steel industries, of coal mining, of railroad rebuilding, of the sugar factories, of cotton spinning, of rebuilding residences and communal buildings, the Government, private initiative,…

Recruitment barriers for prophylactic vaccine trials: A study in Belgium.

PubMed

Harrington, Lauriane; Van Damme, Pierre; Vandermeulen, Corinne; Mali, Stéphanie

2017-12-04

Recruitment of volunteers is one of the main challenges in clinical trial management, and there is little information about recruitment barriers for preventative vaccine trials. We investigated both the recruitment barriers and recruitment strategies for preventive vaccine trials in Belgium. A 10 min survey was used as well as interviews of staff at all clinical trial sites in Belgium that regularly perform vaccine trials. We observed that there are successful recruitment strategies and few recruitment issues for trials involving healthy adults and those over 65 years old. However, challenges face the recruitment of paediatric populations, pregnant women, patients and the very elderly (over 85 years old). From these results, we identified three priority areas to increase recruitment for prophylactic vaccine trials in Belgium. These are: the lack of public knowledge about infectious diseases; the lack of resources of healthcare professionals to take part in clinical trials; and the burden to potential volunteers to take part in a trial. These were discussed with stakeholders and solutions were proposed. Copyright © 2017 Elsevier Ltd. All rights reserved.

Health and social inequities in Belgium.

PubMed

Lagasse, R; Humblet, P C; Lenaerts, A; Godin, I; Moens, G F

1990-01-01

This paper presents two different yet complementary on-going studies related to the understanding of the mechanisms leading to social inequalities in health. The first part is devoted to a differential morbidity survey held in southern Belgium. It confirms that striking differences exist in the period around birth between social categories, and between the three districts under study. In a multivariate approach, differences remain between the social categories and between the district samples, which classically studied socio-demographical, behavioural and medical characteristics cannot fully explain. The role of cultural factors is analysed and discussed through the concept of 'health culture' and alternative hypotheses are reviewed in the light of the results. The second part reviews the studies conducted on the so-called avoidable mortality in the EEC and more specifically in Belgium. The concept of avoidable mortality is discussed, as well as its utility from the standpoint of the present concern on social inequalities. Differences between EEC countries are large, and even within Belgium there are important disparities between the districts. The role of health care supply has not been demonstrated yet in these two contexts. For Belgium, it appears that a major part of the unequally distributed mortality is constituted by causes of death considered as avoidable. Moreover, the most discriminating causes of death are overrepresented in socially deprived districts. The two perspectives are confronted in order to delineate perspectives for future research and operational outcomes for policy making and interventions.

Anaesthesia manpower in Belgium until 2020: nurse anaesthetists--a possible solution?

PubMed

Demeere, J L

2002-10-01

The study evaluated the manpower requirements in anaesthesia in Belgium until 2020. The basic intent was to estimate the need for anaesthesiologists in different hospitals because the number of medical students will be reduced to 700 in 2004 and to 600 in 2007 (numerus clausus), and the number of trainees in anaesthesia from 110 to 42 (best scenario) or to 21 (worst scenario). Simultaneous anaesthesia (more than one patient at the same time) is not allowed by our professional safety rules or by the Belgian Ministry of Public Health. The questions are: will we have enough anaesthesiologists in the next 20 years, and is there a need for nurses to administer anaesthesia? This professional title of nurse anaesthetist does not presently exist in Belgium. Every registered anaesthesiologist in Belgium received a questionnaire about the manpower requirements in his or her institution expected over the next 20 years. The workload in the specialty was also considered. We received 154 replies from 186 different hospitals. The workload is definitely high: 10 h per day was devoted to clinical work and 4.6 h per week to administration. Belgium will need 51 anaesthesiologists each year after 2004, and 58 each year from 2010 to 2020. Will anaesthesiologists accept their present high workload for the next 20 years? If not, the consequences will be serious. Three-quarters (75.4%) of the replies identified a need for more anaesthesiologists and considered that an anaesthesiologist supervising anaesthesia nurses for a number of patients simultaneously was a possible solution.

Variation in treatment and survival of older patients with non-metastatic breast cancer in five European countries: a population-based cohort study from the EURECCA Breast Cancer Group.

PubMed

Derks, Marloes G M; Bastiaannet, Esther; Kiderlen, Mandy; Hilling, Denise E; Boelens, Petra G; Walsh, Paul M; van Eycken, Elizabeth; Siesling, Sabine; Broggio, John; Wyld, Lynda; Trojanowski, Maciej; Kolacinska, Agnieszka; Chalubinska-Fendler, Justyna; Gonçalves, Ana Filipa; Nowikiewicz, Tomasz; Zegarski, Wojciech; Audisio, Riccardo A; Liefers, Gerrit-Jan; Portielje, Johanneke E A; van de Velde, Cornelis J H

2018-06-07

Older patients are poorly represented in breast cancer research and guidelines do not provide evidence based recommendations for this specific group. We compared treatment strategies and survival outcomes between European countries and assessed whether variance in treatment patterns may be associated with variation in survival. Population-based study including patients aged ≥ 70 with non-metastatic BC from cancer registries from the Netherlands, Belgium, Ireland, England and Greater Poland. Proportions of local and systemic treatments, five-year relative survival and relative excess risks (RER) between countries were calculated. In total, 236,015 patients were included. The proportion of stage I BC receiving endocrine therapy ranged from 19.6% (Netherlands) to 84.6% (Belgium). The proportion of stage III BC receiving no breast surgery varied between 22.0% (Belgium) and 50.8% (Ireland). For stage I BC, relative survival was lower in England compared with Belgium (RER 2.96, 95%CI 1.30-6.72, P < .001). For stage III BC, England, Ireland and Greater Poland showed significantly worse relative survival compared with Belgium. There is substantial variation in treatment strategies and survival outcomes in elderly with BC in Europe. For early-stage BC, we observed large variation in endocrine therapy but no variation in relative survival, suggesting potential overtreatment. For advanced BC, we observed higher survival in countries with lower proportions of omission of surgery, suggesting potential undertreatment.

[Primary care in Belgium].

PubMed

Sánchez-Sagrado, T

2017-09-01

Belgium is an attractive country to work in, not just for doctors but for all Spanish workers, due to it having the headquarters of European Union. The health job allure is double; on the one hand, the opportunity to find a decent job, and on the other, because it is possible to develop their professional abilities with patients of the same nationality in a health system with a different way of working. The Belgium health care system is based on security social models. Health care is financed by the government, social security contributions, and voluntary private health insurance. Primary care in Belgium is very different to that in Spain. Citizens may freely choose their doctor (general practitioner or specialist) increasing the lack of coordination between primary and specialized care. This leads to serious patient safety problems and loss of efficiency within the system. Belgium is a European country with room to improve preventive coverage. General practitioners are self-employed professionals with free choice of setting, and their salary is linked to their professional activity. Ambulatory care is subjected to co-payment, and this fact leads to great inequities on access to care. The statistics say that there is universal coverage but, in 2010, 14% of the population did not seek medical contact due to economic problems. It takes 3 years to become a General Practitioner and continuing medical education is compulsory to be revalidated. In general, Belgian and Spaniards living and working in Belgium are happy with the functioning of the health care system. However, as doctors, we should be aware that it is a health care system in which access is constrained for some people, and preventive coverage could be improved. Copyright © 2016 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

Sexual health is dead in my body: participatory assessment of sexual health determinants by refugees, asylum seekers and undocumented migrants in Belgium and the Netherlands

PubMed Central

2014-01-01

Background Although migrants constitute an important proportion of the European population, little is known about migrant sexual health. Existing research mainly focuses on migrants’ sexual health risks and accessibility issues while recommendations on adequate sexual health promotion are rarely provided. Hence, this paper explores how refugees, asylum seekers and undocumented migrants in Belgium and the Netherlands define sexual health, search for sexual health information and perceive sexual health determinants. Methods Applying Community-based Participatory Research as the overarching research approach, we conducted 223 in-depth interviews with refugees, asylum seekers and undocumented migrants in Belgium and the Netherlands. The Framework Analysis Technique was used to analyse qualitative data. We checked the extensiveness of the qualitative data and analysed the quantitative socio-demographic data with SPSS. Results Our results indicate that gender and age do not appear to be decisive determinants. However, incorporated cultural norms and education attainment are important to consider in desirable sexual health promotion in refugees, asylum seekers and undocumented migrants in Belgium and the Netherlands. Furthermore, our results demonstrate that these migrants have a predominant internal health locus of control. Yet, most of them feel that this personal attitude is hugely challenged by the Belgian and Dutch asylum system and migration laws which force them into a structural dependent situation inducing sexual ill-health. Conclusion Refugees, asylum seekers and undocumented migrants in Belgium and the Netherlands are at risk of sexual ill-health. Incorporated cultural norms and attained education are important determinants to address in desirable sexual health promotion. Yet, as their legal status demonstrates to be the key determinant, the prime concern is to alter organizational and societal factors linked to the Belgian and Dutch asylum system. Refugees, asylum seekers and undocumented migrants in Belgium and the Netherlands should be granted the same opportunity as Belgian and Dutch citizens have, to become equally in control of their sexual health and sexuality. PMID:24886093

Media Literacy Policy in Flanders Belgium: From Parliamentary Discussions to Public Policy

ERIC Educational Resources Information Center

Van Audenhove, Leo; Mariën, Ilse; Vanwynsberghe, Hadewijch

2018-01-01

Media literacy has gained in importance in policy discussions on media, digital media and the Internet in many countries. How do these policies develop and what can be learned? This case study explores the factors contributing to the successful formulation and implementation of media literacy in Flanders-Belgium. By examining the trajectory of…

Differentiated Financing of Schools in French-Speaking Belgium: Prospectives for Regulating a School Quasi-Market

ERIC Educational Resources Information Center

Demeuse, Marc; Derobertmasure, Antoine; Friant, Nathanael

2010-01-01

The school quasi-market in French-speaking Belgium is characterised by segregation. Efforts to apply measures that encourage greater social mixing have met with stiff resistance. In 2008 and 2009, turbulence was caused by the application of the "social mixing" law influencing the registration procedures. The purpose of this article is to…

Different measles outbreaks in Belgium, January to June 2016 – a challenge for public health

PubMed Central

Grammens, Tine; Maes, Virginie; Hutse, Veronik; Laisnez, Valeska; Schirvel, Carole; Trémérie, Jean Marie; Sabbe, Martine

2016-01-01

During the first half of 2016, several outbreaks of measles were reported in the three regions of Belgium. Main challenges for public health were severe complications occurring in adults, nosocomial transmission and infection in healthcare workers. Here, we describe those outbreaks and lessons learnt for public health. PMID:27541858

Situation Reports--Austria, Belgium, Bolivia, Botswana, Finland, German Federal Republic, Italy, Luxembourg, Mauritania, Netherlands, Norway, Portugal, Puerto Rico, Sweden, Tanzania, Yugoslavia, and Zambia.

ERIC Educational Resources Information Center

International Planned Parenthood Federation, London (England).

Data pertaining to population and family planning in seventeen foreign countries are presented in these situation reports. Countries included are Austria, Belgium, Bolivia, Botswana, Finland, German Federal Republic, Italy, Luxembourg, Mauritania, Netherlands, Norway, Portugal, Puerto Rico, Sweden, Tanzania, Yugoslavia, and Zambia. Information is…

Teacher Evaluation Policy as Perceived by School Principals: The Case of Flanders (Belgium)

ERIC Educational Resources Information Center

Tuytens, Melissa; Devos, Geert

2018-01-01

In Flanders (Belgium), a new teacher evaluation policy was issued which placed a lot of autonomy with school principals to develop and implement a new teacher evaluation system. In this study, we explore how Flemish principals perceive the new teacher evaluation policy and what influences their perception. Results demonstrate that principals…

The Renewed Primary School in Belgium: Analysis of the Local Innovation Policy.

ERIC Educational Resources Information Center

Vandenberghe, Roland

The Renewed Primary School project in Belgium is analyzed in this paper in terms of organizational response to a large-scale innovation, which is characterized by its multidimensionality, by the large number of participating schools, and by a complex support structure. Section 2 of the report presents an elaborated description of these…

Education, Ethnic Homogenization and Cultural Hybridization (Brussels, Belgium, and Cape Town, South Africa).

ERIC Educational Resources Information Center

Leman, Johan, Ed.

1999-01-01

The eight chapters of this theme issue examine the ways in which autochthonous communities regard the supply side of education. The supply side is segregational in nature, and immigrants themselves move toward ethnic homogenization. The focus is on urban minorities in Brussels (Belgium). Compares the situation in Cape Town (South Africa). (SLD)

Qualitative survey of five beech damaging Coleoptera (Scolytidae and Lymexylonidae) in Wallonia (Southern Belgium)

Treesearch

Jean-Marc Henin; Olivier Huart; Phillipe Lejeune; Jacques Rondeux

2003-01-01

In 2000 and 2001, Trypodendron domesticum L. and T. signatum (F.) (Col.: Scolytidae) were one of the main causes of the depreciation of more than 1,600,000 m³ of standing beech trees, Fagus sylvatica L., in Wallonia (Southern Belgium). In 2001, a survey aiming at assessing the range of those indigenous...

Defense.gov Special Report: Travels with Lynn - January 2011

Science.gov Websites

said during his visit to Brussels, Belgium. Story Lynn: NATO Must Get Ahead of Cyber Threat BRUSSELS , Belgium, Jan. 25, 2011 - Now is the time for NATO to get ahead of the cyber threat, Deputy Defense Assault Prevention Asia-Pacific Rebalance Cyber Strategy News Today in DOD Press Advisories News Releases

Towards Integrative Religious Education in Belgium and Flanders: Challenges and Opportunities

ERIC Educational Resources Information Center

Loobuyck, Patrick; Franken, Leni

2011-01-01

This article describes the way in which religious education (RE) has been organised in Flanders and Belgium, and gives attention to the problems and challenges that arise these days. We argue that the "Schoolpact" of 1958 which implies separate RE in different religions in public schools needs a revision. Therefore, we propose an…

Training in the Retail Sector in the French and Flemish-Speaking Communities in Belgium. Report for the FORCE Programme. First Edition.

ERIC Educational Resources Information Center

Pollet, Ignace; And Others

An international team of researchers studied the following aspects of training in Belgium's retail sector: structure and characteristics, institutional and social context, employment and labor, changing conditions and their implications for skill requirements, and training and recruitment. Data were collected from an analysis of social and…

Education in Belgium. Bulletin, 1932, No. 5

ERIC Educational Resources Information Center

Abel, James F.

1932-01-01

The people of the Kingdom of Belgium (Royaume de Belgique) at the close of the nation's first century of independence, have systems of schools and allied institutions of wide variety designed to guide and aid their citizenry in proper development from earliest infancy to and during the adult years. Living in a territory long inhabited by virile,…

Narrating Linguistic Conflict: A Storytelling Analysis of the Language Conflict in Belgium

ERIC Educational Resources Information Center

De Keere, Kobe; Elchardus, Mark

2011-01-01

Few studies have addressed the question how the two main linguistic groups in Belgium (French and Flemish speakers) code each other. The research reported in this article is based on a storytelling forum of 56 persons that gathered five times. The storytelling sessions yielded 91 different stories about living in a bilingual society. These were…

"Every soul shall taste death." Attitudes and beliefs of Moroccan muslim women living in Antwerp (Belgium) toward dying, death, and the afterlife.

PubMed

Ahaddour, Chaïma; Broeckaert, Bert; Van den Branden, Stef

2018-02-26

This study aims to elicit the beliefs and attitudes of middle-aged and elderly Moroccan Muslim women toward dying, death, and the afterlife; to identify whether differences are observable between middle-aged and elderly participants and to document how the actual attitudes of our participants relate to normative Islamic literature. Interviews were conducted with middle-aged and elderly Moroccan women living in Belgium (n = 30) and with experts in the field (n = 15). This study reveals that the belief in an omnipotent and omniscient God and in an afterlife strongly marks the attitudes of first- and second-generation Muslims in Belgium toward life and death.

Inequality in treatment use among elderly patients with acute myocardial infarction: USA, Belgium and Quebec.

PubMed

Perelman, Julian; Shmueli, Amir; McDonald, Kathryn M; Pilote, Louise; Saynina, Olga; Closon, Marie-Christine

2009-07-30

Previous research has provided evidence that socioeconomic status has an impact on invasive treatments use after acute myocardial infarction. In this paper, we compare the socioeconomic inequality in the use of high-technology diagnosis and treatment after acute myocardial infarction between the US, Quebec and Belgium paying special attention to financial incentives and regulations as explanatory factors. We examined hospital-discharge abstracts for all patients older than 65 who were admitted to hospitals during the 1993-1998 period in the US, Quebec and Belgium with a primary diagnosis of acute myocardial infarction. Patients' income data were imputed from the median incomes of their residential area. For each country, we compared the risk-adjusted probability of undergoing each procedure between socioeconomic categories measured by the patient's area median income. Our findings indicate that income-related inequality exists in the use of high-technology treatment and diagnosis techniques that is not justified by differences in patients' health characteristics. Those inequalities are largely explained, in the US and Quebec, by inequalities in distances to hospitals with on-site cardiac facilities. However, in both Belgium and the US, inequalities persist among patients admitted to hospitals with on-site cardiac facilities, rejecting the hospital location effect as the single explanation for inequalities. Meanwhile, inequality levels diverge across countries (higher in the US and in Belgium, extremely low in Quebec). The findings support the hypothesis that income-related inequality in treatment for AMI exists and is likely to be affected by a country's system of health care.

[The Belgian and French medicine and the "Ordres" facing the "jewish question" during the Second World War].

PubMed

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.

Trypodendron domesticum and Trypodendron signatum: two scolytid species involved in beech decline in Belgium

Treesearch

B. Gaubicher; M. De Proft; J.-C. Gregoire

2003-01-01

Xylophagous scolytids (Ambrosia beetles) have long been known to prefer fallen or seriously weakened trees and stumps. They are attracted to this host material by ethanol produced by the fermenting phloem and sapwood. However, these insects have begun aggressively attacking living beeches in Southern Belgium, raising the issue of a possible shift towards primarity....

The Role of the Company in Generating Skills. The Learning Effects of Work Organisation. Belgium.

ERIC Educational Resources Information Center

Delcourt, Jacques; Fusulier, Bernard; Debaty, Pol; Maroy, Christian

Changes in the organization of work and production and in the management and structure of firms have an effect on the development of jobs and the segregation between certain trades and occupations. This macrocontext is a determining factor in the development of training and the acquisition of skill in Belgium. The Flemish region demonstrates the…

How Tracking Structures Attitudes towards Ethnic Out-Groups and Interethnic Interactions in the Classroom: An Ethnographic Study in Belgium

ERIC Educational Resources Information Center

Van Praag, Lore; Boone, Simon; Stevens, Peter A. J.; Van Houtte, Mieke

2015-01-01

The influence of the ethnic composition of schools on interethnic relations and attitudes has been studied extensively and has received ample interest from policy makers. However, less attention has been paid to the structures and processes inside schools that organize interethnic relations and attitudes. In Flanders (Belgium), secondary education…

HEAD CIRCUMFERENCE REFERENCES FOR SCHOOL AGE CHILDREN IN WESTERN ROMANIA.

PubMed

Chirita-Emandi, Adela; Doros, Gabriela; Simina, Iulia Jurca; Gafencu, Mihai; Puiu, Maria

2015-01-01

To provide head circumference references for school-aged children in western Romania, and compare them with references from other European countries. A total of 2742 children, aged 6-19 years, from Timis county, were examined by medical students, between February 2010-June 2011. Head circumference references were constructed by Cole's LMS method with LMSChartMaker software. The Romanian 3rd, 50th and 97th percentiles for head circumference were compared with recent references from Belgium and Germany. Generally, boys show significantly larger head circumference compared to girls at any age. The head circumference increments between 6 and 19 years are < 1 cm/year. Head circumference increments decrease in increasing age of the children. In girls, adult head circumference is reached at the age of 16 years, whereas head circumference growth continues, in boys, slowly until 18 years. The comparison of Romanian head percentiles with those from Belgium and Germany revealed a smaller head circumference in Romanian children (both girls and boys). Comparing head circumference references from Romania to those from Germany and Belgium, we found lower median head circumference in Romanian boys and girls, that could be explained by a taller stature of boys and girls in Germany and Belgium compared to Romania.

Antibiotic prescribing in relation to diagnoses and consultation rates in Belgium, the Netherlands and Sweden: use of European quality indicators.

PubMed

Tyrstrup, Mia; van der Velden, Alike; Engstrom, Sven; Goderis, Geert; Molstad, Sigvard; Verheij, Theo; Coenen, Samuel; Adriaenssens, Niels

2017-03-01

To assess the quality of antibiotic prescribing in primary care in Belgium, the Netherlands and Sweden using European disease-specific antibiotic prescribing quality indicators (APQI) and taking into account the threshold to consult and national guidelines. A retrospective observational database study. Routine primary health care registration networks in Belgium, the Netherlands and Sweden. All consultations for one of seven acute infections [upper respiratory tract infection (URTI), sinusitis, tonsillitis, otitis media, bronchitis, pneumonia and cystitis] and the antibiotic prescriptions in 2012 corresponding to these diagnoses. Consultation incidences for these diagnoses and APQI values (a) the percentages of patients receiving an antibiotic per diagnosis, (b) the percentages prescribed first-choice antibiotics and (c) the percentages prescribed quinolones. The consultation incidence for respiratory tract infection was much higher in Belgium than in the Netherlands and Sweden. Most of the prescribing percentage indicators (a) were outside the recommended ranges, with Belgium deviating the most for URTI and bronchitis, Sweden for tonsillitis and the Netherlands for cystitis. The Netherlands and Sweden prescribed the recommended antibiotics (b) to a higher degree and the prescribing of quinolones exceeded the proposed range for most diagnoses (c) in Belgium. The interpretation of APQI was found to be dependent on the consultation incidences. High consultation incidences were associated with high antibiotic prescription rates. Taking into account the recommended treatments from national guidelines improved the results of the APQI values for sinusitis in the Netherlands and cystitis in Sweden. Quality assessment using European disease-specific APQI was feasible and their inter-country comparison can identify opportunities for quality improvement. Their interpretation, however, should take consultation incidences and national guidelines into account. Differences in registration quality might limit the comparison of diagnosis-linked data between countries, especially for conditions such as cystitis where patients do not always see a clinician before treatment. Key points The large variation in antibiotic use between European countries points towards quality differences in prescribing in primary care.  • The European disease-specific antibiotic prescribing quality indicators (APQI) provide insight into antibiotic prescribing, but need further development, taking into account consultation incidences and country-specific guidelines.  • The incidence of consultations for respiratory tract infections was almost twice as high in Belgium compared to the Netherlands and Sweden.  • Comparison between countries of diagnosis-linked data were complicated by differences in data collection, especially for urinary tract infections.

Content and Student Factors in Mastering Environmental Studies--Nature in Primary Education: Evidence from a National Assessment in Flanders (Belgium)

ERIC Educational Resources Information Center

Janssen, Rianne; Crauwels, Marion

2011-01-01

A large-scale paper-and-pencil assessment of the attainment targets of environmental studies with a focus on the subject area nature was held in primary education in Flanders (Belgium). The tests on different subfields of nature, i.e. the human body, healthcare, organisms, ecosystems, environmental care and non-living nature, were administered to…

Stability and Tolerance to Optical Feedback of Quantum Dot Lasers

DTIC Science & Technology

2012-01-01

Libre de Bruxelles Optique Nonlineaire Theorique Campus Plaine, C.P. 213 Bruxelles, Belgium 1050 EOARD GRANT 09-3068 Report Date...Universite Libre de Bruxelles Optique Nonlineaire Theorique Campus Plaine, C.P. 213 Bruxelles, Belgium 1050 8. PERFORMING ORGANIZATION...Universite Libre de Bruxelles as follows: Quantum dot (QD) lasers have attracted a lot of attention because of their low threshold currents, low line

How Darwinism Has Affected Catholic as Well as Non-Catholic Psycho-Pedagogical Constructs in Belgium from the 1870s to the 1930s

ERIC Educational Resources Information Center

Depaepe, Marc; De Bont, Raf; Dams, Kristof

2012-01-01

On the basis of their individual preliminary studies, the authors consider in this article the impact of Darwinism on psycho-pedagogical constructs in Belgium in the period before the Second World War. Their findings are put together around three positions, which are, in fact, hypotheses for further research: (1) The "influence" of…

Interculturalism: Theory and Practice. Seminar (Limbourg, Belgium, April 14-15, 1987). The CDCC's Project No. 7: "The Education and Cultural Development of Migrants."

ERIC Educational Resources Information Center

Cammaert, Marie-France

As follow-up to a five-year Council for Cultural Cooperation project on migrants, a seminar and roundtable discussion on the theory and practice of intercultural education in Europe is presented. Seminar participants include educators and administrators from Belgium, West Germany, the Netherlands, and Sweden as well as a representative from the…

Survey on the Policy of Continuing Training in Large Firms. Case Studies in Belgium, Spain, France, the Netherlands, and the United Kingdom.

ERIC Educational Resources Information Center

Dupont, Georges; Reis, Fernanda

A study examined employee training policies and their implementation in four or five large companies in five countries (Belgium, Spain, France, the Netherlands, and the United Kingdom). Data were gathered through interviews by an expert in each of the countries using an interviewer's guide developed for the project (resulting in approximately 30…

International Survey in Eight Countries about Teachers and Teaching Profession: Belgium, Cyprus, Italy, Libya, Poland, Slovakia, Turkey, United States of America

ERIC Educational Resources Information Center

Chistolini, Sandra

2010-01-01

An international team of experts from Belgium, Italy, Poland, Slovakia, Turkey and the USA employed a questionnaire to identify the deontology of teachers from infant to secondary school in eight countries. The survey was implemented between 2004 and 2007. The socio-cultural concept of "Verstehen" (understanding) as described in the work…

Projected reduction in healthcare costs in Belgium after optimization of iodine intake: impact on costs related to thyroid nodular disease.

PubMed

Vandevijvere, Stefanie; Annemans, Lieven; Van Oyen, Herman; Tafforeau, Jean; Moreno-Reyes, Rodrigo

2010-11-01

Several surveys in the last 50 years have repeatedly indicated that Belgium is affected by mild iodine deficiency. Within the framework of the national food and health plan in Belgium, a selective, progressive, and monitored strategy was proposed in 2009 to optimize iodine intake. The objective of the present study was to perform a health economic evaluation of the consequences of inadequate iodine intake in Belgium, focusing on undisputed and measurable health outcomes such as thyroid nodular disease and its associated morbidity (hyperthyroidism). For the estimation of direct, indirect, medical, and nonmedical costs related to thyroid nodular diseases in Belgium, data from the Federal Public Service of Public Health, Food Chain Safety and Environment, the National Institute for Disease and Disability Insurance (RIZIV/INAMI), the Information Network about the prescription of reimbursable medicines (FARMANET), Intercontinental Marketing Services, and expert opinions were used. These costs translate into savings after implementation of the iodization program and are defined as costs due to thyroid nodular disease throughout the article. Costs related to the iodization program are referred to as program costs. Only figures dating from before the start of the intervention were exploited. Only adult and elderly people (≥18 years) were taken into account in this study because thyroid nodular diseases predominantly affect this age group. The yearly costs due to thyroid nodular diseases caused by mild iodine deficiency in the Belgian adult population are ∼€38 million. It is expected that the iodization program will result in additional costs of ∼€54,000 per year and decrease the prevalence of thyroid nodular diseases by 38% after a 4-5-year period. The net savings after establishment of the program are therefore estimated to be at least €14 million a year. Optimization of iodine intake in Belgium should be quite cost effective, if only considering its impact on nodular thyroid disease. There are likely added benefits relating to more optimal thyroid hormone influenced brain development that are more difficult to estimate but may be even more important.

The foundation for climate services in Belgium: CORDEX.be

NASA Astrophysics Data System (ADS)

Van Schaeybroeck, Bert; Termonia, Piet; De Ridder, Koen; Fettweis, Xavier; Gobin, Anne; Luyten, Patrick; Marbaix, Philippe; Pottiaux, Eric; Stavrakou, Trissevgeni; Van Lipzig, Nicole; van Ypersele, Jean-Pascal; Willems, Patrick

2017-04-01

According to the Global Framework for Climate Services (GFCS) there are four pillars required to build climate services. As the first step towards the realization of a climate center in Belgium, the national project CORDEX.be focused on one pillar: research modelling and projection. By bringing together the Belgian climate and impact modeling research of nine groups a data-driven capacity development and community building in Belgium based on interactions with users. The project is based on the international CORDEX ("COordinated Regional Climate Downscaling Experiment") project where ".be" indicates it will go beyond for Belgium. Our national effort links to the regional climate initiatives through the contribution of multiple high-resolution climate simulations over Europe following the EURO-CORDEX guidelines. Additionally the same climate simulations were repeated at convection-permitting resolutions over Belgium (3 to 5 km). These were used to drive different local impact models to investigate the impact of climate change on urban effects, storm surges and waves, crop production and changes in emissions from vegetation. Akin to international frameworks such as CMIP and CORDEX a multi-model approach is adopted allowing for uncertainty estimation, a crucial aspect of climate projections for policy-making purposes. However, due to the lack of a large set of high resolution model runs, a combination of all available climate information is supplemented with the statistical downscaling approach. The organization of the project, together with its main results will be outlined. The proposed coordination framework could serve as a demonstration case for regions or countries where the climate-research capacity is present but a structure is required to assemble it coherently. Based on interactions and feedback with stakeholders different applications are planned, demonstrating the use of the climate data.

Do informal caregivers for elderly in the community use support measures? A qualitative study in five European countries.

PubMed

Willemse, Evi; Anthierens, Sibyl; Farfan-Portet, Maria Isabel; Schmitz, Olivier; Macq, Jean; Bastiaens, Hilde; Dilles, Tinne; Remmen, Roy

2016-07-16

Informal caregivers are essential figures for maintaining frail elderly at home. Providing informal care can affect the informal caregivers' physical and psychological health and labour market participation capabilities. They need support to prevent caregiver burden. A variety of existing support measures can help the caregiver care for the elderly at home, but with some limitations. The objective of this review was to explore the experiences of informal caregivers caring for elderly in the community with the use of supportive policy measures in Belgium and compare these to the experiences in other European countries. An empirical qualitative case study research was conducted in five European countries (Belgium, The Netherlands, Luxembourg, France and Germany). Semi-structured interviews were conducted with informal caregivers and their dependent elderly. Interview data from the different cases were analysed. In particular data from Belgium was compared to data from the cases abroad. Formal services (e.g. home care) were reported to have the largest impact on allowing the caregiver to care for the dependent elderly at home. One of the key issues in Belgium is the lack of timely access to reliable information about formal and informal services in order to proactively support the informal caregiver. Compared to the other countries, informal caregivers in Belgium expressed more difficulties in accessing support measures and navigating through the health system. In the other countries information seemed to be given more timely when home care was provided via care packages. To support the informal caregiver, who is the key person to support the frail elderly, fragmentation of information regarding supportive policy measures is an important issue of concern.

The Extension of Belgium's Euthanasia Law to Include Competent Minors.

PubMed

Raus, Kasper

2016-06-01

Following considerable debate, the practice of euthanasia was legalized in Belgium in 2002, thereby making Belgium one of the few places in the world where this practice is legal. In 2014 the law was amended for the first time. The 2014 amendment makes euthanasia legally possible for all minors who repeatedly and voluntarily request euthanasia and who are judged to possess "capacity of discernment" (regardless of their biological age), as well as fulfil a number of other criteria of due care. This extension of the 2002 euthanasia law generated a lot of national and international debate and has been applauded by many and heavily criticized by others. This evolution is clearly of interest to end-of-life debates in the entire world. This paper will therefore describe how this amendment came to get passed using official documents from Belgium's Senate and Chamber of Representatives where this amendment was discussed and subsequently passed. Next, some of the most commonly given arguments in favour of the law are identified, as well as the arguments most often voiced against the amendment. All these arguments will be expanded upon and it will be examined whether they hold up to ethical scrutiny. Analysing the official documents and identifying the most commonly voiced arguments gives valuable insight into how Belgium came to amend its euthanasia law and why it did so in 2014. It also becomes clear that although the current amendment is often seen as far-reaching, more radical ideas were proposed during the drafting of the law. Also, in analysing those arguments in favour of the amendment and those against, it is clear that the validity of some of these is questionable.

The occurrence and genetic characterization of Cryptosporidium and Giardia species in foals in Belgium, The Netherlands, Germany and Greece.

PubMed

Kostopoulou, D; Casaert, S; Tzanidakis, N; van Doorn, D; Demeler, J; von Samson-Himmelstjerna, G; Saratsis, A; Voutzourakis, N; Ehsan, A; Doornaert, T; Looijen, M; De Wilde, N; Sotiraki, S; Claerebout, E; Geurden, T

2015-07-30

Faecal samples were collected from foals between the age of 1 week and 6 months in Belgium, The Netherlands, Germany and Greece. A quantitative direct immunofluorescence assay based on the commercial MERIFLUOR Cryptosporidium/Giardia kit was performed to evaluate the presence of (oo) cysts. Parasite positive samples were genotyped, based on the 18S ribosomal DNA gene and the heat shock protein (HSP70) gene for Cryptosporidium and on the β-giardin gene and the triose phosphate isomerase (TPI) gene for Giardia. In total, 134 foals from Belgium, 44 foals from The Netherlands, 30 foals from Germany and 190 foals from Greece were examined. No Cryptosporidium oocysts were identified in faecal samples from foals in Germany and The Netherlands. In Belgium and Greece, 4.5% and 1.1% of the foals examined were Cryptosporidium positive, respectively, all with a low oocyst excretion ranging from 100 to 2450 oocysts per gram of faeces. For Giardia, 14.2%, 11.4%, 10.0% and 11.6% of the foals in Belgium, The Netherlands, Germany and Greece, respectively, were found to excrete cysts, with a range of 50 up to 4,000,000 cysts per gram of faeces. Younger animals secreted significantly more Giardia cysts than older horses (p<0.05), but no significant correlation between Giardia infection and diarrhoea was observed. Most Giardia positive samples belonged to assemblage AI and/or BIV, but also assemblage E was detected in two samples. Together with the identification of Cryptosporidium horse genotype, this suggests only a low risk for zoonotic transmission. Copyright © 2015 Elsevier B.V. All rights reserved.

Roll out of intraveneous artesunate under named patient programmes in the Netherlands, Belgium and France

PubMed Central

2013-01-01

Background Intravenous (IV) artesunate is the treatment of choice for severe malaria. In Europe, this treatment is only available in a few countries via named patient programmes (NPPs). As a case study, the legal and organisational aspects and pharmacovigilance of these NPPs and possibilities for harmonisation within the EU were studied over time and space using IV artesunate (Malacef) in the Netherlands, Belgium and France. Methods The legal base and organisation of NPPs in the Netherlands, Belgium and France were studied. The diffusion and cumulative availability of IV artesunate and the pharmacovigilance components were compared among the three countries using distribution data from the period 2007 through 2012. Results Artesunate has quickly gained acceptance for treating severe malaria in the Netherlands, whereas both Belgium and France have introduced this treatment more hesitantly. This difference in acceptance is due to differences in the implementation of NPP legislation among the countries. France currently has a proactive system in which treatment requires the permission for each patient and an intensive follow-up protocol. On the other hand, Belgium and Dutch NPPs are more dependent on the investigators’ initiative and are therefore potentially faster and more flexible, facilitating the discovery of adverse effects that have not been reported by more formal comparative clinical trials. Conclusions NPPs provide a unique opportunity to study both the benefits and risks of unregistered products for treating rare diseases, provided that the patients are actively vigilated. Thus, we recommend that NPPs should be harmonised throughout Europe in order to ensure equal availability of treatment and therapeutic benefit to all Europeans without compromising patient safety. PMID:24063858

Risk adjustment and the fear of markets: the case of Belgium.

PubMed

Schokkaert, E; Van de Voorde, C

2000-02-01

In Belgium the management and administration of the compulsory and universal health insurance is left to a limited number of non-governmental non-profit sickness funds. Since 1995 these sickness funds are partially financed in a prospective way. The risk adjustment scheme is based on a regression model to explain medical expenditures for different social groups. Medical supply is taken out of the formula to construct risk-adjusted capitation payments. The risk-adjustment formula still leaves scope for risk selection. At the same time, the sickness funds were not given the instruments to exert a real influence on expenditures and the health insurance market has not been opened for new entrants. As a consequence, Belgium runs the danger of ending up in a situation with little incentives for efficiency and considerable profits from cream skimming.

First Do No Harm: Euthanasia of Patients with Dementia in Belgium.

PubMed

Cohen-Almagor, Raphael

2016-02-01

In Memory of Ed Pellegrino. Euthanasia in Belgium is not limited to terminally ill patients. It may be applied to patients with chronic degenerative diseases. Currently, people in Belgium wish to make it possible to euthanize incompetent patients who suffer from dementia. This article explains the Belgian law and then explores arguments for and against euthanasia of patients with dementia. It probes the dementia paradox by elucidating Dworkin's distinction between critical and experiential interests, arguing that at the end-of-life this distinction is not clearcut. It argues against euthanasia for patients with dementia, for respecting patients' humanity and for providing them with more care, compassion, and good doctoring. © The Author 2015. Published by Oxford University Press, on behalf of the Journal of Medicine and Philosophy Inc. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Agreement on urgency assessment between secretaries and general practitioners: an observational study in out-of-hours general practice service in Belgium.

PubMed

Philips, H; Van Bergen, J; Huibers, L; Colliers, A; Bartholomeeusen, S; Coenen, S; Remmen, R

2015-10-01

In some European countries telephone triage (TT) during out-of-hours primary care showed to be safe and effective. Other countries, such as Belgium, may not have trained auxiliary personnel while their national health services want to establish TT. To compare urgency levels assessed by secretaries and general practitioners in one general practice cooperative in Belgium. Percentage of correct-, under-, and over-triage were calculated in total and per reason for encounter. Inter-rater agreement was investigated. The secretaries correctly triaged (same urgency level) 77% of the telephone calls, under-triaged 10% and over-triaged 13%.'Shortness of breath', 'skin cuts', 'chest pain', 'feeling unwell' and 'syncope' were often under-triaged. Before introducing TT, auxiliary staff should be trained and protocols should be used.

Late Devonian (Frasnian) phyllopod and phyllocarid crustacean shields from Belgium reinterpreted as ammonoid anaptychi

NASA Astrophysics Data System (ADS)

Goolaerts, Stijn; Denayer, Julien; Mottequin, Bernard

2017-12-01

The taxonomic affinities of fossils from the Frasnian succession of Belgium previously described as phyllopod and phyllocarid crustacean shields are discussed. The rediscovery of the holotype of Ellipsocaris dewalquei, the type species of the genus Ellipsocaris Woodward in Dewalque, 1882, allows to end the discussion on the taxonomic assignation of the genus Ellipsocaris. It is removed from the phyllopod crustaceans as interpreted originally and considered here as an ammonoid anaptychus. Furthermore, it is considered to be a junior synonym of the genus Sidetes Giebel, 1847. Similarly, Van Straelen's (1933) lower to middle Frasnian record Spathiocaris chagrinensis Ruedemann, 1916, is also an ammonoid anaptychus. Although ammonoids can be relatively frequent in some Frasnian horizons of Belgium, anaptychi remain particularly scarce and the attribution to the present material to peculiar ammonoid species is not possible.

How Belfius Bank's response to the terrorist attacks in Brussels helped embed business continuity in the company culture.

PubMed

Jappens, Ludo

2017-01-01

Until 2015, major terrorist incidents in Belgium were considered a 'black swan'. However, the suicide attacks in Paris on 13th November, 2015 provided a wake-up call. Investigations revealed that the raid was prepared in Belgium by jihadists who grew up in Brussels and was coordinated by Belgian ISIS fighters in Syria. In an instant, it became clear that terror had been embedded in Belgian society and could erupt at any moment. At Belfius Bank Belgium, the subsequent months were a rollercoaster ride of terrorist-related events. Business activities were strongly affected, as the company's head office is located in the centre of Brussels. This paper focuses on the way Belfius responded to the events and how the lessons learned have helped to improve its business continuity and crisis management capability.

Tracking and Sense of Futility: The Impact of Between-School Tracking versus Within-School Tracking in Secondary Education in Flanders (Belgium)

ERIC Educational Resources Information Center

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

2015-01-01

It has been established since the 1960s that tracking yields negative consequences for students in lower tracks. As this research has been carried out mainly in the USA and UK, the effects of tracking have been demonstrated in systems of within-school tracking mostly. However, in many European countries--such as Belgium (Flanders)--tracking is…

First report of a mycolactone-producing Mycobacterium infection in fish agriculture in Belgium.

PubMed

Stragier, Pieter; Hermans, Katleen; Stinear, Tim; Portaels, Françoise

2008-09-01

In the past few years, a mycolactone-producing subgroup of the Mycobacterium marinum complex has been identified and analyzed. These IS2404-positive species cause pathology in frogs and fish. A recently isolated mycobacterial strain from a fish in Belgium was analyzed using a variety of molecular methods and the results were identical to those obtained from a mycolactone-producing M. marinum from Israel.

First record of Aedes (Stegomyia) albopictus in Belgium.

PubMed

Schaffner, Francis; Van Bortel, Wim; Coosemans, Marc

2004-06-01

The 1st record of Aedes albopictus in Belgium was made in a village in Oost-Vlaanderen Province. Two preimaginal stages were collected on October 31, 2000, in the used tire stock of a recycling company that imports tires from the USA and Japan. The species has reproduced on site, and local environmental conditions make its establishment possible. Anopheles plumbeus was a common companion species found in tires in high densities.

Epidemiological trends for hospital admissions for acute rotavirus gastroenteritis in Belgium following the introduction of routine rotavirus vaccination and the subsequent switch from lyophilized to liquid formulation of Rotarix™.

PubMed

Raes, M; Strens, D; Kleintjens, J; Biundo, E; Morel, T; Vyse, A

2016-10-01

This study describes epidemiological trends for acute rotavirus gastroenteritis (RVGE) in Belgium in children aged ⩽5 years during the period June 2007 to May 2014 after the introduction of routine rotavirus (RV) vaccination. This period encompassed the switch from lyophilized to the liquid formulation of Rotarix™ (GlaxoSmithKline, Belgium) in August 2011. Uptake of RV vaccine remained consistently high throughout the study period with Rotarix the brand most often used. RV was present in 9% (1139/12 511) of hospitalized cases with acute gastroenteritis included in the study. Epidemiological trends for hospital admissions for RVGE remained consistent throughout the study period, with no evidence of any change associated with the switch from lyophilized to liquid formulation of Rotarix. This suggests both formulations perform similarly, with the liquid formulation not inferior regarding ability to reduce hospital admissions for acute RVGE in children aged ⩽5 years. A strong seasonal effect was observed with most RVGE occurring in the winter months but with some variability in intensity, with highest incidence found in those aged 6-24 months. The main observation was the decreased number of hospital admissions for RVGE in Belgium that occurred during winter 2013/2014.

World Epidemiology Review, No. 114.

DTIC Science & Technology

1978-11-15

people were said to have died in medical centres. Rwanda, the least-hit of the three countries involved, had reported some 300casesby the end of...Since the outbreak began, the Ministry has said. Belgium had provided 3m. Belgian francs (about £50,600) for medical aid to the area. However, it...had not been until September 25 that Belgium had received an official request from Zaire for coordination of this medical aid on the ground. Zaire

Chest wall resection for local recurrence of breast cancer. Presented at the 99th Meeting of the Royal Belgium Society of Obstetrics and Gynecology, Brussels May 9th 1998, Belgium.

PubMed

Tjalma, W; Van Schil, P; Verbist, A M; Buytaert, P; van Dam, P

1999-05-01

We present three cases of chest wall resection for locally recurrent breast cancer and a Medline review of the current literature. In selected cases full thickness resection of the chest wall may be used as a salvage procedure to improve the quality of life and prolong the survival at low morbidity and mortality.

Detection of BVDV persistently infected animals in Belgium: evaluation of the strategy implemented.

PubMed

Letellier, C; De Meulemeester, L; Lomba, M; Mijten, E; Kerkhofs, P

2005-11-15

Until now, no official bovine virus diarrhea virus (BVDV) control program has been implemented in Belgium. The only legislation dealing with the detection of BVDV-infected animals concerns the purchase of animals. A strategy of control, based on the identification and elimination of persistently infected (PI) animals and the vaccination of cows before insemination has been designed in both the Northern and the Southern part of the country. The strategy of detection of PI animals relies on PCR testing of pools of blood. Individual blood samples corresponding to the positive pools are then tested by BVDV-antigen ELISA. A first evaluation of the measures already applied in Belgium is presented. Data obtained in 2003 are presented and discussed regarding the validation of the laboratory strategy, the prevalence of positive herds, the genotype of circulating viruses, the outcome of antigen positive animals and the need for improvement of the current legislation.

[The development of clinical guidelines for the diagnosis and treatment of chronic periodontitis in Belgium].

PubMed

Cosyn, Jan; De Bruyn, Hugo

2008-01-01

In many disciplines of medicine guidelines are developed for the diagnosis and treatment of disease. These are essentially intended to standardize care and to optimize communication between the general practitioner and the specialist. Guidelines have already been described in the literature for chronic periodontitis. However, given the unique conditions in Belgium, these may not be appropriate for the average dental practice. In this manuscript the development of Belgian clinical guidelines for the diagnosis and treatment of chronic periodontitis is described. Basically, ten clinical questions were used as a basis for a thorough literature search. Evidence-based clinical guidelines were developed and adapted during three peer review sessions. In the final session Belgian specialists, who had all been invited, participated. This made sure that the scientific input was sufficiently transformed into clinical guidelines which are actually feasible today in Belgium.

Remotely sensed forest phenology and its relation with Nephropathia

NASA Astrophysics Data System (ADS)

Barrios, J. M.

2010-05-01

J.M. Barrios1, W.W. Verstraeten1, P. Maes2, J. Clement2, J-M. Aerts1, S. Amirpour1, J. Wambacq2, K. Lagrou3, M. Van Ranst2, D. Berckmans1, P. Coppin1 1. Katholieke Universiteit Leuven, Biosystems Departement, M3-BIORES, Willem de Croylaan 34, B-3001 Leuven, Belgium 2. Katholieke Universiteit Leuven, Laboratory of Clinical Virology, Hantavirus Reference Center, Rega Institute, Minderbroedersstraat 10, B-3000 Leuven, Belgium 3. Katholieke Universiteit Leuven, Department of Experimental Laboratory Medicine, Herestraat 49, B-3000 Leuven, Belgium Nephropathia epidemica (NE), a mild form of haemorrhagic fever with renal syndrome, is a zoonotic disease caused by a Hanta virus called Puumala virus in Europe. Concern about this disease has increased in recent years due to the increase in the amount of reported cases. In 2005, 2007 and 2008 the number of infected cases surpassed 300 cases per 100000 inhabitants in Belgium, which was never observed before. NE incidence is closely related to environmental conditions. The main role in the virus transmission mechanism is played by the red bank vole (Myodes glareolus), a rodent species that is native in West European broad-leaved forests (BLF) and acts as the virus reservoir. Although the link between vegetation and NE in Belgium has been underlined repeatedly in recent research works, so far little has been done towards the exploration of remote sensing techniques for analyzing vegetation systems as an input in early warning systems. This study aims at determining whether observed NE occurrence pattern in Belgium can be connected to specific trends in BLF phenology parameters. Hence, phenology information was derived from time series of the MODIS Enhanced Vegetation Index (EVI) for the period 2000-2008 in 10 major BLF in southern Belgium. EVI values were calculated from the MOD09A1 dataset which provides an estimate of the surface spectral reflectance for bands 1-7 at 500 m resolution every 8 days. Based on our preliminary results, it is concluded that one of the most remarkable phenomena taking place in BLF is the gradual increase in length of the growing season in the 2000-2007 period. This is supported by international literature. Increasing growing seasons might contribute to an increase in the availability of resources to sustain large rodent populations and in the prolongation of optimal conditions for breeding. For most of the sampled sites, the years preceding peaks in NE cases (2005, 2008) were characterised by a late end of the growing season which coincides with warmer fall seasons. This research is part of a larger effort that aims at the incorporation of remotely sensed data in the prediction and monitoring of epidemiologic diseases.

Evaluating the Early Benefit of Quadrivalent HPV Vaccine on Genital Warts in Belgium: A Cohort Study.

PubMed

Dominiak-Felden, Geraldine; Gobbo, Corrado; Simondon, François

2015-01-01

Genital warts (GWs) are common, with about 5% to 10% of people having at least one episode in their lifetime. They develop about 2-3 months after infection with human papillomavirus (HPV) genotypes 6 and 11. The prophylactic quadrivalent HPV vaccine (qHPV), protects against HPV6/11 infections and diseases. In Belgium, HPV vaccines started to be reimbursed in 2007 and have been fully reimbursed since December 2008 for women 12 to 18 years old. This study aimed at evaluating the real-life benefit of qHPV vaccine introduction in Belgium on GWs by measuring both vaccine impact (VI) at a population level and the direct effect of the qHPV vaccine at an individual level (vaccine effectiveness (VE)), using data from a large sick-fund (MLOZ) reimbursement database. A first reimbursement for imiquimod (most common first-line GWs treatment in Belgium) was used as a surrogate for a first GWs episode; reimbursement of qHPV vaccine was used as surrogate for vaccination. VI was estimated by comparing the incidence of GWs before and after qHPV vaccine introduction in Belgium (ecologic evaluation). VE was assessed by comparing GWs incidences in vaccinated vs. unvaccinated women, among women eligible for HPV vaccination. VI was evaluated in 9,223,384 person-years. Overall, GWs incidence rates decreased significantly between the pre- and post-vaccination periods (-8.1% (95% CI: -15.3; -0.3) for men and women aged 18-59 years. This decrease was highest in women targeted by the HPV vaccination programme (-72.1% (95% CI: -77.9; -64.7) in women aged 16-22 years, with a 43% vaccine uptake in 2013). A significant decrease was also observed in men aged 16-22 years (-51.1%, 95%CI: -67.6; -26.2), suggesting herd-protection. VE was evaluated in 369,881 person-years. Age-adjusted VE for fully vaccinated women was 88.0% (95% CI: 79.4; 93.0). VE was higher when the first dose was given younger and remained high for over 4 years post-vaccination in all ages. High VI and VE of the qHPV vaccine were observed in a real-life setting in Belgium.

Evaluating the Early Benefit of Quadrivalent HPV Vaccine on Genital Warts in Belgium: A Cohort Study

PubMed Central

Dominiak-Felden, Geraldine; Gobbo, Corrado; Simondon, François

2015-01-01

Genital warts (GWs) are common, with about 5% to 10% of people having at least one episode in their lifetime. They develop about 2–3 months after infection with human papillomavirus (HPV) genotypes 6 and 11. The prophylactic quadrivalent HPV vaccine (qHPV), protects against HPV6/11 infections and diseases. In Belgium, HPV vaccines started to be reimbursed in 2007 and have been fully reimbursed since December 2008 for women 12 to 18 years old. This study aimed at evaluating the real-life benefit of qHPV vaccine introduction in Belgium on GWs by measuring both vaccine impact (VI) at a population level and the direct effect of the qHPV vaccine at an individual level (vaccine effectiveness (VE)), using data from a large sick-fund (MLOZ) reimbursement database. A first reimbursement for imiquimod (most common first-line GWs treatment in Belgium) was used as a surrogate for a first GWs episode; reimbursement of qHPV vaccine was used as surrogate for vaccination. VI was estimated by comparing the incidence of GWs before and after qHPV vaccine introduction in Belgium (ecologic evaluation). VE was assessed by comparing GWs incidences in vaccinated vs. unvaccinated women, among women eligible for HPV vaccination. VI was evaluated in 9,223,384 person-years. Overall, GWs incidence rates decreased significantly between the pre- and post-vaccination periods (-8.1% (95% CI: -15.3; -0.3) for men and women aged 18–59 years. This decrease was highest in women targeted by the HPV vaccination programme (-72.1% (95% CI: -77.9; -64.7) in women aged 16–22 years, with a 43% vaccine uptake in 2013). A significant decrease was also observed in men aged 16-22 years (-51.1%, 95%CI: -67.6; -26.2), suggesting herd-protection. VE was evaluated in 369,881 person-years. Age-adjusted VE for fully vaccinated women was 88.0% (95% CI: 79.4; 93.0). VE was higher when the first dose was given younger and remained high for over 4 years post-vaccination in all ages. High VI and VE of the qHPV vaccine were observed in a real-life setting in Belgium. PMID:26147096

Bluetongue sentinel surveillance program and cross-sectional serological survey in cattle in Belgium in 2010-2011.

PubMed

Vangeel, I; De Leeuw, I; Méroc, E; Vandenbussche, F; Riocreux, F; Hooyberghs, J; Raemaekers, M; Houdart, P; Van der Stede, Y; De Clercq, K

2012-10-01

Bluetongue virus serotype 8 (BTV-8) emerged in Central Western Europe in 2006 causing a large scale epidemic in 2007 that involved several European Union (EU) countries including Belgium. As in several other EU member states, vaccination against BTV-8 with inactivated vaccines was initiated in Belgium in spring 2008 and appeared to be successful. Since 2009, no clinical cases of Bluetongue (BT) have been reported in Belgium and BTV-8 circulation seemed to have completely disappeared by spring 2010. Therefore, a series of repeated cross-sectional surveys, the BT sentinel surveillance program, based on virus detection in blood samples by means of real-time RT-PCR (RT-qPCR) were carried out in dairy cattle from the end of 2010 onwards with the aim to demonstrate the absence of BTV circulation in Belgium. This paper describes the results of the first two sampling rounds of this BT sentinel surveillance program carried out in October-November 2010 and January-February 2011. In addition, the level of BTV-specific maternal antibodies in young non-vaccinated animals was monitored and the level of herd immunity against BTV-8 after 3 consecutive years of compulsory BTV-8 vaccination was measured by ELISA. During the 1st sampling round of the BT sentinel surveillance program, 15 animals tested positive and 2 animals tested doubtful for BTV RNA by RT-qPCR. During the 2nd round, 17 animals tested positive and 5 animals tested doubtful. The positive/doubtful animals in both rounds were re-sampled 2-4 weeks after the original sampling and then all tested negative by RT-qPCR. These results demonstrate the absence of BTV circulation in Belgium in 2010 at a minimum expected prevalence of 2% and 95% confidence level. The study of the maternal antibodies in non-vaccinated animals showed that by the age of 7 months maternal antibodies against BTV had disappeared in most animals. The BTV seroprevalence at herd level after 3 years of compulsory BTV-8 vaccination was very high (97.4% [95% CI: 96.2-98.2]). The overall true within-herd BTV seroprevalence in 6-24 month old Belgian cattle in early 2011 was estimated at 73.4% (95% CI: 71.3-75.4). Copyright © 2012 Elsevier B.V. All rights reserved.

Global War Game: Second Series, 1984-1988

DTIC Science & Technology

2004-08-01

Poland Netherlands Belgium Luxembourg 14°6° 48° 52° R hine Schleswig- Holstein Kiel Canal Denmark E lbe Elbe W eser Bremerhaven Frankfurt Fulda...consolidation continued on D+11, and two Polish armies pushed into Schleswig- Holstein , cutting off Denmark from the rest of NATO. The Warsaw Pact offensive...Switzerland Liechtenstein Italy Austria Czech Republic Poland Netherlands Belgium Luxembourg 14°6° 48° 52° R hine Schleswig- Holstein Kiel Canal Denmark FRG

[Piet de Somer, the University of Leuven and the Belgium poliovaccine in 1956-57].

PubMed

Billiau, A

2011-01-01

In the years following WW II, all 'Western' countries were struck by recurrent epidemics of infantile paralysis (poliomyelitis). In the early 1950s, a vaccine developed by Jonas Salk in Pittsburgh, became available in the U.S. and Canada. In 1953-54 central virology laboratories in Sweden, Denmark and France were already well advanced in setting up local production lines of the vaccine. At that point in time, the Catholic University of Leuven, on the initiative of the young microbiology professor, Piet De Somer, and in collaboration with the pharmaceutical concern R.I.T. (Recherches et Industries Thérapeutiques, Genval, Belgium), erected a new, multidisciplinary medical research institute, the Rega Institute. One of the research units to be headed by De Somer was destined to introduce the relatively new discipline of virology. As a test case, De Somer decided to venture on developing a production line of the Salk vaccine. In less than one year's time, the project was successful, such that Belgium became one of the first European countries to be self-supporting for its vaccine supply and to be able to initiate a large-scale vaccination campaign. The planning, preparation and execution of the project was accompanied by an extensive correspondence of De Somer with experts and other concerned parties in Belgium and abroad. This correspondence has been preserved and allows for a detailed reconstruction of the remarkable achievement.

Prevalence and associated factors of fear of childbirth in six European countries.

PubMed

Lukasse, Mirjam; Schei, Berit; Ryding, Elsa Lena

2014-10-01

This study set out to compare the prevalence, content and associated factors of fear of childbirth in six European countries. A cross-sectional study of 6870 pregnant women attending routine antenatal care in Belgium, Iceland, Denmark, Estonia, Norway and Sweden (Bidens). Severe fear of childbirth, defined as a Wijma Delivery Expectancy Questionnaire score of ≥85. Eleven percent of all women reported severe fear of childbirth, 11.4% among primiparous and 11.0% among multiparous women. There were significant differences between the countries for prevalence of severe fear of childbirth, varying from 4.5% in Belgium to 15.6% in Estonia for primiparous women and from 7.6% in Iceland to 15.2% in Sweden for multiparous women. After adjusting for age, education and gestational age, only primiparous women from Belgium had significantly less fear of childbirth, AOR 0.35 (0.19-0.52) compared to Norway (largest participating group). Exploratory factor analyses revealed significant differences between the countries for the six factors extracted. FOC appears to be an international phenomenon, existing with similar proportions in the participating European countries, except for primiparous women in Belgium who in our study reported significantly less severe fear of childbirth. Our study suggests that the content of fear of childbirth may differ between countries. Copyright © 2014 Elsevier B.V. All rights reserved.

Establishing specialized health services for professional consultation in euthanasia: experiences in the Netherlands and Belgium

PubMed Central

2009-01-01

Background The Netherlands, Belgium, and Luxembourg have adopted laws decriminalizing euthanasia under strict conditions of prudent practice. These laws stipulate, among other things, that the attending physician should consult an independent colleague to judge whether the substantive criteria of due care have been met. In this context initiatives were taken in the Netherlands and Belgium to establish specialized services providing such consultants: Support and Consultation for Euthanasia in the Netherlands (SCEN) and Life End Information Forum (LEIF) in Belgium. The aim of this study is to describe and compare these initiatives. Methods We studied and compared relevant documents concerning the Dutch and Belgian consultation service (e.g. articles of bye-laws, inventories of activities, training books, consultation protocols). Results In both countries, the consultation services are delivered by trained physicians who can be consulted in cases of a request for euthanasia and who offer support and information to attending physicians. The context in which the two organisations were founded, as well as the way they are organised and regulated, is different in each country. By providing information on all end-of-life care matters, the Belgian LEIF seems to have a broader consultation role than the Dutch SCEN. SCEN on the other hand has a longer history, is more regulated and organised on a larger scale and receives more government funding than LEIF. The number of training hours for physicians is equal. However, SCEN-training puts more emphasis on the consultation report, whereas LEIF-training primarily emphasizes the ethical framework of end-of-life decisions. Conclusion In case of a request for euthanasia, in the Netherlands as well as in Belgium similar consultation services by independent qualified physicians have been developed. In countries where legalising physician-assisted death is being contemplated, the development of such a consultation provision could also be considered in order to safeguard the practice of euthanasia (as it can provide safeguards to adequate performance of euthanasia and assisted suicide). PMID:19961568

Assessing the harms of cannabis cultivation in Belgium.

PubMed

Paoli, Letizia; Decorte, Tom; Kersten, Loes

2015-03-01

Since the 1990s, a shift from the importation of foreign cannabis to domestic cultivation has taken place in Belgium, as it has in many other countries. This shift has prompted Belgian policy-making bodies to prioritize the repression of cannabis cultivation. Against this background, the article aims to systematically map and assess for the first time ever the harms associated with cannabis cultivation, covering the whole spectrum of growers. This study is based on a web survey primarily targeting small-scale growers (N=1293) and on three interconnected sets of qualitative data on large-scale growers and traffickers (34 closed criminal proceedings, interviews with 32 criminal justice experts, and with 17 large-scale cannabis growers and three traffickers). The study relied on Greenfield and Paoli's (2013) harm assessment framework to identify the harms associated with cannabis cultivation and to assess the incidence, severity and causes of such harms. Cannabis cultivation has become endemic in Belgium. Despite that, it generates, for Belgium, limited harms of medium-low or medium priority. Large-scale growers tend to produce more harms than the small-scale ones. Virtually all the harms associated with cannabis cultivation are the result of the current criminalizing policies. Given the spread of cannabis cultivation and Belgium's position in Europe, reducing the supply of cannabis does not appear to be a realistic policy objective. Given the limited harms generated, there is scarce scientific justification to prioritize cannabis cultivation in Belgian law enforcement strategies. As most harms are generated by large-scale growers, it is this category of cultivator, if any, which should be the focus of law enforcement repression. Given the policy origin of most harms, policy-makers should seek to develop policies likely to reduce such harms. At the same time, further research is needed to comparatively assess the harms associated with cannabis cultivation (and trafficking) with those arising from use. Copyright © 2014 Elsevier B.V. All rights reserved.

Changing Trends within the Population of Children Who Are Deaf or Hard of Hearing in Flanders (Belgium): Effects of 12 Years of Universal Newborn Hearing Screening, Early Intervention, and Early Cochlear Implantation

ERIC Educational Resources Information Center

De Raeve, Leo; Lichtert, Guido

2012-01-01

The purpose of this study is to show the changing trends within the population of children who are deaf and hard of hearing in Belgium over the last 12 years. The combination of Universal Newborn Hearing Screening programs, early intervention, and cochlear implants have tremendously influenced the education and support of children who are deaf or…

Ongoing measles outbreak in Wallonia, Belgium, December 2016 to March 2017: characteristics and challenges

PubMed Central

Grammens, Tine; Schirvel, Carole; Leenen, Sylvie; Shodu, Nathalie; Hutse, Veronik; Mendes da Costa, Elise; Sabbe, Martine

2017-01-01

We describe characteristics of an ongoing measles outbreak in Wallonia, Belgium, and difficulties in control measures implementation. As at 12 March 2017, 177 measles cases were notified, of which 50% were 15 years and older, 49% female. Atypical clinical presentation and severe complications, mainly among adults, in combination with late notification, low or unknown vaccination coverage of contacts, infected healthcare workers and increased workload due to contact tracing, are the main concerns for outbreak management. PMID:28488998

Euthanasia: a "kit" sold in Belgian pharmacies.

PubMed

2005-10-01

(1) In France, legislation adopted in 2005 recognises the right of dying patients to refuse further treatment, and the right of physicians to ease their suffering with treatments that, due to adverse effects, may shorten their life. Measures deliberately aimed at hastening death are forbidden. (2) In Belgium, medical euthanasia was decriminalised in 2002, and can now be carried out either in hospital or at home. Nearly 20 cases of euthanasia are reported per month in Belgium. (3) A Belgian pharmacy chain now markets a "euthanasia kit".

Louse-borne relapsing fever in a refugee from Somalia arriving in Belgium.

PubMed

Darcis, Gilles; Hayette, Marie-Pierre; Bontems, Sebastien; Sauvage, Anne-Sophie; Meuris, Christelle; Van Esbroeck, Marjan; Leonard, Philippe

2016-03-01

We report a case of louse-borne relapsing fever (LBRF) in a refugee from Somalia who had arrived in Belgium a few days earlier. He complained of myalgia and secondarily presented fever. Blood smears revealed spirochetes later identified as Borrelia recurrentis. LBRF should be considered in countries hosting refugees, particularly those who transit through endemic regions. © International Society of Travel Medicine, 2016. All rights reserved. Published by Oxford University Press. For permissions, please e-mail: journals.permissions@oup.com.

Congenital jaundice in bovine aborted foetuses: an emerging syndrome in southern Belgium.

PubMed

Delooz, L; Mori, M; Petitjean, T; Evrard, J; Czaplicki, G; Saegerman, C

2015-04-01

Southern Belgium faces an unusual recent increase of icteric bovine aborted foetuses. In the necropsy room, the majority of foetuses presented jaundice and splenomegaly. Despite a wide range of analyses, no definitive cause of abortion has yet been established but some analysis results support the leptospirosis hypothesis. This first description of cases will help veterinary practitioners to recognize more cases and to conduct those to the laboratory for future investigations. © 2015 Blackwell Verlag GmbH.

Overview of Seismic Hazard and Vulnerability of Ordinary Buildings in Belgium: Methodological Aspects and Study Cases

DOE Office of Scientific and Technical Information (OSTI.GOV)

Barszez, Anne-Marie; Camelbeeck, Thierry; Plumier, Andre

Northwest Europe is a region in which damaging earthquakes exist. Assessing the risks of damages is useful, but this is not an easy work based on exact science.In this paper, we propose a general tool for a first level assessment of seismic risks (rapid diagnosis). General methodological aspects are presented. For a given building, the risk is represented by a volume in a multi-dimensional space. This space is defined by axes representing the main parameters that have an influence on the risk. We notably express the importance of including a parameter to consider the specific value of cultural heritage.Then wemore » apply the proposed tool to analyze and compare methods of seismic risk assessment used in Belgium. They differ by the spatial scale of the studied area. Study cases for the whole Belgian Territory and for part of cities in Liege and Mons (Be) aim also to give some sense of the overall risk in Belgium.« less

The cost-effectiveness of rotavirus vaccination: Comparative analyses for five European countries and transferability in Europe.

PubMed

Jit, Mark; Bilcke, Joke; Mangen, Marie-Josée J; Salo, Heini; Melliez, Hugues; Edmunds, W John; Yazdan, Yazdanpanah; Beutels, Philippe

2009-10-19

Cost-effectiveness analyses are usually not directly comparable between countries because of differences in analytical and modelling assumptions. We investigated the cost-effectiveness of rotavirus vaccination in five European Union countries (Belgium, England and Wales, Finland, France and the Netherlands) using a single model, burden of disease estimates supplied by national public health agencies and a subset of common assumptions. Under base case assumptions (vaccination with Rotarix, 3% discount rate, health care provider perspective, no herd immunity and quality of life of one caregiver affected by a rotavirus episode) and a cost-effectiveness threshold of euro30,000, vaccination is likely to be cost effective in Finland only. However, single changes to assumptions may make it cost effective in Belgium and the Netherlands. The estimated threshold price per dose for Rotarix (excluding administration costs) to be cost effective was euro41 in Belgium, euro28 in England and Wales, euro51 in Finland, euro36 in France and euro46 in the Netherlands.

Drastic decrease of Salmonella Enteritidis isolated from humans in Belgium in 2005, shift in phage types and influence on foodborne outbreaks

PubMed Central

COLLARD, J. M.; BERTRAND, S.; DIERICK, K.; GODARD, C.; WILDEMAUWE, C.; VERMEERSCH, K.; DUCULOT, J.; VAN IMMERSEEL, F.; PASMANS, F.; IMBERECHTS, H.; QUINET, C.

2008-01-01

SUMMARY In Belgium, non-typhoidal salmonellosis and campylobacteriosis are the two most frequently reported foodborne illnesses. During 2005, a 71% decrease of Salmonella Enteritidis infections compared with the average annual number cases in the period 2000–2004 was recorded by the Belgian National Reference Centre for Salmonella and Shigella. After the peak of 1999, the total number of salmonellosis cases decreased gradually, with the exception of 2003 when an increase was again recorded due to the rise of isolates belonging to the serotype Enteritidis. PT4, the predominant phage type of serotype Enteriditis over recent years (except in 2003), became the second most prevalent phage type in 2005 after PT21. We present in this paper the epidemiology (incidence and trends) of human salmonellosis in Belgium and assess the role of the vaccination programme in layer flocks on the decline of the incidence of human salmonellosis and foodborne outbreaks due to S. Enteritidis. PMID:17645812

Water availability change in central Belgium for the late 21st century

NASA Astrophysics Data System (ADS)

Tabari, Hossein; Taye, Meron Teferi; Willems, Patrick

2015-08-01

We investigate the potential impact of climate change on water availability in central Belgium. Two water balance components being precipitation and potential evapotranspiration are initially projected for the late 21st century (2071-2100) based on 30 Coupled Models Intercomparison Project phase 5 (CMIP5) models relative to a baseline period of 1961-1990, assuming forcing by four representative concentration pathway emission scenarios (RCP2.6, RCP4.5, RCP6.0, RCP8.5). The future available water is then estimated as the difference between precipitation and potential evapotranspiration projections. The number of wet days and mean monthly precipitation for summer season is projected to decrease in most of the scenarios, while the projections show an increase in those variables for the winter months. Potential evapotranspiration is expected to increase during both winter and summer seasons. The results show a decrease in water availability for summer and an increase for winter, suggesting drier summers and wetter winters for the late 21st century in central Belgium.

Attitudes and self-reported behavior of patients, doctors, and pharmacists in New Zealand and Belgium toward direct-to-consumer advertising of medication.

PubMed

Dens, Nathalie; Eagle, Lynne C; De Pelsmacker, Patrick

2008-01-01

Patients', doctors', and pharmacists' attitudes toward direct-to-consumer advertising (DTCA) for medication and their perceptions of its impact on patient self-reported behavior in terms of request for, and consumption of, advertised medication were investigated. Data were obtained in New Zealand, 1 of only 2 countries that allow mass-media DTCA for prescription medication, and in Belgium, which does not. Attitudes were relatively negative in both countries, but significantly more positive in New Zealand than in Belgium. The impact of DTCA (both in a positive and a negative sense) on self-reported patient behavior and patient interaction with doctors and pharmacists was limited in both countries. Although -- as already established in previous work -- the informativeness and reliability of DTCA can be much improved, and the attitude of medical professionals toward DTCA is negative in both countries, from the point of view of medical professionals and patients, DTCA does not harm the self-reported relationship between doctors, pharmacists, and patients.

Investigation of the passage of a derecho in Belgium

NASA Astrophysics Data System (ADS)

Hamid, Karim

2012-04-01

From the 7th July, 2010 until 14th July, 2010, a heat wave dominated the weather in Belgium. Three major storm situations occurred during this period and all three caused severe damage. In this paper, we discuss the last storm case of 14th July. That day, a quasi-linear convective system (QLCS) crossed parts of France, Belgium and the Netherlands and caused very important wind damages and at least 2 people were killed. Most of the damage was caused by straight-line wind but at least one tornado was observed over the north of the Netherlands. This complex was induced in a very favorable synoptic configuration for severe weather and also the timing of the storm was favorable. In the frame of the Supercell project at the RMI, a damage survey was made of one of the most affected regions, which yielded useful information about the origin of the losses. Careful examination of the radar imagery revealed some connections between internal mesovortices and tracks of enhanced damage. As far as known, this paper is the first description of a derecho in Belgium. It is also the first time a connection is shown between some mesovortices and several damage tracks over the country. During the evolution of the QLCS, several examples of successive vortices were found in front of the system. Several of the vortices were accompanied by a tornado or a funnel cloud and the damage was typically concentrated along elongated tracks.

[Diabetes and fasting during Ramadan. A observational study among Turkish immigrants in Belgium].

PubMed

Peeters, B; Mehuys, E; Van Tongelen, I; Van Bever, E; Bultereys, L; Avonts, D; Yildiz, G; Remon, J P; Boussery, K

2013-03-01

To investigate (i) Ramadan participation, (ii) provision of Ramadan related advice by healthcare providers (iii) medication use during Ramadan fasting among Turkish migrants with diabetes in Belgium. This pilot observational study was conducted among a convenience sample of 52 Turkish migrants with diabetes in Belgium. Two questionnaires collected information on socio-demographic characteristics, diabetes related characteristics, current hypoglycaemic medication with dosing regimen, participation in the past Ramadan, reasons for (non)participation, use of hypoglycaemic medication during the past Ramadan, advice from their healthcare providers about fasting during Ramadan and follow up of this advice. Sixteen patients (31%) had fasted during the past Ramadan. Main reason for Ramadan participation was reinforcement of faith (12/15), while the main reason for non participation was having diabetes (34/36). About 56% of the study population had received recommendations from their healthcare provider(s) about fasting and diabetes during Ramadan. The most commonly provided advice was not to participate in Ramadan, followed by modification of drug therapy. Only 3 patients ignored the advice of their healthcare professionals. In addition, only 60% of those who actually fasted received recommendations about intake of diabetes medication during the ramadan. Most fasters continued their medication dose unchanged (87% of OHA users and 80% of the insulin users). This pilot study found a low prevalence of Ramadan fasting among Turkish migrants with diabetes in Belgium. We also found that provision of advice by healthcare providers could be improved. Larger scale studies are warranted to confirm these findings.

CORDEX.be: COmbining Regional climate Downscaling EXpertise in Belgium

NASA Astrophysics Data System (ADS)

Termonia, P.

2015-12-01

The main objective of the ongoing project CORDEX.be, "COmbining Regional Downscaling EXpertise in Belgium: CORDEX and Beyond", is to gather existing and ongoing Belgian research activities in the domain of climate modelling to create a coherent scientific basis for future climate services in Belgium. The project regroups 8 Belgian Institutes under a single research program of the Belgian Science Policy (BELSPO). The project involves three regional climate models: the ALARO model, the COSMO-CLM model and the MAR model running according to the guidelines of the CORDEX project and at convection permitting resolution on small domains over Belgium. The project creates a framework to address four objectives/challenges. First, this projects aims to contribute to the EURO-CORDEX project. Secondly, RCP simulations are executed at convection-permitting resolutions (3 to 5 km) on small domains. Thirdly, the output of the atmospheric models is used to drive land surface models (the SURFEX model and the Urbclim model) with urban modules, a crop model (REGCROP), a tides and storm model (COHERENS) and the MEGAN-MOHYCAN model that simulates the fluxes emitted by vegetation. Finally, one work package will translate the uncertainty present in the CORDEX database to the high-resolution output of the CORDEX.be project. The organization of the project will be presented and first results will be shown, demonstrating that convection-permitting models can add extra skill to the mesoscale version of the regional climate models, in particular regarding the extreme value statistics and the diurnal cycle.

Attitudes of physicians and pharmacists towards International Non-proprietary Name prescribing in Belgium.

PubMed

Van Bever, Elien; Elseviers, Monique; Plovie, Marijke; Vandeputte, Lieselot; Van Bortel, Luc; Vander Stichele, Robert

2015-03-01

International Non-proprietary Name (INN) prescribing is the use of the name of the active ingredient(s) instead of the brand name for prescribing. In Belgium, INN prescribing began in 2005 and a major policy change occurred in 2012. The aim was to explore the opinions of Dutch-speaking general practitioners (GPs) and pharmacists. An electronic questionnaire with 39 five-point Likert scale statements and one open question was administered in 2013. Multivariate analysis was performed with multiple linear regression on a sum score for benefit statements and for drawback statements. Answers to the open question were qualitatively analysed. We received 745 valid responses with a representable sample for both subgroups. Participants perceived the motives to introduce INN prescribing as purely economic (to reduce pharmaceutical expenditures for the government and the patient). Participants accepted the concept of INN prescribing, but 88% stressed the importance of guaranteed treatment continuity, especially in older, chronic patients, to prevent patient confusion, medication non-adherence and erroneous drug use. In conclusion, the current way in which INN prescribing is applied in Belgium leads to many concerns among primary health professionals about patient confusion and medication adherence. Slightly adapting the current concept of INN prescribing to these concerns can turn INN prescribing into one of the major policies in Belgium to reduce pharmaceutical expenditures and to stimulate rational drug prescribing. © 2014 Nordic Association for the Publication of BCPT (former Nordic Pharmacological Society).

[Focus on planning the supply of physicians in Belgium].

PubMed

Benahmed, N; Alexander, S; De Wever, A; Deliège, D

2013-01-01

The planning of human medical resources has been in progress since 1996. The aim of this paper is to describe the process which occurred in Belgium and to point out its assets and limits. Literature review, analysis of the Belgian legislation at national and community (Flemish and French-speaking) level and analysis of the projection model. In Belgium, planniing is performed at two different levels of power. Firstly, the federal State determines the number of physicians who will access to the professional titles enabling them to obtain reimbursement of care by Health Funds. It is sustained by a supply projection type " stock and flows", an assessment of the number of required physicians (including healthcare expenditures by age and sex) and the purpose of equalizing Dutch-speaking and French-speaking medical densities. Secondly, Communities, are responsible for training and, as such, are organizing the selection at this level : entrance examination in the North and various selection procedures (now repealed) in the South. Worldwide, the managers of medical planning are faced with decisions related to appropriate numbers for human resources, given population needs, use of services and professional productivity. They have to address concerns from medical surplus to shortage. The case study of Belgium provides insight of various parameters which should be taken into account for national planning of physicians. It also shows the difficulty to assess a complex future and the factors which often hinder the implementation of evidence-based decisions.

CORDEX.be: COmbining Regional climate Downscaling EXpertise in Belgium

NASA Astrophysics Data System (ADS)

Termonia, Piet; Van Schaeybroeck, Bert; De Ridder, Koen; Fettweis, Xavier; Gobin, Anne; Luyten, Patrick; Marbaix, Philippe; Pottiaux, Eric; Stavrakou, Trissevgeni; Van Lipzig, Nicole; van Ypersele, Jean-Pascal; Willems, Patrick

2016-04-01

The main objective of the ongoing project CORDEX.be, "COmbining Regional Downscaling EXpertise in Belgium: CORDEX and Beyond" is to gather existing and ongoing Belgian research activities in the domain of climate modelling to create a coherent scientific basis for future climate services in Belgium. The project regroups eight Belgian Institutes under a single research program of the Belgian Science Policy (BELSPO). The project involves three regional climate models: the ALARO model, the COSMO-CLM model and the MAR model running according to the guidelines of the CORDEX project and at convection permitting resolution on small domains over Belgium. The project creates a framework to address four objectives/challenges. First, this projects aims to contribute to the EURO-CORDEX project. Secondly, RCP simulations are executed at convection-permitting resolutions (3 to 5 km) on small domains. Thirdly, the output of the atmospheric models is used to drive land surface models (the SURFEX model and the Urbclim model) with urban modules, a crop model (REGCROP), a tides and storm model (COHERENS) and the MEGAN-MOHYCAN model that simulates the fluxes emitted by vegetation. Finally, one work package will translate the uncertainty present in the CORDEX database to the high-resolution output of the CORDEX.be project. The organization of the project will be presented and first results will be shown, demonstrating that convection-permitting models can add extra skill to the mesoscale version of the regional climate models, in particular regarding the extreme value statistics and the diurnal cycle.

Stepping from Belgium to the United States and back: the conceptualization and impact of the Harvard Step Test, 1942-2012.

PubMed

Vangrunderbeek, Hans; Delheye, Pascal

2013-06-01

This article examines the contribution of the Belgian-American exercise physiologist Lucien Brouha in developing the Harvard Step Test (HST) at the'pioneering Harvard Fatigue Laboratory (HFL) during the Second World War and provides a better understanding of the importance of transnational relations concerning scientific progress. Analysis of sources in the University Archives of the State University in Liege (Belgium), the Archives and Documentation Centre of the Sportimonium at Hofstade (Belgium), the Harvard Business School Archives at Baker Library (Cambridge, MA), the Harvard Medical School Archives at Countway Library (Cambridge, MA), and the Brouha and Shaler private family archives (Sutton, VT). The outbreak of the Second World War shifted research at the interdisciplinary HFL toward the field of military physiology and resulted in the transfer of Brouha from Belgium to the HFL. Brouha's personal and academic experiences made him the right man in the right place to develop the HST in 1942. The HST--which has celebrated its 70th anniversary--was of immediate academic and practical significance during and after the war. Brouha' s case demonstrates the importance of personal experiences, transnational relations, and interdisciplinary research settings for the establishment of scientific (sub)disciplines. Studying internal scientific evolutions in relation to personal and work experiences of "mobile" and therefore often "forgotten" researchers like Brouha is necessary to better understand and interpret evolutions in science and corresponding processes of academic and social mobility.

History of health technology assessment in Belgium.

PubMed

Cleemput, Irina; Van Wilder, Philippe

2009-07-01

This paper gives an overview of health technology assessment (HTA) in Belgium. The information included in the overview is based on legal documents and publicly available year reports of the Belgian Health Care Knowledge Centre (KCE). Belgium has a relatively young history in HTA. The principle of evidence-based medicine (EBM) was introduced in the drug reimbursement procedure in 2001, with the establishment of the Drug Reimbursement Committee (DRC). The DRC assesses the efficacy, safety, convenience, applicability, and effectiveness of a drug relative to existing treatment alternatives. For some drugs, relative cost-effectiveness is also evaluated. The activities of the DRC can, therefore, be considered to be the first official HTA activities in Belgium. Later, in 2003, KCE was established. Its mission was to perform policy preparing research in the healthcare and health insurance sector and to give advice to policy makers about how they can obtain an efficient allocation of limited healthcare resources that optimizes the quality and accessibility of health care. This broad mission has been operationalized by activities in three domains of research: HTA, health services research, and good clinical practice. KCE is independent from the policy maker. Its HTAs contain policy recommendations that may inform policy decisions but are not binding. Although the Belgian history of HTA is relatively short, its foundations are strong and the impact of HTA increasing. Nevertheless KCE has many challenges for the future, including continued quality assurance, further development of international collaboration, and further development of methodological guidance for HTA.

Inclusion body disease in snakes: a review and description of three cases in boa constrictors in Belgium.

PubMed

Vancraeynest, D; Pasmans, F; Martel, A; Chiers, K; Meulemans, G; Mast, J; Zwart, P; Ducatelle, R

2006-06-03

Inclusion body disease, a fatal disorder in Boidae, is reviewed, and three cases in boa constrictors, the first reported cases in Belgium, are described. The snakes showed nervous signs, and numerous eosinophilic intracytoplasmic inclusions, which are considered to be characteristic of the disease, were found in the liver and pancreas. The disease is suspected to be caused by a retrovirus, but transmission electron microscopic examinations of several tissues from one of the snakes did not reveal particles with a typical retroviral morphology.

Ongoing measles outbreak in Wallonia, Belgium, December 2016 to March 2017: characteristics and challenges.

PubMed

Grammens, Tine; Schirvel, Carole; Leenen, Sylvie; Shodu, Nathalie; Hutse, Veronik; Mendes da Costa, Elise; Sabbe, Martine

2017-04-27

We describe characteristics of an ongoing measles outbreak in Wallonia, Belgium, and difficulties in control measures implementation. As at 12 March 2017, 177 measles cases were notified, of which 50% were 15 years and older, 49% female. Atypical clinical presentation and severe complications, mainly among adults, in combination with late notification, low or unknown vaccination coverage of contacts, infected healthcare workers and increased workload due to contact tracing, are the main concerns for outbreak management. This article is copyright of The Authors, 2017.

The Coca-Cola incident in Belgium, June 1999.

PubMed

Nemery, B; Fischler, B; Boogaerts, M; Lison, D; Willems, J

2002-11-01

The present paper describes the outbreak of health complaints that occurred in Belgium, in June 1999, among schoolchildren and members of the general public in relation to the consumption of Coca-Cola and other soft drinks. The outbreak took place in the wake of a major food crisis, caused by PCB/dioxin contamination of animal feed, that had erupted shortly before. The clinical features (absence of serious poisoning) and epidemiological characteristics of the Coca-Cola outbreak pointed to mass sociogenic illness, and no subsequent toxicological or other data have refuted this hypothesis.

Estimating Soil Organic Carbon stocks and uncertainties for the National inventory Report - a study case in Southern Belgium

NASA Astrophysics Data System (ADS)

Chartin, Caroline; Stevens, Antoine; Kruger, Inken; Esther, Goidts; Carnol, Monique; van Wesemael, Bas

2016-04-01

As many other countries, Belgium complies with Annex I of the United Nations Framework Convention on Climate Change (UNFCCC). Belgium thus reports its annual greenhouse gas emissions in its national inventory report (NIR), with a distinction between emissions/sequestration in cropland and grassland (EU decision 529/2013). The CO2 fluxes are then based on changes in SOC stocks computed for each of these two types of landuse. These stocks are specified for each of the agricultural regions which correspond to areas with similar agricultural practices (rotations and/or livestock) and yield potentials. For Southern Belgium (Wallonia) consisting of ten agricultural regions, the Soil Monitoring Network (SMN) 'CARBOSOL' has been developed this last decade to survey the state of agricultural soils by quantifying SOC stocks and their evolution in a reasonable number of locations complying with the time and funds allocated. Unfortunately, the 592 points of the CARBOSOL network do not allow a representative and a sound estimation of SOC stocks and its uncertainties for the 20 possible combinations of land use/agricultural regions. Moreover, the SMN CARBIOSOL is based on a legacy database following a convenience scheme sampling strategy rather than a statistical scheme defined by design-based or model-based strategies. Here, we aim to both quantify SOC budgets (i.e., How much?) and spatialize SOC stocks (i.e., Where?) at regional scale (Southern Belgium) based on data from the SMN described above. To this end, we developed a computation procedure based on Digital Soil Mapping techniques and stochastic simulations (Monte-Carlo) allowing the estimation of multiple (10,000) independent spatialized datasets. This procedure accounts for the uncertainties associated to estimations of both i) SOC stock at the pixelscale and ii) parameters of the models. Based on these 10,000 individual realizations of the spatial model, mean SOC stocks and confidence intervals can be then computed at the pixel scale, for selected sub-areas (i.e., the 20 landuse/agricultural region combinations) and for the entire study area.

Euthanasia for people with psychiatric disorders or dementia in Belgium: analysis of officially reported cases.

PubMed

Dierickx, Sigrid; Deliens, Luc; Cohen, Joachim; Chambaere, Kenneth

2017-06-23

Euthanasia for people who are not terminally ill, such as those suffering from psychiatric disorders or dementia, is legal in Belgium under strict conditions but remains a controversial practice. As yet, the prevalence of euthanasia for people with psychiatric disorders or dementia has not been studied and little is known about the characteristics of the practice. This study aims to report on the trends in prevalence and number of euthanasia cases with a psychiatric disorder or dementia diagnosis in Belgium and demographic, clinical and decision-making characteristics of these cases. We analysed the anonymous databases of euthanasia cases reported to the Federal Control and Evaluation Committee Euthanasia from the implementation of the euthanasia law in Belgium in 2002 until the end of 2013. The databases we received provided the information on all euthanasia cases as registered by the Committee from the official registration forms. Only those with one or more psychiatric disorders or dementia and no physical disease were included in the analysis. We identified 179 reported euthanasia cases with a psychiatric disorder or dementia as the sole diagnosis. These consisted of mood disorders (N = 83), dementia (N = 62), other psychiatric disorders (N = 22) and mood disorders accompanied by another psychiatric disorder (N = 12). The proportion of euthanasia cases with a psychiatric disorder or dementia diagnosis was 0.5% of all cases reported in the period 2002-2007, increasing from 2008 onwards to 3.0% of all cases reported in 2013. The increase in the absolute number of cases is particularly evident in cases with a mood disorder diagnosis. The majority of cases concerned women (58.1% in dementia to 77.1% in mood disorders). All cases were judged to have met the legal requirements by the Committee. While euthanasia on the grounds of unbearable suffering caused by a psychiatric disorder or dementia remains a comparatively limited practice in Belgium, its prevalence has risen since 2008. If, as this study suggests, people with psychiatric conditions or dementia are increasingly seeking access to euthanasia, the development of practice guidelines is all the more desirable if physicians are to respond adequately to these highly delicate requests.

Nationwide population-based cohort study of uterine rupture in Belgium: results from the Belgian Obstetric Surveillance System

PubMed Central

Vandenberghe, G; De Blaere, M; Van Leeuw, V; Roelens, K; Englert, Y; Hanssens, M; Verstraelen, H

2016-01-01

Objectives We aimed to assess the prevalence of uterine rupture in Belgium and to evaluate risk factors, management and outcomes for mother and child. Design Nationwide population-based prospective cohort study. Setting Emergency obstetric care. Participation of 97% of maternity units covering 98.6% of the deliveries in Belgium. Participants All women with uterine rupture in Belgium between January 2012 and December 2013. 8 women were excluded because data collection forms were not returned. Results Data on 90 cases of confirmed uterine rupture were obtained, of which 73 had a previous Caesarean section (CS), representing an estimated prevalence of 3.6 (95% CI 2.9 to 4.4) per 10 000 deliveries overall and of 27 (95% CI 21 to 33) and 0.7 (95% CI 0.4 to 1.2) per 10 000 deliveries in women with and without previous CS, respectively. Rupture occurred during trial of labour after caesarean section (TOLAC) in 57 women (81.4%, 95% CI 68% to 88%), with a high rate of augmented (38.5%) and induced (29.8%) labour. All patients who underwent induction of labour had an unfavourable cervix at start of induction (Bishop Score ≤7 in 100%). Other uterine surgery was reported in the history of 22 cases (24%, 95% CI 17% to 34%), including 1 case of myomectomy, 3 cases of salpingectomy and 2 cases of hysteroscopic resection of a uterine septum. 14 cases ruptured in the absence of labour (15.6%, 95% CI 9.5% to 24.7%). No mothers died; 8 required hysterectomy (8.9%, 95% CI 4.6% to 16.6%). There were 10 perinatal deaths (perinatal mortality rate 117/1000 births, 95% CI 60 to 203) and perinatal asphyxia was observed in 29 infants (34.5%, 95% CI 25.2% to 45.1%). Conclusions The prevalence of uterine rupture in Belgium is similar to that in other Western countries. There is scope for improvement through the implementation of nationally adopted guidelines on TOLAC, to prevent use of unsafe procedures, and thereby reduce avoidable morbidity and mortality. PMID:27188805

Novel foci of Dermacentor reticulatus ticks infected with Babesia canis and Babesia caballi in the Netherlands and in Belgium.

PubMed

Jongejan, Frans; Ringenier, Moniek; Putting, Michael; Berger, Laura; Burgers, Stefan; Kortekaas, Reinier; Lenssen, Jesse; van Roessel, Marleen; Wijnveld, Michiel; Madder, Maxime

2015-04-17

Autochthonous populations of Dermacentor reticulatus ticks in the Netherlands were discovered after fatal cases of babesiosis occurred in resident dogs in 2004. The presence of D. reticulatus in the Netherlands has also linked with the emergence of piroplasmosis in the resident horse population. The aim of this study was to put together results of continued surveillance of field sites and hosts for this tick in the Netherlands and also in Belgium and determine their infection status for Babesia and Theileria species. Ticks were collected from the vegetation at 11 locations between 2011 and 2013. D. reticulatus ticks were also collected from different hosts between 2007 and 2013. Ticks were screened by PCR and reverse line blot (RLB). A total of 1368 D. reticulatus ticks were collected from 4 previously known field locations and from 5 new locations in the Netherlands and from 2 sites in Belgium (one old and one new location). A total of 855 ticks collected from 8 locations in the Netherlands and 2 locations in Belgium were tested. Fourteen ticks (1,64%) collected at 4 field locations (Dintelse Gorzen, Rozenburg, Slikken van de Heen and St. Philipsland) were positive for Babesia canis, whereas two ticks were positive for Babesia caballi, one tick in the Dintelse Gorzen in the Netherlands and one tick was found positive in De Panne in Belgium. A further 1092 D. reticulatus ticks were collected between 2007 and 2013 from 40 dogs (132 ticks), two ticks from two humans, 51 ticks from 15 horses, two ticks from two cats, one tick from a roe deer, whereas most ticks (904) were collected from cattle (n = 25). Ticks were found throughout the year on dogs in nearly all provinces of the Netherlands. None of the ticks collected from these hosts were infected. D. reticulatus is continuing its spread into novel areas. The finding that some autochthonous ticks are infected with B. canis and B. caballi poses a threat to the resident dog and horse population and justifies year-round tick control measures.

Does birth history account for educational differences in breast cancer mortality? A comparison of premenopausal and postmenopausal women in Belgium.

PubMed

Gadeyne, Sylvie; Deboosere, Patrick; Vandenheede, Hadewijch; Neels, Karel

2012-12-15

This study investigates the impact of reproductive factors on the association between education and breast cancer mortality in Belgium. The role of reproductive factors has been investigated in several studies, with mixed results. Reproductive factors are either completely or partially responsible for the association between education and breast cancer mortality. The data consist of the 1991 census linked to registration data on cause-specific mortality during the period 1991-1995, including all breast cancer deaths in Belgium during the observation period. The study population includes all women aged 35-79 at time of the census. Age-standardized mortality rates and mortality rate ratios (Poisson regression) are computed for educational groups with and without control for reproductive factors. The population is stratified according to age (women aged 35-49 and 50-79) and according to nulliparity. The relationship between education and breast cancer is significant among postmenopausal women. Breast cancer mortality is higher among the higher educated women. These results are consistent with international findings, the gradient not being negative as in most other causes of death, but positive. Statistical control for parity and age at first birth reduces the association largely. In addition, among nonparous women, differences in breast cancer mortality by education are not consistent and generally not significant. Reproductive factors are largely responsible for the positive association between education and breast cancer mortality among postmenopausal women in Belgium. Among premenopausal women, the relation is not significant, a pattern consistent with international studies. Copyright © 2012 UICC.

Ramadan fasting and diabetes: an observational study among Turkish migrants in Belgium.

PubMed

Peeters, Bart; Mehuys, Els; Van Tongelen, Inge; Van Bever, Elien; Bultereys, Lore; Avonts, Dirk; Yıldız, Güven; Remon, Jean Paul; Boussery, Koen

2012-12-01

To investigate (i) Ramadan participation, (ii) provision of Ramadan-related advice by healthcare providers, (iii) medication use during Ramadan fasting among Turkish migrants with diabetes in Belgium. This pilot observational study was conducted among a convenience sample of 52 Turkish migrants with diabetes in Belgium. Two questionnaires collected information on socio-demographic characteristics, diabetes-related characteristics, current hypoglycaemic medication with dosing regimen, participation in the past Ramadan, reasons for (non-)participation, use of hypoglycaemic medication during the past Ramadan, advice from their healthcare providers about fasting during Ramadan and follow-up of this advice. Sixteen patients (31%) had fasted during the past Ramadan. Main reason for Ramadan participation was reinforcement of faith (12/15), while the main reason for non-participation was having diabetes (34/36). About 56% of the study population had received recommendations from their healthcare provider(s) about fasting and diabetes during Ramadan. The most commonly provided advice was not to participate in Ramadan, followed by modification of drug therapy. Only 3 patients ignored the advice of their health professionals. In addition, only 60% of those who actually fasted received recommendations about intake of diabetes medication during the Ramadan. Most fasters continued their medication dose unchanged (87% of OHA users and 80% of the insulin users). This pilot study found a low prevalence of Ramadan fasting among Turkish migrants with diabetes in Belgium. We also found that provision of advice by healthcare providers could be improved. Larger scale studies are warranted to confirm these findings. Copyright © 2012 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.

Artificial insemination with donor sperm (AID): heterogeneity in sperm banking facilities in a single country (Belgium).

PubMed

Thijssen, A; Dhont, N; Vandormael, E; Cox, A; Klerkx, E; Creemers, E; Ombelet, W

2014-01-01

Due to the high inflow of foreign patients seeking cross-border reproductive care in Belgium and the increased number of lesbian couples and single women who call for artificial insemination with donor sperm (AID), Belgian sperm banks nowadays face a shortage in donor sperm. However, since there is no central registration system for sperm donors in Belgium, no figures are currently available supporting this statement. Therefore a study was performed to obtain a detailed overview of the sperm banking facilities in Belgium. Questionnaires were sent to all Belgian centres for assisted reproduction with laboratory facilities (n = 18) to report on their sperm banking methods. The results showed that 82% of the centres rely partially or completely on foreign donor sperm. Moreover, four of the thirteen centres that have their own sperm bank use imported donor sperm in > 95% AID cycles. Our results show that in 63% of the Belgian AID cycles imported Danish donor sperm is being used. Donor recruitment is mainly performed through the centre's website (61%) or by distributing flyers in the centre (46%) and 9 to 180 potential donors have been recruited per centre in 2013. Eventually, 15 to 50% of these candidate donors were accepted. Different criteria for donor acceptance are handled by the centres: donor age limits range from 18-25 to 36-46 years old, and thresholds for sperm normality differ considerably. We can conclude that a wide variation in methods associated with sperm banking is observed in Belgian centres.

Artificial insemination with donor sperm (AID): heterogeneity in sperm banking facilities in a single country (Belgium)

PubMed Central

Thijssen, A.; Dhont, N.; Vandormael, E.; Cox, A.; Klerkx, E.; Creemers, E.; Ombelet, W.

2014-01-01

Due to the high inflow of foreign patients seeking cross-border reproductive care in Belgium and the increased number of lesbian couples and single women who call for artificial insemination with donor sperm (AID), Belgian sperm banks nowadays face a shortage in donor sperm. However, since there is no central registration system for sperm donors in Belgium, no figures are currently available supporting this statement. Therefore a study was performed to obtain a detailed overview of the sperm banking facilities in Belgium. Questionnaires were sent to all Belgian centres for assisted reproduction with laboratory facilities (n = 18) to report on their sperm banking methods. The results showed that 82% of the centres rely partially or completely on foreign donor sperm. Moreover, four of the thirteen centres that have their own sperm bank use imported donor sperm in > 95% AID cycles. Our results show that in 63% of the Belgian AID cycles imported Danish donor sperm is being used. Donor recruitment is mainly performed through the centre’s website (61%) or by distributing flyers in the centre (46%) and 9 to 180 potential donors have been recruited per centre in 2013. Eventually, 15 to 50% of these candidate donors were accepted. Different criteria for donor acceptance are handled by the centres: donor age limits range from 18-25 to 36-46 years old, and thresholds for sperm normality differ considerably. We can conclude that a wide variation in methods associated with sperm banking is observed in Belgian centres. PMID:25009728

Why is the 'healthy immigrant effect' different between European countries?

PubMed

Moullan, Yasser; Jusot, Florence

2014-08-01

Even if health status of immigrants constitutes an important public health issue, the literature provides contradictory results on the existence of a 'healthy migrant' effect in Europe. This study proposes to explore the heterogeneity of the health gap between migrants and natives across four European countries. Based on several harmonized national health interview surveys, the association between migratory status and self-assessed health was firstly explored separately in Belgium, France, Spain and Italy. To explore whether differences in health gap between countries reflect differences in health status of immigrants between host countries or whether they are because of differences in health status of natives between host countries, the association between the host country and health was secondly analysed separately among a pooled sample of immigrants and one of natives, controlling for socio-economic status and country of origin. After controlling for socio-economic status, immigrants report a poorer health status than natives in France, Belgium and Spain, whereas they report a better health status than natives in Italy, among both women and men. A North-South gradient in immigrants' health status appears: their health status is better in Italy and in Spain than in France and Belgium. Conversely, health status of natives is poorer in Italy and in Belgium than in France and in Spain. Differences in health gap reflect differences in health status of both natives and immigrants between host countries. This suggests differences in health selection at migration and in immigrants' integration between European countries. © The Author 2014. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Reimbursement of orphan drugs in Belgium: what (else) matters?

PubMed

Picavet, Eline; Cassiman, David; Simoens, Steven

2014-09-12

Most orphan drugs do not meet traditional standards of cost-effectiveness. Yet, most orphan drugs are reimbursed, which implies that other factors are taken into account at the time of reimbursement. To increase accountability of decision-makers, there is a need for more transparency in the factors that play a role in reimbursement decisions of orphan drugs. Therefore, the aim of this study is to use a combination of qualitative research methods to examine which official and non-official factors influence reimbursement decisions for orphan drugs in Belgium. Six semi-structured interviews with past or present members of the Drug Reimbursement Committee (DRC) were performed with a view to obtaining an overview of the potential factors influencing reimbursement. Additionally, these presence of these factors was assessed in the reimbursement dossiers of all orphan drugs (n = 64) for which an application for reimbursement was submitted to the National Institute for Health and Disability Insurance in Belgium between January 2002 and July 2013. Different official (i.e. therapeutic value, budget impact, price and impact in clinical practice) and non-official factors (i.e. pricing and reimbursement in other countries, interference by patient organisations and experts, arguments related to quality of branded drug versus compounding, media attention, innovative character, economic importance, ethical arguments and the political climate) may have influenced past reimbursement decisions for orphan drugs in Belgium. The identification of factors influencing orphan drug reimbursement is a crucial step in the development of a transparent and consistent framework which will guide future decision-making for reimbursement of orphan drugs.

[Trends in our population growth].

PubMed

Delanghe, L

1980-10-01

The birth rate in Belgium decreased between 1964 and 1975, after which the birth rate again began to increase. This increase was not enough, however, to justify classifying Belgium's population as expansive. The decrease in fertility was due mainly to a decrease in the fertility of women in the highest fertility age groups. This development began to spread into lower age groups but was reversed by trends toward more traditional family patterns. After 1961, couples showed a preference for remaining childless for the first several years following their marriage, for the 2 child family, and for longer birth intervals. The decrease in fertility was greater among those with larger families, among the inhabitants of Flanders, among Catholics, among women who didn't work outside the home, and among those in higher income groups. Belgium has a relatively high infant mortality rate. 80% of the infant deaths in Belgium are perinatal in nature, due mainly to sociocultural and socio-hygienic factors. Trends in fertility and mortality have led to an increase in the average age of the Belgian population, which could lead to future socioeconomic problems. Social and economic incentives for having children should be instituted in order to secure the stability of the Belgian population, without infringing on the freedom of women to choose to work and have children. This would include aid for families in which both parents work, and economic aid so that those families in which the woman remains at home can afford to have more children. It is recommended that 30-35% of Belgian families should have 3 children instead of 2, if socioeconomic stability is to be achieved.

Trust in food in the age of mad cow disease: a comparative study of consumers' evaluation of food safety in Belgium, Britain and Norway.

PubMed

Berg, Lisbet

2004-02-01

How do food scandals like dioxines in food in Belgium (summer 1999) and the detection of mad cow disease (BSE) in Britain affect consumers' confidence in food safety? In this paper, based on three thousand telephone interviews during the last quarter of 1999, consumers in Belgium and Britain are compared with consumers in Norway, where there has been no such serious food scandal in recent years. 'Trust' is a diffuse and complex concept to measure. In this article a consumer trust typology is developed and operationalised. Combining a trust-distrust dimension and a reflexivity dimension, it is possible to differentiate between four main consumer types, which are called 'sensible', 'sceptical', 'naive' and 'denying' consumers, respectively. Does the distribution of these consumer types vary in our selected countries? Are there gender differences across national borders? Four hypotheses of how consumers could respond to food scares are investigated: the Reflexivity hypothesis, the Risk-reducing hypothesis, the Complexity-reducing hypothesis and finally the Don't worry, be happy hypothesis.

Physician Resistance and the Forging of Public Healthcare: A Comparative Analysis of the Doctors’ Strikes in Canada and Belgium in the 1960s

PubMed Central

MARCHILDON, GREGORY P.; SCHRIJVERS, KLAARTJE

2011-01-01

Organised medicine in a number of advanced industrial countries resisted the post-war trend toward more state involvement in the funding and organisation of medical care. While there were eight doctors’ strikes during the peak of reform efforts in the 1960s, two of the most prolonged and bitter struggles took place in Canada and Belgium. This comparative analysis of the two strikes highlights the philosophy, motives, and strategies of organised medicine in resisting state-led reform efforts. Although historical and institutional contexts in the two countries differed, organised medicine in Canada and Belgium thought and responded in very similar ways to the perceived threat of medical insurance reform. While the perception of who won and who lost the respective doctors’ strikes differed, the ultimate impact on the trajectory of public healthcare on the medical profession was remarkably similar. In both countries, the strike would have a long-standing impact on future reform efforts, particularly efforts to reform physician remuneration in order to facilitate more effective primary healthcare. PMID:21461310

A cluster of airport malaria in Belgium in 1995.

PubMed

Van den Ende, J; Lynen, L; Elsen, P; Colebunders, R; Demey, H; Depraetere, K; De Schrijver, K; Peetermans, W E; Pereira de Almeida, P; Vogelaers, D

1998-08-01

In Europe 64 cases of airport malaria have been registered between 1969 and 1996, most of them in France, Switzerland and Belgium. In the summer of 1995 six cases of airport malaria occurred at the International airport of Brussels, Belgium. Of the six patients three were airport employees, three were occasional visitors. One patient died, the diagnosis was made by PCR amplification and DNA sequencing after exhumation. Two different species of Plasmodium were detected, and infections occurred on at least two different floors of the airport. An inquiry revealed that the cabin of airplanes is correctly sprayed, according to WHO recommendations, but that the inside of the hand luggage, the cargo hold, the animal compartment, the wheel bays and container flights remain possible shelters for infected mosquitoes. In a case of fever of unknown origin, airport malaria should be considered in the differential diagnosis, especially during hot summers, and when thrombocytopenia is present. Additional antimosquito measures should be generalised, encompassing highly exposed personnel, container content and handling buildings, animal cages, wheel bays, and the boundary between the sorting and the reception of luggage.

Cross-border reproductive care in Belgium.

PubMed

Pennings, G; Autin, C; Decleer, W; Delbaere, A; Delbeke, L; Delvigne, A; De Neubourg, D; Devroey, P; Dhont, M; D'Hooghe, T; Gordts, S; Lejeune, B; Nijs, M; Pauwels, P; Perrad, B; Pirard, C; Vandekerckhove, F

2009-12-01

Cross-border reproductive care indicates the cross-border movements made by patients to obtain infertility treatment they cannot obtain at home. The problem at present is that empirical data on the extent of the phenomenon are lacking. This article presents the data on infertility patients going to Belgium for treatment. A survey was conducted among the centres for reproductive medicine that are allowed to handle oocytes and create embryos (B-centres). Data were collected on the nationality of patients and the type of treatment for which they attended during the period 2000-2007. Sixteen of 18 centres responded to the questionnaire. The flow of foreign patients has stabilized since 2006 at approximately 2100 patients per year. The majority of foreign nationals seeking treatment in Belgium were French women for sperm donation. The next highest group was patients entering the country to obtain ICSI with ejaculated sperm. There are clear indications that numerous movements are motivated by the wish to evade legal restrictions in one's home country, either because the technology is prohibited or because the patients have characteristics, which exclude them from treatment in their own countries.

Interpersonal violence against children in sport in the Netherlands and Belgium.

PubMed

Vertommen, Tine; Schipper-van Veldhoven, Nicolette; Wouters, Kristien; Kampen, Jarl K; Brackenridge, Celia H; Rhind, Daniel J A; Neels, Karel; Van Den Eede, Filip

2016-01-01

The current article reports on the first large-scale prevalence study on interpersonal violence against children in sport in the Netherlands and Belgium. Using a dedicated online questionnaire, over 4,000 adults prescreened on having participated in organized sport before the age of 18 were surveyed with respect to their experiences with childhood psychological, physical, and sexual violence while playing sports. Being the first of its kind in the Netherlands and Belgium, our study has a sufficiently large sample taken from the general population, with a balanced gender ratio and wide variety in socio-demographic characteristics. The survey showed that 38% of all respondents reported experiences with psychological violence, 11% with physical violence, and 14% with sexual violence. Ethnic minority, lesbian/gay/bisexual (LGB) and disabled athletes, and those competing at the international level report significantly more experiences of interpersonal violence in sport. The results are consistent with rates obtained outside sport, underscoring the need for more research on interventions and systematic follow-ups, to minimize these negative experiences in youth sport. Copyright © 2015 Elsevier Ltd. All rights reserved.

Changes in species richness and spatial distribution of mosquitoes (Diptera: Culicidae) inferred from museum specimen records and a recent inventory: a case study from Belgium suggests recent expanded distribution of arbovirus and malaria vectors.

PubMed

Dekoninck, W; Hendrickx, F; Versteirt, V; Coosemans, M; De Clercq, E M; Hendrickx, G; Hance, T; Grootaert, P

2013-03-01

Mosquito (Diptera: Culicidae) distribution data from a recent inventory of native and invading mosquito species in Belgium were compared with historical data from the period 1900-1960 that were retrieved from a revision of the Belgian Culicidae collection at the Royal Belgian Institute of Natural Sciences. Both data sets were used to investigate trends in mosquito species richness in several regions in Belgium. The relative change in distribution area of mosquito species was particularly important for species that use waste waters and used tires as larval habitats and species that recently shifted their larval habitat to artificial larval habitats. More importantly, several of these species are known as vectors of arboviruses and Plasmodium sp. and the apparent habitat shift of some of them brought these species in proximity to humans. Similar studies comparing current mosquito richness with former distribution data retrieved from voucher specimens from collections is therefore encouraged because they can generate important information concerning health risk assessment at both regional and national scale.

Low occurrence of the new species Staphylococcus argenteus in a Staphylococcus aureus collection of human isolates from Belgium.

PubMed

Argudín, M A; Dodémont, M; Vandendriessche, S; Rottiers, S; Tribes, C; Roisin, S; de Mendonça, R; Nonhoff, C; Deplano, A; Denis, O

2016-06-01

Staphylococcus argenteus is a novel Staphylococcus species closely related to Staphylococcus aureus that has been recently described. In this study, we investigated the proportion and the characteristics of S. argenteus recovered from humans in Belgium. S. aureus. human isolates collected in Belgium from 2006 to 2015 (n = 1,903) were retrospectively characterised via the presence of non-pigmented colonies on chocolate agar, spa typing and rpoB sequencing to determine if some of them were in fact S. argenteus. Out of 73 strains non-pigmented on chocolate plates, 3 isolates (0.16 %) showed rpoB sequences, in addition to spa and sequence types (ST2250/t5787, ST2250/t6675, ST3240/t6675), related to S. argenteus. Two of them were methicillin-resistant, harbouring a SCCmec type IV. The three S. argenteus isolates carried genes (sak, scn) of the immune evasion cluster. This first Belgian nationwide analysis showed a low occurrence of S. argenteus. Further studies should be conducted to identify the distribution range and the clinical impact of this new species.

[Ancient methods of animal disease prevention in Belgium].

PubMed

Mammerickx, M

1994-06-01

The author describes traditional methods of animal disease control in Belgium and the evolution of these methods up to the present time. Evidence is drawn mainly from Belgian law. The principles of hygienic prophylaxis, which have required little modification over the passage of time, were set out at the beginning of the 18th century by Lancisi and Bates, physicians to Pope Clement XI and King George I of Great Britain, respectively. These principles were immediately incorporated into Belgian law. However, it was not until the second half of the 19th century that they were applied correctly and with success.

The future of intercultural mediation in Belgium.

PubMed

Nierkens, Vera; Krumeich, Anja; de Ridder, Ri; van Dongen, Martien

2002-04-01

Intercultural mediation was developed to solve problems between western (Belgian) health professionals and Turkish, Moroccan and Italian clients. The need for intercultural mediation in Belgium Health Care was measured by asking intercultural mediators to complete a questionnaire about situations in which language, culture, social-economic and personal circumstances cause difficulties. Results show that the profession 'intercultural mediator' continues to be important in improving the quality and accessibility of the Belgian health care for ethnic minorities. Even if clients speak Flemish fluently, there are still difficulties between health professional and client caused by culture, social-economic and personal circumstances.

[Recent population policy measures in Belgium, especially with respect to fertility].

PubMed

Bosman, E

1985-01-01

Policy measures affecting fertility, recently adopted in Belgium, are reviewed. The author notes that although responsibility for population matters has been delegated to the respective language groups, the responsibility for family law, divorce, abortion, social security, taxation, and labor policy remains a national responsibility. There are currently no measures in these areas adopted primarily for demographic reasons. Differences between the approaches taken by the French- and Dutch-speaking communities are noted. The author suggests that the French-speaking community has focused on problems relating to contraception and abortion, and the Dutch-speaking community has emphasized social welfare and family policy

Satellite derived forest phenology and its relation with nephropathia epidemica in Belgium.

PubMed

Barrios, José Miguel; Verstraeten, Willem W; Maes, Piet; Clement, Jan; Aerts, Jean-Marie; Haredasht, Sara Amirpour; Wambacq, Julie; Lagrou, Katrien; Ducoffre, Geneviève; Van Ranst, Marc; Berckmans, Daniel; Coppin, Pol

2010-06-01

The connection between nephropathia epidemica (NE) and vegetation dynamics has been emphasized in recent studies. Changing climate has been suggested as a triggering factor of recently observed epidemiologic peaks in reported NE cases. We have investigated whether there is a connection between the NE occurrence pattern in Belgium and specific trends in remotely sensed phenology parameters of broad-leaved forests. The analysis of time series of the MODIS Enhanced Vegetation Index revealed that changes in forest phenology, considered in literature as an effect of climate change, may affect the mechanics of NE transmission.

Satellite Derived Forest Phenology and Its Relation with Nephropathia Epidemica in Belgium

PubMed Central

Barrios, José Miguel; Verstraeten, Willem W.; Maes, Piet; Clement, Jan; Aerts, Jean-Marie; Haredasht, Sara Amirpour; Wambacq, Julie; Lagrou, Katrien; Ducoffre, Geneviève; Van Ranst, Marc; Berckmans, Daniel; Coppin, Pol

2010-01-01

The connection between nephropathia epidemica (NE) and vegetation dynamics has been emphasized in recent studies. Changing climate has been suggested as a triggering factor of recently observed epidemiologic peaks in reported NE cases. We have investigated whether there is a connection between the NE occurrence pattern in Belgium and specific trends in remotely sensed phenology parameters of broad-leaved forests. The analysis of time series of the MODIS Enhanced Vegetation Index revealed that changes in forest phenology, considered in literature as an effect of climate change, may affect the mechanics of NE transmission. PMID:20644685

Premature mortality in Belgium in 1993-2009: leading causes, regional disparities and 15 years change.

PubMed

Renard, Françoise; Tafforeau, Jean; Deboosere, Patrick

2014-01-01

Reducing premature mortality is a crucial public health objective. After a long gap in the publication of Belgian mortality statistics, this paper presents the leading causes and the regional disparities in premature mortality in 2008-2009 and the changes since 1993. All deaths occurring in the periods 1993-1999 and 2003-2009, in people aged 1-74 residing in Belgium were included. The cause of death and population data for Belgium were provided by Statistics Belgium , while data for international comparisons were extracted from the WHO mortality database. Age-adjusted mortality rates and Person Year of Life Lost (PYLL) were calculated. The Rate Ratios were computed for regional and international comparisons, using the region or country with the lowest rate as reference; statistical significance was tested assuming a Poisson distribution of the number of deaths. The burden of premature mortality is much higher in men than in women (respectively 42% and 24% of the total number of deaths). The 2008-9 burden of premature mortality in Belgium reaches 6410 and 3440 PYLL per 100,000, respectively in males and females, ranking 4th and 3rd worst within the EU15. The disparities between Belgian regions are substantial: for overall premature mortality, respective excess of 40% and 20% among males, 30% and 20% among females are observed in Wallonia and Brussels as compared to Flanders. Also in cause specific mortality, Wallonia experiences a clear disadvantage compared to Flanders. Brussels shows an intermediate level for natural causes, but ranks differently for external causes, with less road accidents and suicide and more non-transport accidents than in the other regions. Age-adjusted premature mortality rates decreased by 29% among men and by 22% among women over a period of 15 years. Among men, circulatory diseases death rates decreased the fastest (-43.4%), followed by the neoplasms (-26.6%), the other natural causes (-21.0%) and the external causes (-20.8%). The larger decrease in single cause is observed for stomach cancer (-48.4%), road accident (-44%), genital organs (-40.4%) and lung (-34.6%) cancers. On the opposite, liver cancer death rate increased by 16%. Among female, the most remarkable feature is the 50.2% increase in the lung cancer death rate. For most other causes, the decline is slightly weaker than in men. Despite a steady decrease over time, international comparisons of the premature mortality burden highlight the room for improvement in Belgium. The disadvantage in Wallonia and to some extent in Brussels suggest the role of socio-economic factors; well- designed health policies could contribute to reduce the regional disparities. The increase in female lung cancer mortality is worrying.

The Fate of Mrs Robinson: Criteria for Recognition of Whole-Body Vibration Injury as AN Occupational Disease

NASA Astrophysics Data System (ADS)

HULSHOF, C. T. J.; VAN DER LAAN, G.; BRAAM, I. T. J.; VERBEEK, J. H. A. M.

2002-05-01

Several recently published critical reviews conclude that there is strong epidemiological evidence for a relationship between occupational exposure to whole-body vibration (WBV), low back pain (LBP) and back disorders. Whether this exposure is only a modest or a substantial risk factor for the onset and recurrence of LBP is still a matter of debate. In spite of this controversy, four European Union countries have decided to recognize and compensate LBP and certain spinal disorders as an occupational disease. In this paper, we review the criteria currently in use for the recognition of this occupational disease. A search of the literature was performed; additional information was obtained in work visits to national occupational disease institutes in Germany, France and Belgium, in annual reports and national statistics on occupational diseases. Belgium was the first country to add WBV injury to the official list of occupational diseases (1978), followed by Germany (1993), the Netherlands (1997), and France (1999). The incidence of newly recognized cases in 1999 varied considerably: 763 in Belgium, 269 in France, 16 in Germany, and 10 reported cases in the Netherlands. The findings of this review indicate that significant differences exist in the established and applied diagnostic and exposure criteria in the four EU countries. This is illustrated by the case of Mrs Robinson, a 41-year-old forklift driver with LBP, who would probably get recognition and compensation in the Netherlands and Belgium but would be rejected in France and Germany. The development of uniform internationally accepted criteria is recommended, also from an epidemiological point of view, as many data are collected in the process of recognition of this occupational disease.

Potential impact of policy regulation and generic competition on sales of cholesterol lowering medication, antidepressants and acid blocking agents in Belgium.

PubMed

Fraeyman, J; Van Hal, G; De Loof, H; Remmen, R; De Meyer, G R Y; Beutels, P

2012-01-01

Pharmaceutical expenditures are increasing as a proportion of health expenditures in most rich countries. Antidepressants, acid blocking agents and cholesterol lowering medication are major contributors to medicine sales around the globe. We aimed to document the possible impact of policy regulations and generic market penetration on the evolution of sales volume and average cost per unit (Defined Daily Doses and packages) of antidepressants, acid blocking agents and cholesterol lowering medication. We extracted data from the IMS health database regarding the public price and sales volume of the antidepressants (selective serotonin reuptake inhibitors (SSRI's), monoamine oxidase inhibitors (MAOl's) and tricyclic and remaining antidepressants (TCA's)), acid blocking agents (proton pump inhibitors (PPl's) and H2 receptor antagonists) and cholesterol lowering medication (statins and fibrates) in Belgium between 1995 and 2009. We describe these sales data in relation to various national policy measures which were systematically searched in official records. Our analysis suggests that particular policy regulations have had immediate impact on sales figures and expenditures on pharmaceuticals in Belgium: changes in reimbursement conditions, a public tender and entry of generic competitors in a reference pricing system. However, possible sustainable effects seem to be counteracted by other mechanisms such as marketing strategies, prescribing behaviour, brand loyalty and the entry of pseudogenerics. It is likely that demand-side measures have a more sustainable impact on expenditure. Compared with other European countries, generic penetration in Belgium remains low. Alternative policy regulations aimed at enlarging the generic market and influencing pharmaceutical expenditures deserve consideration. This should include policies aiming to influence physicians' prescribing and a shared responsibility of pharmacists, physicians and patients towards expenditures.

Prevalence and content of written ethics policies on euthanasia in Catholic healthcare institutions in Belgium (Flanders).

PubMed

Gastmans, Chris; Lemiengre, Joke; van der Wal, Gerrit; Schotsmans, Paul; Dierckx de Casterlé, Bernadette

2006-04-01

Euthanasia is performed worldwide, regardless of the existence of laws governing it. Belgium became the second country in the world to enact a law on euthanasia in 2002. Healthcare institutions bear responsibility for guaranteeing the quality of care for patients at the end of life, and for ensuring support for caregivers involved. Therefore, institutional ethics policies on end-of-life decision-making, especially on euthanasia, may be useful. A cross-sectional mail survey of general directors of Catholic hospitals and nursing homes in Belgium was used to describe the prevalence and content of written ethics policies for competent terminally ill, incompetent terminally ill, and non-terminally ill patients. Of the 298 targeted institutions, 81% of hospitals and 62% of nursing homes returned complete questionnaires. Of these, 79% of hospitals and 30% of nursing homes had a written ethics policy on euthanasia. Of hospitals 83% and of nursing homes 85% permitted euthanasia for competent terminally ill patients only in exceptional cases in accordance with legal due care criteria and provisions outlined by the palliative filter procedure. Euthanasia for incompetent terminally ill patients was prohibited by 27% of the hospitals and by 60% of the nursing homes. For non-terminally ill patients, these figures were 43 and 64%, respectively. Catholic healthcare institutions in Belgium (Flanders) made great efforts to develop written ethics policies on euthanasia. Only a small group of institutions completely prohibited euthanasia. Most of the institutions considered euthanasia to be an option if all possible alternatives (e.g., palliative filter procedure, which contains more rigorous criteria than those in the Belgian Euthanasia Act), have been thoroughly investigated.

Cost analysis of neonatal and pediatric parenteral nutrition in Europe: a multi-country study.

PubMed

Walter, E; Liu, F X; Maton, P; Storme, T; Perrinet, M; von Delft, O; Puntis, J; Hartigan, D; Dragosits, A; Sondhi, S

2012-05-01

Parenteral nutrition (PN) is critical in neonatal and pediatric care for patients unable to tolerate enteral feeding. This study assessed the total costs of compounding PN therapy for neonates, infants and children. Face-to-face and telephone interviews were conducted in 12 hospitals across four European countries (Belgium, France, Germany and UK) to collect information on resources utilized to compound PN, including nutrients, staff time, equipment cost and supplies. A bottom-up cost model was constructed to assess total costs of PN therapy by assigning monetary values to the resource utilization using published list prices and interview data. A total of 49,922 PN bags per year were used to treat 4295 neonatal and pediatric patients among these hospitals. The daily total costs of one compounded PN bag for neonates in the 12 hospitals across the four countries equalled euro 55.16 (Belgium euro 53.26, France euro 46.23, Germany euro 64.05, UK Ł 37.43/\\[euro]42.86). Overall, nutrients accounted for 25% of total costs, supplies 18%, wages 54% and equipment 3%. Average costs per bag for infants <2 year were euro 84.52 (euro 74.65 in Belgium, euro 83.84 in France, euro 92.70 in Germany and Ł 52.63/euro 60.26 in the UK), and for children 2-18 years euro 118.02 (euro 93.85 in Belgium, euro 121.35 in France, euro 124.54 in Germany and Ł 69.49/euro 79.56 in the UK), of which 63% is attributable to nutrients and 28% to wages. The data indicated that PN costs differ among countries and a major proportion was due to staff time (Ł 1=euro 1.144959).

Euthanasia in patients dying at home in Belgium: interview study on adherence to legal safeguards

PubMed Central

Smets, Tinne; Bilsen, Johan; Van den Block, Lieve; Cohen, Joachim; Van Casteren, Viviane; Deliens, Luc

2010-01-01

Background Euthanasia became legal in Belgium in 2002. Physicians must adhere to legal due care requirements when performing euthanasia; for example, consulting a second physician and reporting each euthanasia case to the Federal Review Committee. Aim To study the adherence and non-adherence of GPs to legal due care requirements for euthanasia among patients dying at home in Belgium and to explore possible reasons for non-adherence. Design of study Large scale, retrospective study. Setting General practice in Belgium. Method A retrospective mortality study was performed in 2005–2006 using the nationwide Belgian Sentinel Network of General Practitioners. Each week GPs reported medical end-of-life decisions taken in all non-sudden deaths of patients in their practice. GP interviews were conducted for each euthanasia case occurring at home. Results Interviews were conducted for nine of the 11 identified euthanasia cases. Requirements concerning the patient's medical condition were met in all cases. Procedural requirements such as consultation of a second physician were sometimes ignored. Euthanasia cases were least often reported (n = 4) when the physician did not regard the decision as euthanasia, when only opioids were used to perform euthanasia, or when no second physician was consulted. Factors that may contribute to explaining non-adherence to the euthanasia law included: being unaware of which practices are considered to be euthanasia; insufficient knowledge of the euthanasia law; and the fact that certain procedures are deemed burdensome. Conclusion Substantive legal due care requirements for euthanasia concerning the patient's request for euthanasia and medical situation were almost always met by GPs in euthanasia cases. Procedural consultation and reporting requirements were not always met. PMID:20353662

The potential health and economic effects of plant-based food patterns in Belgium and the United Kingdom.

PubMed

Schepers, Janne; Annemans, Lieven

2018-04-01

Policymakers increasingly require scientific evidence on both health and economic consequences of different nutritional patterns. The aim of this study was to assess health and economic effects of Mediterranean and soy-containing diets. Selected countries were Belgium and the United Kingdom. Cost-effectiveness of these plant-based food patterns was assessed in comparison with a "conventional" diet using an age- and sex-dependent prediction model. The model allowed the prediction of health outcomes and related health care costs for the food patterns over 20 y. A societal perspective was applied for cost calculation and health outcomes were expressed in quality-adjusted life-years (QALYs). For Belgium, a soy-containing diet is estimated to lead to 202 QALYs and 107 QALYs per 1000 women and men, respectively, whereas societal savings of €2 146 000 and €1 653 000 are predicted. For the United Kingdom, a gain of 159 QALYs and 100 QALYs per 1000 women and men, respectively, is estimated, as are a prediction of savings of £1 580 000 and £1 606 000. For the Mediterranean diet in the corresponding estimates for Belgium are 184 QALYs and 148 QALYs per 1000 women and men, respectively, and savings of €1 618 000 and €1 595 000. For the United Kingdom, these are 122 QALYs and 110 QALYs per 1000 women and men, respectively, and savings of £1 155 000 and £1 046 000, respectively. A wider implementation of plant-based eating would lead to large net economic gains for society and improved health outcomes for the population. Copyright © 2017 Elsevier Inc. All rights reserved.

Risk factors for development of multiple-class resistance to Streptococcus pneumoniae Strains in Belgium over a 10-year period: antimicrobial consumption, population density, and geographic location.

PubMed

Van Eldere, Johan; Mera, Robertino M; Miller, Linda A; Poupard, James A; Amrine-Madsen, Heather

2007-10-01

We investigated the impact of the usage of antibiotics in ambulatory patients in Belgium in 147 defined geographical circumscriptions and at the individual isolate level. The study included 14,448 Streptococcus pneumoniae strains collected by the Belgium national reference lab from 1994 to 2004. Additional risk factors for resistance, such as population density/structure and day care attendance, were investigated for the same time-space window. A statistical model that included resistance to two or more antimicrobial classes offered the best fit for measuring the changes in nonsusceptibility to penicillin, macrolides, and tetracycline over time and place in Belgium. Analysis at the geographic level identified antimicrobial consumption with a 1-year lag (0.5% increase per additional defined daily dose) and population density as independent predictors of multiple resistance. Independent risk factors at the isolate level were age (odds ratio [OR], 1.55 for children aged <5 years), population density (7% increase in multiple resistance per 100 inhabitants/km(2)), conjugate 7-valent vaccine serotype (OR, 14.3), location (OR, 1.55 for regions bordering high-resistance France), and isolate source (OR, 1.54 for ear isolates). The expansion of multiple-resistant strains explains most of the overall twofold increase and subsequent decrease in single antimicrobial resistance between 1994 and 2004. We conclude that factors in addition to antibiotic use, such as high population density and proximity to high-resistance regions, favor multiple resistance. Regional resistance rates are not linearly related to actual antibiotic use but are linked to past antibiotic use plus a combination of demographic and geographic factors.

Validation of the Regional Climate Model ALARO with different dynamical downscaling approaches and different horizontal resolutions

NASA Astrophysics Data System (ADS)

Berckmans, Julie; Hamdi, Rafiq; De Troch, Rozemien; Giot, Olivier

2015-04-01

At the Royal Meteorological Institute of Belgium (RMI), climate simulations are performed with the regional climate model (RCM) ALARO, a version of the ALADIN model with improved physical parameterizations. In order to obtain high-resolution information of the regional climate, lateral bounary conditions (LBC) are prescribed from the global climate model (GCM) ARPEGE. Dynamical downscaling is commonly done in a continuous long-term simulation, with the initialisation of the model at the start and driven by the regularly updated LBCs of the GCM. Recently, more interest exists in the dynamical downscaling approach of frequent reinitializations of the climate simulations. For these experiments, the model is initialised daily and driven for 24 hours by the GCM. However, the surface is either initialised daily together with the atmosphere or free to evolve continuously. The surface scheme implemented in ALARO is SURFEX, which can be either run in coupled mode or in stand-alone mode. The regional climate is simulated on different domains, on a 20km horizontal resolution over Western-Europe and a 4km horizontal resolution over Belgium. Besides, SURFEX allows to perform a stand-alone or offline simulation on 1km horizontal resolution over Belgium. This research is in the framework of the project MASC: "Modelling and Assessing Surface Change Impacts on Belgian and Western European Climate", a 4-year project funded by the Belgian Federal Government. The overall aim of the project is to study the feedbacks between climate changes and land surface changes in order to improve regional climate model projections at the decennial scale over Belgium and Western Europe and thus to provide better climate projections and climate change evaluation tools to policy makers, stakeholders and the scientific community.

Quality of pathology reporting is crucial for cancer care and registration: a baseline assessment for breast cancers diagnosed in Belgium in 2008.

PubMed

De Schutter, H; Van Damme, N; Colpaert, C; Galant, C; Lambein, K; Cornelis, A; Neven, P; Van Eycken, E

2015-04-01

Given the crucial role of pathology reporting in the management of breast cancers, we aimed to investigate the quality and variability of breast cancer pathology reporting in Belgium. Detailed information on non-molecular and molecular parameters was retrieved from the pathology protocols available at the Belgian Cancer Registry for 10,007 breast cancers diagnosed in Belgium in 2008. Substantial underreporting was shown for several clinically relevant non-molecular parameters, such as lymphovascular invasion. High-volume laboratories performed only slightly better than others, and analyses at the individual laboratory level showed clear inter-laboratory variability in reporting for all volume categories. Information on ER/PR and HER2 IHC was mentioned in respectively 91.7% and 90.8% of evaluative cases. HER2 ISH data were available for 78.5% of the cases judged to be 2+ for HER2 IHC. For cases with different specimens analysed, discordance between these specimens was highest for HER2, followed by PR. For HER2, results obtained from different laboratories were even less concordant. In addition, inter-laboratory differences were noted in the used ER/PR scoring systems, the proportion of ER-/PR+ cases, and the relation between histological grade and ER/PR positivity. Data on Ki67 were only available for 43.8% of the investigated cases, and showed inconsistent use of cut-off values. Breast pathology reporting in Belgium in 2008 was suboptimal and showed considerable inter-laboratory variability. Synoptic reporting has been proposed as a facilitator towards increased reporting quality and harmonization, but the lack of aligned informatics remains a major hurdle in its concrete implementation. Copyright © 2014 Elsevier Ltd. All rights reserved.

Increasing proportion of carbapenemase-producing Enterobacteriaceae and emergence of a MCR-1 producer through a multicentric study among hospital-based and private laboratories in Belgium from September to November 2015.

PubMed

Huang, Te Din; Bogaerts, Pierre; Berhin, Catherine; Hoebeke, Martin; Bauraing, Caroline; Glupczynski, Youri

2017-05-11

Carbapenemase-producing Enterobacteriaceae (CPE) strains have been increasingly reported in Belgium. We aimed to determine the proportion of CPE among Enterobacteriaceae isolated from hospitalised patients and community outpatients in Belgium in 2015. For the hospitalised patients, the results were compared to a previous similar survey performed in the same hospitals in 2012. Twenty-four hospital-based and 10 private laboratories collected prospectively 200 non-duplicated Enterobacteriaceae isolates from clinical specimens. All isolates were screened locally by carbapenem disk diffusion using European Committee on Antimicrobial Susceptibility Testing methodology. Putative CPE strains with inhibition zone diameters below the screening breakpoints were referred centrally for confirmation of carbapenemase production. From September to November 2015, we found a proportion of clinical CPE of 0.55% (26/4,705) and of 0.60% (12/1,991) among hospitalised patients and among ambulatory outpatients respectively. Klebsiella pneumoniae (26/38) and OXA-48-like carbapenemase (28/38) were the predominant species and enzyme among CPE. One OXA-48-producing Escherichia coli isolated from a hospital was found carrying plasmid-mediated MCR-1 colistin resistance. Compared with the 2012 survey, we found a significant increased proportion of clinical CPE (0.55% in 2015 vs 0.25% in 2012; p = 0.02) and an increased proportion of hospitals (13/24 in 2015 vs 8/24 in 2012) with at least one CPE detected. The study results confirmed the concerning spread of CPE including a colistin-resistant MCR-1 producer in hospitals and the establishment of CPE in the community in Belgium. This article is copyright of The Authors, 2017.

Treatment Variation of Sequential versus Concurrent Chemoradiotherapy in Stage III Non-Small Cell Lung Cancer Patients in the Netherlands and Belgium.

PubMed

Walraven, I; Damhuis, R A; Ten Berge, M G; Rosskamp, M; van Eycken, L; de Ruysscher, D; Belderbos, J S A

2017-11-01

Concurrent chemoradiotherapy (CCRT) is considered the standard treatment regimen in non-surgical locally advanced non-small cell lung cancer (NSCLC) patients and sequential chemoradiotherapy (SCRT) is recommended in patients who are unfit to receive CCRT or when the treatment volume is considered too large. In this study, we investigated the proportion of CCRT/SCRT in the Netherlands and Belgium. Furthermore, patient and disease characteristics associated with SCRT were assessed. An observational study was carried out with data from three independent national registries: the Belgian Cancer Registry (BCR), the Netherlands Cancer Registry (NCR) and the Dutch Lung Cancer Audit-Radiotherapy (DLCA-R). Differences in patient and disease characteristics between CCRT and SCRT were tested with unpaired t-tests (for continuous variables) and with chi-square tests (for categorical variables). A prognostic model was constructed to determine patient and disease parameters predictive for the choice of SCRT. This study included 350 patients from the BCR, 780 patients from the NCR and 428 patients from the DLCA-R. More than half of the stage III NSCLC patients in the Netherlands (55%) and in Belgium more than a third (35%) were treated with CCRT. In both the Dutch and Belgian population, higher age and more advanced N-stage were significantly associated with SCRT. Performance score, pulmonary function, comorbidities and tumour volume were not associated with SCRT. In this observational population-based study, a large treatment variation in non-surgical stage III NSCLC patients was observed between and within the Netherlands and Belgium. Higher age and N-stage were significantly associated with the choice for SCRT. Copyright © 2017 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

The Assessment of African Swine Fever Virus Risk to Belgium Early 2014, using the Quick and Semiquantitative Pandora Screening Protocol.

PubMed

Roelandt, S; Van der Stede, Y; D'hondt, B; Koenen, F

2017-02-01

A risk assessment was organized during the early EU ASF outbreaks of early 2014 (February-April) and performed in cooperation with 15 Belgian and European experts on ASFV and its epidemiology in pigs/wild boar. African swine fever (ASF) is considered as one of the most dangerous infectious pig diseases, causing many outbreaks. Since the end of 2013 - early 2014, several outbreaks within the European Union (Lithuania, Poland, Estonia and Latvia) were reported to OIE, which prompted several risk assessments by (inter)national bodies and scientists. In this study, the open source, semiquantitative Pandora risk assessment tool was used for a quick overall screening of the risk posed by ASF to Belgium early 2014. A set of integrated risk scores was calculated within the Pandora framework. Experts scored the questions and uncertainty levels in the Pandora modules individually, after which the calculations were performed and averaged scores were used within pre-defined risk scales to define and visualize the ASF risk to Belgium. Emergence risk was considered low (Pandora score 0.29), while disease consequences were deemed high (0.93); the resulting multiplicative overall risk of ASFV for Belgium was low (0.27). The Belgian experts tended to give lower risk scores than the European experts, especially for entry risk and trade/public opinion consequences. These risk scores are further interpreted with a due consideration of the qualitative data in the expert remarks and of other ASF risk assessments. The results are similar to more extensive and elaborate risk assessment models/procedures which may require more time and resources. The Pandora tool allows sequential updates to monitor (rates of) increasing risk and provides information for risk managers to organize targeted control. © 2015 Blackwell Verlag GmbH.

A paradise for LGBT rights? The paradox of Belgium.

PubMed

Eeckhout, Bart; Paternotte, David

2011-01-01

How is it that a small country such as Belgium, with its reputation of relative conservatism, has jumped to the forefront of LGBT-friendly nations when it comes to the extension of rights to, and implementation of government policies for, its LGBT population? The analysis offered here focuses on a combination of six causes: the impact of wider secularization processes; the political history and culture of the country; the organization of especially the Flemish LGBT movement and reasons for its political effectiveness; mainstream social trends in national scapegoating hierarchies; the overall media environment; and the window of opportunity opened by the political landslide of 1999.

Attitudes of belgian students of medicine, philosophy, and law toward euthanasia and the conditions for its acceptance.

PubMed

Roelands, Marc; Van den Block, Lieve; Geurts, Sylvie; Deliens, Luc; Cohen, Joachim

2015-01-01

Euthanasia is legal in Belgium if due care criteria are met, which is judged by committees including physicians, ethicists, and jurists. We examined whether students in these disciplines differ in how they judge euthanasia as an acceptable act. A cross-sectional, anonymous e-mail survey revealed that they have similar attitudes and accept its legalization. Therefore, joint decision-making of physicians, ethicists, and lawyers regarding euthanasia seems to have a common attitudinal base in Belgium. However, they differ to some extent regarding the conditions they put forward for euthanasia being acceptable. Philosophy of life (religion) was an independent predictor of these attitudes.

Phylogenetic analysis of feline immunodeficiency virus strains from naturally infected cats in Belgium and The Netherlands.

PubMed

Roukaerts, Inge D M; Theuns, Sebastiaan; Taffin, Elien R L; Daminet, Sylvie; Nauwynck, Hans J

2015-01-22

Feline immunodeficiency virus (FIV) is a major pathogen in feline populations worldwide, with seroprevalences up to 26%. Virus strains circulating in domestic cats are subdivided into different phylogenetic clades (A-E), based on the genetic diversity of the V3-V4 region of the env gene. In this report, a phylogenetic analysis of the V3-V4 env region, and a variable region in the gag gene was made for 36 FIV strains isolated in Belgium and The Netherlands. All newly generated gag sequences clustered together with previously known clade A FIV viruses, confirming the dominance of clade A viruses in Northern Europe. The same was true for the obtained env sequences, with only one sample of an unknown env subtype. Overall, the genetic diversity of FIV strains sequenced in this report was low. This indicates a relatively recent introduction of FIV in Belgium and The Netherlands. However, the sample with an unknown env subtype indicates that new introductions of FIV from unknown origin do occur and this will likely increase genetic variability in time. Copyright © 2014 Elsevier B.V. All rights reserved.

Recommendations for the organization of mental health services for children and adolescents in Belgium: use of the soft systems methodology.

PubMed

Vandenbroeck, Philippe; Dechenne, Rachel; Becher, Kim; Eyssen, Marijke; Van den Heede, Koen

2014-02-01

The prevalence of mental health problems among children and adolescents in Western countries is high. Belgium, like many other Western countries, struggles with the set-up of a coherent and effective strategy for dealing with this complex societal problem. This paper describes the development of a policy scenario for the organization of child and adolescent mental health care services (CAMHS) in Belgium. The development process relied on Soft Systems Methodology including a participatory process with 66 stakeholders and a review of the existing (inter-)national evidence. A diagnostic analysis illustrated that the Belgian CAMHS is a system in serious trouble characterized by fragmentation and compartmentalization. A set of 10 strategic recommendations was formulated to lay down the contours of a future, more effective CAMHS system. They focus on mastering the demands made on scarce and expensive specialized mental health services; strengthening the range of services - in particular for those with serious, complex and multiple mental health problems - and strengthening the adaptive capacity of and the ethical guidance within the future CAMHS system. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

A social preference valuations set for EQ-5D health states in Flanders, Belgium.

PubMed

Cleemput, Irina

2010-04-01

This study aimed at deriving a preference valuation set for EQ-5D health states from the general Flemish public in Belgium. A EuroQol valuation instrument with 16 health states to be valued on a visual analogue scale was sent to a random sample of 2,754 adults. The initial response rate was 35%. Eventually, 548 (20%) respondents provided useable valuations for modeling. Valuations for 245 health states were modeled using a random effects model. The selection of the model was based on two criteria: health state valuations must be consistent, and the difference with the directly observed valuations must be small. A model including a value decrement if any health dimension of the EQ-5D is on the worst level was selected to construct the social health state valuation set. A comparison with health state valuations from other countries showed similarities, especially with those from New Zealand. The use of a single preference valuation set across different health economic evaluations within a country is highly preferable to increase their usability for policy makers. This study contributes to the standardization of outcome measurement in economic evaluations in Belgium.

[When is psychosis dangerous? Ethical, professional en juridical considerations concerning psychosis and coercion in Belgium].

PubMed

Verbrugghe, A; Nys, H; Vandenberghe, J

2008-01-01

In Belgium a patient can only be compulsorily admitted to a psychiatric hospital if he is a danger to himself or others (law concerning coercion in Belgium, 26/06/1990). To explore the relationship between psychosis and danger, and to analyse the various interpretations of the 'dangerousness' criterion in the context of psychotic disorders and the underlying ethical positions. We studied the literature by means of PubMed, PsycINFO, manuals and references and used the search terms: 'coercion', 'commitment of mentally ill', 'dangerous behaviour', and 'psychotic disorders'. results The correlation between psychosis and danger is limited but is strengthened by comorbid substance abuse and non-compliance. The clinical assessment of danger does not have a firm scientific basis. The underlying ethical position determines when danger is regarded as being serious enough to justify coercion. Danger is a problematical criterion for coercion. We propose a model that weighs up the likelihood of danger against the expected pros and contrasts of coercion and the extent to which the disorder can be treated. The fluid nature of the 'dangerousness' criterion and the principle of proportionality call for a more varied arsenal of coercive measures which are less drastic than compulsory admission.

"If It Helps, I'll Carry On": Factors Supporting the Participation of Native and Immigrant Youth in Belgium and Germany.

PubMed

Born, Michel; Marzana, Daniela; Alfieri, Sara; Gavray, Claire

2015-01-01

In this article we propose looking into some factors for Civic Participation and the intention to continue to participate among local (Study I) and immigrant (Study II) young people living in Belgium and Germany. In Study I, 1,079 young people (M(age) = 19.23, 44.9% males) completed a self-report questionnaire asking about their Civic Participation. Multiple linear regressions reveal (a) evidence of a pool of variables significantly linked to Civic Participation: Institutional Trust, Collective-Efficacy, Parents' and Peers' Support, Political Interest, Motivations and (b) that Civic Participation, along with the mediation of the Participation's Efficacy, explains the Intention to Continue to Participate. An explanatory model was constructed on participation and the Intention to Continue to Participate on behalf of the native youth. This model is invariant between the two countries. In Study II, 276 young Turkish immigrants (M(age) = 20.80, 49.3% males) recruited in Belgium and Germany filled out the same questionnaire as in Study I. The same analysis was conducted as for Study I, and they provided the same results as the native group, highlighting the invariance of the model between natives and immigrants. Applicative repercussions are discussed.

The health-related social costs of alcohol in Belgium.

PubMed

Verhaeghe, Nick; Lievens, Delfine; Annemans, Lieven; Vander Laenen, Freya; Putman, Koen

2017-12-16

Alcohol is associated with adverse health effects causing a considerable economic impact to society. A reliable estimate of this economic impact for Belgium is lacking. This is the aim of the study. A prevalence-based approach estimating the direct, indirect and intangible costs for the year 2012 was used. Attributional fractions for a series of health effects were derived from literature. The human capital approach was used to estimate indirect costs, while the concept of disability-adjusted life years was used to estimate intangible costs. Sensitivity and scenario analyses were conducted to assess the uncertainty around cost estimates and to evaluate the impact of alternative modelling assumptions. In 2012, total alcohol-attributable direct costs were estimated at €906.1 million, of which the majority were due to hospitalization (€743.7 million, 82%). The indirect costs amounted to €642.6 million, of which 62% was caused by premature mortality. Alcohol was responsible for 157,500 disability-adjusted life years representing €6.3 billion intangible costs. Despite a number of limitations intrinsic to this kind of research, the study can be considered as the most comprehensive analysis thus far of the health-related social costs of alcohol in Belgium.

High incidence of primary pulmonary hypertension associated with appetite suppressants in Belgium.

PubMed

Delcroix, M; Kurz, X; Walckiers, D; Demedts, M; Naeije, R

1998-08-01

Primary pulmonary hypertension is a rare, progressive and incurable disease, which has been associated with the intake of appetite suppressant drugs. The importance of this association was evaluated in Belgium while this country still had no restriction on the prescription of appetite suppressants. Thirty-five patients with primary pulmonary hypertension and 85 matched controls were recruited over 32 months (1992-1994) in Belgium. Exposure to appetite-suppressants was assessed on the basis of hospital records and standardized interview. Twenty-three of the patients had previously taken appetite suppressants, mainly fenfluramines, as compared with only 5 of the controls (66 versus 6%, p<0.0001). Five patients died before the interview, all of them had taken appetite suppressants. In 8 patients the diagnosis of primary pulmonary hypertension was uncertain, 5 of them had taken appetite suppressants. The patients who had been exposed to appetite suppressants tended to be on average more severely ill, and to have a shorter median delay between onset of symptoms and diagnosis. A policy of unrestricted prescription of appetite suppressants may lead to a high incidence of associated primary pulmonary hypertension. Intake of appetite suppressants may accelerate the progression of the disease.

Mobile gaming and problematic smartphone use: A comparative study between Belgium and Finland.

PubMed

Lopez-Fernandez, Olatz; Männikkö, Niko; Kääriäinen, Maria; Griffiths, Mark D; Kuss, Daria J

2018-03-01

Background and aims Gaming applications have become one of the main entertainment features on smartphones, and this could be potentially problematic in terms of dangerous, prohibited, and dependent use among a minority of individuals. A cross-national study was conducted in Belgium and Finland. The aim was to examine the relationship between gaming on smartphones and self-perceived problematic smartphone use via an online survey to ascertain potential predictors. Methods The Short Version of the Problematic Mobile Phone Use Questionnaire (PMPUQ-SV) was administered to a sample comprising 899 participants (30% male; age range: 18-67 years). Results Good validity and adequate reliability were confirmed regarding the PMPUQ-SV, especially the dependence subscale, but low prevalence rates were reported in both countries using the scale. Regression analysis showed that downloading, using Facebook, and being stressed contributed to problematic smartphone use. Anxiety emerged as predictor for dependence. Mobile games were used by one-third of the respective populations, but their use did not predict problematic smartphone use. Very few cross-cultural differences were found in relation to gaming through smartphones. Conclusion Findings suggest mobile gaming does not appear to be problematic in Belgium and Finland.

The development of a national HIV Plan in Belgium: Achieving consensus despite institutional complexity.

PubMed

Schweikardt, Christoph; Coppieters, Yves

2015-10-01

The development of a national HIV Plan poses serious challenges to countries with a complex distribution of legal powers such as Belgium. This article explores how the Belgian national HIV Plan 2014-2019 was developed. Applying the policy streams model of John Kingdon, the analysis of the HIV Plan development process was based on published government statements, parliamentary documents, and websites of stakeholders. The Federal Ministry of Health initiative to achieve the HIV Plan was characterized by a coordinating role with a participatory approach towards the other Belgian governments and stakeholders. The 2013 protocol agreement of the Belgian governments committed them to principles, actions, and cooperation, but not to budgets, priorities, or target figures. The Federal government followed a successful strategy to create momentum and commitment to a common national vision on HIV/AIDS. The window of opportunity was not sufficient to create an implementation plan prior to the 2014 elections, and major challenges were left to the subsequent governments, including financing. The country of Belgium represents an example of a consensus strategy to achieve a national HIV Plan with its achievements and limits within institutional complexity and limited Federal legal powers. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

[Do-not-resuscitate policy on acute geriatric wards in Flanders, Belgium].

PubMed

De Gendt, C; Bilsen, J; Vander Stichele, R; Lambert, M; Van Den Noortgate, N; Deliens, L

2007-10-01

This study describes the historical development and status of a do-not-resuscitate (DNR) policy on acute geriatric wards in Flanders, Belgium. In 2002 (the year Belgium voted a law on euthanasia), a structured mail questionnaire was sent to all head geriatricians of acute geriatric wards in Flanders (N=94). Respondents were asked about the existence, development, and implementation of the DNR policy (guidelines and order forms). The response was 76.6%. Development of DNR policy began in 1985, with a step-up in 1997 and 200l. In 2002, a DNR policy was available in 86.1% of geriatric wards, predominantly with institutional DNR guidelines and individual, patient-specific DNR order forms. The policy was initiated and developed predominantly from an institutional perspective by the hospital. The forms were not standardized and generally lacked room to document patient involvement in the decision making process. Implementation of institutional DNR guidelines and individual DNR order forms on geriatric wards in Flanders lagged behind that of other countries and was still incomplete in 2002. DNR policies varied in content and scope and were predominantly an expression of institutional defensive attitudes rather than a tool to promote patient involvement in DNR and other end-of-life decisions.

Accessibility to cochlear implants in Belgium: state of the art on selection, reimbursement, habilitation, and outcomes in children and adults.

PubMed

De Raeve, Leo; Wouters, Annelies

2013-03-01

Belgium, and especially the northern region called Flanders, has been a center of expertise in cochlear implants and early hearing screening for many years. Some of their surgeons and engineers were pioneers in the development of cochlear implants and in 1998 Flanders was the first region in Europe to implement a universal hearing screening program for all neonates. The Belgian National Institute for Health and Disability Insurance has reimbursed cochlear implants in children and adults since 1994 and bilateral implantation in children under the age of 12 years since February 2010. These deaf children, screened and implanted early, achieve higher auditory, speech and language outcomes and increasing numbers are going to regular schools using fewer interpreters. In 2010, 93% of severe-to-profound deaf preschool children in Flanders had received cochlear implants and 25% had bilateral implants. Although on average twice as many adults as children are implanted a year in Belgium, we have less research data available from this adult population. Also very little is published about the growth curves and minimal rehabilitation requirements (intensity, duration etc.) after implantation for both children and adults. So, there still remain many challenges for the future.

Accuracy Assessment of GAI Retrieval from SPOT5 Take According to Crop Type and Crop Development (BELCAM)

NASA Astrophysics Data System (ADS)

Delloye, C.; Weiss, M.; Baret, F.; Morin, D.; Defourny, P.

2016-08-01

The successful launch of Sentinel-2A equipped of the Multi Spectral Instrument is an exceptional opportunity to deliver regular information of high spatial and temporal resolution about the agricultural fields in Belgium. This research takes advantage of SPOT5 Take5 frequent acquisition over the Belgium in 2015 to realize an in-depth analysis of the Green Area Index (GAI) retrieval by inversion of a radiative transfer model at field scale over the whole Belgium for 2 crops: winter wheat and potato. The GAI is particularly relevant to derive the chlorophyll content at the canopy level (GAI × Cab) which is directly correlated to the Nitrogen content of the crops. This information is of crucial importance to advice farmers on the nitrogen fertilization genuinely required by the crops allowing the best yield and avoiding over fertilization and pollution of the groundwater table. The use of vegetation indexes seems promising to retrieve accurately the GAI (RRMSE =10.2%) during the period of the third Nitrogen application for the winter wheat. Further analyses have to be conducted for varieties of potato with a high level of biomass development (GAI > 4).

The CoRoT B-type binary HD 50230: a prototypical hybrid pulsator with g-mode period and p-mode frequency spacings⋆

NASA Astrophysics Data System (ADS)

Degroote, P.; Aerts, C.; Michel, E.; Briquet, M.; Pápics, P. I.; Amado, P.; Mathias, P.; Poretti, E.; Rainer, M.; Lombaert, R.; Hillen, M.; Morel, T.; Auvergne, M.; Baglin, A.; Baudin, F.; Catala, C.; Samadi, R.

2012-06-01

Context. B-type stars are promising targets for asteroseismic modelling, since their frequency spectrum is relatively simple. Aims: We deduce and summarise observational constraints for the hybrid pulsator, HD 50230, earlier reported to have deviations from a uniform period spacing of its gravity modes. The combination of spectra and a high-quality light curve measured by the CoRoT satellite allow a combined approach to fix the position of HD 50230 in the HR diagram. Methods: To describe the observed pulsations, classical Fourier analysis was combined with short-time Fourier transformations and frequency spacing analysis techniques. Visual spectra were used to constrain the projected rotation rate of the star and the fundamental parameters of the target. In a first approximation, the combined information was used to interpret multiplets and spacings to infer the true surface rotation rate and a rough estimate of the inclination angle. Results: We identify HD 50230 as a spectroscopic binary and characterise the two components. We detect the simultaneous presence of high-order g modes and low-order p and g-modes in the CoRoT light curve, but were unable to link them to line profile variations in the spectroscopic time series. We extract the relevant information from the frequency spectrum, which can be used for seismic modelling, and explore possible interpretations of the pressure mode spectrum. The CoRoT space mission was developed and is operated by the French space agency CNES, with participation of ESA's RSSD and Science Programmes, Austria, Belgium, Brazil, Germany, and Spain. Based on observations made with the ESO telescopes at La Silla Observatory under the ESO Large Programme LP182.D-0356, and on observations made with the Mercator Telescope, operated on the island of La Palma by the Flemish Community, at the Spanish Observatorio del Roque de los Muchachos of the Instituto de Astrofísica de Canarias, and on observations obtained with the HERMES spectrograph, which is supported by the Fund for Scientific Research of Flanders (FWO), Belgium, the Research Council of K.U. Leuven, Belgium, the Fonds National de la Recherche Scientifique (FNRS), Belgium, the Royal Observatory of Belgium, the Observatoire de Genève, Switzerland and the Thüringer Landessternwarte Tautenburg, Germany.Appendix A is available in electronic form at http://www.aanda.org

Ensuring food safety in food donations: Case study of the Belgian donation/acceptation chain.

PubMed

De Boeck, E; Jacxsens, L; Goubert, H; Uyttendaele, M

2017-10-01

The food donation process in Belgium is mapped and analyzed to identify bottlenecks in compliance with the legal framework and implementation of food safety management, based on literature search and interviews with stakeholders (donors, acceptors, regulators and facilitators) in Belgium and at EU level. The study revealed that the food donation/acceptation chain is far less structured and organized than the conventional food supply chain. The fragmented landscape of many small food banks and charity organizations (acceptors), often directed by and working with volunteers without training in food safety and lack of knowledge of legal food hygiene requirements is a bottleneck to generate trust among food donors and restricts the provision of perishable products in food donations. Lack of refrigerated transport and insufficient cold/freezing capacity in food banks and charity organizations was identified as a barrier to distribute perishable products. Furthermore, in two cities in Flanders (Belgium), at some food donation centers, donated perishable food samples (n=72) were taken and subjected to microbiological analysis to determine their overall food quality, hygiene and food safety status. Twenty-two of 72 analyzed samples showed marginal microbiological quality based on numbers of yeast, lactic acid bacteria or total viable count. In three samples Listeria monocytogenes was detected per 25g among which one ready-to-eat cooked meat product which showed increased numbers of L. monocytogenes (3.5logCFU/g) and Enterobacteriaceae (6.7logCFU/g). Overall, in Belgium, most of the donated foods considers nonperishable foods, with more or less half of the food collected by the food banks being purchased with funds from FEAD (Fund for European Aid to the Most Deprived) and thus not derived from food losses. Efforts are being made by facilitators to provide a platform for better coordination of donors and acceptors to make more efficient use of food losses. Regulators at the national level are taking action to clarify and provide some flexibility in food hygiene regulation and initiatives on EU level to facilitate food donation in the combat of food losses are pending. As from the side of the acceptors, it is recommended to professionalize the acceptation chain in Belgium and seek for a more harmonized approach and concerted action. Copyright © 2017 Elsevier Ltd. All rights reserved.

[History of anaesthesia in Belgium].

PubMed

De Rood, M

2012-01-01

Man has for a long time searched means of fighting pain, by administration of plant extracts such as poppy seed, jimson weed, henbane, mandrake and alcohol. These substances were given in the form of cataplasms, potions or clysters. Somniferous sponges, applied on the face, were known since Antiquity and have been in use in some countries up to the 13th century. Surgery and pain were inseparable till mid 19th century. Indications for surgery were few, even though some patients could benefit from these sedative drugs. The anesthetic properties of ether and nitrous oxide (laughing gas), known since the 18th century, were only recognized in the 19th century. William Morton, a dentist, was the first to successfully provide general anesthesia with ether in 1846 in Boston. News spread to England shortly afterwards. On the European continent, the first use of ether was due to 2 Belgian surgeons. Next came chloroform as novel anesthetic. They were administered via either a gauze or a mask by the general practitioner, a medical student or a nurse. Unlike England, the use of these drugs for obstetrical anesthesia (called anesthesia "a la reine", alluding to Queen Victoria who benefited from chloroform during childbirth) was never very popular in Belgium. Since the years 1880, the use of cocaine, then of novocaine allowed to perform local anesthesia, then local nerve blocks and spinal anesthesia, installed by the surgeon prior to operating. Since then, surgery experienced rapid progress, Belgium included. During the 1914-1918 first World War, these advances saved many human lives. When general anesthesia was necessary, it was cared for by another physician or a nurse. The interwar period did not see significant advances in anesthesia, except in intravenous anesthesia with barbiturates, appeared in the late 1930's. Intra- and postoperative complications were frequent. Apart from sulfonamides, antibiotics were non-existent. During the war 1940-45, there was no progress in anesthesia and surgery in Belgium. After the Liberation, Belgian doctors specifically trained in anesthesia by the British army, or elsewhere in non-occupied countries, will form the core of a new specialty, "anesthesiology-reanimation", who will fight to be recognized as a specialty in itself in Belgium. It will beneficiate from--and largely contribute to--the technical and scientific advances in the medical field. Initially based on clinical symptoms, monitoring and care of operated patients, during and after operation, will beneficiate from modern monitoring and other technical apparatus, which will allow the most audacious surgical technical performances in all domains. Postoperative and intensive care units will appear in the years 1960's. Nowadays, anesthesiologists work in all hospital settings, and also organize One-day clinics and Pain clinics. In Belgium, the quality of the clinical and scientific training of anesthesiologists is widely acknowledged, as well as clinical and experimental research.

Three cases of imported dengue virus infection from Madeira to Belgium, 2012.

PubMed

Cnops, Lieselotte; Franco, Leticia; Van Meensel, Britt; Van den Ende, Jef; Paz Sanchez-Seco, Maria; Van Esbroeck, Marjan

2014-01-01

We report three laboratory-confirmed dengue virus (DENV) infections imported to Belgium by travelers returning from Madeira (Portugal). Despite the use of a mosquito-repellent spray as reported by two patients, the infection could not be prevented. Diagnosis was made by antigen detection and real-time reverse transcriptase polymerase chain reaction (RT-PCR) in two cases and by serology 1 month after onset of symptoms in a third one. The responsible virus was identified as DENV serotype 1, American/African genotype (genotype V). The close relationship to isolates from Colombia supports the previous findings that a South American strain originated the outbreak in Madeira in 2012. © 2014 International Society of Travel Medicine.

SULFUR COMPOUNDS IN MORPHOGENESIS.

DTIC Science & Technology

CHICKENS, GROWTH(PHYSIOLOGY), MITOSIS, BACTERIA, ALGAE, LIPOIC ACID , THIOLS, BELGIUM...ORGANIC SULFUR COMPOUNDS, METABOLISM), (*MORPHOLOGY(BIOLOGY), ORGANIC SULFUR COMPOUNDS), (*NUCLEIC ACIDS , BIOSYNTHESIS), EGGS, EMBRYOS, AMPHIBIANS

Ecopa: actual status and plans.

PubMed

Rogiers, Vera

2003-01-01

Ecopa, the European Consensus Platform on alternatives, is an international not-for-profit organization, based in Belgium and complying with Belgium law. It is the only quadripartite organization at EU level, which is promoting the 3R-Alternatives at the European level. Ecopa brings together National Consensus Platforms on alternative methods. Consensus means that all parties concerned are represented: animal welfare, industry, academia and governmental institutions. Ecopa actually counts 14 National Platforms of Member States (or future Member States), (8 full members, platforms of Austria, Belgium, Finland, Germany, The Netherlands, Spain, Switzerland and United Kingdom and six associate members being Czech Republic, Denmark, Italy, Norway, Poland and Sweden) and has three working groups. The fields of interest of these working groups change according to the needs and were until now concerned with (i) the 6th Framework Programme of the EC for Research, Technological Development and Demonstration Activities, (ii) the EC White Paper Strategy for a Future EU Chemicals Policy and (iii) the formation & educational programmes on alternative methods. Ecopa is thus uniquely placed and has huge expertise to offer to the debate around scientific and politically-linked topics. It has to be considered a key stakeholder by the European Commission and Parliament (http://ecopa.vub.ac.be) or http://ecopa.tsx.org).

Development and communication of written ethics policies on euthanasia in Catholic hospitals and nursing homes in Belgium (Flanders).

PubMed

Gastmans, Chris; Lemiengre, Joke; de Casterlé, Bernadette Dierckx

2006-10-01

To describe whether and how Catholic hospitals and nursing homes in Belgium (Flanders) have developed written ethics policies on euthanasia and communicated these policies to their employees, patients, and patient's relatives. A cross-sectional mail survey of general directors of Catholic hospitals and nursing homes in Belgium (Flanders). Of the 298 targeted institutions, 81% of hospitals and 62% of nursing homes returned complete questionnaires. A high percentage of Catholic hospitals (79%) and a moderate percentage of nursing homes (30%) had written ethics policies on euthanasia. Both caregivers and healthcare administrators were involved in the development and approval of these policies. Physicians and nurses were best informed about the policies. More than half of the nursing homes (57%) took the initiative to inform both residents and relatives about the policies, while only one hospital did so. The high prevalence of written ethics policies on euthanasia in Flemish Catholic hospitals may reflect the concern of healthcare administrators to maintain the quality of care for patients requesting euthanasia. However, the true contribution of these policies to quality end-of-life care and to supporting caregivers remains unknown and needs further research. Legislation and centrally developed guidelines might influence healthcare institutions to develop ethics policies.

Did Large-Scale Vaccination Drive Changes in the Circulating Rotavirus Population in Belgium?

PubMed Central

Pitzer, Virginia E.; Bilcke, Joke; Heylen, Elisabeth; Crawford, Forrest W.; Callens, Michael; De Smet, Frank; Van Ranst, Marc; Zeller, Mark; Matthijnssens, Jelle

2015-01-01

Vaccination can place selective pressures on viral populations, leading to changes in the distribution of strains as viruses evolve to escape immunity from the vaccine. Vaccine-driven strain replacement is a major concern after nationwide rotavirus vaccine introductions. However, the distribution of the predominant rotavirus genotypes varies from year to year in the absence of vaccination, making it difficult to determine what changes can be attributed to the vaccines. To gain insight in the underlying dynamics driving changes in the rotavirus population, we fitted a hierarchy of mathematical models to national and local genotype-specific hospitalization data from Belgium, where large-scale vaccination was introduced in 2006. We estimated that natural- and vaccine-derived immunity was strongest against completely homotypic strains and weakest against fully heterotypic strains, with an intermediate immunity amongst partially heterotypic strains. The predominance of G2P[4] infections in Belgium after vaccine introduction can be explained by a combination of natural genotype fluctuations and weaker natural and vaccine-induced immunity against infection with strains heterotypic to the vaccine, in the absence of significant variation in strain-specific vaccine effectiveness against disease. However, the incidence of rotavirus gastroenteritis is predicted to remain low despite vaccine-driven changes in the distribution of genotypes. PMID:26687288

Institutional Elderly Care Services and Moroccan and Turkish Migrants in Belgium: A Literature Review.

PubMed

Ahaddour, Chaïma; van den Branden, Stef; Broeckaert, Bert

2016-10-01

In several European countries, including Belgium, the rapid ageing of the migrant population has emerged only recently on the political agenda. The aim of this literature review is threefold. Firstly, it provides a review of the available studies on the accessibility and use of institutional care services by Moroccan and Turkish migrants in the Flemish part of Belgium including Flanders and Brussels. Secondly, it identifies their specific needs regarding elderly care services. Finally, it provides an overview of the way in which Belgian policy has dealt with the issue of migration and elderly care. Literature published between 1965 and 2014 and relevant to the Belgian context has been included. This search yielded 21 references, of which 8 empirical studies, 5 policy literature, 3 theoretical studies, 3 news articles and 2 popularized reports. Mainstream elderly care remains relatively inaccessible for these migrants due to the language and a series of cultural and religious barriers, a low level of education, financial constraints, a lack of knowledge of health care systems, and the so-called return and care dilemmas. Their religious and cultural needs are currently not met by elderly care services. The inclusive and neutral Belgian policy seems to pay insufficient attention to these issues.

Risk assessment, risk management and risk-based monitoring following a reported accidental release of poliovirus in Belgium, September to November 2014.

PubMed

Duizer, Erwin; Rutjes, Saskia; de Roda Husman, Ana Maria; Schijven, Jack

2016-01-01

On 6 September 2014, the accidental release of 10(13) infectious wild poliovirus type 3 (WPV3) particles by a vaccine production plant in Belgium was reported. WPV3 was released into the sewage system and discharged directly to a wastewater treatment plant (WWTP) and subsequently into rivers that flowed to the Western Scheldt and the North Sea. No poliovirus was detected in samples from the WWTP, surface waters, mussels or sewage from the Netherlands. Quantitative microbial risk assessment (QMRA) showed that the infection risks resulting from swimming in Belgium waters were above 50% for several days and that the infection risk by consuming shellfish harvested in the eastern part of the Western Scheldt warranted a shellfish cooking advice. We conclude that the reported release of WPV3 has neither resulted in detectable levels of poliovirus in any of the samples nor in poliovirus circulation in the Netherlands. This QMRA showed that relevant data on water flows were not readily available and that prior assumptions on dilution factors were overestimated. A QMRA should have been performed by all vaccine production facilities before starting up large-scale culture of WPV to be able to implement effective interventions when an accident happens.

Should new health technology be available only for patients able and willing to pay?

PubMed Central

Calcoen, Piet; Boer, Albert; van de Ven, Wynand P.M.M.

2017-01-01

ABSTRACT New health technology comes on the market at a rapid pace and – sometimes – at a huge cost. Providing access to new health technology is a serious challenge for many countries with mandatory health insurance. This article analyses access to new health technology in Belgium and the Netherlands, using eight concrete examples as a starting point for comparing the two – neighbouring – countries. Contrary to the Netherlands, out-of-pocket payments for new health technology are widely accepted and practiced in Belgium. This difference is largely the result of different regulatory environments. A major difference is the way that entitlements to care are described: closed and explicit in Belgium versus open and non-explicit in the Netherlands. The characteristics of in-kind policies versus reimbursement policies also play a role. Allowing out-of-pocket payments for new health technology has consequences for the patients. It leads to greater access to new health technology (for those who are able and willing to pay), but has a negative effect on equal access to care. Choice and transparency are enhanced by allowing out-of-pocket payments for new health technology. It could be argued that lack of coverage by mandatory health insurance should not render private access to new health technology impossible. PMID:28740619

Incentives for market penetration of biosimilars in Belgium and in five European countries.

PubMed

Swartenbroekx, N; Farfan-Portet; Espín, J; Gerkens, S

2014-12-01

Biosimilars are products similar to a biological already authorized and no longer protected by a patent. As the biological product, they contain a biological substance produced by or derived from a living organism. Alike with generics, biosimilars are potential tool to ensure savings for health systems. The current lack of market penetration of biosimilars may be seen by national authorities as a lost opportunity in terms of cost- containment. The objective of this paper is therefore to analyze the current situation in Belgium and to identify potential measures to stimulate biosimilar uptake in Belgium through an analysis of the experience in five European countries: France, Germany, The Netherlands, Spain and Sweden. This international comparison was performed using a two steps analysis: a structured review of the literature followed by a validation from experts in each country. Potential incentives and constraints were identified, i.e., prescription quotas/target, clinical guidelines, primary substitution, reference price system, fixed payment and public tendering. However, the literature reviewed provided little evaluation of the effectiveness of these policies in terms of biosimilar uptake or potential savings. The impact of these policies on biosimilar related savings is currently based on expectation and assumptions. Such kind of studies is therefore essential in the future.

Can Land Managers Control Japanese Knotweed? Lessons from Control Tests in Belgium

NASA Astrophysics Data System (ADS)

Delbart, Emmanuel; Mahy, Grégory; Weickmans, Bernard; Henriet, François; Crémer, Sébastien; Pieret, Nora; Vanderhoeven, Sonia; Monty, Arnaud

2012-12-01

Japanese knotweed Fallopia japonica is an extremely abundant invasive plant in Belgium and surrounding countries. To date, no eradication method is available for land managers facing the invasion of this rhizomatous plant. We tested different chemical herbicides with two application methods (spraying and stem injection), as well as mechanical treatments, on knotweed clones throughout southern Belgium. The tested control methods were selected to be potentially usable by managers, e.g., using legally accepted rates for herbicides. Stem volume, height and density reduction were assessed after one or two years, depending on the control method. Labor estimations were made for each control method. No tested control method completely eradicated the clones. Stem injection with glyphosate-based herbicide (3.6 kg ha-1 of acid equivalent glyphosate) caused the most damage, i.e., no sprouting shoots were observed the year following the injection. The following year, though, stunted shoots appeared. Among the mechanical control methods, repeated cuts combined with native tree transplanting most appreciably reduced knotweed development. The most efficient methods we tested could curb knotweed invasion, but are not likely to be effective in eradicating the species. As such, they should be included in a more integrated restoration strategy, together with prevention and public awareness campaigns.

Management of radioactive waste in Belgium: ONDRAF/NIRAS and Belgoprocess as major actors of the waste acceptance system

DOE Office of Scientific and Technical Information (OSTI.GOV)

Zaelen, Gunter van; Verheyen, Annick

2007-07-01

The management of radioactive waste in Belgium is undertaken by the national agency for radioactive waste and enriched fissile materials, ONDRAF/NIRAS, and its industrial partner Belgoprocess. ONDRAF/NIRAS has set up a management system designed to guarantee that the general public and the environment are protected against the potential hazards arising from radioactive waste. Belgoprocess is a private company, founded in 1984 and located in Dessel, Belgium. It is a subsidiary of ONDRAF/NIRAS and its activities focus on the safe processing and storage of radioactive waste. The management system of ONDRAF/NIRAS includes two aspects: a) an integrated system and b) anmore » acceptance system. The integrated system covers all aspects of management ranging from the origin of waste to its transport, processing, interim storage and long-term management. The safety of radioactive waste management not only depends on the quality of the design and construction of the processing, temporary storage or disposal infrastructure, but also on the quality of the waste accepted by ONDRAF/NIRAS. In order to be manage d safely, both in the short and the long term, the waste transferred to ONDRAF/NIRAS must meet certain specific requirements. To that end, ONDRAF/NIRAS has developed an acceptance system. (authors)« less

Social suppliers: Exploring the cultural contours of the performance and image enhancing drug (PIED) market among bodybuilders in the Netherlands and Belgium.

PubMed

van de Ven, Katinka; Mulrooney, Kyle J D

2017-02-01

This paper explores the understudied phenomenon of performance and image enhancing drug (PIED) markets by examining the structure and formation of the market for PIEDs among bodybuilders in the Netherlands and Belgium. This article specifically seeks to account for individual reasons and motivations for dealing PIEDs within these bodybuilding subcultures. Understanding illicit PIED markets is important for policy decisions as knowledge on the production and distribution of these substances may assist in designing law enforcement efforts, harm reduction initiatives and treatment options. This article draws on two years of fieldwork in various bodybuilding settings, 47 semi-structured interviews with individuals who are directly or indirectly involved in the PIED market and 64 PIED dealing cases initiated by criminal justice agencies in the Netherlands and Belgium. The data indicates that PIED dealing groups and individuals are often driven by motivations stemming from their social and cultural embeddedness in the bodybuilding subculture. Specifically, these PIED dealers are 'over-socialized' into the structure and culture of bodybuilding and follow the cultural scripts that come with their group affiliation and organization. As a result of the cultural context in which these transactions occur, PIED dealing networks among bodybuilders in the Netherlands and Belgium are more likely to consist of friends or 'friends of friends' tied together by threads of collective meaning found within the bodybuilding subculture. We argue that efforts seeking to explain the structure, formation and motivations of illicit PIED dealing must learn to appreciate how culture mediates structural forces and thereby influences individual and collective action. Policy makers, health care professionals and other relevant parties should consider a plurality of factors (social, economic and cultural) when designing and evaluating PIED-related interventions such as law enforcement efforts, harm reduction initiatives and treatment options. Copyright © 2016 Elsevier B.V. All rights reserved.

Belgian citizens' and broiler producers' perceptions of broiler chicken welfare in Belgium versus Brazil.

PubMed

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. © 2016 Poultry Science Association Inc.

Contribution of Chronic Conditions to the Disability Burden across Smoking Categories in Middle-Aged Adults, Belgium.

PubMed

Yokota, Renata Tiene de Carvalho; Nusselder, Wilma Johanna; Robine, Jean-Marie; Tafforeau, Jean; Deboosere, Patrick; Van Oyen, Herman

2016-01-01

Smoking is considered the single most important preventable cause of morbidity and mortality worldwide, contributing to increased incidence and severity of disabling conditions. The aim of this study was to assess the contribution of chronic conditions to the disability burden across smoking categories in middle-aged adults in Belgium. Data from 10,224 individuals aged 40 to 60 years who participated in the 1997, 2001, 2004, or 2008 Health Interview Surveys in Belgium were used. Smoking status was defined as never, former (cessation ≥2 years), former (cessation <2 years), occasional light (<20 cigarettes/day), daily light, and daily heavy (≥20 cigarettes/day). To attribute disability to chronic conditions, binomial additive hazards models were fitted separately for each smoking category adjusted for gender, except for former (cessation <2 years) and occasional light smokers due to the small sample size. An increasing trend in the disability prevalence was observed across smoking categories in men (never = 4.8%, former (cessation ≥2 years) = 5.8%, daily light = 7.8%, daily heavy = 10.7%) and women (never = 7.6%, former (cessation ≥2 years) = 8.0%, daily light = 10.2%, daily heavy = 12.0%). Musculoskeletal conditions showed a substantial contribution to the disability burden in men and women across all smoking categories. Other important contributors were depression and cardiovascular diseases in never smokers; depression, chronic respiratory diseases, and diabetes in former smokers (cessation ≥2 years); chronic respiratory diseases, cancer, and cardiovascular diseases in daily light smokers; cardiovascular diseases and chronic respiratory diseases in men and depression and diabetes in women daily heavy smokers. Beyond the well-known effect of smoking on mortality, our findings showed an increasing trend of the disability prevalence and different contributors to the disability burden across smoking categories. This information can be useful from a public health perspective to define strategies to reduce disability in Belgium.

Organ donation and transplantation statistics in Belgium for 2012 and 2013.

PubMed

Desschans, B; Evrard, P

2014-11-01

The 2012 and 2013 solid organ transplantation statistics were presented during the annual meeting of the Belgian Transplant Society. All data presented were collected from Eurotransplant International Foundation and/or from all individual Belgian transplant centers. It was demonstrated that the highest number of deceased donors detected (1310) from which 47.8% were an effective organ donor that corresponded to 29 per million inhabitants (pmi) in 2012 and 27.4 pmi in 2013. Out of 626 effective deceased organ donors, 491 (79%) were donors after brain death (DBD) and 135 (21%) donors after circulatory death (DCD), respectively. The majority (125/135; 93%) of DCD donors were DCD Maastricht category III donors and there were 7 (5%) donations following euthanasia. Family refusal tended to be lower for DCD (10.4%) compared to DBD donors (13.4%). Despite the increasing DCD donation rate, DBD donation remains stable in Belgium. The donor age is still increasing, reaching a median age of 53 years (range 0-90). Spontaneous intracranial bleeding (39.3%) and cranio-cerebral trauma (25%) remained the most frequent reasons of death. The number of living related kidney transplantations (57 in 2012 and 63 in 2013) followed the international trend albeit in Belgium it is still very limited. Nevertheless this activity could explain that the number of patients waiting for kidney transplantation (770) reached an absolute minimum in 2013. Except the reduced waiting list for lung transplantation (from 119 patients in 2011 to 85 in 2013), the waiting list remained stable for the other organs but almost 200 patients still died while on the waiting list. Belgium demonstrated the highest number of effective organ donors that corresponded to 29 per million inhabitants (pmi) in 2012 and 27.4 pmi in 2013. Thus far, and in contrast with other countries, there is no erosion of DBD in the DCD donor organ pool, but it is the important responsibility of all transplant centers and donor hospitals to avoid a substitution from DBD by DCD donors.

Belgian and Spanish consumption data and consumer handling practices for fresh fruits and vegetables useful for further microbiological and chemical exposure assessment.

PubMed

Jacxsens, L; Ibañez, I Castro; Gómez-López, V M; Fernandes, J Araujo; Allende, A; Uyttendaele, M; Huybrechts, I

2015-04-01

A consumer survey was organized in Spain and Belgium to obtain consumption data and to gain insight into consumer handling practices for fresh vegetables consumed raw or minimally processed (i.e., heads of leafy greens, bell peppers, tomatoes, fresh herbs, and precut and packed leafy greens) and fruits to be consumed without peeling (i.e., apples, grapes, strawberries, raspberries, other berries, fresh juices, and precut mixed fruit). This information can be used for microbiological and/or chemical food safety research. After extensive cleanup of rough databases for missing and extreme values and age correction, information from 583 respondents from Spain and 1,605 respondents from Belgium (18 to 65 years of age) was retained. Daily intake (grams per day) was calculated taking into account frequency and seasonality of consumption, and distributions were obtained that can be used in quantitative risk assessment for chemical hazards with chronic effects on human health. Data also were recalculated to obtain discrete distributions of consumption per portion and the corresponding frequency of consumption, which can be used in acute microbiological risk assessment or outbreak investigations. The ranked median daily consumption of fruits and vegetables was similar in Spain and Belgium: apple > strawberry > grapes > strawberries and raspberries; and tomatoes > leafy greens > bell peppers > fresh herbs. However, vegetable consumption was higher (in terms of both portion and frequency of consumption) in Spain than in Belgium, whereas the opposite was found for fruit consumption. Regarding consumer handling practices related to storage time and method, Belgian consumers less frequently stored their fresh produce in a refrigerator and did so for shorter times compared with Spanish consumers. Washing practices for lettuce heads and packed leafy greens also were different. The survey revealed differences between these two countries in consumption and consumer handling practices, which can have an impact on outcomes of future microbiological or chemical risk assessment studies.

Cost-effectiveness of dabigatran etexilate in the prevention of stroke and systemic embolism in patients with atrial fibrillation in Belgium.

PubMed

Wouters, Hanne; Thijs, Vincent; Annemans, Lieven

2013-01-01

To assess the cost-effectiveness of dabigatran etexilate ('dabigatran') vs vitamin K antagonists (VKAs) in the Belgian healthcare setting for the prevention of stroke and systemic embolism (SE) in patients with non-valvular atrial fibrillation (AF). A Markov model was used to calculate the cost-effectiveness of dabigatran vs VKAs in Belgium, whereby warfarin was considered representative for the VKA class. Efficacy and safety data were taken from the Randomized Evaluation of Long-Term Anticoagulation Therapy (RE-LY) trial and a network meta-analysis. Local resource use and unit costs were included in the model. Effectiveness was expressed in Quality Adjusted Life-Years (QALYs). The model outcomes were total costs, total QALYs, incremental costs, incremental QALYs and the incremental cost-effectiveness ratio (ICER). The level of International Normalized Ratio (INR) control and the use of other antithrombotic therapies observed in Belgian clinical practice were reflected in two scenario analyses. In the base case analysis, total costs per patient were €13,333 for dabigatran and €12,454 for warfarin. Total QALYs per patient were 9.51 for dabigatran and 9.19 for warfarin. The corresponding ICER was €2807/QALY. The ICER of dabigatran was €970/QALY vs warfarin with real-world INR control and €5296/QALY vs a mix of warfarin, aspirin, and no treatment. Results were shown to be robust in one-way and probabilistic sensitivity analyses. The analysis does not include long-term costs for clinical events, as these data were not available for Belgium. As in any economic model based on data from a randomized clinical trial, several assumptions had to be made when extrapolating results to routine clinical practice in Belgium. This analysis suggests that dabigatran, a novel oral anticoagulant, is a cost-effective treatment for the prevention of stroke and SE in patients with non-valvular AF in the Belgian healthcare setting.

Genetic Analyses Reveal Differences in the VP7 and VP4 Antigenic Epitopes between Human Rotaviruses Circulating in Belgium and Rotaviruses in Rotarix and RotaTeq

PubMed Central

Zeller, Mark; Patton, John T.; Heylen, Elisabeth; De Coster, Sarah; Ciarlet, Max; Van Ranst, Marc

2012-01-01

Two live-attenuated rotavirus group A (RVA) vaccines, Rotarix (G1P[8]) and RotaTeq (G1-G4, P[8]), have been successfully introduced in many countries worldwide, including Belgium. The parental RVA strains used to generate the vaccines were isolated more than 20 years ago in France (G4 parental strain in RotaTeq) and the United States (all other parental strains). At present, little is known about the relationship between currently circulating human RVAs and the vaccine strains. In this study, we determined sequences for the VP7 and VP4 outer capsid proteins of representative G1P[8], G2P[4], G3P[8], G4P[8], G9P[8], and G12P[8] RVAs circulating in Belgium during 2007 to 2009. The analyses showed that multiple amino acid differences existed between the VP7 and VP4 antigenic epitopes of the vaccine viruses and the Belgian isolates, regardless of their G and P genotypes. However, the highest variability was observed among the circulating G1P[8] RVA strains and the G1 and P[8] components of both RVA vaccines. In particular, RVA strains of the P[8] lineage 4 (OP354-like) showed a significant number of amino acid differences with the P[8] VP4 of both vaccines. In addition, the circulating Belgian G3 RVA strains were found to possibly possess an extra N-linked glycosylation site compared to the G3 RVA vaccine strain of RotaTeq. These results indicate that the antigenic epitopes of RVA strains contained in the vaccines differ substantially from those of the currently circulating RVA strains in Belgium. Over time, these differences might result in selection for strains that escape the RVA neutralizing-antibody pressure induced by vaccines. PMID:22189107

Genetic analyses reveal differences in the VP7 and VP4 antigenic epitopes between human rotaviruses circulating in Belgium and rotaviruses in Rotarix and RotaTeq.

PubMed

Zeller, Mark; Patton, John T; Heylen, Elisabeth; De Coster, Sarah; Ciarlet, Max; Van Ranst, Marc; Matthijnssens, Jelle

2012-03-01

Two live-attenuated rotavirus group A (RVA) vaccines, Rotarix (G1P[8]) and RotaTeq (G1-G4, P[8]), have been successfully introduced in many countries worldwide, including Belgium. The parental RVA strains used to generate the vaccines were isolated more than 20 years ago in France (G4 parental strain in RotaTeq) and the United States (all other parental strains). At present, little is known about the relationship between currently circulating human RVAs and the vaccine strains. In this study, we determined sequences for the VP7 and VP4 outer capsid proteins of representative G1P[8], G2P[4], G3P[8], G4P[8], G9P[8], and G12P[8] RVAs circulating in Belgium during 2007 to 2009. The analyses showed that multiple amino acid differences existed between the VP7 and VP4 antigenic epitopes of the vaccine viruses and the Belgian isolates, regardless of their G and P genotypes. However, the highest variability was observed among the circulating G1P[8] RVA strains and the G1 and P[8] components of both RVA vaccines. In particular, RVA strains of the P[8] lineage 4 (OP354-like) showed a significant number of amino acid differences with the P[8] VP4 of both vaccines. In addition, the circulating Belgian G3 RVA strains were found to possibly possess an extra N-linked glycosylation site compared to the G3 RVA vaccine strain of RotaTeq. These results indicate that the antigenic epitopes of RVA strains contained in the vaccines differ substantially from those of the currently circulating RVA strains in Belgium. Over time, these differences might result in selection for strains that escape the RVA neutralizing-antibody pressure induced by vaccines.

The HUMTICK study: protocol for a prospective cohort study on post-treatment Lyme disease syndrome and the disease and cost burden of Lyme borreliosis in Belgium.

PubMed

Geebelen, Laurence; Lernout, Tinne; Kabamba-Mukadi, Benoît; Saegeman, Veroniek; Sprong, Hein; Van Gucht, Steven; Beutels, Philippe; Speybroeck, Niko; Tersago, Katrien

2017-01-01

In Belgium, different routine surveillance systems are in place to follow-up Lyme borreliosis trends. However, accurate data on the disease and monetary burden for the different clinical manifestations are lacking. Despite recommended antibiotic treatment, a proportion of Lyme patients report persisting aspecific symptoms for six months or more (e.g. fatigue, widespread musculoskeletal pain, cognitive difficulties), a syndrome now named "post-treatment Lyme disease syndrome" (PTLDS). Controversy exists on the cause, incidence and severity of PTLDS. This study aims to estimate the incidence of PTLDS in patients with Lyme borreliosis and to quantify the disease burden and economic costs associated with the different clinical manifestations of Lyme borreliosis in Belgium. The project is a prospective cohort study in which about 600 patients with an erythema migrans and 100 patients with disseminated Lyme borreliosis will be followed up. Questionnaires, including the SF-36 vitality and pain subscale, the Cognitive Failure Questionnaire and the EQ-5D-5L, will be used to collect information on acute and persisting symptoms and the impact on quality of life. Symptom frequency and severity will be compared with self-reported pre-Lyme health status, a control group and existing Belgian population norms. Additionally, information on the associated costs and possible risk factors for the development of PTLDS will be collected. A study of the health burden will allow evaluation of the relative importance of Lyme borreliosis in Belgium and information on the economic cost will help to formulate cost-effective measures. There are only few prospective studies conducted estimating the incidence of PTLDS and even though discussion exists about the prevalence of subjective symptoms in the general population, a control group of non-Lyme borreliosis participants has often not been included.

Palliative Care Service Use in Four European Countries: A Cross-National Retrospective Study via Representative Networks of General Practitioners

PubMed Central

Pivodic, Lara; Pardon, Koen; Van den Block, Lieve; Van Casteren, Viviane; Miccinesi, Guido; Donker, Gé A.; Alonso, Tomás Vega; Alonso, José Lozano; Aprile, Pierangelo Lora; Onwuteaka-Philipsen, Bregje D.; Deliens, Luc

2013-01-01

Background Due to a rising number of deaths from cancer and other chronic diseases a growing number of people experience complex symptoms and require palliative care towards the end of life. However, population-based data on the number of people receiving palliative care in Europe are scarce. The objective of this study is to examine, in four European countries, the number of people receiving palliative care in the last three months of life and the factors associated with receiving palliative care. Methods Cross-national retrospective study. Over two years (2009–2010), GPs belonging to representative epidemiological surveillance networks in Belgium, the Netherlands, Italy, and Spain registered weekly all deaths of patients (≥18 years) in their practices and the care they received in the last three months of life using a standardized form. Sudden deaths were excluded. Results We studied 4,466 deaths. GPs perceived to have delivered palliative care to 50% of patients in Belgium, 55% in Italy, 62% in the Netherlands, and 65% in Spain (p<.001). Palliative care specialists attended to 29% of patients in the Netherlands, 39% in Italy, 45% in Spain, and 47% in Belgium (p<.001). Specialist palliative care lasted a median (inter-quartile range) of 15 (23) days in Belgium to 30 (70) days in Italy (p<.001). Cancer patients were more likely than non-cancer patients to receive palliative care in all countries as were younger patients in Italy and Spain with regard to specialist palliative care. Conclusions Although palliative care is established in the countries studied, there are considerable differences in its provision. Two potentially underserved groups emerge non-cancer patients in all countries and older people in Italy and Spain. Future research should examine how differences in palliative care use relate to both patient characteristics and existing national health care policies. PMID:24386381

Comparison of Site of Death, Health Care Utilization, and Hospital Expenditures for Patients Dying With Cancer in 7 Developed Countries.

PubMed

Bekelman, Justin E; Halpern, Scott D; Blankart, Carl Rudolf; Bynum, Julie P; Cohen, Joachim; Fowler, Robert; Kaasa, Stein; Kwietniewski, Lukas; Melberg, Hans Olav; Onwuteaka-Philipsen, Bregje; Oosterveld-Vlug, Mariska; Pring, Andrew; Schreyögg, Jonas; Ulrich, Connie M; Verne, Julia; Wunsch, Hannah; Emanuel, Ezekiel J

2016-01-19

Differences in utilization and costs of end-of-life care among developed countries are of considerable policy interest. To compare site of death, health care utilization, and hospital expenditures in 7 countries: Belgium, Canada, England, Germany, the Netherlands, Norway, and the United States. Retrospective cohort study using administrative and registry data from 2010. Participants were decedents older than 65 years who died with cancer. Secondary analyses included decedents of any age, decedents older than 65 years with lung cancer, and decedents older than 65 years in the United States and Germany from 2012. Deaths in acute care hospitals, 3 inpatient measures (hospitalizations in acute care hospitals, admissions to intensive care units, and emergency department visits), 1 outpatient measure (chemotherapy episodes), and hospital expenditures paid by insurers (commercial or governmental) during the 180-day and 30-day periods before death. Expenditures were derived from country-specific methods for costing inpatient services. The United States (cohort of decedents aged >65 years, N = 211,816) and the Netherlands (N = 7216) had the lowest proportion of decedents die in acute care hospitals (22.2.% and 29.4%, respectively). A higher proportion of decedents died in acute care hospitals in Belgium (N = 21,054; 51.2%), Canada (N = 20,818; 52.1%), England (N = 97,099; 41.7%), Germany (N = 24,434; 38.3%), and Norway (N = 6636; 44.7%). In the last 180 days of life, 40.3% of US decedents had an intensive care unit admission compared with less than 18% in other reporting nations. In the last 180 days of life, mean per capita hospital expenditures were higher in Canada (US $21,840), Norway (US $19,783), and the United States (US $18,500), intermediate in Germany (US $16,221) and Belgium (US $15,699), and lower in the Netherlands (US $10,936) and England (US $9342). Secondary analyses showed similar results. Among patients older than 65 years who died with cancer in 7 developed countries in 2010, end-of-life care was more hospital-centric in Belgium, Canada, England, Germany, and Norway than in the Netherlands or the United States. Hospital expenditures near the end of life were higher in the United States, Norway, and Canada, intermediate in Germany and Belgium, and lower in the Netherlands and England. However, intensive care unit admissions were more than twice as common in the United States as in other countries.

7 CFR 6.21 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-01-01

.... EC 12. Belgium, Denmark, the Federal Republic of Germany, France, Greece, Ireland, Italy, Luxembourg... Federal Republic of Germany, Finland, France, Greece, Ireland, Italy, Luxembourg, the Netherlands...

7 CFR 6.21 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-01-01

.... EC 12. Belgium, Denmark, the Federal Republic of Germany, France, Greece, Ireland, Italy, Luxembourg... Federal Republic of Germany, Finland, France, Greece, Ireland, Italy, Luxembourg, the Netherlands...

7 CFR 6.21 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-01-01

.... EC 12. Belgium, Denmark, the Federal Republic of Germany, France, Greece, Ireland, Italy, Luxembourg... Federal Republic of Germany, Finland, France, Greece, Ireland, Italy, Luxembourg, the Netherlands...

7 CFR 6.21 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-01-01

.... EC 12. Belgium, Denmark, the Federal Republic of Germany, France, Greece, Ireland, Italy, Luxembourg... Federal Republic of Germany, Finland, France, Greece, Ireland, Italy, Luxembourg, the Netherlands...

7 CFR 6.21 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

.... EC 12. Belgium, Denmark, the Federal Republic of Germany, France, Greece, Ireland, Italy, Luxembourg... Federal Republic of Germany, Finland, France, Greece, Ireland, Italy, Luxembourg, the Netherlands...

Application of automated measurement stations for continuous water quality monitoring of the Dender river in Flanders, Belgium.

PubMed

Vandenberghe, V; Goethals, P L M; Van Griensven, A; Meirlaen, J; De Pauw, N; Vanrolleghem, P; Bauwens, W

2005-09-01

During the summer of 1999, two automated water quality measurement stations were installed along the Dender river in Belgium. The variables dissolved oxygen, temperature, conductivity, pH, rain-intensity, flow and solar radiation were measured continuously. In this paper these on-line measurement series are presented and interpreted using also additional measurements and ecological expert-knowledge. The purpose was to demonstrate the variability in time and space of the aquatic processes and the consequences of conducting and interpreting discrete measurements for river quality assessment and management. The large fluctuations of the data illustrated the importance of continuous measurements for the complete description and modelling of the biological processes in the river.

Photovoltaic power generation; Proceedings of the EC Contractors' Meeting, Hamburg, West Germany, July 12, 13, 1983

NASA Astrophysics Data System (ADS)

Palz, W.

Several operational examples of photovoltaic (PV) power generation systems in Europe are described. The systems include: a 300 kW power plant in Pellworm, West Germany; the Tremiti desalination plant in Tremiti, Italy; and the Kythnos PV power plant in Kythnos, Greece. Consideration is also given to a PV-powered swimming pool heating system in Chevretogne, Belgium; a rural electrification program using PV power plants in French Guyana; a solar-wind project on Terschelling Island, the Netherlands; and a PV power plant for hydrogen production and water pumping in Hoboken, Belgium. A 30-kW power station in Marchwood, England and the Nice airport survey and control system are also cited as examples of successful PV power generation systems.

[Organ donation after active euthanasia in a patient with a neurodegenerative disease].

PubMed

van Dijk, Gert; Giezeman, Ariane; Ultee, Fred; Hamers, Raoul

2013-01-01

In countries where active euthanasia by a physician is allowed under law - Belgium and the Netherlands - physicians are sometimes confronted with patients who want to donate organs after active euthanasia has been performed. This combination of procedures has been reported in Belgium, and this article is the first description of such a case in the Netherlands. It concerns a patient with a neurodegenerative disease who donated organs after euthanasia. The combination of two complex and controversial procedures - active euthanasia and organ donation - raises important ethical, legal and practical issues. It is suggested that with a thorough preparation and a strict separation of both procedures, organ donation after active euthanasia can strengthen patient autonomy and increase the number of donated organs.

[Control of the legal practice of euthanasia in Belgium].

PubMed

Englert, M

2015-01-01

The Belgian law legalizing euthanasia under strict conditions came into effect September 22, 2002. Any physician performing euthanasia has to complete a registration document and to send it within four days to a federal commission whose mission is to verify that the legal conditions were fulfilled. From September 22, 2002 to December 31, 2013, 8.767 documents have been registered and analyzed by this commission. They are described in six reports referred to Parliament. The present paper analyzes the work of this commission and answers the criticisms concerning its quality and its efficiency. The allegations that clandestine euthanasia's escaping any control are performed are also discussed. In conclusion, it appears that the legal obligations concerning the practice of euthanasia in Belgium are fully effective.

Acid-neutralizing capacity and sodium content of antacid products from Belgium.

PubMed

Gombatz, V W

1984-01-01

The acid-neutralizing capacity and sodium content of nine antacid products available in Belgium were evaluated and compared with typical values for Mylanta-II. Liquid and tablets of Mylanta-II have a higher acid-neutralizing capacity per unit dose than do all the other Belgian antacids tested. On a unit dose basis, the sodium contents of the Mylanta-II products are lower than those of all other Belgian antacids tested except Maalox products. Because the minimum recommended dose (MRD) of Mylanta-II liquid is 5 ml, while that of Maalox is 10 ml, the sodium content of the MRD of Mylanta-II liquid is lower than that of the MRD of any of the other Belgian liquid antacids tested.

The introduction of chlorpromazine in Belgium and the Netherlands (1951-1968); tango between old and new treatment features.

PubMed

Pieters, Toine; Majerus, Benoît

2011-12-01

The introduction of chlorpromazine in Belgium and the Netherlands demonstrates an intriguing tango between old and new treatments. Chlorpromazine, marketed by the French company Rhône Poulenc entered psychiatry as an adjunct to existing therapies. Instead of promoting chlorpromazine as a revolutionary therapy, we see early efforts to market Largactil as a supplement to the armoury of psychiatric treatments. These marketing efforts matched the idiosyncrasies of national and local styles and cultures. Despite continuities with earlier therapeutic developments, we support the notion of a therapeutic revolution. In the early sixties supply and demand provoked a turn towards more standardized therapeutic regimes. Copyright © 2011 Elsevier Ltd. All rights reserved.

40 CFR 262.58 - International agreements.

Code of Federal Regulations, 2014 CFR

2014-07-01

... consist of Australia, Austria, Belgium, the Czech Republic, Denmark, Finland, France, Germany, Greece..., Portugal, the Republic of Korea, the Slovak Republic, Spain, Sweden, Switzerland, Turkey, the United...

40 CFR 262.58 - International agreements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... consist of Australia, Austria, Belgium, the Czech Republic, Denmark, Finland, France, Germany, Greece..., Portugal, the Republic of Korea, the Slovak Republic, Spain, Sweden, Switzerland, Turkey, the United...

Chemical composition and deterioration of glass excavated in the 15th 16th century fishermen town of Raversijde (Belgium)

NASA Astrophysics Data System (ADS)

Schalm, O.; Caluwé, D.; Wouters, H.; Janssens, K.; Verhaeghe, F.; Pieters, M.

2004-10-01

The chemical composition, as determined by electron probe X-ray microanalysis of a series of ca. 100 archaeological glass fragments, excavated at the Raversijde site (Belgium) is discussed. In the 15th-16th century, Raversijde was a flourishing fishermen town located on the shore of the North Sea, close to the city of Ostend. As a consequence of several battles that were fought in its vicinity, the site was abandoned in the 16th century and was not occupied since then. It is one of the rare archaeological sites in Europe that contains a significant amount of information on the daily life inside a small but affluent medieval community. A comparison of the chemical composition of fragments of vessels and window glass encountered in Raversijde to those found in urban centres in Belgium and to literature date on German and French archaeological finds shows that glass made with wood ash dominates. Usually, it concerns artifacts with a predominantly utilitarian use. A few objects made with sodic (i.e., Na-rich) glass were also encountered, likely to have been imported from Venice during the 15th century or in later periods from an urban centre such as Antwerp, where Façon-de-Venice glass manufacturing activities were established near the start of the 16th century.

The survival of 19th-century scientific optimism: the public discourse on science in Belgium in the aftermath of the Great War (ca. 1919-1930).

PubMed

Onghena, Sofie

2011-01-01

In historiography there is a tendency to see the Great War as marking the end of scientific optimism and the period that followed the war as a time of discord. Connecting to current (inter)national historiographical debate on the question of whether the First World War meant a disruption from the pre-war period or not, this article strives to prove that faith in scientific progress still prevailed in the 1920s. This is shown through the use of Belgium as a case study, which suggests that the generally adopted cultural pessimism in the post-war years did not apply to the public rhetoric of science in this country. Diverse actors -- scientists, industrialists, politicians, the public opinion, and the military staff -- declared a confidence in science, enhanced by wartime results. Furthermore, belief in science in Belgium was not affected by public outcry over the use of mustard gas, unlike in the former belligerent countries where the gas became an unpleasant reminder of how science was used during the war. Even German science with its industrial applications remained the norm after 1918. In fact, the faith in science exhibited during the pre-war years continued to exist, at least until the 1920s, despite anti-German sentiments being voiced by many sections of Belgian society in the immediate aftermath of the war.

Kidney donation after circulatory death in a country with a high number of brain dead donors: 10-year experience in Belgium.

PubMed

Jochmans, Ina; Darius, Tom; Kuypers, Dirk; Monbaliu, Diethard; Goffin, Eric; Mourad, Michel; Ledinh, Hieu; Weekers, Laurent; Peeters, Patrick; Randon, Caren; Bosmans, Jean-Louis; Roeyen, Geert; Abramowicz, Daniel; Hoang, Anh-Dung; De Pauw, Luc; Rahmel, Axel; Squifflet, Jean-Paul; Pirenne, Jacques

2012-08-01

Worldwide shortage of standard brain dead donors (DBD) has revived the use of kidneys donated after circulatory death (DCD). We reviewed the Belgian DCD kidney transplant (KT) experience since its reintroduction in 2000. Risk factors for delayed graft function (DGF) were identified using multivariate analysis. Five-year patient/graft survival was assessed using Kaplan-Meier curves. The evolution of the kidney donor type and the impact of DCDs on the total KT activity in Belgium were compared with the Netherlands. Between 2000 and 2009, 287 DCD KT were performed. Primary nonfunction occurred in 1% and DGF in 31%. Five-year patient and death-censored graft survival were 93% and 95%, respectively. In multivariate analysis, cold storage (versus machine perfusion), cold ischemic time, and histidine-tryptophan-ketoglutarate solution were independent risk factors for the development of DGF. Despite an increased number of DCD donations and transplantations, the total number of deceased KT did not increase significantly. This could suggest a shift from DBDs to DCDs. To increase KT activity, Belgium should further expand controlled DCD programs while simultaneously improve the identification of all potential DBDs and avoid their referral for donation as DCDs before brain death occurs. Furthermore, living donation remains underused. © 2012 The Authors. Transplant International © 2012 European Society for Organ Transplantation.

Earth Observations taken with ESA NightPod hardware

NASA Image and Video Library

2012-12-08

ISS034-E-005935 (8 Dec. 2012) --- A nighttime view of Liege, Belgium is featured in this image photographed by an Expedition 34 crew member on the International Space Station. To paraphrase the old expression, “all roads lead to Liege” – or at least one could get that impression from this nighttime photograph. The brightly lit core of the Liege urban area appears to lie at the center of a network of roadways—traceable by continuous orange lighting—extending outwards into the rural, and relatively dark, Belgium countryside. For a sense of scale the distance from left to right is approximately 70 kilometers. The region at upper left to the southeast of Verviers includes agricultural fields and forest; hence it appears almost uniformly dark at night. The image was taken using the European Space Agency’s Nodding mechanism, also known as the NightPod. NightPod is an electro-mechanical mount system designed to compensate digital cameras for the motion of the space station relative to Earth. The primary mission goal was to take high-resolution, long exposure digital imagery of Earth from the station’s Cupola, particularly cities at night. While the official NightPod mission has been completed, the mechanism remains onboard for crew members to use. Liege is the third most populous metropolitan region in Belgium (after Brussels and Antwerp); it includes 52 municipalities, including the nearby city of Seraing.

Measuring general animal health status: Development of an animal health barometer.

PubMed

Depoorter, Pieter; Van Huffel, Xavier; Diricks, Herman; Imberechts, Hein; Dewulf, Jeroen; Berkvens, Dirk; Uyttendaele, Mieke

2015-03-01

The development of an animal health barometer, an instrument to measure the general health of the Belgian livestock population on a yearly basis and to monitor its evolution over time, is described. The elaboration of a set of 13 animal health indicators (AHIs) as the basis for the animal health barometer is discussed. These indicators were weighted by experts - including scientists, policy makers and agro-industrial representatives - to determine their relative weight in the barometer. The result of the barometer is expressed as a comparison with a previous year. Based on the results of the 13 AHIs, it is concluded that general animal health in Belgium shows a positive evolution since 2008. The animal health barometer provides a composite view of the status of livestock health in Belgium and is a tool to communicate in an intelligible, comprehensible manner on aspects of animal health to consumers and professional stakeholders in the animal production and food chain. Together with the food safety barometer (Baert et al., 2011. Food Res. Int. 44, 940) and the plant health barometer (Wilmart et al., 2014. Eur. J. Plant Pathol. doi: 10.1007/s10658-014-0547-x), the animal health barometer is one of the three instruments to provide a holistic view on the overall status of the safety of the food chain in Belgium. Copyright © 2014 Elsevier B.V. All rights reserved.

Attitudes towards reforming primary care in Belgium: social network analysis in a pluralist context.

PubMed

Lorant, Vincent; Rihoux, Benoît; Nicaise, Pablo

2016-10-01

Health care policies are influenced by many groups which in turn influence each other. Our aim was to describe a network of nominated influential stakeholders and analyze how it affects attitudes to reforming primary care. Face-to-face interviews were carried out in Belgium with 102 influential people. Each respondent was asked to score solutions for improving the role of general practice in the health care system and to nominate up to six other influential stakeholders. Social network and multivariate analyses were used to describe the nomination network and its effect on attitudes to reform. The network was highly centralized and homophilous (tendency to bond with people who are similar) for language groups. Despite Belgium having a strong pluralist tradition of decision making, policy makers were central to the network (average indegree = 10.8) compared to professional representatives (6.9). Respondents supported an enhanced role for general practitioners but did not support radically new policies. Social network analysis contributes to understanding why health care reforms may languish in pluralistic, decentralized health care systems. The central position of a stakeholder in a network is related to perceived influence but does not favour a radical policy orientation. In addition, language-group homophily in the 'perceived influence network' leads to a weak coalition that only favours small-step reform. © The Author(s) 2016.

New insights into the burden and costs of multiple sclerosis in Europe: Results for Belgium.

PubMed

Dubois, Benedicte; Kobelt, Gisela; Berg, Jenny; Capsa, Daniela; Gannedahl, Mia

2017-08-01

In order to estimate the value of interventions in multiple sclerosis (MS) - where lifetime costs and outcomes cannot be observed - outcome data have to be combined with costs. This requires that cost data be regularly updated. This study is part of a cross-sectional retrospective study in 16 countries collecting data on resource consumption and work capacity, health-related quality of life (HRQoL) and prevalent symptoms for patients with MS. Descriptive analyses are presented by level of severity, from the societal perspective, in EUR 2015. A total of 1856 patients (mean age: 54 years) participated in Belgium; 66% were below retirement age, and of these, 44% were employed. Employment was related to disease severity, and MS affected productivity at work in 85% of the patients. Overall, 95% and 72% of the patients experienced fatigue and cognitive difficulties, respectively, as a problem. Mean utility and annual costs were 0.703 and €26,400 at Expanded Disability Status Scale (EDSS) 0-3, 0.478 and €45,300 at EDSS 4-6.5, and 0.193 and €62,000 at EDSS 7-9. The mean cost of a relapse was estimated to be €3000. This study provides current data on MS in Belgium that are important for development of health policies and for estimating the value of current and future treatments.

Science-policy challenges for biodiversity, public health and urbanization: examples from Belgium

NASA Astrophysics Data System (ADS)

Keune, H.; Kretsch, C.; De Blust, G.; Gilbert, M.; Flandroy, L.; Van den Berge, K.; Versteirt, V.; Hartig, T.; De Keersmaecker, L.; Eggermont, H.; Brosens, D.; Dessein, J.; Vanwambeke, S.; Prieur-Richard, A. H.; Wittmer, H.; Van Herzele, A.; Linard, C.; Martens, P.; Mathijs, E.; Simoens, I.; Van Damme, P.; Volckaert, F.; Heyman, P.; Bauler, T.

2013-06-01

Internationally, the importance of a coordinated effort to protect both biodiversity and public health is more and more recognized. These issues are often concentrated or particularly challenging in urban areas, and therefore on-going urbanization worldwide raises particular issues both for the conservation of living natural resources and for population health strategies. These challenges include significant difficulties associated with sustainable management of urban ecosystems, urban development planning, social cohesion and public health. An important element of the challenge is the need to interface between different forms of knowledge and different actors from science and policy. We illustrate this with examples from Belgium, showcasing concrete cases of human-nature interaction. To better tackle these challenges, since 2011, actors in science, policy and the broader Belgian society have launched a number of initiatives to deal in a more integrated manner with combined biodiversity and public health challenges in the face of ongoing urbanization. This emerging community of practice in Belgium exemplifies the importance of interfacing at different levels. (1) Bridges must be built between science and the complex biodiversity/ecosystem-human/public health-urbanization phenomena. (2) Bridges between different professional communities and disciplines are urgently needed. (3) Closer collaboration between science and policy, and between science and societal practice is needed. Moreover, within each of these communities closer collaboration between specialized sections is needed.

Exploring the impact of austerity-driven policy reforms on the quality of the long-term care provision for older people in Belgium and the Netherlands.

PubMed

Janssen, David; Jongen, Wesley; Schröder-Bäck, Peter

2016-08-01

In this case study, European quality benchmarks were used to explore the contemporary quality of the long-term care provision for older people in the Belgian region of Flanders and the Netherlands following recent policy reforms. Semi-structured qualitative interviews were conducted with various experts on the long-term care provision. The results show that in the wake of the economic crisis and the reforms that followed, certain vulnerable groups of older people in Belgium and the Netherlands are at risk of being deprived of long-term care that is available, affordable and person-centred. Various suggestions were provided on how to improve the quality of the long-term care provision. The main conclusion drawn in this study is that while national and regional governments set the stage through regulatory frameworks and financing mechanisms, it is subsequently up to long-term care organisations, local social networks and informal caregivers to give substance to a high quality long-term care provision. An increased reliance on social networks and informal caregivers is seen as vital to ensure the sustainability of the long-term care systems in Belgium and in the Netherlands, although this simultaneously introduces new predicaments and difficulties. Structural governmental measures have to be introduced to support and protect informal caregivers and informal care networks. Copyright © 2016 Elsevier Inc. All rights reserved.

[Collaboration between Medicine and Psychology: Evolving Mentalities in Belgium and Evolution of the Health Care System in Canada].

PubMed

Chomienne, Marie-Hélène; Vanneste, Patrick; Grenier, Jean; Hendrick, Stephan

Objectives 1) To give a portrait of the evolving mentalities prevailing in Belgium on the collaboration between psychologists and general practitioners, and identify the barriers to the development of the collaboration between those two health professionals 2) To report on the primary care reform in Canada, its role in fostering collaborative practice in primary mental health and on the strategies needed to improve collaboration.Methods Literature search using PubMed and Google Scholar.Results Because of the unmet need of psychologists in primary care, general practitioners and psychologists have a propensity to work together. However to facilitate the collaborative process there needs to be system changes and clear definition of scopes of practices. Both countries are at different levels of implementing change. In Belgium for example it is only very recently that the autonomous practice of clinical psychology has been acknowledged. In Canada although the primary care reform has put forward and supported collaborative care, focus on mental health is insufficient. Early reports on collaborative care in the new models of care inconsistently report improved health outcomes. Strategies to improve collaborative care are looking at teaching future health professionals on how to work together by integrating inter-professional education.Conclusion Both the health care system and graduate training need to support foster and teach collaborative care.

Estimation of hepatitis E virus (HEV) pig seroprevalence using ELISA and Western blot and comparison between human and pig HEV sequences in Belgium.

PubMed

Thiry, Damien; Mauroy, Axel; Saegerman, Claude; Thomas, Isabelle; Wautier, Magali; Miry, Cora; Czaplicki, Guy; Berkvens, Dirk; Praet, Nicolas; van der Poel, Wim; Cariolet, Roland; Brochier, Bernard; Thiry, Etienne

2014-08-27

Zoonotic transmission of hepatitis E virus (HEV) is of special concern, particularly in high income countries were waterborne infections are less frequent than in developing countries. High HEV seroprevalences can be found in European pig populations. The aims of this study were to obtain prevalence data on HEV infection in swine in Belgium and to phylogenetically compare Belgian human HEV sequences with those obtained from swine. An ELISA screening prevalence of 73% (95% CI 68.8-77.5) was determined in Belgian pigs and a part of the results were re-evaluated by Western blot (WB). A receiver operating characteristic curve analysis was performed and scenarios varying the ELISA specificity relative to WB were analysed. The seroprevalences estimated by the different scenarios ranged between 69 and 81% and are in agreement with the high exposure of the European pig population to HEV. Pig HEV sequences were genetically compared to those detected in humans in Belgium and a predominance of genotype 3 subtype f was shown in both swine and humans. The high HEV seroprevalence in swine and the close phylogenetic relationships between pig and human HEV sequences further support the risk for zoonotic transmission of HEV between humans and pigs. Copyright © 2014 Elsevier B.V. All rights reserved.

Pertussis Serodiagnosis in Belgium from 1990 to 2009 ▿

PubMed Central

Vincent, Muriel; Rodeghiero, Caroline; Eylenbosch, Romain; Mans, Yvan; Swalus-Steenhouwer, Jeannine; Piérard, Denis; Huygen, Kris; Vanhoof, Raymond

2011-01-01

Diagnosis of pertussis by culture and PCR is most sensitive when performed on nasopharyngeal specimens collected <2 weeks and <3 weeks, respectively, after the onset of clinical disease. Conversely, serological testing allows the diagnosis of patients (mostly adults) with less typical whooping cough symptoms, for whom clinical samples are often collected at later time points. Here, we report on a 20-year serodiagnostic survey of pertussis in Belgium from 1990 to 2009. In total, 13,163 patients were analyzed for Bordetella pertussis-specific antibodies by agglutination, complement fixation, immunofluorescence, and ELISA. The number of positive pertussis cases detected by serodiagnosis ranged between 50 and 150 annually. The mean age of positive cases increased from 9.9 years in 1990 to 33.9 years in 2009. Whereas from 1990 to 2003, children and young adolescents made up the majority of cases, from 2004 onwards, cases were detected in all age groups and the distribution became bimodal, with a first peak at the age of 10 to 20 years and a second at the age of 35 to 50 years. In contrast, patients diagnosed since 2001 by PCR and/or culture were mostly children younger than 1 year of age. Despite extensive childhood vaccination campaigns, whooping cough is still present in Belgium. Our findings confirm the potential role of adults in the continued transmission of pertussis and strongly warrant booster or cocoon vaccinations in older age groups. PMID:21346057

48 CFR 52.222-19 - Child Labor-Cooperation with Authorities and Remedies.

Code of Federal Regulations, 2013 CFR

2013-10-01

..., Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece..., Malta, Netherlands, Norway, Poland, Portugal, Romania, Singapore, Slovak Republic, Slovenia, Spain...

48 CFR 52.222-19 - Child Labor-Cooperation with Authorities and Remedies.

Code of Federal Regulations, 2014 CFR

2014-10-01

..., Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany..., Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Singapore, Slovak Republic, Slovenia...

48 CFR 52.222-19 - Child Labor-Cooperation with Authorities and Remedies.

Code of Federal Regulations, 2012 CFR

2012-10-01

..., Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece..., Malta, Netherlands, Norway, Poland, Portugal, Romania, Singapore, Slovak Republic, Slovenia, Spain...

48 CFR 52.222-19 - Child Labor-Cooperation with Authorities and Remedies.

Code of Federal Regulations, 2011 CFR

2011-10-01

..., Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hong Kong..., Netherlands, Norway, Poland, Portugal, Romania, Singapore, Slovak Republic, Slovenia, Spain, Sweden...

Serotyping and esterase typing for analysis of Listeria monocytogenes populations recovered from foodstuffs and from human patients with listeriosis in Belgium.

PubMed Central

Gilot, P; Genicot, A; André, P

1996-01-01

Listeria monocytogenes strains isolated in Belgium from different foodstuffs and in sporadic cases of human listeriosis were analyzed. The distribution of serovars differed in each of these populations. The bacteria isolated from cheeses and from human patients with listeriosis were further studied by esterase typing. The twenty esterase patterns defined were not equally distributed in these two populations. The secretion of the virulence determinant phosphatidylinositol-specific phospholipase C and the pathogenicity level of strains in immunocompromised mice could not explain the unequal distribution of esterase types. The discrimination index of esterase typing (DI = 0.868) was compared with that of serotyping (DI = 0.666) and with that of the two combined methods (DI = 0.899). PMID:8815071

The effect of sociodemographic (mis)match between interviewers and respondents on unit and item nonresponse in Belgium.

PubMed

Vercruyssen, Anina; Wuyts, Celine; Loosveldt, Geert

2017-09-01

Interviewer characteristics affect nonresponse and measurement errors in face-to-face surveys. Some studies have shown that mismatched sociodemographic characteristics - for example gender - affect people's behavior when interacting with an interviewer at the door and during the survey interview, resulting in more nonresponse. We investigate the effect of sociodemographic (mis)matching on nonresponse in two successive rounds of the European Social Survey in Belgium. As such, we replicate the analyses of the effect of (mis)matching gender and age on unit nonresponse on the one hand, and of gender, age and education level (mis)matching on item nonresponse on the other hand. Recurring effects of sociodemographic (mis)match are found for both unit and item nonresponse. Copyright © 2017 Elsevier Inc. All rights reserved.

Euthanasia for Detainees in Belgium.

PubMed

Devolder, Katrien

2016-07-01

In 2011, Frank Van Den Bleeken became the first detainee to request euthanasia under Belgium's Euthanasia Act of 2002. This article investigates whether it would be lawful and morally permissible for a doctor to accede to this request. Though Van Den Bleeken has not been held accountable for the crimes he committed, he has been detained in an ordinary prison, without appropriate psychiatric care, for more than 30 years. It is first established that Van Den Bleeken's euthanasia request plausibly meets the relevant conditions of the Euthanasia Act and that, consequently, a doctor could lawfully fulfill it. Next, it is argued that autonomy-based reasons for euthanizing him outweigh complicity-based reasons against doing so, and that, therefore, it is also morally permissible for a doctor to carry out the euthanasia request.

Anti-gay sentiment among adolescents in Belgium and Canada: a comparative investigation into the role of gender and religion.

PubMed

Hooghe, Marc; Claes, Ellen; Harell, Allison; Quintelier, Ellen; Dejaeghere, Yves

2010-01-01

Previous research has indicated that opposition toward lesbian, gay, bisexual, and trangender (LGBT) rights remains prevalent among Western populations. In this article, we investigate the determinants of anti-gay attitudes among adolescents in two liberal democracies, Belgium (n = 6,330) and Canada (n = 3,334). The analysis indicates that hostile feelings toward LGBT rights are particularly widespread among boys, while the effects of socioeconomic status and parental education remain limited. Various religious denominations proved to have a strong and significant negative impact on tolerance, with especially high scores for Islam. Religious practice, too, contributes to a negative attitude toward LGBT rights. The consequences of these findings with regard to tolerance for gay rights among Islamic youth in Western democracies are discussed.

Predictors for reimbursement of oncology drugs in Belgium between 2002 and 2013.

PubMed

Pauwels, Kim; Huys, Isabelle; De Nys, Katelijne; Casteels, Minne; Simoens, Steven

2015-01-01

Price setting and reimbursement decisions regarding drugs are competence of individual member states in Europe. These decisions involve important trade-offs between social, ethical, clinical and economic criteria. The aim of this study was to investigate the relative importance of criteria for reimbursement of oncology drugs in Belgium. Reimbursement dossiers on oncology drugs for which reimbursement was applied between 2002 and 2013 were consulted. Multivariate logistic regression was performed. Results showed that clinical evidence and presence of alternative treatments have a significant impact on the reimbursement decisions. Evidence-based medicine still plays a role in Belgian reimbursement decision-making. In order to allow transition towards value-based medicine and avoid spending money on products with limited incremental benefit, therapeutic need at patient level need to be taken into account.

Placoderm Assemblage from the Tetrapod-Bearing Locality of Strud (Belgium, Upper Famennian) Provides Evidence for a Fish Nursery

PubMed Central

Clément, Gaël; Daeschler, Edward B.; Dupret, Vincent

2016-01-01

The placoderm fauna of the upper Famennian tetrapod-bearing locality of Strud, Belgium, includes the antiarch Grossilepis rikiki, the arthrodire groenlandaspidid Turrisaspis strudensis and the phyllolepidid Phyllolepis undulata. Based on morphological and morphometric evidence, the placoderm specimens from Strud are predominantly recognised as immature specimens and this locality as representing a placoderm nursery. The Strud depositional environment corresponds to a channel in an alluvial plain, and the presence of a nursery in such environment could have provided nutrients and protection to the placoderm offspring. This represents one of the earliest pieces of evidence for this sort of habitat partitioning in vertebrate history, with adults living more distantly from the nursery and using the nursery only to spawn or give live birth. PMID:27552196

Subsidence related to groundwater pumping for breweries in Merchtem area (Belgium), highlighted by Persistent Scaterrer Interferometry

NASA Astrophysics Data System (ADS)

Declercq, Pierre-Yves; Gerard, Pierre; Pirard, Eric; Perissin, Daniele; Walstra, Jan; Devleeschouwer, Xavier

2017-12-01

ERS, ENVISAT and TerraSAR-X Synthetic Aperture Radar scenes covering the time span 1992-2014 were processed using a Persistent Scatterer technique to study the ground movements in Merchtem (25 km NW of Brussels, Belgium). The processed datasets, covering three consecutive time intervals, reveal that the investigated area is affected by a global subsidence trend related to the extraction of groundwater in the deeper Cambro-Silurian aquifer. Through time the subsidence pattern is reduced and replaced by an uplift related to the rising water table attested by piezometers located in this aquifer. The subsidence is finally reduced to a zone where currently three breweries are very active and pump groundwater in the Ledo-Paniselian aquifer and in the Cambro-Silurian for process water for the production.

Composition of 12-18 th century window glass in Belgium: Non-figurative windows in secular buildings and stained-glass windows in religious buildings

NASA Astrophysics Data System (ADS)

Schalm, Olivier; Janssens, Koen; Wouters, Hilde; Caluwé, Danielle

2007-07-01

A set of ca. 500 window glass fragments originating from different historical sites in Belgium and covering the period 12 th-18 th century was analyzed by means of electron probe microanalysis. Most samples are archaeological finds deriving from non-figurative windows in secular buildings. However, the analyzed set also contains glass sampled from still existing non-figurative windows in secular buildings and stained-glass windows in religious buildings. A sudden compositional change at the end of the 14 th century can be noticed among the series of glass compositions that were obtained. These changes could be related to the use of different glassmaker recipes and to the introduction of new raw materials for glass making.

[The inducement of demand in dental medicine in Belgium].

PubMed

Decaluwe, Frida; Renckens, An

2006-01-01

Many factors are important for the existence of supplier-induced demand (SID). Not just the individual practitioner is responsible; his or her behaviour might be influenced by the specific organisation of the market for health care/dental care. The article investigates the characteristics of the Belgian market for dental care and analyses the way in which they might influence the occurrence of SID and/or overconsumption. Attention goes to the payment system of dentists in Belgium, the health insurance system, dentist density and the regulation of the sector. Also mentioned are the recall system and other (governmental) initiatives that may influence patients' and practitioners' behaviour. Some factors--not yet systematically investigated--may be relevant as well: personal characteristics of the dentist (gender in particular) and the way companies direct practitioners' and patients' behaviour.

Spatial analysis of extreme precipitation deficit as an index for atmospheric drought in Belgium

NASA Astrophysics Data System (ADS)

Zamani, Sepideh; Van De Vyver, Hans; Gobin, Anne

2014-05-01

The growing concern among the climate scientists is that the frequency of weather extremes will increase as a result of climate change. European society, for example, is particularly vulnerable to changes in the frequency and intensity of extreme events such as heat waves, heavy precipitation, droughts, and wind storms, as seen in recent years [1,2]. A more than 50% of the land is occupied by managed ecosystem (agriculture, forestry) in Belgium. Moreover, among the many extreme weather conditions, drought counts to have a substantial impact on the agriculture and ecosystem of the affected region, because its most immediate consequence is a fall in crop production. Besides the technological advances, a reliable estimation of weather conditions plays a crucial role in improving the agricultural productivity. The above mentioned reasons provide a strong motivation for a research on the drought and its impacts on the economical and agricultural aspects in Belgium. The main purpose of the presented work is to map atmospheric drought Return-Levels (RL), as first insight for agricultural drought, employing spatial modelling approaches. The likelihood of future drought is studied on the basis of precipitation deficit indices for four vegetation types: water (W), grass (G), deciduous (D) and coniferous forests (C) is considered. Extreme Value Theory (EVT) [3,4,5] as a branch of probability and statistics, is dedicated to characterize the behaviour of extreme observations. The tail behaviour of the EVT distributions provide important features about return levels. EVT distributions are applicable in many study areas such as: hydrology, environmental research and meteorology, insurance and finance. Spatial Generalized Extreme Value (GEV) distributions, as a branch of EVT, are applied to annual maxima of drought at 13 hydro-meteorological stations across Belgium. Superiority of the spatial GEV model is that a region can be modelled merging the individual time series of observations from isolated sites and using a common regression model based on climatological/geographical covariates. The behaviour of the fitted spatial GEV-distribution is heavy-tailed with γ ≡ 0.3 over Belgium. A comparison between the RL-maps using GEV model and the ones obtained from Universal Kriging (UK) confirms the reliability of the spatial GEV model in explaining atmospheric drought in Belgium. References [1] Beniston, M., Stephenson, D. B., Christensen, O. B., Ferro, C. A. T., Frei, C., Goyette, S., Halsnaes, K., Holt, T., Jylhü, K., Koffi, B., Palutikoff, J., Schöll, R., Semmler, T., and Woth, K. (2007), Future extreme events in European climate; an exploration of Regional Climate Model projections. Climatic Change, 81, 71-95. [2] Solomon, S., D. Qin, M. Manning, Z. Chen, M. Marquis, K.B. Averyt, M. Tignor and H.L. Miller (Eds.)] (2007), king Group I to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge University Press, Cambridge, United Kingdom and New York, NY, USA, 996 pp. [3] Coles, S. (2001), An Introduction to Statistical Modeling of Extreme Values, Springer-Verlag Heidelberg, Germany. [4] Embrechts, P., C. Klüppelberg, and T. Mikosch (1997), Modelling Extremal Events for Insurance and Finance, Springer-Verlag, Berlin. [5] Smith, R., (2004), Statistics of extremes, with application in environment, insurance and finance, in : Extreme Values in Finance, Telecommunications and the Environment, edited by: Finkenstadt, B. and Rootzen, H., 373-388, Chapman and Hall CRC Press, London.

Wanted: suitable replacement stones for the Lede stone (Belgium)

NASA Astrophysics Data System (ADS)

De Kock, T.; Dewanckele, J.; Boone, M. A.; De Boever, W.; De Schutter, G.; Jacobs, P.; Cnudde, V.

2012-04-01

The Lede stone is an arenaceous limestone with a Lutetian age, occurring as discrete (most of the times three) stone banks in the marine sandy sediments of the Lede Formation (Belgium). It has a quartz content of approximate 40%. This increases abrasion strength and together with the cementation results in an average compressive strength of about 80-85 MPa. The cement is a microsparitic calcite cement. Other carbonate particles are both microfossils (mainly foraminifers) and macrofossils (bivalves, serpulids, echinoderms, …). This great diversity gives the stone a heterogeneous, animated appearance. The intra- and interparticle porosity is in total 5-10 % in average and the apparent density is 2400-2550 kg/m3. Another important constituent is glauconite, present in a few percent. In fresh state, the stone has a greenish-grey colour, but when it is exposed to atmospheric conditions for a couple of years, the stone acquires a yellowish to rust-coloured patina due to the weathering of glauconite. Sulphatation causes severe damage to the stone, and black gypsum crusts are common in urban environments on stones protected from runoff. This stone was excavated in both open air and underground quarries in the areas of Brussels and Ghent. The proximity of main rivers such as the Scheldt and Zenne provided transport routes for export towards the north (e.g. Antwerp and The Netherlands). Its first known use dates back to Roman times but the stone flourished in Gothic architecture due to its easy workability and its 'divine' light coloured patina. This results nowadays in a dominant occurrence in the cultural heritage of northwestern Belgium and the south of The Netherlands. Socio-economical reasons caused several declines and revivals of Lede stone in use. In the beginning of the 20th century, only a few excavation sites remained, with as main quarry the one located at Bambrugge (Belgium). By the end of the first half of the 20th century, however, no quarry sites remained. In the sixties, a sand quarry located in Balegem (Belgium) started with the extraction of Lede stone combined with its other activities. Until now, only this site supplies blocks of fresh Lede stones and it doesn't seem there will rise an opportunity of a new site in the near future. Therefore, during the huge amount of renovation works in the past century, the Lede stone was often replaced by imported (mostly French) limestones such as Massangis stone, Savonnières stone and Euville stone. The commercial value seems to have had a large impact and too little attention was paid on the optical appearance, ageing and technical compatibility of the stones. The use of especially Massangis stone was taken for granted. In the 21st century, there is a growing awareness of the impact of such consequent replacement for the historical value of our cultural heritage and several alternative stones are suggested and even used. These include stones from France, Spain and Portugal, but also from other regions in Belgium. For the moment, there is no consensus on the most appropriate replacement stone and further research should be done in order to evaluate compatibility of the different stone types with Lede stone. In this context, it is also very important to actively search for better alternatives, which resemble the Lede stone in both a mechanical and aesthetical point of view. Therefore, this abstract is an open question to its readers. Any commercial natural stone suggestions with affiliation to the aforementioned properties are welcome by e-mailing the corresponding author.

15 CFR 743.3 - Thermal imaging camera reporting.

Code of Federal Regulations, 2014 CFR

2014-01-01

... controlled by ECCN 6A003.b.4.b to Albania, Australia, Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Japan...

Challenges in physician supply planning: the case of Belgium.

PubMed

Stordeur, Sabine; Léonard, Christian

2010-12-08

Planning human resources for health (HRH) is a complex process for policy-makers and, as a result, many countries worldwide swing from surplus to shortage. In-depth case studies can help appraising the challenges encountered and the solutions implemented. This paper has two objectives: to identify the key challenges in HRH planning in Belgium and to formulate recommendations for an effective HRH planning, on the basis of the Belgian case study and lessons drawn from an international benchmarking. In Belgium, a numerus clausus set up in 1997 and effective in 2004, aims to limit the total number of physicians working in the curative sector. The assumption of a positive relationship between physician densities and health care utilization was a major argument in favor of medical supply restrictions. This new regulation did not improve recurrent challenges such as specialty imbalances, with uncovered needs particularly among general practitioners, and geographical maldistribution. New difficulties also emerged. In particular, limiting national training of HRH turned out to be ineffective within the open European workforce market. The lack of integration of policies affecting HRH was noteworthy. We described in the paper what strategies were developed to address those challenges in Belgium and in neighboring countries. Planning the medical workforce involves determining the numbers, mix, and distribution of health providers that will be required at some identified future point in time. To succeed in their task, health policy planners have to take a broader perspective on the healthcare system. Focusing on numbers is too restrictive and adopting innovative policies learned from benchmarking without integration and coordination is unfruitful. Evolving towards a strategic planning is essential to control the effects of the complex factors impacting on human resources. This evolution requires an effective monitoring of all key factors affecting supply and demand, a dynamic approach, and a system-level perspective, considering all healthcare professionals, and integrating manpower planning with workforce development. To engage in an evidence-based action, policy-makers need a global manpower picture, from their own country and abroad, as well as reliable and comparable manpower databases allowing proper analysis and planning of the workforce.

Challenges in physician supply planning: the case of Belgium

PubMed Central

2010-01-01

Introduction Planning human resources for health (HRH) is a complex process for policy-makers and, as a result, many countries worldwide swing from surplus to shortage. In-depth case studies can help appraising the challenges encountered and the solutions implemented. This paper has two objectives: to identify the key challenges in HRH planning in Belgium and to formulate recommendations for an effective HRH planning, on the basis of the Belgian case study and lessons drawn from an international benchmarking. Case description In Belgium, a numerus clausus set up in 1997 and effective in 2004, aims to limit the total number of physicians working in the curative sector. The assumption of a positive relationship between physician densities and health care utilization was a major argument in favor of medical supply restrictions. This new regulation did not improve recurrent challenges such as specialty imbalances, with uncovered needs particularly among general practitioners, and geographical maldistribution. New difficulties also emerged. In particular, limiting national training of HRH turned out to be ineffective within the open European workforce market. The lack of integration of policies affecting HRH was noteworthy. We described in the paper what strategies were developed to address those challenges in Belgium and in neighboring countries. Discussion and evaluation Planning the medical workforce involves determining the numbers, mix, and distribution of health providers that will be required at some identified future point in time. To succeed in their task, health policy planners have to take a broader perspective on the healthcare system. Focusing on numbers is too restrictive and adopting innovative policies learned from benchmarking without integration and coordination is unfruitful. Evolving towards a strategic planning is essential to control the effects of the complex factors impacting on human resources. This evolution requires an effective monitoring of all key factors affecting supply and demand, a dynamic approach, and a system-level perspective, considering all healthcare professionals, and integrating manpower planning with workforce development. Conclusion To engage in an evidence-based action, policy-makers need a global manpower picture, from their own country and abroad, as well as reliable and comparable manpower databases allowing proper analysis and planning of the workforce. PMID:21138596

A post-mortem survey on end-of-life decisions using a representative sample of death certificates in Flanders, Belgium: research protocol

PubMed Central

Chambaere, Kenneth; Bilsen, Johan; Cohen, Joachim; Pousset, Geert; Onwuteaka-Philipsen, Bregje; Mortier, Freddy; Deliens, Luc

2008-01-01

Background Reliable studies of the incidence and characteristics of medical end-of-life decisions with a certain or possible life shortening effect (ELDs) are indispensable for an evidence-based medical and societal debate on this issue. This article presents the protocol drafted for the 2007 ELD Study in Flanders, Belgium, and outlines how the main aims and challenges of the study (i.e. making reliable incidence estimates of end-of-life decisions, even rare ones, and describing their characteristics; allowing comparability with past ELD studies; guaranteeing strict anonymity given the sensitive nature of the research topic; and attaining a sufficient response rate) are addressed in a post-mortem survey using a representative sample of death certificates. Study design Reliable incidence estimates are achievable by using large at random samples of death certificates of deceased persons in Flanders (aged one year or older). This entails the cooperation of the appropriate administrative authorities. To further ensure the reliability of the estimates and descriptions, especially of less prevalent end-of-life decisions (e.g. euthanasia), a stratified sample is drawn. A questionnaire is sent out to the certifying physician of each death sampled. The questionnaire, tested thoroughly and avoiding emotionally charged terms is based largely on questions that have been validated in previous national and European ELD studies. Anonymity of both patient and physician is guaranteed through a rigorous procedure, involving a lawyer as intermediary between responding physicians and researchers. To increase response we follow the Total Design Method (TDM) with a maximum of three follow-up mailings. Also, a non-response survey is conducted to gain insight into the reasons for lack of response. Discussion The protocol of the 2007 ELD Study in Flanders, Belgium, is appropriate for achieving the objectives of the study; as past studies in Belgium, the Netherlands, and other European countries have shown, strictly anonymous and thorough surveys among physicians using a large, stratified, and representative death certificate sample are most suitable in nationwide studies of incidence and characteristics of end-of-life decisions. There are however also some limitations to the study design. PMID:18752659

Euthanasia in Belgium: trends in reported cases between 2003 and 2013.

PubMed

Dierickx, Sigrid; Deliens, Luc; Cohen, Joachim; Chambaere, Kenneth

2016-11-01

In 2002, the Belgian Act on Euthanasia came into effect, regulating the intentional ending of life by a physician at the patient's explicit request. We undertook this study to describe trends in officially reported euthanasia cases in Belgium with regard to patients' sociodemographic and clinical profiles, as well as decision-making and performance characteristics. We used the database of all euthanasia cases reported to the Federal Control and Evaluation Committee on Euthanasia in Belgium between Jan. 1, 2003, and Dec. 31, 2013 (n = 8752). The committee collected these data with a standardized registration form. We analyzed trends in patient, decision-making and performance characteristics using a χ 2 technique. We also compared and analyzed trends for cases reported in Dutch and in French. The number of reported euthanasia cases increased every year, from 235 (0.2% of all deaths) in 2003 to 1807 (1.7% of all deaths) in 2013. The rate of euthanasia increased significantly among those aged 80 years or older, those who died in a nursing home, those with a disease other than cancer and those not expected to die in the near future (p < 0.001 for all increases). Reported cases in 2013 most often concerned those with cancer (68.7%) and those under 80 years (65.0%). Palliative care teams were increasingly often consulted about euthanasia requests, beyond the legal requirements to do so (p < 0.001). Among cases reported in Dutch, the proportion in which the person was expected to die in the foreseeable future decreased from 93.9% in 2003 to 84.1% in 2013, and palliative care teams were increasingly consulted about the euthanasia request (from 34.0% in 2003 to 42.6% in 2013). These trends were not significant for cases reported in French. Since legalization of euthanasia in Belgium, the number of reported cases has increased each year. Most of those receiving euthanasia were younger than 80 years and were dying of cancer. Given the increases observed among non-terminally ill and older patients, this analysis shows the importance of detailed monitoring of developments in euthanasia practice. © 2016 Canadian Medical Association or its licensors.

The rise of adjusted fertilizer recommendations and the 1946 establishment of the Soil Service of Belgium

NASA Astrophysics Data System (ADS)

de Winter, H.

2012-04-01

The scientific branch of soil science was worldwide firmly established at the beginning of the 20th century. In this period, it developed strongly in various countries. During the thirties, interest in soil science and its subfields (plant nutrition, soil hydrology, soil microbiology,...) grew even more strongly, which can be demonstrated by the rapid growth of 'soil research institutions' all over the world. In Belgium, it was professor priest Joseph Baeyens (1885-1990) who established the first chair of 'Soil Science' in 1935 at the Catholic University of Leuven. He can be considered as a Belgian pioneer in soil fertility research. After having done prospective soil research in the Belgian Congo, the Belgium government supported him to start the same study for Belgian soils. This innovative soil fertility research was done at the Soil Science Institute of the University of Leuven, which was established and lead by Joseph Baeyens himself. His goal was to determine the fertility norms of the Belgian farmlands. After this large-scale study was done, the fertility norms and associated fertilizer needs could be presented to farmers all over the country. The overall goal was to increase crop production and to minimize fertilizer costs. When Baeyens started to spread his knowledge to the farmers, it would not take long before the demand for his knowledge grew significantly. This lead in 1946 to the erection of the Soil Service of Belgium: an independent laboratory and research institution, analyzing soil samples in order to customize fertilizer recommendations for farmers. This paper discusses the establishment and-development of the SSB. It covers the period between 1930 and 1950. Following questions will be addressed: How unique was the development of SSB on a national and international level? How did research take shape at the SSB? How did the SSB obtain its place in the Belgian agricultural network? What was the role of the government ? And finally, how did the institution generate and disperse scientific knowledge to the farmers?

Euthanasia in Belgium: trends in reported cases between 2003 and 2013

PubMed Central

Dierickx, Sigrid; Deliens, Luc; Cohen, Joachim; Chambaere, Kenneth

2016-01-01

Background: In 2002, the Belgian Act on Euthanasia came into effect, regulating the intentional ending of life by a physician at the patient’s explicit request. We undertook this study to describe trends in officially reported euthanasia cases in Belgium with regard to patients’ sociodemographic and clinical profiles, as well as decision-making and performance characteristics. Methods: We used the database of all euthanasia cases reported to the Federal Control and Evaluation Committee on Euthanasia in Belgium between Jan. 1, 2003, and Dec. 31, 2013 (n = 8752). The committee collected these data with a standardized registration form. We analyzed trends in patient, decision-making and performance characteristics using a χ2 technique. We also compared and analyzed trends for cases reported in Dutch and in French. Results: The number of reported euthanasia cases increased every year, from 235 (0.2% of all deaths) in 2003 to 1807 (1.7% of all deaths) in 2013. The rate of euthanasia increased significantly among those aged 80 years or older, those who died in a nursing home, those with a disease other than cancer and those not expected to die in the near future (p < 0.001 for all increases). Reported cases in 2013 most often concerned those with cancer (68.7%) and those under 80 years (65.0%). Palliative care teams were increasingly often consulted about euthanasia requests, beyond the legal requirements to do so (p < 0.001). Among cases reported in Dutch, the proportion in which the person was expected to die in the foreseeable future decreased from 93.9% in 2003 to 84.1% in 2013, and palliative care teams were increasingly consulted about the euthanasia request (from 34.0% in 2003 to 42.6% in 2013). These trends were not significant for cases reported in French. Interpretation: Since legalization of euthanasia in Belgium, the number of reported cases has increased each year. Most of those receiving euthanasia were younger than 80 years and were dying of cancer. Given the increases observed among non–terminally ill and older patients, this analysis shows the importance of detailed monitoring of developments in euthanasia practice. PMID:27620630

Incremental cost-effectiveness evaluation of vaccinating girls against cervical cancer pre- and post-sexual debut in Belgium.

PubMed

Demarteau, Nadia; Van Kriekinge, Georges; Simon, Philippe

2013-08-20

Vaccination against human papillomavirus (HPV) to prevent cervical cancer (CC) primarily targets young girls before sexual debut and is cost-effective. We assessed whether vaccination with the HPV-16/18 AS04-adjuvanted vaccine added to screening remains cost-effective in females after sexual debut compared to screening alone in Belgium. The role of protection against non-HPV-16/18 was also investigated. A published Markov cohort model was adapted to Belgium. The model replicated the natural history of HPV infection, the effects of screening, and vaccination. Vaccine efficacy (VE) included non-HPV-16/18 protection based on the PATRICIA clinical trial data. Pre- and post-HPV exposure VE were differentiated. Lifetime vaccine protection was assumed. Input data were obtained from literature review, national databases and a Delphi panel. Costing was from a healthcare payer perspective. Costs were discounted at 3% and effects at 1.5%. The incremental cost-effectiveness ratio (ICER) per quality-adjusted life-year (QALY) gained and the number of lesions prevented with vaccination from age 12 to 40 was evaluated. The specific effect of non-HPV-16/18 protection was investigated. Univariate sensitivity analysis was performed on key variables. The model estimated that vaccinating a cohort of 100,000 girls at age 12 would prevent 646 CC cases over a lifetime (102 non-HPV-16/18) with an ICER of €9171/QALY. Vaccinating at age 26 would prevent 340 CC cases (40 non-HPV-16/18) with an ICER of €17,348/QALY and vaccinating at age 40 would prevent 146 CC cases (17 non-HPV-16/18) with an ICER of €42,847/QALY. The ICER remained under the highly cost-effective threshold (1×GDP/capita) until age 33 years and under the cost-effective threshold (3×GDP/capita) beyond age 40. Extending HPV vaccination to females post-sexual debut could lead to a substantial reduction in CC-related burden and would be cost-effective in Belgium. Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.

Why is it so difficult to determine the yield of indoor cannabis plantations? A case study from the Netherlands.

PubMed

Vanhove, Wouter; Maalsté, Nicole; Van Damme, Patrick

2017-07-01

Together, the Netherlands and Belgium are the largest indoor cannabis producing countries in Europe. In both countries, legal prosecution procedure of convicted illicit cannabis growers usually includes recovery of the profits gained. However, it is not easy to make a reliable estimation of the latter profits, due to the wide range of factors that determine indoor cannabis yields and eventual selling prices. In the Netherlands, since 2005, a reference model is used that assumes a constant yield (g) per plant for a given indoor cannabis plant density. Later, in 2011, a new model was developed in Belgium for yield estimation of Belgian indoor cannabis plantations that assumes a constant yield per m 2 of growth surface, provided that a number of growth conditions are met. Indoor cannabis plantations in the Netherlands and Belgium share similar technical characteristics. As a result, for indoor cannabis plantations in both countries, both aforementioned yield estimation models should yield similar yield estimations. By means of a real-case study from the Netherlands, we show that the reliability of both models is hampered by a number of flaws and unmet preconditions. The Dutch model is based on a regression equation that makes use of ill-defined plant development stages, assumes a linear plant growth, does not discriminate between different plantation size categories and does not include other important yield determining factors (such as fertilization). The Belgian model addresses some of the latter shortcomings, but its applicability is constrained by a number of pre-conditions including plantation size between 50 and 1000 plants; cultivation in individual pots with peat soil; 600W (electrical power) assimilation lamps; constant temperature between 20°C and 30°C; adequate fertilizer application and plants unaffected by pests and diseases. Judiciary in both the Netherlands and Belgium require robust indoor cannabis yield models for adequate legal prosecution of illicit indoor cannabis growth operations. To that aim, the current models should be optimized whereas the validity of their application should be examined case by case. Copyright © 2017 Elsevier B.V. All rights reserved.

Is any job better than no job at all? Studying the relations between employment types, unemployment and subjective health in Belgium.

PubMed

Van Aerden, Karen; Gadeyne, Sylvie; Vanroelen, Christophe

2017-01-01

This study focuses on the health impact of the labour market position, since recent research indicates that exposure to both unemployment and precarious employment causes serious harm to people's health and well-being. An overview of general and mental health associations of different labour market positions in Belgium is provided. A distinction is made between employment and unemployment and in addition between different types of jobs among the employed, taking into account the quality of employment. Given the fact that precarious labour market positions tend to coincide with a precarious social environment, the latter is taken into consideration by including the composition and material living conditions of the household and the presence of social support. Belgian data from the 1st Generations and Gender Survey are used. A Latent Class Cluster Analysis is performed to construct a typology of labour market positions that includes four different types of waged employment: standard jobs, instrumental jobs, precarious jobs and portfolio jobs, as well as self-employment and unemployment. Then, binary logistic regression analyses are performed in order to relate this typology to health, controlling for household situation and social support. Two health outcomes are included: self-perceived general health (good versus fair/bad) and self-rated mental health (good versus bad, based on 7 items from the Center for Epidemiologic Studies Depression Scale). Two labour market positions are consistently related to poor general and mental health in Belgium: unemployment and the precarious job type. The rather small gap in general and mental health between both labour market positions emphasises the importance of employment quality for the health and well-being of individuals in waged employment. Controlling for the household level context and social support illustrates that part of the reported health associations can be explained by the precarious social environment of individuals in unfavourable labour market positions. The results from this study confirm that the labour market position and social environment of individuals are important health determinants in Belgium.

Organizational Patterns within an International Educational System

ERIC Educational Resources Information Center

Jackson, R.

1975-01-01

The organizational patterns of the European School system represent an amalgam of continental educational practices. The European School serves children from Belgium, France, Federal Germany, Italy, Luxembourg, and the Netherlands. (Author/IRT)

6. Detail view of south elevation of Chapel with English ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

6. Detail view of south elevation of Chapel with English dedication inscription and allegorical bas relief "History." - Flanders Field American Cemetery & Memorial, Chapel, Wortegemseweg 117, Waregem, West Flanders (Belgium), BEL

Set-up of a pump as turbine use in micro-pumped hydro energy storage: a case of study in Froyennes Belgium

NASA Astrophysics Data System (ADS)

Morabito, A.; Steimes, J.; Bontems, O.; Zohbi, G. Al; Hendrick, P.

2017-04-01

Its maturity makes pumped hydro energy storage (PHES) the most used technology in energy storage. Micro-hydro plants (<100 kW) are globally emerging due to further increases in the share of renewable electricity production such as wind and solar power. This paper presents the design of a micro-PHES developed in Froyennes, Belgium, using a pump as turbine (PaT) coupled with a variable frequency driver (VFD). The methods adopted for the selection of the most suitable pump for pumping and reverse mode are compared and discussed. Controlling and monitoring the PaT performances represent a compulsory design phase in the analysis feasibility of PaT coupled with VFD in micro PHES plant. This study aims at answering technical research aspects of µ-PHES site used with reversible pumps.

Highlights from the HIV Cure and Reservoir Symposium, 11-12 September 2017, Ghent, Belgium.

PubMed

Kint, Sam; Van Hecke, Clarissa; Cole, Basiel; Vandekerckhove, Linos; Sips, Magdalena

2018-01-01

For the second time, the HIV Cure Research Center (HCRC) at Ghent University organised the HIV Cure and Reservoir Symposium, in Ghent, Belgium, where in this two-day conference, virologists, molecular biologists, immunologists and clinicians presented the most recent achievements in the field of HIV cure, including data on therapeutic vaccines, HIV remission strategies such as 'shock and kill' or 'block and lock', benefits of early ART and potential of haematopoietic stem cell transplant in achieving cure. Furthermore, methods to characterise and quantify the HIV reservoir were discussed along with HIV reservoir characterisation in different body parts, including the central nervous system. An HIV activist and representative of a patients' agency also presented the patients' perspective on HIV cure. This report is a summary of all topics discussed during this symposium.

Sensitivity of the RMI's MAGIC/Heliosat-2 method to relevant input data

NASA Astrophysics Data System (ADS)

Demain, C.; Journée, M.; Bertrand, C.

2013-01-01

Appropriate information on solar resources is very important for a variety of technological areas. Based on the potential of retrieving global horizontal irradiance from satellite data, an enhanced version of the Heliosat-2 method has been implemented at the Royal Meteorological Institute of Belgium to estimate surface solar irradiance over Belgium from Meteosat Second Generation at the SEVIRI spatial and temporal resolution. In this contribution, sensitivity of our retrieval scheme to surface albedo, atmospheric aerosol and water vapor contents is investigated. Results indicate that while the use of real-time information instead of climatological values can help to reduce to some extent the RMS error between satellite-retrieved and ground-measured solar irradiance, only the correction of the satellite-derived data with in situ measurements allows to significantly reduce the overall model bias.

Interception of spray drift by border structures. Part 1: wind tunnel experiments.

PubMed

De Schampheleire, M; Nuyttens, D; Dekeyser, D; Verboven, P; Cornelis, W; Gabriels, D; Spanoghe, P

2008-01-01

This research investigated the drift-intercepting potential of structures surrounding the field borders, like artificial screens and crops, which are not yet a part of the drift mitigation measures for field crop sprayers in Belgium. Drift-interception experiments were performed in the wind tunnel of the International Centre for Eremology (Ghent University, Belgium) with various interception structures: Artificial screens with heights of 0.5, 0.75 and 1 m and screen open areas of 16, 36 and 63%; a row of plastic Christmas trees with heights of 0.5 and 0.75 m; and a potato canopy. The interception structure was positioned at 1 m from the field border. From the results it was found that type of border structure has a pronounced effect on the drift interception, while the height of the border structure had no significant effect.

Incidence of scabies in Belgium

PubMed Central

LAPEERE, H.; NAEYAERT, J.-M.; De WEERT, J.; De MAESENEER, J.; BROCHEZ, L.

2008-01-01

SUMMARY A prospective survey on scabies in Ghent, Belgium was performed in 2004. Sixty-four individual cases were reported, corresponding to a crude incidence rate of 28/100 000 inhabitants. The incidence was higher in the elderly (51/100 000 in persons aged >75 years) and a higher incidence was also found in immigrants (88/100 000). More than 40% of the registered scabies patients had symptoms for more than 4 weeks at the time of presentation. In 54% of the consultations, the patient had already consulted a physician for his/her skin problem. Of this group, 44% had not yet received any scabicidal treatment, indicating that scabies was not yet diagnosed or that an inappropriate treatment was prescribed. The observations suggest that the diagnosis and/or treatment of scabies in this region can still be improved. PMID:17506916

Microbiological Load of Edible Insects Found in Belgium.

PubMed

Caparros Megido, Rudy; Desmedt, Sandrine; Blecker, Christophe; Béra, François; Haubruge, Éric; Alabi, Taofic; Francis, Frédéric

2017-01-13

Edible insects are gaining more and more attention as a sustainable source of animal protein for food and feed in the future. In Belgium, some insect products can be found on the market, and consumers are sourcing fresh insects from fishing stores or towards traditional markets to find exotic insects that are illegal and not sanitarily controlled. From this perspective, this study aims to characterize the microbial load of edible insects found in Belgium (i.e., fresh mealworms and house crickets from European farms and smoked termites and caterpillars from a traditional Congolese market) and to evaluate the efficiency of different processing methods (blanching for all species and freeze-drying and sterilization for European species) in reducing microorganism counts. All untreated insect samples had a total aerobic count higher than the limit for fresh minced meat (6.7 log cfu/g). Nevertheless, a species-dependent blanching step has led to a reduction of the total aerobic count under this limit, except for one caterpillar species. Freeze-drying and sterilization treatments on European species were also effective in reducing the total aerobic count. Yeast and mold counts for untreated insects were above the Good Manufacturing Practice limits for raw meat, but all treatments attained a reduction of these microorganisms under this limit. These results confirmed that fresh insects, but also smoked insects from non-European trades, need a cooking step (at least composed of a first blanching step) before consumption. Therefore, blanching timing for each studied insect species is proposed and discussed.

The views of migrant health workers living in Austria and Belgium on return migration to sub-Saharan Africa.

PubMed

Poppe, Annelien; Wojczewski, Silvia; Taylor, Katherine; Kutalek, Ruth; Peersman, Wim

2016-06-30

The negative consequences of the brain drain of sub-Saharan African health workers for source countries are well documented and include understaffed facilities, decreased standards of care and higher workloads. However, studies suggest that, if migrated health workers eventually return to their home countries, this may lead to beneficial effects following the transfer of their acquired skills and knowledge (brain gain). The present study aims to explore the factors influencing the intentions for return migration of sub-Saharan African health workers who emigrated to Austria and Belgium, and gain further insight into the potential of circular migration. Semi-structured interviews with 27 sub-Saharan African health workers in Belgium and Austria were conducted. As mentioned by the respondents, the main barriers for returning were family, structural crises in the source country, and insecurity. These barriers overrule the perceived drivers, which were nearly all pull factors and emotion driven. Despite the fact that only a minority plans to return permanently, many wish to return regularly to work in the healthcare sector or to contribute to the development of their source country. As long as safety and structural stability cannot be guaranteed in source countries, the number of return migrants is likely to remain low. National governments and regional organizations could play a role in facilitating the engagement of migrant health workers in the development of the healthcare system in source countries.

Economic consequences of legal and illegal drugs: The case of social costs in Belgium.

PubMed

Lievens, Delfine; Vander Laenen, Freya; Verhaeghe, Nick; Putman, Koen; Pauwels, Lieven; Hardyns, Wim; Annemans, Lieven

2017-06-01

Legal and illegal drugs impose a considerable burden to the individual and to society. The misuse of addictive substances results in healthcare and law enforcement costs, loss of productivity and reduced quality of life. A social cost study was conducted to estimate the substance-attributable costs of alcohol, tobacco, illegal drugs and psychoactive medication to Belgian society in 2012. The cost-of-illness framework with prevalence-based and human capital approach was applied. Three cost components were considered: direct, indirect and intangible costs related to substance misuse. The direct and indirect cost of addictive substances was estimated at 4.6 billion euros in Belgium (419 euros per capita or 1.19% of the GDP) and more than 515,000 healthy years are lost due to substance misuse. The Belgian social cost study reaffirms that alcohol and tobacco impose the highest cost to society compared to illegal drugs. Health problems are the main driver of the social cost of legal drugs. Law enforcement expenditure exceed the healthcare costs but only in the case of illegal drugs. Estimating social costs of addictive substances is complex because it is difficult to determine to what extent the societal harm is caused by substances. It can be argued that social cost studies take only a 'snapshot' of the monetary consequences of substance misuse. Nevertheless, the current study offers the most comprehensive analysis thus far of the social costs of substance misuse in Belgium. Copyright © 2017 Elsevier B.V. All rights reserved.

Development of gridded solar radiation data over Belgium based on Meteosat and in-situ observations

NASA Astrophysics Data System (ADS)

Journée, Michel; Vanderveken, Gilles; Bertrand, Cédric

2013-04-01

Knowledge on solar resources is highly important for all forms of solar energy applications. With the recent development in solar-based technologies national meteorological services are faced with increasing demands for high-quality and reliable site-time specific solar resource information. Traditionally, solar radiation is observed by means of networks of meteorological stations. Costs for installation and maintenance of such networks are very high and national networks comprise only few stations. Consequently the availability of ground-based solar radiation measurements has proven to be spatially and temporally inadequate for many applications. To overcome such a limitation, a major effort has been undertaken at the Royal Meteorological Institute of Belgium (RMI) to provide the solar energy industry, the electricity sector, governments, and renewable energy organizations and institutions with the most suitable and accurate information on the solar radiation resources at the Earth's surface over the Belgian territory. Only space-based observations can deliver a global coverage of the solar irradiation impinging on horizontal surface at the ground level. Because only geostationary data allow to capture the diurnal cycle of the solar irradiance at the Earth's surface, a method that combines information from Meteosat Second Generation satellites and ground-measurement has been implemented at RMI to generate high resolution solar products over Belgium on an operational basis. Besides these new products, the annual and seasonal variability of solar energy resource was evaluated, solar radiation climate zones were defined and the recent trend in solar radiation was characterized.

Inferring rubella outbreak risk from seroprevalence data in Belgium.

PubMed

Abrams, Steven; Kourkouni, Eleni; Sabbe, Martine; Beutels, Philippe; Hens, Niel

2016-12-07

Rubella is usually a mild disease for which infections often pass by unnoticed. In approximately 50% of the cases, there are no or only few clinical symptoms. However, rubella contracted during early pregnancy could lead to spontaneous abortion, to central nervous system defects, or to one of a range of other serious and debilitating conditions in a newborn such as the congenital rubella syndrome. Before the introduction of mass vaccination, rubella was a common childhood infection occurring all over the world. However, since the introduction of rubella antigen-containing vaccines, the incidence of rubella has declined dramatically in high-income countries. Recent large-scale mumps outbreaks, one of the components in the combined measles-mumps-rubella vaccine, occurring in countries throughout Europe with high vaccination coverage, provide evidence of pathogen-specific waning of vaccine-induced immunity and primary vaccine failure. In addition, recent measles outbreaks affecting populations with suboptimal vaccination coverages stress the importance of maintaining high vaccination coverages. In this paper, we focus on the assessment of rubella outbreak risk using a previously developed method to identify geographic regions of high outbreak potential. The methodology relies on 2006 rubella seroprevalence data and vaccination coverage data from Belgium and information on primary and secondary vaccine failure obtained from extensive literature reviews. We estimated the rubella outbreak risk in Belgium to be low, however maintaining high levels of immunisation and surveillance are of utmost importance to avoid future outbreaks. Copyright © 2016 Elsevier Ltd. All rights reserved.

Using linked administrative and disease-specific databases to study end-of-life care on a population level.

PubMed

Maetens, Arno; De Schreye, Robrecht; Faes, Kristof; Houttekier, Dirk; Deliens, Luc; Gielen, Birgit; De Gendt, Cindy; Lusyne, Patrick; Annemans, Lieven; Cohen, Joachim

2016-10-18

The use of full-population databases is under-explored to study the use, quality and costs of end-of-life care. Using the case of Belgium, we explored: (1) which full-population databases provide valid information about end-of-life care, (2) what procedures are there to use these databases, and (3) what is needed to integrate separate databases. Technical and privacy-related aspects of linking and accessing Belgian administrative databases and disease registries were assessed in cooperation with the database administrators and privacy commission bodies. For all relevant databases, we followed procedures in cooperation with database administrators to link the databases and to access the data. We identified several databases as fitting for end-of-life care research in Belgium: the InterMutualistic Agency's national registry of health care claims data, the Belgian Cancer Registry including data on incidence of cancer, and databases administrated by Statistics Belgium including data from the death certificate database, the socio-economic survey and fiscal data. To obtain access to the data, approval was required from all database administrators, supervisory bodies and two separate national privacy bodies. Two Trusted Third Parties linked the databases via a deterministic matching procedure using multiple encrypted social security numbers. In this article we describe how various routinely collected population-level databases and disease registries can be accessed and linked to study patterns in the use, quality and costs of end-of-life care in the full population and in specific diagnostic groups.

Cooking up a culinary identity for Belgium. Gastrolinguistics in two Belgian cookbooks (19th century).

PubMed

Parys, Nathalie

2013-12-01

The notion of cookbooks as socio-historic markers in a society is generally accepted within food studies. As both representations and prescriptions of food practices, perceived habits and attitudes towards food, they represent a certain identity for their readers. This paper investigates the nature of the identity that Belgian cookbooks constructed through their rhetoric. An important part of this study is to explore how and to what extent explicit reference to Belgium was made. To this end recipe titles/labels and recipe comments used in two leading bourgeois cookbooks from nineteenth-century Belgium were subjected to a quantitative and qualitative content analysis. The analysis showed that clear attention was paid to national culinary preferences. In terms of a domestic culinary corpus, it became apparent that both the Dutch and French editions of these cookbooks promoted dishes that were ascribed a Belgian origin. Internationality, however, was also an important building block of Belgian culinary identity. It was part of the desire of Belgian bourgeoisie to connect with an international elite. It fit into the 'search for sophistication', which was also expressed through the high representation of the more costly meats and sweet dishes. In addition, other references associated with bourgeois norms and values, such as family, convenience and frugality, were additional building blocks of Belgian culinary identity. Other issues such as tradition, innovation and health, were also matters of concerns to these Belgian cookbooks. Copyright © 2013 Elsevier Ltd. All rights reserved.

Estimating the economic impact of a possible equine and human epidemic of West Nile virus infection in Belgium

PubMed Central

Humblet, Marie-France; Vandeputte, Sébastien; Fecher-Bourgeois, Fabienne; Léonard, Philippe; Gosset, Christiane; Balenghien, Thomas; Durand, Benoît; Saegerman, Claude

2016-01-01

This study aimed at estimating, in a prospective scenario, the potential economic impact of a possible epidemic of WNV infection in Belgium, based on 2012 values for the equine and human health sectors, in order to increase preparedness and help decision-makers. Modelling of risk areas, based on the habitat suitable for Culex pipiens, the main vector of the virus, allowed us to determine equine and human populations at risk. Characteristics of the different clinical forms of the disease based on past epidemics in Europe allowed morbidity among horses and humans to be estimated. The main costs for the equine sector were vaccination and replacement value of dead or euthanised horses. The choice of the vaccination strategy would have important consequences in terms of cost. Vaccination of the country’s whole population of horses, based on a worst-case scenario, would cost more than EUR 30 million; for areas at risk, the cost would be around EUR 16–17 million. Regarding the impact on human health, short-term costs and socio-economic losses were estimated for patients who developed the neuroinvasive form of the disease, as no vaccine is available yet for humans. Hospital charges of around EUR 3,600 for a case of West Nile neuroinvasive disease and EUR 4,500 for a case of acute flaccid paralysis would be the major financial consequence of an epidemic of West Nile virus infection in humans in Belgium. PMID:27526394

Prevalence and seasonality of six respiratory viruses during five consecutive epidemic seasons in Belgium.

PubMed

Ramaekers, Kaat; Keyaerts, Els; Rector, Annabel; Borremans, Annie; Beuselinck, Kurt; Lagrou, Katrien; Van Ranst, Marc

2017-09-01

Acute Respiratory Infections (ARIs) are a major health problem, especially in young children and the elderly. Insights into the seasonality of respiratory viruses can help us understand when the burden on society is highest and which age groups are most vulnerable. We monitored six respiratory viruses during five consecutive seasons (2011-2016) in Belgium. Patient specimens (n=22876), tested for one or more of the following respiratory viruses, were included in this analysis: Influenza viruses (IAV & IBV), Human respiratory syncytial virus (hRSV), Human metapneumovirus (hMPV), Adenovirus (ADV) and Human parainfluenza virus (hPIV). Data were analysed for four age categories: <6y, 6-17y, 18-64y and ≥65y. Children <6y had the highest infection rates (39% positive vs. 20% positive adults) and the highest frequency of co-infections. hRSV (28%) and IAV (32%) caused the most common respiratory viral infections and followed, like hMPV, a seasonal pattern with winter peaks. hRSV followed an annual pattern with two peaks: first in young children and ±7 weeks later in elderly. This phenomenon has not been described in literature so far. hPIV and ADV occurred throughout the year with higher rates in winter. Children <6y are most vulnerable for respiratory viral infections and have a higher risk for co-infections. hRSV and IAV are the most common respiratory infections with peaks during the winter season in Belgium. Copyright © 2017 Elsevier B.V. All rights reserved.

Occurrence and potential health risk of Cryptosporidium and Giardia in different water catchments in Belgium.

PubMed

Ehsan, Amimul; Geurden, Thomas; Casaert, Stijn; Paulussen, Jef; De Coster, Lut; Schoemaker, Toon; Chalmers, Rachel; Grit, Grietje; Vercruysse, Jozef; Claerebout, Edwin

2015-02-01

Human wastewater and livestock can contribute to contamination of surface water with Cryptosporidium and Giardia. In countries where a substantial proportion of drinking water is produced from surface water, e.g., Belgium, this poses a constant threat on drinking water safety. Our objective was to monitor the presence of Cryptosporidium and Giardia in different water catchment sites in Belgium and to discriminate between (oo)cysts from human or animal origin using genotyping. Monthly samples were collected from raw water and purified drinking water at four catchment sites. Cryptosporidium and Giardia were detected using USEPA method 1623 and positive samples were genotyped. No contamination was found in purified water at any site. In three catchments, only low numbers of (oo)cysts were recovered from raw water samples (<1/liter), but raw water samples from one catchment site were frequently contaminated with Giardia (92 %) and Cryptosporidium (96 %), especially in winter and spring. Genotyping of Giardia in 38 water samples identified the presence of Giardia duodenalis assemblage AI, AII, BIV, BIV-like, and E. Cryptosporidium andersoni, Cryptosporidium suis, Cryptosporidium horse genotype, Cryptosporidium parvum, and Cryptosporidium hominis were detected. The genotyping results suggest that agriculture may be a more important source of surface water contamination than human waste in this catchment. In catchment sites with contaminated surface water, such as the Blankaart, continuous monitoring of treated water for the presence of Cryptosporidium and Giardia would be justified and (point) sources of surface water contamination should be identified.

Study of a unique 16th century Antwerp majolica floor in the Rameyenhof castle's chapel by means of X-ray fluorescence and portable Raman analytical instrumentation

NASA Astrophysics Data System (ADS)

Van de Voorde, Lien; Vandevijvere, Melissa; Vekemans, Bart; Van Pevenage, Jolien; Caen, Joost; Vandenabeele, Peter; Van Espen, Piet; Vincze, Laszlo

2014-12-01

The most unique and only known 16th century Antwerp majolica tile floor in Belgium is situated in a tower of the Rameyenhof castle (Gestel, Belgium). This exceptional work of art has recently been investigated in situ by using X-ray fluorescence (XRF) and Raman spectroscopy in order to study the material characteristics. This study reports on the result of the analyses based on the novel combination of non-destructive and portable instrumentation, including a handheld XRF spectrometer for obtaining elemental information and a mobile Raman spectrometer for retrieving structural and molecular information on the floor tiles in the Rameyenhof castle and on a second, similar medallion, which is stored in the Rubens House museum in Antwerp (Belgium). The investigated material, majolica, is a type of ceramic, which fascinated many people and potters throughout history by its beauty and colourful appearance. In this study the characteristic major/minor and trace element signature of 16th century Antwerp majolica is determined and the pigments used for the colourful paintings present on the floor are identified. Furthermore, based on the elemental fingerprint of the white glaze, and in particular on the presence of zinc in the tiles - an element that was not used for making 16th century majolica - valuable information about the originality of the chapel floor and the two central medallions is acquired.

Evaluation of buparvaquone (BUTA-Kel KELA, Belgium) as a treatment of East Coast fever in cattle, in the peri-urban of Dar Es Salaam city, Tanzania.

PubMed

Mbwambo, H A; Magwisha, H B; Mfinanga, J M

2006-06-30

Evaluation trials of the efficacy of buparvaquone (BUTA-kel KELA Laboratoria, N.V. Belgium), as a treatment of field cases of Theileria parva infection (East Coast fever - ECF) were carried out on 63 cattle in the peri-urban of Dar Es Salaam city, Tanzania, during the period November 2004 to August 2005. Thirty-two cattle (56%) received single-dose treatment (2.5 mg buparvaquone per kg body weight), while two and three-dose treatment with interval(s) of 48 h was given to 33% and 11% of total treated cattle, respectively; 38 cattle (60.3%) were treated at an early stage of the disease, while 25 cattle (39.7%) were treated at an advanced stage of the disease. The rectal body temperature of 90.5% of buparvaquone-treated cattle dropped to normal values (37.5-39.5 degrees C) by day 7 of treatment, and by day 15 of treatment 96.8% of treated cattle showed normal values. Pulmonary signs were observed in 8/68 (11.8%) of total ECF diagnosed cattle and were successfully treated, albeit with parvaquone plus frusemide (Fruvexon); were not included in final evaluation of the efficacy of BUTA-kel. The present evaluation trials record a recovery rate of 95.2%. Buparvaquone (BUTA-kel KELA Laboratoria, N.V. Belgium), therefore, records another efficacious and valuable alternative treatment against East Coast fever in Tanzania.

Treatment continuation of four long-acting antipsychotic medications in the Netherlands and Belgium: A retrospective database study

PubMed Central

Sermon, Jan; Geerts, Paul; Denee, Tom R.; De Vos, Cedric; Malfait, Bart; Lamotte, Mark; Mulder, Cornelis L.

2017-01-01

Achieving greater continuation of treatment is a key element to improve treatment outcomes in schizophrenia patients. However, reported treatment continuation can differ markedly depending on the study design. In a retrospective setting, treatment continuation remains overall poor among patients using antipsychotics. This study aimed to document the difference in treatment continuation between four long-acting injectable antipsychotics based on the QuintilesIMS LRx databases, national, longitudinal, panel based prescription databases of retail pharmacies, in the Netherlands and Belgium. Paliperidone palmitate once monthly, risperidone microspheres, haloperidol decanoate, and olanzapine pamoate were studied. This study demonstrated significantly higher treatment continuation of paliperidone palmitate once monthly compared to risperidone microspheres (p-value<0,01) and haloperidol decanoate (p-value<0,01) in both countries, a significantly higher treatment continuation of paliperidone palmitate once monthly compared to olanzapine pamoate in the Netherlands (p-value<0,01), and a general trend towards better treatment continuation versus olanzapine pamoate in Belgium. Analysing the subgroup of patients without previous exposure to long-acting antipsychotic treatment revealed the positive impact of previous exposure on treatment continuation with a subsequent long acting treatment. Additionally, the probability of restarting the index therapy was higher among patients treated with paliperidone palmitate once monthly compared to patients treated with risperidone microspheres and haloperidol decanoate. The data source used and the methodology defined ensured for the first time a comparison of treatment continuation in a non-interventional study design for the four long-acting injectable antipsychotics studied. PMID:28614404

Treatment outcome of intravenous artesunate in patients with severe malaria in the Netherlands and Belgium.

PubMed

Kreeftmeijer-Vegter, Annemarie R; van Genderen, Perry J; Visser, Leo G; Bierman, Wouter F W; Clerinx, Jan; van Veldhuizen, Cees K W; de Vries, Peter J

2012-03-31

Intravenous (IV) artesunate is the treatment of choice for severe malaria. In Europe, however, no GMP-manufactured product is available and treatment data in European travellers are scarce. Fortunately, artesunate became available in the Netherlands and Belgium through a named patient programme. This is the largest case series of artesunate treated patients with severe malaria in Europe. Hospitalized patients treated with IV artesunate between November 2007 and December 2010 in the Netherlands and Belgium were retrospectively evaluated. Patient characteristics, treatment and clinical outcome were recorded on a standardized form and mortality, parasite clearance times and the occurrence of adverse events were evaluated. Of the 68 treated patients, including 55 with severe malaria, two patients died (2/55 = 3.6%). The mean time to 50% parasite clearance (PCT50), 90% and 99% were 4.4 hours (3.9 - 5.2), 14.8 hours (13.0 - 17.2), and 29.5 hours (25.9 - 34.4) respectively. Artesunate was well tolerated. However, an unusual form of haemolytic anaemia was observed in seven patients. The relationship with artesunate remains uncertain. Data from the named patient programme demonstrate that IV artesunate is effective and well-tolerated in European travellers lacking immunity. However, increased attention needs to be paid to the possible development of haemolytic anaemia 2-3 weeks after start of treatment.Treatment of IV artesunate should be limited to the period that IV treatment is required and should be followed by a full oral course of an appropriate anti-malarial drug.

Antigenic and genetic analysis of H3N8 influenza viruses isolated from horses in Japan and Mongolia, and imported from Canada and Belgium during 2007-2010.

PubMed

Motoshima, Masayuki; Okamatsu, Masatoshi; Asakura, Shingo; Kuribayashi, Saya; Sengee, Sugar; Batchuluun, Damdinjav; Ito, Mika; Maeda, Yukiko; Eto, Mariko; Sakoda, Yoshihiro; Sodnomdarjaa, Ruuragchaa; Kida, Hiroshi

2011-08-01

A/equine/Kanazawa/1/2007 (H3N8), A/equine/Hokkaido/I828/2008 (H3N8) and A/equine/Mongolia/1/2008 (H3N8) were isolated from infected horses. A/equine/Yokohama/aq19/2009 (H3N8) and A/equine/Yokohama/aq13/2010 (H3N8) were isolated from horses imported from Canada and Belgium examined at the Animal Quarantine Service in Yokohama, Japan. In the present study, these five isolates were genetically and antigenically analyzed. Phylogenetic analysis of hemagglutinin (HA) and neuraminidase (NA) genes showed that three isolates from horses in Japan and imported from Canada belonged to the same branch, clade 1 of the Florida sublineage, while the isolates from horses in Mongolia and imported from Belgium belonged to another branch, clade 2 of the Florida sublineage. Reactivity patterns of a panel of monoclonal antibodies to the HA of A/equine/Kanazawa/1/2007 (H3N8) with the five isolates indicate that the HAs of these viruses were antigenically similar to each other and to the reference strains A/equine/La Plata/1/1993 (H3N8) and A/equine/Avesta/1/1993 (H3N8). The present findings indicate that extensive antigenic variation has not accumulated among H3N8 influenza viruses in horses.

[Clinical characteristics among forensic inpatients: A special case, the establishment of social defense "Les Marronniers" in Tournai (Belgium)].

PubMed

Oswald, P; Saloppé, X; Ducro, C; Macquet, D; Cornu, P-J; Pham, T; Delaunoit, B

2017-05-01

In Belgium, the law of "social defense" stipulates that an accused "which is either in a state of dementia or in a serious state of mental disturbance or mental deficiency, incapable of controlling his actions" can be interned. The establishment of social defense (ESD) in Tournai (Belgium) hosts 350 inmates. In collaboration with the Centre for research in social defense, we organized a systematic assessment of patients interned in ESD. This is the first study evaluating prospectively this population. Of the total, 229 patients signed informed consent. Different scales of assessment (MINI, WAIS-III, SCID II) were used. Descriptive analyzes were applied (SPSS version 12). We show that 48.8 % of our participants had committed a sexual offense (rape or attempted rape, indecent assault, public outrage or mixed). The average intelligence quotient is 71.4. According to the MINI, 33.2 % of participants showed no psychiatric disorder. Among psychiatric disorders, psychotic disorders are the most represented (37.4 %). According to the SCID, personality disorders were absent in 26.8 % of our participants. Most of the axis II disorders are represented personality disorders related to cluster B (57.3 %) mainly with antisocial personality disorder (37.9 %). These data demonstrate the significant heterogeneity of our sample and the need for the establishment of specific care routes to each subpopulation. Copyright © 2016 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

Trends in net survival from liver cancer in six European Latin countries: results from the SUDCAN population-based study.

PubMed

Ferretti, Stefano; Bossard, Nadine; Binder-Fouchard, Florence; Faivre, Jean; Bordoni, Andrea; Biavati, Patrizia; Frassoldati, Antonio

2017-01-01

Liver cancer represents a major clinical challenge. The aim of the SUDCAN collaborative study was to compare the net survival from liver cancer between six European Latin countries (Belgium, France, Italy, Portugal, Spain and Switzerland) and provide trends in net survival and dynamics of excess mortality rates (EMRs) up to 5 years after diagnosis. The data were extracted from the EUROCARE-5 database. First, net survival was studied over the period 2000-2004 using the Pohar-Perme estimator. For trend analyses, the study period was specific to each country. Results are reported from 1992 to 2004 in France, Italy, Spain and Switzerland and from 2000 to 2004 in Belgium and Portugal. These trend analyses were carried out using a flexible excess-rate modeling strategy. There were little differences between the six countries in the 5-year age-standardized net survival (2000-2004): it ranged from 13% (France and Portugal) to 16% (Belgium). An increase in the net age-standardized survival was observed in all countries between 1992 and 2004, both at 1 year and at 5 years (the highest in Spain, the lowest in France). Generally, patients aged 60 years showed the highest increase. There was a progressive decrease in EMR over the 5-year- period following diagnosis. The study confirmed the poor prognosis of liver cancer. Innovative treatments might improve the prognosis as well as preventive screening of cirrhotic patients with good liver function. Efforts are also needed to improve registration practices.

Estimating the economic impact of a possible equine and human epidemic of West Nile virus infection in Belgium.

PubMed

Humblet, Marie-France; Vandeputte, Sébastien; Fecher-Bourgeois, Fabienne; Léonard, Philippe; Gosset, Christiane; Balenghien, Thomas; Durand, Benoît; Saegerman, Claude

2016-08-04

This study aimed at estimating, in a prospective scenario, the potential economic impact of a possible epidemic of WNV infection in Belgium, based on 2012 values for the equine and human health sectors, in order to increase preparedness and help decision-makers. Modelling of risk areas, based on the habitat suitable for Culex pipiens, the main vector of the virus, allowed us to determine equine and human populations at risk. Characteristics of the different clinical forms of the disease based on past epidemics in Europe allowed morbidity among horses and humans to be estimated. The main costs for the equine sector were vaccination and replacement value of dead or euthanised horses. The choice of the vaccination strategy would have important consequences in terms of cost. Vaccination of the country's whole population of horses, based on a worst-case scenario, would cost more than EUR 30 million; for areas at risk, the cost would be around EUR 16-17 million. Regarding the impact on human health, short-term costs and socio-economic losses were estimated for patients who developed the neuroinvasive form of the disease, as no vaccine is available yet for humans. Hospital charges of around EUR 3,600 for a case of West Nile neuroinvasive disease and EUR 4,500 for a case of acute flaccid paralysis would be the major financial consequence of an epidemic of West Nile virus infection in humans in Belgium. This article is copyright of The Authors, 2016.

Conversations with Youth in Conflict

ERIC Educational Resources Information Center

D'Oosterlinck, Franky; Broekaert, Eric; Denoo, Inge

2006-01-01

Seventeen children and youth in a treatment program in Belgium were interviewed about their experiences in conflict. They shared their theories of behaviour and perceptions of Life Space Crisis Intervention (LSCI) being employed by staff in their setting.

76 FR 14275 - Regulations Issued Under the Export Grape and Plum Act; Revision to the Minimum Requirements

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-16

... are added to the remaining list: Bosnia, Croatia, Czech Republic, Germany, Herzegovina, Macedonia... to mean the following countries: Albania, Austria, Belgium, Bosnia, Bulgaria, Croatia, Czech Republic...

78 FR 23624 - Determination and Certification Under the Foreign Assistance Act Relating to the Largest...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-19

... certify that the top five exporting and importing countries and economies of pseudoephedrine and ephedrine (Belgium, China, Egypt, Germany, India, Indonesia, Poland, Singapore, South Korea, Switzerland, Taiwan, and...

Predicting vehicle sales from GDP in 48 countries : 2005-2011.

DOT National Transportation Integrated Search

2013-02-01

This study examined the relationship between GDP and vehicle sales in 48 developed and : developing countries during the years 2005 through 2011. The countries examined were : Argentina, Australia, Austria, Belgium, Brazil, Canada, Chile, China, Colo...

78 FR 7455 - Notice Pursuant to the National Cooperative Research and Production Act of 1993-Advanced Media...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-01

..., DG, Irving, TX; Laurence Cook (individual member), Portland, OR; and William Garrett (individual..., BELGIUM; and Thomas Adamich (individual member), New Philadelphia, OH, have withdrawn as parties to this...

1. General view of west elevation of Chapel, built 192830 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. General view of west elevation of Chapel, built 1928-30 according to designs by ABMC Consulting Architect Paul P. Cret. - Flanders Field American Cemetery & Memorial, Chapel, Wortegemseweg 117, Waregem, West Flanders (Belgium), BEL

48 CFR 22.1503 - Procedures for acquiring end products on the List of Products Requiring Contractor Certification...

Code of Federal Regulations, 2013 CFR

2013-10-01

... more (see Subpart 25.4); or (4) Armenia, Aruba, Austria, Belgium, Bulgaria, Cyprus, Czech Republic..., Romania, Singapore, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, Taiwan, or the United Kingdom...

48 CFR 22.1503 - Procedures for acquiring end products on the List of Products Requiring Contractor Certification...

Code of Federal Regulations, 2012 CFR

2012-10-01

... more (see Subpart 25.4); or (4) Armenia, Aruba, Austria, Belgium, Bulgaria, Cyprus, Czech Republic..., Romania, Singapore, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, Taiwan, or the United Kingdom...

Evaluer les competences communicatives (Evaluating Communicative Competence).

ERIC Educational Resources Information Center

Denis, Jackie; Van Thienen, Karine

1996-01-01

Two language teachers participating in an international seminar to develop methods for assessing second language communicative competence describe the experience, their reflections on its content, and an experiment in French writing instruction undertaken in Dutch-speaking Belgium. (MSE)

[Toxic effects of medications on the cornea].

PubMed

Ravet, O

2007-01-01

We reviewed the most recent systemic drugs used in Belgium causing toxic corneal side effects. These adverse reactions are rarely specific and often ignored or unknown. This description can help the physician's evaluation for a better interdisciplinary approach.

Genetics Home Reference: autosomal recessive spastic ataxia of Charlevoix-Saguenay

MedlinePlus

... with ARSACS have also been identified in Japan, Turkey, Tunisia, Spain, Italy, and Belgium. The signs and ... spastic ataxia of Charlevoix-Saguenay (ARSACS) families from Turkey. Neurogenetics. 2004 Sep;5(3):165-70. Epub ...

The health and economic burden of chickenpox and herpes zoster in Belgium.

PubMed

Bilcke, J; Ogunjimi, B; Marais, C; de Smet, F; Callens, M; Callaert, K; van Kerschaver, E; Ramet, J; van Damme, P; Beutels, P

2012-11-01

Varicella-zoster virus causes chickenpox (CP) and after reactivation herpes zoster (HZ). Vaccines are available against both diseases warranting an assessment of the pre-vaccination burden of disease. We collected data from relevant Belgian databases and performed five surveys of CP and HZ patients. The rates at which a general practitioner is visited at least once for CP and HZ are 346 and 378/100 000 person-years, respectively. The average CP and HZ hospitalization rates are 5·3 and 14·2/100 000 person-years respectively. The direct medical cost for HZ is about twice as large as the direct medical cost for CP. The quality-adjusted life years lost for ambulatory CP patients consulting a physician is more than double that of those not consulting a physician (0·010 vs. 0·004). In conclusion, both diseases cause a substantial burden in Belgium.

Silky bent grass resistance to herbicides: one year of monitoring in Belgium.

PubMed

Henriet, F; Bodson, B; Morales, R Meza

2013-01-01

Silky bent grass (Apera spica-venti (L.) P. Beauv.) is a common weed of cereal crops widely spread in Northern and Easthern Europe (Germany, Czech Republic,...), Northern Asia, Siberia and Canada. Up to now, no resistant case has been detected in Belgium but some chemical weeding failures have been observed in Wallonia fields. During summer 2011, 37 seed samples of Apera spica-venti were collected in Wallonia and submitted to resistance tests in controlled conditions. Three modes of action were tested: acetyl coenzyme-A carboxylase inhibitors (pinoxaden and cycloxydim), acetolactate synthase inhibitors (mesosulfuron+iodosulfu-ron, pyroxsulam and sulfometuron) and photosynthesis inhibitors (isoproturon). One susceptible standard population was included in the test in order to validate it and to permit wild populations classification according to "R" rating system developed by Moss et al (2007). Most of populations were susceptible but some populations showed resistance to at least one of the three tested modes of action.

Convenience, food and family lives. A socio-typological study of household food expenditures in 21st-century Belgium.

PubMed

Daniels, Sarah; Glorieux, Ignace

2015-11-01

This article aims to uncover the extent to which convenience foods have become embedded in today's diets. The paper focuses on households' food expenditures, collected by Statistics Belgium in 2005. The results show that households' reliance on (semi-) convenience food items and away-from-home consumption clearly differs over the life-course and amongst different social groups. Findings show that single-living households (single men in particular) look for more convenience in their food preparation patterns compared to couples and households with children. The consumption of semi-convenient meal components seems to be more closely related to the conventional definition of home-cooking, with older-generation, lower-educated, non-working and 'traditional' nuclear households being more likely to spend a larger share of their food budget on non-convenient and 'shortcut' ingredients. Copyright © 2015 Elsevier Ltd. All rights reserved.

The influence of age and gender on party drug use among young adults attending dance events, clubs, and rock festivals in Belgium.

PubMed

Van Havere, Tina; Vanderplasschen, Wouter; Broekaert, Eric; De Bourdeaudhui, Ilse

2009-01-01

A random sample of visitors of dance events, clubs, and rock festivals in Belgium (Flanders) was selected to complete an anonymous survey regarding their use of "party" drugs (alcohol, cannabis, xtc, cocaine, and amphetamines) and patterns of going out. The results of 670 respondents recruited in 2005 are reported and compared with 2003 for gender and age. Drug use in these nightlife settings is higher than in the general population. In younger age groups, the illegal drug use increases, but it decreases in older age groups. This might be linked to more responsibilities. Men still use drugs more often than women, but the gender differences seem to decrease. The changing role of women in society could be an explanation for this evolution. Limitations and implications of this research are discussed.

Health care reform in Belgium.

PubMed

Schokkaert, Erik; Van de Voorde, Carine

2005-09-01

Curbing the growth of public sector health expenditures has been the proclaimed government objective in Belgium since the 1980s. However, the respect for freedom of choice for patients and for therapeutic freedom for providers has blocked the introduction of microeconomic incentives and quality control. Therefore--with some exceptions, particularly in the hospital sector--policy has consisted mainly of tariff and supply restrictions and increases in co-payments. These measures have not been successful in curbing the growth of expenditures. Moreover, there remains a large variation in medical practices. While the structure of health financing is relatively progressive from an international perspective, socioeconomic and regional inequalities in health persist. The most important challenge is the restructuring of the basic decision-making processes; i.e. a simplification of the bureaucratic procedures and a re-examination of the role of regional authorities and sickness funds. Copyright (c) 2002 John Wiley & Sons, Ltd.

International and national initiatives in biobanking.

PubMed

Ectors, N

2011-01-01

Translational research and biobanking are "in", also in Flanders and in Belgium. In Flanders the Advice report 120 from the Flemish Council for Science and innovation, entitled "Extension of translational research in Flanders" paved the way for the Center for Medical Innovation. The Center for Medical Innovation aims at promoting collaboration between Flemish Universities, university hospitals, pharma and biotech industry and the Flemish Government specifically in the domain of translational research. The Initiative # 27 of the Cancer plan from the Federal Government aims at financing a virtual interuniversity tumor bank in order to promote "cancer" translational research in a collaborative network between academic structures, general hospitals en different industrial partners (pharmacy, biotechnology, diagnostics, ...) active in research in Belgium. However, the scientific interest in the human tissues is not new, at all. This text aims at giving an overview of the development and evolutions of "biobanking" initiatives.

Hantavirus disease (nephropathia epidemica) in Belgium: effects of tree seed production and climate.

PubMed

Tersago, K; Verhagen, R; Servais, A; Heyman, P; Ducoffre, G; Leirs, H

2009-02-01

Recently, human cases of nephropathia epidemica (NE) due to Puumala virus infection in Europe have increased. Following the hypothesis that high reservoir host abundance induces higher transmission rates to humans, explanations for this altered epidemiology must be sought in factors that cause bank vole (Myodes glareolus) abundance peaks. In Western Europe, these abundance peaks are often related to high tree seed production, which is supposedly triggered by specific weather conditions. We evaluated the relationship between tree seed production, climate and NE incidence in Belgium and show that NE epidemics are indeed preceded by abundant tree seed production. Moreover, a direct link between climate and NE incidence is found. High summer and autumn temperatures, 2 years and 1 year respectively before NE occurrence, relate to high NE incidence. This enables early forecasting of NE outbreaks. Since future climate change scenarios predict higher temperatures in Europe, we should regard Puumala virus as an increasing health threat.

Setting scientific standards: publishing in medical societies in nineteenth-century Belgium.

PubMed

Vandendriessche, Joris

2014-01-01

This article examines the publishing procedures of nineteenth-century medical societies, using the Medical Society of Ghent (Belgium) as a case study. It argues, more precisely, that the introduction of formalized review procedures in medical societies can be considered part of the emergence of a professional scientific culture in the first half of the nineteenth century. First, by participating in these procedures physicians took on different stylized roles, for example of the contributing author, the righteous judge, or the punctual secretary, and articulated new professional values such as contributing to science. Second, the publishing procedures of medical societies also provide insight into the mechanisms of reaching consensus in nineteenth-century medicine. By developing new scientific genres, such as the published meeting report, medical societies aimed to extend the community of peers beyond the group of society members and establish trust and agreement throughout the medical community.

Experience with the Implementation of Clinical Pharmacy Services and Processes in a University Hospital in Belgium.

PubMed

Somers, Annemie; Claus, Barbara; Vandewoude, Koen; Petrovic, Mirko

2016-03-01

This article summarizes the experience with the development of clinical pharmacy services in the Ghent University Hospital in Belgium. Implementation of clinical pharmacy services in Belgian hospitals has not been evident because these activities were initially not structurally financed. The aim is to describe the strengths and weaknesses of the clinical pharmacy development process, and the milestones that enhanced the progress. Furthermore, the organisation of clinical pharmacy in the Ghent University Hospital is explained, including back- and front-office activities, seamless pharmaceutical care and medication safety improvement. Some working methods, procedures and tools are explained for different clinical pharmacy services. In particular, the clinical pharmacy projects for geriatric patients as well as the preparation of clinical pharmacy services for the accreditation process are explained. We also reflect on the organisation model and the future development of clinical pharmacy, taking into consideration facilitators and potential barriers.

The FORBIO Climate data set for climate analyses

NASA Astrophysics Data System (ADS)

Delvaux, C.; Journée, M.; Bertrand, C.

2015-06-01

In the framework of the interdisciplinary FORBIO Climate research project, the Royal Meteorological Institute of Belgium is in charge of providing high resolution gridded past climate data (i.e. temperature and precipitation). This climate data set will be linked to the measurements on seedlings, saplings and mature trees to assess the effects of climate variation on tree performance. This paper explains how the gridded daily temperature (minimum and maximum) data set was generated from a consistent station network between 1980 and 2013. After station selection, data quality control procedures were developed and applied to the station records to ensure that only valid measurements will be involved in the gridding process. Thereafter, the set of unevenly distributed validated temperature data was interpolated on a 4 km × 4 km regular grid over Belgium. The performance of different interpolation methods has been assessed. The method of kriging with external drift using correlation between temperature and altitude gave the most relevant results.

Age differences in conservatism: evidence on the mediating effects of personality and cognitive style.

PubMed

Cornelis, Ilse; Van Hiel, Alain; Roets, Arne; Kossowska, Malgorzata

2009-02-01

The present study investigates the commonly found age-conservatism relationship by combining insights from studies on the development of personality and motivated social cognition with findings on the relationships between these factors and conservative beliefs. Based on data collected in Belgium (N=2,373) and Poland (N=939), we found the expected linear effect of age on indicators of social-cultural conservatism in Belgium and Poland and the absence of such effects for indicators of economic-hierarchical conservatism. We further demonstrated that these effects of age on indicators of cultural conservatism in both countries were (in part) mediated through the personality factor Openness to Experience and the motivated cognition variable Need for Closure. The consistency of these findings in two countries with a very dissimilar sociopolitical history attests to the importance of the developmental perspective for the study of the relationship between age and conservatism.

PHYTOPLASMAS IN POME FRUIT TREES: UPDATE OF THEIR PRESENCE AND THEIR VECTORS IN BELGIUM.

PubMed

G, Peusens; K, De Jonghe; I, De Roo; S, Steyer; T, Olivier; F, Fauche; F, Rys; D, Bylemans; T, Beliën

2015-01-01

Among the numerous diseases that can attack pome fruit trees, apple proliferation and pear decline, both caused by a phytoplasma ('Candidatus Phytoplasma mali' (AP) and 'Ca. P. pyri' (PD), respectively), may result into important losses of quality and quantity of the crop. Until a few years ago, no scientific and reliable data on their presence in Belgium was available and so a 2-year survey was organised to obtain more detailed information on the status of both pathogens. Root and leaf samples collected in commercial orchards were analysed using molecular detection tools and tested positive for both phytoplasmas. Additionally, the presence and infectivity of Psyllidae, vectors of AP and PD, was assessed during this survey but no infected Cacopsylla-species were found. Lab trials revealed its vector capacity at the end of summer and autumn and its migration pattern 80 m in line and 10.5 m across trees in an orchard.

Childhood varicella-zoster virus vaccination in Belgium

PubMed Central

Bilcke, Joke; Jan van Hoek, Albert; Beutels, Philippe

2013-01-01

Aim: To assess the effectiveness and cost-effectiveness of a universal childhood varicella-zoster vaccination programme in Belgium (1) using the most recent Belgian data on varicella-zoster burden, (2) exploring different options for the timing of the second dose, (3) obtaining results with and without exogenous natural boosting, and (4) investigating the possible additional benefit of zoster booster vaccination for adults at age 50 or 60 years. Methods: An extensively studied and improved dynamic model is used to estimate primary and breakthrough chickenpox and zoster cases over time. For a range of vaccination options, we compared the direct costs (health care payer perspective) and health outcomes (including Quality-Adjusted Life-Years (QALYs) lost) associated with chickenpox and herpes zoster.  Estimates of social contact patterns, health care use, costs and QALY losses are almost exclusively based on Belgian databases and surveys. Results and Conclusions: If exogenous natural boosting exists, a net loss in QALYs is expected for several decades after implementing a universal chickenpox vaccination programme, due to an increase in zoster mainly in persons aged 50-80 years. This result holds also for scenarios that minimise or counteract the expected increase in zoster incidence (e.g. additional booster vaccinations in adults). However, if the boosting hypothesis is not true or if costs and QALYs are cumulated over at least 33 to more than 100 years after vaccination (depending on the assumptions made), different options for universal 2-dose vaccination against chickenpox in Belgium would be cost-effective at a vaccine price of €43/dose or lower. PMID:23321955

How to overcome hurdles in opiate substitution treatment? A qualitative study with general practitioners in Belgium.

PubMed

Fraeyman, Jessica; Symons, Linda; Van Royen, Paul; Van Hal, Guido; Peremans, Lieve

2016-06-01

Opiate substitution treatment (OST) is the administration of opioids (methadone or buprenorphine) under medical supervision for opiate addiction. Several studies indicate a large unmet need for OST in general practice in Antwerp, Belgium. Some hurdles remain before GPs engage in OST prescribing. Formulate recommendations to increase engagement of GPs in OST, applicable to Belgium and beyond. In 2009, an exploratory qualitative research was performed using focus group discussions and interviews with GPs. During data collection and analysis, purposive sampling, open and axial coding was applied. The script was composed around the advantages, disadvantages and conditions of engaging in OST in general practice. We conducted six focus groups and two interviews, with GPs experienced in prescribing OST (n = 13), inexperienced GPs (n = 13), and physicians from addiction centres (n = 5). Overall, GPs did not seem very willing to prescribe OST for opiate users. A lack of knowledge about OST and misbehaving patients creates anxiety and makes the GPs reluctant to learn more about OST. The GPs refer to a lack of collaboration with the addiction centres and a need of support (from either addiction centres or experienced GP-colleagues for advice). Important conditions for OST are acceptance of only stable opiate users and more support in emergencies. Increasing GPs' knowledge about OST and improving collaboration with addiction centres are essential to increase the uptake of OST in general practice. Special attention could be paid to the role of more experienced colleagues who can act as advising physicians for inexperienced GPs.

ecopa: a powerful concept in the way forward for alternative methods.

PubMed

Rogiers, Vera

2002-12-01

ecopa, the European Consensus-Platform on Alternatives, is an international not-for-profit organisation, based in Belgium and complying with Belgium Law. It is the only quadripartite organisation that promotes the Three Rs at the European level. Ecopa brings together national consensus platforms on alternative methods. Consensus means that all parties concerned are represented, including animal welfare, industry, academia and government. Ecopa currently includes the National Platforms of 14 EU Member State (or future Member State; eight full members, namely, Austria, Belgium, Finland, Germany, The Netherlands, Spain, Switzerland and the UK, and six associate members, being the Czech Republic, Denmark, Italy, Norway, Poland and Sweden). Ecopa also has three working groups, concerned with: a) the 6th Framework Programme of the EC for Research, Technological Development and Demonstration Activities; b) the EC White Paper Strategy for a Future EU Chemicals Policy; and c) the formation of educational programmes on alternative methods within the EU. Ecopa is thus uniquely placed and has huge expertise to offer to the debate around political topics, including the White Paper, the 6th Framework Programme, and the 7th Amendment of the EU Cosmetics Directive. Ecopa should be considered a key stakeholder by the European Commission and Parliament, and it is essential that the views of ecopa are fully incorporated into future legislation. Recently, the ecopa working groups made a strong common statement on the Chemicals Policy White Paper and made a number of recommendations to the Commission based on scientific, practical and realistic grounds. These are to be found on the ecopa Web site (http://www.ecopa.tsx.org/).

Nutritional quality and acceptability of a weekly vegetarian lunch in primary-school canteens in Ghent, Belgium: 'Thursday Veggie Day'.

PubMed

De Keyzer, Willem; Van Caneghem, Sven; Heath, Anne-Louise M; Vanaelst, Barbara; Verschraegen, Mia; De Henauw, Stefaan; Huybrechts, Inge

2012-12-01

To determine the nutritional adequacy and acceptability to children of vegetarian lunches served on 'Thursday Veggie Day' - a public health initiative in Ghent (Belgium) primary schools. A comparison of food leftovers from main courses on regular days and Thursdays was made using a visual plate waste method. The nutritional value of the vegetarian meat analogue and meat components of main courses served on five 'Thursday Veggie Days' and five comparable conventional main courses was evaluated using three criteria (maximum 30 % of energy from fat, maximum of one-third of fat as saturated fat and minimum 1.5 g of dietary fibre per 420 kJ). Two canteens from primary schools in Ghent, Belgium, participating in the 'Thursday Veggie Day' campaign. Primary-school children aged between 6 and 12 years. In total, 1242 and 472 main course plate waste observations of conventional and vegetarian menus, respectively, were evaluated. There was no significant difference in plate waste between vegetarian (16.7 %) and conventional (17.3 %) main courses. Overall, the five vegetarian components were found to be nutritionally adequate with a mean score of 2.2 out of 3, compared with 0.4 for the meat component. However, three of the vegetarian components provided >30 % of energy from fat and, in one, the amount of saturated fat exceeded one-third of total fat. Vegetarian canteen meals offered as part of 'Thursday Veggie Day' appear to be nutritionally appropriate and as acceptable as conventional main courses to children in primary schools in Ghent.

What can we learn from international comparisons of costs by DRG?

PubMed

Pirson, M; Schenker, L; Martins, D; Dung, Duong; Chalé, J J; Leclercq, P

2013-02-01

The objective of this study was to compare costs data by diagnosis related group (DRG) between Belgium and Switzerland. Our hypotheses were that differences between countries can probably be explained by methodological differences in cost calculations, by differences in medical practices and by differences in cost structures within the two countries. Classifications of DRG used in the two countries differ (AP-DRGs version 1.7 in Switzerland and APR-DRGs version 15.0 in Belgium). The first step of this study was to transform Belgian summaries into Swiss AP-DRGs. Belgian and Swiss data were calculated with a clinical costing methodology (full costing). Belgian and Swiss costs were converted into US$ PPP (purchasing power parity) in order to neutralize differences in purchasing power between countries. The results of this study showed higher costs in Switzerland despite standardization of cost data according to PPP. The difference is not explained by the case-mix index because this was similar for inliers between the two countries. The length of stay (LOS) was also quite similar for inliers between the two countries. The case-mix index was, however, higher for high outliers in Belgium, as reflected in a higher LOS for these patients. Higher costs in Switzerland are thus probably explained mainly by the higher number of agency staff by service in this country or because of differences in medical practices. It is possible to make international comparisons but only if there is standardization of the case-mix between countries and only if comparable accountancy methodologies are used. Harmonization of DRGs groups, nomenclature and accountancy is thus required.

Treatment outcome of intravenous artesunate in patients with severe malaria in the Netherlands and Belgium

PubMed Central

2012-01-01

Background Intravenous (IV) artesunate is the treatment of choice for severe malaria. In Europe, however, no GMP-manufactured product is available and treatment data in European travellers are scarce. Fortunately, artesunate became available in the Netherlands and Belgium through a named patient programme. This is the largest case series of artesunate treated patients with severe malaria in Europe. Methods Hospitalized patients treated with IV artesunate between November 2007 and December 2010 in the Netherlands and Belgium were retrospectively evaluated. Patient characteristics, treatment and clinical outcome were recorded on a standardized form and mortality, parasite clearance times and the occurrence of adverse events were evaluated. Results Of the 68 treated patients, including 55 with severe malaria, two patients died (2/55 = 3.6%). The mean time to 50% parasite clearance (PCT50), 90% and 99% were 4.4 hours (3.9 - 5.2), 14.8 hours (13.0 - 17.2), and 29.5 hours (25.9 - 34.4) respectively. Artesunate was well tolerated. However, an unusual form of haemolytic anaemia was observed in seven patients. The relationship with artesunate remains uncertain. Conclusions Data from the named patient programme demonstrate that IV artesunate is effective and well-tolerated in European travellers lacking immunity. However, increased attention needs to be paid to the possible development of haemolytic anaemia 2-3 weeks after start of treatment. Treatment of IV artesunate should be limited to the period that IV treatment is required and should be followed by a full oral course of an appropriate anti-malarial drug. PMID:22462806

Why sub-Saharan African health workers migrate to European countries that do not actively recruit: a qualitative study post-migration.

PubMed

Poppe, Annelien; Jirovsky, Elena; Blacklock, Claire; Laxmikanth, Pallavi; Moosa, Shabir; De Maeseneer, Jan; Kutalek, Ruth; Peersman, Wim

2014-01-01

Many studies have investigated the migration intentions of sub-Saharan African medical students and health professionals within the context of a legacy of active international recruitment by receiving countries. However, many health workers migrate outside of this recruitment paradigm. This paper aims to explore the reasons for migration of health workers from sub-Saharan Africa to Belgium and Austria; European countries without a history of active recruitment in sub-Saharan Africa. Data were collected using semistructured interviews. Twenty-seven health workers were interviewed about their migration experiences. Included participants were born in sub-Saharan Africa, had trained as health workers in sub-Saharan Africa, and were currently living in Belgium or Austria, though not necessarily currently working as a health professional. Both Austria and Belgium were shown not to be target countries for the health workers, who instead moved there by circumstance, rather than choice. Three principal reasons for migration were reported: 1) educational purposes; 2) political instability or insecurity in their country of origin; and 3) family reunification. In addition, two respondents mentioned medical reasons and, although less explicit, economic factors were also involved in several of the respondents' decision to migrate. These results highlight the importance of the broader economic, social, and political context within which migration decisions are made. Training opportunities proved to be an important factor for migration. A further development and upgrade of primary care might help to counter the common desire to specialize and improve domestic training opportunities.

European otorhinolaryngology training programs: results of a European survey about training satisfaction, work environment and conditions in six countries.

PubMed

Oker, N; Alotaibi, Naif H; Reichelt, A C; Herman, P; Bernal-Sprekelsen, M; Albers, Andreas E

2017-11-01

ORL-students and residents have an ongoing debate about the "best" programme in Europe. Aim of this study was to comparatively assess differences among programmes in training, satisfaction, quality of life (QoL) of residents and recent otorhinolaryngologist (ORL) specialists in France, Germany, Spain, Italy, Austria, and Belgium. A self-administered anonymous questionnaire, structured in ten sections including general information, provided guidance, working environment, training structure, teaching of medical students, publication work, QoL, and satisfaction with training, were emailed to residents and recent ORL specialists. 476 returned questionnaires from 6 countries revealed that daily work hours were the highest in France and Belgium with 11 and 10.4 h on average, respectively. QoL, work conditions, and salary were best in Germany followed by Austria in terms of possibility of part-time contracts, better respect for post-duty day off, and compensation for overtime. Satisfaction with training including support and guidance of seniors was lowest in Italy, but, on the other hand, the publication work and support had a more important place than in other countries. In Belgium, there was some gap between the quality of teaching and feedback from seniors as well as apprenticeship. The highest satisfaction with training was in France and Spain followed by Austria. The study results provide guidance before choosing an ORL training programme in Europe. Country-specific strengths could be included into future harmonization efforts to improve all programmes, facilitate professional exchange and, finally, establish standards-of-care carried out by well-trained doctors also looking after a satisfying work-life balance.

Contribution of chronic conditions to gender disparities in health expectancies in Belgium, 2001, 2004 and 2008.

PubMed

Yokota, Renata T C; Nusselder, Willma J; Robine, Jean-Marie; Tafforeau, Jean; Renard, Françoise; Deboosere, Patrick; Van Oyen, Herman

2018-06-15

We aimed to investigate the contribution of chronic conditions to gender differences in disability-free life expectancy (DFLE) and life expectancy with disability (LED) in Belgium in 2001, 2004 and 2008. Data on disability and chronic conditions from participants of the 2001, 2004 and 2008 Health Interview Surveys in Belgium were used to estimate disability prevalence by cause using the attribution method. Disability prevalence was applied to life tables to estimate DFLE and LED using the Sullivan method. Decomposition techniques were used to assess the contribution of mortality and disability and further of causes of death and disability to gender disparities in DFLE and LED. Higher LE, DFLE and LED were observed for women compared with men in all years studied. A decrease in the gender gap in LE (2001: 5.9; 2004: 5.6; 2008: 5.3) was observed in our cross-sectional approach followed by a decrease in gender differences in DFLE (2001: 1.9; 2004: 1.3; 2008: 0.5) and increase in LED (2001: 4.0; 2004: 4.4; 2008: 4.8). The higher LED in women was attributed to their lower mortality due to lung/larynx/trachea cancer, ischaemic heart diseases, and external causes (2001 and 2004) and higher disability prevalence due to musculoskeletal conditions (2008). Higher DFLE was observed in women owing to their lower mortality from lung/larynx/trachea cancer, ischaemic heart diseases, digestive cancer and chronic respiratory diseases. To promote healthy ageing of populations, priority should be given to reduce the LED disadvantage in women by targeting non-fatal diseases, such as musculoskeletal conditions.

A multi-level analysis of the relationship between environmental factors and questing Ixodes ricinus dynamics in Belgium

PubMed Central

2012-01-01

Background Ticks are the most important pathogen vectors in Europe. They are known to be influenced by environmental factors, but these links are usually studied at specific temporal or spatial scales. Focusing on Ixodes ricinus in Belgium, we attempt to bridge the gap between current “single-sided” studies that focus on temporal or spatial variation only. Here, spatial and temporal patterns of ticks are modelled together. Methods A multi-level analysis of the Ixodes ricinus patterns in Belgium was performed. Joint effects of weather, habitat quality and hunting on field sampled tick abundance were examined at two levels, namely, sampling level, which is associated with temporal dynamics, and site level, which is related to spatial dynamics. Independent variables were collected from standard weather station records, game management data and remote sensing-based land cover data. Results At sampling level, only a marginally significant effect of daily relative humidity and temperature on the abundance of questing nymphs was identified. Average wind speed of seven days prior to the sampling day was found important to both questing nymphs and adults. At site level, a group of landscape-level forest fragmentation indices were highlighted for both questing nymph and adult abundance, including the nearest-neighbour distance, the shape and the aggregation level of forest patches. No cross-level effects or spatial autocorrelation were found. Conclusions Nymphal and adult ticks responded differently to environmental variables at different spatial and temporal scales. Our results can advise spatio-temporal extents of environment data collection for continuing empirical investigations and potential parameters for biological tick models. PMID:22830528

Childhood varicella-zoster virus vaccination in Belgium: cost-effective only in the long run or without exogenous boosting?

PubMed

Bilcke, Joke; van Hoek, Albert Jan; Beutels, Philippe

2013-04-01

To assess the effectiveness and cost-effectiveness of a universal childhood varicella-zoster vaccination programme in Belgium (1) using the most recent Belgian data on varicella-zoster burden, (2) exploring different options for the timing of the second dose, (3) obtaining results with and without exogenous natural boosting, and (4) investigating the possible additional benefit of zoster booster vaccination for adults at age 50 or 60 y. An extensively studied and improved dynamic model is used to estimate primary and breakthrough chickenpox and zoster cases over time. For a range of vaccination options, we compared the direct costs (health care payer perspective) and health outcomes (including Quality-Adjusted Life-Years (QALYs) lost) associated with chickenpox and herpes zoster. Estimates of social contact patterns, health care use, costs and QALY losses are almost exclusively based on Belgian databases and surveys. If exogenous natural boosting exists, a net loss in QALYs is expected for several decades after implementing a universal chickenpox vaccination programme, due to an increase in zoster mainly in persons aged 50-80 y. This result holds also for scenarios that minimise or counteract the expected increase in zoster incidence (e.g. additional booster vaccinations in adults). However, if the boosting hypothesis is not true or if costs and QALYs are cumulated over at least 33 to more than 100 y after vaccination (depending on the assumptions made), different options for universal 2-dose vaccination against chickenpox in Belgium would be cost-effective at a vaccine price of €43/dose or lower.

Health economic evaluation of a vaccine for the prevention of herpes zoster (shingles) and post-herpetic neuralgia in adults in Belgium.

PubMed

Annemans, L; Bresse, X; Gobbo, C; Papageorgiou, M

2010-01-01

To determine the cost-effectiveness of vaccination against herpes zoster (HZ) and post-herpetic neuralgia (PHN) in individuals aged 60 years and older in Belgium. A Markov model was developed to compare the cost-effectiveness of vaccination with that of a policy of no vaccination. The model estimated the lifetime incidence and consequences of HZ and PHN using inputs derived from Belgian data, literature sources, and expert opinion. Cost-effectiveness was measured by the incremental cost-effectiveness ratio (ICER), expressed as cost per quality-adjusted life-year (QALY) gained. Vaccination in individuals aged 60 years and older resulted in ICERs of €6,799 (third party payer perspective), €7,168 (healthcare perspective), and €7,137 (societal perspective). The number needed to vaccinate to prevent one case was 12 for HZ, and 35 or 36 for PHN depending on the definition used. Univariate sensitivity analyses produced ICERs of €4,959-19,052/QALY; duration of vaccine efficacy had the greatest impact on cost-effectiveness. Probabilistic sensitivity analysis showed at least a 94% probability of ICERs remaining below the unofficial €30,000 threshold. Key strengths of the model are the combination of efficacy data from a pivotal clinical trial with country-specific epidemiological data and complete sensitivity analysis performed. Main limitations are the use of non country-specific PHN proportion and non Belgian disease-specific utilities. Results are comparable with those recently published. HZ vaccination in individuals aged 60 years and older would represent a cost-effective strategy in Belgium.

Application of syndromic surveillance on routinely collected cattle reproduction and milk production data for the early detection of outbreaks of Bluetongue and Schmallenberg viruses.

PubMed

Veldhuis, Anouk; Brouwer-Middelesch, Henriëtte; Marceau, Alexis; Madouasse, Aurélien; Van der Stede, Yves; Fourichon, Christine; Welby, Sarah; Wever, Paul; van Schaik, Gerdien

2016-02-01

This study aimed to evaluate the use of routinely collected reproductive and milk production data for the early detection of emerging vector-borne diseases in cattle in the Netherlands and the Flanders region of Belgium (i.e., the northern part of Belgium). Prospective space-time cluster analyses on residuals from a model on milk production were carried out to detect clusters of reduced milk yield. A CUSUM algorithm was used to detect temporal aberrations in model residuals of reproductive performance models on two indicators of gestation length. The Bluetongue serotype-8 (BTV-8) epidemics of 2006 and 2007 and the Schmallenberg virus (SBV) epidemic of 2011 were used as case studies to evaluate the sensitivity and timeliness of these methods. The methods investigated in this study did not result in a more timely detection of BTV-8 and SBV in the Netherlands and BTV-8 in Belgium given the surveillance systems in place when these viruses emerged. This could be due to (i) the large geographical units used in the analyses (country, region and province level), and (ii) the high level of sensitivity of the surveillance systems in place when these viruses emerged. Nevertheless, it might be worthwhile to use a syndromic surveillance system based on non-specific animal health data in real-time alongside regular surveillance, to increase the sense of urgency and to provide valuable quantitative information for decision makers in the initial phase of an emerging disease outbreak. Copyright © 2015 Elsevier B.V. All rights reserved.

Do-not-resuscitate policy on acute geriatric wards in Flanders, Belgium.

PubMed

De Gendt, Cindy; Bilsen, Johan; Vander Stichele, Robert; Lambert, Margareta; Den Noortgate, NeleVan; Deliens, Luc

2005-12-01

To describe the historical development and status of a do-not-resuscitate (DNR) policy on acute geriatric wards in Flanders, Belgium, and to compare it with the international situation. Structured mail questionnaires. All 94 acute geriatric wards in hospitals in Flanders in 2002 (the year Belgium voted a law on euthanasia). Head geriatricians. A questionnaire was mailed about the existence, development, and implementation of the DNR policy (guidelines and order forms), with a request to return copies of existing DNR guidelines and DNR order forms. The response was 76.6%, with hospital characteristics not significantly different for responders and nonresponders. Development of DNR policy began in 1985, with a step-up in 1997 and 2001. In 2002, a DNR policy was available in 86.1% of geriatric wards, predominantly with institutional DNR guidelines and individual, patient-specific DNR order forms. Geriatric wards in private hospitals implemented their policy later (P=.01) and more often had order forms (P=.04) than those in public hospitals. The policy was initiated and developed predominantly from an institutional perspective by the hospital. The forms were not standardized and generally lacked room to document patient involvement in the decision making process. Implementation of institutional DNR guidelines and individual DNR order forms on geriatric wards in Flanders lagged behind that of other countries and was still incomplete in 2002. DNR policies varied in content and scope and were predominantly an expression of institutional defensive attitudes rather than a tool to promote patient involvement in DNR and other end-of-life decisions.

Changes to the statin prescribing policy in Belgium: potential impact in clinical and economic terms.

PubMed

Liew, Danny; Webb, Kate; Marbaix, Sophie; Annemans, Lieven

2012-08-01

New policies in Belgium encourage prescribing of generic HMG-CoA reductase inhibitors (statins), but may lead to non-equivalent switching of patients from more potent second generation statins, as has occurred elsewhere. We sought to assess the potential health economic impact of the new policies. This was a cost-effectiveness analysis. A Markov model was constructed to simulate the onset of cardiovascular disease (CVD) and death among a representative cohort of 80 Belgian patients initially free of CVD and taking atorvastatin. Cardiovascular risks were estimated from calibrated Framingham equations, and utilities and costs from published data. Decision analysis assessed the potential impact of switching all 80 patients to simvastatin. Changes in lipid levels expected to arise from switching were based on a published meta-analysis. If the 80 patients remained on atorvastatin, the model predicted that 23 (29%) would develop CVD over 20 years. If they were switched to simvastatin, the predicted number was 25 (31%), equating to a 'number needed to harm' of 52. Switching would lead to a net cost saving of €131 (2012) per subject, but also a loss of 0.03 quality-adjusted life-years (QALYs) per subject. These equated to a decremental cost-effectiveness ratio of €4777 per QALY lost. Sensitivity analyses indicated this result to be robust. Recently introduced statin prescribing policies in Belgium are likely, as intended, to reduce statin costs, but also increase the burden of CVD due to non-equivalent switching. It would be cost effective to maintain patients on atorvastatin for primary prevention rather than switch them to simvastatin.

Nationwide inventory of mosquito biodiversity (Diptera: Culicidae) in Belgium, Europe.

PubMed

Versteirt, V; Boyer, S; Damiens, D; De Clercq, E M; Dekoninck, W; Ducheyne, E; Grootaert, P; Garros, C; Hance, T; Hendrickx, G; Coosemans, M; Van Bortel, W

2013-04-01

To advance our restricted knowledge on mosquito biodiversity and distribution in Belgium, a national inventory started in 2007 (MODIRISK) based on a random selection of 936 collection points in three main environmental types: urban, rural and natural areas. Additionally, 64 sites were selected because of the risk of importing a vector or pathogen in these sites. Each site was sampled once between May and October 2007 and once in 2008 using Mosquito Magnet Liberty Plus traps. Diversity in pre-defined habitat types was calculated using three indices. The association between species and environmental types was assessed using a correspondence analysis. Twenty-three mosquito species belonging to traditionally recognized genera were found, including 21 indigenous and two exotic species. Highest species diversity (Simpson 0.765) and species richness (20 species) was observed in natural areas, although urban sites scored also well (Simpson 0.476, 16 species). Four clusters could be distinguished based on the correspondence analysis. The first one is related to human modified landscapes (such as urban, rural and industrial sites). A second is composed of species not associated with a specific habitat type, including the now widely distributed Anopheles plumbeus. A third group includes species commonly found in restored natural or bird migration areas, and a fourth cluster is composed of forest species. Outcomes of this study demonstrate the effectiveness of the designed sampling scheme and support the choice of the trap type. Obtained results of this first country-wide inventory of the Culicidae in Belgium may serve as a basis for risk assessment of emerging mosquito-borne diseases.

An outbreak of Legionnaire's disease among visitors to a fair in Belgium in 1999.

PubMed

De Schrijver, K; Dirven, K; Van Bouwel, K; Mortelmans, L; Van Rossom, P; De Beukelaar, T; Vael, C; Fajo, M; Ronveaux, O; Peeters, M F; Van der Zee, A; Bergmans, A; Ieven, M; Goossens, H

2003-03-01

This paper describes an outbreak of Legionnaire's disease at Kapellen in Belgium among visitors of the annual fair. The investigation started on 13th November 1999 after a respiratory physician notified the health authorities of the province of Antwerp of presumptive cases of legionellosis. The annual commercial fair at Kapellen, a small town in northern Belgium, was held 10 days previously and attracted 50,000 visitors. Stand employees (professionals or volunteers), technical staff of the hall and visitors at the fair were affected cases. An exploratory case-control study was conducted to trace the source of the epidemic. To complete the inventory study and to evaluate other risk factors, a cohort study of exhibitors and staff was conducted. Ninety-three people met the case definition, 41 of whom were considered as confirmed, 14 as presumptive cases and 38 as possible/clinical cases. Five people died. Further testing at the reference laboratory confirmed all strains to be Legionella pneumophila serogroup 1. The sensitivity for culture was low (29.2%), and sensitivity for seroconversion was high (90.9%). For urinary antigen test, a sensitivity with Biotest EIA of 65.6% was found, and the sensitivity of polymerase chain reaction (PCR) was 85.7%. In all cases, the individual had visited the fair. Those individuals working in the central areas of the tent, near the aerosol-producing devices, were at higher risk of disease. Legionella was detected by PCR on swabs of the surfaces of the whirlpool. Although not fully proven, an aerosol-producing device was the most probable source of the outbreak.

75 FR 77561 - Regulations Issued Under the Export Grape and Plum Act; Revision to the Minimum Requirements

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-13

...'' would be deleted, and the following countries would be added to the remaining list: Bosnia, Croatia..., Europe (defined to mean the following countries: Albania, Austria, Belgium, Bosnia, Bulgaria, Croatia...

12. Interior view of north wall of Chapel. The wall ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

12. Interior view of north wall of Chapel. The wall panel is one of two carved with lists of those missing in nearby combat. - Flanders Field American Cemetery & Memorial, Chapel, Wortegemseweg 117, Waregem, West Flanders (Belgium)

48 CFR 22.1503 - Procedures for acquiring end products on the List of Products Requiring Contractor Certification...

Code of Federal Regulations, 2011 CFR

2011-10-01

... more (see Subpart 25.4); or (4) Aruba, Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark..., Singapore, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, Taiwan, or the United Kingdom and the...

13. View looking west/southwest from Chapel of entrance drive with ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

13. View looking west/southwest from Chapel of entrance drive with allee of linden trees, grave area A (right) and grave area B (left). - Flanders Field American Cemetery & Memorial, Wortegemseweg 117, Waregem, West Flanders (Belgium), BEL

32 CFR 298.2 - Organization.

Code of Federal Regulations, 2010 CFR

2010-07-01

... (CONUS), Alaska, Hawaii, and Puerto Rico; the Defense Industrial Security Clearance Office (DISCO), Columbus, Ohio; the Personnel Investigations Center (PIC) and National Computer Center (NCC) in Baltimore, Maryland; Office of Industrial Security International Europe (OISI-E), located in Brussels, Belgium with a...

32 CFR 298.2 - Organization.

Code of Federal Regulations, 2013 CFR

2013-07-01

... (CONUS), Alaska, Hawaii, and Puerto Rico; the Defense Industrial Security Clearance Office (DISCO), Columbus, Ohio; the Personnel Investigations Center (PIC) and National Computer Center (NCC) in Baltimore, Maryland; Office of Industrial Security International Europe (OISI-E), located in Brussels, Belgium with a...

32 CFR 298.2 - Organization.

Code of Federal Regulations, 2011 CFR

2011-07-01

... (CONUS), Alaska, Hawaii, and Puerto Rico; the Defense Industrial Security Clearance Office (DISCO), Columbus, Ohio; the Personnel Investigations Center (PIC) and National Computer Center (NCC) in Baltimore, Maryland; Office of Industrial Security International Europe (OISI-E), located in Brussels, Belgium with a...

32 CFR 298.2 - Organization.

Code of Federal Regulations, 2014 CFR

2014-07-01

... (CONUS), Alaska, Hawaii, and Puerto Rico; the Defense Industrial Security Clearance Office (DISCO), Columbus, Ohio; the Personnel Investigations Center (PIC) and National Computer Center (NCC) in Baltimore, Maryland; Office of Industrial Security International Europe (OISI-E), located in Brussels, Belgium with a...

32 CFR 298.2 - Organization.

Code of Federal Regulations, 2012 CFR

2012-07-01

... (CONUS), Alaska, Hawaii, and Puerto Rico; the Defense Industrial Security Clearance Office (DISCO), Columbus, Ohio; the Personnel Investigations Center (PIC) and National Computer Center (NCC) in Baltimore, Maryland; Office of Industrial Security International Europe (OISI-E), located in Brussels, Belgium with a...

Algorithme et enseignement de la grammaire (Algorithm and the Teaching of Grammar)

ERIC Educational Resources Information Center

Michiels, A.

1975-01-01

Binary algorithmic logic may prove useful for teaching grammar, especially in the case of 'closed-system items.' (Text is in French.) Available from Instituut voor Toegepaste Linguistiek, Vesaliusstraat 2, B. 3000 Leuven, Belgium. (TL)

Interior rotation of a sample of γ Doradus stars from ensemble modelling of their gravity-mode period spacings

NASA Astrophysics Data System (ADS)

Van Reeth, T.; Tkachenko, A.; Aerts, C.

2016-10-01

Context. Gamma Doradus stars (hereafter γ Dor stars) are known to exhibit gravity- and/or gravito-intertial modes that probe the inner stellar region near the convective core boundary. The non-equidistant spacing of the pulsation periods is an observational signature of the stellar evolutions and current internal structure and is heavily influenced by rotation. Aims: We aim to constrain the near-core rotation rates for a sample of γ Dor stars for which we have detected period spacing patterns. Methods: We combined the asymptotic period spacing with the traditional approximation of stellar pulsation to fit the observed period spacing patterns using χ2-optimisation. The method was applied to the observed period spacing patterns of a sample of stars and used for ensemble modelling. Results: For the majority of stars with an observed period spacing pattern we successfully determined the rotation rates and the asymptotic period spacing values, although the uncertainty margins on the latter were typically large. This also resulted directly in the identification of the modes that correspond to the detected pulsation frequencies, which for most stars were prograde dipole gravity and gravito-inertial modes. The majority of the observed retrograde modes were found to be Rossby modes. We also discuss the limitations of the method that are due to the neglect of the centrifugal force and the incomplete treatment of the Coriolis force. Conclusions: Despite its current limitations, the proposed method was successful to derive the rotation rates and to identify the modes from the observed period spacing patterns. It forms the first step towards detailed seismic modelling based on observed period spacing patterns of moderately to rapidly rotating γDor stars. Based on data gathered with the NASA Discovery mission Kepler and the HERMES spectrograph, which is installed at the Mercator Telescope, operated on the island of La Palma by the Flemish Community at the Spanish Observatorio del Roque de los Muchachos of the Instituto de Astrofísica de Canarias, and supported by the Fund for Scientific Research of Flanders (FWO), Belgium, the Research Council of KU Leuven, Belgium, the Fonds National de la Recherche Scientifique (F.R.S.-FNRS), Belgium, the Royal Observatory of Belgium, the Observatoire de Genève, Switzerland, and the Thüringer Landessternwarte Tautenburg, Germany.

Florabank1: a grid-based database on vascular plant distribution in the northern part of Belgium (Flanders and the Brussels Capital region)

PubMed Central

Landuyt, Wouter Van; Vanhecke, Leo; Brosens, Dimitri

2012-01-01

Abstract Florabank1 is a database that contains distributional data on the wild flora (indigenous species, archeophytes and naturalised aliens) of Flanders and the Brussels Capital Region. It holds about 3 million records of vascular plants, dating from 1800 till present. Furthermore, it includes ecological data on vascular plant species, redlist category information, Ellenberg values, legal status, global distribution, seed bank etc. The database is an initiative of “Flo.Wer” (www.plantenwerkgroep.be), the Research Institute for Nature and Forest (INBO: www.inbo.be) and the National Botanic Garden of Belgium (www.br.fgov.be). Florabank aims at centralizing botanical distribution data gathered by both professional and amateur botanists and to make these data available to the benefit of nature conservation, policy and scientific research. The occurrence data contained in Florabank1 are extracted from checklists, literature and herbarium specimen information. Of survey lists, the locality name (verbatimLocality), species name, observation date and IFBL square code, the grid system used for plant mapping in Belgium (Van Rompaey 1943), is recorded. For records dating from the period 1972–2004 all pertinent botanical journals dealing with Belgian flora were systematically screened. Analysis of herbarium specimens in the collection of the National Botanic Garden of Belgium, the University of Ghent and the University of Liège provided interesting distribution knowledge concerning rare species, this information is also included in Florabank1. The data recorded before 1972 is available through the Belgian GBIF node (http://data.gbif.org/datasets/resource/10969/), not through FLORABANK1, to avoid duplication of information. A dedicated portal providing access to all published Belgian IFBL records at this moment is available at: http://projects.biodiversity.be/ifbl All data in Florabank1 is georeferenced. Every record holds the decimal centroid coordinates of the IFBL square containing the observation. The uncertainty radius is the smallest circle possible covering the whole IFBL square, which can measure 1 Km² or 4 Km². Florabank is a work in progress and new occurrences are added as they become available; the dataset will be updated through GBIF on a regularly base. PMID:22649282

Attitudes and Practices of Euthanasia and Physician-Assisted Suicide in the United States, Canada, and Europe.

PubMed

Emanuel, Ezekiel J; Onwuteaka-Philipsen, Bregje D; Urwin, John W; Cohen, Joachim

2016-07-05

The increasing legalization of euthanasia and physician-assisted suicide worldwide makes it important to understand related attitudes and practices. To review the legal status of euthanasia and physician-assisted suicide and the available data on attitudes and practices. Polling data and published surveys of the public and physicians, official state and country databases, interview studies with physicians, and death certificate studies (the Netherlands and Belgium) were reviewed for the period 1947 to 2016. Currently, euthanasia or physician-assisted suicide can be legally practiced in the Netherlands, Belgium, Luxembourg, Colombia, and Canada (Quebec since 2014, nationally as of June 2016). Physician-assisted suicide, excluding euthanasia, is legal in 5 US states (Oregon, Washington, Montana, Vermont, and California) and Switzerland. Public support for euthanasia and physician-assisted suicide in the United States has plateaued since the 1990s (range, 47%-69%). In Western Europe, an increasing and strong public support for euthanasia and physician-assisted suicide has been reported; in Central and Eastern Europe, support is decreasing. In the United States, less than 20% of physicians report having received requests for euthanasia or physician-assisted suicide, and 5% or less have complied. In Oregon and Washington state, less than 1% of licensed physicians write prescriptions for physician-assisted suicide per year. In the Netherlands and Belgium, about half or more of physicians reported ever having received a request; 60% of Dutch physicians have ever granted such requests. Between 0.3% to 4.6% of all deaths are reported as euthanasia or physician-assisted suicide in jurisdictions where they are legal. The frequency of these deaths increased after legalization. More than 70% of cases involved patients with cancer. Typical patients are older, white, and well-educated. Pain is mostly not reported as the primary motivation. A large portion of patients receiving physician-assisted suicide in Oregon and Washington reported being enrolled in hospice or palliative care, as did patients in Belgium. In no jurisdiction was there evidence that vulnerable patients have been receiving euthanasia or physician-assisted suicide at rates higher than those in the general population. Euthanasia and physician-assisted suicide are increasingly being legalized, remain relatively rare, and primarily involve patients with cancer. Existing data do not indicate widespread abuse of these practices.

Little Ice Age versus Present Day: Comparison of Temperature, Precipitation and Seasonality in Speleothem Records from the Han-sur-Lesse Cave, Belgium.

NASA Astrophysics Data System (ADS)

Vansteenberge, S.; Van Opdenbosch, J.; Van Rampelbergh, M.; Verheyden, S.; Keppens, E.; Cheng, H.; Edwards, R. L.; Claeys, P. F.

2015-12-01

The Proserpine stalagmite is a 2 m large, tabular-shaped speleothem located in the Han-sur-Lesse cave in Belgium. The speleothem formed over the last 1000 years and is still growing. High-accuracy U/Th datings have indicated exceptionally high growth-rates of up to 2 mm per year. This, together with a well expressed annual layering, makes the Proserpine stalagmite an ideal candidate for high-resolution paleoclimate reconstructions of the last millennium. Previous work, including over 10 years of cave monitoring, has already learned us how short-term, i.e. decadal to seasonal, climate variations are incorporated within speleothem calcite from the Han-sur-Lesse cave system. It has been shown that δ18O and δ13C stable isotopes and trace element proxies of recently formed calcite reflect seasonal variations in temperature and precipitation of the near-cave environment (Verheyden et al, 2008; Van Rampelbergh et al., 2014). Now, this knowledge was used to infer local climate parameters further back in time to the period of +/- 1620-1630 CE, corresponding to one of the cold peaks within the Little Ice Age. Speleothem calcite was sampled at sub-annual resolution, with approximately 11 samples per year, for stable isotope analysis. LA-ICP-MS and µXRF analyses resulted in time series of trace elements. Preliminary results indicate a well expressed seasonal signal in δ13C and trace element composition but a multi-annual to decadal trend in δ18O. This combined proxy study eventually enables comparison of the expression of seasonality and longer term climate variations between a Little Ice Age cold peak and Present Day. References: Verheyden, S. et al., 2008, Monitoring climatological, hydrological and geochemical parameters in the Père Noël cave (Belgium): implication for the interpretation of speleothem isotopic and geochemical time-series. International Journal of Speleology, 37(3), 221-234. Van Rampelbergh, M. et al., 2014, Seasonal variations recorded in cave monitoring results and a 10-year monthly resolved speleothem δ13C and δ18O record from the Han-sur-Lesse cave, Belgium. Climate of the Past, 10, 1-15, 2014.

Using a dynamic vegetation model for future projections of crop yields: application to Belgium in the framework of the VOTES and MASC projects

NASA Astrophysics Data System (ADS)

Jacquemin, Ingrid; Henrot, Alexandra-Jane; Fontaine, Corentin M.; Dendoncker, Nicolas; Beckers, Veronique; Debusscher, Bos; Tychon, Bernard; Hambuckers, Alain; François, Louis

2016-04-01

Dynamic vegetation models (DVM) were initially designed to describe the dynamics of natural ecosystems as a function of climate and soil, to study the role of the vegetation in the carbon cycle. These models are now directly coupled with climate models in order to evaluate feedbacks between vegetation and climate. But DVM characteristics allow numerous other applications, leading to amelioration of some of their modules (e.g., evaluating sensitivity of the hydrological module to land surface changes) and developments (e.g., coupling with other models like agent-based models), to be used in ecosystem management and land use planning studies. It is in this dynamic context about DVMs that we have adapted the CARAIB (CARbon Assimilation In the Biosphere) model. One of the main improvements is the implementation of a crop module, allowing the assessment of climate change impacts on crop yields. We try to validate this module at different scales: - from the plot level, with the use of eddy-covariance data from agricultural sites in the FLUXNET network, such as Lonzée (Belgium) or other Western European sites (Grignon, Dijkgraaf,…), - to the country level, for which we compare the crop yield calculated by CARAIB to the crop yield statistics for Belgium and for different agricultural regions of the country. Another challenge for the CARAIB DVM was to deal with the landscape dynamics, which is not directly possible due to the lack of consideration of anthropogenic factors in the system. In the framework of the VOTES and the MASC projects, CARAIB is coupled with an agent-based model (ABM), representing the societal component of the system. This coupled module allows the use of climate and socio-economic scenarios, particularly interesting for studies which aim at ensuring a sustainable approach. This module has particularly been exploited in the VOTES project, where the objective was to provide a social, biophysical and economic assessment of the ecosystem services in four municipalities under urban pressure in the center of Belgium. The biophysical valuation was carried out with the coupled module, allowing a quantitative evaluation of key ecosystem services as a function of three climatic and socio-economic scenarios.

Description of cervical cancer mortality in Belgium using Bayesian age-period-cohort models

PubMed Central

2009-01-01

Objective To correct cervical cancer mortality rates for death cause certification problems in Belgium and to describe the corrected trends (1954-1997) using Bayesian models. Method Cervical cancer (cervix uteri (CVX), corpus uteri (CRP), not otherwise specified (NOS) uterus cancer and other very rare uterus cancer (OTH) mortality data were extracted from the WHO mortality database together with population data for Belgium and the Netherlands. Different ICD (International Classification of Diseases) were used over time for death cause certification. In the Netherlands, the proportion of not-otherwise specified uterine cancer deaths was small over large periods and therefore internal reallocation could be used to estimate the corrected rates cervical cancer mortality. In Belgium, the proportion of improperly defined uterus deaths was high. Therefore, the age-specific proportions of uterus cancer deaths that are probably of cervical origin for the Netherlands was applied to Belgian uterus cancer deaths to estimate the corrected number of cervix cancer deaths (corCVX). A Bayesian loglinear Poisson-regression model was performed to disentangle the separate effects of age, period and cohort. Results The corrected age standardized mortality rate (ASMR) decreased regularly from 9.2/100 000 in the mid 1950s to 2.5/100,000 in the late 1990s. Inclusion of age, period and cohort into the models were required to obtain an adequate fit. Cervical cancer mortality increases with age, declines over calendar period and varied irregularly by cohort. Conclusion Mortality increased with ageing and declined over time in most age-groups, but varied irregularly by birth cohort. In global, with some discrete exceptions, mortality decreased for successive generations up to the cohorts born in the 1930s. This decline stopped for cohorts born in the 1940s and thereafter. For the youngest cohorts, even a tendency of increasing risk of dying from cervical cancer could be observed, reflecting increased exposure to risk factors. The fact that this increase was limited for the youngest cohorts could be explained as an effect of screening. Bayesian modeling provided similar results compared to previously used classical Poisson models. However, Bayesian models are more robust for estimating rates when data are sparse (youngest age groups, most recent cohorts) and can be used to for predicting future trends.

Detecting non-uniform period spacings in the Kepler photometry of γ Doradus stars: methodology and case studies

NASA Astrophysics Data System (ADS)

Van Reeth, T.; Tkachenko, A.; Aerts, C.; Pápics, P. I.; Degroote, P.; Debosscher, J.; Zwintz, K.; Bloemen, S.; De Smedt, K.; Hrudkova, M.; Raskin, G.; Van Winckel, H.

2015-02-01

Context. The analysis of stellar oscillations is one of the most reliable ways to probe stellar interiors. Recent space missions such as Kepler have provided us with an opportunity to study these oscillations with unprecedented detail. For many multi-periodic pulsators such as γ Doradus stars, this led to the detection of dozens to hundreds of oscillation frequencies that could not be found from ground-based observations. Aims: We aim to detect non-uniform period spacings in the Fourier spectra of a sample of γ Doradus stars observed by Kepler. Such detection is complicated by both the large number of significant frequencies in the space photometry and by overlapping non-equidistant rotationally split multiplets. Methods: Guided by theoretical properties of gravity-mode oscillation of γ Doradus stars, we developed a period-spacing detection method and applied it to Kepler observations of a few stars, after having tested the performance from simulations. Results: The application of the technique resulted in the clear detection of non-uniform period spacing series for three out of the five treated Kepler targets. Disadvantages of the technique are also discussed, and include the disability to distinguish between different values of the spherical degree and azimuthal order of the oscillation modes without additional theoretical modelling. Conclusions: Despite the shortcomings, the method is shown to allow solid detections of period spacings for γ Doradus stars, which will allow future asteroseismic analyses of these stars. Based on data gathered with the NASA Discovery mission Kepler and the HERMES spectrograph, which is installed at the Mercator Telescope, operated on the island of La Palma by the Flemish Community at the Spanish Observatorio del Roque de los Muchachos of the Instituto de Astrofísica de Canarias, and supported by the Fund for Scientific Research of Flanders (FWO), Belgium, the Research Council of KU Leuven, Belgium, the Fonds National de la Recherche Scientifique (F.R.S.-FNRS), Belgium, the Royal Observatory of Belgium, the Observatoire de Genève, Switzerland, and the Thüringer Landessternwarte Tautenburg, Germany.Table A.1 is only available in electronic form at the CDS via anonymous ftp to http://cdsarc.u-strasbg.fr (ftp://130.79.128.5) or via http://cdsarc.u-strasbg.fr/viz-bin/qcat?J/A+A/574/A17

The world's air transportation services : data as to passengers, mail, and goods carried by American and European transportation services

NASA Technical Reports Server (NTRS)

1922-01-01

This report presents detailed descriptions, statistics, and graphs on European and American air transport. The European countries listed are Belgium, Czecho-Slovakia, Denmark, France, Germany, Great Britain, Holland, and Italy.

76 FR 25666 - Stainless Steel Plate in Coils from Belgium: Final Results of Full Sunset Review and Revocation...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-05

.... DATES: Effective Date: May 5, 2011. FOR FURTHER INFORMATION CONTACT: Patricia Tran or Jennifer Meek, AD... Analyst, to Susan H. Kuhbach, Director, AD/CVD Operations, Office 1, entitled ``Adequacy Determination in...

Comet C/2001 Q4 (NEAT)

NASA Astrophysics Data System (ADS)

Hasubick, W.; Diepvens, A.; Gonzalez, J. J.

2004-06-01

Visual total-magnitude estimates: June 8.89 UT, 6.6 (W. Hasubick, Buchloe, Germany, 10x50 binoc.); 19.93, 6.4 (A. Diepvens, Balen, Belgium, 20x50 binoc.); 21.92, 6.7 (J. J. Gonzalez, Asturias, Spain, 7x50 binoc.).

Computer-Aided Engineering Education at the K.U. Leuven.

ERIC Educational Resources Information Center

Snoeys, R.; Gobin, R.

1987-01-01

Describes some recent initiatives and developments in the computer-aided design program in the engineering faculty of the Katholieke Universiteit Leuven (Belgium). Provides a survey of the engineering curriculum, the computer facilities, and the main software packages available. (TW)

Language Education for Intercultural Communication. Multilingual Matters 96.

ERIC Educational Resources Information Center

Ager, Dennis, Ed.; And Others

Essays address the relationship between second language education and intercultural communication in several countries. Following an introduction are the following papers: "Second Language Learning in Belgium" (Ludo Beheydt); "Foreign Language Education in Bulgaria: Present-Day Situation and Future Tendencies" (Madeleine…

The International Symposium on Applied Military Psychology (20th) Held on 25-29 June 1984 in Brussels, Belgium.

DTIC Science & Technology

1984-12-07

and organization of psychological services, adjustment to military life and stress, organizational diagnosis and intervention, evaluation of new programs, and new emphases in large-scale research programs for the future.

Measuring Teaching Quality in Several European Countries

ERIC Educational Resources Information Center

van de Grift, Wim J. C. M.

2014-01-01

Teaching quality has been observed in large representative samples from Flanders (Belgium), Lower Saxony (Germany), the Slovak Republic, and The Netherlands. This study reveals that measures of "creating a safe and stimulating climate", "clear and activating instruction", and "teaching learning strategies" were…

HD 51844: An Am δ Scuti in a binary showing periastron brightening

NASA Astrophysics Data System (ADS)

Hareter, M.; Paparó, M.; Weiss, W.; García Hernández, A.; Borkovits, T.; Lampens, P.; Rainer, M.; De Cat, P.; Marcos-Arenal, P.; Vos, J.; Poretti, E.; Baglin, A.; Michel, E.; Baudin, F.; Catala, C.

2014-07-01

Context. Pulsating stars in binary systems are ideal laboratories to test stellar evolution and pulsation theory, since a direct, model-independent determination of component masses is possible. The high-precision CoRoT photometry allows a detailed view of the frequency content of pulsating stars, enabling detection of patterns in their distribution. The object HD 51844 is such a case showing periastron brightening instead of eclipses. Aims: We present a comprehensive study of the HD 51844 system, where we derive physical parameters of both components, the pulsation content and frequency patterns. Additionally, we obtain the orbital elements, including masses, and the chemical composition of the stars. Methods: Time series analysis using standard tools was employed to extract the pulsation frequencies. Photospheric abundances of 21 chemical elements were derived by means of spectrum synthesis. We derived orbital elements both by fitting the observed radial velocities and the light curves, and we did asteroseismic modelling as well. Results: We found that HD 51844 is a double lined spectroscopic binary. The determined abundances are consistent with δ Delphini classification. We determined the orbital period (33.498 ± 0.002 d), the eccentricity (0.484 ± 0.020), the mass ratio (0.988 ± 0.02), and the masses to 2.0 ± 0.2 M⊙ for both components. Only one component showed pulsation. Two p modes (f22 and f36) and one g mode (forb) may be tidally excited. Among the 115 frequencies, we detected triplets due to the frequency modulation, frequency differences connected to the orbital period, and unexpected resonances (3:2, 3:5, and 3:4), which is a new discovery for a δ Sct star. The observed frequency differences among the dominant modes suggest a large separation of 2.0-2.2 d-1, which are consistent with models of mean density of 0.063 g cm-3, and with the binary solution and TAMS evolutionary phase for the pulsating component. The binary evolution is in an intermediate evolutionary phase; the stellar rotation is super-synchronised, but circularisation of the orbit is not reached. Based on observations obtained with the HERMES spectrograph attached to the Mercator Telescope which is operated on the island of La Palma by the University of Leuven (IvS) at the Spanish Observatorio del Roque de los Muchachos of the Instituto de Astrofísica de Canarias. The HERMES spectrograph is supported by the Fund for Scientific Research of Flanders (FWO), Belgium, the Research Council of K.U. Leuven, Belgium, the Fonds National de la Recherche Scientifique (FNRS), Belgium, the Royal Observatory of Belgium, the Observatoire de Genève, Switzerland and the Thüringer Landessternwarte Tautenburg, Germany. Based on CoRoT space-based photometric data; the CoRoT space mission was developed and operated by the French space agency CNES, with the participation of ESA's RSSD and Science Programmes, Austria, Belgium, Brazil, Germany, and Spain. Based on observations collected at La Silla Observatory, ESO (Chile) with the HARPS spectrograph at the 3.6 m telescope, under programme LP185.D-0056.Table 9 is available in electronic form at http://www.aanda.org

BeTemper: thermal characterisation of the Belgian subsoil for shallow geothermal applications

NASA Astrophysics Data System (ADS)

Petitclerc, Estelle; Dusar, Michiel; Declercq, Pierre-Yves; Vanbrabant, Yves

2015-04-01

The current energy transition towards Renewable Energy Sources (RES) is mainly driven in Belgium by intermittent sources such as wind turbines and photovoltaic panels. Other sources are however available, such as biomass and geothermal resources. The latter can take various forms among which Ground Source Heat Pumps (GSHP). This Geothermal RES could be an important supply for the heating/cooling market, which represents 48% of the energy consumption in Belgium. The interest in using the ground as a source or storage device for thermal energy has grown considerably in the last few years and the market is expected to grow significantly by 2020 (Petitclerc, 2013). However, research in the thermal characteristics of the soil and subsoil is lagging behind the industrial technological development. Sizing errors of installations increasing the budget are therefore frequent and promising projects are abandoned. BeTemper was launched in 2014 for a period of 2 years. It aims to assess the shallow geothermal potential in Belgium through analysis of rock thermal properties from the surface to a depth of 150 m, which covers the standard depth for a vertical loop system currently installed in Belgium (75% of the GSHP market). The project focuses on laboratory thermal properties analyses (thermal conductivity (λ in W/m.K) and diffusivity (m²/s)) of about 400 rock samples corresponding to 30 different lithologies. Influences of water content, of porosity, of mineralogical composition and of mineralogical texture on these thermal parameters are studied. Thermal parameters measurements are performed with the high-resolution Thermal Conductivity Scanning method (Popov 1999, 2012) for both saturated and dry conditions. The mineralogical and petrological analyses are conducted thanks to different analytical equipments of the mineralogical and petrological laboratory at the RBINS-GSB. The proportion of the different mineralogical phases of samples are evaluated with the Panalytical X-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.

The Teaching of Anthropology: A Comparative Study.

ERIC Educational Resources Information Center

Lombard, Jacques

1984-01-01

College-level anthropology teaching in various countries, including Belgium, France, Germany, the Netherlands, Portugal, South Africa, the United Kingdom, and Yugoslavia, is compared. Terminology is examined and historical background is provided. Also discussed are educational crises, the organization of teaching, and teaching methods. (RM)

L'Ecole Maternelle Belge: Son Histoire, Ses Nouvelles Preoccupations.

ERIC Educational Resources Information Center

Delhaxhe, Arlette

1988-01-01

Notes two new concerns of nursery schools in Belgium: (1) increased numbers of very young children participating in programs not designed for children their age; and (2) the inability of after-school programs to meet the educational needs of the participants. (SKC)

Preface: phys. stat. sol. (a) 202/11

NASA Astrophysics Data System (ADS)

Bergonzo, Philippe; Nesládek, Milo

2005-09-01

The present issue of physica status solidi (a) contains a collection of 31 papers presented at the 10th International Workshop on Surface and Bulk Defects in CVD Diamond Films held in Diepenbeek-Hasselt, Belgium, 23-25 February 2005. The 10th anniversary of the meeting proved the success of the concept, which originated in 1996 with the idea of bringing together scientists who are active and innovative in the field of electronic and optical properties of thin film diamond. This year the programme contained 9 invited oral talks, 14 contributed oral talks and 34 posters. 103 Participants from 14 countries (Austria, Belgium, Czech Republic, Finland, France, Germany, Japan, Mexico, Poland, Slovak Republic, Sweden, Switzerland, UK, USA) took part in the meeting. The meeting was traditionally directed towards topics ranging from defects and their characterization as well as electrical transport in CVD diamond towards modern diamond thin film devices including bio-sensing applications. Also, diamond homoepitaxial and heteroepitaxial growth, doping, hydrogen induced surface conductivity and several other topics including defects in boron nitride materials were addressed. Intense and lively discussions were as usual part of this meeting to which the hospitality of the city of Hasselt contributed greatly.The workshop would have not been possible without the support of many people and institutions. We also acknowledge the financial support of the Scientific Research Community of the F.W.O.-Vlaanderen (Belgium) and the University of Hasselt. We also thank the editorial staff of physica status solidi, most notably Stefan Hildebrandt, for their excellent and patient work. Finally, we would like to thank Ken Haenen, whose skills for the successful organization are gratefully acknowledged.August 2005

Mortality in adult immigrants in the 2000s in Belgium: a test of the 'healthy-migrant' and the 'migration-as-rapid-health-transition' hypotheses.

PubMed

Vandenheede, Hadewijch; Willaert, Didier; De Grande, Hannelore; Simoens, Steven; Vanroelen, Christophe

2015-12-01

Firstly, to map out and compare all-cause and cause-specific mortality patterns by migrant background in Belgium; and secondly, to probe into explanations for the observed patterns, more specifically into the healthy-migrant, acculturation and the migration-as-rapid-health-transition theories. Data comprise individually linked Belgian census-mortality follow-up data for the period 2001-2011. All official inhabitants aged 25-54 at time of the census were included. To delve into the different explanations, differences in all-cause and chronic- and infectious-disease mortality were estimated using Poisson regression models, adjusted for age, socioeconomic position and urbanicity. First-generation immigrants have lower all-cause and chronic-disease mortality than the host population. This mortality advantage wears off with length of stay and is more marked among non-Western than Western first-generation immigrants. For example, Western and non-Western male immigrants residing 10 years or more in Belgium have a mortality rate ratio for cardiovascular disease of 0.72 (95% CI 0.66-0.78) and 0.59 (95% CI 0.53-0.66), respectively (vs host population). The pattern of infectious-disease mortality in migrants is slightly different, with rather high mortality rates in first-generation sub-Saharan Africans and rather low rates in all other immigrant groups. As for second-generation immigrants, the picture is gloomier, with a mortality disadvantage that disappears after control for socioeconomic position. Findings are largely consistent with the healthy-migrant, acculturation and the migration-as-rapid-health-transition theories. The convergence of the mortality profile of second-generation immigrants towards that of the host population with similar socioeconomic position indicates the need for policies simultaneously addressing different areas of deprivation. © 2015 John Wiley & Sons Ltd.

Cost-effectiveness and budget impact analysis of a population-based screening program for colorectal cancer.

PubMed

Pil, L; Fobelets, M; Putman, K; Trybou, J; Annemans, L

2016-07-01

Colorectal cancer (CRC) is one of the leading causes of cancer mortality in Belgium. In Flanders (Belgium), a population-based screening program with a biennial immunochemical faecal occult blood test (iFOBT) in women and men aged 56-74 has been organised since 2013. This study assessed the cost-effectiveness and budget impact of the colorectal population-based screening program in Flanders (Belgium). A health economic model was conducted, consisting of a decision tree simulating the screening process and a Markov model, with a time horizon of 20years, simulating natural progression. Predicted mortality and incidence, total costs, and quality-adjusted life-years (QALYs) with and without the screening program were calculated in order to determine the incremental cost-effectiveness ratio of CRC screening. Deterministic and probabilistic sensitivity analyses were conducted, taking into account uncertainty of the model parameters. Mortality and incidence were predicted to decrease over 20years. The colorectal screening program in Flanders is found to be cost-effective with an ICER of 1681/QALY (95% CI -1317 to 6601) in males and €4,484/QALY (95% CI -3254 to 18,163). The probability of being cost-effective given a threshold of €35,000/QALY was 100% and 97.3%, respectively. The budget impact analysis showed the extra cost for the health care payer to be limited. This health economic analysis has shown that despite the possible adverse effects of screening and the extra costs for the health care payer and the patient, the population-based screening program for CRC in Flanders is cost-effective and should therefore be maintained. Copyright © 2016 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

Waste Isolation Pilot Plant Materials Interface Interactions Test: Papers presented at the Commission of European Communities workshop on in situ testing of radioactive waste forms and engineered barriers

DOE Office of Scientific and Technical Information (OSTI.GOV)

Molecke, M.A.; Sorensen, N.R.; Wicks, G.G.

The three papers in this report were presented at the second international workshop to feature the Waste Isolation Pilot Plant (WIPP) Materials Interface Interactions Test (MIIT). This Workshop on In Situ Tests on Radioactive Waste Forms and Engineered Barriers was held in Corsendonk, Belgium, on October 13--16, 1992, and was sponsored by the Commission of the European Communities (CEC). The Studiecentrum voor Kernenergie/Centre D`Energie Nucleaire (SCK/CEN, Belgium), and the US Department of Energy (via Savannah River) also cosponsored this workshop. Workshop participants from Belgium, France, Germany, Sweden, and the United States gathered to discuss the status, results and overviews ofmore » the MIIT program. Nine of the twenty-five total workshop papers were presented on the status and results from the WIPP MIIT program after the five-year in situ conclusion of the program. The total number of published MIIT papers is now up to almost forty. Posttest laboratory analyses are still in progress at multiple participating laboratories. The first MIIT paper in this document, by Wicks and Molecke, provides an overview of the entire test program and focuses on the waste form samples. The second paper, by Molecke and Wicks, concentrates on technical details and repository relevant observations on the in situ conduct, sampling, and termination operations of the MIIT. The third paper, by Sorensen and Molecke, presents and summarizes the available laboratory, posttest corrosion data and results for all of the candidate waste container or overpack metal specimens included in the MIIT program.« less

Regional Inequalities in Lung Cancer Mortality in Belgium at the Beginning of the 21st Century: The Contribution of Individual and Area-Level Socioeconomic Status and Industrial Exposure.

PubMed

Hagedoorn, Paulien; Vandenheede, Hadewijch; Willaert, Didier; Vanthomme, Katrien; Gadeyne, Sylvie

2016-01-01

Being a highly industrialized country with one of the highest male lung cancer mortality rates in Europe, Belgium is an interesting study area for lung cancer research. This study investigates geographical patterns in lung cancer mortality in Belgium. More specifically it probes into the contribution of individual as well as area-level characteristics to (sub-district patterns in) lung cancer mortality. Data from the 2001 census linked to register data from 2001-2011 are used, selecting all Belgian inhabitants aged 65+ at time of the census. Individual characteristics include education, housing status and home ownership. Urbanicity, unemployment rate, the percentage employed in mining and the percentage employed in other high-risk industries are included as sub-district characteristics. Regional variation in lung cancer mortality at sub-district level is estimated using directly age-standardized mortality rates. The association between lung cancer mortality and individual and area characteristics, and their impact on the variation of sub-district level is estimated using multilevel Poisson models. Significant sub-district variations in lung cancer mortality are observed. Individual characteristics explain a small share of this variation, while a large share is explained by sub-district characteristics. Individuals with a low socioeconomic status experience a higher lung cancer mortality risk. Among women, an association with lung cancer mortality is found for the sub-district characteristics urbanicity and unemployment rate, while for men lung cancer mortality was associated with the percentage employed in mining. Not just individual characteristics, but also area characteristics are thus important determinants of (regional differences in) lung cancer mortality.

Does legal physician-assisted dying impede development of palliative care? The Belgian and Benelux experience.

PubMed

Chambaere, Kenneth; Bernheim, Jan L

2015-08-01

In 2002, physician-assisted dying was legally regulated in the Netherlands and Belgium, followed in 2009 by Luxembourg. An internationally frequently expressed concern is that such legislation could stunt the development of palliative care (PC) and erode its culture. To study this, we describe changes in PC development 2005-2012 in the permissive Benelux countries and compare them with non-permissive countries. Focusing on the seven European countries with the highest development of PC, which include the three euthanasia-permissive and four non-permissive countries, we compared the structural service indicators for 2005 and 2012 from successive editions of the European Atlas of Palliative Care. As an indicator for output delivery of services to patients, we collected the amounts of governmental funding of PC 2002-2011 in Belgium, the only country where we could find these data. The rate of increase in the number of structural PC provisions among the compared countries was the highest in the Netherlands and Luxembourg, while Belgium stayed on a par with the UK, the benchmark country. Belgian government expenditure for PC doubled between 2002 and 2011. Basic PC expanded much more than endowment-restricted specialised PC. The hypothesis that legal regulation of physician-assisted dying slows development of PC is not supported by the Benelux experience. On the contrary, regulation appears to have promoted the expansion of PC. Continued monitoring of both permissive and non-permissive countries, preferably also including indicators of quantity and quality of delivered care, is needed to evaluate longer-term effects. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

House Sparrows Do Not Constitute a Significant Salmonella Typhimurium Reservoir across Urban Gradients in Flanders, Belgium

PubMed Central

Rouffaer, Lieze Oscar; Lens, Luc; Haesendonck, Roel; Teyssier, Aimeric; Hudin, Noraine Salleh; Strubbe, Diederik; Haesebrouck, Freddy; Pasmans, Frank; Martel, An

2016-01-01

In recent decades major declines in urban house sparrow (Passer domesticus) populations have been observed in north-western European cities, whereas suburban and rural house sparrow populations have remained relatively stable or are recovering from previous declines. Differential exposure to avian pathogens known to cause epidemics in house sparrows may in part explain this spatial pattern of declines. Here we investigate the potential effect of urbanization on the development of a bacterial pathogen reservoir in free-ranging house sparrows. This was achieved by comparing the prevalence of Salmonella enterica subspecies enterica serotype Typhimurium in 364 apparently healthy house sparrows captured in urban, suburban and rural regions across Flanders, Belgium between September 2013 and March 2014. In addition 12 dead birds, received from bird rescue centers, were necropsied. The apparent absence of Salmonella Typhimurium in fecal samples of healthy birds, and the identification of only one house sparrow seropositive for Salmonella spp., suggests that during the winter of 2013–2014 these birds did not represent any considerable Salmonella Typhimurium reservoir in Belgium and thus may be considered naïve hosts, susceptible to clinical infection. This susceptibility is demonstrated by the isolation of two different Salmonella Typhimurium strains from two of the deceased house sparrows: one DT99, typically associated with disease in pigeons, and one DT195, previously associated with a passerine decline. The apparent absence (prevalence: <1.3%) of a reservoir in healthy house sparrows and the association of infection with clinical disease suggests that the impact of Salmonella Typhimurium on house sparrows is largely driven by the risk of exogenous exposure to pathogenic Salmonella Typhimurium strains. However, no inference could be made on a causal relationship between Salmonella infection and the observed house sparrow population declines. PMID:27168186

Pathways of equality through education: impact of gender (in)equality and maternal education on exclusive breastfeeding among natives and migrants in Belgium.

PubMed

Vanderlinden, Karen; Van de Putte, Bart

2017-04-01

Even though breastfeeding is typically considered the preferred feeding method for infants worldwide, in Belgium, breastfeeding rates remain low across native and migrant groups while the underlying determinants are unclear. Furthermore, research examining contextual effects, especially regarding gender (in)equality and ideology, has not been conducted. We hypothesized that greater gender equality scores in the country of origin will result in higher breastfeeding chances. Because gender equality does not operate only at the contextual level but can be mediated through individual level resources, we hypothesized the following for maternal education: higher maternal education will be an important positive predictor for exclusive breastfeeding chances in Belgium, but its effects will differ over subsequent origin countries. Based on IKAROS data (GeÏntegreerd Kind Activiteiten en Regio Ondersteunings Systeem), we perform multilevel analyses on 27 936 newborns. Feeding method is indicated by exclusive breastfeeding 3 months after childbirth. We measure gender (in)equality using Global Gender Gap scores from the mother's origin country. Maternal education is a metric variable based on International Standard Classification of Education indicators. Results show that 3.6% of the variation in breastfeeding can be explained by differences between the migrant mother's country of origin. However, the effect of gender (in)equality appears to be non-significant. After adding maternal education, the effect for origin countries scoring low on gender equality turns significant. Maternal education on its own shows strong positive association with exclusive breastfeeding and, furthermore, has different effects for different origin countries. Possible explanations are discussed in-depth setting direction for further research regarding the different pathways gender (in)equality and maternal education affect breastfeeding. © 2016 John Wiley & Sons Ltd. © 2016 John Wiley & Sons Ltd.

Reconstructing historical atmospheric mercury deposition in Western Europe using: Misten peat bog cores, Belgium.

PubMed

Allan, Mohammed; Le Roux, Gael; Sonke, Jeroen E; Piotrowska, Natalia; Streel, Maurice; Fagel, Nathalie

2013-01-01

Four sediment cores were collected in 2008 from the Misten ombrotrophic peat bog in the Northern part of the Hautes Fagnes Plateau in Belgium. Total mercury (Hg) concentrations were analyzed to investigate the intra-site variability in atmospheric Hg deposition over the past 1,500 years. Mercury concentrations in the four cores ranged from 16 to 1,100 μg kg(-1), with the maxima between 840 and 1,100 μg kg(-1). A chronological framework was established using radiometric (210)Pb and (14)C dating of two cores (M1 and M4). Pollen horizons from these two cores were correlated with data from two additional cores, providing a consistent dating framework between all the sites. There was good agreement between atmospheric Hg accumulation rates in the four cores over time based on precise age dating and pollen chronosequences. The average Hg accumulation rate before the influence of human activities (from 500 to 1,300 AD) was 1.8 ± 1 μg m(-2)y(-1) (2SD). Maximum Hg accumulation rates ranged from 90 to 200 μg m(-2)y(-1) between 1930 and 1980 AD. During the European-North American Industrial Revolution, the mean Hg accumulation rate exceeded the pre-Industrial values by a factor of 63. Based on comparisons with historical records of anthropogenic activities in Europe and Belgium, the predominant regional anthropogenic sources of Hg during and after the Industrial Revolution were coal burning and smelter Hg emissions. Mercury accumulation rates and chronologies in the Misten cores were consistent with those reported for other European peat records. Copyright © 2012 Elsevier B.V. All rights reserved.

An economic evaluation based on a randomized placebo-controlled trial of varenicline in smokers with cardiovascular disease: results for Belgium, Spain, Portugal, and Italy.

PubMed

Wilson, Koo; Hettle, Robert; Marbaix, Sophie; Diaz Cerezo, Silvia; Ines, Monica; Santoni, Laura; Annemans, Lieven; Prignot, Jacques; Lopez de Sa, Esteban

2012-10-01

An estimated 17.2% of patients continue to smoke following diagnosis of cardiovascular disease (CVD). To reduce the risk of further morbidity or mortality in cardiovascular patients, smoking cessation has been shown to reduce the risk of mortality by 36% and myocardial infarction by 32%. The objective of this study was to evaluate the long-term health and economic consequences of smoking cessation in patients with CVD. Results of a randomized clinical trial comparing varenicline plus counselling vs. placebo plus counselling were extrapolated using a Markov model to simulate the lifetime costs and health consequences of smoking cessation in patients with stable CVD. For the base case, we considered a payer's perspective including direct costs attributed to the healthcare provider, measuring cumulative life years (LY) and quality adjusted life (QALY) years as outcome measures. Secondary analyses were conducted from a societal perspective, evaluating lost productivity due to premature mortality. Sensitivity and subgroup analyses were also undertaken. Results were analysed for Belgium, Spain, Portugal, and Italy. Varenicline plus counselling was associated with a gain in LY and QALY across all countries; relative to placebo plus counselling. From a payer's perspective, incremental cost effectiveness ratios were € 6120 (Belgium), € 5151 (Spain), € 5357 (Portugal), and € 5433 (Italy) per QALY gained. From a societal perspective, varenicline in addition to counselling was less costly than placebo and counselling in all cases. Sensitivity analyses showed little sensitivity in outcomes to model assumptions or uncertainty in model parameters. Varenicline in addition to counselling is cost-effective compared to placebo and counselling in smokers with CVD.

Methodology for heritage conservation in Belgium based on multi-temporal interferometry

NASA Astrophysics Data System (ADS)

Bejarano-Urrego, L.; Verstrynge, E.; Shimoni, M.; Lopez, J.; Walstra, J.; Declercq, P.-Y.; Derauw, D.; Hayen, R.; Van Balen, K.

2017-09-01

Soil differential settlements that cause structural damage to heritage buildings are precipitating cultural and economic value losses. Adequate damage assessment as well as protection and preservation of the built patrimony are priorities at national and local levels, so they require advanced integration and analysis of environmental, architectural and historical parameters. The GEPATAR project (GEotechnical and Patrimonial Archives Toolbox for ARchitectural conservation in Belgium) aims to create an online interactive geo-information tool that allows the user to view and to be informed about the Belgian heritage buildings at risk due to differential soil settlements. Multi-temporal interferometry techniques (MTI) have been proven to be a powerful technique for analyzing earth surface deformation patterns through time series of Synthetic Aperture Radar (SAR) images. These techniques allow to measure ground movements over wide areas at high precision and relatively low cost. In this project, Persistent Scatterer Synthetic Aperture Radar Interferometry (PS-InSAR) and Multidimensional Small Baseline Subsets (MSBAS) are used to measure and monitor the temporal evolution of surface deformations across Belgium. This information is integrated with the Belgian heritage data by means of an interactive toolbox in a GIS environment in order to identify the level of risk. At country scale, the toolbox includes ground deformation hazard maps, geological information, location of patrimony buildings and land use; while at local scale, it includes settlement rates, photographic and historical surveys as well as architectural and geotechnical information. Some case studies are investigated by means of on-site monitoring techniques and stability analysis to evaluate the applied approaches. This paper presents a description of the methodology being implemented in the project together with the case study of the Saint Vincent's church which is located on a former colliery zone. For this building, damage is assessed by means of PSInSAR.

Vegetarianism and meat consumption: A comparison of attitudes and beliefs between vegetarian, semi-vegetarian, and omnivorous subjects in Belgium.

PubMed

Mullee, Amy; Vermeire, Leen; Vanaelst, Barbara; Mullie, Patrick; Deriemaeker, Peter; Leenaert, Tobias; De Henauw, Stefaan; Dunne, Aoibheann; Gunter, Marc J; Clarys, Peter; Huybrechts, Inge

2017-07-01

High levels of meat consumption in Belgium may be contributing to increased risk of non-communicable diseases in this population. The objective of this study is to investigate the attitudes and beliefs about vegetarianism and meat consumption among the Belgian population, ultimately to better understand the motivations underlying these dietary behaviours. This cross-sectional study was initiated in March 2011. A total of 2436 individuals from a representative consumer panel from the Flemish and Brussels communities participated. The study sample was evenly distributed by education level and sex (1238 men and 1198 women). An online questionnaire with multiple-choice questions about vegetarianism and meat consumption was completed by all participants. Although representative of the prevalence of vegetarians in the population, the number of vegetarians in the study was low (n = 38); the number of semi-vegetarians (n = 288) and omnivores was high (n = 2031). Vegetarians were more likely than semi-vegetarians to agree that meat production is bad for the environment and that meat consumption is unhealthy. Important reasons for not being vegetarian included lack of interest and awareness, taste, and limited cooking skills. Encouragingly, health and discovering new tastes were seen as the most important motives for considering eating a more vegetarian-based diet. The results of this study highlight the motivations that can be used for encouraging the general public to reduce their meat consumption in favour of a plant-rich diet, and will help to inform more targeted health campaigns for reducing meat consumption in Belgium. Copyright © 2017 Elsevier Ltd. All rights reserved.

International adoption from Ethiopia: An overview of the health status at arrival in Belgium.

PubMed

Van Kesteren, Lydia; Wojciechowski, Marek

2017-10-01

Ethiopia is a densely populated country with a fast growing economy. Still socioeconomic and health issues render many children parentless. One thousand and twenty eight Ethiopian children have been adopted in Belgium from September 2005 to September 2015. Little has been published about their health status at arrival. Three hundred and fifteen children adopted from Ethiopia were clinically evaluated at the Institute of Tropical Medicine in Antwerp from 1 January 2008 until 31 December 2014. Epidemiological and medical data were collected and analysed retrospectively. Data about 164 boys and 151 girls with a mean age of three years were analysed. Twenty per cent was adequately vaccinated, for 66.7% of children these data were absent. About 8.6% of the children were wasted/thin, 28.9% stunted. Skin abnormalities were seen in 40.3%, especially Tinea capitis. No children tested positive for HIV, syphilis or hepatitis C. Four children had an acute or chronic hepatitis B (HBV) infection, eight children had a cured HBV infection. Two children tested positive for malaria. Active pulmonary tuberculosis was found in six children. Sixty-two per cent had one or more intestinal parasite. Giardia lamblia (41.9%) and Blastocystis hominis (27.0%) were most frequently isolated. There is a statistically relevant association between the number of intestinal parasites and age at presentation. In this group eosinophilia had a sensitivity of 30.2%, a specificity of 79.1% for intestinal parasites and a positive likelihood ratio of 1.44 with a negative likelihood ratio of 0.88. Apart from the high prevalence of stunting and intestinal parasites important medical problems were infrequent. A systematic clinical examination and screening for infectious diseases remain important to ensure a healthy start of a new life in Belgium.

The Belgian, French and Dutch midwife on trial: A critical case study.

PubMed

Eggermont, Marlies

2015-05-01

to develop juridical recommendations in order to avoid midwifery medical liability when providing intrapartum care. case law of the past 40 years concerning midwifery medical negligence when assisting labour/delivery in a hospital was analysed. Databases used were Jura and Judit (Belgium), Legifrance, Juricaf and Dalloz (France) and Recht, Rechtspraak (The Netherlands). A minority of cases were retrieved through contacts with insurance companies (only Belgium), lawyers and courts. law suits in Belgium, France and The Netherlands. the 100 analysed cases could be categorised into four types. The judicial assessment was focused on three domains of expertise of the midwife. Most cases involved interpreting fetal monitoring (47%), followed by recognising a specific pathology (32%) and responding to a complication (12%). A fourth type of case concerned exceeding the boundaries of the legal competencies of the midwife (9%). not identifying fetal distress through fetal monitoring was the most common cause of midwifery liability (15/47), followed by not recognising the symptoms of a pathology (10/32), particularly placental abruption and uterine rupture. Also an inaccurate response to complications (3/12) and evidently exceeding the professional competencies involved midwifery liability. achieving cardiotocograph interpretation skills is the first and most important recommendation. In pathologic cases, the midwife should immediately refer to an obstetrician, without any hesitation. The third recommendation is working in a team with the obstetrician. If the midwife has reasonable (evidence-based) doubts about the practice of the obstetrician, she should insist on re-assessment with respect to the boundaries of her competencies. The fourth recommendation concerns practising with knowledge of the client׳s/patient׳s medical record and updating the record with performances and observations. Consciously choosing the type of medical intervention in urgent cases of pathology is the final recommendation. Copyright © 2015 Elsevier Ltd. All rights reserved.

Detecting genome-wide gene transcription profiles associated with high pollution burden in the critically endangered European eel.

PubMed

Pujolar, J M; Milan, M; Marino, I A M; Capoccioni, F; Ciccotti, E; Belpaire, C; Covaci, A; Malarvannan, G; Patarnello, T; Bargelloni, L; Zane, L; Maes, G E

2013-05-15

The European eel illustrates an example of a critically endangered fish species strongly affected by human stressors throughout its life cycle, in which pollution is considered to be one of the factors responsible for the decline of the stock. The objective of our study was to better understand the transcriptional response of European eels chronically exposed to pollutants in their natural environment. A total of 42 pre-migrating (silver) female eels from lowly, highly and extremely polluted environments in Belgium and, for comparative purposes, a lowly polluted habitat in Italy were measured for polychlorinated biphenyls (PCBs), organochlorine pesticides (OCPs) and brominated flame retardants (BFRs). Multipollutant level of bioaccumulation was linked to their genome-wide gene transcription using an eel-specific array of 14,913 annotated cDNAs. Shared responses to pollutant exposure were observed when comparing the highly polluted site in Belgium with the relatively clean sites in Belgium and Italy. First, an altered pattern of transcription of genes was associated with detoxification, with a novel European eel CYP3A gene and gluthatione S-transferase transcriptionally up-regulated. Second, an altered pattern of transcription of genes associated with the oxidative phosphorylation pathway, with the following genes involved in the generation of ATP being transcriptionally down-regulated in individuals from the highly polluted site: NADH dehydrogenase, succinate dehydrogenase, ubiquinol-cytochrome c reductase, cytochrome c oxidase and ATP synthase. Although we did not measure metabolism directly, seeing that the transcription level of many genes encoding enzymes involved in the mitochondrial respiratory chain and oxidative phosphorylation were down-regulated in the highly polluted site suggests that pollutants may have a significant effect on energy metabolism in these fish. Copyright © 2013 Elsevier B.V. All rights reserved.

Female genital mutilation: knowledge, attitude and practices of Flemish midwives.

PubMed

Cappon, Sien; L'Ecluse, Charlotte; Clays, Els; Tency, Inge; Leye, Els

2015-03-01

health professionals in Belgium are confronted with female genital mutilation (FGM). To date, no survey to assess knowledge, attitudes and practices on FGM was conducted among midwives in the Northern region of Belgium. the objective of this study was to assess the knowledge, attitude and practices of Flemish midwives regarding female genital mutilation (FGM). we used a quantitative design, using KAP study (semi-structured questionnaire). labour wards, maternity wards and maternal intensive care units (MIC) in 56 hospitals in Flemish region of Belgium. 820 midwives, actively working in labour wards, maternity wards and maternal intensive care units (MIC). 820 valid questionnaires (40.9%) were returned. More than 15% of the respondents were recently confronted with FGM. They were mostly faced with the psychological and sexual complications caused by FGM. Few respondents were aware of existing guidelines regarding FGM in their hospitals (3.5%). The results also showed that only 20.2% was aware of the exact content of the law. The majority of midwives condemned the harmful traditional practice: FGM was experienced as a form of violence against women or a violation of human rights. Only 25.9% declared that FGM forms a part of their midwifery program. The vast majority of respondents (92.5%) indicated a need for more information on the subject. this study indicated that midwives in Flanders are confronted with FGM and its complications and highlighted the gaps in the knowledge of Flemish midwives regarding FGM. This may interfere with the provision of adequate care and prevention of FGM for the new-born daughter. there is an important need for appropriate training of (student)midwives concerning FGM as well as for the development and dissemination of clear guidelines in Flemish hospitals. Copyright © 2014 Elsevier Ltd. All rights reserved.

Cost-effectiveness of vaccination against herpes zoster in adults aged over 60 years in Belgium.

PubMed

Bilcke, Joke; Marais, Christiaan; Ogunjimi, Benson; Willem, Lander; Hens, Niel; Beutels, Philippe

2012-01-11

To assess the cost-effectiveness of vaccinating all or subgroups of adults aged 60 to 85 years against herpes zoster. A deterministic compartmental static model was developed (in freeware R), in which cohorts can acquire herpes zoster according to their age in years. Surveys and database analyses were conducted to obtain as much as possible Belgian age-specific estimates for input parameters. Direct costs and Quality-Adjusted Life-Year (QALY) losses were estimated as a function of standardised Severity Of Illness (SOI) scores (i.e. as a function of the duration and severity of herpes zoster disease). Uncertainty about the average SOI score for a person with herpes zoster, the duration of protection from the vaccine, and the population that can benefit from the vaccine, exerts a major impact on the results: under assumptions least in favour of vaccination, vaccination is not cost-effective (i.e. incremental cost per QALY gained >€48,000 for all ages considered) at the expected vaccine price of €90 per dose. At the same price, but under assumptions most in favour of vaccination, vaccination is found to be cost-effective (i.e. incremental cost per QALY gained <€5500 for all ages considered). Vaccination of age cohort 60 seems more cost-effective than vaccination of any older age cohort in Belgium. If the vaccine price per dose drops to €45, HZ vaccination of adults aged 60-64 years is likely to be cost-effective in Belgium, even under assumptions least in favour of vaccination. Unlike previous studies, our analysis acknowledged major methodological and model uncertainties simultaneously and presented outcomes for 26 different target ages at which vaccination can be considered (ages 60-85). Copyright © 2011 Elsevier Ltd. All rights reserved.

Administration of adjuvant chemotherapy for stage II-III colon cancer patients: An European population-based study.

PubMed

Babaei, Masoud; Balavarca, Yesilda; Jansen, Lina; Lemmens, Valery; van Erning, Felice N; van Eycken, Liesbet; Vaes, Evelien; Sjövall, Annika; Glimelius, Bengt; Ulrich, Cornelia M; Schrotz-King, Petra; Brenner, Hermann

2018-04-01

The advantage of adjuvant chemotherapy (ACT) for treating Stage III colon cancer patients is well established and widely accepted. However, many patients with Stage III colon cancer do not receive ACT. Moreover, there are controversies around the effectiveness of ACT for Stage II patients. We investigated the administration of ACT and its association with overall survival in resected Stage II (overall and stratified by low-/high-risk) and Stage III colon cancer patients in three European countries including The Netherlands (2009-2014), Belgium (2009-2013) and Sweden (2009-2014). Hazard ratios (HR) for death were obtained by Cox regression models adjusted for potential confounders. A total of 60244 resected colon cancer patients with pathological Stages II and III were analyzed. A small proportion (range 9-24%) of Stage II and over half (range 55-68%) of Stage III patients received ACT. Administration of ACT in Stages II and III tumors decreased with higher age of patients. Administration of ACT was significantly associated with higher overall survival in high-risk Stage II patients (in The Netherlands (HR; 95%CI = 0.82 (0.67-0.99), Belgium (0.73; 0.59-0.90) and Sweden (0.58; 0.44-0.75)), and in Stage III patients (in The Netherlands (0.47; 0.43-0.50), Belgium (0.46; 0.41-0.50) and Sweden (0.48; 0.43-0.54)). In Stage III, results were consistent across subgroups including elderly patients. Our results show an association of ACT with higher survival among Stage III and high-risk Stage II colon cancer patients. Further investigations are needed on the selection criteria of Stages II and III colon cancer patients for ACT. © 2017 UICC.

Radiotherapy access in Belgium: How far are we from evidence-based utilisation?

PubMed

Lievens, Y; De Schutter, H; Stellamans, K; Rosskamp, M; Van Eycken, L

2017-10-01

Underutilisation of radiotherapy has been observed worldwide. To evaluate the current situation in Belgium, optimal utilisation proportions (OUPs) adopted from the European SocieTy for Radiotherapy and Oncology - Health Economics in Radiation Oncology (ESTRO-HERO) project were compared to actual utilisation proportions (AUPs) and with radiotherapy advised during the multidisciplinary cancer team (MDT) meetings. In addition, the impact of independent variables was analysed. AUPs and advised radiotherapy were calculated overall and by cancer type for 110,810 unique cancer diagnoses in 2009-2010. Radiotherapy utilisation was derived from reimbursement data and distinguished between palliative and curative intent external beam radiotherapy (EBRT) and/or brachytherapy (BT). Sensitivity analyses regarding the influence of the follow-up period, the survival length and patient's age were performed. Advised radiotherapy was calculated based on broad treatment categories as reported at MDT meetings. The overall AUP of 37% (39% including BT) was lower than the OUP of 53%, but in line with advised radiotherapy (35%). Large variations by tumour type were observed: in some tumours (e.g. lung and prostate cancer) AUP was considerably lower than OUP, whereas in others there was reasonable concordance (e.g. breast and rectal cancer). Overall, 84% of treatments started within 9 months following diagnosis. Survival time influenced AUP in a cancer type-dependent way. Elderly patients received less radiotherapy. Although the actually delivered radiotherapy in Belgium aligns well to MDT advices, it is lower than the evidence-based optimum. Further analysis of potential barriers is needed for radiotherapy forecasting and planning, and in order to promote adequate access to radiotherapy. Copyright © 2017 Elsevier Ltd. All rights reserved.

Isolated populations of Ixodes lividus ticks in the Czech Republic and Belgium host genetically homogeneous Rickettsia vini.

PubMed

Nováková, Markéta; Heneberg, Petr; Heylen, Dieter J A; Medvecký, Matej; Muñoz-Leal, Sebastián; Šmajs, David; Literák, Ivan

2018-03-01

In the last two decades, the advent of molecular methods has revealed a remarkable diversity of rickettsiae (Rickettsiales: Rickettsiaceae) in invertebrates. Several species of these obligate intracellular bacteria are known to cause human infections, hence more attention has been directed towards human-biting ectoparasites. A spotted fever group Rickettsia sp. was previously detected in Ixodes lividus ticks (Ixodidae) associated with sand martins (Hirundinidae: Riparia riparia). In order to identify whether this rickettsia varies among isolated tick populations, a total of 1758 I. lividus ticks and five Ixodes ricinus ticks (Ixodidae) were collected in the Czech Republic and 148 I. lividus ticks were collected in Belgium, from nests of sand martins, European bee-eaters (Meropidae: Merops apiaster), Eurasian tree sparrows (Passeridae: Passer montanus), and from captured sand martins. We screened 165 and 78 I. lividus ticks (from the Czech Republic and Belgium, respectively) and all five I. ricinus ticks for the presence of rickettsial DNA. Only I. lividus samples were positive for Rickettsia vini, a spotted fever group rickettsia that commonly infects the tree-hole tick Ixodes arboricola (Ixodidae). Maximum likelihood analysis of the rickettsial sequences showed that the most closely related organism to R. vini corresponds to an uncharacterized rickettsia detected in Argas lagenoplastis (Argasidae), a nidicolous soft tick of the fairy martin (Hirundinidae: Petrochelidon ariel) in Australia. The observed variability of R. vini sequences from isolated tick populations was low; all 85 sequenced samples were identical to each other in five out of six partial rickettsial genes, except for the sca4 sequence (99.9% identity, 808/809 nt) that differed in I. lividus ticks from two sampling sites in the Czech Republic. Copyright © 2018 Elsevier GmbH. All rights reserved.

House Sparrows Do Not Constitute a Significant Salmonella Typhimurium Reservoir across Urban Gradients in Flanders, Belgium.

PubMed

Rouffaer, Lieze Oscar; Lens, Luc; Haesendonck, Roel; Teyssier, Aimeric; Hudin, Noraine Salleh; Strubbe, Diederik; Haesebrouck, Freddy; Pasmans, Frank; Martel, An

2016-01-01

In recent decades major declines in urban house sparrow (Passer domesticus) populations have been observed in north-western European cities, whereas suburban and rural house sparrow populations have remained relatively stable or are recovering from previous declines. Differential exposure to avian pathogens known to cause epidemics in house sparrows may in part explain this spatial pattern of declines. Here we investigate the potential effect of urbanization on the development of a bacterial pathogen reservoir in free-ranging house sparrows. This was achieved by comparing the prevalence of Salmonella enterica subspecies enterica serotype Typhimurium in 364 apparently healthy house sparrows captured in urban, suburban and rural regions across Flanders, Belgium between September 2013 and March 2014. In addition 12 dead birds, received from bird rescue centers, were necropsied. The apparent absence of Salmonella Typhimurium in fecal samples of healthy birds, and the identification of only one house sparrow seropositive for Salmonella spp., suggests that during the winter of 2013-2014 these birds did not represent any considerable Salmonella Typhimurium reservoir in Belgium and thus may be considered naïve hosts, susceptible to clinical infection. This susceptibility is demonstrated by the isolation of two different Salmonella Typhimurium strains from two of the deceased house sparrows: one DT99, typically associated with disease in pigeons, and one DT195, previously associated with a passerine decline. The apparent absence (prevalence: <1.3%) of a reservoir in healthy house sparrows and the association of infection with clinical disease suggests that the impact of Salmonella Typhimurium on house sparrows is largely driven by the risk of exogenous exposure to pathogenic Salmonella Typhimurium strains. However, no inference could be made on a causal relationship between Salmonella infection and the observed house sparrow population declines.

Determinants of utilisation differences for cancer medicines in Belgium, Scotland and Sweden.

PubMed

Ferrario, Alessandra

2017-12-01

Little comparative evidence is available on utilisation of cancer medicines in different countries and its determinants. The aim of this study was to develop a statistical model to test the correlation between utilisation and possible determinants in selected European countries. A sample of 31 medicines for cancer treatment that obtained EU-wide marketing authorisation between 2000 and 2012 was selected. Annual data on medicines' utilisation covering the in- and out-patient public sectors were obtained from national authorities between 2008 and 2013. Possible determinants of utilisation were extracted from HTA reports and complemented by contacts with key informants. A longitudinal mixed effect model was fitted to test possible determinants of medicines utilisation in Belgium, Scotland and Sweden. In the all-country model, the number of indications reimbursed positively correlated with increased consumption of medicines [one indication 2.6, 95% CI (1.8-3.6); two indications 2.4, 95% CI (1.4-4.3); three indications 4.9, 95% CI (2.2-10.9); all P < 0.01], years since EU-wide marketing authorisation [1.2, 95% CI (1.02-1.4); p < 0.05], price per DDD [0.9, 95% CI (0.998-0.999), P < 0.01], and Prescrire rating [0.5, 95% CI (0.3-0.9), P < 0.05] after adjusting for time and other covariates. In this study, the most important correlates of increased utilisation in a sample of cancer medicines introduced in the past 15 years were: medicines coverage and time since marketing authorisation. Prices had a negative effect on consumption in Belgium and Sweden. The positive impact of financial MEAs in Scotland suggests that the latter may remove the regressive effect of list prices on consumption.

A Typology of Interprofessional Teamwork in Acute Geriatric Care: A Study in 55 units in Belgium.

PubMed

Piers, Ruth D; Versluys, Karen J J; Devoghel, Johan; Lambrecht, Sophie; Vyt, André; Van Den Noortgate, Nele J

2017-09-01

To explore the quality of interprofessional teamwork in acute geriatric care and to build a model of team types. Cross-sectional multicenter study. Acute geriatric units in Belgium. Team members of different professional backgrounds. Perceptions of interprofessional teamwork among team members of 55 acute geriatric units in Belgium were measured using a survey covering collaborative practice and experience, managerial coaching and open team culture, shared reflection and decision-making, patient files facilitating teamwork, members' belief in the power of teamwork, and members' comfort in reporting incidents. Cluster analysis was used to determine types of interprofessional teamwork. Professions and clusters were compared using analysis of variance. The overall response rate was 60%. Of the 890 respondents, 71% were nursing professionals, 20% other allied health professionals, 5% physicians, and 4% logistic and administrative staff. More than 70% of respondents scored highly on interprofessional teamwork competencies, consultation, experiences, meetings, management, and results. Fewer than 55% scored highly on items about shared reflection and decision-making, reporting incidents from a colleague, and patient files facilitating interprofessional teamwork. Nurses in this study rated shared reflection and decision-making lower than physicians on the same acute geriatric units (P < .001). Using the mean score on each of the six areas, four clusters that differed significantly in all areas were identified using hierarchical cluster analysis and scree plot analysis (P < .001). Interprofessional teamwork in acute geriatric units is satisfactory, but shared reflection and decision-making needs improvement. Four types of interprofessional teamwork are identified and can be used to benchmark the teamwork of individual teams. © 2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.

In-hospital costs associated with chronic constipation in Belgium: a retrospective database study

PubMed Central

Chevalier, P; Lamotte, M; Joseph, A; Dubois, D; Boeckxstaens, G

2014-01-01

Background Real-life data on the economic burden of chronic idiopathic constipation are scarce. The objectives of this study were to assess hospitalization resource use and costs associated with chronic constipation and its complications in Belgium. Methods This was a single country, retrospective study using the IMS Hospital Disease Database (2008), which comprises data on 34% of acute hospital beds in Belgium and contains information on patient demographics, length of stay (LOS), billed costs, drug use, diagnoses, and procedures. Stays with a primary diagnosis of constipation, or a secondary diagnosis of constipation and a concomitant diagnosis of a constipation-related complication, were selected. Patients with diagnoses of colorectal cancer, ulcerative colitis or Crohn's disease, or who had stays involving potentially constipation-inducing procedures, were excluded as having secondary constipation. Patients receiving opioids, calcium-antagonists, antipsychotics or antidepressants were excluded as having drug-induced constipation. Key Results In total, 1541 eligible patients were identified. The average unadjusted cost per day in hospital for idiopathic constipation was €441 (€311 ± 1.4 in day clinic visits without overnight stays; €711 ± 14.0 in full hospitalizations with complications). The average LOS in a full hospitalization setting was 7.0 and 4.0 days in stays with and without complications, respectively. The most frequent drug and procedural treatments were osmotically acting laxatives (with complications: 42.61%; without complications: 35.69%), and transanal enema (2.32% and 2.03%), respectively. Conclusions & Inferences The burden of constipation is often underestimated; it is a condition reflected by hospital-related costs comparable to such indications as migraine, which increase when associated with complications. PMID:24325294

In-hospital costs associated with chronic constipation in Belgium: a retrospective database study.

PubMed

Chevalier, P; Lamotte, M; Joseph, A; Dubois, D; Boeckxstaens, G

2014-03-01

Real-life data on the economic burden of chronic idiopathic constipation are scarce. The objectives of this study were to assess hospitalization resource use and costs associated with chronic constipation and its complications in Belgium. This was a single country, retrospective study using the IMS Hospital Disease Database (2008), which comprises data on 34% of acute hospital beds in Belgium and contains information on patient demographics, length of stay (LOS), billed costs, drug use, diagnoses, and procedures. Stays with a primary diagnosis of constipation, or a secondary diagnosis of constipation and a concomitant diagnosis of a constipation-related complication, were selected. Patients with diagnoses of colorectal cancer, ulcerative colitis or Crohn's disease, or who had stays involving potentially constipation-inducing procedures, were excluded as having secondary constipation. Patients receiving opioids, calcium-antagonists, antipsychotics or antidepressants were excluded as having drug-induced constipation. In total, 1541 eligible patients were identified. The average unadjusted cost per day in hospital for idiopathic constipation was €441 (€311 ± 1.4 in day clinic visits without overnight stays; €711 ± 14.0 in full hospitalizations with complications). The average LOS in a full hospitalization setting was 7.0 and 4.0 days in stays with and without complications, respectively. The most frequent drug and procedural treatments were osmotically acting laxatives (with complications: 42.61%; without complications: 35.69%), and transanal enema (2.32% and 2.03%), respectively. The burden of constipation is often underestimated; it is a condition reflected by hospital-related costs comparable to such indications as migraine, which increase when associated with complications. © 2013 The Authors. Neurogastroenterology & Motility Published by John Wiley & Sons Ltd.

Development and verification of a real-time stochastic precipitation nowcasting system for urban hydrology in Belgium

NASA Astrophysics Data System (ADS)

Foresti, L.; Reyniers, M.; Seed, A.; Delobbe, L.

2016-01-01

The Short-Term Ensemble Prediction System (STEPS) is implemented in real-time at the Royal Meteorological Institute (RMI) of Belgium. The main idea behind STEPS is to quantify the forecast uncertainty by adding stochastic perturbations to the deterministic Lagrangian extrapolation of radar images. The stochastic perturbations are designed to account for the unpredictable precipitation growth and decay processes and to reproduce the dynamic scaling of precipitation fields, i.e., the observation that large-scale rainfall structures are more persistent and predictable than small-scale convective cells. This paper presents the development, adaptation and verification of the STEPS system for Belgium (STEPS-BE). STEPS-BE provides in real-time 20-member ensemble precipitation nowcasts at 1 km and 5 min resolutions up to 2 h lead time using a 4 C-band radar composite as input. In the context of the PLURISK project, STEPS forecasts were generated to be used as input in sewer system hydraulic models for nowcasting urban inundations in the cities of Ghent and Leuven. Comprehensive forecast verification was performed in order to detect systematic biases over the given urban areas and to analyze the reliability of probabilistic forecasts for a set of case studies in 2013 and 2014. The forecast biases over the cities of Leuven and Ghent were found to be small, which is encouraging for future integration of STEPS nowcasts into the hydraulic models. Probabilistic forecasts of exceeding 0.5 mm h-1 are reliable up to 60-90 min lead time, while the ones of exceeding 5.0 mm h-1 are only reliable up to 30 min. The STEPS ensembles are slightly under-dispersive and represent only 75-90 % of the forecast errors.

Development and verification of a real-time stochastic precipitation nowcasting system for urban hydrology in Belgium

NASA Astrophysics Data System (ADS)

Foresti, L.; Reyniers, M.; Seed, A.; Delobbe, L.

2015-07-01

The Short-Term Ensemble Prediction System (STEPS) is implemented in real-time at the Royal Meteorological Institute (RMI) of Belgium. The main idea behind STEPS is to quantify the forecast uncertainty by adding stochastic perturbations to the deterministic Lagrangian extrapolation of radar images. The stochastic perturbations are designed to account for the unpredictable precipitation growth and decay processes and to reproduce the dynamic scaling of precipitation fields, i.e. the observation that large scale rainfall structures are more persistent and predictable than small scale convective cells. This paper presents the development, adaptation and verification of the system STEPS for Belgium (STEPS-BE). STEPS-BE provides in real-time 20 member ensemble precipitation nowcasts at 1 km and 5 min resolution up to 2 h lead time using a 4 C-band radar composite as input. In the context of the PLURISK project, STEPS forecasts were generated to be used as input in sewer system hydraulic models for nowcasting urban inundations in the cities of Ghent and Leuven. Comprehensive forecast verification was performed in order to detect systematic biases over the given urban areas and to analyze the reliability of probabilistic forecasts for a set of case studies in 2013 and 2014. The forecast biases over the cities of Leuven and Ghent were found to be small, which is encouraging for future integration of STEPS nowcasts into the hydraulic models. Probabilistic forecasts of exceeding 0.5 mm h-1 are reliable up to 60-90 min lead time, while the ones of exceeding 5.0 mm h-1 are only reliable up to 30 min. The STEPS ensembles are slightly under-dispersive and represent only 80-90 % of the forecast errors.

Phage and MLVA typing of Salmonella enteritidis isolated from layers and humans in Belgium from 2000-2010, a period in which vaccination of laying hens was introduced.

PubMed

Dewaele, I; Heyndrickx, M; Rasschaert, G; Bertrand, S; Wildemauwe, C; Wattiau, P; Imberechts, H; Herman, L; Ducatelle, R; Van Weyenberg, S; De Reu, K

2014-09-01

The aim of the study was to characterize isolates of Salmonella enterica serovar Enteritidis (S. Enteritidis) obtained from humans and layer farms in Belgium collected during 2000-2010. Three periods were compared, namely (i) before implementation of vaccination (2000-2004), (ii) during voluntary vaccination (2005-2006) and (iii) during implementation of the national control program (NCP) for Salmonella including mandatory vaccination against S. Enteritidis (2007-2010). The characteristics compared across time periods were distributions of phage type and multiple-locus variable number tandem-repeat assay (MLVA). While PT4 and PT21 were predominantly isolated in Belgium in layers and humans before 2007, a significant reduction of those PTs was observed in both populations in the period 2007-2010. The relative proportion of PT4b, PT21c and PT6c was found to have increased considerably in the layer population since 2007. In the human population, PT8, PT1 and the group of 'other' PTs were more frequently isolated compared to the previous periods. When comparing the proportion of the predominant MLVA types Q2 and U2, no significant difference was found between the layer and human population in the three periods and between periods within each category (layer and human). A significant difference in isolate distribution among MLVA clusters I and II was found between human and layer isolates recovered during Period 3 and in the human population between Period 1 and 3. Results suggest that the association between S. Enteritidis in layers and the occurrence of the pathogen in humans changed since implementation of the NCP in 2007. © 2013 Blackwell Verlag GmbH.

Lung transplantation for respiratory failure; Belgium amongst the world leaders.

PubMed

Van Raemdonck, D; Verleden, G M

2011-01-01

Lung transplantation is a life-saving treatment option in carefully selected patients with end-stage lung disease. Life expectancy after this form of treatment has progressively increased with a current survival of 90% after 1 year, 70% after 5 years, and 50% after 10 years in experienced centers. Apart from a survival benefit, this treatment aims to improve the quality of life. Bilateral lung transplantation is the type of operation that is performed most frequently because of superior survival results, especially when chronic rejection develops. Single lung transplantation is now reserved for older patients with pulmonary fibrosis. Heart-lung transplantation is rarely done, only in patients with Eisenmenger's syndrome or complex congenital heart disease. Belgium is one of the world leaders in terms of number of deceased organ donors with a lung recovery rate of about 35%. With a total of 8.3 lung transplants per million population, Belgium is currently the number 1 in the world. The procedure nowadays is performed in 4 University Hospitals (UA-KUL-ULB-UCL) in the country. Between 1983 and 2009, nearly 1000 proedures were performed. The most common indication was emphysema, followed by cystic fibrosis, pulmonary fibrosis, pulmonary arterial hypertension, and Eisenmenger's syndrome. Further application of this treatment option is hampered by several problems such as donor organ shortage, primary graft dysfunction, chronic rejection presenting as bronchiolitis obliterans syndrome, and side effect of chronic immunosuppression. In the Laboratory for Experimental Thoracic Surgery and the Laboratory for Pneumology at the Katholieke Universiteit Leuven, intensive research is done by our group looking for new methods to increase the lung donor pool and to prevent and to treat chronic rejection.

Occurrence of transferable antibiotic resistances in commercialized ready-to-eat mealworms (Tenebrio molitor L.).

PubMed

Osimani, Andrea; Cardinali, Federica; Aquilanti, Lucia; Garofalo, Cristiana; Roncolini, Andrea; Milanović, Vesna; Pasquini, Marina; Tavoletti, Stefano; Clementi, Francesca

2017-12-18

The present study aimed to assess the occurrence of transferable determinants conferring resistance to tetracyclines, macrolide-lincosamide-streptogramin B, vancomycin, beta-lactams, and aminoglycosides in 40 samples of commercialized edible mealworms (Tenebrio molitor L.) purchased from European Union (EU) and non-EU producers. A high prevalence of tet(K) was observed in all of the samples assayed, with percentages of PCR-based positivity that ranged from 80% (samples from Thailand) to 100% (samples from the Netherlands, Belgium and France). For macrolides, erm(B) prevailed, being detected in 57.5% of the samples assayed, whereas erm(A) and erm(C) were detected with lower frequencies. Genes for resistance to vancomycin were only detected in samples produced in France and Belgium, with 90% and 10% of the samples being positive for vanA, respectively. Beta-lactamase genes were found with low occurrence, whereas the gene aac-aph, conferring high resistance to aminoglycosides, was found in 40% of the samples produced in the Netherlands and Belgium and 20% of the samples produced in Thailand. The results of Principal Coordinate Analysis and Principal Component Analysis depicted a clean separation of the samples collected from the four producers based on the distribution of the 12 AR determinants considered. Given the growing interest on the use of mealworms as a novel protein source, AR detection frequencies found in the present study suggest further investigation into the use of antibiotics during rearing of this insect species and more extensive studies focused on the factors that can affect the diffusion of transferable ARs in the production chain. Until such studies are completed, prudent use of antibiotics during rearing of edible insects is recommended. Copyright © 2017 Elsevier B.V. All rights reserved.

Anxiety and depression in adults with cystic fibrosis: a comparison between patients and the general population in Sweden and three other European countries.

PubMed

Backström-Eriksson, Lena; Sorjonen, Kimmo; Bergsten-Brucefors, Agneta; Hjelte, Lena; Melin, Bo

2015-10-14

Cystic fibrosis (CF) is the most common autosomal recessive life-shortening disease among Caucasians. Studies exploring the prevalence of anxiety and depression in adult CF patients are few, show inconsistent findings and rarely include comparisons with general populations. Prevalence and degree of anxiety and depression were investigated in adult CF patients in Sweden, Belgium, Germany and the UK, and compared to corresponding general population data. Adult non-transplanted CF patients from the three largest CF-centres (out of four) in Sweden (N = 129; Age range 18-70 years; 50 % women) completed the Hospital Anxiety and Depression Scale (HADS). Studies using HADS in adult CF populations in the UK, Germany, and Belgium were included, as well as HADS normative data from the corresponding general populations. No elevated risk for anxiety and depression was found among the CF patients. However, a Country x Group interaction effect emerged; CF patients experienced a higher degree of anxiety than the general population in Sweden, but not in the other countries, though this finding did not remain significant in a logistic regression analysis. In Sweden the effect was limited to women. A Country x Group interaction effect was also found for Depression; CF patients experienced lower degree of depression than the general population in Sweden, Germany and the UK, but not in Belgium/Netherlands. Contrary to earlier outcomes, the present results do not indicate any general elevated risk for anxiety and depression among CF patients. Anxiety was slightly higher in the Swedish CF population, compared to the general population; this finding was not seen in the other countries. Depression among CF patients was lower than or similar to that in the general populations in the studied countries.

A Belgian Approach to Learning Disabilities.

ERIC Educational Resources Information Center

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…

Facilitating Cognitive Development.

ERIC Educational Resources Information Center

Schwebel, Milton

1985-01-01

Human cognition research is shifting away from the importance of IQ and is emphasizing the stimulation and acceleration of a child's mental development. The emerging field of instructional psychology is trying to facilitate cognitive development. Current experimental programs--a university-school project in Belgium and a family project in…

Overcoming Exclusion through Adult Learning.

ERIC Educational Resources Information Center

Nash, Ian; Walshe, John

Strategies for overcoming exclusion through adult learning were identified through case studies of 19 initiatives in the following countries: Belgium; Mexico; the Netherlands; Norway; Portugal; and the United Kingdom. The study programs involved a diverse array of formal, nonformal, and informal public sector, community, and enterprise-based…

78 FR 79662 - Stainless Steel Plate in Coils From Belgium: Final Results of Antidumping Duty Administrative...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-31

... Secretary, for Antidumping and Countervailing Duty Operations, through Melissa Skinner, Director, Office III... Duty Operations, through Melissa Skinner, Director, Office III Antidumping and Countervailing Duty..., Deputy Assistant Secretary, for Antidumping and Countervailing Duty Operations, through Melissa Skinner...

Needs Analysis in Belgium's Flemish Community.

ERIC Educational Resources Information Center

Leemans, Geert

1999-01-01

Describes the methodology used by a Belgian community to determine the community's building needs at all levels of education. Explains how the inquiry evaluated building stock, needs, and effects; and offers recommendations for increasing investment funds, distributing resources, relying on experts' reports, budgeting for resources, and increasing…

De Laboratoria Van Klinische Biologie in Belgie: Evolutie En Situatie Na Organisatie Van De Verpl1Chte Externe KWaliteitscontrole.

PubMed

Libeer, J C; Gilleten, R; Lafontaine, A

1982-01-01

The evolution and the situation of the laboratories of clinical biology in Belgium is described. This paper gives a point of view of the locality, the activity and the employment in these laboratories.

Assessment of Low-Cost Elevators for Near Term Application in Transit Stations

DOT National Transportation Integrated Search

1982-09-01

This study of low-cost elevators for use in existing transit stations was commissioned by the Transportation Systems Center and included a four-day site study of screw column elevators manufactured by the Ebel Company of Brussels, Belgium. The site s...

77 FR 38736 - Defense Federal Acquisition Regulation Supplement: New Qualifying Country-Czech Republic (DFARS...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-29

... Germany Greece Israel Italy Luxembourg Netherlands Norway Portugal Spain Sweden Switzerland Turkey United... Egypt Finland France Germany Greece Israel Italy Luxembourg Netherlands Norway Portugal Spain Sweden... Belgium Canada Czech Republic Denmark Egypt Finland France Germany Greece Israel Italy Luxembourg...

Teach Me How to Talk

ERIC Educational Resources Information Center

Goorix, Katrien; D'Oosterlinck, Franky; Spriet, Eline; Freado, Mark; Broekaert, Eric

2012-01-01

Preschool children and toddlers often display emotional and behavioral problems. Without early intervention, these difficulties can lead to serious problems in later years. This research from Belgium explores how Life Space Crisis Intervention and Developmental Therapy-Developmental Teaching can inform work with these young children. (Contains 2…

The effects of siblings on the migration of women in two rural areas of Belgium and the Netherlands, 1829-1940.

PubMed

Bras, Hilde; Neven, Muriel

2007-03-01

This study explores the extent to which the presence and activities of siblings shaped the chances of women migrating to rural and urban areas in two rural areas of Belgium and the Netherlands during the second half of the nineteenth and first decades of the twentieth century. Shared-frailty Cox proportional hazard analyses of longitudinal data from historical population registers show that siblings exerted an additive impact on women's migration, independently of temporal and household characteristics. Just how siblings influenced women's migration depended on regional modes of production and on employment opportunities. In the Zeeland region, sisters channelled each other into service positions. In the Pays de Herve, where men and women found industrial work in the Walloon cities, women were as much influenced by their brothers' activities. Evidence is found for two mechanisms explaining the effects of siblings: micro-economic notions of joint-household decision-making and social capital theory.

Educational inequalities in parental care time: Cross-national evidence from Belgium, Denmark, Spain, and the United Kingdom.

PubMed

Gracia, Pablo; Ghysels, Joris

2017-03-01

This study uses time-diary data for dual-earner couples from Belgium, Denmark, Spain, and the United Kingdom to analyze educational inequalities in parental care time in different national contexts. For mothers, education is significantly associated with parenting involvement only in Spain and the United Kingdom. In Spain these differences are largely explained by inequalities in mothers' time and monetary resources, but not in the United Kingdom, where less-educated mothers disproportionally work in short part-time jobs. For fathers, education is associated with parenting time in Denmark, and particularly in Spain, while the wife's resources substantially drive these associations. On weekends, the educational gradient in parental care time applies only to Spain and the United Kingdom, two countries with particularly large inequalities in parents' opportunities to engage in parenting. The study shows country variations in educational inequalities in parenting, suggesting that socioeconomic resources, especially from mothers, shape important variations in parenting involvement. Copyright © 2016. Published by Elsevier Inc.

Tackling the chronic disease burden: are there co-benefits from climate policy measures?

PubMed

Vandenberghe, Désirée; Albrecht, Johan

2018-04-26

Each year, non-communicable diseases (NCDs) kill 40 million people worldwide and impose an estimated economic burden of $600 billion. Without effective policymaking, NCDs will continue to undermine health and economic systems globally. We propose that climate policy measures-such as carbon pricing-can yield significant health-related co-benefits aside from their intended greenhouse gas emission reduction. We simulate three carbon tax scenarios in the energy and food sector in Belgium and assess the resulting health-related co-benefits. These benefits originate from decreased exposure to two leading NCD risk factors: fine particulate matter and dietary regimes excessive in animal products. The carbon tax could prevent 42,300-78,800 Disability-Adjusted Life Years in Belgium, or save 0.6-1.1% of total health care expenditure and an additional 0.06-0.12% of Belgian GDP. We conclude that these health-related co-benefits should be included in the cost-benefit analysis of carbon pricing.

Orbital Wall Reconstruction with Two-Piece Puzzle 3D Printed Implants: Technical Note

PubMed Central

Mommaerts, Maurice Y.; Büttner, Michael; Vercruysse, Herman; Wauters, Lauri; Beerens, Maikel

2015-01-01

The purpose of this article is to describe a technique for secondary reconstruction of traumatic orbital wall defects using titanium implants that act as three-dimensional (3D) puzzle pieces. We present three cases of large defect reconstruction using implants produced by Xilloc Medical B.V. (Maastricht, the Netherlands) with a 3D printer manufactured by LayerWise (3D Systems; Heverlee, Belgium), and designed using the biomedical engineering software programs ProPlan and 3-Matic (Materialise, Heverlee, Belgium). The smaller size of the implants allowed sequential implantation for the reconstruction of extensive two-wall defects via a limited transconjunctival incision. The precise fit of the implants with regard to the surrounding ledges and each other was confirmed by intraoperative 3D imaging (Mobile C-arm Systems B.V. Pulsera, Philips Medical Systems, Eindhoven, the Netherlands). The patients showed near-complete restoration of orbital volume and ocular motility. However, challenges remain, including traumatic fat atrophy and fibrosis. PMID:26889349

A zone-specific fish-based biotic index as a management tool for the Zeeschelde estuary (Belgium).

PubMed

Breine, Jan; Quataert, Paul; Stevens, Maarten; Ollevier, Frans; Volckaert, Filip A M; Van den Bergh, Ericia; Maes, Joachim

2010-07-01

Fish-based indices monitor changes in surface waters and are a valuable aid in communication by summarising complex information about the environment (Harrison and Whitfield, 2004). A zone-specific fish-based multimetric estuarine index of biotic integrity (Z-EBI) was developed based on a 13 year time series of fish surveys from the Zeeschelde estuary (Belgium). Sites were pre-classified using indicators of anthropogenic impact. Metrics showing a monotone response with pressure classes were selected for further analysis. Thresholds for the good ecological potential (GEP) were defined from references. A modified trisection was applied for the other thresholds. The Z-EBI is defined by the average of the metric scores calculated over a one year period and translated into an ecological quality ratio (EQR). The indices integrate structural and functional qualities of the estuarine fish communities. The Z-EBI performances were successfully validated for habitat degradation in the various habitat zones. Copyright 2010 Elsevier Ltd. All rights reserved.

Predormancy omnivory in European cave bears evidenced by a dental microwear analysis of Ursus spelaeus from Goyet, Belgium

PubMed Central

Peigné, Stéphane; Goillot, Cyrielle; Germonpré, Mietje; Blondel, Cécile; Bignon, Olivier; Merceron, Gildas

2009-01-01

Previous morphological and isotopic studies indicate that Late Pleistocene cave bear (Ursus spelaeus) diet ranged from mostly vegetarian to omnivory or even carnivory. However, such analyses do not provide information on seasonal diets, and only provide an average record of diet. A dental microwear analysis of 43 young and adult individuals demonstrate that, during the predormancy period, cave bears from Goyet (Late Pleistocene, Belgium) were not strictly herbivorous, but had a mixed diet composed of hard items (e.g., possibly bone), invertebrates (e.g., insects), meat (ungulates, small vertebrates), and/or plant matter (hard mast, seeds, herbaceous vegetations, and fruits). Therefore, our results indicate that cave bears at Goyet were generalist omnivores during the predormancy period, which is consistent with current data on the dietary ecology of extant bears during this season. These data also raise questions about the ecological role and causes of the extinction of cave bears. PMID:19706401

The macroeconomic impact of pandemic influenza: estimates from models of the United Kingdom, France, Belgium and The Netherlands.

PubMed

Keogh-Brown, Marcus Richard; Smith, Richard D; Edmunds, John W; Beutels, Philippe

2010-12-01

The 2003 outbreak of severe acute respiratory syndrome (SARS) showed that infectious disease outbreaks can have notable macroeconomic impacts. The current H1N1 and potential H5N1 flu pandemics could have a much greater impact. Using a multi-sector single country computable general equilibrium model of the United Kingdom, France, Belgium and The Netherlands, together with disease scenarios of varying severity, we examine the potential economic cost of a modern pandemic. Policies of school closure, vaccination and antivirals, together with prophylactic absence from work are evaluated and their cost impacts are estimated. Results suggest GDP losses from the disease of approximately 0.5-2% but school closure and prophylactic absenteeism more than triples these effects. Increasing school closures from 4 weeks at the peak to entire pandemic closure almost doubles the economic cost, but antivirals and vaccinations seem worthwhile. Careful planning is therefore important to ensure expensive policies to mitigate the pandemic are effective in minimising illness and deaths.

Nurses' attitudes towards end-of-life decisions in medical practice: a nationwide study in Flanders, Belgium.

PubMed

Inghelbrecht, E; Bilsen, J; Mortier, F; Deliens, L

2009-10-01

We investigated on a nationwide level the attitudes of nurses towards end-of-life decisions (ELDs) that may hasten death and towards their role in those decisions. We took a representative random sample of 6000 nurses in Flanders, Belgium. Response rate was 62.5%. Most nurses agreed with the practice of withholding/withdrawing potentially life-prolonging treatments (93%), with decisions to alleviate symptoms with possible life-shortening side effects (96%) and with the practice of euthanasia (92%). Their support for the different decisions existed regardless of whether they had cared for terminally ill patients or not. Most nurses also thought that they have an important role to play especially in the ELD-making process. Nurses' views on their proper role in the administration of drugs in euthanasia and continuous deep sedation showed a large dispersal. Overall, nurses' work setting determines their opinions on nurses' role in ELDs. In conclusion, nurses accept a wide variety of ELDs being practiced with terminally ill patients.

Role and Involvement of Life End Information Forum Physicians in Euthanasia and Other End-of-Life Care Decisions in Flanders, Belgium

PubMed Central

Van Wesemael, Yanna; Cohen, Joachim; Onwuteaka-Philipsen, Bregje D; Bilsen, Johan; Distelmans, Wim; Deliens, Luc

2009-01-01

Objective To describe role and involvement of Life End Information Forum (LEIF) physicians in end-of-life care decisions and euthanasia in Flanders. Study Design All 132 LEIF physicians in Belgium received a questionnaire inquiring about their activities in the past year, and their end-of-life care training and experience. Principal Findings Response rate was 75 percent. Most respondents followed substantive training in end-of-life care. In 1 year, LEIF physicians were contacted 612 times for consultations in end-of-life decisions, of which 355 concerned euthanasia requests eventually resulting in 221 euthanasia cases. LEIF physicians also gave information about various end-of-life issues (including palliative care) to patients and colleagues. Conclusions LEIF physicians provide a forum for information and advice for physicians and patients. A similar health service providing support to physicians for all end-of-life decisions could also be beneficial for countries without a euthanasia law. PMID:19780854

'Would you eat cultured meat?': Consumers' reactions and attitude formation in Belgium, Portugal and the United Kingdom.

PubMed

Verbeke, Wim; Marcu, Afrodita; Rutsaert, Pieter; Gaspar, Rui; Seibt, Beate; Fletcher, Dave; Barnett, Julie

2015-04-01

Cultured meat has evolved from an idea and concept into a reality with the August 2013 cultured hamburger tasting in London. Still, how consumers conceive cultured meat is largely an open question. This study addresses consumers' reactions and attitude formation towards cultured meat through analyzing focus group discussions and online deliberations with 179 meat consumers from Belgium, Portugal and the United Kingdom. Initial reactions when learning about cultured meat were underpinned by feelings of disgust and considerations of unnaturalness. Consumers saw few direct personal benefits but they were more open to perceiving global societal benefits relating to the environment and global food security. Both personal and societal risks were framed in terms of uncertainties about safety and health, and possible adverse societal consequences dealing with loss of farming and eating traditions and rural livelihoods. Further reflection pertained to skepticism about 'the inevitable' scientific progress, concern about risk governance and control, and need for regulation and proper labeling. Copyright © 2014 Elsevier Ltd. All rights reserved.

Combined prevalence of inherited skeletal disorders in dog breeds in Belgium.

PubMed

Coopman, F; Broeckx, B; Verelst, E; Deforce, D; Saunders, J; Duchateau, L; Verhoeven, G

2014-01-01

Canine hip dysplasia (CHD), canine elbow dysplasia (CED), and humeral head osteochondrosis (HHOC) are inherited traits with uneven incidence in dog breeds. Knowledge of the combined prevalence of these three disorders is necessary to estimate the effect of the currently applied breeding strategies, in order to improve the genetic health of the population. Official screening results of the Belgian National Committee for Inherited Skeletal Disorders (NCSID) revealed that an average of 31.8% (CHD, CED, or both; n = 1273 dogs) and 47.2% (CHD, CED, HHOC, or a combination of these three diseases; n = 250 dogs) of dogs are mildly to severely affected by at least one skeletal disorder. According to the current breeding recommendations in some dog breeds in Belgium, these animals should be restricted (mild signs) or excluded (moderate to severe signs) from breeding. The introduction of genetic parameters, such as estimated breeding values, might create a better approach to gradually reduce the incidence of these complex inherited joint disorders, without compromising genetic population health.

A European community pharmacy-based survey to investigate patterns of prescription fraud through identification of falsified prescriptions.

PubMed

Lapeyre-Mestre, Maryse; Gony, Mireille; Carvajal, Alfonso; Macias, Diego; Conforti, Anita; D'Incau, Paola; Heerdink, Rob; Van der Stichele, Robert; Bergman, Ulf

2014-01-01

To identify prescription drugs involved in falsified prescriptions in community pharmacies in 6 European countries. A cross-sectional survey among 2,105 community pharmacies in Belgium, France, Italy, the Netherlands, Spain and Sweden was carried out to collect all suspect prescription forms. For each reported drug, the number of reported falsified prescriptions per thousand inhabitants was estimated. A falsification ratio was calculated by dividing the number of reports by the number of defined daily doses per 1,000 inhabitants per day for this drug, computed from national sale or reimbursement data. On 862 prescription forms, benzodiazepines (zolpidem, bromazepam, alprazolam), buprenorphine (as an opioid maintenance drug) and tramadol were the most frequently reported. Depending on their level of use in each country, methylphenidate, morphine and flunitrazepam presented the highest falsification ratios, particularly in Spain, Belgium and France. Stimulants, opioids and some benzodiazepines were the most frequently reported drugs in this survey on falsified prescriptions, but differences between countries were observed. © 2014 S. Karger AG, Basel.

Molecular typing of monophasic Salmonella 4,[5]:i:- strains isolated in Belgium (2008-2011).

PubMed

Boland, Cécile; Bertrand, Sophie; Mattheus, Wesley; Dierick, Katelijne; Wattiau, Pierre

2014-01-31

To assess the distribution of Salmonella 4,[5]:i:- subtypes in the Belgian food chain and compare it to the subtypes associated with human infections, a molecular assessment was initiated. Two hundred fifty-three Salmonella isolates serotyped as 4,[5]:i:- during the period 2008-2011 in Belgium and originating from animal productions, food or human clinical samples were analysed by a specific duplex PCR. One hundred ninety-four isolates (76.7%) fit the profile of a S. Typhimurium monophasic variant as defined by the European Food Safety Authority. The other isolates possessed but did not express the phase II flagellin gene (23.3%). Multiple Locus Variable Number of Tandem Repeats Analysis (MLVA) revealed many but closely related profiles in the fljB-negative S. Typhimurium monophasic variant isolates. Some MLVA types were associated with both human and animal isolates but no unique source of human contamination could be demonstrated. Copyright © 2013 Elsevier B.V. All rights reserved.

Experimental analysis of a high-speed railway bridge under Thalys trains

NASA Astrophysics Data System (ADS)

Xia, H.; De Roeck, G.; Zhang, N.; Maeck, J.

2003-11-01

In this paper dynamic experiments on the Antoing Bridge located on the high-speed railway line between Paris and Brussels are reported. The experiments were co-operatively carried out by the Northern Jiaotong University from China, the Catholic University of Leuven, the Free University of Brussels and the Belgium Railway Company NMBS-SNCB from Belgium. The bridge is composed of multi-span simply supported PC girders with spans of 50 m and U-shaped sections. The loads are the high-speed Thalys trains with articulated vehicles. The speeds of the Thalys trains were between 265 and 310 km/h. In the experiments, the dynamic responses of the bridge such as the deflections, the accelerations and the strains that were measured by a laser velocity displacement transducer accelerometers and strain gauges, respectively. Many useful results have been obtained from the analysis of the recorded data. The tests and the measured results can be a reference for the study and the design of high-speed railway bridges.

The effect of technology information on consumer expectations and liking of beef.

PubMed

Van Wezemael, Lynn; Ueland, Øydis; Rødbotten, Rune; De Smet, Stefaan; Scholderer, Joachim; Verbeke, Wim

2012-02-01

European consumers increasingly attach value to process characteristics of food. Although beef technologies are hardly communicated to consumers, providing consumer-oriented information about technology application might increase perceived transparency and consumer acceptance. This study investigates how information about beef technologies influences consumer expectations and liking of beef. Beef consumers in Belgium (n = 108) and Norway (n = 110) participated in an information experiment combined with sensory testing in which each consumer tasted three beef muscles treated with different technologies: unprocessed tenderloin M. Psoas major, muscle profiled M. Infraspinatus, and marinated (by injection) M. Semitendinosus. The findings indicate that detailed information about beef technologies can enhance consumers' expectations and liking of beef. However, this effect differs between countries and beef technologies. Information becomes either less relevant when the product is actually tasted, as indicated by the findings in Norway, or more relevant when information is confirmed by own experience during tasting, as indicated by the findings in Belgium. Copyright © 2011 Elsevier Ltd. All rights reserved.

Breastfeeding or bottled milk? Poverty and feeding choices in the native and immigrant population in Belgium.

PubMed

Vanderlinden, Karen; Levecque, Katia; Van Rossem, Ronan

2015-04-01

In many European countries, mothers in poverty show a preference for bottled milk over breastfeeding. What remains unknown is whether the impact of poverty on feeding choices differs between immigrants and natives. We first assessed whether being born into poverty indicates a higher chance of being bottle-fed, then evaluated whether region of origin of the mother moderates the impact of poverty on feeding choice. Based on population data from nearly all newborns in Belgium in 2004 (N = 34,314), we performed several binary logistic analyses to answer these research questions. Analyses showed a strong difference in feeding choices between native and migrant mothers in poverty: for Belgian mothers, the choice to breastfeed significantly decreased; no such effect was observed for migrant women. Southern European mothers living in poverty have an even higher chance of breastfeeding than those who are better off. We suggest possible explanations and set a direction for future research regarding breastfeeding choices for migrant mothers.

[Euthanasia 2002-2014: The situation in Belgium].

PubMed

Lossignol, D

2016-10-01

Since 2002, Belgian law has authorized the practice of euthanasia under certain clear conditions. All cases have to be reported to the Assessment and Control Commission (ACC). To date, more than 9000 cases have been reported. To make a statement about the Belgian experience requires consideration of several different essential points: detailed data and information from the ACC reports, their analysis, consequences on medical practice, problems experienced, legal and medical perspectives, criticism and attacks. The concept of individual and institutional conscience is also considered. Euthanasia for minors has been permitted since March 2014 but, to date, no case has been reported. In the light of what has happened in Belgium, we propose to analyse the legal situation in France. The Belgian experience is much more than an example and shows that, in difficult and painful situations, it is possible to meet the expectations of patients experiencing intolerable suffering with great respect and without imposing dogmatically something they do not wish. Copyright © 2015 SPLF. Published by Elsevier Masson SAS. All rights reserved.

Impact of emotional stability and attitude on consumption decisions under risk: the Coca-Cola crisis in Belgium.

PubMed

Verbeke, Wim; Van Kenhove, Patrick

2002-01-01

This article focuses on consumer reactions during and after the Coca-Cola crisis of June 1999 in Belgium. The research tests for associations between the personality trait "emotional stability," attitude toward the brand, and self-reported behavior. Cross-sectional data are collected from a sample of Coca-Cola drinkers between 19 and 22 years old. The data are analyzed through the specification and estimation of a structural equation model and ANOVA. A direct and positive effect of attitude toward the brand on the behavioral response is found. No direct effect of emotional stability on behavior is revealed. However, indirect effects of personality mediated by attitude are discovered. Further, emotional stability is found to correlate negatively with importance attached to information during the crisis. Fast and transparent communication with specific attention to lower emotional stability groups, as well as the inclusion of personality and attitude measurements in future health and food safety studies, are recommended.

“It’s My Secret”: Fear of Disclosure among Sub-Saharan African Migrant Women Living with HIV/AIDS in Belgium

PubMed Central

Arrey, Agnes Ebotabe; Bilsen, Johan; Lacor, Patrick; Deschepper, Reginald

2015-01-01

Patients with HIV not only have to deal with the challenges of living with an incurable disease but also with the dilemma of whether or not to disclose their status to their partners, families and friends. This study explores the extent to which sub-Saharan African (SSA) migrant women in Belgium disclose their HIV positive status, reasons for disclosure/non-disclosure and how they deal with HIV disclosure. A qualitative study consisting of interviews with twenty-eight SSA women with HIV/AIDS was conducted. Thematic content analysis was employed to identify themes as they emerged. Our study reveals that these women usually only disclose their status to healthcare professionals because of the treatment and care they need. This selective disclosure is mainly due to the taboo of HIV disease in SSA culture. Stigma, notably self-stigma, greatly impedes HIV disclosure. Techniques to systematically incorporate HIV disclosure into post-test counseling and primary care services are highly recommended. PMID:25781906

Geochemical and mineralogical study of a site severely polluted with heavy metals (Maatheide, Lommel, Belgium)

NASA Astrophysics Data System (ADS)

Horckmans, L.; Swennen, R.; Deckers, J.

2006-07-01

The former zinc smelter site ‘de Maatheide’ in Lommel (Belgium) was severely polluted with heavy metals and the pollution spread into the surroundings by rain water leaching and wind transportation. This study focuses on the processes of immobilization and natural attenuation that took place on the site. Three important factors were found. Firstly, the high pH values (pH 7-8) in the topsoil influence the mobility of heavy metals. Secondly, the spodic horizons below the polluted top layer seem to accumulate heavy metals, thereby slowing down their release into the environment. Finally, the glassy phases and iron oxi/hydroxides that are present can encapsulate heavy metals during their formation/recrystallization, thereby immobilizing them. An additional shielding effect results from the reaction rims of goethite around the contaminant phases, which partially inhibit the weathering process and release of contaminants. This shielding effect is an important factor to take into account when modelling contaminant release.

A Blend of Romanism and Germanism: Experimental Science Instruction in Belgian State Secondary Education, 1880-1914

NASA Astrophysics Data System (ADS)

Onghena, Sofie

2013-04-01

A case study of secondary experimental science instruction in Belgium demonstrates the importance of cross-national communication in the study of science education. Belgian secondary science education in the years 1880-1914 had a clear internationalist dimension. French and German influences turn out to have been essential, stimulated by the fact that Belgium, as a result of its geographical position, considered itself as the centre of scientific relations between France and Germany, and as actually strengthened by its linguistic and cultural dualism in this regard. This pursuit of internationalist nationalism also affected the configuration of chemistry and physics as experimental courses at Belgian Royal State Schools, although the years preceding WWI are usually characterized as a period of rising nationalism in science, with countries such as Germany and France as prominent actors. To what extent did France and Germany influence Belgian debates on science education, science teachers' training, the use of textbooks, and the instalment of school laboratories and teaching collections?

The blurred vision of Lady Justice for minors with mental disorders: records of the juvenile court in Belgium.

PubMed

Merlevede, Sofie; Vander Laenen, Freya; Cappon, Leen

2014-01-01

This study examined (1) the information present in juvenile court records in Belgium (Flanders) and (2) whether there are differences in information between records that mention a mental disorder and those that do not. The file study sample included 107 court records, and we used a Pearson's chi-square test and a t-test to analyze the information within those records. Information in juvenile court records varied considerably. This variability was evident when we compared juvenile court records with and without mention of a mental disorder. Significantly more information about school-related problems, the functioning of the minor, and the occurrence of domestic violence was included in records that mentioned a mental disorder compared with records that did not. The content of the juvenile court records varied, particularly with regard to the mental health status of the minor in question. We suggest guidelines to standardize the information contained in juvenile court records. Copyright © 2013 Elsevier Ltd. All rights reserved.

Assessment of motor and process skills: assessing client work performance in Belgium.

PubMed

Vandamme, Dirk

2010-01-01

The aim of this study is to establish whether the Assessment of Motor and Process Skills (AMPS) is an appropriate tool to evaluate the quality of work performance by comparing clients' results on the AMPS with the quality of the skills that they demonstrate on the shop floor. A convenience sample of chronically unemployed (vocationally disabled) participants (N=139) with no formal training who were seeking unskilled work through Jobcentrum West-Vlaanderen (West Flanders Job Centre, Belgium) was used. Results demonstrated that in 75.2% of cases the prediction of employment outcome was correct; it is suggested that an AMPS motor score < 2.5 and a process score < 1.2 is insufficient for regular employment, while a motor score > 3.1 and process score > 1.5 indicates that regular employment is a realistic goal. The quality of the motor skills measured by the AMPS and measured on the shop floor are comparable, but little similarity was found in the measurement of process skills.

The BINA collaboration: science at the Royal Observatory of Belgium

NASA Astrophysics Data System (ADS)

De Cat, Peter; Cuypers, Jan; Blomme, Ronny; Frémat, Yves; Groenewegen, Martin; Lampens, Patricia; Lobel, Alex; Pauwels, Thierry; Van de Steene, Griet; van Hoof, Peter

2018-04-01

The Belgo-Indian Network for Astronomy and Astrophysics (BINA) is a collaboration between Indian and Belgian astronomical institutes with the main aim to optimize the scientific output of the Indo-Belgian telescopes, being the 4.0-m International Liquid Mirror Telescope and the 3.6-m Devasthal Optical Telescope. These new facilities are both located at the Devasthal Observatory near Nainital, India. In this contribution, we introduce projects that are of scientific interest for colleagues of the department "Astronomy and Astrophysics" of the Royal Observatory of Belgium (ROB). It serves as an invitation for Indian astronomers to participate. We highlight how these projects could benefit from observations with the Indo-Belgian telescopes by using instruments from the first-generation (currently offered) and/or the next-generation (development or design phase). We show that, from an ROB point-of-view, the BINA would be the most successful if the 3.6-m DOT would be equipped with an efficient optical high-resolution spectrograph.

[Hepatitis E: a Third World's hepatitis found in Belgium].

PubMed

Seivert, M; Belaiche, J; Delwaide, J

2008-09-01

Hepatitis E virus is the second cause of acute viral hepatitis of oral-fecal origin in the world. This virus has a vast distribution throughout the world and manifests itself either in epidemic or endemic-sporadic form in many developing countries. Usually, the cases of HEV infection in industrialized countries are observed after a history of travel in an endemic area. However, an increasing number of cases have been attributed to a HEV zoonotic form transmitted by swine. HEV infection can lead to deadly fulminant hepatic failure in 1-4% in the common population, but the mortality incidence reaches 20% in case of third trimester pregnant women infection. The diagnosis of HEV infection can be made using serological tests but today, RT-PCR is considered as the gold standard test. Unfortunately, this technique is not widely available in Belgium yet. There is no treatment for HEV infection, only prophylactic measures as hygiene and sewage treatment can stop epidemics. Recently, a new vaccine, still in research phase, has showed promising outcomes.

Tidal exchange between a freshwater tidal marsh and an impacted estuary: the Scheldt estuary, Belgium

NASA Astrophysics Data System (ADS)

Van Damme, Stefan; Frank, Dehairs; Micky, Tackx; Olivier, Beauchard; Eric, Struyf; Britta, Gribsholt; Oswald, Van Cleemput; Patrick, Meire

2009-11-01

Tidal marsh exchange studies are relatively simple tools to investigate the interaction between tidal marshes and estuaries. They have mostly been confined to only a few elements and to saltwater or brackish systems. This study presents mass-balance results of an integrated one year campaign in a freshwater tidal marsh along the Scheldt estuary (Belgium), covering oxygen, nutrients (N, P and Si), carbon, chlorophyll, suspended matter, chloride and sulfate. The role of seepage from the marsh was also investigated. A ranking between the parameters revealed that oxygenation was the strongest effect of the marsh on the estuarine water. Particulate parameters showed overall import. Export of dissolved silica (DSi) was more important than exchange of any other nutrient form. Export of DSi and import of total dissolved nitrogen (DIN) nevertheless contributed about equally to the increase of the Si:N ratio in the seepage water. The marsh had a counteracting effect on the long term trend of nutrient ratios in the estuary.

10 years of 1:1 taping in Belgium - A selection of murder cases involving fibre examination.

PubMed

De Wael, K; Lepot, L; Lunstroot, K; Gason, F

2016-01-01

Since 2002, the 1:1 tape lifting technique on murder victims has been introduced in Belgium. Thirty-six murder cases for which a fibre examination was carried out in our laboratory between 2002 and 2012 are reviewed. These cases all involved the collection of microtraces on 39 victims using a 1:1 taping or similar technique, called semi 1:1 taping. The degree of "positive outcomes" for investigative and comparative fibre cases is high. Especially in cases where the modus operandi of suspects had to be verified, the examination of the 1:1 tape lifting led to very useful fibre results. The findings from some of these fibre cases are used to illustrate the advantages, drawbacks and points of interest of the two collection techniques. These are also compared with the zonal taping technique, another microtrace collection technique applied on victims at the crime scene. Copyright © 2015 The Chartered Society of Forensic Sciences. Published by Elsevier Ireland Ltd. All rights reserved.

Invisible realities: Caring for older Moroccan migrants with dementia in Belgium.

PubMed

Berdai Chaouni, Saloua; De Donder, Liesbeth

2018-01-01

The number of older Moroccan migrants reaching the age of high risk for dementia is increasing in Belgium. Yet no study has been performed to explore how Moroccan families facing dementia experience and manage the condition. The study employed a qualitative design using semi-structured interviews with 12 informal and 13 formal caregivers to answer this research question. Findings indicate that the experience of dementia includes several invisible realities that challenge the informal and formal caregivers: (1) the invisibility of dementia as a condition; (2) the invisible subtleties of the informal care execution; (3) the invisibility and inaccessibility of care services as explanation for these family's non-use of available services; and (4) the overlooking of culture, migration and religion as invisible influencers of the overall dementia experience. A better understanding of these hidden realities of migrant older people with dementia and their caregivers could lead to interventions to provide effective and tailored person-centred care that is sensitive to the individual's life experiences, culture and religious background.

The Challenge to USAFRICOM from Africa’s Colonial Past

DTIC Science & Technology

2010-03-18

build national treasure through colonization and empire building was on. Seven nations—Britain, France, Portugal , Belgium, Germany, Italy and Spain...ability to diminish the local support and sanctuary for terrorists that is the sine qua non of their global reach. • American deeds matter more

WORKERS IN ADULT EDUCATION, THEIR STATUS, RECRUITMENT, AND PROFESSIONAL TRAINING.

ERIC Educational Resources Information Center

JESSUP, F.W.

A PILOT STUDY PREPARED FOR THE COUNCIL OF EUROPE COMPARES ADULT EDUCATOR STATUS, RECRUITMENT, AND PROFESSIONAL TRAINING IN FRANCE, FLANDERS (BELGIUM), WEST GERMANY, THE NETHERLANDS, NORWAY, AND THE UNITED KINGDOM. MAJOR CONCERNS INCLUDE SALARIES AND BENEFITS, QUALIFICATIONS, INSERVICE TRAINING, SPONSORING BODIES, ATTITUDES TOWARD FORMAL STAFF…

15 CFR 748.9 - Support documents for license applications.

Code of Federal Regulations, 2010 CFR

2010-01-01

... agency(ies), other than the government of the People's Republic of China. To determine whether the... security reasons? Does your transaction involve items destined for the People's Republic of China (PRC)? (i... Australia Austria Belgium Bulgaria China (PRC) Czech Republic Denmark Finland France Germany Greece Hong...

15 CFR 748.9 - Support documents for license applications.

Code of Federal Regulations, 2011 CFR

2011-01-01

... agency(ies), other than the government of the People's Republic of China. To determine whether the... security reasons? Does your transaction involve items destined for the People's Republic of China (PRC)? (i... Australia Austria Belgium Bulgaria China (PRC) Czech Republic Denmark Finland France Germany Greece Hong...

Bibliografia Especializada: Educacion Media (Specialized Bibliography: Intermediate Education).

ERIC Educational Resources Information Center

Boletin del Centro Nacional de Documentacion e Informacion Educativa, 1969

1969-01-01

This specialized international bibliography on various issues in intermediate education lists almost 70 articles and books, written between 1957 and 1969, in Argentina, Brazil, Belgium, Chile, Spain, France, Mexico, and the United States. Articles appear in Spanish, French, Portuguese, and English. Several articles were sponsored by international…

Cyberbullying: Predicting Victimisation and Perpetration

ERIC Educational Resources Information Center

Walrave, Michel; Heirman, Wannes

2011-01-01

The double-edged nature of modern technology, continuously balancing between risks and opportunities, manifests itself clearly in an emerging societal problem known as cyberbullying. To analyse the extent and nature of the issue in Belgium, 1318 adolescents were questioned explicitly about their involvement in cyberbullying, as well as implicitly…

19 CFR 159.34 - Certified quarterly rate.

Code of Federal Regulations, 2010 CFR

2010-04-01

... TREASURY (CONTINUED) LIQUIDATION OF DUTIES Conversion of Foreign Currency § 159.34 Certified quarterly rate. (a) Countries for which quarterly rate is certified. For the currency of each of the following... York for such foreign currency for a day in that quarter: Australia, Austria, Belgium, Brazil, Canada...

Induced systemic resistance: a delicate balance

USDA-ARS?s Scientific Manuscript database

Pseudomonas sp. strain CMR12a produces phenazine-1-carboxamide and two cyclic lipopeptides, sessilin and viscosinamide. In this highlight of the recent work with this strain by Monica Höfte of Ghent University, Belgium, I review recent studies showing that the metabolites produced by CMR12a interact...

INTEGRATED EARTH OBSERVATIONS: APPLICATION TO AIR QUALITY AND HUMAN HEALTH

EPA Science Inventory

In February 2005, ministers from 60 countries and the European Commission met in Brussels, Belgium to endorse the 10-year plan for a Global Earth Observation System of Systems(GEOSS) prepared by the Group on Earth Observations (GEO), a partnership of nations and international org...

48 CFR 52.225-5 - Trade Agreements.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 48 Federal Acquisition Regulations System 2 2013-10-01 2013-10-01 false Trade Agreements. 52.225-5... Agreements. As prescribed in 25.1101(c)(1), insert the following clause: Trade Agreements (SEP 2013) (a... Agreement country (Armenia, Aruba, Austria, Belgium, Bulgaria, Canada, Cyprus, Czech Republic, Denmark...

48 CFR 52.225-5 - Trade Agreements.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 48 Federal Acquisition Regulations System 2 2014-10-01 2014-10-01 false Trade Agreements. 52.225-5... Agreements. As prescribed in 25.1101(c)(1), insert the following clause: Trade Agreements (NOV 2013) (a... Agreement country (Armenia, Aruba, Austria, Belgium, Bulgaria, Canada, Croatia, Cyprus, Czech Republic...

48 CFR 52.225-5 - Trade Agreements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 2 2010-10-01 2010-10-01 false Trade Agreements. 52.225-5... Agreements. As prescribed in 25.1101(c)(1), insert the following clause: Trade Agreements (AUG 2009) (a... Agreement country (Aruba, Austria, Belgium, Bulgaria, Canada, Cyprus, Czech Republic, Denmark, Estonia...

48 CFR 52.225-5 - Trade Agreements.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 48 Federal Acquisition Regulations System 2 2012-10-01 2012-10-01 false Trade Agreements. 52.225-5... Agreements. As prescribed in 25.1101(c)(1), insert the following clause: Trade Agreements (MAY 2012) (a... Agreement country (Armenia, Aruba, Austria, Belgium, Bulgaria, Canada, Cyprus, Czech Republic, Denmark...

48 CFR 52.225-5 - Trade Agreements.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 48 Federal Acquisition Regulations System 2 2011-10-01 2011-10-01 false Trade Agreements. 52.225-5... Agreements. As prescribed in 25.1101(c)(1), insert the following clause: Trade Agreements (AUG 2009) (a... Agreement country (Aruba, Austria, Belgium, Bulgaria, Canada, Cyprus, Czech Republic, Denmark, Estonia...

Production of Metallic and Ceramic Parts with the Optoform Process

DTIC Science & Technology

2006-05-01

or ceramic (Zircon/Silica, alumina, hydroxyapatite ) powders form about 60 % (in volume) of a pasty photo-curable material. After the building of...Rombouts from the Katholieke Universiteit van Leuven (KUL – Belgium) for their collaboration in metal debinding and sintering. Many thanks to Ir Jean

Environmental Assessment to Construct a Perimeter Fence at Georgetown Military Family Housing Travis Air Force Base, Fairfield, California

DTIC Science & Technology

2011-07-06

Other aquatic invertebrates including seed shrimp (Ostracods), water 793 boatman (Corixidae), aquatic snails ( Gastropods ) and beetles (Coleoptera... adaptation and vulnerability. Brussels, Belgium. Anderson, J. D. 1968. Comparison of the food habits of Ambystoma macrodactylum sigillatum, Ambystoma

Developing Adult Education in Universities: A Political View.

ERIC Educational Resources Information Center

Bourgeois, Etienne; Lienard, Georges

1992-01-01

Difficulties in the development of adult education programs in research-oriented, elite universities are discussed, focusing on the differences in traditional values and objectives of adult and university education. Organizational conditions at the University of Louvain (Belgium) that have proven conducive to a successful adult education program…

Alcatel Telecom Transforms Technicians into Managers

ERIC Educational Resources Information Center

Education & Training, 2002

2002-01-01

Investigates the ways in which Alcatel Telecom attempts to smooth the transition of its employees from technical to business manager. Focuses on the Alcatel centre at Antwerp University, Belgium, which provides training in entrepreneurship, leadership, teamwork, the Alcatel culture and strategy, the dynamics of the telecommunications market,…

HRD in Selected Nations.

ERIC Educational Resources Information Center

1996

These three papers were presented at a symposium on human resource development (HRD) in selected nations moderated by Alan Mumford at the 1996 conference of the Academy of Human Resource Development. "Perspectives of United States Expatriates in the Netherlands, Belgium, and France on Expatriation and the Role of Their Sponsoring…

Defence Mechanisms against Mathematics.

ERIC Educational Resources Information Center

Nimier, Jaques

1993-01-01

Students (n=1420) from Belgium and Quebec and students (n=614) of the Marne department were questioned to study the different defense mechanisms they employed against mathematics. Six main ways of grouping the responses were identified: (1) phobic avoidance; (2) repression; (3) projection; (4) reparation; (5) introjection; and (6) reversal into…

Needs Assessment of International Students at Eastern Oregon State College.

ERIC Educational Resources Information Center

Eid, Mamoud Taha; Jordan-Domschot, Theresa

The purpose of the research project was to assess the needs, satisfaction, and concerns of international students attending Eastern Oregon State College. The international student population consisted of students from Micronesia, Netherlands, Somalia, Saudi Arabia, Jordan, Iran, Japan, Thailand, Zimbabwe, Belgium, Canada, Nigeria, China,…

Reading Disabilities: An International Perspective.

ERIC Educational Resources Information Center

Tarnopol, Lester, Ed.; Tarnopol, Muriel, Ed.

This volume includes essays on reading disabilities in such places as Argentina, Austria, Belgium, China, Canada, Denmark, Czechoslovakia, Finland, Germany, Great Britain, Hungary, Ireland, Norway, The Netherlands, Rhodesia, Republic of South Africa, and the United States. Most of the 20 essays include the background of special education in the…

Wealth and Power.

ERIC Educational Resources Information Center

Martz, Carlton

2000-01-01

This theme issue examines three historical and current problems surrounding wealth and power. The first article looks at King Leopold of Belgium and his exploitation of the Congo. The second article explores John D. Rockefeller and the Standard Oil monopoly. The final article examines the antitrust case against the Microsoft Corporation. Each…

PLASMA PHYSICS AND STATISTICAL MECHANICS IN BRUSSELS, BELGIUM,

DTIC Science & Technology

significant research in the theory and experiment of the Tonks-Dattner resonances in a cylindrical plasma column. The second visit was to Professors I ...Prigogine and R. Balescu , of the Faculte des Sciences, Universite Libre de Bruxelles, who together direct a large group of scientists working on all

The Spratly Islands: A Brewing Flashpoint in Asia

DTIC Science & Technology

1994-06-01

of India; Petro Canada; Petrofina of Belgium; Petronas , a Malaysian state-owned oil company; SCEPTER Resources of Canada; and a consortium led by SECAB...liabilities. Like champion athletes in an endurance race, great powers need to choose wisely when they draft their competitors and when they lead- when they let

International High Level Nuclear Waste Management

ERIC Educational Resources Information Center

Dreschhoff, Gisela; And Others

1974-01-01

Discusses the radioactive waste management in Belgium, Canada, France, Germany, India, Italy, Japan, the United Kingdom, the United States, and the USSR. Indicates that scientists and statesmen should look beyond their own lifetimes into future centuries and millennia to conduct long-range plans essential to protection of future generations. (CC)

Himalayan optical telescope switches on

NASA Astrophysics Data System (ADS)

Padma, T. V.

2016-05-01

The largest optical telescope in India has turned on, opening up a new era for astronomy in the country. The 3.6 m Devasthal Optical Telescope (DOT) - part of an Indo-Belgian collaboration - was activated remotely on 30 March from Belgium by visiting Indian prime minister Narendra Modi and his Belgian counterpart Charles Michel.

Defense RDT&E Online System (DROLS) Handbook

DTIC Science & Technology

1993-07-01

of the descriptor TROPICAL DISEASES hierarchically will produce the same results as a cumulated search of the following terms: CHOLERA DENGUE ...Header List The Source header List is a two volume listing of all source names arranged in alphabetical order. Each en ~try consists of: Source Name...BB Belgium ................................................................ BE Belize

15 CFR 740.16 - Additional permissive reexports (APR).

Code of Federal Regulations, 2010 CFR

2010-01-01

... among: Albania, Australia, Austria, Belgium, Bulgaria, Canada, Croatia, Cyprus, Czech Republic, Denmark...,000 elements are to be embedded in civil products. (c) Reexports to a destination to which direct.... 25, 1996. Redesignated at 61 FR 64274, Dec. 4, 1996. Redesignated at 61 FR 68579, Dec. 30, 1996, and...

Traits regionaux en protoroman (Regional Traits in Proto-Romance).

ERIC Educational Resources Information Center

De Dardel, Robert

2001-01-01

Every spoken linguistic system shared by a community has structurally related regional variants. For example, the variant of the present day French for "soixante-dix" is "septante" in eastern France, Belgium, and the French-speaking community of Switzerland. This suggests that Proto-Romance has regionalisms. Using the…

77 FR 40085 - Notice Pursuant to the National Cooperative Research and Production Act of 1993-FDI Cooperation LLC

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-06

... are: FDT Group, AISBL, Jodoigne, BELGIUM; Fieldbus Foundation, Austin, TX; HART Communication Foundation, Austin, TX; PROFIBUS Nutzerorganisation e. V., Karlsruhe, GERMANY; OPC Foundation, Scottsdale, AZ... DEPARTMENT OF JUSTICE Antitrust Division Notice Pursuant to the National Cooperative Research and...

76 FR 75870 - Stainless Steel Plate in Coils From Belgium: Notice of Extension of Time Limit for Preliminary...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-05

... DEPARTMENT OF COMMERCE International Trade Administration [A-423-808] Stainless Steel Plate in... AGENCY: Import Administration, International Trade Administration, Department of Commerce DATES..., International Trade Administration, U.S. Department of Commerce, 14th Street and Constitution Avenue NW...

The Concept of Adult Education in the Affluent Society; Financial Aspects.

ERIC Educational Resources Information Center

Council for Cultural Cooperation, Strasbourg (France).

Created to develop recommendations in alternative means of organizing and financing adult education in European countries, this course was preceded by a preliminary survey of delegates concerning financial arrangements in their respective nations: the Netherlands, Belgium, Luxembourg, the United Kingdom, France, West Germany, Norway, Sweden,…

The Decentralisation Debate: Thinking about Power

ERIC Educational Resources Information Center

Berkhout, Susara J.

2005-01-01

Comparing the dynamics of centralisation/decentralisation in Belgium and South Africa has the advantage of revealing discrepancies between the public or official rationale for the (re) distribution of power and the probable or eventual effect of this (re)distribution on educational processes and learning outcomes. It can be seen that local…

Public Supervision of Correspondence Courses: The Harmonization of Legislation.

ERIC Educational Resources Information Center

Sloos, Isaac J.

A beginning has been made in Europe to put private correspondence schools under state supervision of standards; Belgium, Denmark, The Netherlands, and Norway have passed legislation to provide for state inspection of teacher qualification, course content, publicity, travelling salesmen, examinations, and costs to students. In some other countries…

Rich Schools, Poor Schools. Hidden Resource Inequalities between Primary Schools

ERIC Educational Resources Information Center

Poesen-Vandeputte, Mayke; Nicaise, Ides

2015-01-01

Background: There has been relatively little analysis of school context including a large number of elements from the broader social, political and economic influences. However, primary schools in Flanders (Belgium) are supposed to consider their school context when implementing the Flemish policy on equal opportunities in education. Purpose: In…

A 5TH GENERATION FIGHTER FOR BELGIUM:LUXURY OR NECESSITY

DTIC Science & Technology

2016-02-16

violence to assert power. Overall, 3 we see threats, old and new, from piracy to terrorism to cyber-attacks. Based on these increased threats, NATO...share information seamlessly and contribute to a Common Operating Picture ( COP ). This construct will balance speed with accuracy to deliver the

Quality Assurance in In-House Continuing Training. Case Studies from Europe.

ERIC Educational Resources Information Center

Severing, Eckart; Stahl, Thomas

Nine European Community Member States (Belgium, Germany, France, Greece, Ireland, Luxembourg, Portugal, Spain, and United Kingdom) conducted national studies that involved case studies of quality assurance in continuing education. Analysis of findings indicated that many firms regarded continuing training as a central instrument for achieving…

Rural Development: The Industrialized Free-Enterprise Nations.

ERIC Educational Resources Information Center

Economic Research Service (USDA), Washington, DC.

Most of the nations of the world have expressed concern for rural revitalization by providing a greater range of economic opportunities, social amenities, and cultural advantages. This report discussed rural development in the highly industrialized nations of the Federal Republic of Germany, Italy, Belgium, the Netherlands, France, Norway,…

European Approaches to Quality Assurance: Models, Characteristics and Challenges.

ERIC Educational Resources Information Center

van Damme, D.

2000-01-01

Examines models, characteristics, and challenges of quality assurance in higher education in the Netherlands, Belgium, Germany, Denmark, France, Finland, Italy, and Spain. Notes a common move toward institutional autonomy and output oriented steering, and the absence of accreditation procedures comparable to those in Anglo-Saxon countries. Finds…

Mathematics, PISA, and Culture: An Unpredictable Relationship

ERIC Educational Resources Information Center

Andrews, Paul

2015-01-01

Recent studies have indicated, particularly in the European context, that students' mathematical successes on international tests of student achievement may not be attributable to the quality of classroom instruction, although, as is shown, this is unlikely to be the case in Flanders, the autonomous Dutch-speaking region of Belgium. Flemish…

Improving School Leadership. Volume 2: Case Studies on System Leadership

ERIC Educational Resources Information Center

Hopkins, David, Ed.; Nusche, Deborah, Ed.; Pont, Beatriz, Ed.

2008-01-01

This book explores what specialists are saying about system leadership for school improvement. Case studies examine innovative approaches to sharing leadership across schools in Belgium (Flanders), Finland and the United Kingdom (England) and leadership development programmes for system improvement in Australia and Austria. As these are emerging…

48 CFR 22.1503 - Procedures for acquiring end products on the List of Products Requiring Contractor Certification...

Code of Federal Regulations, 2014 CFR

2014-10-01

... more (see subpart 25.4); or (4) Armenia, Aruba, Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hong Kong, Hungary, Iceland, Ireland, Italy..., Romania, Singapore, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, Taiwan, or the United Kingdom...

Lesbian, Gay, Bisexual, and Transgender Youth with Disabilities: A Meta-Synthesis

ERIC Educational Resources Information Center

Duke, Thomas Scott

2011-01-01

This meta-synthesis of empirical and nonempirical literature analyzed 24 journal articles and book chapters that addressed the intersection of disability, [homo]sexuality, and gender identity/expression in P-12 schools, colleges and universities, supported living programs, and other educational and social contexts in Australia, Belgium, Canada,…

A Directory of Selected National and Transnational Resources in Rehabilitation Information.

ERIC Educational Resources Information Center

Mullin, James J.; Chadderdon, Linda M.

The directory presents information on some of the rehabilitation information services worldwide. National developments in the following countries are described: Belgium (the National Fund for Social Classification of the Handicapped, the Belgian Red Cross); Canada (the Canadian Rehabilitation Council for the Disabled); Denmark (Inspectorate of…

75 FR 30434 - Stainless Steel Plate From Belgium, Italy, Korea, South Africa, and Taiwan

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-01

... any, in the supply and demand conditions or business cycle for the Domestic Like Product that have... Official, at 202- 205-3088. Limited disclosure of business proprietary information (BPI) under an... producer, union/worker group, or trade/business association; import/export Subject Merchandise from more...

Travels With Lynn: September 2010

Science.gov Websites

Cyber Security At the Security Defense Allaince Top Story Lynn Details New U.S. Strategy On New Warfare Landstuhl Regional Medical Center Lynn Continues NATO Meetings in Belgium Lynn Attends Cyber Presentation Against ISIL Terrorists Operation Atlantic Resolve Sexual Assault Prevention Asia-Pacific Rebalance Cyber

A Reassessment of Certain Archeological Sites in the Candy Lake Area, Oklahoma.

DTIC Science & Technology

1980-01-01

Cahen, and Keeley 1980). They report a paleolithic site whose lithics were distributed over 50 cm vertically. They were able to demonstrate that all...Great Britain and Ireland, Occasional Paper, 36. Van Noten, F. L., D. Cahen, and L. Keeley. 1980. A paleolithic campsite in Belgium. Scientific

Determinants of Teachers' Recognitions of Self-Regulated Learning Practices in Elementary Education

ERIC Educational Resources Information Center

Lombaerts, Koen; Engels, Nadine; van Braak, Johan

2009-01-01

The authors examined the relations among teacher characteristics, contextual factors, and the recognition of self-regulated learning (SRL). Participants of the survey study were 172 elementary school teachers in the Brussels Capital Region and surrounding area (Belgium). The authors assessed the interrelations of several measures on personal…

Student Participation in the CCC Member Countries in 1973.

ERIC Educational Resources Information Center

Goldschmidt, E.

The status of student participation in Council for Cultural Cooperation (CCC) nations is examined, based on questionnaire replies from Austria, Belgium, Cyprus, Denmark, Federal Republic of Germany, Finland, France, Iceland, Italy, Malta, the Netherlands, Norway, Sweden, Turkey, and the United Kingdom. After a brief review of the situation from…

Three-Dimensional Evolution of Erupted Flux Ropes from the Sun (2-20 Solar Radii) to 1 AU

DTIC Science & Technology

2012-12-01

public release; distribution unlimited 13. SUPPLEMENTARY NOTES Preprint, Solar Phys., 2013 14. ABSTRACT 15. SUBJECT TERMS 16. SECURITY ...NASA GSFC (USA), RAL and University of Birmingham (UK), MPS(Germany), CSL (Belgium), IOTA and IAS (France). References Brueckner, G.E., Howard, R.A

Tracking Streamer Blobs Into the Heliosphere

DTIC Science & Technology

2010-05-20

SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT Same as Report (SAR) 18. NUMBER OF PAGES 10 19a. NAME OF RESPONSIBLE PERSON a. REPORT...NASA/GSFC (US), RAL (UK), UB- HAM (UK), MPS (Germany), CSL (Belgium), IOTA (France), and IAS (France). In the US, funding was provided by NASA, in the

The Temperature-Dependent Nature of Coronal Dimmings

DTIC Science & Technology

2010-07-01

opening-up, of flux and can be observed both off-limb and on-disk. 15. SUBJECT TERMS 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT...international consortium of the NRL, LMSAL and NASA GSFC (USA), RAL and U. Bham (UK), MPS (Germany), CSL (Belgium), IOTA and IAS (France). This work was

77 FR 32517 - Stainless Steel Plate in Coils From Belgium: Notice of Preliminary Results of Antidumping Duty...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-01

... fabrication for the foreign like product, plus amounts for general and administrative expenses, interest... fabrication for the imported merchandise, plus amounts for selling, general, and administrative (SG&A... Juice From Brazil: Preliminary Results of Antidumping Duty Administrative Review and Notice of Intent...

Quetelet, Lambert Adolphe (1796-1874)

NASA Astrophysics Data System (ADS)

Murdin, P.

2000-11-01

Statistician, born in Ghent, Flanders, Belgium, founder (1833) and director of the Brussels Observatory. Studied astronomy at the Paris Observatory under FRANÇOIS ARAGO, and probability under Joseph Fourier and PIERRE LAPLACE. Apart from social statistics (crime, mortality, census taking), he worked on statistical, geophysical and meteorological data, and established statistical methods. Followin...

Secondary School Teachers' Beliefs, Attitudes, and Reactions to Stuttering

ERIC Educational Resources Information Center

Adriaensens, Stefanie; Struyf, Elke

2016-01-01

Purpose: The study identifies teachers' beliefs about and attitudes toward stuttering and explores to what extent these beliefs and attitudes prompt specific teachers' reactions to the stuttering of a student. Method: Participants were teachers in secondary education in Flanders (Belgium), currently teaching an adolescent who stutters. They were…

76 FR 2346 - Quarterly Update to Annual Listing of Foreign Government Subsidies on Articles of Cheese Subject...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-13

... DUTY Gross \\1\\ Subsidy Net \\2\\ Subsidy Country Program(s) ($/lb) ($/lb) 27 European Union Member States \\3\\........ European Union Restitution... $0.00 $0.00 Payments Canada Export Assistance on......... 0... states of the European Union are: Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia...

Children and Their Changing Media Environment: A European Comparative Study.

ERIC Educational Resources Information Center

Livingstone, Sonia, Ed.; Bovill, Moira, Ed.

Integrating broadcasting, video, computing, games, and the Internet, the domestic television screen is being transformed into the site of a multimedia culture. To address questions about the meaning and uses of such new media, this volume brings together work by researchers in 12 countries--Belgium, Denmark, Finland, France, Germany, the United…

Inverness College: Innovations in Aquaculture Training.

ERIC Educational Resources Information Center

Regional Technology Strategies, Inc., Carrboro, NC.

This paper describes the aquaculture program developed at Inverness College in Scotland. Inverness is located in the Scottish Highlands and serves an area roughly the size of Belgium, but with a population of only 300,000. The regional infrastructure and human capital resources in the Highlands are relatively weak due to inadequate transportation,…

Revisiting the Principle of Relative Constancy: Consumer Mass Media Expenditures in Belgium.

ERIC Educational Resources Information Center

Dupagne, Michel; Green, R. Jeffery

1996-01-01

Proposes two new econometric models for testing the principle of relative constancy (PRC). Reports on regression and cointegration analyses conducted with Belgian mass media expenditure data from 1953-91. Suggests that alternative mass media expenditure models should be developed because PRC lacks of economic foundation and sound empirical…

Defense.gov Special Report: Travels with Hagel - May 2013

Science.gov Websites

Singapore Flag of Belgium May 2013 News Stories Secretary Describes Post-ISAF Afghanistan Mission The United NATO defense ministers, Pentagon Press Secretary George Little said. Story NATO Ministers Set Post-2014 Afghanistan, Cyber, Libya Too Early for Post-2014 NATO Troop Numbers, Dunford Says Hagel Arrives in Brussels

Islamic Schools in Three Western Countries: Policy and Procedure

ERIC Educational Resources Information Center

Merry, Michael S.; Driessen, Geert

2005-01-01

In this article, the authors compare Islamic schools in three countries: the United States, the Netherlands, and Belgium. In each country, the authors take care to situate Islamic schools within the broader context of educational policy and practice. In particular, the authors examine the mechanisms for funding, choice and control, noting that for…

Reports on the Interviews with School Principals

ERIC Educational Resources Information Center

European Educational Research Journal, 2004

2004-01-01

This article presents two reports on the interviews with school principals in Belgium and France. The first report presents the results of interviews with 5 Flemish secondary school leaders. The purpose of the investigation was to gain an explorative insight of their use of and their remarks on the recent initiated systems to provide schools with…

Barriers to Participation in Vocational Orientation Programmes among Prisoners

ERIC Educational Resources Information Center

Brosens, Dorien; De Donder, Liesbeth; Dury, Sarah; Verté, Dominique

2015-01-01

This study investigates the barriers to prisoners' participation in vocational orientation programmes, as well as the predictors of different types of barriers. Survey data derived from a project in a remand prison in Belgium (N = 468) provided the empirical evidence for the analyses. The results indicate that facing situational and informational…

Characteristics of Appraisal Systems That Promote Job Satisfaction of Teachers

ERIC Educational Resources Information Center

Deneire, Alexia; Vanhoof, Jan; Faddar, Jerich; Gijbels, David; Van Petegem, Peter

2014-01-01

This article examines if and how characteristics of appraisal systems used for secondary school teachers affect job satisfaction. Using multilevel analyses on data of 3 473 teachers in Flanders (Belgium), we found that appraisals with a developmental purpose and appraisals perceived as being a fair judgement, both have a positive impact on job…

Ceramic-Ceramic Composites Meeting in Belgium.

DTIC Science & Technology

1987-08-04

the liquid phase Vidrio , Madrid, Spain) described the use should disappear during the heat treat- of SIC grains as a dispersed phase to ment. The...SiC fiber-reinforced SiO2 glass ma- trix, mullite-zirconia-A120 3-SiC, C-fi- used elastic wave measurements at high ber-reinforced reaction-bonded SiC

The Use of Computers in the Teaching of Geography.

ERIC Educational Resources Information Center

Kent, W. Ashley, Ed.

Eleven essays describe state of the art developments in the use of computers and computer-assisted learning to teach geography. Descriptions of the use of computers in the teaching of geography in their respective countries are contributed by educators from the United Kingdom, Italy, Belgium, The Netherlands, Australia, New Zealand, Scotland,…

"Everyone Has Their Own Qualities": Tracking and Academic Self-Appraisal in Flemish Secondary Education

ERIC Educational Resources Information Center

Van Praag, Lore; Demanet, Jannick; Stevens, Peter A. J.; Van Houtte, Mieke

2017-01-01

Track position has an impact on students' perceptions of educational success. These perceptions matter as they relate to educational and professional aspirations and choices. In this ethnographic study, based on ethnographic observations and semi-structured interviews in three secondary schools in Flanders (northern part of Belgium), we want to…

Training of Older Workers in Belgium. Training Discussion Paper No. 37.

ERIC Educational Resources Information Center

Gruloos, Jacques

Resulting from one of the International Labour Office's explorations of the training needs of older workers in industrialized countries, this document states that there are no Belgian training or retraining programs for older workers, although general education and retirement education programs do exist. The Christian Union for Pensioners and the…

7 CFR 319.56-22 - Apples and pears from certain countries in Europe.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 5 2012-01-01 2012-01-01 false Apples and pears from certain countries in Europe. 319... Vegetables § 319.56-22 Apples and pears from certain countries in Europe. (a) Importations allowed. The... applicable provisions of this subpart: (1) Apples from Belgium, Denmark, France, Germany, Great Britain...

7 CFR 319.56-22 - Apples and pears from certain countries in Europe.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 5 2011-01-01 2011-01-01 false Apples and pears from certain countries in Europe. 319... Vegetables § 319.56-22 Apples and pears from certain countries in Europe. (a) Importations allowed. The... applicable provisions of this subpart: (1) Apples from Belgium, Denmark, France, Germany, Great Britain...