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3. Varicella paediatric hospitalisations in Belgium: a 1-year national survey

Author

Blumental, Sophie, Sabbe, Martine, Lepage, Philippe, Asscherickx, W., Audiens, H., Azou, M., Baten, E., Bertrand, Th., Beullens, B., Bouteiller, A-S, Bruylants, B., Candi, B., Cavatorta, E., Corthouts, I., Croisier, C., Delbushaye, J., De Lille, L., Deman, S., Demeester, A., Denoncin, C., De Roeck, J-P., De Schutter, I., De Schynkel, K., de Selys, A., Desimpel, H., De Temmerman, D., Duvivier, B., Eerdekens, K., Elyahyioui, M., Fedora, L., Franckx, J., Frère, J., Lerusse, C., Garmyn, K., Genin, C., Gielen, ML., Gueulette, E., Guzganu, L., Hemelsoet, N., Henckens, F., Jaumotte, J., Jeannin, Ph., Joachim, L., Jonckheer, T., Khalil, T., Kreitz, S., Lemay, P., Lemmens, F., Lenga, E., Levy, J., Lubrez, A., Maka, M., Matthijs, I., Michel, M., Naert, M., Naudts, K., Nica, A-M, Nobre-Machado, A., Oosterlynck, L., Peeters, S., Persyn, J., Pletincx, M., Proesmans, M., Vermeulen, F., Quaegebeur, K., Questiaux, J-F., Raes, M., Ramet, J., Renders, F., Rentmeesters, A-M., Saive, N., Sauer, K., Schelstraete, P., Segers, K., Seghaye, M-C., Sercu, E., Slaouti, T., Snoeck, L., Stalens, J-Ph., Thijs, J., Nikolaas, AZ, Tshibuabua, G., Tuerlinckx, D., Vandecasteele, G., Van den Berghe, L., Vandenbossche, L., Vandenbroeck, P., Vandenbussche, E., Vander Auwera, A., Vanderbruggen, K., Van der Linden, D., Van Eldere, S., Van Genechten, T., Vlemincx, I., Van Hauthem, H., Van Lierde, B., Van Lierde, S., Van Oort, M., Van Steirteghem, S., Verbeeck, P., Verdonck, L., Verghote, M., Verniest, R., Versteegh, Ch., Vincke, P., and Watillon, Ph.

Published
2016
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4. Posters

Author

Nielsen, J., Hansen, E. G., Antonsen, K., Frederiksen, H. J., Lippert, F. K., Bonde, J., Danschutter D., Goris J., Ramet J., Koutsoukou, A., Papadhimitriou, S. I., Kithreotis, P., Stratouli, S., Vlahogiorgos, G., Veldekis, D., Eliopoulos, E., Dexter, T. J., Challant, G., Waldmann, C. S., Bernau, F., Waldmann, C. S., Meanock, C., Thomas, J., Defouilloy, C., Defouilloy, I., Tinturier, F., Magnier, S., Slama, M., Ossart, M., Hofhuis, J., Rommes, J. H., Bakker, J., Roupie, E., Durand-Zaleski, I., Picard, J. Y., Lemaire, F., Pateman, I., Conyers, A. B., Ramet, J., Van Herreweghe, I., Danschutter, D., Spapen, H., Diltoer, M., Huyghens, L., Bouchet, M. F., Wysocki, M., Dejeux, D., Mirarda, D. Reis, Iapichino, G., Moreao, R., Lamb, F. J., Mitchell, I. A., Grounds, R. M., Bennett, E. D., Bihari, D. J., Jacques, T., Angus, D. C., Clermont, G., Lee, K. H., Craig, M. T., Abramson, N. S., ICU nurses, and Brain Resuscitation Clinical Trial III Study Group

Published
1996
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7. Posters

Author

Cerny, V., Zivny, P., Dostal, P., Parizkova, R., Zabka, L., Hodgson, R. E., Bosenberg, A. T., Hadley, G. P., Spapen, H., Diltoer, M., Suys, E., Borremans, M., Ramet, J., Huyghens, L., Afessa, B., Murphy, R., Hogans, L., Meyers, B., Mentec, H., Gruchet, P., Squara, P., De Jonghe, B., Peillon, I., Sollet, J. P., Bleichner, G., Zivkovic, Z., Mihailovic, S., Jakovljevic, M., Ryan, D. W., Weldon, O. G. W., Gower, S. N., Whiteley, S. M., Bodenham, A., De Robertis, E., Liu, J. M., Svantesson, C., Oahm, P. L., Thöme, J., Blomquist, S., Jonson, B., Pelagatti, C., Barattini, M., Poli, C., Ricupero, L., Olmastroni, M., Pieraccioni, P., Padelletti, M. B., Romagnoli, P., Masi, A., Rossi, G. F., Kurz-Müller, K., Tryba, M., Pelosi, P., Chiumello, D., Croci, M., Gattinoni, L., Kofings, G., Kyriakidis, M., Betrosian, A., Georgiou, L., Toufouzas, P., Lim, C. M., Choi, J. E., Kon, Y., Lee, S. D., Kim, W. S., Park, P. H., Kim, D. S., Kim, W. D., Koh, Y., Jung, B. H., Kim, W. S., Mazzi, S., Petrucci, N., Agostini, F., Vischi, F., Mitic-Milikic, M., Vukcevic, M., Obradovic, Lj. Nagomi, Sekulic, S., Peláez, J., Asensio, M. J., Jiménez, M., Sisón, M., Yus, S., Cerdeño, V., Nishizuka, K., Tashiro, K., Matsumoto, Y., Kobayashi, T., Suzuki, Y., De Blasio, E., De Sio, A., Golia, D., Papa, A., Giurbino, M., Paulone, G., Evangelista, V., Imhoff, M., Greive, H., Lehner, J. H., Löhlein, D., Kelly, K. P., Busch, T., Loge, K., Gerlach, H., Falke, K. J., Rossaint, R., Herreo, S., Suarez, T., Mosácula, J., Lacort, M., Lapuerta, J. A., Guerra, J., Benini, A., Borelli, M., Lampati, L., Acciaro, M., Pesenti, A., Verweij, M., Marcolin, R., Bombino, M., Patroniti, N., Sordi, A., Tsareva, M., Petkoy, I., Kishen, R., Bowles, B. J. M., Thomas, A. N., Geraghty, I. F., Goodall, J., Grasso, S., Giuliani, R., Puntillo, F., Mascia, L., Fiore, T., Brienza, N., Ranieri, V. M., Pavlou, E., Zevla, E., Stavropoulou, M., Papazacharias, Ch., Loannidou, E., González F. X., Rull R., López-Boado M. A., Fábregas N., Alcón A., Moreno L. A., Zavala E., Hering, Ch., Ferrer, M., Masclans, J. R., Castellá, M., Anglés, R., Rodriguez-Roisin, R., Roca, J., Milic-Emili, J., Ferrer M., Polese G., Masclans J. R., Planas M., Milic-Emili J., Roca J., Rossi A., Rodriguez-Roisin R., Masclans, J. R., Planas, M., Bermejo, B., Valls, M., Picó, M., Porta, I., de Latorre, F. J., Rodríguez-Roisin, R., Anglès, R., Ferrer, R., Peracaula, R., Bellamy, M. C., Smith, S. N., Dahm, P. L., Thörne, J., Rossetti, H., Amaral, J. L. G., Amarante, G. A. J., Juliano, Y., Novo, N. F., Resta, O., Guido, P., Picca, V., Foschino, M. P., Lecce, G. A., Affuso, F., Resta, O., Foschino, M. P., Scarpelli, F., Sergi, M., Rizzi, M., Kirby, F., Healy, V., Mannion, D., Sweeney, E., Gil, A., SamPedro, J. M., Hernández, J., Carrizosa, J., Herrero, F., Martin, A., Sandaz, D., Rialp, G., López-Velarde, G., Subirana, M., Bak, E., Santos, J. A., Ormaechea, E., Net, A., Benito, S., Mancebo, J., Vallverdú, I., Rialp, G., Subirana, M., Santos, J. A., Benito, S., Vallverdú, I., Stricker, H., Domenighetti, G., Waldispuehl, B., Feickert, H. J., Kayser, Ch., Sasse, M., Grüning, T., Pappert, D., Merker, G., Steinau, R., Wenz, M., Lange, M., Gerlach, H., Kaczmarczyk, G., De Deyne, C., Decruyenaere, J., Hoste, E., Colardyn, F., Bar-Lavie, Y., Borg, U., Kuramoto, J., Habashi, N., Reynolds, H. N., Walder, B., Bründler, M. A., Spiliopoulos, A., Zürcher, R., Nicod, L., Romand, J. A., Alyoshkin, A. V., Zarubina, T. V., Okhuysen, R. S., Bristow, F., Alpert, B. E., Frates, R. C., De Laat, M., Vermassen, F., Subirana, M., Betbesé, A. J., Pérez, M., Rialp, G., Santos, A., Subirana, M., Subirana, M., Betbesé, A., Subirana, M., Kanhai, J. K. K., Strijdhorst, H., Pompe, J. C., Bruining, H. A., Huygen, P. E. M., Teba, L., Singh, S. G., Dedhia, H. V., Vivaldi, G. Ferrari, Pedersini, G., Cingia, C., Ferrari, M., Marzollo, P., Kunert∼, M., Scheuble∼, L., Johanns’, M., Adnet, F., Benaissa M. L., Bekka R., Plaisance, P., Lapandry, C., Lapostolle, F., Baud, F., Solca, M., Ravagnan, I., Pedoto, A., Piquemal, R., Dequin, P. F., Hazouard E., Legras, A., Perrotin, D., Ginies, G., Calzia, E., Lindner, K. H., Radermacher, P., Steltzer, H., Krafft, P., Krenn, C. G., Fridrich, P., Hammerle, A. F., Gill, R. S., Pappachan, J. V., Young, M. A., Taylor, B. L., Smith, G. B., Lachana, Alexandra, Dimitroula, V., Stergiou, P., Nakos, G., Haberthür, C., Fabry, B., Zappe, D., Volta, C., Gottfried, S., Goldberg, P., Beuret, P., Carton, M. J., De Pasquale, V., Harlay, M. L., Cannamela, A., Ducreux, J. C., Tempelhoff, G., Eremenko, A. A., Chaus, N. I., Levicov, D. I., Bozhieva, L. V., Revuelta, P., Frutos, F., Núñez, C., Garrido, P., Lorenzo, J. M., Tamayo, L., Freire E., Silva A., Caminha J., Carneiro A., Reis E., Rocha N., Lopes M., Paes Cardoso A., Rua F., Young, J. D., Allman, K. G., Wallin, C. -J., Rundgren, M., Eriksson, S., Hjelmqvist, H., Leksell, L. G., Nicolayenko, E. M., Grischenko, A. V., Fomicheva, A. V., Soltan, S. A., Stepanov, N. A., Anaslasaki, M., Agouridakls, P., Katsanoulas, K., Moloudl, E., Chaniotakls, E., Askitopoulou, E., Agouridakis, P., Katsanoulas, K., Lampakis, S., Chaniotaki, F., Groutsou, H., Gregoretti, C., Navaleai, P., Foti, G., Turello, M., Muato, P., Šakić, K., Pećina, M., Šakić, Š, Del Nogal, F., Jiménez, M. J., García, M. A., Suárez, J., Temprano, S., Díaz, R., López, J., Zupancich, E., Turani, F., Tessitore, L., Mastrofrancesco, P., Celeste, G., Curatola, D., Sabato, A. F., Kellv, K. P., Gerlach, H., Ludwigs, U., Sánchez, A., Jiménez, J. M., Guerrero, A., Martínez, S., Chirosa, M., Marín, M., Young, P. J., Rollinson, M., Downward, G., Henderson, S., Mas, A., Martínez, M., Díaz, E., Joseph, D., Baigorri, F., Blanch, LI., Blanch, L., Perez, M., Martinez, M., Betbese, A. J., Subirana, M., Jam, R., Lucangelo, U., Hernández, E., Jam, M. R., Ortiz, D., Ayala, S., Noray, M., Blanch, L. I., Royo, C., Zappe, D., Haberthür, C., Díaz, O., Saldías, F., Andresen, M., Arriagada, D., Dougnac, A., Laterre, P. F., Raynaert, M., Jorquera, R., Florence, E., Espeel, B., Roeseler, J., Capodilupo, G., Reynaert, M. S., Gabrielli, C., Michel, F., Nibbe, L., Kuhlen, R., Hausmann, S., Max, M., Sprenger, M., Haberthür, Ch., Falke, K., Olivei, M., Galbusera, C., Veronesi, R., Palo, A., Comelli, A., Zanierato, M., Iotti, G., Brunner, J. X., Braschi A., Galbusera C., Olivei M., Zanierato M., Rinaldi M., Palo A., Veronesi R., Viganó M., Braschi A., Stopar, T., Danovitch, K., Gursahaney, A., Gottfried, S. B., Reper, P., Danckaert, R., Wybaux, O., Jagodzinski, R., Lampaert, P., Jeunen, R., Vanderkelen, A., Pinder, M., Lipman, J., Hon, H., Low, J. H. S., and Wells, M.

Published
1996
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8. Nursing Programme

Author

Beanland, S., Sproat, L. J., Darowski, M. J., Norman, Surgery S., Thompson, L., Medicus, L., Huwiler, Eliane, Kobel, Eva, Leijonmarck, A., Lundeberg, S., Ferngren, H., Lindholm, A. C., Olsson, G. L., Duvndam, Anita, v. d. Sluis, Sonia, Craig J., Darbyshire A., Horrox F., Kitchiner D., Chapman S., Herouvin L., Courtney J., Mok Q., Danschutter D., Goris J., Ramet J., Franco A., Skogby, Maria, Mellgren, Karin, Friberg, Lars-Göran, Mellgren, Gösta, Wadenvik, Hans, Hermana Tezanos M. T., Pilar Orive J., Latorre Garcia J., Lizarraga Azparr M. A., Lopez Bayón J., Jakomin, M., Kranjec, T., Sajovic, V., Kodran, E., Primožič, J., Wierema, Joan, Mourik, Marjan, Mourik M., Smits, Corina, Molenaar J. C., Tibboel D., de Boer, Josien, Bouwmeester J., Sonius, E. M., Verhoeven, J. J., Joosten, K. F. M., vd. Vooft, E., Petreska, M., Moder, B., Janičijevič, Z., Kovač, A., Warren, Muir, Maryse, Blondel, Rhonda, Foltz, Martine, Farine, Isabelle, Grillet, Christa, Bosson, Andrea, Goelz, Pascale, Helmer, Mikaelian, P., Ronin, E., Claris, O., Salle, B. L., Schindler, Monika, Braganti, I., Despianques, I., Cimeno, R., Métivier, M. T., Papez, I., Delaitre, C., Schlumberger, E., Jeanne, C., Minier, D., Egrot, F., Saidani, S., and REA PED working group

Published
1996
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16. Feasibility of cheese production and whey valorization in the Adamawa Province of Cameroon

Author

Nono, Y Jiokap, Libouga, D G, Ngongang, D, Ramet, J P, and Parmentier, M

Subjects
Adamawa, milk, cheese, whey, feasibility, profitability
Abstract

Problems associated with perishability and distribution of local milk and milk products by small-scale producers in the Adamawa province of Cameroon, justified development of an easy process for producing pressed-dough cheese and flavoured whey. Production from raw milk was technically profitable with mean cheese and flavoured whey yields of 8.9 and 85,6% (w/w), respectively. The cheese and whey comprise 50 and 45.7 % (w/w), respectively, of the milk initial dry matter and were highly appreciated by about 90% of panellists. The profitability of a small-scale production unit was established based on 562 kg of treated milk per month. An initial investment of about US $6,205 generates a monthly profit margin of US $237, which gives a profit of 45.8%.Key words: Adamawa, milk, cheese, whey, feasibility, profitability.

Published
2016

18. Paediatric primary care in Europe: Variation between countries

Author

Van Esso, D., Del Torso, S., Hadjipanayis, A., Biver, A., Jaeger-Roman, E., Wettergren, B., Nicholson, A., Zach, M., Hamilton, P., Tenore, A., Ramet, J., Craft, A., Pulido, M., Azevedo, I., Barak, S., Barillari, A., Bovet, F., Chybicka, A., De Beaufort, Carine, Eigenmann, A. K., Einberg, Ü., Ghenev, E., Hardarson, H., Kadar, F., Kubatova, G., Lanka, I., Lounamaa, R., Mimouni, F., Prcuchova, K., Prieler, A., Rubel, F., Rudzeviciene, O., Sedlak, W., Zupancic, M. S., Siebke, E., Simovicova, K., Skovby, F., Solomou, M., Stefanidis, D., Szitanyi, N., and Verloove Vanhorick, P.

Subjects
Adolescent, Primary Health Care, Multidisciplinaire, généralités & autres [D99] [Sciences de la santé humaine], education, Child Health Services, Infant, Newborn, Infant, Pediatrics, Europe, Education, Medical, Graduate, Child, Preschool, Health Care Surveys, Humans, Health Services Research, Child, Delivery of Health Care, Multidisciplinary, general & others [D99] [Human health sciences]
Abstract

Background: Although it is known that differences in paediatric primary care (PPC) are found throughout Europe, little information exists as to where, how and who delivers this care. The aim of this study was to collect information on the current existing situation of PPC in Europe. Methods: A survey, in the form of a questionnaire, was distributed to the primary or secondary care delegates of 31 European countries asking for information concerning their primary paediatric care system, demographic data, professionals involved in primary care and details of their training. All of them were active paediatricians with a broad knowledge on how PPC is organised in their countries. Results: Responses were received from 29 countries. Twelve countries (41%) have a family doctor/general practitioner (GP/FD) system, seven (24%) a paediatrician-based system and 10 (35%) a combined system. The total number of paediatricians in the 29 countries is 82 078 with 33 195 (40.4%) working in primary care. In only 15 countries (51.7%), paediatric age at the primary care level is defined as 0-18 years. Training in paediatrics is 5 years or more in 20 of the 29 countries. In nine countries, training is less than 5 years. The median training time of GPs/FDs in paediatrics is 4 months (IQR 3-6), with some countries having no formal paediatric training at all. The care of adolescents and involvement in school health programmes is undertaken by different health professionals (school doctors, GPs/FDs, nurses and paediatricians) depending on the country. Conclusions: Systems and organisations of PPC in Europe are heterogeneous. The same is true for paediatric training, school healthcare involvement and adolescent care. More research is needed to study specific healthcare indicators in order to evaluate the efficacy of different systems of PPC.

Published
2010

19. Medical end-of-life decisions: experiences and attitudes of Belgian pediatric intensive care nurses

Author

Inghelbrecht, Els, Bilsen, Johan, Ramet, J., Deliens, Luc, End-of-life Care Research Group, and Public Health Care

Subjects
Euthanasia, Attitudes, nurses' role, Pediatric intensive care units, non-treatment decisions, Nurses, intensive care, End-of-life decisions
Abstract

Objective To investigate Belgian pediatric intensive care nurses' involvement in and attitudes toward medical end-of-life decisions with a possible or certain life-shortening effect. Methods Questionnaires were distributed to 141 nurses working in 5 of the 7 pediatric intensive care units in Belgium. Nurses were asked to recall the last child in their care whose treatment involved an end-of-life decision and to describe anonymously their involvement in the decision. Attitudes were ascertained by means of statements and a Likert scale. Results Questionnaires were completed by 89 nurses (63%). During the preceding 2 years, 76 (85%) had cared for at least 1 child for whom a medical end-of-life decision had been made. Nurses were involved in initiating the decision in 17% of cases, participated in decision making in 50%, and played a role in carrying out the decision in 90%. Only 6% of nurses found it always ethically wrong to hasten the death of a child by administering lethal drugs; most nurses (78%) reported they were prepared to cooperate in administering life-ending drugs in some cases. Most (89%) favored adapting the law, making life termination of children legally possible in certain cases. Conclusions Belgian pediatric intensive care nurses are often involved in carrying out medical end-of-life decisions, including administration of life-ending drugs, whereas their participation in decision making is more limited. Most think that the current euthanasia law should be extended to minors so that administering life-ending drugs would be possible for terminally ill children in specific circumstances.

Published
2009

20. Medical end-of-life decisions in Belgian pediatric intensive care units: nurses' involvement and attitudes

Author

Inghelbrecht, Els, Bilsen, Johan, Pereth, Heidi, Ramet, J., Deliens, Luc, and End-of-life Care Research Group

Subjects
nurses' attitudes, Euthanasia, Attitudes, nursing role, Pediatric intensive care units, Nurses, Involvement, pediatric intesive care unit, End-of-life decisions
Abstract

Objective Nurses working at a pediatric intensive care unit are likely to be confronted with end-of-life decisions with a possible or certain life-shortening effect. The aim of this study is to investigate the role of nurses in the initiation, decision-making and implementation of end-of-life decisions and to explore their attitudes towards those decisions. Method Anonymous questionnaires were distributed to all nurses working at five of the seven pediatric intensive care units in Belgium willing to cooperate in the study (N=141). Nurses were asked to recall the most recent child they have cared for and for whom an end-of-life decision had been taken and to describe their role in the initiation, decision-making and implementation of this end-of-life decision. Attitudes towards different end-of-life decisions were asked by means of statements and using a Likert-scale. Results: Response rate was 63% (N=89). Most nurses (86%) had personally cared for a child for whom an end-of-life decision with a possible or certain life-shortening effect was taken. Nurses initiated the decision in 17%, participated in the decision-making process in 50%, and had a particular role in the implementation in 90% of all end-of-life decisions. In 61% of all cases where life-ending drugs were used nurses were involved in the administration of these drugs with the presence of teh physician and in in 31% of these cases nurses did so without the presence of the physician. Few nurses (6%) would not participate in any form of life termination in children and most nurses (78%) were prepared to cooperate in the administering of life-ending drugs. The majority of nurses (89%) is also in favor of an adaptation of the law, making termination of life legally possible in some cases. Conclusions Nurses working at Belgian pediatric intensive care units are often involved in the implementation of medical end-of-life decisions, even in administering life-ending drugs, while there participation in the decision-making process is rather limited. They think life-termination among terminally ill children must be possible and legally regulated in certain circumstances. Given their crucial role, those nurses should be involved more actively in the discussion about these decisions. Guidelines underlying good collaboration and communication in end-of-life decisions and promoting a clearer assignment of responsibilities in the performance of end-of-life decisions in pediatric intensive care units are needed., Objective: Nurses working at a pediatric intensive care unit are likely to be confronted with end-of-life decisions with a possible or certain life-shortening effect. The aim of this study is to investigate the role of nurses in the initiation, decision-making and implementation of end-of-life decisions and to explore their attitudes towards those decisions. Method: Anonymous questionnaires were distributed to all nurses working at five of the seven pediatric intensive care units in Belgium willing to cooperate in the study (N=141). Nurses were asked to recall the most recent child they have cared for and for whom an end-of-life decision had been taken and to describe their role in the initiation, decision-making and implementation of this end-of-life decision. Attitudes towards different end-of-life decisions were asked by means of statements and using a Likert-scale. Results: Response rate was 63% (N=89). Most nurses (86%) had personally cared for a child for whom an end-of-life decision with a possible or certain life-shortening effect was taken. Nurses initiated the decision in 17%, participated in the decision-making process in 50%, and had a particular role in the implementation in 90% of all end-of-life decisions. In 61% of all cases where life-ending drugs were used nurses were involved in the administration of these drugs with the presence of teh physician and in in 31% of these cases nurses did so without the presence of the physician. Few nurses (6%) would not participate in any form of life termination in children and most nurses (78%) were prepared to cooperate in the administering of life-ending drugs. The majority of nurses (89%) is also in favor of an adaptation of the law, making termination of life legally possible in some cases. Conclusions: Nurses working at Belgian pediatric intensive care units are often involved in the implementation of medical end-of-life decisions, even in administering life-ending drugs, while there participation in the decision-making process is rather limited. They think life-termination among terminally ill children must be possible and legally regulated in certain circumstances. Given their crucial role, those nurses should be involved more actively in the discussion about these decisions. Guidelines underlying good collaboration and communication in end-of-life decisions and promoting a clearer assignment of responsibilities in the performance of end-of-life decisions in pediatric intensive care units are needed.

Published
2007

22. Invasive sino-nasal aspergillosis: a case report

Author

Frans Gordts, Hamels, K., Ramet, J., and Specialities

Abstract

Invasive sino-nasal aspergillosis: a case report. A case of invasive sino-nasal aspergillosis in an immunocompromised child is reported. Prognosis of this fulminant disease is usually poor. This paper reviews the early symptoms, clinical manifestions, risk factors, diagnosis and treatment. Awareness of the disease and early diagnosis by histological examination is essential. Treatment should consist of early administration of IV Amphotericin B of IV Amphotericin B and extensive surgical debridement.

Published
1998

24. Reversible cardiac failure in an adolescent after prolonged CO-exposure

Author

Marc Diltoer, Colle, I., Ives Hubloue, Ramet, J., Herbert Spapen, Nguyen, Nam Duc, LUC HUYGHENS, Critical Care, and Internal Medicine Specializations

Subjects
Cardiac failure, Adolescent, cardiovascular system, CO-exposure
Abstract

Reversible cardiac failure in an adolescent after prolonged CO-exposure

Published
1995

25. PAROXYSMAL EVENTS RELATED TO INCREASED VAGAL REACTIVITY IN HEALTHY-CHILDREN

Author

Hachimi Idrissi, Said, Ramet, J, and Pediatrics

Abstract

“Breath-holding spells” and “reflex anoxic seizures” in children are sometimes misdiagnosed as epilepsy. Paroxysmal events may however be vagally-mediated. Initiation of the vagal reflex follows usually a sudden and unexpected fright or pain. The purpose of this study was to evaluate the strength of the vagal reflexes in children with various forms of paroxysmal events. Subjects and methods: 57 infants, aged 5 months to 5 years, with a history of at least two episodes on non-epileptic paroxysmal events were retained for this study. Great care was provided in the parental history. Based on anamnestic data, each subject was assigned to a group. Group I: Blue breath-holding spells (BBHS =18); Group II: Reflex anoxic seizures (RAS=17); Group III: Sobbing spasms (SS=14); Group IV : Mixed spasms (MS=8). An ocular compression test (OCT) was performed according to previously described technique (Ramet Ped Res 1988). Following parameters were measured : control RR interval; longest RR interval; vagal escape; % RR (= longest RR interval / control RR interval) × 100. Results : The highest values for the longest RR obtained in the RAS group, differed significantly from those obtained in the BBHS group. - The mean and SD values for % RR were respectively for groups I, II, III and IV 354 + 207 %, 601 + 164%, 524 + 256% and 611 + 260%. % RR was significantly higher in the RAS group than in the BBHS group. Quite unexpectedly, we found that the % RR in the SS and in the mixed groups were significantly higher than in the BBHS. We can assume that the clear-cut dissociation between “vagally-mediated” RAS and “vagally independent” BBHS seems incorrect. However, we demonstrated that vagal reactivity plays a certain role in SS. Our results sustain the importance of performing an O.C.T. not only in RAS but also in BBHS and SS as well as in the MS group. The classical description between “blue” and “white breath holding spells” depending on the absence or presence of an increased vagal reactivity is, according to our present data, no longer fully applicable.

Published
1994

26. Metabolic disregulation in obese adolescents with sleep-disordered breathing before and after weight loss.

Author

Hoorenbeeck, K., Franckx, H., Debode, P., Aerts, P., Ramet, J., Gaal, L. F. Van, Desager, K. N., Backer, W. A. De, and Verhulst, S. L.

Subjects
METABOLIC regulation, OVERWEIGHT persons, SLEEP apnea syndromes, WEIGHT loss, BODY mass index, ASPARTATE aminotransferase, HIGH density lipoproteins, PATIENTS
Abstract

Objective Sleep-disordered breathing (SDB) is prevalent in obesity. Weight loss is one of the most effective treatment options. The aim was to assess the association of SDB and metabolic disruption before and after weight loss. Design and Methods Obese adolescents were included when entering an in-patient weight loss program. Fasting blood analysis was performed at baseline and after 4-6 months. Sleep screening was done at baseline and at follow-up in case of baseline SDB. Results 224 obese adolescents were included. Median age was 15.5 years (10.1-18.0) and mean BMI z-score was 2.74 ± 0.42. About 30% had SDB at baseline ( N = 68). High-density lipoprotein (HDL)-cholesterol was associated with mean nocturnal oxygen saturation () (partial r = 0.21; P = 0.002). Aspartate aminotransferase (ASAT) and alanine aminotransferase were related with oxygen desaturation index (partial r = −0.15; P = 0.03 and partial r = −0.15; P = 0.02), but this became insignificant after correction for sex. After weight loss, 24% had residual SDB. Linear regression showed an association between ASAT and (partial r = −0.34; P = 0.002). There were no significant correlations between improvements in laboratory measurements and sleep parameters. HDL-cholesterol improved in relation with the decrease in BMI z-score. Conclusion SDB at baseline was associated with higher levels of liver enzymes and lower HDL-cholesterol concentration. Improvements in sleep parameters were not associated with improvements in laboratory measurements. © 2013 American Institute of Chemical Engineers AIChE J, 2013 [ABSTRACT FROM AUTHOR]

Published
2013
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40. Letters to the Editor.

Author

Ramet, J., Hauser, B., and Schmedding, E.

Subjects
LETTERS to the editor
Abstract

Presents a letter to the editor discussing about the article "Pallid Breath-holding Spells; Evaluation of the Autonomic Nervous System," published in the previous issue of the journal "Clinical Pediatrics."

Published
1990

45. Neonatal circumcision.

Author

Ramet, J, Benatar, A, Diltoer, M, Spapen, H, and Huyghens, L

Subjects
*COMBINATION drug therapy, *CIRCUMCISION, *CLINICAL trials, *COMPARATIVE studies, *NEWBORN infants, *LIDOCAINE, *LOCAL anesthetics, *RESEARCH methodology, *MEDICAL cooperation, *PAIN, *PHLEBOTOMY, *PLACEBOS, *RESEARCH, *EVALUATION research, *PAIN measurement, *RANDOMIZED controlled trials
Published
1997
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