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Des études de l’impact de la littératie en santé sur l’adhésion au traitement mesurent typiquement la littératie en santé de manière générale, sans faire de distinction entre les compétences spécifiques. Cette étude examinait l’impact des quatre dimensions de littératie en santé (comprendre, évaluer, accéder, appliquer) sur l’autogestion et le bien-être de patients diabétiques.Méthode :107 patients diabétiques consultant dans un hôpital belge remplient le HLS_EU_47, le DSMQ_16, et deux questions mesurant l’adhésion aux recommandations et la difficulté perçue de l’autogestion. Des régressions multiples testaient la contribution de la littératie en santé et de ses sous-dimensions sur l’autogestion, l’adhésion au traitement et la difficulté perçue, en plus des prédicteurs démographiques et médicaux (âge au moment du diagnostic, complications, comorbidités, formation à l’autogestion).Résultats :Outre la formation à l’autogestion et les complications, les 4 sous-dimensions de la littératie en santé expliquent significativement l’adhésion au traitement et l’autogestion. Parmi les sous-dimensions, l’évaluation des informations sur la santé contribue le plus à l’adhésion au traitement et l’autogestion.Conclusion :Parmi les sous-dimensions de la littératie en santé, l’évaluation des informations impacte le plus fort l’adhésion aux recommandations médicales et l’autogestion.

Les Petits traités d’histoire naturelle ou Parva naturalia d’Aristote proposent, pour la première fois dans l’histoire de la philosophie occidentale, une analyse systématique des états « communs à l’âme et au corps » : la sensation, la mémoire, le sommeil et les rêves, la respiration ou encore la vie et la mort. Désormais la physiologie trouve une place nécessaire et parfaitement légitime dans le cadre de l’enquête psychologique. Appliquant les grands principes formulés dans le traité De l’âme, les Parva naturalia établissent un lien nouveau, avec une précision encore inégalée dans le corpus philosophique, entre la traditionnelle et vénérable conception de l’âme comme principe de mouvement et de connaissance, et celle qui naît avec la science du vivant, cette partie de la philosophie naturelle que développe le Stagirite. Héritage considérable, aussitôt perçu comme tel dans l’Antiquité et au Moyen Âge. Les lectures, commentaires, traductions et paraphrases d’Aristote témoignent d’une attention constante à ces textes et aux questions qu’ils posent, ouvrant dès lors la philosophie naturelle à de nouveaux domaines comme la médecine, la cosmologie, l’anthropologie, etc. Avec ou contre Aristote, on doit lire et commenter les Parva naturalia. Ce volume examine leur réception et leur fortune, dans la longue durée, et dévoile ainsi un aspect essentiel de l’histoire des rapports de l’âme et du corps.

INTRODUCTION Si l’on compare la traduction en français des Parva naturalia d’Aristote faite en 1847 par J. Barthélemy-Saint-Hilaire avec des éditions et traductions plus récentes, on remarque que le contenu n’est pas identique. Barthélemy a ajouté un texte, auquel il a donné une place entre le traité sur la divination et celui sur la longévité, le traité « Du principe général du mouvement dans les animaux », comme il appelle le De motu animalium. Barthélemy offre deux arguments pour justifier...

In this paper, we classify regular polytopes with automorphism groups of order $2^n$ and Schl\"afli types $\{4, 2^{n-3}\}, \{4, 2^{n-4}\}$ and $\{4, 2^{n-5}\}$ for $n \geq 10$, therefore giving a partial answer to a problem proposed by Schulte and Weiss in [Problems on polytopes, their groups, and realizations, Periodica Math. Hungarica 53(2006) 231-255]., Comment: 21 pages

Resume Introduction Le pityriasis rubra pilaire (PRP) est un syndrome cutane d’etiologie inconnue dont la plupart des cas sont sporadiques et acquis. Nous rapportons un cinquieme cas d’eruption de type PRP associee au ponatinib, un inhibiteur de tyrosine kinase (ITK). Observation Une femme de 60 ans se presentait a la consultation de dermatologie pour une eruption erythemato-squameuse evoluant depuis 2 semaines. La patiente etait egalement suivie en hematologie pour une recidive de leucemie lymphoblastique aigue. Un traitement par ponatinib avait ete debute 6 semaines plus tot. Malgre l’aspect peu specifique de l’histologie cutanee, le diagnostic d’eruption de type PRP induit etait pose face a l’image clinique caracteristique. Le traitement par corticoides locaux permettait la resolution de l’eruption. Discussion La litterature rapporte six cas d’eruption de type PRP associes a la prise d’ITK, dont quatre avec le ponatinib. L’eruption survient dans un delai variant de 2 semaines a 3 mois apres le debut du traitement. Les corticoides locaux prescrits ont donne des resultats mitiges. Une meilleure comprehension de la physiopathologie de ces eruptions associees aux ITK pourrait eclairer les mecanismes pathogeniques du PRP idiopathique.

Pityriasis rubra pilaris (PRP) is a cutaneous syndrome of unknown origin. Most cases are sporadic and acquired. Herein we report a fifth case of PRP-like eruption associated with ponatinib, a tyrosine kinase inhibitor (TKI).A 60-year-old woman presented at the dermatology department with an erythemato-squamous eruption present for 2weeks. The patient was also being treated in haematology for recurrence of acute lymphoblastic leukaemia. Treatment with ponatinib had been initiated 6weeks earlier. Despite the low specific cutaneous histology, a diagnosis of induced PRP-like eruption was made based on the characteristic clinical aspect. Treatment with local corticosteroids resolved the eruption.The literature contains 6 reported cases of PRP-like eruptions associated with TKI, including 4 with ponatinib. The eruption began from 2weeks to 2-3 months after treatment induction. Prescribed topical corticosteroids have yielded mixed results. A better understanding of the physiopathology of these eruptions associated with TKI could shed light on the pathogenic mechanisms in relation to idiopathic PRP.

Aperçu des difficultés de mise en oeuvre de nos régimes de responsabilité par rapport à l'intelligence artificielle et de pourquoi ces difficultés deviennent des impossibilités avec l'introduction de la capacité d'apprendre chez les intelligences artificielles. Master [120] en droit, Université catholique de Louvain, 2017

Abuse is a complex psychosocial issue with multiple implications. This paper takes a look at the physical and psychological manifestations of domestic violence, i.e. between adult (romantic) partners as well as abuse of the elderly. Past studies have looked at the relationship between emotional dependency, the occurence and sustainability of abuse and the likehood that a victimized person will terminate a relationship. Indeed, individuals with Dependent Personality Disorder (DPD) or with dependent characteristics present a higher risk of becoming abusive (both physically and mentally) as well as becoming a victim of abuse. Regarding the elderly, the concept of "reverse violence"--where the current abuser was the victim of the senior who is being abused-, also entails dependent relationships. We identified three concepts that are necessary in the understanding of how dependent relationships underpin abuse: Rusbult's model of commitment in intimate relationships, the notion of dependency-possessiveness and Murphy et al's notion of escalating affective dependency. Thus, it is imperative that future studies in the field of domestic violence look at the dynamics of dyads rather than the individuals alone.

Racecadotril has sufficient proven efficacy in the treatment of acute diarrhea in children. Treatment outcomes in adults are less convincing. The place of gelatin tannate is unclear. Some sources point to potential hepatotoxicity and diminished iron absorption, with a concomitant risk of anemia, at least in case of excessive or prolonged use. Loperamide still has a prominent place in the treatment of acute and chronic diarrhea. Attention should be payed to correct dosing and some well-known contra-indications. Probiotics are indicated in children, as well as in the prevention of antibiotics-induced diarrhea. There is no evidence to support their use in the treatment of acute diarrhea in adults. Up till now publications disagree on the efficacy in the prevention of travelers' diarrhea. Astringents and absorbents are no longer supported in guidelines. Oral rehydration systems have a part to play in pediatric treatment.

Cet article propose un cadre conceptuel qui permet d’appréhender les pratiques et la politique de la construction scolaire dans le contexte plus large de l’éducation et de la société. Ce cadre vise à contribuer à une meilleure compréhension de la façon dont 1) la politique de gestion des bâtiments scolaires influence la construction des écoles sur le terrain (micro-niveau), 2) dont elle se rattache au contexte social plus large (macro-niveau) et 3) dont ces deux niveaux s’interpénètrent, dans une relation réciproque de (re)production continue. Ce cadre a été mis au point par l’Agence en charge des infrastructures éducatives (AGIOn) de la communauté flamande de Belgique, afin d’encourager la politique de construction scolaire flamande dans un contexte de gouvernance. This article proposes a conceptual framework to enable an understanding of school construction practice and policy in the wider context of today’s education and society. This framework aims to contribute to a better understanding of 1) how school building policy influences the construction of schools ‘on the field’ (micro-level); 2) how it relates to its broader social context (macro-level) and 3) how both levels are entwined in a reciprocal relationship of continuous (re)production. This framework was developed by the Agency for Infrastructure in Education (AGIOn), Flemish community of Belgium, to support Flemish school construction policy in a context of governance. Este artículo ofrece un marco conceptual que permite aprehender las prácticas y la política de construcción escolar en el contexto más amplio de la educación y de la sociedad. Este marco pretende contribuir a mejorar la comprensión de la manera con la que 1) la política de gestión de edificios influencia la construcción de las escuelas en el terreno (micronivel), 2) ésta se asocia al contexto social más amplio (macronivel) y 3) estos dos niveles se interrelacionan, en una relación recíproca de (re)producción continua. Para llevar a cabo este estudio, el presente artículo se apoya en la teoría de la estructuración de Anthony Giddens. Este marco ha sido elaborado por la Agencia encargada de las infraestructuras educativas (AGIOn) de la comunidad flamenca de Bélgica, con vistas a alentar la política de construcción escolar flamenca en un contexto de gobernanza.

Almost half of the women do not follow the guidelines around folate suppletion before and during pregnancy, despite the proven benefit in the prevention of neural tube defects, miscarriages and premature births. The Belgian Superior Health Council recommends a minimum of 400 micrograms of folic acid or folate suppletion per day from 4 weeks before conception to 8 weeks thereafter. Many studies point to the importance of a wider intake period, more particularly at least 3 months before conception and throughout pregnancy and lactation. In high-risk women 4 mg is recommended until after the first 3 months of pregnancy. Afterwards the usual dose of 400 micrograms is sufficient. About half of the European population appears to have a gene mutation on the gene coding for the production of methylenetetrahydrofolate reductase, the enzyme that is involved in the formation of 5-methyltetrahydrofolate, which is, in his turn, responsible for the conversion of the toxic homocysteine in methionine. Women with such a gene polymorphism have a significantly higher risk to have a miscarriage or a baby with neural tube defects. For this reason, a search for an alternative form of synthetic folic acid supplement "pteroylmonoglutamic acid (PMG)" was conducted, particularly the calcium salt of 5-methyltetrahydrofolate (Metafolin). This offers the possibility to deliver the reduced folate immediately, which no longer needs to be converted by the reductase enzyme. Furthermore, this avoids free PMG in the circulation, lowers the risk for drug interactions and a vitamin B2 deficiency will not be masked. Despite clear guidelines regarding dietary supplements before and during pregnancy, their implementation is poor. Not only gynecologists but also GPs and pharmacists, should make more efforts to provide women of childbearing age with personal information. Especially risk groups such as adolescents, low-skilled or less well-off women and immigrants deserve special attention.

The aim of this study was to get a clear idea of the reading frequency of the patient information leaflet (PIL) and to set up a profile of the reader in specific. Apart from that, we also wanted to evaluate the impact of the internet in the patient's search for information on health and medication. Do patients consult the digital PIL and is the FAGG website known by common people? In order to answer these research questions, a specific inquiry was performed in 800 respondents. Some interesting conclusions can be drawn: only one out of four participants reads the full PIL when purchasing a medicine they never used before. People who always read the PIL are mainly older than 65. However, the largest amount of people who never reads the PIL is also situated in the plus 65 scale. In general, men show little interest in reading the PIL unlike woman, who read clearly more often the PIL. The parts of the PIL most often read by patients are the sections on dosage (section 3) and side effects (section 4). Unfortunately, too little attention is paid to the section 2, which contains the most warnings, such as contra-indications. The most important reason why the PIL is not read is because patients believe they get sufficient information from the doctor and the pharmacist. Another remark is that the internet is used by more than half of the respondents to search for health-related information. There is also a remarkable difference between men and woman, men rarely search for health information or information on medicines on the internet. The number of respondents searching for leaflets on the internet is quite limited. Additionally, the Federal Agency Medicines and Health Products (FAMHP) website is unknown to most internet users. We can conclude that the actual PIL is read too little. In order to make the PIL more appealing and even more patient friendly than it is actually, taking patients' needs into account should be a priority. The digital leaflet should be drawn attention to in order for patients to make more use of the information that is available to them.

Geen abstract - interview

ispartof: Les Pères de l’Eglise et la voix des pauvres. Actes du IIe Colloque de La Rochelle (2, 3 et 4 septembre 2005) pages:75-87 ispartof: pages:75-87 ispartof: Les Pères de l'Eglise et la voix des pauvres location:La Rochelle date:2 Sep - 4 Sep 2005 status: published

Onderzoekseenheid Dogmatische theologie. Onderzoekseenheid Geschiedenis van kerk en theologie. ispartof: Ephemerides theologicae Lovanienses: commentarii de re theologica et canonica vol:80 issue:4 pages:525-526 status: published

Onderzoekseenheid Dogmatische theologie. Onderzoekseenheid Geschiedenis van kerk en theologie. ispartof: Ephemerides theologicae Lovanienses: commentarii de re theologica et canonica vol:80 issue:4 pages:549-551 status: published