654 research outputs found
Gillian Dooley interviews Joris Luyendijk, author of 'Fit to Print: Misrepresenting the Middle East'.
No full textInterview with Joris Luyendijk, author of 'Fit to Print: Misrepresenting the Middle East', a book about the problems of foreign journalism in the Middle East
Paradoxical nonreentrant tachycardia induced by iatrogenic atrioventricular block
No full textsponsorship: Joris Ector is supported by a research grant from the Fund for Scientific Research-Flanders. Mieke Roggen is supported by the Eddy Merckx Pediatric Cardiac Research Fund. (Fund for Scientific Research-Flanders, Eddy Merckx Pediatric Cardiac Research Fund)status: Publishe
Adherence to oral anticoagulation measured by electronic monitoring in a Belgian atrial fibrillation population
No full textIntroduction Stroke prevention using oral anticoagulation (OAC) is the first management priority in atrial fibrillation (AF). Despite the importance of good therapy adherence, real-world adherence is still suboptimal. Patient education and adherence monitoring with new technologies are recommended. The main purpose of this sub-analysis of the AF-EduCare trial was to evaluate the effect of personalized follow-up strategies on adherence to OAC. Methods Regimen adherence was monitored by the electronic Medication Event Monitoring System cap at the start of the trial (M1) and after 12 months (M2), each for three months. Patients were part of one of three education groups (In-person, Online or App-based) or the standard care (SC) group. All are qualified for OAC therapy. Results A total of 768 patients were evaluated ( 11.8% SC vs. 86.8% any education group, mean age: 70.1 +/- 7.9 years). Patients were taking non-vitamin K OAC (once daily 53.8%; twice daily 35.9%) or vitamin K antagonists (9.4%), equally distributed over the different study arms (p = 0.457). Mean therapy adherence was high (M1:93.8 +/- 10.8%; M2:94.1 +/- 10.1%). During both monitoring periods, the education group scored significantly higher than SC (M1:94.2 +/- 10.0% vs. 91.3 +/- 15.0%; p = 0.027; M2:94.4 +/- 9.3% vs. 91.6 +/- 14.0%; p = 0.006). More patients in the In-person and Online groups were able to keep or improve their adherence to > 90% compared to the SC. Conclusion Overall adherence to OAC in all study groups, even in SC, was very high, without attrition over time. Nevertheless, targeted education led to a small but significantly improved adherence compared to SC.The AF-EduCare study is a project supported by the Fund for Scientifc Research, Flanders (T002917N). AARDEX Group, Liège, Belgium, partly supported the use of the electronic Medication Event Monitoring System (MEMS). The AF-EduApp study was supported by a BMS-Pfzer Alliance European Thrombosis Investigator Initiated Research Program (ERISTA) grant. This study is part of the Limburg Clinical Research Center, supported by the foundation Limburg Sterk Merk, province of Limburg, Flemish government, Hasselt University, Ziekenhuis Oost-Limburg, and Jessa Hospital. We would also like to thank the study nurses and AF nurse specialists of
the involved hospitals for recruiting and following up on the patients in this study
Effectiveness of the AF-EduCare and AF-EduApp approach to improve atrial fibrillation knowledge and risk factor awareness in patients with atrial fibrillation: a randomized controlled trial
No full textAims Developing an integrated care pathway for atrial fibrillation (AF) patients is of pivotal importance, given the different treatment strategies. Moreover, knowledge about the condition is an important factor in engaging patients in their care. Patient education formed the core of the integrated AF-EduCare/AF-EduApp approach. The main aim of this manuscript is to report the impact of this approach on AF and risk factor (RF)-related knowledge and self-care awareness. Methods and results Atrial fibrillation patients (n = 1232) were randomized to standard care (SC) or three educational interventions: in-person, online, or app-based education. Patients in the intervention groups received targeted education based on their responses to the Jessa Atrial fibrillation Knowledge Questionnaire (JAKQ) and a Self-Care Questionnaire (SCQ) presented at different time points. Patients who received educational follow-up reached a significantly higher knowledge score (in-person: 86.5 +/- 13.2%; online: 82.5 +/- 19.3%; app: 80.1 +/- 15.0%) than the SC group (65.3 +/- 16.6%) after 12/18 months (P < 0.001). The knowledge rapidly improved with the first sessions (i.e. 3 months) and remained sustained in all education groups. Patients with RF at baseline showed a slight but significant increase in awareness about their RF through education [e.g. no knowledge of last measured systolic blood pressure compared between education vs. SC: odds ratio of 0.45 (P = 0.012)], a change that was not seen in SC patients. Nevertheless, patients keep under-estimating the presence of their own RFs compared with objective documentation in their medical record (e.g. hypertension). Conclusion The JAKQ and SCQ are good instruments to provide targeted education to AF patients in daily clinical care. Knowledge level increases clinically significantly, but the impact on awareness about personal risk factors remains unsatisfactory.The AF-Educare study is a project supported by the Fund for Scientific Research, Flanders (T002917N). The AF-EduApp study was supported by BMS-Pfizer alliance European Thrombosis Investigator Initiated Research Programme (ERISTA) grant
Baseline demographics of a contemporary Belgian atrial fibrillation cohort included in a large randomised clinical trial on targeted education and integrated care (AF-EduCare/AF-EduApp study)
No full textBackground: As the prevalence of atrial fibrillation (AF) increases worldwide and AF management becomes ever more diversified and personalised, insights into (regional) AF patient demographics and contemporary AF management are needed. This paper reports the current AF management and baseline demographics of a Belgian AF population recruited for a large multicenter integrated AF study (AF-EduCare/AF-EduApp study). Methods: We analyzed data from 1,979 AF patients, assessed between 2018 and 2021 for the AF-EduCare/AF-EduApp study. The trial randomised consecutive patients with AF (irrespective of AF history duration) into three educational intervention groups (in person-, online-, and application-based), compared with standard care. Baseline demographics of both the included and excluded/ refused patients are reported. Results: The mean age of the trial population was 71.2 +/- 9.1 years, with a mean CHA2DS2-VASc score of 3.4 +/- 1.8. Of all screened patients, 42.4% were asymptomatic at presentation. Being overweight was the most common comorbidty, present in 68.9%, while 65.0% were diagnosed with hypertension. Anticoagulation therapy was prescribed in 90.9% of the total population and in 94.0% of the patients with an indication for thromboembolic prophylaxis. Of the 1,979 assessed AF patients, 1,232 (62.3%) were enrolled in the AF-EduCare/AFEduApp study, with transportation problems (33.4%) as the main reason for refusal/non-inclusion. About half of the included patients were recruited at the cardiology ward (53.8%). AF was first diagnosed, paroxysmal, persistent and permanent in 13.9%, 47.4%, 22.8% and 11.3%, respectively. Patients who refused or were excluded were older (73.3 +/- 9.2 vs. 69.8 +/- 8.9 years, p < 0.001) and had more comorbidities (CHA(2)DS(2)-VASc 3.8 +/- 1.8 vs. 3.1 +/- 1.7, p < 0.001). The four AF-EduCare/AF-EduApp study groups were comparable across the vast majority of parameters. Conclusions: The population showed high use of anticoagulation therapy, in line with current guidelines. In contrast to other AF trials about integrated care, the AFEduCare/AF-EduApp study managed to incorporate all types of AF patients, both out-patient and hospitalised, with very comparable patient demographics across all subgroups. The trial will analyze whether different approaches to patient education and integrated AF care have an impact on clinical outcomes.The AF-Educare study is a project supported by the Fund for Scientific Research, Flanders (T002917N) and is part of Limburg Clinical Research Center, supported by the foundation Limburg Sterk Merk, province of Limburg, Flemish government, Hasselt University, Ziekenhuis Oost-Limburg and Jessa Hospital. The AF-Eduapp study was supported by an BMS/Pfizer European Thrombosis Investigator Initiated Research Program (ERISTA)
grant (CV185-696). We would also like to thank the study nurses and AF nurse specialists of the involved hospitals for recruiting and following up the patients in this study
Differential presentation of atrioventricular nodal re-entrant tachycardia in athletes and non-athletes
No full textAIMS: Prolonged participation in exercise results in structural and electrical cardiac remodelling. The development of an athlete's heart is recognized as a risk factor for atrial arrhythmias. This study aims to evaluate the impact of athlete heart remodelling on the presentation of atrioventricular nodal re-entrant tachycardia (AVNRT). METHODS AND RESULTS: A retrospective analysis of an ablation database selecting all patients with an electrophysiologically confirmed diagnosis of AVNRT. Athletes (individuals participating in moderate to intensive sports for ≥3 h per week having done so for ≥5 years) were compared with healthy non-athletes. Atrioventricular nodal re-entrant tachycardia subforms were classified according the methods described by Katritsis and Josephson in 2013 and by Heidbuchel and Jackman in 2014. A total of 504 AVNRT patients were fully characterized, of whom 85 (17%) were athletes. Almost half of the athletes presented with atypical forms of AVNRT, where in non-athletes this frequency was about 20%. There was no difference in acute procedural success among the two groups, but the procedures in athletes were more complex, as reflected by an almost two-fold increase in the use of a long sheath to reach the slow pathway ablation area and a higher recurrence rate in athletes (10% vs. 4%). CONCLUSION: Athletes present more frequently with atypical subforms of AVNRT. This is possibly related to cardiac remodelling with dilatation of the cardiac cavities leading to changed conduction properties in the septal area. Ablation outcome is equally safe in athletes as in non-athletes with similar acute success rates. Athletes experience a higher longer-term recurrence rate.status: Publishe
Changes in Implantation Patterns and Therapy Rates of Implantable Cardioverter-Defibrillators Over Time in Ischemic and Dilated Cardiomyopathy Patients
No full textClinical guidelines on implantable cardioverter-defibrillator (ICD) therapy changed significantly in the last decades with potential inherent effects on therapy efficacy. We aimed to study therapy rates in time and the association between therapies and mortality.sponsorship: This work was supported by the European Community's Seventh Framework Program FP7: EU-CERT-ICD (Grant Agreement No. HEALTH-F2-2013-602299). (European Community's Seventh Framework Program FP7: EU-CERT-ICD|HEALTH-F2-2013-602299)status: Publishe
Effect of targeted education for atrial fibrillation patients: Design of the EduCare-AF Study
No full textsponsorship: The EduCare-AF study is a project supported by the Fund for Scientific Research, Flanders (T002917N). Use of the electronic Medication Event Monitoring System (MEMS) and MedAmigo web platform was partly supported by AARDEX Group, Liege, Belgium. Statistical support is provided by Interuniversity Institute for Biostatistics and Statistical Bioinformatics, Data Science Institute, Hasselt University, Hasselt, Belgium. (Fund for Scientific Research, Flanders|T002917N, AARDEX Group, Liege, Belgium)status: Publishe
La symbolique maternelle dans quatre romans de Françoise Mallet-Joris /
No full textSo far, Francoise Mallet-Joris has been categorized either as a Catholic novelist or as a moderate feminist. Accused of conservatism by some, perceived by others as immoral, she has been considerably underrated by a critical audience anxious to maintain traditional literary categories. This thesis attempts to demonstrate that faith and feminism, far from conflicting with each other, are linked in Mallet-Joris' work with the process of writing, thus forming a triple entity where the common denominator is the theme of maternity. This theme will be analysed in four of Mallet-Joris' novels, Les Mensonges, Les Signes et les Prodiges, Allegra, and La Tristesse du Cerf-volant, using a symbolic approach whose usefulness lies in the twofold definition of a symbol as, on the one hand, a materialisation of the inexpressible and on the other, a split unity. For the temporal modality and the concept of identity inherent in the maternal experience place it outside the narrative system, thus putting any author who wishes to tackle this area in the position of either inventing a new narrative form or attempting a compromise between already existing forms and the specific content of the maternal experience. It is this latter alternative that Francoise Mallet-Joris adopts. Although as far as form is concerned, Mallet-Joris can hardly be termed innovative, she demonstrates on an ideological plane an originality which is largely the product of using the symbol of the Virgin Mary as an intermediary between the maternal experience and the symbolic order
Joris Janzen Van Horne and his Descendants
No full textDetailed listing of marriages and children descending from the 1666 marriage of Joris Jansen (of Hoorn) and Maria Rutgers (of Amersfoort). Introduction and early entries describe communities in Netherlands. Family settled in areas now part of Jersey City: Bergen, Communipaw, Paulus Hook, and became prominent citizens. Listing for early generations include anecdotes of community life, and references to slaves. Details of descendants through early 1900s. Full indexes of names and places. Also includes articles on disputed land claims of family, a description and history of the "house of four chimneys" (the Van Horne homestead), and a Washington Irving story describing colonial history of Communipaw as a holdout of Dutch language and culture resisting English rule (written under pen name Hermanus Vanderdonk). With many plates of portraits of family, and household scenes. Family name known variously as Van Horn, Van Hoorn, Van Horne
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