290 research outputs found
Leo J. Elders, Gespräche mit Thomas von Aquin. Hrsg. von David Berger und Jörgen Vijgen
No full textCounet Jean-Michel. Leo J. Elders, Gespräche mit Thomas von Aquin. Hrsg. von David Berger und Jörgen Vijgen. In: Revue Philosophique de Louvain. Quatrième série, tome 105, n°3, 2007. pp. 483-484
De kwaliteit van orale anticoagulatietherapie
No full textMeerzijdige opleiding en ondersteuning verbeteren de kwaliteit van het orale anticoagulatiebeleid significant. De behandeling met anticoagulantia is niet zonder risico. Een juiste dosering is vaak van cruciaal belang. Deze studie gaat na hoe de anticoagulantiatherapie door huisartsen kan worden verbeterd aan de hand van verschillende interventies. Opleiding, een website, informatiebrochures, maar ook training in het gebruik van het CoaguChek™-toestel en computergeassisteerd advies werden ingevoerd om de anticoagulantiatherapie te verbeteren. Deze interventies hadden een duidelijke positieve invloed op het beleid, hoewel het computergeassisteerd advies minder goed door de huisartsen werd opgevolgd dan verwacht
De kwaliteit van orale anticoagulatietherapie
No full textMeerzijdige opleiding en ondersteuning verbeteren de kwaliteit van het orale anticoagulatiebeleid significant. De behandeling met anticoagulantia is niet zonder risico. Een juiste dosering is vaak van cruciaal belang. Deze studie gaat na hoe de anticoagulantiatherapie door huisartsen kan worden verbeterd aan de hand van verschillende interventies. Opleiding, een website, informatiebrochures, maar ook training in het gebruik van het CoaguChek™-toestel en computergeassisteerd advies werden ingevoerd om de anticoagulantiatherapie te verbeteren. Deze interventies hadden een duidelijke positieve invloed op het beleid, hoewel het computergeassisteerd advies minder goed door de huisartsen werd opgevolgd dan verwacht
Screening for Atrial Fibrillation in Belgium: a multicentre trial
No full textScreening for Atrial Fibrillation (AF) in Belgium: a multicentre trial
Claes Neree, Goethals Marnix, Goethals Peter, Mairesse Georges, Schwagten Bruno,
Nuyens Dieter, Schrooten Ward, Vijgen Johan
Introduction
Atrial fibrillation (AF) is the most common arrhythmia in clinical practice. The estimated prevalence is 0.4-1% in the general population, increasing with age to 8% in those older than 80y - . Epidemiological data of this arrhythmia in Belgium are scarce. It is important to screen for AF because patients with AF have a 5 times more risk for an ischemic stroke . The CHA2DS2-VASscore calculates the risk for stroke in those patients, a score ≥2 necessitate a therapy with anticoagulants .
Methods
Patients above 40 years were invited through different channels (TV, radio, journals, website, posters, leaflets) for a free screening in 69 hospitals allocated over Belgium during one week. After filling in a question on their personal history of AF, they had to fill in a questionnaire about their CHAD2-score. Afterwards a one channel ECG was taken using a versatile Heart Scan Device (Omron HCG-801-E©) by a trained nurse or a physician. If the ECG was positive for AF the patient was referred to their physician for follow-up. An Access database was constructed to collect the data and statistics were done in SPSS.
Results
11.550 patients were screened. 38% are male and 62% are female with a mean age of 59y (+/-SD 11). 860 patients declared a history of AF (7.4%), 10.188 had no history of AF and in 502 the history was missing. 229 (1.9%) of the total population had AF on the one lead ECG where 148 were newly detected. According the CHADS2 68 patients had a score of 0, 70 of 1 and 91 of ≥2. For the CHA2DS2-VASscore the distribution was as follows: 14 patients with 0, 46 with 1 and 169 with ≥2.
Conclusion
Screening campaigns are feasible and able to detect 2% of patients with AF. A significant proportion of these patients are at risk for trombo-embolic event.
Go AS, Hylek EM, Philips KA et al. Prevalence of diagnosed atrial fibrillation in adults: national implications for rhytm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. JAMA 2001;285:2370-5.
Furberg CD, Psaty BM, Manolio TA, et al. Prevalence of atrial fibrillation in elderly subjects (the Cardiovascular Health Study). Am J Cardiol 1994; 7:236-41.
Wolf PA, Abbott RD, Kannel WB. Atrial Fibrillation as an independent risk factor for stroke: teh Framingham Study. Stroke 1991;22:983-8.
Lip G, Pisters R, Crijns H. Refining clinical risk stratification using a novel risk factor based approach: The Euro Heart Survey on Atrial Fibrillation. Chest 2010;137:263-72.Sanofi Aventi
De Belgische Studie ter Verbetering van Orale Anticoagulantia Therapie: een gerandomiseerd klinisch onderzoek
No full textVan 737 patiënten die werden behandeld met orale anticoagulantia werden in deze retrospectieve analyse de INRwaarden bepaald. Omdat behandeling met orale anticoagulantia bepaalde risico’s inhoudt, wilde men het verband nagaan tussen het optreden van incidenten en het voorkomen van perifeer vasculaire aandoeningen. Uit de proportie van de tijd dat de INR-waarden binnen de vooraf bepaalde therapeutische range vielen, bleek er grote variantie te bestaan tussen de verschillende huisartsenpraktijken. En dit terwijl met de toenemende vergrijzing orale anticoagulatietherapie meer aandacht verdient
De Belgische Studie ter Verbetering van Orale Anticoagulantia Therapie: een gerandomiseerd klinisch onderzoek
No full textVan 737 patiënten die werden behandeld met orale anticoagulantia werden in deze retrospectieve analyse de INRwaarden bepaald. Omdat behandeling met orale anticoagulantia bepaalde risico’s inhoudt, wilde men het verband nagaan tussen het optreden van incidenten en het voorkomen van perifeer vasculaire aandoeningen. Uit de proportie van de tijd dat de INR-waarden binnen de vooraf bepaalde therapeutische range vielen, bleek er grote variantie te bestaan tussen de verschillende huisartsenpraktijken. En dit terwijl met de toenemende vergrijzing orale anticoagulatietherapie meer aandacht verdient
Screening for Atrial Fibrillation in Belgium: a multicentre trial
No full textScreening for Atrial Fibrillation (AF) in Belgium: a multicentre trial
Claes Neree, Goethals Marnix, Goethals Peter, Mairesse Georges, Schwagten Bruno,
Nuyens Dieter, Schrooten Ward, Vijgen Johan
Introduction
Atrial fibrillation (AF) is the most common arrhythmia in clinical practice. The estimated prevalence is 0.4-1% in the general population, increasing with age to 8% in those older than 80y - . Epidemiological data of this arrhythmia in Belgium are scarce. It is important to screen for AF because patients with AF have a 5 times more risk for an ischemic stroke . The CHA2DS2-VASscore calculates the risk for stroke in those patients, a score ≥2 necessitate a therapy with anticoagulants .
Methods
Patients above 40 years were invited through different channels (TV, radio, journals, website, posters, leaflets) for a free screening in 69 hospitals allocated over Belgium during one week. After filling in a question on their personal history of AF, they had to fill in a questionnaire about their CHAD2-score. Afterwards a one channel ECG was taken using a versatile Heart Scan Device (Omron HCG-801-E©) by a trained nurse or a physician. If the ECG was positive for AF the patient was referred to their physician for follow-up. An Access database was constructed to collect the data and statistics were done in SPSS.
Results
11.550 patients were screened. 38% are male and 62% are female with a mean age of 59y (+/-SD 11). 860 patients declared a history of AF (7.4%), 10.188 had no history of AF and in 502 the history was missing. 229 (1.9%) of the total population had AF on the one lead ECG where 148 were newly detected. According the CHADS2 68 patients had a score of 0, 70 of 1 and 91 of ≥2. For the CHA2DS2-VASscore the distribution was as follows: 14 patients with 0, 46 with 1 and 169 with ≥2.
Conclusion
Screening campaigns are feasible and able to detect 2% of patients with AF. A significant proportion of these patients are at risk for trombo-embolic event.
Go AS, Hylek EM, Philips KA et al. Prevalence of diagnosed atrial fibrillation in adults: national implications for rhytm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. JAMA 2001;285:2370-5.
Furberg CD, Psaty BM, Manolio TA, et al. Prevalence of atrial fibrillation in elderly subjects (the Cardiovascular Health Study). Am J Cardiol 1994; 7:236-41.
Wolf PA, Abbott RD, Kannel WB. Atrial Fibrillation as an independent risk factor for stroke: teh Framingham Study. Stroke 1991;22:983-8.
Lip G, Pisters R, Crijns H. Refining clinical risk stratification using a novel risk factor based approach: The Euro Heart Survey on Atrial Fibrillation. Chest 2010;137:263-72.Sanofi Aventi
Meekness, Justice and Piety: The Moral Transformation of Sophie Scholl
No full textFirst I will briefly touch upon Aquinas use of moral examples inside and outside the Summa. Second I will make the argument that moral exemplars contribute to our understanding of moral action in general, and we will note earlier scholarship to making this case. Here insights from sociology corroborate the claims of theologians. Third I will present the case of Sophie Scholl and The White Rose and follow it up with a sustained reflection on her actions in light of Aquinas’ moral theory. It is particularly striking that Scholl turned against the system that initially was successful at recruiting her for its cause. This process of moral transformation is of interest because it helps us to see how the object of virtues changes. We will see that Sophie Scholl exemplifies meekness, justice and piety as they are presented in the Summa. But she arrived at this point through a process of moral transformation under the influence of friends and a renewed interest in Scripture and spiritual writings. Because her case has been well-documented in recent years we can see the personal journey of an individual believer and the case thus helps us to see the theory ‘in the flesh’, giving us a deeper appreciation of it. Her popular appeal means that presenting her as a moral exemplar is a chance to communicate to society how a person can be formed and transformed in the Christian faith through the action of the Holy Spirit. , in: H.J.M. Schoot, J. Verburgt, J. Vijgen (ed.), Initiation and Mystagogy in Thomas Aquinas: Scriptural, Systematic, Sacramental and Moral, and Pastoral Perspectives, Leuven, Peeters, 2019, pp. 251-27
Zur Bestimmung der Armutsgrenze
No full textZur Bestimmung der Armutsgrenze. - In: Indubitanter ad veritatem : studies offered to Leo J. Elders SVD / Jörgen Vijgen ed. - Budel : Damon, 2003. - S. 358-36
Which educational follow-up method do atrial fibrillation patients prefer: in-person, online or app-based education?
No full textFund for Scientific Research, Flanders [T002917N]; BMS/Pfizer EuropeanType of funding sources: Other. Main funding source(s): The AF-EduCare study is a project supported by the Fund for Scientific Research, Flanders (T002917N). The AF-EduApp study is supported by an BMS/Pfizer European Thrombosis Investigator Initiated Research Program (ERISTA) grant
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