bluuebunny/crossref_metadata_2025 huggingface dataset:
The New Real as the New Order of the Virtual and Hyperreal Existence
Authors: Šokičić Iva
Published: January 2025

The essay is an innovative and original reflection of the problematics of the new virtual social reality and sexuality as re-instating and reinventing the real as the “New Real”, written in Baudrillard’s terminology, inspired by his works Seduction, Simulacra and Simulation and The Transparency of Evil, Essays on Extreme Phenomena for rethinking and deconstructing theories of social relationships, the philosophy of the postmodern society and sexuality in terms of simulation and hyperreality with significant references to Lacan’s conceptual system in his seminars “Love and the Signifier” in his Seminar XX.
The interpretation of the “new reality”, the real and the hyperreal will make significant comparisons of Baudrillard and Lacan, referring to similar concepts, but understood and illustrated in a different context of Baudrillard’s philosophy of the postmodern and post-social state, simulations and technological virtual life and Lacan’s psychoanalytical hermeneutics of social and sexual relationships between signifiers.
Theories and references studied and elaborated are used to provide and elaborate the idea and thesis of deconstruction of social and sexual relations in the “new order”, known as the “New Normal”, equivalently named the “New Real”, which signifies the “Real” in both Lacan’s, but primarily Baudrillard’s sense.
The main focus is on the phenomenon of Internet interaction, its simulated reality, hyperreal lives formed by illusions of personal and interpersonal omnipresence, conceptualizing and designing social and sexual relations in virtual communication.
In the current age, it is impossible to imagine the totality of life, consisted of work, entertainment, social contacts and sexuality without technology and virtual communication and relations as the only way of living and interacting with others.
Virtual reality inevitable not only implies but impose virtual interpersonal social and sexual relations as social interaction via the screen, visual and auditive socializing and relationships, without experiencing the live visage or a touch of another person.
Predrag Finci – najraskošniji filozof estetičar u BiH i regionu
Authors: Kahteran Nevad
Published: January 2025

Predrag Finci je bosanskohercegovački i britanski filozof, pisac i esejist, koji potiče iz ugledne sarajevske sefardske porodice. Međutim, od 1993. godine živi u Londonu, gdje do odlaska u mirovinu radi kao slobodni pisac i gostujući istraživač. Autor je tridesetak knjiga i velikog broja eseja. Predstavlja glas apologije umjetnosti, usprkos svim nedoumicama i nevoljama koje su umjetnost snašle u našem dobu, i nedvojbeno je najproduktivniji i jedan od najznačajnijih autora porijeklom iz BiH. Ovaj naš “bosanskohercegovački Ben-Ami Scharfstein”, filozof-estetičar-komparativista, i dalje piše i vrlo je aktivan i skrajnje plodan filozofski pisac, te je autor u ovom nizu Fincijevih sažetaka (a sažetci su uvijek riskantno pojednostavljenje djela) napravio kronološki pregled njegovih knjiga. S radošću i izglednim nadanjima autor želi skrenuti pozornost široj akademskoj zajednici na njegov golemi oeuvre na intersekcijama.
Prevalence of Depressions and Its Association with Symptoms among Convicted Male Inmates at District Jail Attock
Authors: Tariq hassan Tariq hassan , Khattak Sanaullah , Khan Rahamdad , Ahmad Umair , Ronaq Imran , Abubaker  , Muhammad Alaa , Mohayuddin Waqas
Published: January 2025

Depressive disorders are characterized by sadness, loss of interest, feelings of guilt or low self-worth, disturbed sleep or appetite, feelings of tiredness, and poor concentration. Mental disorders, including depression, are prevalent globally, particularly in prison populations, where conditions exacerbate existing issues. This study aims to assess the level of depression among convicted male prisoners aged 18-50 years in Attock prison using the Beck Depression Inventory (BDI).The primary objective is to find out the prevalence of depression and examine the association between depression and somatic symptoms and sociodemographic variables. A cross-sectional survey was conducted with 109 prisoner samples calculated through Open-Epi and selected through Convenience Sampling with random selection technique. A validated structured questionnaire was prepared which contains three sections i.e. demographic data, somatic symptoms of depression, and BDI. SPSS version 29 was used for data analysis where Chi-square, phi, and p-values were calculated to assess the statistical significance of the association between depression and various factors. A level of p < 0.05 was used to assess significance. The prevalence of depression was Normal (11.9%), Mild-mood disturbance (19.3%), Border-line depression (22.9%), Moderate depression (35.8%), Severe depression (7.3%), and Extreme depression (2.8%).Changes in appetite, lethargy, suicidal thoughts, mood changes, and sleep disturbances were strongly correlated with the severity of depression scores p < 0.05 while others like loss of interest and use of drugs/alcohol show only moderate association. Thus, study findings reveal also that 68.8% of inmates suffer from depression with 22.9% falling in the range of borderline clinical depression. There is an urgent need for targeted interventions to reduce depression rates among prisoners for societal well-being. The BDI proves to be an effective tool for measuring depression in this population.
Disonancia cognitiva un proceso pedagógico congruente con el desarrollo del pensamiento crítico en Lengua y Literatura
Authors: Zambrano Vásquez Angela Stephanny
Published: January 2025

Los profesionales formados en Pedagogía de Lengua y Literatura responsables de la asignatura de lengua y Literatura en el nivel de bachillerato en torno a la problemática de disonancia cognitiva y el pensamiento crítico, se encuestó a 22 educadores. También se consideró la investigación descriptiva, bibliográfica y de campo. Los datos recabados de mayor trascendencia: La disonancia cognitiva incide en desarrollo del pensamiento crítico del alumnado; las evaluaciones que constan en el texto no promueven el pensamiento crítico; la totalidad de docentes mencionan que Ausubel y Vygotsky proponen la disonancia cognitiva, pero en realidad es Festinger; las actividades del texto propuestas por el Mineduc no fomentan la disonancia cognitiva; el asesor del distrito no los orienta en metodología para desarrollar el pensamiento crítico; La mayor parte de los docentes al mencionar a Piaget y Ausubel como propulsores del pensamiento crítico desconocen que son Helder y Freire;  todos los educadores ratifican que su formación profesional careció de procesos metodológicos para generar la disonancia cognitiva y fomentar el pensamiento crítico. Partiendo de algunas de las inconsistencias es pertinente que el distrito coordine con las autoridades de los planteles acciones de actualización sobre las temáticas de análisis.
A BIBLIOMETRIC OVERVIEW OF COMPETENCY AND CAPABILITY MODELING: RESEARCH CONTRIBUTIONS AND TRENDS (2000–2024)
Authors: Rothwell William J. , Mozaffari Fatemeh , Al Hajri Azza
Published: January 2025

In almost half a century, competency modeling has become an important movement in Human Resource and talent management. This study aims to identify the characteristics of the research published on competency/capability modeling using bibliometric analysis. To answer the research questions, 367 journal articles were analyzed. The results showed an increasing number of publications in the most recent two decades, and there is a worldwide collaboration in advancing this field while countries such as the United States and Australia are leading. Moreover, there are two competency/capability camps. One camp focuses on individual job performance, while the other focuses on organizational core competencies and capabilities. Capabilities often co-occur with the keywords related to competitive advantage and innovation. Behavioral event interviews and Delphi are among the common methods used to design competency models. Researchers and practitioners can benefit from the findings by gaining insights into the latest trends in this field.
Implementation of it Strategy on E-Commerce in Business Competition As an Increase in Company Business Revenue (In MSMES)
Authors: Hastuti Poppy Indri , Indah Sri , Novitawati Retno Ayu Dewi , Lestari Elly
Published: January 2025

A very effective way to spread knowledge is web development. With the advent of online supply channels that make it easy for potential clients to browse product details, request, or pay installments, web innovation has greatly impacted companies (web-based companies). This indicates that online deal exchangers have anticipated customers. Fair and legal levels of HR payouts, data, and concerns about the economy or organizations, companies, and public compensation are evaluated almost from one side of the planet to the other. The investigation in question is an emotional evaluation; the data used is mandatory and optional; collection, assessment, and documentation used in the data collection process; In addition, informal performance techniques are used in data request procedures. The use of online sales by the character of MSMEs Tempe Putra Ridhlo Chips as opposed to the character of MSMEs UD Mayla Jaya is proven to speed up transactions and facilitate the sale of goods to characters. To facilitate ordering goods or products for customers or clients, it can also be used in Ayam Geprek Ngamuk SMEs and Betis MSME Meatballs.
Factors Affecting BPK Audit Findings on Local Government Financial Reports In West Sulawesi Province For The Period 2020 to 2022. 2022
Authors: Harimurti Asa Jasmine , Iskak Jamaludin
Published: January 2025

The Supreme Audit Agency (BPK) is the only institution authorized to carry out the task of examining the management and financial responsibility of the state / region in accordance with applicable laws and regulations. Central / local governments are required to submit their financial reports to BPK for examination as a form of responsibility to the people, in this case represented by the House of Representatives (DPR) / Regional People's Representative Council (DPRD). This study aims to determine the factors that influence the number of BPK audit findings on the Internal Control System (SPI) and compliance with applicable laws and regulations. Factors that are examined for their influence in determining the number of BPK audit findings in this study are the size of local government, the level of local wealth, fixed asset procurement, and the complexity of local government. The data used is the Audit Report (LHP) on the examination of regional financial statements in West Sulawesi Province issued by BPK from 2020 to 2022.
Designing The Coal Domestic Market Obligation Competitiveness Policy Through Sustainable Balanced Scorecard and Swot Analysis (Industry Level Analysis of Indonesia)
Authors: Maulana Ginanjar
Published: January 2025

Starting from the problem of government policy regarding DMO on coal, it is important to examine the implications of DMO on the level of competition of the national coal industry in the global market arena. Therefore, the research wants to examine the competitive sources of finance of the national coal industry, and develop strategies to improve sustainable and superior performance so that it can indeed compete in the global market. This approach is qualitative. The research location is the coal industry in Indonesia. The research time is one time, yes it is 2023. Data collection techniques are literature review and document study. Data analysis techniques use the Sustainable Balanced Scorecard (SBSC) model combined with competitive advantage sources, and equipped with SWOT analysis. The results found that the sources of Indonesia's coal competitive advantage are: (i) The.biggest in the industry. (ii) Distance-low transportation cost. (c) Size (large industry size), (d) Strong market share. Then six strategies were proposed to improve sustainable performance in order to compete in the global market. The six strategies are basically a combination of production strengths, coal quality weaknesses, environmental issues, and the development of environmentally friendly technology, as well as technology that can improve coal quality, and can make coal not only for the benefit of energy sources.
The Impact of Social Media And Mobile Apps on Ecotourism Behavior in The New Normal Era
Authors: Nurhandini Nurhandini , Triastuti Widhy Tri , Istanto Yuni
Published: January 2025

The objectives of this study were: 1) To test and influence social media on ecotourism behavior; 2) To test and analyze the effect of mobile applications on ecotourism behavior; 3) To examine the effect of social media on ecotourism behavior with destination image as a mediating variable; and 4) To examine the effect of mobile applications on ecotourism behavior with destination image as a mediating variable. The sample in this study were some tourists at Tebing Breksi Ecotourism Village, Sleman Regency, Yogyakarta Special Region, totaling 286 respondents. The analysis method used in this research is Partial Least Square (PLS). This study proves that Social Media has a significant positive relationship to Ecotourism Behavior; Mobile Applications have a significant positive relationship to Ecotourism Behavior; Social Media has a significant positive relationship to Ecotourism Behavior through Destination Image; Mobile Applications have a significant positive relationship to Ecotourism Behavior through Destination Image.
Ett neuropedagogiskt ideal på lärares kompetensutvecklingsmarknad
Authors: Norlund Anita , Levinsson Magnus
Published: January 2025

The aim of this article is to examine the increased focus on neuroeducational content in teachers’ continuing professional development (CPD) and to further explore its characteristics and consequences for teaching. The empirical material is based on 236 invoices representing CPD and other material that followed from extended studies of, primarily, identified CPD actors’ webpages. The cluster of characteristics is presented as a pedagogic modality based on concepts and phenomena from the sociologist of education Basil Bernstein; selection, organization, evaluation, classification and framing. The pedagogic modality is finally discussed, and critiqued, not least regarding its consequences for teachers and students. The overall conclusion is that a neuroeducational modality brings several potential risks, not least concerning conditions for teachers and students.
Bildung as an updated – not outdated – tradition when becoming a teacher
Authors: Claesson Silwa
Published: January 2025

This essay emphasizes the essential aspects of becoming a teacher in everyday practice. Currently, neoliberal ideals and evidence-based practices significantly influence teacher education. However, several decades ago, the concept of Bildung was a predominant principle. This paper presents five approaches to Bildung in relation to education, highlighting discernible differences. For instance, critical Bildung addresses issues related to colonial patterns and global ecological thinking, whereas traditional concepts of Bildung largely reflect traditional Western values. In discussions with 22 colleagues, all of whom are university teachers involved in teacher education, it became apparent that most did not explicitly differentiate between their personal experiences as students or teachers, which involve their ingrained personal values from which some mirrors the concept of Bildung. Revisiting Bildung as a core concept in teacher education necessitates a serious discourse on human growth and development. This includes discussions on viewing learning as a lifelong pursuit versus the achievement of specific objectives, and the advantages and disadvantages of short courses versus comprehensive education and training. For example, this approach may allow some teacher educators to accompany a cohort of students throughout their educational journey.
Prevalence and incidence of sarcopenia in Swiss postmenopausal women: findings from the OsteoLaus Cohort
Authors: Vendrami Colin , Gonzalez Rodriguez Elena , Gatineau Guillaume , Vollenweider Peter , Marques-Vidal Pedro , Lamy Olivier , Hans Didier , Shevroja Enisa
Published: January 2025

STUDY AIMS: Sarcopenia is a progressive, age-related loss of muscle mass, strength and function. Given the ageing population and the adverse outcomes associated with sarcopenia, monitoring its epidemiology is particularly important. This study aimed to describe sarcopenia prevalence, 5-year incidence and agreement between definitions using the latest operational criteria in Swiss postmenopausal women.
METHODS: Postmenopausal women from the last 5 years of the CoLaus/OsteoLaus prospective population-based cohort were included based on complete case analysis (April 2015 to October 2022; Lausanne, Switzerland). We assessed appendicular lean mass via Dual X-ray Absorptiometry (GE Lunar iDXA), handgrip strength using a Jamar Dynamometer and 6-metre gait speed at multiple visits. Sarcopenia was defined based on handgrip strength and/or appendicular lean mass and/or gait speed using 11 definitions, including that from the European Working Group on Sarcopenia in Older People (EWGSOPII, 2019). Prevalence was measured as the number and rate of sarcopenic cases at the last visit, while incidence was measured as the number and rate of new sarcopenic cases over 2.5 or 5 years.
RESULTS: A total of 930 women were included, with a mean (standard deviation) age of 72.9 (6.9) years, BMI of 25.7 (4.8) kg/m2, appendicular lean mass 16.8 (2.5) kg, handgrip strength 21.2 (5.5) kg, gait speed 1.1 (0.2) m/s. Sarcopenia prevalence based on EWGSOPII definitions ranged from 2.2% to 5.7%, while other definitions varied from 0.5% to 13.4%. The 5-year incidence rates based on EWGSOPII were 1.9% to 4.7%. Prevalence and incidence increased significantly between the lowest and highest age tertiles (Fisher’s exact test, p <0.05) for most definitions. Agreement between definitions was predominantly “none” or “minimal” according to the Cohen Kappa score.
CONCLUSION: This population-based cohort of postmenopausal women highlights an increase in sarcopenia prevalence and incidence beginning in the seventh decade of life, underscoring the accelerated decline in muscle health with age. The minimal agreement between the definitions highlights the need for a consensus, which would improve future research and clinical implementations.
Festival de Cultura e Gastronomia de Tiradentes:
Authors: Guimarães Eloísa Helena Rodrigues , Costa Sarah Roberta da Silva , Jeunon Ester Eliane , Camargo Renata Silva Santos
Published: January 2025

O objetivo do trabalho descrito neste artigo foi investigar os fatores de sucesso do Festival de Cultura e Gastronomia de Tiradentes, pela perspectiva dos stakeholders, e suas contribuições para o desenvolvimento local. Para que o objetivo fosse alcançado foi realizada uma pesquisa descritiva com abordagem qualitativa, por meio de um estudo de caso, contando com a participação de stakeholders que cooperam na organização do festival. Os dados foram coletados por meio de pesquisa documental e entrevistas semiestruturadas. O trabalho indicou que a atividade turística, intitulada como o “maior festival de gastronomia brasileira”, associado ao Festival Fartura, que acontece na cidade de Tiradentes (Minas Gerais) desde 1998, teve grande influência no desenvolvimento turístico, econômico e social da cidade e contribui para o sucesso na divulgação da gastronomia local, atraindo chefs renomados para participar do Festival. Percebeu-se que o patrimônio arquitetônico e cultural do local do evento também exerce influência no sucesso do festival devido às suas características peculiares, preservadas pelos investimentos que ocorreram na cidade a partir da década de 90. Notou-se que as parcerias entre poder público e privado são cruciais para o êxito do evento e relevantes para subsidiar as ações do festival. Os stakeholders, por sua vez, foram reconhecidos como fortes redes de cooperação do evento, aqueles que trazem inovação, parcerias, impulsionam os investimentos e o desenvolvimento socioeconômico do município e, por isso, exercem máxima influência no sucesso do festival.
Rodas de conversas sobre alergia à proteína do leite de vaca:
Authors: Albuquerque Ludmylla Rolim de , Santos Taynara Souza , Rodrigues Mayara Vieira , Ribeiro Núbia Kelly Rodrigues , Barbosa Ideltônio José Feitosa
Published: January 2025

A extensão universitária tem como objetivo criar um vínculo entre o ambiente acadêmico e a comunidade e, por meio desse vínculo, possibilitar a troca de conhecimentos científicos e experiências da população. Essa ferramenta foi prejudicada pela pandemia da Covid-19 no contexto do isolamento social, impedindo de realizar atividades presenciais. Porém, O Projeto de Extensão “Alergia à proteína do leite de vaca (APLV) e as principais informações para o cuidado com as crianças”, composto por acadêmicos de medicina da Faculdade de Ciências Médicas da Paraíba (FCMPB/AFYA), utilizou tecnologias para permitir o contato proporcionado pela extensão universitária, contato que fora prejudicado pelo contexto atual. Desse modo, foram realizadas Rodas de Conversa virtuais por meio de plataformas digitais com cuidadores de crianças com APLV.
Projeto de Extensão articulado à ABP como estratégia transdisciplinar de ensino e aprendizagem de projeto em Design
Authors: Sbruzzi Rosana Vieira , Ferreira Claudio Lima , Oliveira Melissa Ramos da Silva , Becker Giorgia Yoshiko Rossignolo Suzumura
Published: January 2025

O rápido desenvolvimento tecnológico e as novas formas de comunicação e construção do conhecimento refletem adaptações no ensino-aprendizagem de projeto no campo da Arquitetura e do Design, impondo a necessidade de se buscar alternativas que respondam aos desafios das abordagens nas diversas escalas do Design. Este artigo discute a aplicação de estratégias didáticas que articulam ações de extensão universitária com metodologias ativas a partir de experiências empíricas junto ao curso de Design de Interiores do Instituto Federal de São Paulo (IFSP), mediante a realização de projetos de reformas em moradias de famílias de alta vulnerabilidade social, por meio de parcerias entre a instituição e entidades sociais. Partindo da compreensão de que o tripé “ensino-pesquisa-extensão” é indissociável, as análises se fundamentam em abordagens teóricas da Educação, focadas em métodos ativos, autônomos e transdisciplinares. Vislumbra-se a efetivação de práticas transdisciplinares para a construção de currículos inovadores, pautados em uma educação humana e transformadora, que promovam a reflexão e alimentem o debate sobre o ensino e os percursos em Design.
A Economia Solidária como uma alternativa sócio, econômica e ambiental:
Authors: Melo Tatiane Lúcia de , Melo Jaqueline Silva , Pirola Camila Silva , Madureira Fyama Maria Soares , Jeunon Ester Eliane
Published: January 2025

O sistema produtivo e de desenvolvimento adotado pelo capitalismo é caracterizado pela competitividade, tendo como uma de suas principais consequências a pobreza e a desigualdade social no mundo. Nesse cenário, é urgente a implementação de novas alternativas no campo econômico e social que proponham meios de geração de trabalho e renda dentro de uma lógica não capitalista. Assim, surge a Economia Solidária (ES) como via de saída dos meios formais de produção e como oportunidade para as populações marginalizadas. O presente trabalho teve como objetivo geral investigar as perspectivas da ES como alternativa de impacto sócio, econômico e ambiental em famílias de baixa renda no município de Betim, em Minas Gerais. Foi utilizada a estratégia qualitativa de pesquisa, do tipo descritiva, com método de estudo de casos múltiplos. Os resultados indicaram como pontos negativos a ausência de parcerias, de políticas públicas e de capacitação. A possibilidade de uma renda complementar, o convívio social e o exercício da cidadania por meio de uma produção mais sustentável foram citados como fatores positivos para o exercício da profissão.
A Extensão Universitária como ponte para a vida:
Authors: Jeunon Ester Eliane
Published: January 2025

Apresentação da nova edição v. 7 n. 13 (2023): CONECTE-SE! REVISTA INTERDISCIPLINAR DE EXTENSÃO
Les infections nosocomiales en Belgique (volet II)
Authors: Vrijens France , Hulstaert Frank , Gordts Bart , De Laet Chris , Devriese Stephan , Van de Sande Stefaan , Huybrechts, Michel  , Peeters Gert
Published: January 2025

Etude n° : 2005-20
Mental health care reforms, evaluation research of therapeutic projects
Authors: Ces Sophie , De Jaegere Veerle , Feys Peter , Leys Mark
Published: January 2025

Study nr : 2007-32-2
Vergoeding van schade ten gevolge van gezondheidszorg
Authors: Yerna Benoît-Laurent , Maréchal Xavier , Denuit Michel , Closon Jean-Pierre , Vinck Imgard
Published: January 2025

Etude n° : 2008-54
Optimisation of the operational processes of the Special Solidarity Fund
Authors: Guillaume P , Moldenaers Ingrid , Bulte Steven , Debruyne Hans , Devriese Stephan , Kohn Laurence , Vinck Imgard , Piérart Julien
Published: January 2025

Study n°: 2008-25
Spoedeisende psychiatrische hulp voor kinderen en adolescenten
Authors: Deboutte Dirk , Smet Mike , Walraven Vera , Janssens Astrid , Obyn Caroline , Leys Mark
Published: January 2025

Steeds meer kinderen en jongeren hebben dringende psychiatrische hulp nodig. Deze hulp kan het beste worden gegeven via een geïntegreerde aanpak,en niet door aparte afdelingen, stelt het Federaal Kenniscentrum voor de Gezondheidszorg (KCE). Het KCE onderzocht samen met Universiteit Antwerpen de problematiek. België heeft behoefte aan 15 geïntegreerde functies, minstens 1 per provincie. De noodhulp moet op elk moment beschikbaar zijn en wordt bij voorkeur gegeven binnen de leefomgeving van de minderjarige.
Cardiac rehabilitation
Authors: Van Vlaenderen Ilse , Worrall Jodie , Raza Syed , Colle An , De Vos Cedric , Strens Danielle , Saka Ömer R. , Moore Brigitte , Eyssen Marijke , Paulus Dominique
Published: January 2025

GLOSSARY 2 -- 1 APPENDICES SYSTEMATIC LITERATURE REVIEW 3 -- Appendix 1: systematic review Search strategy 3 -- Appendix 2: RCT Search strategy 10 -- Appendix 3: INAHTA member websites searched 17 -- 2 APPENDICES: ANALYSIS OF IMA DATABASE 79 -- Appendix 1: Nomenclature codes used for patient classification 79 -- Appendix 2: Description of patient inclusion and exclusion 85 -- appendix 3: Rehabilitation sequences 86 -- Appendix 4 rehabilitation related data during the entire one-year observation period 87 -- Appendix 5: cost related to rehabilitation 91 -- Appendix 6 socio-demographic patient characteristics 98 -- Appendix 7 Geographical spread of patients in outpatient rehabilitation 99 -- Appendix 8 Cardiac disease related medical care consumption 103 -- Appendix 9: Multivariate analysis 107 -- 3 APPENDIX : SURVEY 109 -- Patient Survey questionnaires 109 -- List of participating hospitals/centres 117 -- Participating cardiologists 117 -- Details on patients characteristics 118 -- Details on the participation to the rehabilitation programme 121
Evolution des dépenses de soins de santé
Authors: Crott Ralph , Van de Voorde Carine , Willemé Peter , Verhelle Charlotte , Schokkaert Erik , Bronckaers Jean-Pierre , Lange Bernard , Van den Steen, Dirk  , Leclercq Agnès , Avalosse Hervé , Léonard Christian , Vandevyvere Windy
Published: January 2025

2005-07
Nouveaux biomarqueurs pour estimer le risque cardiovasculaire
Authors: Roberfroid Dominique , San Miguel Lorena , Thiry Nancy
Published: January 2025

Les biomarqueurs sont des substances présentes dans l’organisme qui sont susceptibles d’annoncer une pathologie donnée (comme par exemple le glucose pour le diabète). Le Centre Fédéral d’Expertise des Soins de Santé (KCE) a cherché à déterminer si la mesure de certains biomarqueurs « traditionnels » ou plus récents pouvait contribuer à prédire le risque cardiovasculaire, mais sans parvenir à trouver des preuves suffisantes à l’appui de cette hypothèse. Il semblerait donc plus judicieux d’investir dans le développement du modèle de risque classique, basé sur des facteurs comme l’âge, le sexe, le tabagisme, la tension et le taux de cholestérol sanguin, par exemple en y intégrant de nouveaux paramètres comme les antécédents familiaux, la sédentarité ou la consommation exacte de tabac.
De niet-invasieve prenatale test (NIPT) voor trisomie 21
Authors: Hulstaert Frank , Neyt Mattias , Gyselaers Wilfried
Published: January 2025

Alle zwangere vrouwen in ons land die dit wensen kunnen vandaag het risico op het syndroom van Down (trisomie 21 - T21) laten vaststellen door een biochemische bloedtest en een echografie. Bij een verhoogd risico wordt vervolgens de diagnose bevestigd of weerlegd door een invasieve test (vlokkentest of vruchtwaterpunctie). Bij deze aanpak worden echter nog heel wat foetussen met T21 gemist, en bij de invasieve testen is er ook een risico van 1% op het onvrijwillig afbreken van de zwangerschap. De niet-invasieve prenatale test (NIPT) is een relatief nieuwe genetische bloedtest, die gevoeliger en nauwkeuriger is dan de klassieke testen, maar die nog erg duur is.De minister vroeg een evaluatie van de NIPT aan de Hoge Gezondheidsraad (HGR) en het Federaal Kenniscentrum voor de Gezondheidszorg (KCE). De evaluatie door het KCE ging vooral over de gezondheidseconomische aspecten. Twee mogelijke manieren om NIPT in te voeren werden onderzocht: (1) NIPT in de eerste lijn ter vervanging van de huidige screeningsprocedure, of (2) NIPT in de tweede lijn enkel nadat de huidige screeningtesten met bloed en echo een verhoogd risico aangeven. Beide opties geven een veel betere voorspelling dan de huidige screening, doen het aantal invasieve testen dalen en zijn een verbetering ten opzichte van de huidige screening. Optie (1), waarbij NIPT wordt aangeboden als screeningstest is puur technisch te verkiezen omdat niet alleen het aantal invasieve testen daalt maar ook minder foetussen die drager zijn van T21 gemist worden. Maaronder meer omdat de kost van de NIPT test vandaag relatief hoog is (460€) wordt op dit ogenblik echter aanbevolen NIPT te vergoeden in optie (2). Mits een substantiële daling van de prijs van de NIPT-test en voldoende kwaliteitsgaranties wordt de terugbetaling van NIPT in optie (1) aanbevolen. Voor beide opties is een systeem van registratie en evaluatie van de resultaten van NIPT aanbevolen.
Gebruik van de BELRAI-suite in de revalidatiezorg
Authors: Desomer Anja , Mistiaen Patriek , Eyssen Marijke
Published: January 2025

VOORWOORD 1 -- KERNBOODSCHAPPEN 2 --  SYNTHESE 4 -- 1. CONTEXT 5 -- 2. INTERRAI EN BELRAI 6 -- 3. RESULTATEN 8 -- 3.1. KAN DE INTERRAI/BELRAI-SUITE WORDEN GEBRUIKT VOOR DE BEOORDELING VAN DE REVALIDATIENODEN VAN DE INDIVIDUELE PATIËNT? 8 -- 3.1.1. Gebruik van de interRAI/BelRAI-suite in de gespecialiseerde revalidatiediensten (Spdiensten) 8 -- 3.1.2. Gebruik van de interRAI/BelRAI-suite in de Centra voor Ambulante Revalidatie (CAR) 8 -- 3.1.3. InterRAI suite in relatie tot de International Classification of Functioning, Disability and Health (ICF) en Functional Independence Measurement (FIM) 8 -- 3.2. KAN DE INTERRAI/BELRAI-SUITE OOK GEBRUIKT WORDEN OM DE BUDGETTEN VOOR DE REVALIDATIEZORG TOE TE KENNEN? 9 -- 3.2.1. Een case-mix financiering 9 -- 3.2.2. Validering van de interRAI-suite voor de berekening van een case-mix financieringssysteem 10 -- 4. VOLGENDE STAPPEN 10 -- AANBEVELINGEN 12 -- REFERENTIES 14
Antistolling en voorkamerfibrillatie
Authors: Van Brabandt Hans , San Miguel Lorena , Fairon Nicolas , Vaes Bert , Henrard Séverine , Boshnakova Anelia , Cook Rob , Davies Rob , Karnad Aditi , Lovell Alan , Dubois Cécile
Published: January 2025

Antistollingsmiddelen (of anticoagulantia) zijn geneesmiddelen die o.a. worden voorgeschreven aan mensen met voorkamerfibrillatie, een hartritmestoornis, om het risico op een beroerte te verminderen. Sinds een aantal jaren zijn de "nieuwe orale anticoagulantia" of NOACs op de markt. Hun gebruik is handiger dan dat van de klassieke geneesmiddelen, omdat er geen maandelijkse controles van het bloed meer nodig zijn. De andere kant van de medaille is dat hun prijs ook veel hoger is: een jaarlijkse bijkomende kost van bijna 100 miljoen €. Na een kritische analyse oordeelde het Federaal Kenniscentrum voor de Gezondheidszorg (KCE) dat hun voordelen niet zo vanzelfsprekend zijn als ze lijken. Als hun werkzaamheid al hoger ligt dan die van de oudere geneesmiddelen, bedraagt dit verschil niet meer dan een aantal tienden van een procent, op voorwaarde dan nog dat ze correct worden gebruikt. Er stellen zich inderdaad drie problemen: (1) Sommige patiënten die met een antistollingsmiddel behandeld worden hebben er geen voordeel bij omdat het risico op een te vermijden beroerte ongeveer even hoog ligt als het risico op een hersenbloeding als gevolg van de behandeling. (2) Veel patiënten krijgen een (te) lage NOAC dosis voorgeschreven waarvan we niet weten of deze doeltreffend is. (3) Doordat er bij NOACs geen maandelijkse bloedcontrole meer nodig is, kunnen de artsen niet nagaan of hun patiënten correct behandeld worden. Het KCE roept daarom op tot waakzaamheid: het is mogelijk dat een groot aantal patiënten die een NOAC nemen in realiteit niet afdoende beschermd is.
Adapter les guidelines du KCE aux besoins des utilisateurs
Authors: Benahmed Nadia , Adriaenssens Jef , Christiaens Wendy , Paulus Dominique
Published: January 2025

Face à la complexification de la médecine et des soins en général, les professionnels de la santé doivent aujourdhui faire appel à des « guides de pratique clinique » (ou guidelines) pour baliser leurs pratiques quotidiennes. Il sagit de « résumés » critiques, régulièrement remis à jour, des connaissances médicales les plus récentes validées par la communauté scientifique internationale. Le Centre fédéral dExpertise des Soins de santé (KCE) a mené une étude sur lutilisation de ces guidelines dans notre pays, et émet quelques pistes pour les rendre plus attractifs et plus pratiques à lemploi.
How to improve the Belgian process for Managed Entry Agreements?
Authors: Gerkens Sophie , Neyt Mattias , San Miguel Lorena , Vinck Imgard , Thiry Nancy , Cleemput Irina
Published: January 2025

LIST OF FIGURES 3 -- LIST OF TABLES .3 -- LIST OF ABBREVIATIONS 4 -- SCIENTIFIC REPORT .6 -- 1 INTRODUCTION 6 -- 1.1 BACKGROUND 6 -- 1.2 STUDY OBJECTIVES AND RESEARCH QUESTIONS 7 -- 1.3 A DIFFICULT PROCESS DUE TO DATA CONFIDENTIALITY AND THREAT OF LEGAL PROCEEDINGS .7 -- 1.4 A RAPID LOOK AT THE EXISTING TAXONOMY 8 -- 2 A REVIEW OF THE LITERATURE ON MANAGED ENTRY AGREEMENTS: WHAT CAN BE LEARNED FROM THE CURRENT EUROPEAN EXPERIENCE? 11 -- 2.1 INTRODUCTION .11 -- 2.2 METHODS 11 -- 2.3 RESULTS 16 -- 2.3.1 Strengths of MEAs 16 -- 2.3.2 Weaknesses/Challenges of MEAs 18 -- 2.3.3 What products should be the target of MEAs 24 -- 2.3.4 Evaluation process for MEAs .24 -- 2.3.5 Checklists for evaluating the need for a MEA or the impact of an already established MEA 30 -- 2.4 LIMITATIONS 33 -- 3 DESCRIPTION OF THE LEGISLATION 34 -- 3.1 INTRODUCTION .34 -- 3.2 METHOD .34 -- 3.3 MARKET AUTHORIZATION, PRICING AND REIMBURSEMENT IN BELGIUM (FOR BOTH OUTPATIENTS AND INPATIENTS PHARMACEUTICALS) 34 -- 3.3.1 Market authorization 34 -- 3.3.2 Price setting 34 -- 3.3.3 The reimbursement procedure 35 -- 3.3.4 Specificities of orphan drugs 39 -- 3.4 EVOLUTION OF THE LEGISLATION ON MEA IN BELGIUM .40 -- 3.4.1 Situation from January 2010 until July 2014 41 -- 3.4.2 Situation from July 2014 41 -- 3.4.3 The negotiation process 42 -- 3.4.4 The convention 43 -- 3.4.5 Process at the end of the convention .43 -- 3.5 NO REGULATION OF MEAS IN A EUROPEAN CONTEXT 44 -- 4 ANALYSIS OF THE BELGIAN PROCESS FOR MEA: WHAT LESSONS CAN BE LEARNED FROM THE BELGIAN EXPERIENCE? 45 -- 4.1 INTRODUCTION .45 -- 4.2 METHOD .45 -- 4.3 RESULTS 47 -- 4.3.1 Description of the convention procedure .47 -- 4.3.2 The evaluation by the CTG-CRM .51 -- 4.3.3 Analysis of approved conventions 53 -- 4.3.4 Analysis of expired conventions 58 -- 4.3.5 Impact on the health care budget for pharmaceuticals .60 -- 5 STAKEHOLDER CONSULTATION .61 -- APPENDIX .62 -- REFERENCES .64
Health problems and health care utilisation in Belgian prisons
Authors: Roberfroid Dominique , Mistiaen Patriek , San Miguel Lorena
Published: January 2025

1 INTRODUCTION 5 -- 2 METHODS .6 -- 2.1 DATA SOURCES 6 -- 2.2 DATA MANAGEMENT 7 -- 2.3 DATA ANALYSIS 8 -- 3 RESULTS 9 -- 3.1 GENERAL DESCRIPTION OF THE POPULATION 9 -- 3.2 MEDICAL CONSULTATIONS 12 -- 3.3 DETERMINANTS OF MEDICAL CONSULTATIONS 14 -- 3.3.1 Bivariate analysis .14 -- 3.3.2 Multilevel multivariate analysis 25 -- 3.4 MEDICAL PRESCRIPTIONS 31 -- 4 DISCUSSION 36
The insurability of prisoners in Belgium
Authors: Schoukens Paul , De Weyer Jessie
Published: January 2025

SUMMARY 4 -- 1 DESCRIPTION OF THE RESEARCH 4 -- 2 COVERAGE OF HEALTH CARE IN THE CURRENT LEGISLATION 5 -- 2.1 GENERAL 6 -- 2.2 EXISTING BELGIAN HEALTH INSURANCE RULES APPLIED TO PRISONERS 8 -- 3 POSSIBLE SCENARIOS FOR THE FUTURE 10 -- 3.1 FIRST SCENARIO: APPLY THE EXISTING RULES ON HEALTH CARE INSURANCE 10 -- 3.1.1 Prisoners who are legally residing in Belgium 10 -- 3.1.2 Prisoners who are not legally residing in Belgium 12 -- 3.2 SECOND SCENARIO: FREEZE THE STATUS THAT ONE HAD RIGHT BEFORE THE START OF DETENTION 12 -- 3.3 THIRD SCENARIO: CREATE A NEW INSURABLE STATUS PERSONS STAYING IN PRISON 13 -- WETENSCHAPPELIJK RAPPORT 15 -- 1 INLEIDING 15 -- 1.1 SCHETS VAN HET ONDERWERP 15 -- 1.2 ONDERZOEKSVRAGEN EN ONDERZOEKSMETHODE 16 -- 1.3 BEGRIPPENKADER 17 -- 2 DEKKING VAN GEZONDHEIDSZORG IN DE HUIDIGE WETGEVING 18 -- 2.1 ALGEMENE REGEL: BELGISCHE VERPLICHTE VERZEKERING VOOR GENEESKUNDIGE VERZORGING (ZIEKTEVERZEKERING) 18 -- 2.1.1 Verzekerbaarheid 18 -- 2.1.2 Terugbetaling of dekking geneeskundige verstrekkingen 24 -- 2.2 MENSEN ZONDER WETTIG VERBLIJF: DRINGENDE MEDISCHE HULP 24 -- 2.2.1 Algemeen 25 -- 2.2.2 Onderzoek door OCMW 25 -- 2.2.3 Uitreiken van een betalingswaarborg 28 -- 2.3 TOEPASSING OP GEDETINEERDEN 28 -- 2.3.1 Principes in de Basiswet 28 -- 2.3.2 Verzekerbaarheid van gedetineerden met wettig verblijf 29 -- 2.3.3 Terugbetaling of dekking geneeskundige verstrekkingen gedetineerden met wettig verblijf 32 -- 2.3.4 Gezondheidszorg van gedetineerden zonder wettig verblijf 35 -- 2.3.5 Internering 36 -- 3 PISTES VOOR EEN TOEKOMSTIG BELEID 36 -- 3.1 VERTREKPUNT: REFERENTIEKADER 37 -- 3.2 DIVERSE PISTES 38 -- 3.2.1 Piste 1: Volle toepassing van de principes van de algemene ziekteverzekering tijdens detentie 38 -- 3.2.2 Piste 2: Behoud van hoedanigheid op ogenblik van aanvang van detentie 46 -- 3.2.3 Piste 3: Creatie van de hoedanigheid verblijvende in gevangenis 50 -- 3.3 SUGGESTIE MET BETREKKING TOT DE 3 PISTES 52 -- 3.4 ALGEMENE SUGGESTIES 53 -- APPENDIX 1. SCHEMATISCH OVERZICHT HUIDIGE WETGEVING 55
Collecte et analyse rapide des données au début d'une nouvelle épidémie
Authors: Cornelis Justien , Castanares-Zapatero Diego , Blot Koen , Hulstaert Frank
Published: January 2025

En cas de flambée épidémique impliquant une maladie infectieuse encore inconnue (comme l’était à l’époque le COVID-19), il est important que les caractéristiques des 100 premiers patients, le décours de l’infection et l’effet des mesures appliquées pour tenter de la traiter soient déclarés, analysés et communiqués le plus rapidement possible. Ce n’est en effet que par ce biais que les décideurs pourront prendre des mesures fondées autant que possible sur des données factuelles, et que des essais cliniques pourront être mis sur pied de façon ciblée. Les infectiologues belges ont demandé au KCE d’examiner comment ce processus pourrait être organisé d’une façon plus rapide, plus souple et plus transparente lors d’une pandémie future, avec un retour d’information rapide vers la profession. Le KCE demande aux plateformes de gestion des risques qui existent déjà (le Risk Assessment Group et le Risk Management Group) de développer une procédure pour une collecte de données rapide et standardisée dans l’ensemble des entités fédérées, afin de rendre possible une analyse plus rapide aux échelons fédéral et européen.
Guide clinique pour la prescription Prudente dantibiotiques en pratique dentaire
Authors: Leroy Roos , Bourgeois Jolyce , Verleye Leen , Declerck Dominique , Depuydt Pieter , Eloot Anouk , Carvalho Joana C. , Theugels Wim , Cauwels Rita , Leprince Julian , Toma Selena , Michiels Kathleen , Aryanpour Sam , Vanden Abbeele Astrid , De Bruyne Mieke
Published: January 2025

PRÉFACE 1 -- SYNTHÈSE 2 -- 1. INTRODUCTION 5 -- 1.1. POURQUOI CE GUIDE DE PRATIQUE ? 5 -- 1.2. OBJECTIF ET PORTEE DE CE GUIDE DE PRATIQUE CLINIQUE 6 -- 1.2.1. Objectif 6 -- 1.2.2. Pour quels patients ce guide de pratique clinique peut-il être utilisé ? 6 -- 1.2.3. À quels utilisateurs sadresse ce guide de pratique clinique ? 6 -- 2. METHODOLOGIE 7 -- 2.1. LE GROUPE DE DEVELOPPEMENT DES GUIDELINES 7 -- 2.2. CHOIX DES INDICATIONS 7 -- 2.3. REVUE SYSTEMATIQUE DE LA LITTERATURE ET EVALUATION DE SA QUALITE 8 -- 2.4. ÉLABORATION DE RECOMMANDATIONS CLINIQUES 8 -- 2.5. ÉVALUATION EXTERNE PAR LES ASSOCIATIONS PROFESSIONNELLES 9 -- 2.6. VALIDATION FINALE 10 -- 3. RECOMMANDATIONS CLINIQUES 10 -- 3.1. PULPITES IRREVERSIBLES SYMPTOMATIQUES DES DENTS TEMPORAIRES 10 -- 3.2. ABCES ODONTOGENES DES DENTS TEMPORAIRES 11 -- 3.3. PULPITES IRREVERSIBLES SYMPTOMATIQUES DES DENTS DEFINITIVES 11 -- 3.4. PERIODONTITES APICALES SYMPTOMATIQUES ET ABCES APICAUX AIGUS DES DENTS -- DEFINITIVES 12 -- 3.5. RE-IMPLANTATION DES DENTS DEFINITIVES APRES AVULSION 13 -- 3.6. TRAITEMENT NON-CHIRURGICAL DE LA PARODONTITE AGRESSIVE 13 -- 3.7. ABCES PARODONTAUX DES DENTS DEFINITIVES 13 -- 3.8. POSE DIMPLANTS DENTAIRES 14 -- 3.9. EXTRACTION DES DENTS DEFINITIVES 15 -- 3.10. ANTIBIOPROPHYLAXIE CHEZ LES PATIENTS A (HAUT) RISQUE DENDOCARDITE -- INFECTIEUSE LORS DUN TRAITEMENT DENTAIRE 15 -- 3.11. ANTIBIOPROPHYLAXIE CHEZ LES PATIENTS PORTEURS DIMPLANTS ORTHOPEDIQUES -- LORS DUN TRAITEMENT DENTAIRE 16 -- 4. DIFFUSION, IMPLEMENTATION ET MISE A JOUR DU GUIDE DE PRATIQUE CLINIQUE 17 -- 4.1. DIFFUSION ET IMPLEMENTATION 17 -- 4.2. MISE A JOUR DU GUIDE DE PRATIQUE CLINIQUE 18 -- RECOMMANDATIONS AUX DECIDEURS 19 -- BIBLIOGRAPHIE 20
Evidence gaps for drugs and medical devices at market entry in Europe and potential solutions
Authors: Hulstaert Frank , Pouppez Céline , Primus-de Jong Célia , Harkin Kathleen , Neyt Mattias
Published: January 2025

SUMMARY 1 -- 1. INTRODUCTION, OBJECTIVE AND METHODOLOGY 3 -- 1.1. MARKET ACCESS IS REGULATED AT THE EUROPEAN LEVEL, WHILE REIMBURSEMENT IS DETERMINED BY THE MEMBER STATES. 3 -- 1.1.1. Medicinal products 4 -- 1.1.2. Medical devices 5 -- 1.1.3. Changes in the European regulations 5 -- 1.2. INITIATIVES THAT HAVE INCREASED THE EVIDENCE GAP AND INITIATIVES TO REDUCE THE EVIDENCE GAP 6 -- 1.3. OBJECTIVE OF THIS STUDY AND STUDY QUESTIONS 6 -- 2. ETHICAL AND LEGAL CONSIDERATIONS 9 -- 2.1. ETHICAL STANDARDS ON THE PROVISION OF EVIDENCE AND TRANSPARENCY 9 -- 2.2. EUROPEAN LEGISLATION ON MEDICINAL PRODUCTS 10 -- 2.2.1. Evidence requirements 10 -- 2.2.2. Procedure for the authorisation of clinical studies 10 -- 2.2.3. Transparency requirements 10 -- 2.3. EUROPEAN LEGISLATION ON MEDICAL DEVICES 10 -- 2.3.1. Evidence requirements 11 -- 2.3.2. Authorisation procedure for clinical research 11 -- 2.3.3. Transparency requirements 11 -- 2.4. EUROPEAN EVALUATION OF HEALTH TECHNOLOGY 12 -- 3. ANALYSIS OF THE INAMI/RIZIV DOSSIERS 12 -- 3.1.1. Results for the 18 assessment dossiers for medicinal products 13 -- 3.1.2. Results for the 18 assessment dossiers for medical devices 13 -- 4. LITERATURE STUDY 14 -- 4.1. MEDICINAL PRODUCTS 14 -- 4.2. MEDICAL DEVICES 15 -- 5. DISCUSSION AND POSSIBLE SOLUTIONS 16 -- 5.1. THE SEPARATION BETWEEN REGULATORY BODIES AND HTA BODIES; MORE COLLABORATION NECESSARY 16 -- 5.1.1. Study population requirements 19 -- 5.1.2. Requirements regarding the intervention 19 -- 5.1.3. Requirements regarding the comparator 19 -- 5.1.4. Requirements regarding outcomes 21 -- 5.1.5. Toward more efficient clinical studies; limitations of observational real-world data 21 -- 5.1.6. Should the threshold of evidence for medical devices be lower? 22 -- 5.2. TRANSPARENCY REQUIREMENTS 23 -- 5.2.1. For medicinal products 23 -- 5.2.2. For medical devices 23 -- 5.3. PUBLISHED POLICY RECOMMENDATIONS 23 -- RECOMMENDATIONS 27 -- REFERENCES 32
Palliatieve zorg
Authors: Ricour Céline , Adriaenssens Jef , Desomer Anja , Primus-de Jong Célia , Devos Carl , Pouppez Céline
Published: January 2025

De palliatieve fase van een ernstige ziekte is de periode vóór een verwacht overlijden. Tijdens deze fase is de behoefte aan steun en zorg van de betrokkene vaak groot en deze kan snel evolueren. In de ziekenhuizen en woonzorgcentra is een groot deel van de zorgkosten tijdens de laatste levensfase inbegrepen in de financiering van de instelling. De mensen die de laatste periode van hun leven echter thuis wensen door te brengen, moeten een groot deel van deze kosten uit eigen zak betalen. In ons land krijgen palliatieve patiënten financiële steun, maar deze blijkt niet altijd voldoende te zijn, en hij wordt vooral pas in de allerlaatste levensfase toegekend. Het Federaal Kenniscentrum voor de Gezondheidszorg (KCE) ging na hoe deze financiële ondersteuning beter kan worden afgestemd op de individuele behoeften van deze mensen... maar stelde vast dat er helaas geen ideale oplossing bestaat.
Hoe endometriosezorg in België verbeteren? – Synthese
Authors: Leroy Roos , Desimpel Fabian , Ombelet Sien , De Jaeger Mats , Benahmed Nadia , Camberlin Cécile , Christiaens Wendy
Published: January 2025

Bij endometriose is weefsel, dat lijkt op baarmoederslijmvlies, buiten de baarmoeder aanwezig. Sommige vrouwen met endometriose hebben helemaal geen klachten, terwijl de ziekte bij anderen een grote impact heeft op de levenskwaliteit. Momenteel is de endometriosezorg in ons land erg versnipperd en is er een groot verschil tussen de ziekenhuizen in aanpak en expertise. Het Federaal Kenniscentrum voor de Gezondheidszorg (KCE) pleit voor de oprichting van erkende endometrioseklinieken en gespecialiseerde expertisecentra, waar multidisciplinaire zorg wordt verleend op maat van de patiënt.
Baarmoederhalskankerscreening en testen op Human Papillomavirus (HPV)
Authors: Hulstaert Frank , Arbyn Marc , Huybrechts Michel , Vinck Imgard , Puddu Marina , Ramaekers Dirk
Published: January 2025

Het Federaal Kenniscentrum voor de gezondheidszorg (KCE) heeft samen met het Wetenschappelijk Instituut Volksgezondheid (WIV) het nut onderzocht van preventieve baarmoederhalskankerscreening met een uitstrijkje en pleit ervoor om te starten met een georganiseerde screening indien beleidsmakers de kankersterfte verder terug willen dringen. Er zijn geen bewijzen dat de nieuwe test voor Humaan Papilloma Virus (HPV) meer goed dan slecht doet bij gebruik voor primaire screening.
Démence précoce
Authors: Roberfroid Dominique , Wendy Christiaens , Detollenaere Jens , De Jaeger Mats , Kohn Laurence , Vos Bénédicte
Published: January 2025

Beaucoup moins fréquentes que les démences d’apparition plus tardive, les démences précoces sont aussi associées à des défis qui leur sont propres, tels que la difficulté du diagnostic en présence de symptômes atypiques, l’impact de la maladie sur la vie professionnelle, sociale et familiale, et une offre de soins et de services pensée pour un public plus âgé et donc mal adaptée aux besoins de patients plus jeunes. Il est important que les personnes qui y sont confrontées puissent bénéficier d’un parcours de soins cohérent et intégré. Dans sa nouvelle étude, le Centre Fédéral d’Expertise des soins de santé (KCE) formule des recommandations pour son élaboration concrète. Plutôt que de multiplier les filières, il préconise avant tout d’adapter à ce public spécifique les ressources qui existent déjà pour les formes de démence plus tardives.