{"title":"[The influence of menopause on blood pressure].","authors":"J Staessen, R Fagard, P Lijnen, A Amery","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The association between menopause and systolic and diastolic blood pressure was explored in a random sample of 278 pre- and 184 post-menopausal women. In 64 subjects menopause had been surgically induced. Post-menopausal women had a higher systolic, diastolic and pulse pressure than pre-menopausal subjects (p greater than 0.001). Hypertension, defined as being on antihypertensive medication, regardless of blood pressure, or as having a pressure greater than or equal to 140/90 mmHg, was more frequently observed following menopause (40 vs 10%; p greater than 0.001). After stratification by age and body mass index, the odds of having hypertension for pre- as compared with post-menopausal women were 2.2 (95% confidence interval from 1.1 to 4.4; p = 0.03). After adjustment of blood pressure for significant covariates, such as body mass index, pulse rate and contraceptive pill intake, the slope of systolic pressure on age was 0.5 mmHg/year (p less than 0.05) steeper in women with natural and surgical menopause than in pre-menopausal subjects. The relation of diastolic blood pressure with age showed a similar slope among pre- and post-menopausal subjects, but in women with natural and surgical menopause taken together, the regression line was shifted upward by an average of 2.3 mmHg (p = 0.03). The relationships of diastolic blood pressure with body mass index and with the urinary sodium: potassium ratio were also 0.2 mmHg/kg/m2 and 0.8 mmHg/unit steeper (p less than 0.05) in post- than in pre-menopausal subjects.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 1-4","pages":"118-22"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13753414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Preparation and evaluation of an internal reference of oral polio vaccine].","authors":"J Husson-van Vliet, P E Lemoine","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A trivalent working reference preparation for oral poliovaccine was prepared, and assayed over a period of three years; its stability at different temperatures was investigated. The results show that the batch of cryotubes is homogeneous and stable when stored frozen. The preparation, while containing no stabilizer is similar in composition with the vaccines to be tested and suitable to judge the acceptability of assays. The test system was shown to be accurate and reproducible.</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 7-8","pages":"261-70"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13631581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The impact of a new strict obstetrical strategy on maternal mortality and obstetrical results].","authors":"X de Muylder, M Thiery","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In an attempt to reduce the caesarean section rate without an adverse effect on the obstetrical outcome, new guidelines for the management of dystocia, previous caesarean delivery, fetal distress, and breech presentation were introduced in September 1984 in a provincial hospital in Zimbabwe, Africa. Comparison of the two-year periods before and after September 1984 showed that the caesarean section rate had dropped from 16.8 to 8.0%, the maternal mortality rate from 2.0 to 0.5%, and the perinatal mortality rate from 71.9 to 56.2%. During the latter period use of oxytocin increased from 3.4 to 17.4%. These findings suggest that the adoption of strict guidelines can lead to a decrease of the caesarean section rate and an improvement of the obstetrical outcome in the absence of new technology.</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 1-4","pages":"67-9"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13753162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Accessibility of medical services reachable by telephone. The example of the 100 service of Brussels].","authors":"J P Labruyère","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The study examines in which degree the belonging to different groups of the population (groups of age, of nationality, socio-economics) influences the interpretability of the help's calls made by telephone to the service 100. The good interpretation of the help's call is evaluated by mean of the decision, good or not, to reinforce the ambulance by a medical team. The analysis considers the phone calls for patients at home. The analysis shows that the accessibility to the service 100 depends on: --the nationality: some groups of nationality don't call the service 100, or not often, because the use of the telephone needs a rather good knowledge of one of the national languages, --the age: the number of calls grows with the age of the victim; the under-evaluation of the state of the victim is significantly more important for older people, --the socio-economic level: the belonging to a low socio-economic group appears as a partial obstacle to verbal communication. The phone calls coming from the poor districts allow a less good evaluation of the state of the victim. To conclude, we may say that: 1. when help's call arrives to the service 100, the operator appreciates the gravity of the situation with a fairly good precision. 2. for people who don't call the service 100 because they don't master enough one of the two national languages, a better accessibility to the service 100 needs a global policy of integration of the strangers (language courses...).</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 1-4","pages":"138-41"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13751916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Prevention of AIDS in secondary schools. Adaptation of the peer's education process].","authors":"D Piette, M Bantuelle","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Peers education is a processus potentially relevant for the prevention of AIDS in secondary schools. This paper describes the public health, institutional and educational aspects of the adaptation and evaluation of peers education. The action-research consists of: building an institutional framework in order to ensure the decision-making for the project by consensus, the selection and training of peers; carrying a survey before and after the intervention in the 3 pilot and the 3 control schools. Results in May 89 emphasizes: the relevance and urgency of the prevention of AIDS in secondary schools; the importance of the institutional aspect for the continuity of the project; the involvement of the pupils and the trainers for the processus; the feasibility of an intervention using only local resources. There is still three months to wait to know if this method is relevant for the prevention of AIDS.</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 1-4","pages":"146-8"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13751918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Home care services: working together of interdependent family and professional assistants' networks].","authors":"F Correia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>1. Definition of one population need homecare for instance get assistance by a family's helper. 2. What are the diseases of that population, what about reductions of the mobility, what are the needs in terms of helping or assistance for: --the daily works, --the heavy household activities, --the essential activities in case of illness. 3. If the patients are not able to do one or several works, who help? Are there one or several professionals or/and one or several members of the social environment? 4. Are all the patients helped in the same way by the same helpers, for the same works? What kind of persons help the patients and for what work? 5. Is the situation similarly for the totality of the population? 6. No, there are many differences, for instance according to the patient living alone or not. 7. Evaluation of the cost for the patient of homecare.</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 1-4","pages":"153-6"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13751920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Utilization of the International Classification of Primary Care, a new family practice classification].","authors":"J De Maeseneer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It is difficult to find an appropriate classification to describe first-line epidemiology adequately. The general practitioner cannot always use the existing classification such as ICD-9-CM: as he is dealing with illness in an early stage, he often uses \"hypotheses\" and not \"diagnoses\". The \"International Classification of Primary Care\", (I.C.P.C.), which has been developed by the World Organisation of National Colleges, Academies and Academic Associations of general practitioners/Family Physicians is one primary health care classification. This classification has two axes with 17 chapters and 7 components. It classifies the reason for encounter, the diagnosis as well as the interventions of the general practitioner. The author reports on a first-trial using I.C.P.C. in Belgium. By means of participating observation by student-trainees, 5.478 encounters between general practitioner and patient of 94 general practitioners have been registered and centrally encoded. The possibilities to analyse the data are illustrated. At the same time, the author developed a nomenclature of medicine (6-figure code) which has been integrated in the I.C.P.C. Finally, the importance of this kind of epidemiologic first-line research has been pointed out.</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 1-4","pages":"46-9"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13752603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Are the international changes in coronary mortality since 1968 incidental?].","authors":"J V Joossens","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Important negative and positive changes in coronary mortality have been observed since 1968 in several industrialized countries. It is extremely important to know if those changes are spurious or real. It is the aim of this paper to try to resolve the problem by comparing coronary mortality with all causes mortality and other causes of death in 29 countries in the period 1968 to 1987, in men and women. The comparison was done not only as means obtained over the years, but also as slopes estimated in each country by linear regression of mortality versus the years of observation, and finally as yearly % changes in mortality. The comparisons were done between coronary mortality of men with other causes of death from men or women: all causes, cancers from colon, rectum, prostate and breast, and finally total cardiovascular, stroke and diabetes under three different conditions: means, slopes and % changes. The overall result was that when coronary mortality changed similar changes were observed for all causes mortality and the other causes of death. The majority of the data point to saturated fat intake as the common factor in the observed changes in different types of mortality. Those findings make a spurious origin of the change in mortality very unlikely and underscore the importance of vital statistics for monitoring public health.</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 1-4","pages":"50-3"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13753159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C Truyen, V Nelen, J Mertens, H De Vriendt, B Standaert
{"title":"[Evaluation of the basic health care pilot project of the Turnhout area].","authors":"C Truyen, V Nelen, J Mertens, H De Vriendt, B Standaert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A primary health care project was started two years ago by the PIH in collaboration with the health councils of ten municipalities in the region of Turnhout. The objective was to promote actions on better health that were beyond the capacity of existing regional health care facilities. The project is managed by representatives of the province and of the ten municipalities. The first subject for coordinated action was healthy eating. Three practical projects were developed: a salt concentration analysis of bread from 150 bakeries; a quality evaluation of the deep fat from 110 french fry stands and a secondary school programme entitled \"Eat Healthy\". A new concept of project development was proposed after the first study. 4 steps have to be considered in the future, which are: first to quantify the amount of the suspected health care problem in the region; secondly to activate an intervention strategy which tends to limit to suggest and initiate long term policy actions. Findings of the to suggest and initiate long term policy actions. Findings of the first project show that to obtain the desired results a well conceived information campaign is essential.</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 1-4","pages":"11-5"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13753412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Study of neonatal septicemia and meningitis].","authors":"D Walckiers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Departments of pediatrics and hospital laboratories gather, since September 1986, epidemiological data about babies with bacterial septicaemia and/or meningitis in the first 27 days of life. About 30 hospitals are at present participating to the program on a voluntary basis. The present study was undertaken to determine the factors predisposing to the development of these serious infections, in order to help identify infants at high risk of infection. The data are completed on a special report form which is sent back to the Service of Epidemiology of the Institute of Hygiene and Epidemiology, which is coordinating the programme. Recorded data include demographic characteristics, risk factors during pregnancy and during labor and delivery, newborn factors, laboratory findings about newborn and maternal infections, use of invasive procedures, treatment and outcome. A feedback system is organized which returns the analyzed data by means of six-monthly reports.</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 1-4","pages":"110-2"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13834554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}