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See detailIntérèts de la tomographie à émission de positons dans le suivi et le pronostic des anévrysmes de l'aorte abdominale
Courtois, Audrey ULg; Nusgens-Richelle, Betty ULg; Hustinx, Roland ULg et al

in Revue medicale de Liege (2014), 69 Spec No

Rupture of abdominal aortic aneurysm (AAA) remains a major cause of death in the elderly. Its prediction is a serious challenge for public health. Despite its regular use to identify patients requiring ... [more ▼]

Rupture of abdominal aortic aneurysm (AAA) remains a major cause of death in the elderly. Its prediction is a serious challenge for public health. Despite its regular use to identify patients requiring surgical treatment, the diameter of AAA is not a sufficiently precise and reliable parameter for discriminating aneurysms at high risk of rupture. A better targeting of high risk patients needs understanding in deep the processes and mechanisms directing wall rupture. Inflammation is a significant element in the progression ofAAA and can be visualized using medical imaging techniques such as positron emission tomography (PET) using a glucose derivative (FDG) as radiotracer. Studies conducted in our department have established a relationship between PET positivity and the presence of symptoms such as accelerated growth of the aneurysm or pain, signs generally considered as predictive of rupture. Moreover, activation of leukocytes coupled to cellular and molecular alterations of the aneurysmal wall in the sites of FDG uptake may lead to its instability and incompetence to resist blood pressure and rupture. PET therefore represents a new original exploration method to characterize the severity of AAA progression allowing to assess the need for a surgical treatment much better than does the AAA diameter. [less ▲]

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See detailIntérêts de mettre en place une filière courte basée sur la culture du jatropha (Jatropha curcas L.) dans la communauté rurale de Dialacoto
Barbier, Jérémy; Cissao, Malang; Tacourou, Bocar et al

Report (2012)

Opportunities to develop a local chain of production, transformation, and marketing based on jatropha cultivation were investigated from 2008 to 2012 in the rural community of Dialacoto (Tambacouda Region ... [more ▼]

Opportunities to develop a local chain of production, transformation, and marketing based on jatropha cultivation were investigated from 2008 to 2012 in the rural community of Dialacoto (Tambacouda Region, Eastern Senegal). The researches have mainly concerned how to integrate jatropha cultivation in existing cropping systems, the modalities to process the seeds with a manual Bielenberg press, and the opportunities for a local transformation and marketing of oil and oilcakes obtained by pressing seeds. The ways to integrate the cultivation of jatropha in the traditional farming systems were studied using two participatory investigation methods and by carrying out agronomic trials on experimental plots. An action research was conducted with three groups of six farmers in order to determine the best modalities of installation and maintenance of jatropha plants. The fields of 24 farmers where jatropha plants were installed as a sole crop, intercropped with cultivated annual plants, or as a living hedge were closely monitored. These fields were selected among the 295 plots that had been planted before or at the beginning of the project. Under the current conditions of remuneration of jatropha seeds in Senegal (65 Fcfa / 0,1 EUR kg-1 dry seeds), and given the low seed yield (less than 200 kg ha-1 for the best tended plots after five years) and the low precocity of the available planting material, the sole and the intercropping of jatropha is not profitable. The development of efficient intercropping systems adapted to the farmer's constraints seems possible, subject to the selection of varieties of jatropha both early and productive, and to an increase in the purchase price of the seeds. Substantial research involving directly the farmers remains to be carried out to develop these intercropping systems. The establishment of living hedges is for the moment the only installation method that can be recommended to farmers. In addition to providing supplementary income related to seed harvest, hedgerows provide different benefits appreciated by farmers: land demarcation, soil protection against wind and water erosion, improved soil water balance and windbreak effect favorable to crop development, crop protection against wandering ruminants, and enclosure for the cattle. These various benefits and the low risk taken by installing hedgerows explain that this method of planting was the most often selected spontaneously by farmers. The production cost of a liter of jatropha filtered oil using a Bielenberg press rises to 1056 FCFA (1.62 EUR). At such a cost, jatropha oil is not competitive compared to its direct use for diesel engines in rustic Lister type used to operate multifunctional platforms. The production of soap is the only local outlet with high potential for oil produced with a manual press. The price of locally produced soap with this oil is competitive compared to that of the industrial soap available on the market and its quality is highly appreciated by potential customers. The use of oil as a bio-pesticide and as fuel for lighting could be interesting opportunities but further investigations are needed to confirm this. This applies also to the use as fertilizer of the oilcakes produced by pressing seeds. [less ▲]

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See detailIntérêts de retard sur une dette de valeur
Biquet, Christine ULg

in Journal des Juges de Paix = Tijdschrift van de Vrederecters (2015), (9-10), 526-531

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See detailIntérêts des traitements symptomatiques anti-arthrosiques
Bruyère, Olivier ULg

Conference (2011, December 12)

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See detailIntérêts diagnostiques et thérapeutique des anticorps monoclonaux en néphrologie
Mahieu, P.; Davin, J. C.; Malaise, Michel ULg

in Revue Médicale de Liège (1987), 42(10), 470-474

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See detailIntérêts du réentraînement à l'effort dans la fibromyalgie et autres syndromes apparentés
Maquet, Didier ULg; Demoulin, Christophe ULg; Croisier, Jean-Louis ULg et al

in Annales de Réadaptation et de Médecine Physique (2007), 50(6), 356-362

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See detailIntérêts et limites de l'absorptiométrie biphotonique dans le dépistage de l'ostéoporose postménopausique
Reginster, Jean-Yves ULg; DEROISY, Rita ULg; Zegels, Brigitte ULg et al

in Revue du Rhumatisme et des Maladies Osteo-Articulaires (1992), 59

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See detailIntérêts et limites de l'examen extemporané en pathologie thyroïdienne : Revue systématique de la littérature et évaluation fondée sur les épreuves
Stanciu-Pop, C; Pop, FC; THIRY, Albert ULg et al

in Revue Médicale de Liège (2015), 70(12), 638-643

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See detailIntérêts et limites de la dialyse nocturne
Krzesinski, Jean-Marie ULg

Conference (2013, March 14)

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See detailInterets et limites de la diete proteique chez le patient obese diabetique de type 2.
Scheen, André ULg

in Annales d'Endocrinologie (1999), 60(6), 443-50

Weight excess plays a major role in the pathophysiology of type 2 diabetes but only a minority of patients succeed in following a restrictive calorie diet in the long-term, able to reduce body weight and ... [more ▼]

Weight excess plays a major role in the pathophysiology of type 2 diabetes but only a minority of patients succeed in following a restrictive calorie diet in the long-term, able to reduce body weight and maintain normoglycaemia. Very low-calorie diets such as protein diets rapidly reduce plasma glucose levels by various mechanisms, among which a significant improvement of hepatic and muscular insulin sensitivity and a partial recovery of insulin secretion. The rapidity of the hypoglycaemic action suggests that calorie restriction plays a more important role than weight loss itself. The lowering of plasma glucose levels imposes an early reduction in the doses of antidiabetic agents to avoid hypoglycaemia. Well-balanced protein diets are well tolerated, provided that they are restricted to a few weeks. The most important limitation of the protein diet is the risk of weight regain afterwards and such situation requires the maintenance of an hypocaloric diet in the long-term. Ideally, the protein diet should be integrated in a global approach including treatment of obesity, type 2 diabetes and frequently associated other risk factors. [less ▲]

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See detailIntérêts et limites des enquêtes alimentaires en population
Counet, Laurence; Haterte, Stéphanie; Guillaume, Michèle ULg

Conference (2009, October 28)

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See detailIntérêts et limites des machines de musculation rachidienne pour reconditionner le lombalgique chronique
Vanderthommen, Marc ULg; Demoulin, Christophe ULg; Crielaard, Jean-Michel ULg

in Abstract book of 2nd International Symposium of the Belgian Back Society (BBS) (2004, December)

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See detailIntérêts et limites du bilan neuropsychologique dans le cadre de l’expertise médicolégale
Meulemans, Thierry ULg

in Douleur et Analgésie (2011), 24(1), 41-55

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See detailIntérêts et limites du bypass de l'ileon distal dans le traitement de l'hypercholestérolémie
Defraigne, Jean-Olivier ULg; Pirenne, J.; Swinnen, J. C. et al

in Journal de Chirurgie (1990), 127(2), 76-82

Partial ileal bypass (PIB) was performed in 8 young adults (5 males and 3 females, mean age 37 +/- 5 years) with a history of vascular surgery (aorto-coronary bypass, ACB, n = 6; stroke, n = 2 ... [more ▼]

Partial ileal bypass (PIB) was performed in 8 young adults (5 males and 3 females, mean age 37 +/- 5 years) with a history of vascular surgery (aorto-coronary bypass, ACB, n = 6; stroke, n = 2), presenting with hyperlipidemia (II B: n = 7; IIA: n = 1). None of the patients had diabetes, 2 had mild hypertension, and all were cigarette smokers. Hypolipidemic drugs were discontinued prior to PIB. Following bypass surgery, patients received vitamin B12 injections twice monthly. Total plasma cholesterol (TPC) and total plasma triglycerides (TPT) were assayed at 3 months and 1 year after surgery. The mean follow-up period was 84 months. Mean TPC level was significantly lower (3.96 +/- 0.57 preoperatively vs 2.19 +/- 0.79 (p less than 0.001) and 2.54 +/- 0.76 (p less than 0.01) 3 months and 1 year postsurgery, respectively. Mean TPT level was significantly lower 3 months after the intervention (4.85 +/- 2.37 vs 2.33 +/- 0.62, p. less than 0.02), but not after one year. Similar trends were observed throughout the follow-up period. One of the ACB patients died of drowing, while three others had recurring angina pectoris symptoms. Coronary angiography showed that, despite low TPC levels, coronary artery disease had extended either to other vessels not included in the former bypass, or beyond the anastomoses. Patients with a history of stroke were asymptomatic. PIB is effective in normalizing TPC. Nonetheless, this isolated procedure is insufficient to prevent the evolution of multifactorial atherosclerosis. [less ▲]

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See detailIntérêts et procédure d'ordre, obs. sous comm. Charleroi, 6 novembre 1991
Biquet, Christine ULg

in Revue de Jurisprudence de Liège, Mons et Bruxelles (1992)

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See detailIntérêts et voies d'abord de la stadification paraaortique laparoscopique dans les cancers avances du col utérin
Kridelka, Frédéric ULg; Goffin, Frédéric ULg

in Revue Médicale de Liège (2007), 62 Spec No 2

The stage of a cervical neoplasm is defined on clinical criteria as reported by the International Federation of Gynecology and Obstetrics. Treatment planning however is based on this clinical stage, but ... [more ▼]

The stage of a cervical neoplasm is defined on clinical criteria as reported by the International Federation of Gynecology and Obstetrics. Treatment planning however is based on this clinical stage, but moreover on histological variables obtained at surgical staging. Regarding advanced stage cervical cancer, the recommanded treatment consists in a radical radiotherapy together with concomitant chemotherapy. The target volume of the radiation treatment is directly dependent on the paraaortic lymph node status, the radiological evaluation of which remains unsatisfactory due to lack of sensitivity. We report our experience with two laparoscopic approaches (transperitoneal and retroperitoneal) allowing a histological paraaortic nodal status to be obtained prior to initiating the definitive treatment. [less ▲]

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See detailL'interface 1ère-2ème ligne de soins
Belche, Jean ULg

Conference (2013, December 06)

L’implication des MG dans le suivi de patients insuffisants cardiaques sévères est importante. Le « chronic car model » a démontré son efficacité dans le suivi d’une maladie chronique. L’opérationnalité ... [more ▼]

L’implication des MG dans le suivi de patients insuffisants cardiaques sévères est importante. Le « chronic car model » a démontré son efficacité dans le suivi d’une maladie chronique. L’opérationnalité de la prise en charge intégrée sur le terrain devrait respecter les particularités locales et/ou les réseaux existants. Le MG n’est pas le seul intervenant actuel de la première ligne de soins ; il travaille le plus souvent en réseau, quand celui-ci n’est pas structuré en centre de santé intégré. Ce modèle, promotionné par l’OMS, repose sur un travail en équipe pluridisciplinaire, dans un souci de continuité relationnelle et informationelle. (Les réseaux multidisciplinaires locaux (RML) ont été créés à cette fin dans le cadre des trajets de soins.) L’adjonction d’intervenant spécialisé dans le suivi de l’insuffisance cardiaque porte en elle le germe de la muliplication des intervenants et de la fragmentation des soins. Cela risque de provoquer un rejet par la première ligne de soins, au moment où on l’appelle à se structurer en réseau d’intervenants, à vocation transversale ou générale. Or la situation la plus prévalente est la multimorbidité, l’insuffisance cardiaque au milieu d’autres maladies ou conditions chroniques. Il est démontré que la multiplication des approches centrées sur la maladie a un impact négatif sur l’efficacité des soins, sur la qualité des soins, et à un coût plus élevé. L’approche centrée sur la maladie, prédominante actuellement, doit glisser lentement mais surement vers une approche centrée sur le patient, et ses propres objectifs. [less ▲]

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