The extraforaminal juxtafacet cyst as a rare cause of L5 radiculopathy: a case report.

STUDY DESIGN: This is a report of a case. OBJECTIVE: To document the clinical, radiographic, and histologic characteristics of a lumbar extraforaminal juxtafacet cyst. SUMMARY OF BACKGROUND DATA: Spinal juxtafacet cysts develop most frequently at the dorsal aspect of the zygapophysial joint, sometimes in the posterolateral area of the canal. In one case, they have been described in the foraminal and extraforaminal region. METHODS: Description of the case report. RESULT: The authors report one case of a strictly extraforaminal juxtafacet cyst responsible for L5 sciatica. CONCLUSIONS: Juxtafacet cysts of the spine represent an infrequent cause of sciatica, usually when they grow in the canal, or more exceptionally when they occupy the foraminal or extraforaminal areas

Brussels, a sustainable city

Observations As a reminder: Sustainable defines that which meets the current generations’ needs without jeopardising the possibilities for future generations to meet their own needs (that is to say, without exceeding resource renewal rates). More simply put, that which is capable of continuing is sustainable. A layout inherited from the modernist era The zoning of the city’s territory Brussels has been marked by monofunctionalism over the past few decades. This applies to both its central nei..

Brussel, duurzame stad

Vaststellingen Duurzame ontwikkeling is een ontwikkeling waarbij de huidige wereldbevolking in haar behoeften voorziet zonder de komende generaties te beperken om in hun behoeften te voorzien (namelijk zonder het vermogen om de rijkdommen te vernieuwen aan te tasten). Eenvoudiger gesteld: duurzaam is wat kan blijven bestaan… Stedenbouwkunde: een erfenis uit het modernistische tijdperk De indeling van het Brussels grondgebied De laatste decennia werd Brussel gekenmerkt door monofunctionalisme,..

A rapid synthesis of the evidence on interventions supporting self-management for people with long-term conditions. (PRISMS Practical systematic RevIew of Self-Management Support for long-term conditions)

Background: Despite robust evidence concerning self-management for some long-term conditions (LTCs), others lack research explicitly on self-management and, consequently, some patient groups may be overlooked. Aim: To undertake a rapid, systematic overview of the evidence on self-management support for LTCs to inform health-care commissioners and providers about what works, for whom, and in what contexts. Methods: Self-management is ‘the tasks . . . individuals must undertake to live with one or more chronic conditions . . . [including] . . . having the confidence to deal with medical management, role management and emotional management of their conditions’. We convened an expert workshop and identified characteristics of LTCs potentially of relevance to self-management and 14 diverse exemplar LTCs (stroke, asthma, type 2 diabetes mellitus, depression, chronic obstructive pulmonary disease, chronic kidney disease, dementia, epilepsy, hypertension, inflammatory arthropathies, irritable bowel syndrome, low back pain, progressive neurological disorders and type 1 diabetes mellitus). For each LTC we conducted systematic overviews of systematic reviews of randomised controlled trials (RCTs) of self-management support interventions (‘quantitative meta-reviews’); and systematic overviews of systematic reviews of qualitative studies of patients’ experiences relating to self-management (‘qualitative meta-reviews’). We also conducted an original systematic review of implementation studies of self-management support in the LTCs. We synthesised all our data considering the different characteristics of LTCs. In parallel, we developed a taxonomy of the potential components of self-management support. Results: We included 30 qualitative systematic reviews (including 515 unique studies), 102 quantitative systematic reviews (including 969 RCTs), and 61 studies in the implementation systematic review. Effective self-management support interventions are multifaceted, should be tailored to the individual, their culture and beliefs, a specific LTC and position on the disease trajectory, and underpinned by a collaborative/communicative relationship between the patient and health-care professional (HCP) within the context of a health-care organisation that actively promotes self-management. Self-management support is a complex intervention and although many components were described and trialled in the studies no single component stood out as more important than any other. Core components include (1) provision of education about the LTC, recognising the importance of understanding patients’ pre-existing knowledge and beliefs about their LTC; (2) psychological strategies to support adjustment to life with a LTC; (3) strategies specifically to support adherence to treatments; (4) practical support tailored to the specific LTC, including support around activities of daily living for disabling conditions, action plans in conditions subject to marked exacerbations, intensive disease-specific training to enable self-management of specific clinical tasks; and (5) social support as appropriate. Implementation requires a whole-systems approach which intervenes at the level of the patient, the HCP and the organisation. The health-care organisation is responsible for providing the means (both training and time/material resources) to enable HCPs to implement, and patients to benefit from, self-management support, regularly evaluating self-management processes and clinical outcomes. More widely there is a societal need to address public understanding of LTCs. The lack of public story for many conditions impacted on patient help-seeking behaviour and public perceptions of need. Conclusions: Supporting self-management is inseparable from the high-quality care for LTCs. Commissioners and health-care providers should promote a culture of actively supporting self-management as a normal, expected, monitored and rewarded aspect of care. Further research is needed to understand how health service managers and staff can achieve this culture change in their health-care organisations. Study registration: This study is registered as PROSPERO CRD42012002898. Funding: The National Institute for Health Research Health Services and Delivery Research programme

Le projet d’architecture entre économies privées et bénéfices collectifs

La question de la plus-value (bénéfice, prospérité) intéresse l'architecture, mais pas nécessairement d'un point de vue purement financier ou spéculatif. La notion d'économie est interrogée ici sous l'angle productif (oikos) et logique (économie du projet) pour se lier à l'éthique (externalité/internalité). L'économie du projet est également insérée dans le temps (coût global) et dans l'espace (coûts et bénéfices indirects).info:eu-repo/semantics/publishe

Vade-mecum PEB (Performance Energétique des Bâtiments): Guide des exigences et procédures PEB en Région de Bruxelles-Capitale

ARCH3 (La Cambre) - CNST-P-304info:eu-repo/semantics/published

Team spirit: Nouvelles approches professionnelles

info:eu-repo/semantics/publishe

Durabilité :Lost in Translation ?

Se fondant sur une difficulté générale de compréhension du terme "durable" ("lost in translation"), l'article déplie les contradictions entre les visées architecturales modernes (la spatialisation du monde) et les visées de la durabilité (l'habitabilité du monde). Il inscrit l'architecture dans le temps long de l'intergénérationnel en s'inspirant des battements maussien du don, qu'il réinscrit dans une mécanique des responsabilités sociales et une dynamique de l'invention architecturale en se fondant sur la parole d'architectes (L. Kahn).info:eu-repo/semantics/publishe

Pertinence/impertinence d’une labellisation bruxelloise à l’échelle des quartiers

Le présent rapport consigne les réflexions du Service Facilitateur Quartiers Durables formulées dans le cadre d’un avenant (VDEC/ECOCO005/531.03/QD/FAC2009) à sa mission principale réalisé de mars à septembre 2011. Il s’agit donc d’une étude rapide qui vise à déterminer si, dans le contexte bruxellois, il est pertinent et opportun d'engager un processus de labellisation à l'échelle des quartiers.Du fait de son ancienneté et de son évolution récente d'une part, de sa situation institutionnelle d'autre part, le terrain bruxellois présente une diversité et une complexité importantes. L'évolution prévisible de sa population et les projets d'aménagement auxquels la RBC devra faire face dans les prochaines années exigent, pour que la RBC réalise son objectif de ville durable, que tous les moyens soient mis en œuvre pour aboutir à la « haute performance » sur tous les plans.La labellisation est-elle pour autant un outil à privilégier pour ce faire ?Si oui, quelle(s) méthode(s) ou approche(s) de labellisation serai(en)t la ou les mieux à même de rendre compte des réalités bruxelloises? Telles sont les questions auxquelles l'étude se propose d’apporter une réponse rapide.DEC/ECOCO005/531.03/QD/FAC2009info:eu-repo/semantics/nonPublishe