M & L Jaargang 12/1

GeneriekDaniel Dratwa De synagoge in België: geschiedenis en cultuur. [The synagogue in Belgium: history and culture.]Sinds haar ontstaan bij de verwoesting van de Tempel van Jeruzalem zou de synagoge door de tijden heen een spiegel voorhouden van de sociale wisselvalligheden en culturele fluctuaties van de Israëlitische gemeenschappen.Blijkens Daniël Dratwa is het dan ook in grote mate aan de eenvoud van haar beginselen te danken dat de synagoge als cultusgebouw - tot en met de monumentale 19de-eeuwse tempels - hardnekkig is overeind gebleven. Een inleiding met lexicon.Jo Braeken Beth haknesset. Synagogen in België 1865-1914. [Beth Haknesset. Synagogues in Belgium 1865-1914.]De godsdienstvrijheid, gewaarborgd door de grondwet van 1830, zou vanaf 1865 in België leiden tot de bouw van zeven vooroorlogse synagogen. Hun vaak opzichtige inplanting èn bevreemdende architecturale referenties vertolken hierbij paradoxaal de verzuchting tot integratie èn het streven naar een identiteit.Toch ontwaart Jo Braeken achter het oriëntalizerend decorum moeiteloos de vertrouwde, op christelijke tradities geschoeide planopbouw.Jos Dewinter en Roger Deneef De parken van Lovenjoel (Bierbeek). [The parks of Lovenjoel (Bierbeek).]Aan weerszijden gelegen van de neogotische dorpskerk vormen het Groot\u27 en \u27Klein\u27 Park van Lovenjoel een waar 19de-eeuws sociaal anachronisme.Getuigend van een levendige belangstelling voor landschapsarchitectuur vanwege de heren de Spoelbergh de Lovenjoel, blijven ze omwille van hun dendrologische diversiteit tot op vandaag voor Jos Dewinter en Roger Deneef alvast een boeiende uitdaging.SummaryM&L Binnenkran

Zukunftsland Belgien : Die Situation der Deutschen Emigranten.

Article about the life and work of the painter Lotte B. Prechner after her emigration to Belgium

IgE Levels in Patients with Chronic Renal Failure

To the Editor: In the July 16 issue, Nakauchi et al.1 describe their findings concerning levels of IgA, IgG, and IgM in patients undergoing hemodialysis. We would like to add further information with regard to IgE in chronic uremia and its relation to blood eosinophilia. Four groups of subjects were studied: 62 patients with end-stage renal failure from various causes who were undergoing maintenance hemodialysis with single-use hollow-fiber cuprophane dialyzers and whose average duration of dialysis was 32.4 months (Group I); 12 patients treated by continuous ambulatory peritoneal dialysis for an average of 16.1 months (Group II); 35 conservatively treated. © 1981, Massachusetts Medical Society. All rights reserved.SCOPUS: le.jinfo:eu-repo/semantics/publishe

Rhinocerebral mucormycosis in haemodialysis patients treated with desferrioxamine: Possible role of recent surgery as an additional risk factor

SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Rapidly progressive interstitial renal fibrosis in young women: association with slimming regimens including Chinese herbs

Two similar cases of rapidly progressive fibrosing interstitial nephritis in young women who followed the same slimming regimen prompted us to conduct an epidemiological survey of the nephrology centres of Brussels and to further investigate the exact nature of this slimming treatment. Seven other women under the age of 50 in terminal or preterminal renal failure were admitted for dialysis in 1991 and 1992. They had all followed a slimming regimen in the same medical clinic. Renal biopsy samples in eight of the nine cases showed extensive interstitial fibrosis without glomerular lesions. Two of the patients were seen for the first time in terminal renal failure and were started immediately on dialysis. For the seven other women, the nephropathy was characterised by a rapid deterioration in renal function, with initial serum creatinine doubling within about 3 months. The clinic had specialised in slimming treatments for the previous 15 years without any problems. In May, 1990, therapy was changed, with the introduction of two Chinese herbs (Stephania tetrandra and Magnolia officinalis). In June, 1992, three of twenty-five randomly selected women who had followed the same regimen during at least 3 months from 1990 had impaired renal function. Chemical analysis of some brands of these Chinese herbs did not show nephrotoxic contaminants of fungal or plant origin (ochratoxin or aristolochic acid) or adulteration by diuretics or antiinflammatory drugs. However, the medicinal preparation of the capsules taken by patients had different alkaloid profiles from those expected in Chinese plants. The striking relation between a specific type of fibrosing interstitial nephritis in young women and a slimming treatment involving Chinese herbs adds support to the arguments against uncontrolled therapy with herbal preparations.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Diagnosis and management of asymptomatic bacteriuria in kidney transplant recipients: a survey of current practice in Europe

International audienceBackgroundAsymptomatic bacteriuria is frequent in kidney transplant recipients (KTRs). However, there is no consensus on diagnosis or management. We conducted a European survey to explore current practice related to the diagnosis and management of asymptomatic bacteriuria in adult KTRs.MethodsA panel of experts from the European Renal Association–European Dialysis Transplant Association/Developing Education Science and Care for Renal Transplantation in European States working group and the European Study Group for Infections in Compromised Hosts of the European Society of Clinical Microbiology and Infectious Diseases designed this cross-sectional, questionnaire-based, self-administered survey. Invitations to participate were e-mailed to European physicians involved in the care of KTRs.ResultsTwo hundred and forty-four participants from 138 institutions in 25 countries answered the survey (response rate 30%). Most participants [72% (176/244)] said they always screen for asymptomatic bacteriuria in KTRs. Six per cent (15/240) reported never treating asymptomatic bacteriuria with antibiotics. When antimicrobial treatment was used, 24% of the participants (53/224) said they would start with empirical antibiotics. For an episode of asymptomatic bacteriuria caused by a fully susceptible microorganism and despite no contraindications, a majority of participants (121/223) said they would use a fluoroquinolone (n = 56), amoxicillin/clavulanic acid (n = 38) or oral cephalosporins (n = 27).ConclusionsScreening for and treating asymptomatic bacteriuria are common in KTRs despite uncertainties around the benefits and harms. In an era of antimicrobial resistance, further studies are needed to address the diagnosis and management of asymptomatic bacteriuria in these patients