M & L Jaargang 24/1

Hilbrand De Vuyst, Jo De Schepper en Kathy Stevens Herbestemmen van Industrieel Erfgoed. [New destinations for industrial heritage.]De slagzin waarmee in 1975 de tentoonstelling werd aangekondigd beloofde een Ontmoeting met de Industriële -Archeologie, toen een primeur voor België en voor de monumentenzorgers-van-het-eerste-uur een ware revelatie. Een duizend industrieel-archeologische monumenten later, nu erfgoed de oude waarden heeft vervangen en herbestemming herontdekt wordt, kijken Jo De Schepper, Hilbrand De Vuyst en Kathy Stevens terug op drie decennia omgaan met aanleg-steigers tot zinkfabrieken. Een discipline waar dynamisme en geduld als moer en bout onherroepelijk op elkaar zijn aangewezen.Bernard Lambert De brouwerij Rodenbach in Roeselare. [The Rodenbach Brewery in Roeselare.]Einde 19de eeuw wellicht diende het traditioneel donker bier uit Roeselare te wijken voor het gelagerd bier met zurige smaak waar Rodenbach nog steeds voor staat. Aanvankelijk een familiebedrijf, nadien vennootschap en heden deel van een groep, bleef de brouwerij onverdroten functioneren in een nauwelijks gewijzigd gebouwenbestand. Maar wat een last leek blijkt nu een troef: selectieve sloping, reconstructie en een nieuw dienstengebouw leidden, aldus Bernard Lambert, tegelijk tot een optimaliseren van de productie en een optimaal onthaal van de bezoekers.Ignace Onraet Een nieuwe functie voor een oude kaasmakerij. [A new Role for an old Cheese Factory in Passendale.]Zoveel is zeker: Passendale staat heden voor méér dan één der meest moorddadige slagvelden van Wereldoorlog I.Opgestart in een wederopgebouwde hoeve, diende het familiale kaasbedrijf nog tijdens het interbellum uit te wijken naar een heus bedrijfsgebouw.Een nieuwe verhuizing en vele jaren later blikt Ignace Onraet terug op de Oude Kaasmakerij, voortaan een museum met hedendaagse ontsluitingsinfrastructuur.Jan Strynckx en Jan Meersman De vuurtorens Hoog Licht en Laag Licht in Knokke-Heist (Heist) en Brugge (Zeebrugge). [The Lighthouses Hoog Licht and Laag Licht (high light and low light) in Knokke-Heist (Heist) and Bruges (Zeebrugge).]Sinds de vroegste 14de-eeuwse vierboete in de duinen bij Heist, bestendigden het Hoog Licht en bijbehorend Laag Licht vanaf 1907 een niet aflatende zorg om veilige scheepvaartroutes langs de Noordzeekust.Een 70 jaar later op hun beurt onaangepast bevonden, deden beide torens nauwelijks nog moeite om de littekens te verhullen van het barre zeeklimaat. Hun jongste rehabilitatie bood Jan Strynckx en Jan Meersman tegelijk de gelegenheid om met enig ontzag op te kijken naar één der allereerste betonconstructies in Vlaanderen.Frank Philippart De Duitse commandopost in het park Den Brandt in Antwerpen. [The German command post in park De Brand in Antwerp.]Op veilige afstand van het krijgsgewoel had het hoofdkwartier van het Duitse 89ste Korps zich vanaf 1942 ingegraven in het Antwerpse park Den Brandt. Her en der verspreide commandobunkers, schuilplaatsen voor manschappen, een lazaret e.a., bleven zomer 1944 als stille maar veelzeggende getuigen achter.Frank Philippart verklaart hun reden van bestaan, organisatie en belang, doch niet zonder aandacht voor initiatieven tot ontsluiting door verknochte vrijwilligers.Summar

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Motivatie onder dwang: een contradictio in terminus

Motivatie verwijst naar drijfveren voor iets hebben, ergens helemaal voor gaan. Dat is wel het laatste waar je aan denkt wanneer een jongere tegen zijn wil en onder dwang, bijvoorbeeld in een justitiële jeugdinrichting, een programma moet uitvoeren. Die dwang is er toch juist omdat alle andere aansporingen tot gedragsverandering tot niets hebben geleid? Toch is gedragsverandering een 'moetwillig' proces, waarin de eigen inzet van de jongere noodzakelijk is

Relation entre les utilisateurs de l'eau des réservoirs de Bütgenbach et Robertville (Belgique)

The salmonid Warche stream in eastern Belgium is fragmented by two dams and reservoirs (Bütgenbach in the upper reach, Robertville in the lower reach). This hydro-system is exploited intensively for different uses : production of hydroelectricity, production of drinking water, intensive tourism (bathing, sailing, fishing), reception of discharge of domestic and industrial effluents and flood control. The water quality is relatively good but there are two major problems : i) an eutrophication of the two reservoirs producing periodic blooms of blue-green algae, which pose problems for water treatment and cause toxic oxygen depletion and fish mortalities particularly in Salmonids; ii) a risk of bacterial contamination of bathing waters. The hydro-electricity production results in variations in the lake level that disturb the breeding success of certain fish species (pike and many cyprinids). Management of the different uses of water in the Warche basin and especially in the reservoirs, is complex and needs a multidisciplinary approach which takes into account the experience of similar situations elsewhere

The reconstruction of an Atlantic salmon population in the Belgian River Meuse basin. First success and new threats.

A 'Meuse Salmon' project aiming at restoring an Atlantic salmon run in the River Meuse basin was put forward in 1983 (after the discovery of several 'sea trout' in the Meuse near Liège) and started officially in 1987 as a contribution of Wallonia to the European Year of Environment. In the course of this programme, most dams (3-8 m in height) obstructing the canalised River Meuse in Belgium and The Netherlands have been fitted with modern fish-ways in order to restore the free circulation of diadromous fish species. A second facet of the Salmon Meuse programme consisted in restocking salmonid streams in the Belgian Ardennes with hatchery reared salmon parr and smolt (maximum 200.000 fish per year) from foreign origins (Scotland, Ireland and France). Returning adult salmon have been scientifically recorded in the Meuse in The Netherlands (estuary and lower course) since 1994 but only since the year 2002 in Belgium: 13 (61-79 cm FL) fish in 2002 and 2 (71-76 cm FL) fish in 2003 caught mostly (13 fish) in a new big fish-pass at the Visé-Lixhe dam and (2 fish) in the River Berwinne, a small tributary of the Meuse known as the last spawning place for S. salar in Belgium in the 1920's. Female and male returning salmon in 2002 were successfully artificially reproduced in order to build a captive freshwater brood stock to be used for production of parrs and smolts of the new Meuse strain next autumn. The communication briefly reports on the progress of the program as concerns the salmon culture for stocking in Wallonia, the population dynamics of stocked parrs in nursery rivers, the patterns of upstream and downstream migration of salmon in the Belgian Meuse and its tributaries and the new challenges to meet (impact on salmon of rising water temperature, development of power generation, increasing predation on smolts by piscivorous birds)

Analyse évolutive de la structure des dépenses publique pour les spécialités pharmaceutiques délivrées en milieu ambulatoire en Belgique

Analyse évolutive de la structure des dépenses publiques pour les spécialités pharmaceutiques délivrées en milieu ambulatoire en Belgique

Impact assessment and remediation of anthropogenic interventions on fish populations - (FISHGUARD)

The disruption of longitudinal river connectivity by man-made obstacles and the stocking of fish communities with non-indigenous species or genotypes threaten the fish fauna of Belgian rivers to various extents. Obstacles impede migrations between habitats that are vital for populations, and they may restrict the gene flow between populations, thereby reducing the effective size and genetic diversity of populations and increasing the risk of local extinction. Restocking programs often involve the introduction of non-indigenous genotypes in native populations. Moreover, although stocking programs lead to the temporal and superficial enrichment of local fish communities or gene pools, they generally result in a loss of biodiversity on a regional or international scale through the homogenisation of communities and the breakdown of genetic differentiation between populations. Thus, stocking programs cannot compensate for the loss of free migration by artificial obstructions. The impact of these changes on fish populations remains largely unknown, which complicates the priorisation of spots to preserve and spots to restore. Here, we present an integrated study on Belgian waters, both in Flanders and Wallonia, which analyses fish communities, gene flow and migration patterns in the field, as well as the swimming and leaping performances of fishes under controlled conditions.Global change, Ecosystems and Biodiversit