11 research outputs found

    Hydrogenases from bovine rumen: a metagenomic approach

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    Item does not contain fulltextJahrestagung der DGP, 3 maart 200

    Current Considerations for the Treatment of Severe Chronic Pain : the Potential for Tapentadol

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    Studies suggest that around 20% of adults in Europe experience chronic pain, which not only has a considerable impact on their quality of life but also imposes a substantial economic burden on society. More than one-third of these people feel that their pain is inadequately managed. A range of analgesic drugs is currently available, but recent guidelines recommend that NSAIDs and COX-2 inhibitors should be prescribed cautiously. Although the short-term efficacy of opioids is good, adverse events are common and doses are frequently limited by tolerability problems. There is a perceived need for improved pharmacological treatment options. Currently, many treatment decisions are based solely on pain intensity. However, chronic pain is multifactorial and this approach ignores the fact that different causative mechanisms may be involved. The presence of more than one causative mechanism means that chronic pain can seldom be controlled by a single agent. Therefore, combining drugs with different analgesic actions increases the probability of interrupting the pain signal, but is often associated with an increased risk of drug/drug interactions, low compliance and increased side effects. Tapentadol combines l-opioid receptor agonism and noradrenaline reuptake inhibition in a single molecule, with both mechanisms contributing to its analgesic effects. Preclinical testing has shown that l-opioid agonism is primarily responsible for analgesia in acute pain, whereas noradrenaline reuptake inhibition is more important in chronic pain. In clinical trials in patients with chronic pain, the efficacy of tapentadol was similar to that of oxycodone, but it produced significantly fewer gastrointestinal side-effects and treatment discontinuations. Pain relief remained stable throughout a 1-year safety study. Thus, tapentadol could possibly overcome some of the limitations of currently available analgesics for the treatment of chronic pain

    The identity politics of multicultural nationalism: A comparison between the regular public addresses of the Belgian and the Spanish monarchs (1990-2000)

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    A nation-state confronted by sub-national claims may opt for a corporatist or managerial approach, where the centre accommodates ethnic and regional claims and at the same time develops an identity politics of multicultural or multination nationalism. In this way, it is attempted to re-legitimise the nation as a community that allows different cultural and ethnic groups to live together in harmony. On the basis of a comparative analysis of the regular public addresses of the monarchs in the period 1990-2000, this article investigates to what extent Belgium and Spain have adopted such a strategy of multicultural nationalism. It is shown that multiculturalism is the core value of the Belgian nationalist discourse, in the sense that the Belgian nation is constantly defined in terms of its constituent cultural segments. The Spanish nationalist discourse is predominantly unitary and hardly reflects the compound nature of the state. Democracy is the core value of this discourse. It is argued that the more unitary representation of the Spanish nation is due to the lack of elitist consensus about the compound nature of the state and the dominant position of Hispanic culture.Centrum voor Politicologie (OE) Afdeling Romaanse literatuur. Subfaculteit Economische en toegepaste economische wetenschappen Kulak.status: publishe
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