Legal and illegal drug use among female sex workers in bar and club prostitution in Belgium: a quantitative and qualitative study

Aims: This study describes the amounts and effects of drug use in bar and club sex work, and the use of healthcare for the drug-related needs of sex workers (SW). Methods: A cross-sectional study was carried out in Belgium. In a quantitative component, 120 bar and club SW were interviewed face-to-face by means of a semi-structured questionnaire. In a qualitative component, 25 SW were interviewed face-to-face and 5 focus group discussions with key actors professionally involved with the study's subject were conducted. Findings: Many bar and club SW drink frequently alcohol and engage in heavy drinking. Illegal drugs such as cannabis, cocaine and benzodiazepines are also frequently used. The drug use often involves poly or combined drug use. More than one-third experienced a certain degree of dependence on a product and many experienced effects from drug use on their sex work. The study shows that SW have difficulties accessing drug-related healthcare. Conclusions: SW use often legal and illegal drugs. The prevalence and influence of drug use among bar and club SW illustrates the need for drug and sex work related healthcare. Distribution of more information about the risks of drug use, the possible negative effects, and the available drug-related healthcare is needed

Het archeologisch onderzoek in Raversijde (Oostende) in de periode 1992-2005

Raversijde - sinds 1970 deel van de stad Oostende, voordien Middelkerke - gaat terug tot een laatmiddeleeuwse vissersnederzetting met de naam Walraversijde. Deze vissersnederzetting was gesitueerd nabij de huidige grens Middelkerke/Oostende in een zone die zich grotendeels binnen het huidige provinciedomein Raversijde bevindt, maar zich ook nog in belangrijke mate uitstrekt tot op het strand ter hoogte van dit domein.In deze publicatie over archeologisch onderzoek in Raversijde komen de opgravingscampagnes op het grondgebied van het provinciedomein Raversijde uit de periode 1992-1998 uitvoerig aan bod. Daarnaast worden een aantal markante opgravingsresultaten van na 1998 belicht: het muntdepot dat op het einde van 1999 werd aangetroffen, de in 2003 aangesneden zone met begravingen en de in 2005 geïdentificeerde Romeinse dijk.Dit 8ste deel van de Relicta Monografieën behandelt chronologisch de resten en sporen uit de prehistorie, de Romeinse periode, de late middeleeuwen en de vroeg-moderne tijden. Deze publicatie is in de eerste plaats een opgravingsverslag: ze beschrijft, analyseert en interpreteert de belangrijkste sporen samen met een selectie van de aangetroffen mobiele resten en de resultaten van natuurwetenschappelijk onderzoek

The role of sequential cropping and Biogasdoneright™ in enhancing the sustainability of agricultural systems in Europe

Sequential cropping in the Biogasdoneright™ (BDR™) system in Italy has recently gained attention to combine food and renewable energy production in a sustainable way, as well as for carbon sequestration. However, little is known on the potential to expand the practice in other regions of Europe. In this paper, sequential crop calendars were developed for different EU climate regions, and the EU biomethane potential of the anaerobic digestion (AD) of sequential crops was estimated for a Conservative_Scenario and a Maximum_Scenario, assuming different percentages of primary crop land dedicated to the practice and biogas yields. A total EU biomethane potential of 46 bcm/yr and 185 bcm/yr was estimated from the AD of sequential crops in the two scenarios, respectively, and the Continental region registered the highest potential compared to the other regions. The additional benefits of the combination of sequential cropping with other agricultural conservation practices and digestate use included in BDR™ systems were also discussed. In conclusion, the paper shows that with appropriate innovations in crop management, sequential cropping could be applied in different agroclimatic regions of Europe, contributing to climate and renewable energy targets

Personalized remotely guided preventive exercise therapy for a healthy heart (PRIORITY) : protocol for an assessor-blinded, multicenter randomized controlled trial

Aims: A key treatment for patients with varying stages of heart failure with preserved ejection fraction (HFpEF) is exercise. Yet, despite a Class 1A recommendation, only one-third of patients exercise sufficiently. A huge treatment gap exists between guidelines and clinical practice. PRIORITY aims to establish the feasibility, clinical effectiveness and cost-effectiveness of a hybrid centre and home-based personalized exercise and physical activity intervention for patients along the HFpEF continuum.Methods: An assessor-blinded, multicenter randomized controlled trial will be conducted among 312 patients along the HFpEF continuum. Participants will be randomized (1:1) to the PRIORITY intervention or a comparator group receiving only a written exercise prescription. Participants in the PRIORITY group will receive 18 supervised centre-based exercise sessions during one year, supplemented with a remotely guided home-based physical activity program. Outcomes will be assessed at baseline, 4 months, one and two years. The primary outcome is the peak oxygen uptake (pVO2) at 1-year. Secondary outcomes include physical activity, other physical fitness parameters, cardiovascular health, echocardiographic parameters, health-related quality of life and costs at 1-year FU. Machine learning algorithms will analyse big data on physical activity collected during the 1-year intervention to develop models that can predict physical activity uptake and adherence as well as changes in fitness and health. A cost-utility analysis will be performed to evaluate the cost-effectiveness of the PRIORITY intervention compared to the control condition.Discussion: We anticipate that participants in the supervised home-based exercise intervention group will have a greater increase in pVO2 compared to those receiving a written exercise prescription