Social network indices in the Generations and Gender Survey: An appraisal

Background: In this contribution we critically appraise the social network indices in the Generations and Gender Survey (GGS). OBJECTIVE After discussing the rationale for including social network indices in the GGS, we provide descriptive information on social network characteristics and an overview of substantive questions that have been addressed using GGS social network data: antecedents and consequences of demographic behaviour, care, and differences in well-being. We identify topics that have received relatively little attention in GGS research so far, despite the availability of novel and appropriate social network data. We end with a discussion of what is unique about the social network indices in the GGS. METHODS The descriptive information on social network characteristics is based on empirical analyses of GGS data, and an experimental pilot study. The overview of GGS research using social network indices is based on a library search. The identification of what is unique about the social network indices in the GGS is based on a comparison with the European Quality of Life Survey (EQLS), the Survey of Health, Ageing and Retirement (SHARE), and the International Social Survey Program (ISSP). RESULTS Results show a high representation of family members in the social networks, and confirm the adequacy of using a cap of five names for network-generating questions. GGS research using the social network indices has largely focused on determinants of fertility behaviour, intergenerational linkages in families, and downward care transfers. CONCLUSIONS Topics that have received relatively little attention are demographic behaviours other than those related to parenthood, upward transfers of practical support, ties with siblings, and stepfamily ties. Social network indices in the GGS show a high degree of overlap with those in other international surveys. The unique features are the inventory of family ties ever born and still living, and the assessment of network members' normative expectations. The GGS holds a wealth of social network data that warrants a myriad of future investigations.EU/FP7/212749ERC/32421

Quantitative fluid overload in severe aortic stenosis refines cardiac damage and associates with worse outcomes

Aims: Cardiac decompensation in aortic stenosis (AS) involves extra-valvular cardiac damage and progressive fluid overload (FO). FO can be objectively quantified using bioimpedance spectroscopy. We aimed to assess the prognostic value of FO beyond established damage markers to guide risk stratification. Methods and results: Consecutive patients with severe AS scheduled for transcatheter aortic valve implantation (TAVI) underwent prospective risk assessment with bioimpedance spectroscopy (BIS) and echocardiography. FO by BIS was defined as ≥1.0 L (0.0 L = euvolaemia). The extent of cardiac damage was assessed by echocardiography according to an established staging classification. Right-sided cardiac damage (rCD) was defined as pulmonary vasculature/tricuspid/right ventricular damage. Hospitalization for heart failure (HHF) and/or death served as primary endpoint. In total, 880 patients (81 ± 7 years, 47% female) undergoing TAVI were included and 360 (41%) had FO. Clinical examination in patients with FO was unremarkable for congestion signs in >50%. A quarter had FO but no rCD (FO+/rCD−). FO+/rCD+ had the highest damage markers, including N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels. After 2.4 ± 1.0 years of follow-up, 236 patients (27%) had reached the primary endpoint (29 HHF, 194 deaths, 13 both). Quantitatively, every 1.0 L increase in bioimpedance was associated with a 13% increase in event hazard (adjusted hazard ratio 1.13, 95% confidence interval 1.06–1.22, p < 0.001). FO provided incremental prognostic value to traditional risk markers (NT-proBNP, EuroSCORE II, damage on echocardiography). Stratification according to FO and rCD yielded worse outcomes for FO+/rCD+ and FO+/rCD−, but not FO−/rCD+, compared to FO−/rCD−. Conclusion: Quantitative FO in patients with severe AS improves risk prediction of worse post-interventional outcomes compared to traditional risk assessment

Report on the methodological evaluation of the GGS questionnaire

The Working Group (WG) 4 on methodology has carried out a series of methodological analyses of the measurement instruments used in the first wave of the Generations and Gender Surveys (GGS). Full details are presented in this report and compared to European and international standards

Percutaneous image guided electrochemotherapy of hepatocellular carcinoma: technological advancement

Electrochemotherapy is an effective treatment of colorectal liver metastases and hepatocellular carcinoma (HCC) during open surgery. The minimally invasive percutaneous approach of electrochemotherapy has already been performed but not on HCC. The aim of this study was to demonstrate the feasibility, safety and effectiveness of electrochemotherapy with percutaneous approach on HCC