Suchergebnisse

In this dissertation, we base our experience of carrying out participation in 4 EU-funded projects: EUROFETUS (Cost-Effectiveness of ultrasound screening for congenital anomalies); MOMS-B (MOther Mortality and Severe morbidity); PERISTAT(Monitoring and evaluating perinatal health) and EUPHRATES (EUropean Project on obstetric Haemorrhage Reduction: Attitudes, Trial, and Early warning System), an online questionnaire survey for researchers and a literature review, to provide results which will help us to understand the added value and the challenges of the EU collaboration research and the challenges of EU collaboration research in improving the quality and the accessibility of reproductive healthcare. The EUROFETUS project showed that, despite the fact that the birth prevalence of congenital anomalies has been declining during the last twenty years, they are still a major cause of perinatal mortality and childhood disability in Europe. Congenital heart defects were among the most frequent and the most severe malformations, but were the least diagnosed prenatally. There was large variation between and within countries regarding the proportion of cases diagnosed prenatally and the proportion of cases resulting in termination of pregnancy. From the data available in Eurofetus, such variation might result from the cultural differences underling policy or on ultrasonographer's expertise, or on differing interpretation of scientific evidence in the design and implementation of screening. The MOMS-B project allowed population-based comparisons between countries by using the standardised definition that showed the three conditions (pre-eclampsia, postpartum haemorrhage and sepsis) selected to as markers of acute severe maternal morbidity are not rare in Europe. Severe haemorrhage was the most common of severe maternal morbidity condition, but its incidence varied widely between European countries. The PERISTAT project on the indicators of unfavourable maternal health outcome showed that the maternal mortality ratios (per ...

AbstractObjectiveThe present study conducted a meta‐analysis to synthesize the associations between sexual minority stress and relationship satisfaction, as well as to examine actor and partner effects.BackgroundSexual minority individuals in same‐sex couples experience various distinct and chronic stressors related to their stigmatized identities and romantic relationships, and these stressors negatively impact relationship satisfaction. Although there have been two meta‐analyses that sought to examine these influences, some fundamental questions remain unanswered. In particular, the roles of dyadic processes and different types of sexual minority stressors remain unclear.MethodA comprehensive search identified 67 studies with 147 effect sizes representing 24,542 individuals.ResultsThe results revealed a significant small association (r = −.100 to −.188) between sexual minority stressors and relationship satisfaction. Internalized stressors were more strongly associated with relationship satisfaction than other types of sexual minority stressors (e.g., prejudice events and concealment). Dyadic analyses demonstrated a significant actor effect of concealment, experiencing prejudice events, and internalized stressors on relationship satisfaction, with the largest effect size for concealment effects.ConclusionThese findings suggest that sexual minority stressors could potentially contribute to same‐sex relational problems. They also underscore the importance of interdependence (both partners' responses as well as their interaction with sexual minority stressors). This understanding may be instrumental in shaping prevention strategies.ImplicationsThe meta‐analysis emphasizes the nuanced impact of sexual minority stressors on same‐sex relationship satisfaction, highlighting the importance of targeted interventions. It underscores the role of dyadic processes, emphasizing the significance of both partners' responses and interactions with stressors in developing effective prevention strategies for healthier same‐sex relationships.

AbstractObjectiveThis study examined sex and sexual orientation differences in the context of the effects of coping strategies on relationship satisfaction.BackgroundThe sex and sexual orientation differences on the association between coping strategies and relationship satisfaction are not yet fully understood.MethodThe participants were 3,805 Belgian individuals who self‐identified as heterosexual (n = 2,024), bisexual (n = 790), or gay/lesbian (n = 991).ResultsResults showed that (a) task‐oriented and emotion‐oriented coping was positively and negatively associated with relationship satisfaction, respectively; (b) social diversion–oriented coping was positively associated with relationship satisfaction only among those who identified as heterosexual, gay, or lesbian; and (c) distraction‐oriented coping was positively associated with relationship satisfaction only among those identifying as bisexual. Multiple group tests based on sex within each sexual orientation category confirm that (a) a stronger association was observed between task‐oriented coping and relationship satisfaction for bisexual men compared to bisexual women; (b) the negative association between emotion‐oriented coping and relationship satisfaction is only significant for heterosexual women, and not for bisexual women; and (c) the negative association between distraction‐oriented coping and relationship satisfaction is significant for bisexual women, but not for heterosexual women.ConclusionThis study enhances our comprehension of the variations in the utilization of coping strategies and their effect on relationship satisfaction among individuals based on their sex and sexual orientation.ImplicationsThese findings might lead to improved interventions related to coping strategies for reducing the effect of stress in romantic relationships.

This study aimed to descript the Belgian COVID-19 responses process according to the WHO's (World Health Organization) Health Emergency and Disaster Risk Management Framework (Health EDRM Framework) and to present the measures taken and epidemic impact in the different phases of COVID-19 in Belgium. The WHO's EDRM Framework was used for reviewing the Belgian Public health emergency preparedness and responses in the context of COVID-19. Information on the measures taken was collected through the literature review including all government's communication, reports, and scientific papers. All epidemic data were extracted from a national open database managed and published by the Sciensano. Additionally, two authors closely followed the Belgian situation since the beginning of the pandemic and updated the data every day. During the COVID-19 pandemic, the anti-epidemic strategy was mainly to avoid medical resources exceeding the upper limit. Belgium issued a series of emergency decrees to limit the spread of the virus. An existing structure of "federal-region-municipal" as the framework of public health emergency preparedness and response was adapted. The emergency response process in Belgium was divided into four phases: information-evaluation-coordination-decision-making at the region level and the final decision-making at the federal level. Belgium also implemented a phased plan in the process of setting up and lifting the lockdown. However, it was vulnerable in early response, due to the shortage of medical equipment supplies in general, and more particularly for the long term care facilities (LTCFs). Belgium has achieved an intensive cooperation between stakeholders based on an existing multisectoral emergency organization framework. Legislation, medical insurance, and good communication also played a role in limiting the spread of viruses. However, the authorities underestimated the risk of an epidemic and did not take quarantine measures among people suspected affected by SARS-COV-2 in the early stages, ...

Objective: To determine the factors associated with paediatric inappropriate use (IU) of the accident and emergency department (A&E). Method: An observational prospective survey was performed. All the patients (< 16 years) attending A&E in 12 Belgian hospitals during 2 weeks in 2010 were included. The use of A&E was considered appropriate if, at least, one of the following criteria was met: child referred by a doctor or the police, brought by ambulance, need for a short stay, need for technical examination or orthopaedic treatment, in patient admission, death. A short stay is A&E attendance which the duration is between 4 and 24 hours. Results: The median age of the 3220 children included was 3.3 years old (0-15.9); 39.3% of the visits were not appropriate according to the definition above. Five determinants were included in a multivariate analyze: age, having a family doctor, night or week-end use of A&E, parents' perception of severity for child's illness and insurance status. The multivariate model (table 2), showed that the disadvantage families had not more risk for IU after controlling for other variables. Four factors were associated with an increase of IU: children's age less than 2 year old, night or week-end attendance, short home-ED distance and, surprisingly, having a family doctor. The parent's perception of high severity for child's illness and the localization in Flanders region were associated with a decrease of IU. Conclusions: In a country like Belgium, where it is not compulsory to be registered with a family doctor, the risk of an IU is mainly due to the failure of outpatient care for children <2 years and the use of A&E during night or weekend. Parents' perception of high severity for child's health status and having a family doctor were associated with the appropriateness of A&E use. ; info:eu-repo/semantics/nonPublished

Background: Global responses to the COVID-19 pandemic have exposed and exacerbated existing socioeconomic and health inequities that disproportionately affect the sexual health and well-being of many populations, including people of color, ethnic minority groups, women, and sexual and gender minority populations. Although there have been several reviews published on COVID-19 and health disparities across various populations, none has focused on sexual health. We plan to conduct a scoping review that seeks to fill several of the gaps in the current knowledge of sexual health in the COVID-19 era. Methods: A scoping review focusing on sexual health and COVID-19 will be conducted. We will search (from January 2020 onwards) CINAHL, Africa-Wide Information, Web of Science Core Collection, Embase, Gender Studies Database, Gender Watch, Global Health, WHO Global Literature on Coronavirus Disease Database, WHO Global Index Medicus, PsycINFO, MEDLINE, and Sociological Abstracts. Grey literature will be identified using Disaster Lit, Google Scholar, governmental websites, and clinical trials registries (e.g. ClinicalTrial.gov, World Health Organization, International Clinical Trials Registry Platform, and International Standard Randomized Controlled Trial Number Registry). Study selection will conform to the Joanna Briggs Institute Reviewers' Manual 2015 Methodology for JBI Scoping Reviews. Only English language, original studies will be considered for inclusion. Two reviewers will independently screen all citations, full-text articles, and abstract data. A narrative summary of findings will be conducted. Data analysis will involve quantitative (e.g. frequencies) and qualitative (e.g. content and thematic analysis) methods. Discussion: Original research is urgently needed to mitigate the risks of COVID-19 on sexual health. The planned scoping review will help to address this gap. Systematic review registrations: Systematic Review Registration: Open Science Framework osf/io/PRX8E. ; SCOPUS: ar.j ...

BACKGROUND: Global responses to the COVID-19 pandemic have exposed and exacerbated existing socioeconomic and health inequities that disproportionately affect the sexual health and well-being of many populations, including people of color, ethnic minority groups, women, and sexual and gender minority populations. Although there have been several reviews published on COVID-19 and health disparities across various populations, none has focused on sexual health. We plan to conduct a scoping review that seeks to fill several of the gaps in the current knowledge of sexual health in the COVID-19 era. METHODS: A scoping review focusing on sexual health and COVID-19 will be conducted. We will search (from January 2020 onwards) CINAHL, Africa-Wide Information, Web of Science Core Collection, Embase, Gender Studies Database, Gender Watch, Global Health, WHO Global Literature on Coronavirus Disease Database, WHO Global Index Medicus, PsycINFO, MEDLINE, and Sociological Abstracts. Grey literature will be identified using Disaster Lit, Google Scholar, governmental websites, and clinical trials registries (e.g., ClinicalTrial.gov, World Health Organization, International Clinical Trials Registry Platform, and International Standard Randomized Controlled Trial Number Registry). Study selection will conform to the Joanna Briggs Institute Reviewers' Manual 2015 Methodology for JBI Scoping Reviews. Only English language, original studies will be considered for inclusion. Two reviewers will independently screen all citations, full-text articles, and abstract data. A narrative summary of findings will be conducted. Data analysis will involve quantitative (e.g., frequencies) and qualitative (e.g., content and thematic analysis) methods. DISCUSSION: Original research is urgently needed to mitigate the risks of COVID-19 on sexual health. The planned scoping review will help to address this gap. SYSTEMATIC REVIEW REGISTRATIONS: Systematic Review Registration: Open Science Framework osf/io/PRX8E SUPPLEMENTARY INFORMATION: The online ...

BACKGROUND: Global responses to the COVID-19 pandemic have exposed and exacerbated existing socioeconomic and health inequities that disproportionately affect the sexual health and well-being of many populations, including people of color, ethnic minority groups, women, and sexual and gender minority populations. Although there have been several reviews published on COVID-19 and health disparities across various populations, none has focused on sexual health. We plan to conduct a scoping review that seeks to fill several of the gaps in the current knowledge of sexual health in the COVID-19 era. METHODS: A scoping review focusing on sexual health and COVID-19 will be conducted. We will search (from January 2020 onwards) CINAHL, Africa-Wide Information, Web of Science Core Collection, Embase, Gender Studies Database, Gender Watch, Global Health, WHO Global Literature on Coronavirus Disease Database, WHO Global Index Medicus, PsycINFO, MEDLINE, and Sociological Abstracts. Grey literature will be identified using Disaster Lit, Google Scholar, governmental websites, and clinical trials registries (e.g., ClinicalTrial.gov , World Health Organization, International Clinical Trials Registry Platform, and International Standard Randomized Controlled Trial Number Registry). Study selection will conform to the Joanna Briggs Institute Reviewers' Manual 2015 Methodology for JBI Scoping Reviews. Only English language, original studies will be considered for inclusion. Two reviewers will independently screen all citations, full-text articles, and abstract data. A narrative summary of findings will be conducted. Data analysis will involve quantitative (e.g., frequencies) and qualitative (e.g., content and thematic analysis) methods. DISCUSSION: Original research is urgently needed to mitigate the risks of COVID-19 on sexual health. The planned scoping review will help to address this gap. SYSTEMATIC REVIEW REGISTRATIONS: Systematic Review Registration: Open Science Framework osf/io/PRX8E.