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Biomedical subjects

J R Van Cauwenberge

Publications and source records attributed to J R Van Cauwenberge.

At least 19 recordsLinked to original sources
PubMed2003

[Benefits and limitations of mammography].

The literature on screening mammography provides ample opportunity for doubt (the sceptics) and dogma (the screening zealots), and can be interpreted to prove both benefit and harm. The benefit of mammography screening, if any, is modest and the balance between beneficial (potentially, a 20% relative reduction in breast cancer mortality with no significant benefit on all-cause mortality) and harmful (physical and psychological morbidity related to the 15-40% missed cancers and the 80-90% false-positive diagnoses) effects is still delicate. The mammogram alone is a modest weapon. Concurrent clinical breast examination is mandatory. Women that are concerned about breast cancer should be fully informed of the potential benefits and risks of screening mammography. These women should benefit from mammography with concurrent clinical breast examination, and possible whole-breast ultrasound in heterogeneously dense and extremely dense breast patterns.

Age Factors↗
PubMed1999

[Prevention of prematurity in the French community at the approach of the year 2000].

The actual results confirm the dominating influence of psychosocial factors on prematurity and low birth weight. The study performed in Liège indicates that these factors must be taken into account for better care of the future mother. The systematic use of a prenatal questionnaire on psychosocial factors draws attention towards the personal situation of the future mother. Detection of some organic or psychosocial risk factors must prompt prophylactic measures even in the absence of any sign of pathologies. Prevention of prematurity has, over the last 30 years, been the primary objective of prenatal follow-up. Its importance must be further emphasized.

Belgium↗
PubMed1999

[Concerning some important sexual problems].

Sexology is the study of normal and abnormal sexual phenomena, as well as the treatment of sexual dysfunctions. Sexual science is at the dawn of its history, with many of its aspects--be they physiological or sociological--still awaiting investigations. It appears that about three-quarters of all cases of sexual dysfunctions can be handled by the general practitioner or by the gynecologist. As for the remaining patients, they should be referred to a psychologist-sexologist or a psychiatrist specialized in sexual therapy. The practitioner has to be careful not to allow himself to be drawn in a situation of uncontrolled psychotherapy. First of all, he must begin with a full and systematic gynecological examination of the patient.

Family Practice↗
PubMed1999

[Organization of a post-partum home care service. Five years' experience of the university service of the Gynecology, Obstetrics and Mastology Center of the Forest of Abbaye and Hesbaye Hospital].

In compliance with new ministerial directives, maternity clinics had no choice but to reduce the average stay of mothers and their newborns. This change also reflected the preference of young parents. In order to respond to these organisational and educational challenges and to ensure the optimal medical attention for mothers and infants--our Obstetrics Service decided to create a Post-partum Service for the outpatients at home. Carried out in tandem with the family doctors the service began in August 1994. This paper describes our past 5 year experience.

Belgium↗
PubMed1998

[Treatment of epithelial ovarian cancer].

Cancer of the ovary is much less frequent than breast cancer. Nevertheless, it hits 12 women out of 1,000,000 every year. The majority of patients are diagnosed with the disease in their fifties. The usual prognosis for ovarian cancer is back. Indeed, in 70 percent of all cases, it is, unfortunately, discovered at an advanced stage. This article will discuss the medical therapeutic approaches to ovary cancer, while stressing that major surgery is the basic treatment. If hormonotherapy and immunotherapy have not so far proven their efficacy, chemotherapy treatment has shown its ability to combat this affliction.

Antineoplastic Combined Chemotherapy Protocols↗
PubMed1987

Changes in fetal and maternal blood levels of prolactin, cortisol, and cortisone during eutocic and dystocic childbirth.

The changes in blood levels of prolactin, total and free cortisol, and cortisone were studied and compared in 51 mother-infant pairs, 30 with eutocic delivery and 21 with dystocic delivery. Regardless of the type of delivery, the newborn at term showed significantly higher prolactin and cortisone serum levels than their mothers, and significantly lower levels of free and total cortisol. In fetal distress of short duration, free cortisol levels were significantly raised in both the mother and the child, while prolactin and cortisone levels were significantly higher only in the child. In contrast to these observations, serum prolactin and cortisone levels in the mother were not altered by the occurrence of fetal distress. In the newborn at delivery there was a negative correlation between serum prolactin and the Apgar score at 1 min applied to the part of the graph between 8 and 2 Apgar scores. This study illustrates the utility of fetal prolactin measurements in evaluating the stress to which the fetus is subjected.

Adult↗