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  • 1
    Online Resource
    Online Resource
    Wiley ; 2021
    In:  Acta Obstetricia et Gynecologica Scandinavica Vol. 100, No. 1 ( 2021-01), p. 74-83
    In: Acta Obstetricia et Gynecologica Scandinavica, Wiley, Vol. 100, No. 1 ( 2021-01), p. 74-83
    Abstract: Upon prenatal diagnosis of congenital malformations, termination of pregnancy (TOP) may be an option, sometimes at a gestational age when the fetus is already viable (late TOP). We aimed to study attitudes towards late TOP of all tertiary healthcare professionals involved in late TOP practice. Material and methods A mail survey was conducted among all physicians and paramedical professionals involved in late TOP decision‐making in all eight centers with a Neonatal Intensive Care Unit in Flanders, Belgium (N = 117). The questionnaire contained general and case‐based attitude items. Results Response rate was 79%. Respondents were either physicians (51.1%) or paramedical professionals (49.9%). The composition of professionals involved in late TOP decision‐making was heterogeneous between the eight centers. Late TOP was highly accepted in both lethal fetal conditions (100%) and serious (but not lethal) fetal conditions (95.6%). Where the fetus is healthy, 19.8% of respondents agreed with late TOP for maternal psychological problems and fewer respondents (13.2%) agreed with late TOP in the case of maternal socio‐economic problems ( P  = .002). Physicians more often preferred feticide over neonatal palliative care in the case of non‐lethal fetal conditions compared with paramedical professionals (68.1% vs 53.2%, P  = .013). Almost nine out of ten respondents (89.1%) agreed that in the event of a serious (non‐lethal) neonatal condition, administering drugs with the explicit intention to end neonatal life was acceptable. Behavioral intentions indicate that even in situations with an unclear diagnosis and unpredictable prognosis, 85.6% of professionals would still consider late TOP. Conclusions Healthcare professionals practicing late TOP in Flanders, Belgium have a high degree of tolerance towards late TOP, irrespective of sociodemographic factors, and are demanding legislative change regarding active life‐ending in the fetal and neonatal periods. Further research should explore the correlation of attitudes to late TOP with actual medical decisions taken in daily clinical practice.
    Type of Medium: Online Resource
    ISSN: 0001-6349 , 1600-0412
    URL: Issue
    RVK:
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2024554-3
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  • 2
    In: Clinical Cancer Research, American Association for Cancer Research (AACR), Vol. 26, No. 11_Supplement ( 2020-06-01), p. PR15-PR15
    Abstract: Liquid biopsies offer a minimally invasive alternative to tissue biopsies for both diagnosis and monitoring of treatment response. Extracellular RNAs present in biofluids have emerged as potential biomarkers in health and disease, including cancer. While current studies typically focus on plasma or serum, other biofluids may contain more informative RNA molecules for particular disease types. Here, we present an unprecedented atlas of messenger, circular, and small RNA transcriptomes of a comprehensive collection of 20 different human biofluids (amniotic fluid, aqueous humor, ascites, bile, bronchial lavage fluid, breast milk, cerebrospinal fluid, colostrum, gastric fluid, pancreatic cyst fluid, plasma, saliva, seminal fluid, serum, sputum, stool, synovial fluid, sweat, tear fluid, and urine). By means of 173 synthetic RNA spike-in controls, we compared RNA content across biofluids, revealing a more than 10,000-fold difference in RNA concentration. Of interest, the circular RNA fraction is significantly increased in nearly all biofluids compared to various solid tissues. Each biofluid transcriptome is enriched for RNA molecules derived from specific tissues and cell types. In addition, a subset of biofluids, including stool, sweat, saliva, and sputum, contain high levels of bacterial RNAs. These findings enable a more informed selection of the most relevant biofluid to monitor individual cancer types. To verify the biomarker potential in these biofluids, four validation cohorts representing a broad spectrum of diseases, including urine from bladder cancer patients and CSF from glioblastoma patients, were profiled, revealing differential RNAs between case and control subjects. Taken together, our results reveal novel insights in the RNA content of human biofluids and may serve as a valuable resource for future biomarker studies. This abstract is also being presented as Poster B01. Citation Format: Eva Hulstaert, Annelien Morlion, Francisco Avila Cobos, Kimberly Verniers, Justine Nuytens, Eveline Vanden Eynde, Nurten Yigit, Jasper Anckaert, Anja Geerts, Pieter Hindryckx, Peggy Jacques, Guy Brusselle, Ken Bracke, Tania Maes, Thomas Malfait, Thierry Derveaux, Virginie Ninclaus, Caroline Van Cauwenbergh, Kristien Roelens, Ellen Roets, Dimitri Hemelsoet, Kelly Tilleman, Lieve Brochez, Scott Kuersten, Lukas Simon, Sebastian Karg, Christa Nöhammer, Alexandra Kautzky-Willers, Michael Leutner, Ondrej Slaby, Gary Schroth, Jo Vandesompele, Pieter Mestdagh. Charting extracellular transcriptomes in The Human Biofluid RNA Atlas [abstract]. In: Proceedings of the AACR Special Conference on Advances in Liquid Biopsies; Jan 13-16, 2020; Miami, FL. Philadelphia (PA): AACR; Clin Cancer Res 2020;26(11_Suppl):Abstract nr PR15.
    Type of Medium: Online Resource
    ISSN: 1078-0432 , 1557-3265
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2020
    detail.hit.zdb_id: 1225457-5
    detail.hit.zdb_id: 2036787-9
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  • 3
    In: Prenatal Diagnosis, Wiley, Vol. 43, No. 6 ( 2023-06), p. 781-791
    Abstract: What is already known about this topic? Congenital malformations are more frequently diagnosed prenatally, possibly at a viable stage. This may lead to decisions resulting in the (late) termination of pregnancy (late TOP). No adequate registration of incidence, indication, the decision‐making process and medical acts of late TOP on the population level in Flanders exists. As pregnancy termination can have a significant impact on both women's physical and mental health, a complete registration could identify strengths and opportunities to improve late TOP care. What does this study add? Late pregnancy terminations preceded about 2 in 5 reported stillbirths after 22 weeks of gestation, indicating severe underreportation when looking at limited available registration methods. Nearly all late TOPs were discussed with parents until agreement. A quarter of pregnancy terminations occurred after a suggestion by the physician, rather than after an initial spontaneous parental request. 88% of late TOPs were discussed in multidisciplinairy open team meetings.
    Type of Medium: Online Resource
    ISSN: 0197-3851 , 1097-0223
    URL: Issue
    RVK:
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 1491217-X
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