The aim of the study was to assess the postpartum risk for glucose intolerance since the introduction of the ‘International Association of Diabetes and Pregnancy Study Groups’ (IADPSG) criteria for gestational diabetes mellitus (GDM). Studies published since 2010 were included, which evaluated the risk for type 2 diabetes mellitus (T2DM), impaired glucose tolerance (IGT), and cardiovascular (CV) events in women with previous GDM compared to normal glucose tolerant women. We included forty-three studies, evaluating 4,923,571 pregnant women of which 5.8% (284,312) had a history of GDM. Five studies used IADPSG criteria (n = 6174 women, 1314 with GDM). The overall pooled relative risk (RR) for postpartum T2DM was 7.42 (95% CI: 5.99–9.19) and the RR for postpartum T2DM with IADPSG criteria was 6.45 (95% CI: 4.74–8.77) compared to the RR of 9.08 (95% CI: 6.96–11.85; p = 0.17) for postpartum T2DM based on other diagnostic criteria. The RR for postpartum IGT was 2.45 (95% CI: 1.92–3.13), independent of the criteria used. None of the available studies with IADPSG criteria evaluated the risk for CV events. Women with a history of GDM based on the IADPSG criteria have a similarly increased risk for postpartum glucose intolerance compared to GDM based on other diagnostic criteria. More studies with GDM based on the IADPSG criteria are needed to increase the quality of evidence concerning the long-term metabolic risk.
Monasteries have represented a unique quest to balance daily life and sacredness for more than 1,500 years. The subject of this paper is their community life through rituals, and rhythm in time and space. We start with Philip Gröning's movie, 'Die Große Stille' (2005), a poetical and intimate portrait of the everyday lives of Carthusian monks in Grande Chartreuse, high up in the French Alps. The movie shows great respect for rituals in prayer, but equally in the monks' dealings with space and ritual objects. Monks live 'together alone' following traditions that are over one thousand years' old, concerning identity and spiritual regeneration in a collective site.We then look at a twentieth century Benedictine monk, the architect and theorist Dom Hans van der Laan. He fostered a link between space and clothing as a
Over the past 1,400 years, religious Christian churches and monasteries have marked the landscape and social life of Europe. Yet the on-going process of secularisation affects our religious heritage: it becomes underused or even abandoned. Our research focuses on the potential role of the architectural discipline in the discourse of reusing monasteries; research by design is implemented as an exploration tool, starting from a large survey of subtypologies of Christian monasteries in Western Europe. This paper presents the first phase of our project: a survey of Christian monasteries in a specific study area (the Belgian province Limburg), and their analysis and classification into sub-typologies. Important sources are historical and architectural literature, but also local archives, databases, site visits, and newspapers. The inventoried sub-typologies are translated through sketches and schemes into models, which facilitate analysis of and communication about the existing monastic buildings. Practising adaptive reuse, the choice of an appropriate new program to a structure is vitally important to reinforce the original building character. The paper concludes by indicating the most suitable models to be implemented by social important (ambivalent) care programs through research by design, in hybrid combinations with other functions.
Adaptive reuse has proven to be an important strategy in conserving historical places (Brooker & Stone, 2004; Scott, 2008; Plevoets & Van Cleempoel, 2013) but the question for adaptation and reuse becomes more delicate when it touches upon to religious heritage buildings, such as churches and monasteries (
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