1,793 research outputs found
What is the optimal first line antiretroviral therapy in resource-limited settings? [comment]
No full textA perspective by Chris Kenyon and Robert Colebunders discusses policy implications for use of first line antiretroviral therapies in resource-limited settings, emerging from a new research study conducted by Campbell and colleagues
Children and adolescents living with HIV positive parents: emotional and behavioural problems
No full textThis is an electronic version of an article published in Nöstlinger, C., G. Bartoli, V. Gordillo, D. Roberfroid and R. Colebunders. 2006. Children and adolescents living with HIV positive parents: Emotional and behavioural problems. Vulnerable Children and Youth Studies. 1(1):29-43. Vulnerable Children and Youth Studies is available online at informaworldT
Local metrically generated theories
No full textAbstractIn this paper we prove that for every metrically generated theory (Colebunders and Lowen, 2005 [4]) there exists a largest, what we call local metrically generated theory underlying it. We illustrate this result by looking at the traditional case of the categories of topological spaces and quasi-uniform spaces (Künzi, 2001 [10]) and also by looking at the categories of approach spaces (Lowen, 1997 [11]) and quasi-uniform gauge spaces (Lowen, 2004 [12]) and some of their usual sub- and supercategories (Choquet, 1948 [1]; Colebunders and Lowen, 1989 [2]; Herrlich, 1987 [9]; Preuss, 1988 [14])
Pre-expanded anterollateral thigh perforator flap for phallioplasty
No full textThe anterolateral thigh (ALT) perforator flap for phalloplasty is gaining popularity because it avoids the well-known scars of the radial forearm flap. However, scars are not eliminated, just moved to a different location, the thigh, that can for some patients be of great sexual value. Preexpansion of the ALT flap allows primary donor site closure, thus avoiding not only the unsightly appearance of a skin grafted ALT donor site, but also the skin graft donor site scar. Preoperative perforator location by means of computed tomography angiography allows safe expander placement through 2 small remote incisions
Supplement to: Enhanced surveillance of monkeypox in Bas-Uélé, Democratic Republic of Congo: the limitations of symptom-based case definitions
No full textThis repository contains data and R code which are supplements to:
Enhanced surveillance of monkeypox in Bas-Uélé, Democratic Republic of Congo: the limitations of symptom-based case definitions
Gaspard Mande, Innocent Akonda, Anja De Weggheleire, Isabel Brosius, Laurens Liesenborghs, Emmanuel Bottieau, Noam Ross, Guy Crispin Gembue, Robert Colebunders, Erik Verheyen Ngonda Daulya, Herwig Leirsh, and Anne Laudisoit (2022).
A data dictionary and instructions for reproducing the analysis are provided. Details can be found in the README.md file
The foot fillet flap for ischial pressure sore reconstruction : a new indication
No full textIntroduction: The main cause of ischial pressure sores in paraplegic patients is prolonged sitting without pressure relief. These wounds are subject to recurrence and may need repeated reconstruction with local flaps. When all options are exhausted, the total thigh flap is the last resort. Disarticulation of the hip joint impairs stability even when sitting and causes subsequently very high discomfort. In this manuscript, we describe an alternative to the total thigh flap to avoid hip disarticulation: the foot fillet flap. Materials & Methods: This study was performed on four patients at the department of Plastic & Reconstructive Surgery of the Ghent University Hospital, Belgium. Inclusion criteria were the following: paraplegic patients affected by recurrent pressure sores, exhaustion of all local options and adequate vascular status of the lower extremities. Results: All patients were kept in an air-fluidized bed for two weeks and progressed well during their post-operative course. Healing time varied from 12 to 29 days and suction drains were removed after 15 days as in any standard pressure sore flap. Hospital stay varied from 18 to 42 days. Conclusion: The pedicled foot fillet flap is a valuable alternative to the total thigh flap. Coverage of large, recurrent, pressure sores in the ischial, trochanteric or sacral region is ideal due to the thick glabrous plantar skin, shock-absorbing fibrofatty subcutaneous tissue and underlying muscles provided by the sole of the foot. Furthermore, coxofemoral disarticulation, mandatory in a total thigh flap, that leads to instability while sitting, is avoided
An Update on the Surgical Treatment for Transgender Patients
No full textIntroduction As gender dysphoria is becoming increasingly accepted in the general population, the number of patients seeking gender reassignment surgery is increasing. Although not every patient with gender dysphoria requires surgery, medical practitioners taking care of these individuals should be aware of the different surgical options. Aim To review current gender reassignment surgical techniques and update the clinician. Methods A review of the literature was performed focusing on the most recent techniques of gender reassignment surgery. Main Outcome Measures Main outcomes included a historical review of gender confirmation surgery leading to the techniques of choice in different divisions. For the vaginal lining, penile-scrotal skin flaps remain the technique of choice, and the gold standard for a phalloplasty remains the radial forearm flap. Results Surgical techniques for male-to-female gender reassignment consist of facial feminization surgery, voice surgery, breast augmentation, orchiectomy, and vaginoplasty. Female-to-male gender reassignment surgery includes facial masculinization surgery, subcutaneous mastectomy, and phalloplasty procedures. Conclusion Penile-scrotal skin flaps remain the technique of choice for the vaginal lining, although indications for a vaginoplasty with intestinal transfer are becoming more common. The gold standard for a phalloplasty remains the free radial forearm flap
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