Publications

The best news from the treatment perspective is the high efficacy of a single oral dose of 1g azithromycin for the treatment of uncomplicated genital infections caused by Chlamydia trachomatis, which is probably the most common bacterial sexually transmitted pathogen. Also, a 2g single dose of metronidazole appears to be as effective as a 7-day course to cure bacterial vaginosis.

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In many African countries where HIV infection is mainly heterosexually transmitted a substantial proportion of women of childbearing age are now infected with the virus. This paper will review the consequences of HIV-1 infection on the reproductive health of seropositive women. The adverse effect of HIV-1 infection on children will be outlined, and strategies for preventing HIV-1 transmission in women of childbearing age and their young children will be discussed.

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To improve the tolerance of IUDs, an implantation technique for fixation of a frameless copper IUD (CuFix Implant System: GyneFix) has been developed and tested since 1985. In the early stages of the clinical development of the GyneFix it was already apparent that the device was well tolerated, even by small nulligravid uterine cavities. The good tolerance was ascribed to the specific configuration of the device: its frameless and completely flexible form. The present long-term study confirms the validity of this innovation concept.

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Er is een dringende nood aan duidelijke richtlijnen betreffende methodologie van afname en lezing van het uitstrijkje, classificatie van de letsels, frequentie van afname, kwaliteitscontrole en beleid bij afwijkende resultaten. Humaan papilloma virus speelt een etiologische rol en wordt seksueel overgedragen. Promiscuteit bij de vrouw en/of haar partner(s) verhoogt het risico. Algemeen wordt er in ons land te dikwijls gescreend bij bepaalde vrouwen en niet of onvoldoende bij anderen.

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To improve the tolerance of IUDs, an implantation technique for fixation of a frameless copper IUD (CuFix Implant System: GyneFix) has been developed and tested since 1985. In the early stages of the clinical development of the GyneFix it was already apparent that the device was well tolerated, even by small nulligravid uterine cavities. The good tolerance was ascribed to the specific configuration of the device: its frameless and completely flexible form. The present long-term study confirms the validity of this innovation concept.

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Naast AIDS komt in Oostafrikaanse landen als Kenya, Tanzania en Oeganda ook syfilis steeds meer voor. De incidentie van zowel gonorroe als Chlamydia-infecties blijft echter stabiel. Dat zegt de Belgische gynaecologe dr M. Temmerman, verbonden aan het Unversitair Ziekenhuis Gent. Vijf jaar lang heeft zij in de Keniaanse hoofdstad Nairobi onderzoek gedaan naar de gevolgen van geslachtsziekten, met name HIV-infecties, op de uitkomst van zwangerschap. Eind vorig jaar promoveerde zij op het proefschrift `HIV and pregnancy'.

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