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9. Medically Unnecessary Genital Cutting and the Rights of the Child: Moving Toward Consensus

Author

The Brussels Collaboration on Bodily Integrity, Abdulcadir, Jasmine, Adler, Peter, Adler, Priscilla, Alexander, Sophie, Aurenque, Diane, Bader, Dina, Ben-Yami, Hanoch, Bewley, Susan, Boddy, Janice, Van den Brink, Marjolein, Bronselaer, Guy, Burrage, Hilary, Ceelen, Wim, Chambers, Claire, Chegwidden, James, Coene, Gily, Conroy, Ronan, Dabbagh, Hossein, Davis, Dena, Dawson, Angela, Decryenaere, Johan, Dekkers, Wim, De Laet, Debra, De Sutter, Petra, Van Dijk, Gert, Dubuc, Elise, Dworkin, Gerald, Earp, Brian, Fahmy, Mohamed, Ferreira, Nuno, Florquin, Stephanie, Frisch, Morten, Garland, Fae, Goldman, Ronald, Gruenbaum, Ellen, Heinrichs, Gretchen, Herbenick, Debby, Higashi, Yuko, Ho, Calvin, Hoebeke, Piet, Johnson, Matthew, Johnson-Agbakwu, Crista, Karlsen, Saffron, Kim, Daisik, King, Sharon, Komba, Evelyne, Kraus, Cynthia, Kukla, Rebecca, Lempert, Antony, Levin von Gleichen, Tobe, MacDonald, Noni, Merli, Claudia, Mishori, Ranit, M€oller, Kai, Monro, Surya, Moodley, Keymanthri, Mortier, Eric, Munzer, Stephen R., Murphy, Timothy, Lindemann Nelson, Jamie, Ncayiyana, Daniel J., van Niekerk, Anton A., O’Neill, Sarah, Onuki, Daisuke, Palacios-Gonzalez, Cesar, Pang, Myung-Geol, Proudman, Charlotte R, Richard, Fabienne, Radcliffe Richards, Janet, Reis, Elizabeth, Rotta, Alexandre T., Rubens, Robert, Sarajlic, Eldar, Sardi, Lauren, Sch€uklenk, Udo, Shahvisi, Arianne, Shaw, David, Sidler, Daniel, Steinfeld, Rebecca, Sterckx, Sigrid, Svoboda, Steven, Tangwa, Godfrey B., Thomson, Michael, Tigchelaar, Jet, Van Biesen, Wim, Vandewoude, Koenraad, Van Howe, Robert S., Vash-Margita, Alla, Vissandjee, Bilkis, Wahlberg, Anna, Warren, Nicole, Abdulcadir, Jasmine, Brussels Interdisciplinary Research centre on Migration and Minorities, History, Archeology, Arts, Philosophy and Ethics, Political Science, Centre for Ethics and Humanism, Philosophy - Moral Sciences, Centre of Expertise on Gender, Diversity and Intersectionality, Metamedica, RS: CAPHRI - R4 - Health Inequities and Societal Participation, and Public Health

Subjects
COUNTRIES, medicine.medical_specialty, Bodily integrity, Consensus, Human Rights, SURGERY, media_common.quotation_subject, Social anthropology, Medical law, MALE CIRCUMCISION, Taverne, medicine, Humans, Sex organ, Genitalia, Child, FGC, media_common, ddc:618, Human rights, Genitalia.female, Health Policy, WOMEN, Bioethics, Genitalia, Female, MUTILATION, Issues, ethics and legal aspects, Enseignement des sciences bio-médicales et agricoles, Family medicine, DEBATE, Female, HEALTH, Applied Ethics, Psychology, LAW, Medical ethics
Abstract

0, Brussels Collaboration on Bodily Integrity, info:eu-repo/semantics/published

Published
2019

21. How dead is death?

Author

Desegher, Adeline, De Baerdemaeker, Luc, and Mortier, Eric

Published
2004

25. Mathematical method to build an empirical model for inhaled anesthetic agent wash-in

Author

Grouls René EJ, Van Zundert André AJ, De Cooman Sofie, Lemmens Harry, Hendrickx Jan FA, Mortier Eric, and De Wolf Andre M

Subjects
Anesthesiology, RD78.3-87.3
Abstract

Abstract Background The wide range of fresh gas flow - vaporizer setting (FGF - FD) combinations used by different anesthesiologists during the wash-in period of inhaled anesthetics indicates that the selection of FGF and FD is based on habit and personal experience. An empirical model could rationalize FGF - FD selection during wash-in. Methods During model derivation, 50 ASA PS I-II patients received desflurane in O2 with an ADU® anesthesia machine with a random combination of a fixed FGF - FD setting. The resulting course of the end-expired desflurane concentration (FA) was modeled with Excel Solver, with patient age, height, and weight as covariates; NONMEM was used to check for parsimony. The resulting equation was solved for FD, and prospectively tested by having the formula calculate FD to be used by the anesthesiologist after randomly selecting a FGF, a target FA (FAt), and a specified time interval (1 - 5 min) after turning on the vaporizer after which FAt had to be reached. The following targets were tested: desflurane FAt 3.5% after 3.5 min (n = 40), 5% after 5 min (n = 37), and 6% after 4.5 min (n = 37). Results Solving the equation derived during model development for FD yields FD=-(e(-FGF*-0.23+FGF*0.24)*(e(FGF*-0.23)*FAt*Ht*0.1-e(FGF*-0.23)*FGF*2.55+40.46-e(FGF*-0.23)*40.46+e(FGF*-0.23+Time/-4.08)*40.46-e(Time/-4.08)*40.46))/((-1+e(FGF*0.24))*(-1+e(Time/-4.08))*39.29). Only height (Ht) could be withheld as a significant covariate. Median performance error and median absolute performance error were -2.9 and 7.0% in the 3.5% after 3.5 min group, -3.4 and 11.4% in the 5% after 5 min group, and -16.2 and 16.2% in the 6% after 4.5 min groups, respectively. Conclusions An empirical model can be used to predict the FGF - FD combinations that attain a target end-expired anesthetic agent concentration with clinically acceptable accuracy within the first 5 min of the start of administration. The sequences are easily calculated in an Excel file and simple to use (one fixed FGF - FD setting), and will minimize agent consumption and reduce pollution by allowing to determine the lowest possible FGF that can be used. Different anesthesia machines will likely have different equations for different agents.

Published
2011
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26. Hoe universitaire ziekenhuizen positioneren in een veranderend zorglandschap?

Author

Raus, Kasper, Decramer, Marc, Straeten, Van der, Johnny, Noppen, Marc, Mortier, Eric, Eeckloo, Kristof, Organisatie, beleid en sociale ongelijkheden in gezondheidszorg, and Gezondheidswetenschappen

Subjects
Medicine(all)
Abstract

The organization of healthcare in Belgium is facing several major changes due to, amongst other things, particularly pressing challenges. A question that arises is what the role will be of academic medicine and, in particular, of the seven university hospitals in tomorrow's health care system. Belgium has, historically, adopted a model consisting of seven university hospitals who each have a three-fold function: 1) research, 2) education and 3) safe and good patient care. This model is under financial pressure, but is also under pressure to split up its three unique.

Published
2017

32. Water sorption and water solubility of current luting cements: An in vitro study.

Author

Gerdolle, David Alain, Mortier, Eric, Jacquot, Bruno, and Panighi, Marc M.

Subjects
WATER, SOLUBILITY, DENTAL resins, IONOMERS, DISTILLED water, POLYMERS in dentistry, PROSTHODONTICS, POLYMERIZATION, BIOCOMPATIBILITY
Abstract

Objective: To evaluate the water-sorption characteristics and the solubility behavior of 4 luting cements-2 composite resins (CRs), a polyacid-modified composite resin (PMCR), and a resin-modified glass-ionomer cement (RMGIC)-according to the ISO 4049 specifications. Method and Materials: Five disks (15 x 1 mm) of each material (Variolink II [CR1; Vivadent], Panavia F [CR2; Kuraray], Resinomer [PMCR; Bisco], and Fuji Plus [RMGIC; GC]) were prepared according to the manufacturers' instructions. Specimens were first desiccated until a consistent mass was obtained. Specimens were immersed for 7 days in distilled water and immediately weighed after this period. Then the disks were post-desiccated and weighed every day for 35 days. The water sorption and solubility of each specimen were calculated according to the change in its weight as observed before and after immersion and desiccation periods. Results: Fuji Plus exhibited the overall higher values of water sorption and solubility (P < .001). Of the 3 resin-based luting cements, Resinomer demonstrated significantly higher water sorption and solubility (P < .001), whereas Variolink II and Panavia F showed low values and were not significantly different (P = .2). Conclusions: Behavior of resin-based materials in water varies according to the composition characteristics. In particular, the high portion of hydrophilic chemical species, as well as the filler characteristics, provoke very high water sorption and solubility values. In this way, and within the limitations of this in vitro study, composite resin luting cements appear to be more suitable than compomers and resin-modified glass-ionomer cements to meet longevity requirements. [ABSTRACT FROM AUTHOR]

Published
2008

33. Communication in healthcare: a narrative review of the literature and practical recommendations

Author

Peter Vermeir, Vandijck, Dominique, Degroote, Sophie, renaat peleman, Verhaeghe, Rik, Mortier, Eric, Sabine Van daele, Buylaert, Walter, and Dirk Vogelaers

Subjects
primary health care, communication, Medicine and Health Sciences, patient safety, patient handoff, correspondence, continuity of patient care
Abstract

aims: Effective and efficient communication is crucial in healthcare. Written communication remains the most prevalent form of communication between specialized and primary care. We aimed at reviewing the literature on the quality of written communication, the impact of communication inefficiencies and recommendations to improve written communication in healthcare. Design: Narrative literature review. Methods:A search was carried out on the databases PubMed, Web of Science and The Cochrane Library by means of the (MeSH)terms ‘communication’, ‘primary health care’, ‘correspondence’, ‘patient safety’, ‘patient handoff’ and ‘continuity of patient care’. Reviewers screened 4609 records and 462 full texts were checked according following inclusion criteria: (1) publication between January 1985 and March 2014, (2) availability as full text in English, (3) categorization as original research, reviews, meta-analyses or letters to the editor. Results:A total of 69 articles were included in this review. It was found that poor communication can lead to various negative outcomes: discontinuity of care, compromise of patient safety, patient dissatisfaction and inefficient use of valuable resources, both in unnecessary investigations and physician worktime as well as economic consequences. Conclusions: There is room for improvement of both content and timeliness of written communication. The delineation of ownership of the communication process should be clear. Peer review, process indicators and follow-up tools are required to measure the impact of quality improvement initiatives. Communication between caregivers should feature more prominently in graduate and postgraduate training, to become engraved as an essential skill and quality characteristic of each caregiver.

Published
2016

35. Past, present and future of university hospitals

Author

Raus, Kasper, Mortier, Eric, and Eeckloo, Kristof

Abstract

ABSTRACTObjectives: Health care systems worldwide are changing and taking new forms. The old, more hierarchically oriented, model with individual institutional and bilateral interactions between primary, secondary, tertiary and quaternary care is being replaced by an integrated and dynamic network model. We aim to look at what role university hospitals will play in this future organization of health care.Method: In this paper, we look at the relevant literature on the history of academic medicine and university hospitals. Subsequently, we look at the challenges university hospitals are facing according to contemporary literature on the topic.Results: Our current model of academic medicine with its university hospitals finds its origin in the institutionalization of the academic mission in the late 18thcentury. Currently, the sustainability of the model is under immense pressure. University hospitals are facing economic challenges, teaching challenges and research challenges. However, there is reason to believe that they can continue to play a role of importance in tomorrow’s medicine. The organization of health care is undergoing two important changes. The first is the evolution towards a more dynamic and integrated network model. University hospitals can become an important hub within this network. The second change is an evolution towards evidence based medicine and translational research.Conclusion: Due to their unique tripartite mission, we argue that university hospitals can continue to play an important and critical role in promoting evidence-based medicine and speedy translation of new evidence.

Published
2020
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37. Interfacial damage study of dental polymers restorations

Author

Mortier, Eric, UL, Thèses, Laboratoire de physique des matériaux (LPM), Université Henri Poincaré - Nancy 1 (UHP)-Institut National Polytechnique de Lorraine (INPL)-Centre National de la Recherche Scientifique (CNRS), Université Henri Poincaré - Nancy 1 (UHP), Université Henri Poincaré - Nancy 1, and Abedesselam Dahoun

Subjects
[SPI.OTHER]Engineering Sciences [physics]/Other, Percolation dentaire, [SPI.OTHER] Engineering Sciences [physics]/Other, Résine composite, Matériaux dentaires, Composites en odontostomatologie, Polymères en odontostomatologie
Abstract

Interface tightness, polymerization shrinkage, conversion rate, polymerization stress and corresponding C-factor, and water absorption/ solubility of three photo-polymerizable composite resins were evaluated in vitro. They included a condensable resin (Filtek P60), a fluid resin (Filtek Flow), both with their adhesive (Scotchbond 1), and an ormocer with its adhesive (Admira & Admira Bond). Polymerization was performed using a LED lamp in two continuous modes (20s and 40s), and in the exponential mode (20s). Tightness was evaluated using a dye penetration test (ISO 11405) and SEM analysis. The glass slide deflection technique was used to determine polymerization shrinkage. Polymerization stress was determined with a materials testing machine. Conversion rate was measured by Fourier Transform Infrared Spectroscopy, and absorption/ solubility was measured by the ISO 4049 test method. All materials with enamel interfaces were significantly better for tightness than were cement interfaces. Polymerization shrinkage was significantly different for all materials. The polymerization mode had a significant impact on shrinkage kinetics. Conversion rates and polymerization stresses were significantly different for all materials but were not affected by the polymerization mode. The decrease in factor-C reduced stress and stress kinetics. The different materials showed marked differences in absorption/ solubility., L'étanchéité à l'interface, le retrait de polymérisation, le taux de conversion, la contrainte de polymérisation et l'influence du facteur C, l'absorption d'eau et la solubilité de trois résines composites de restauration photopolymérisables ont été évalués in vitro. Une résine condensable (Filtek P60), une résine fluide (Filtek Flow) et leur adhésif (Scotchbond 1) et un ormocer et son adhésif (Admira & Admira Bond) ont été utilisés, la polymérisation s'est faite à l'aide d'une lampe LED selon deux modes continus de 20s et 40s et selon un mode exponentiel de 20s. L'étanchéité a été évaluée selon la pénétration d'un colorant (ISO 11405) ainsi qu'en MEB, la technique de la déflection de la lame de verre a été utilisée pour déterminer le retrait de polymérisation, la contrainte de polymérisation a été déterminée à l'aide d'une machine de traction, le taux de conversion a été mesuré en spectroscopie infrarouge à transformée de Fourier, l'absorption/ solubilité a été mesurée selon la méthode ISO 4049. L'étanchéité est significativement supérieure pour tous les matériaux à l'interface amélaire par rapport à l'interface cémentaire. Les retraits de polymérisation sont significativement différents pour tous les matériaux. Le mode de polymérisation affecte significativement les cinétiques de contraction. Les taux de conversion et les contraintes de polymérisation sont significativement différents pour tous les matériaux sans influence du mode de polymérisation. La diminution du facteur C entraine une diminution des contraintes et de leurs cinétiques. D'importantes différences d'absorption/ solubilité ont été mises en évidence entre les matériaux.

Published
2009

38. Performance of propofol pharmacokinetic models

Author

Martens, FML, Masui, Kenichi, Upton, Richard N., Doufas, Anthony G., Coetzee, Johan F., Kazama, Tomiei, Mortier, Eric P., Struys, M. M. R. F., and Faculteit Medische Wetenschappen/UMCG

Published
2009

42. Porosity of flowable resin composites is not influenced by applicator tip diameter.

Author

BALTHAZARD, RÉMY, JAGER, STEPHANIE, FERRY, OLIVIER, DAHOUN, ABDESSELLAM, and MORTIER, ERIC

Subjects
DENTAL resins, COMPOSITE materials, SYRINGES, THREE-dimensional imaging, POROSITY
Abstract

Purpose: To assess the influence of applicator tip diameter on the inclusion of porosities in three different flowable resin composites. Methods: The initial porosity of three syringes [Filtek Supreme XTE Flowable (XTE), Grandio Flow (GRF), Gradia Direct Flo (GDF)] was determined by 3D tomography. 25 samples per syringe, i.e. 75 samples in total, were prepared using five applicator tips of different diameters (n= 5). The porosity of the 75 samples was assessed by 3D tomography. Results: For each of the materials, the applicator tips, irrespective of type, all generated an increase in the average porosity percentage compared to the initial porosity of the syringes. For XTE and GRF, the applicator tips, irrespective of type, all generated a decrease in the average porosity volume compared to the initial average porosity volume in their respective syringes. Conversely, for GDF the average porosity volume of the samples was increased. Furthermore, for each of the materials, varying the diameter of the applicator tips had no significant influence on the porosity percentage and volume. Using the present study conditions, the applicator tip generated a variation in the initial porosity of the materials; however, the diameter of the tip had no influence on said variation. [ABSTRACT FROM AUTHOR]

Published
2017

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