Long-Term Thoracic Endovascular Repair Follow-Up from 1999 to 2019: A Single-Center Experience.

Background: Thoracic endovascular aortic repair (TEVAR) was introduced in the early 1990s and long-term follow-up studies are warranted in current guidelines.

Methods: Patients undergoing TEVAR were consecutively included from 1999 to 2019. Thoracic aortic disease includes thoracic aortic aneurysms, aortic dissection, traumatic rupture, penetrating aortic ulcer (PAU), and intramural hematoma (IMH).

[Crisis at the hospital and the hospice, same combat: Break down the walls!].

The crisis in public hospitals and accommodation facilities for the elderly (EHPAD) focuses on issues of governance and internal resources (including financial ones), while the responses should be found in an organized and consolidated fluidity between the world of hospital or medico-social institutions and the usual living spaces of the population. At the hospital level, the main difficulties are due to a regularly announced, but incomplete, transfer between the activities of these institutions and outpatient medicine. The solution is certainly in a single governance of health policy, currently shared between the state and health insurance.

[Prescribed and dispensed in the third trimester of pregnancy drugs: What practices and risks?].

Objective: The aim of the study was to describe the prescribing of drugs to pregnant women during the third trimester of pregnancy.

Patients And Methods: The retrospective analysis is interested by pregnant women from August 2009 to April 2011, living in Franche-Comté. The used data are recorded in the database of the French Health Insurance Service.

[Assessment of 10 years of memory consultations in the Franche-Comté: Description and analysis of the RAPID regional database].

The aim of this study was to evaluate the impact, on a regional scale (Franche-Comté), of 3 National Alzheimer care plans, particularly concerning the development of the offer of care management by clinicians as well as the panel of diagnoses concerned. Data on sociodemographic, neuropsychological and diagnostic characteristics were retrieved from the RAPID regional database between 1st January 2003 and 31st December 2012. These analyses focused exclusively on patients who had an initial consultation (n=12,017) during the same period.

[Logic model of the Franche-Comté Regional Health Project: advantages and limitations for the evaluation process].

The French "Hospitals, patients, health and territories" law of July 2009 created the Regional Health Project (PRS) to support regional health policy, and requires evaluation of these projects. The construction of these projects, which includes prevention planning, care planning, and medical and social welfare planning, presents an unprecedented complexity in France, where evaluation programmes are still in their infancy. To support future evaluations, the Franche-Comté Regional Health Agency (ARS FC), assisted by the expertise of EFECT Consultants, decided to reconstruct the PRS logic model.

[Creation of a consumer representatives committee in a multidisciplinary primary health care center. Findings, limitations and prospects].

Introduction: The St Claude multidisciplinary health centre in Besançon encouraged the creation of a consumer representatives committee to promote health democracy in primary health care. This project was developed with the help of a local consumers association. This study evaluated the perception and expectations of these fifteen health users/citizens.

Long-term experience of steroid-free pediatric renal transplantation: effects on graft function, body mass index, and longitudinal growth.

Increased focus on the potential negative side effects of steroid usage in pediatric transplantation has led to steroid minimization or steroid-free transplantation. In this study, we report results after complete steroid avoidance in renal transplantation in the period 1994-2009. We evaluate the effects of complete steroid avoidance on allograft function, BMI, and linear growth.

[Health education in the French Regional Health Agencies in 2012: observations and analysis].

This paper examines the role of health education in the French Agences régionales de santé (ARS, Regional Health Agencies) in 2012. A survey was conducted among public health managers working in the ARS. Most of the participants reported that health education plays an important role in their agency, notably through their regional health plan and the activities of the organizations responsible for promoting democracy in health care.

[The role of community health centres].

Community health centres are part of a movement to organise primary healthcare promoted by the "Hospital, patients, health and territories" law. These structures are the result of a long process involving health professionals, brought together around a single project. The health centres facilitate new forms of organisation of the healthcare provision such as therapeutic education and new protocols for cooperation between health professionals.

ABO-incompatible kidney transplantation.

Introduction: Kidney transplantation is the optimal treatment for many patients with end-stage renal disease (ESRD). Due to shortage of donor kidneys in Denmark, there is a need to expand the possibilities for donation. At the Odense University Hospital (OUH), we have introduced ABO-incompatible kidney transplantation.