What is the evolution of stroke unit's accessibility in metropolitan France from 2009 to 2014? A trend analysis of over 600 000 patients using national hospital databases.

Objectives: We aimed to study trends in stroke unit (SU) admission during a period of their deployment in France and to assess whether this led to better and more equitable access to this specialised care.

Design: Analysis of records from the national hospital database.

Setting: All acute care hospitals in metropolitan France for the period 2009-2014.

National Trends in Patients Hospitalized for Stroke and Stroke Mortality in France, 2008 to 2014.

Background And Purpose: Stroke is the leading cause of death in women and the third leading cause in men in France. In young adults (ie, <65 years old), an increase in the incidence of ischemic stroke was observed at a local scale between 1985 and 2011. After the implementation of the 2010 to 2014 National Stroke Action Plan, this study investigates national trends in patients hospitalized by stroke subtypes, in-hospital mortality, and stroke mortality between 2008 and 2014.

Screening for Elevated Blood Lead Levels in Children: Assessment of Criteria and a Proposal for New Ones in France.

The decline in children's Blood Lead Levels (BLL) raises questions about the ability of current lead poisoning screening criteria to identify those children most exposed. The objectives of the study were to evaluate the performance of current screening criteria in identifying children with blood lead levels higher than 50 µg/L in France, and to propose new criteria. Data from a national French survey, conducted among 3831 children aged 6 months to 6 years in 2008-2009 were used.

Blood lead levels and risk factors in young children in France, 2008-2009.

Background: The exposure of children to lead has decreased in recent years, thanks notably to the banning of leaded gasoline. However, lead exposure remains a matter of public health concern, because no toxicity threshold has been observed, cognitive effects having been demonstrated even at low levels. It is therefore important to update exposure assessments.

[The practitioner's role in surveillance and information on environmental risks].

Health scares have entailed an increasing concern about environmental risks for populations. Authorities' response was to set up a system for the analysis, surveillance and management of environmental risks. Practitioners have an important role to play in this system, as primary actors of surveillance and as a close source of information about the environmental risks for the population.