[Consultations of hospital physicians in community health centers: Actors' identified impacts and difficulties].

Objective: In 2016 different types of cooperation were identified between "Assistance publique - Hôpitaux de Paris" and community-based healthcare professionals, including consultations from hospital practitioners in community health centers. This work aims to study the advantages and difficulties of this type of cooperation.

Methods: Interviews were conducted with hospital physicians, heads of hospital units and of community health centers.

[Nursing coordination in chronic diseases: The situation of activities in the Assistance Publique-Hôpitaux de Paris adult medicine units].

Introduction: The transformation of nurse's profession can be an opportunity for the organization of personalized care pathways for patients with chronic diseases.

Objective: Our objective was to identify and describe the activities of the coordinating nurses (IDEC) working with patients with chronic diseases in adult medicine services at the Assistance Publique - Hôpitaux de Paris (AP-HP).

Method: An e-mail survey of department heads identified the IDEC.

[Cooperation between hospital teams and community-based healthcare professionals].

Objective: To identify and classify hospital-community cooperation activities between Greater Paris University Hospitals (GPUH) and community health professionals.

Methods: A declarative survey was conducted in GPUH clinical departments, which were asked to describe their activities with community health professionals, the type of community professionals involved (e.g.

[The National Authority for Health and new cooperation].

The concept of new forms of cooperation between healthcare professionals was introduced by the "Hospital, patients, health and territories" law and clarified by the relevant implementing provisions. The French National Authority for Health has recently established guidelines for healthcare professionals in order to help them in drawing up cooperation protocols.

[Evolution of functional autonomy in geriatric medium-term care units: a reliable performance indicator?].

The objective of this study was to compare the evolution of the level of functional dependence of patients between the time of their hospital admission and release following treatment received in the geriatric medium-term care units, in order to propose this variable as a clinical performance indicator for this type of service. The differential score of physical dependence observed was determined for each hospital stay, and the adjusted significant functional improvement rate (SFI) was calculated for every unit. This adjusted SFI rate was then compared to the overall rate of all of the units combined.

[Patient-related factors and professional practices associated with postoperative pain].

Background: Unrelieved postoperative pain is reported despite of widely defined standards for postoperative pain management. The objective of this study was to identify the relationship between patient characteristics, medical practices and outcomes (severe post-operative pain and patient satisfaction).

Methods: Using a cross-sectional observational study in 18 departments of adult surgery from 5 hospitals, medical records were audited according to a set of explicit criteria (patient characteristics and professional practices).

[Harmonizing indications for emergency radiological examinations for adults].

Introduction: The "Collégiale des radiologistes" of the Paris public hospital system (Assistance Publique-Hôpitaux de Paris, AP-HP) has participated since 1998 in a collaborative quality improvement program for the 49 radiology departments. They work together with the AP-HP college of emergency physicians on one part of this program, which focuses on emergency radiologic work-ups. Analysis of the dysfunctions in this sector underlined the lack of agreement between clinicians and radiologists on the examinations required.

[A quality reference manual for radiology].

The purpose of this article is to introduce a quality manual for radiology departments. A radiology department has implemented a quality improvement program since 1996. This manual was developed as a tool for quality improvement program.

[Action of SERM and SAS (tibolone) on breast tissue].

SERMs are developed in HRT in order to provide the beneficial effects of estradiol on bone and the cardiovascular system. SERMs are antiestrogens and their properties depend upon the pharmacological class they belong to. Tibolone is a progestin with mixed properties.

[Recombinant FSH. Characteristics and therapeutical values].

Pituitary glycoproteins LH and FSH control gonadal physiology. Modern techniques of molecular biology have allowed the synthesis of human recombinant hormones (rec). In particular rec-FSH is now available for clinical use.