Are disparities of waiting times for breast cancer care related to socio-economic factors? A regional population-based study (France).

The increasing number of breast cancer cases may induce longer waiting times (WT), which can be a source of anxiety for patients and may play a role in survival. The aim of this study was to examine the factors, in particular socio-economic factors, related to treatment delays. Using French Cancer Registry databases and self-administered questionnaires, we included 1,152 women with invasive non-metastatic breast cancer diagnosed in 2007.

Do gender differences affect the doctor-patient interaction during consultations in general practice? Results from the INTERMEDE study.

Objective: The aim of the study was to ascertain whether disagreement between GPs and patients on advice given on nutrition, exercise and weight loss is related to patient-doctor gender discordance. Our hypothesis is that a patient interacting with a physician of the same gender may perceive more social proximity, notably on health care beliefs and may be more inclined to trust them.

Methods: The analysis used the Intermede project's quantitative data collected via mirrored questionnaires at the end of the consultation.

Is perceived social distance between the patient and the general practitioner related to their disagreement on patient's health status?

Objective: To ascertain whether disagreement between patients and general practitioners (GP) on the patient's health status varies according to their respective perceived social distance (PSD).

Methods: The analysis used the Intermede project's quantitative data collected from 585 patients and 27 doctors via mirrored questionnaires. GPs and patients ranked their own perceived social position (PSP) in society, and their patients' and their GP respectively.

Do general practitioners overestimate the health of their patients with lower education?

This study sought to ascertain whether disagreement between patients and physicians on the patients' health status varies according to patients' education level. INTERMEDE is a cross-sectional multicentre study. Data were collected from both patients and doctors via pre- and post consultation questionnaires at the GP's office over a two-week period in October 2007 in 3 regions of France.

Do doctors and patients agree on cardiovascular-risk management recommendations post-consultation? The INTERMEDE study.

Background: Understanding interactions between patients and GPs may be important for optimising communication during consultations and improving health promotion, notably in the management of cardiovascular risk factors.

Aim: To explore the agreement between physicians and patients on the management of cardiovascular risk factors, and whether potential disagreement is linked to the patient's educational level.

Design Of Study: INTERMEDE is a cross-sectional study with data collection occurring at GPs' offices over a 2-week period in October 2007 in France.

[Application of "disease management" to the organization and compensation of professionals in the U.S.A., Germany and England: prospects for France].

Disease management, developed in the U.S.A.

The high-superior-tension technique: evolution of lipoabdominoplasty.

Because abdominoplasty is associated with complications such as seroma and necrosis as well as epigastric bulging and a suprapubic scar located too high, the demand for this procedure is not as high as it otherwise might be. However, although these negative effects were common many years ago, their incidence has decreased dramatically with modern abdominoplastic techniques. One approach using a combination of abdominoplasty and liposuction or lipoabdominoplasty has resolved many of the problems faced with earlier techniques, offering aesthetically pleasing results and excellent reliability.

Patient-physician interaction in general practice and health inequalities in a multidisciplinary study: design, methods and feasibility in the French INTERMEDE study.

Background: The way in which patients and their doctors interact is a potentially important factor in optimal communication during consultations as well as treatment, compliance and follow-up care. The aim of this multidisciplinary study is to use both qualitative and quantitative methods to explore the 'black box' that is the interaction between the two parties during a general practice consultation, and to identify factors therein that may contribute to producing health inequalities. This paper outlines the original multidisciplinary methodology used, and the feasibility of this type of study.

Social vulnerability and unmet preventive care needs in outpatients of two French public hospitals.

Background: Outpatients attending consultations at public hospitals may have unmet needs for preventive medical care. This study aimed to identify and assess the association between these needs, social vulnerability and mode of healthcare use.

Methods: In a multicentre epidemiological study, a group of socially vulnerable outpatients, was compared with a non-vulnerable group in a sample of 1316 outpatients selected in hospital consultations, using a validated tool for detection of social vulnerability.

[Patients members to a network's representations: prospects for the improvement of care].

Objective: Identify the representations of patients regarding their disease, their accession and the positive and resistance factors of their participation in the network to understand how the network could improve their care.

Method: Qualitative survey. We conducted twenty interviews, using open-ended questionnaires, with diabetic type 2 patients, registered for over a year in the healthcare Codiab network in the department of Morbihan.

Preoperative peribulbar block in patients undergoing retinal detachment surgery under general anesthesia: a randomized double-blind study.

Retinal detachment surgery is frequently associated with significant postoperative pain and emesis in adults. In this randomized, double-blind, controlled study we sought to demonstrate that 1% ropivacaine peribulbar (PB) block in conjunction with general anesthesia (GA) improves operative conditions and postoperative analgesia compared with GA combined with subcutaneous normal saline injection into the inferior eyelid. Thirty-one patients were included in each group.

2D full field vibration analysis with multiplexed digital holograms.

Opportunities for full field 2D amplitude and phase vibration analysis are presented. It is demonstrated that it is possible to simultaneously encode-decode 2D the amplitude and phase of harmonic mechanical vibrations. The process allows the determination of in plane and out of plane vibration components when the object is under a pure sinusoidal excitation.

Full-field vibrometry with digital Fresnel holography.

A setup that permits full-field vibration amplitude and phase retrieval with digital Fresnel holography is presented. Full reconstruction of the vibration is achieved with a three-step stroboscopic holographic recording, and an extraction algorithm is proposed. The finite temporal width of the illuminating light is considered in an investigation of the distortion of the measured amplitude and phase.

A comparison of target- and manually controlled infusion propofol and etomidate/desflurane anesthesia in elderly patients undergoing hip fracture surgery.

Elderly patients have a higher risk of developing adverse drug reactions during anesthesia, especially anesthesia affecting cardiovascular performance. In this prospective randomized study we compared quality of induction, hemodynamics, and recovery in elderly patients scheduled for hip fracture surgery and receiving either etomidate/desflurane (ETO/DES) or target-controlled (TCI) or manually controlled (MAN) propofol infusion for anesthesia. Sixteen patients were anesthetized with ETO (0.

[Development of a tool for the identification of socially vulnerable hospital patients].

Objective: To develop and assess the metrological properties of a simple to use tool to identify socially vulnerable outpatients.

Methods: A multidisciplinary group of professionals selected five characteristics identifying social vulnerability, integrated in a self-reported questionnaire, from which 5 criteria identify the socially vulnerable outpatients consulting the hospital. The metrological performance of the tool was assessed on a sample of randomly selected outpatients admitted to the emergency department and the results referred to the independent assessment of two social workers.

The bridging bidentate perchlorato group in ReO3(ClO4), ReO3(ClO4Cl2O6 and Sb2Cl6(O)(OH)(ClO4), a vibrational analysis.

Raman and infrared analysis of the new compounds: ReO3(ClO4), an ivory-white solid, and (ClO2)xReO3(ClO4)1+x (x < or = 1), an orange-red chloryl salt, showed that bridging bidentate [ClO4] and terminal ReO3 groups are present in both complexes. Vibrational data on [ClO4] in ReO3(ClO4) were compared to those obtained experimentally and by DFT calculation on a bridging bidentate [ClO4] in Sb2Cl6(O)(OH)(ClO4).

First anhydrous gold perchlorato complex: ClO(2)Au(ClO(4))(4). Synthesis and molecular and crystal structure analysis.

Chlorine trioxide, Cl(2)O(6), reacts with Au metal, AuCl(3), or HAuCl(4).nH(2)O to yield the well-defined chloryl salt, ClO(2)Au(ClO(4))(4). The crystal and molecular structure of ClO(2)Au(ClO(4))(4) was solved by a Rietveld analysis of powder X-ray diffraction data.

Target-controlled versus manually-controlled infusion of propofol for direct laryngoscopy and bronchoscopy.

Unlabelled: Few studies have compared the clinical profile of target-controlled infusions of propofol with that of manually-controlled infusions. Fifty-four ASA physical status I or II patients scheduled for an elective otorhinolaryngology endoscopy performed under general anesthesia with spontaneous ventilation were enrolled in this prospective randomized study to compare the clinical outcome of such administrations. Before induction, all patients received a single alfentanil bolus dose (10 microg/kg).