Cross-sectional study of partners' tobacco consumption during their spouse's pregnancy.

Background: A smoking partner is a major risk factor for passive smoking and continued maternal smoking.

Objective: To assess the smoking habits, knowledge, and information received to stop smoking of smoking partners during their spouse's pregnancy.

Method: This was a cross-sectional study of partners who smoked at the start of pregnancy and whose spouses had just given birth.

Analysis of glycemic control in diabetic patients by monitoring HbA1c levels before, during and after Covid-19 confinement in Auvergne, France.

Objectives: To describe glycemic control in diabetic patients monitored by glycated hemoglobin (HbA1c) before, during and after COVID-19 confinement. To identify factors, measured before confinement, associated with HbA1c testing during confinement and those associated with a 1 % increase in HbA1c after confinement.

Method: Retrospective, descriptive study of diabetic patients over 18 years old who underwent at least one HbA1c test before and after confinement.

Robust unsupervised texture segmentation for motion analysis in ultrasound images.

Purpose: Ultrasound imaging has emerged as a promising cost-effective and portable non-irradiant modality for the diagnosis and follow-up of diseases. Motion analysis can be performed by segmenting anatomical structures of interest before tracking them over time. However, doing so in a robust way is challenging as ultrasound images often display a low contrast and blurry boundaries.

Automatic 3D Lamina Curve Extraction from Freehand 3D Ultrasound Data using Sequential Localization Recurrent Convolutional Networks.

Freehand 3D ultrasound imaging is emerging as a promising modality for regular spine exams due to its non-invasiveness and affordability. The laminae landmarks play a critical role in depicting the 3D shape of the spine. However, the extraction of the 3D lamina curves from transverse ultrasound sequences presents a challenging task, primarily attributed to the presence of diverse contrast variations, imaging artifacts, the complex surface of vertebral bones, and the difficulties associated with probe manipulation.

2023 Clinical Update in Liver Transplantation.

Liver transplantation continues to provide life-saving treatment for patients with end-stage liver disease. Advances in the field of transplant anesthesia continue to support the care of more complex patients. The use of extracorporeal membrane oxygenation has been described in critical care settings and cardiac surgery but may be a valuable option for specific conditions for patients undergoing liver transplantation.

[Misuse of paracetamol in primary care: Cross-sectional study in a French rural context].

Objective: To estimate the prevalence of the paracetamol use for a reason other than pain (qualitative misuse) during the last 12 months in patients consulting their general practitioner, as well as the reasons for this misuse.

Methods: Descriptive cross-sectional analysis, with gender weighting to estimate the prevalence of paracetamol misuse.

Results: In total, data from 209 patients were included in the analysis.

A Short Dietary Assessment Instrument to Evaluate Protein Quality and the Diversity of Protein Sources in Malaysian Diets.

The diversity of protein food sources, animal and plant, may be a proxy measure of protein quality and adequate protein nutrition. A population-based sample of 1604 Malaysians aged ≥18 y completed one 24-h dietary recall and a new 29-item protein diversity indicator (PDI). Socio-demographic data were obtained by self-report.

Zoledronate reduces loading-induced microdamage in cortical ulna of ovariectomized rats.

As a daily physiological mechanism in bone, microdamage accumulation dissipates energy and helps to prevent fractures. However, excessive damage accumulation might bring adverse effects to bone mechanical properties, which is especially problematic among the osteoporotic and osteopenic patients treated by bisphosphonates. Some pre-clinical studies in the literature applied forelimb loading models to produce well-controlled microdamage in cortical bone.

The French ecology of medical care. A nationwide population-based cross sectional study.

Purpose: Studies in the United States, Canada, Belgium, and Switzerland showed that the majority of health problems are managed within primary health care; however, the ecology of French medical care has not yet been described.

Methods: Nationwide, population-based, cross sectional study. In 2018, we included data from 576,125 beneficiaries from the General Sample of Beneficiaries database.

Quantitative validation of two model-based methods for the correction of probe pressure deformation in ultrasound.

Purpose: The acquisition of good quality ultrasound (US) images requires good acoustic coupling between the ultrasound probe and the patient's skin. In practice, this good coupling is achieved by the operator applying a force to the skin through the probe. This force induces a deformation of the tissues underlying the probe.

Cannabis Use in Physicians: A Systematic Review and Meta-Analysis.

: Cannabis use by physicians can be detrimental for them and their patients. We conducted a systematic review and meta-analysis on the prevalence of cannabis use by medical doctors (MDs)/students. : PubMed, Cochrane, Embase, PsycInfo and ScienceDirect were searched for studies reporting cannabis use in MDs/students.

Implementing an Interprofessional Difficult Airway Response Team to Identify and Manage High-Risk Airways.

Objective: To describe a multidisciplinary approach to and results from the creation of a difficult airway response team (DART) to address the management of inpatient loss of airway events.

Methods: Description of an interprofessional process to establish and sustain a DART program at a tertiary care hospital. An Institutional Review Board-approved retrospective review of the quantitative results was conducted from November 2019 through March 2021.

A retrospective review of out of hospital cardiac arrest at Gillette Stadium: 10 years of experience at a large sports venue.

Introduction: Rates of out-of-hospital cardiac arrest (OHCA) at major sporting events are as high as 0.7 per 100,000 attendees. However, factors contributing to OHCA at mass gatherings have not been well-described.

Impact loading intensifies cortical bone (re)modeling and alters longitudinal bone growth of pubertal rats.

Physical exercise is important for musculoskeletal development during puberty, which builds bone mass foundation for later in life. However, strenuous levels of training might bring adverse effects to bone health, reducing longitudinal bone growth. Animal models with various levels of physical exercise were largely used to provide knowledge to clinical settings.

Uncertainty Estimation in Unsupervised MR-CT Synthesis of Scoliotic Spines.

Uncertainty estimations through approximate Bayesian inference provide interesting insights to deep neural networks' behavior. In unsupervised learning tasks, where expert labels are unavailable, it becomes ever more important to critique the model through uncertainties. This paper presents a proof-of-concept for generalizing the aleatoric and epistemic uncertainties in unsupervised MR-CT synthesis of scoliotic spines.

Direct Aspiration versus Combined Technique for Distal Medium-Vessel Occlusions: Comparison on a Human Placenta Model.

Background And Purpose: Mechanical thrombectomy appears to be a promising option for distal medium-vessel occlusions, for which intravenous thrombolysis is effective but may be insufficient when used alone. This study aimed to determine the optimal technique for these distal mechanical thrombectomies using the human placenta model.

Materials And Methods: Twenty-four procedures were performed, allowing comparison of direct aspiration ( = 12) versus the combined technique ( = 12).

Screen exposure time of children under 6 years old: a French cross-sectional survey in general practices in the Auvergne-Rhône-Alpes region.

Background: The advent of miniature, easy-to-use and accessible multimedia products is leading to screen exposure that begins in early childhood. Overexposure in preschool may lead to adverse effects. The main objective of this study was to determine the average daily time (ADT) spent by children under 6 years of age, followed in general practice, in front of television or interactive screens.

Effect of the COVID-19 pandemic on the psychotropic drug consumption.

Importance: Although the COVID-19 pandemic has had a negative impact on mental health, there is no comprehensive longitudinal study of the entire population of a country without selection bias.

Objective: The objective of this study was to evaluate the prescription of psychotropic drugs during the COVID-19 pandemic, using data from the French national health data system (SNDS).

Design Settings And Participants: Prescriptions for psychotropic drugs (antidepressants, anxiolytics, hypnotics, and antipsychotics) from 1 January 2015 to 30 September 2021 were collected from administrative data provided by the SNDS.

Real-Life Testing of the Prescription Opioid Misuse Index in French Primary Care.

Analgesic opioid (AO) misuse by patients ranges from 0% to 50%. General practitioners are the first prescribers of AO. Our objective was to validate the Prescription Opioid Misuse Index (POMI) in primary care.

A face-to-face national congress experience during the COVID-19 pandemic: A report focussing on the risk of COVID-19 contamination.

Background: The Congress of the National College of Academic General Practitioners took place in France in June 2021. In total, 1300 participants were registered, provoking concerns about the risk of COVID-19 contamination.

Objectives: The study objective was to report participation in the first French face-to-face medical congress after restrictions due to COVID-19 and whether it resulted in COVID-19 contamination.