Publications by authors named "S Ayraud-Thevenot"

Introduction: Increasing emissions of greenhouse gases contribute to climate change. The healthcare sector, and particularly the operating room, is a significant emitter of greenhouse gases. In head-and-neck surgery, pediatric procedures are very common, but few studies have assessed their ecological impact.

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In the face of climate change, Health is mobilizing to find solutions and reduce its environmental impact. The CAP (understand, act and share) sustainable hospital toolbox cited in the roadmap for the Ecological Planning of the French Health System offers 3 original, operational and complementary tools to: (1) acculturate professionals in the sector (Plan Health Faire®), (2) build the establishment strategy (2030 Agenda), and (3) take action with healthcare professionals (The Sustainable Units program).

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Background: Faced with climate change, hospitals are confronted with a dual challenge. On one hand, they need to embark on a far-reaching ecological transformation to reduce their contribution to greenhouse gas emissions and other environmental impacts; on the other hand, they need to limit the effects of climate change on their activities. We aimed to evaluate the knowledge, behaviours, practices, and expectations of health workers in French hospitals regarding climate change and environmental sustainability.

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Patients with end stage kidney disease treated by dialysis (ESKDD) process dialysis sessions to remove molecules usually excreted by kidneys. However, dialysis therapy could also contribute to endocrine disruptors (ED) burden. Indeed, materials like dialyzer filters, ultrapure dialysate and replacement fluid could exposed ESKDD patients to Bisphenol A (BPA) and chlorinated derivatives of BPA (ClxBPAs).

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Article Synopsis
  • Endocrine disrupting chemicals (EDCs) are substances that can negatively affect the endocrine system, and patients with end-stage kidney disease treated by dialysis may be excessively exposed to these chemicals due to impaired elimination and leaching from medical devices.
  • A study reviewed 26 articles to identify specific EDCs, including Bisphenol A (BPA), Bisphenol S (BPS), and Di(2-ethylhexyl) phthalate (DEHP), and found that dialysis patients are particularly vulnerable through their environment and the materials used in dialysis.
  • The study also noted that different dialysis methods affect EDC exposure levels, with peritoneal dialysis showing lower exposure compared to hemodialysis, and highlighted recent European
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