In June 2020, 32,000 people began HIV Pre-exposure prohylaxis (PrEP) in France. The objective of this work is to propose PrEP for migrants in city medical offices in collaboration with hospitals. This is happening in the Goutte d’Or neighborhood of Paris where one-third of the inhabitants were born abroad [1]. The Goutte d’Or multidisciplinary and multi-site health center (MSP), composed of independent health professionals, hosted this study.The obstacles to overcome are multifold, notably talking about sexuality and presenting a prevention method that is little known to people in migratory situations. In addition, the first prescription of ARVs in this period had to be given by a hospital doctor (until June 1st 2021) [2].The working hypothesis is that general practitioners can overcome these obstacles within the framework of a protocol defining the discussions on sexuality and the organization of a PrEP consultation along with the GP and a hospital doctor within the city doctor’s office.The study took place between March 1st 2018 and October 31st 2020. 180 questionnaires concerning opportunities for PrEP were distributed by general practitioners (GP) and a midwife from the MSP. 43 people were identified as qualifying for the PrEP. 24 PrEP were prescribed, 23 continuously, and one on demand. A semi-directive interview on sexual health was proposed to the 43 people identified for PrEP consultations.The in-depth interviews confirmed that although sexual health may not be the primary interest of the consultants, there are nevertheless real needs that are not often taken into account.
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http://dx.doi.org/10.3917/spub.223.0383 | DOI Listing |
RMD Open
December 2024
Division of Rheumatology, Geneva University Hospitals, Geneva, Switzerland.
Objectives: We propose and test a framework to detect disease diagnosis using a recent large language model (LLM), Meta's Llama-3-8B, on French-language electronic health record (EHR) documents. Specifically, it focuses on detecting gout ('goutte' in French), a ubiquitous French term that has multiple meanings beyond the disease. The study compares the performance of the LLM-based framework with traditional natural language processing techniques and tests its dependence on the parameter used.
View Article and Find Full Text PDFEnviron Pollut
January 2025
Centre for Environmental and Climate Science, Lund University, Sweden.
Urban environments are exposed to a substantial range of anthropic pressures, including chemical exposure. While trace metals and legacy pollutants have been well documented, the extent of wildlife exposure to emerging contaminants has received little attention, in terrestrial mammals. Concentrations of trace elements (Ag, Al, As, Cd, Co, Cr, Cu, Fe, Mn, Pb and Zn) and 48 organic pollutants (Polychlorinated Biphenyls: PCBs, Organochlorine Pesticides: OCPs, Polycyclic Aromatic Hydrocarbons: PAHs, phthalates and pyrethroid pesticides) were measured in tissues of European hedgehogs (Erinaceus europaeus) in southern Sweden.
View Article and Find Full Text PDFEnviron Sci Pollut Res Int
December 2024
EPHE-PSL, Sorbonne Université, CNRS, UMR 7619 METIS, 75005, Paris, France.
Freshwater environments are biodiversity hotspots under multiple pressures, including pesticide exposure. S-metolachlor, a widely used herbicide, can induce genotoxic, cytotoxic and physiological effects in captive fish, but we have a limited understanding of the effects of exposure to S-metolachlor in free-living vertebrates. We carried out an original field experiment using integrative approaches across biological levels and temporal scales.
View Article and Find Full Text PDFSci Total Environ
December 2024
Centre d'études biologiques de Chizé, CNRS, UMR 7372, Villiers en Bois, France; School of Life Sciences, Arizona State University, Tempe, AZ, USA.
Metallic trace elements (MTEs) constitute a major source of chemical pollution and represent a threat to aquatic ecosystems and organisms. Important variation in contamination may exist at a local scale in relation to the environment (hydrosystem, trophic ressources) and individual traits (age, sex). Heretofore, the factors influencing MTEs exposure of freshwater reptiles in temperate regions are not fully understood.
View Article and Find Full Text PDFBMC Genomics
November 2024
School of Biology and Environmental Science, University College Dublin, Belfield Campus, Dublin 4, Ireland.
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