253 results match your criteria: "CEReSS-Health Service Research and Quality of Life Center[Affiliation]"

Morbidity and mortality in a prospective cohort of people who were homeless during the COVID-19 pandemic.

Front Public Health

October 2023

CEReSS - Health Service Research and Quality of Life Center, EA 3279: CEReSS - Health Service Research and Quality of Life Center, School of medicine - La Timone Medical Campus, Aix-Marseille University, Marseille, France.

Introduction: Certain living conditions, such as homelessness, increase health risks in epidemic situations. We conducted a prospective observational cohort study to investigate the impact of the COVID-19 pandemic on morbidity and mortality in adult people who were homeless.

Methods: The study population comprised around 40% of the entire population experiencing homelessness in Marseille.

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Sleep timing, workplace well-being and mental health in healthcare workers.

Sleep Med

November 2023

Assistance Publique des Hôpitaux de Marseille, Aix-Marseille University, CEReSS-Health Service Research and Quality of Life Center, 27, boulevard Jean -Moulin, 13005, Marseille, France; Fondation FondaMental, Créteil, France. Electronic address:

Introduction: Healthcare workers face an elevated risk of burnout, sleep disorders, and mental health issues, potentially stemming from the misalignment of their circadian rhythm due to nonstandard work schedules. This cross-sectional survey aims to examine the connections between sleep timing, workplace well-being (including burnout and absenteeism), and mental health outcomes (specifically depression and poor sleep) in healthcare workers. Additionally, the survey takes into account individual and professional factors, as well as the interaction with work schedules.

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Article Synopsis
  • This study analyzes a large cohort of over 1.6 million children in Korea born between 2009 and 2015 to examine the protective effects of breastfeeding against hospital admissions.
  • Findings reveal that children who were exclusively breastfed had a 15% lower hospital admission rate compared to those who were fully formula-fed, while partially breastfed children had a 12% lower admission rate.
  • The protective benefits of breastfeeding appear to decrease as children age, highlighting the importance of promoting breastfeeding, especially for at least the first 6 months, as a key public health strategy.
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Poor sleep is associated with work environment among 10,087 French healthcare workers: Results from a nationwide survey.

Psychiatry Res

October 2023

Assistance Publique des Hôpitaux de Marseille, Aix-Marseille University, CEReSS-Health Service Research and Quality of Life Center, 27, boulevard Jean -Moulin, 13005, Marseille, France; Fondation FondaMental, Créteil, France. Electronic address:

Poor sleep is a prevalent issue among healthcare workers and can have detrimental effects on their health. Various individual and professional factors, including the work environment, may contribute to poor sleep. However, only a limited number of studies have examined the simultaneous influence of these factors.

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Importance: In individuals with schizophrenia, antipsychotic-induced dysfunctions are frequent but often underexplored in clinical practice.

Objective: To synthetize the data of observational studies exploring the prevalence of sexual dysfunction in individuals with schizophrenia-spectrum disorders as well as associated factors.

Data Sources: A systematic literature search without language or time restrictions was conducted in Google, Google Scholar, PubMed/MEDLINE, Science Direct, and Université Sorbonne Paris Cité for studies published up to June 8, 2022.

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Rationale and design of the ULYSS trial: A randomized multicenter evaluation of the efficacy of early Impella CP implantation in acute coronary syndrome complicated by cardiogenic shock.

Am Heart J

November 2023

Aix-Marseille Université, F-13385 Marseille, France; Intensive Care Unit, Department of Cardiology, Assistance Publique-Hôpitaux de Marseille, Hôpital Nord, F-13385 Marseille, France; Mediterranean Association for Research and Studies in Cardiology (MARS Cardio), Marseille, France.

Article Synopsis
  • Despite advancements in treating acute myocardial infarction complicated by cardiogenic shock (AMICS), patients still face high incidence and mortality rates, prompting investigation into better treatment options.
  • The ULYSS trial plans to evaluate the effectiveness of the IMPELLA CP device in enhancing patient outcomes compared to standard treatment during percutaneous coronary intervention.
  • This study will focus on short-term outcomes like death and the need for advanced support at one month, while also reviewing long-term safety, efficacy, and costs of the treatment.
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Article Synopsis
  • Diabetic retinopathy (DR) is a serious complication of diabetes that leads to vision loss, and current risk factors are not effective in early detection.
  • A study analyzed plasma samples from type 2 diabetes patients with varying stages of DR, discovering significant differences in 69 metabolites and 85 lipid species between those with and without the condition.
  • The findings highlighted specific metabolic pathways linked to DR and identified potential plasma biomarkers that could improve early diagnosis and personalized treatment strategies.
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Introduction: The uptake rate of colorectal cancer screening remains insufficient in France and decreases as the level of deprivation increases. Participants’ health literacy appears to be an important determinant of screening uptake.

Aim Of The Study: The aim of this study, nested in our multicenter-randomized controlled trial, was to present the development and acceptability of interventional material (training and a pictorial brochure) for general practitioners and healthcare users in disadvantaged geographical areas using a participatory involvement approach.

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BDNF as potential biomarker of epilepsy severity and psychiatric comorbidity: pitfalls in the clinical population.

Epilepsy Res

September 2023

APHM, Timone Hospital, Epileptology and Cerebral Rhythmology, Marseille, France; Aix Marseille Univ, INSERM, INS, Inst Neurosci Syst, Marseille, France.

Article Synopsis
  • The study investigated the role of brain-derived neurotrophic factor (BDNF) in epilepsy, specifically looking at its potential as a biomarker for epilepsy severity and related psychiatric conditions.
  • It analyzed serum BDNF levels in epilepsy patients from four centers in France, while documenting various clinical characteristics and conducting psychiatric screenings.
  • The results showed no significant correlation between serum BDNF levels and epilepsy features or depression, but found that the presence of anti-seizure medications (ASM) was linked to increased BDNF, especially with valproate and perampanel.
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Health-promoting work schedules among nurses and nurse assistants in France: results from nationwide AMADEUS survey.

BMC Nurs

August 2023

CEReSS-Health Service Research and Quality of Life Center, Assistance Publique des Hôpitaux de Marseille, Aix-Marseille University, 27, boulevard Jean -Moulin, Marseille, 13005, France.

Background: The study aimed to investigate the relationship between different work schedules and self-reported working conditions and health risk behaviours among nurses and nurse assistants (NNA) in France. It hypothesized that work schedules, particularly long shifts, could impact work-life balance, workload, stress levels, burnout, and smoking habits. NNA had the option to work either with a 7-hour schedule, 5 days per week, or with long work schedules consisting of ten to twelve-hour shifts, three days per week.

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Effectiveness and Costs of Molecular Screening and Treatment for Bacterial Vaginosis to Prevent Preterm Birth: The AuTop Randomized Clinical Trial.

JAMA Pediatr

September 2023

Department of Infectious Diseases, Hopital de la Timone, Assistance Publique-Hopitaux de Marseille, IHU-Méditerranée Infection, Marseille, France.

Importance: Bacterial vaginosis (BV) is a well-known risk factor for preterm birth. Molecular diagnosis of BV is now available. Its impact in the screening and treatment of BV during pregnancy on preterm births has not been evaluated to date.

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Mental disorders are the leading cause of diminished lifespans worldwide and make up 5 of the top 10 most significant causes of disability [...

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Factors associated with COVID-19 severity in patients with spondyloarthritis: Results of the French RMD COVID-19 cohort.

Joint Bone Spine

December 2023

Department of Rheumatology, Aix-Marseille université, AP-HM, CHU de Sainte-Marguerite, 270, boulevard Sainte-Marguerite, 13009 Marseille, France. Electronic address:

Objectives: The objective of the current study was to evaluate the severity of COVID-19 and identify factors associated with severe disease outcomes in patients with spondyloarthritis (SpA), a chronic inflammatory rheumatic and musculoskeletal disease (RMD).

Methods: We utilized patient data from the French national multicenter RMD COVID-19 cohort (NCT04353609). The primary outcome was to describe COVID-19 characteristics in patients with SpA based on disease severity of COVID-19 (mild, moderate or severe) with serious infection including moderate and severe cases.

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Cannabidiol (CBD) in psychiatric clinical practice: Current data.

Encephale

August 2023

Department de psychiatrie universitaire, CEReSS-Health Service Research and Quality of Life Center, hôpitaux universitaires de Marseille, EA 3279: Aix-Marseille université, 27, boulevard Jean-Moulin, 13005 Marseille, France.

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Purpose: In the context of pediatric cancer, siblings' adaptation and needs have been previously investigated; however, research on the long-term consequences on siblings, especially on their family environment, is scarce. We aimed to (1) assess the family functioning (FF) perceived by siblings of childhood leukemia survivors long after diagnosis and (2) explore characteristics likely associated and investigate associations with psycho-behavioral and social factors.

Methods: Childhood leukemia survivors' siblings older than 11 years were recruited through the LEA cohort, a French long-term follow-up program, and completed the family assessment device (FAD).

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Diagnostic Value of the International Society of Cardio-Oncology Definition for Suspected Immune Checkpoint Inhibitor-Associated Myocarditis.

J Am Heart Assoc

April 2023

Unit of Heart Failure and Valvular Heart Diseases, North Hospital, Assistance Publique-Hôpitaux de Marseille, Center for CardioVascular and Nutrition Research (C2VN), Inserm 1263, Inrae 1260 Department of Cardiology, Aix-Marseille University, University Mediterranean Center of Cardio-Oncology Marseille France.

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Purpose: After childhood leukemia and hematopoietic stem cell transplantation, hormone replacement therapy is often required to induce puberty because of premature ovarian insufficiency. Observance of this kind of treatment in adolescents and young women seems quite poor, and literature about its acceptance remains scarce; in order to learn about their experience and to better understand their attitude towards hormone replacement therapy, we used qualitative methods.

Design And Patients: 13 young women childhood cancer survivors completed an individual interview.

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Objectives: Our goal was to evaluate the association between the distance of the tumour to the visceral pleura and the rate of local recurrence in patients surgically treated for stage pI lung cancer.

Methods: We conducted a single-centre retrospective review of 578 consecutive patients with clinical stage IA lung cancer who underwent a lobectomy or segmentectomy from January 2010 to December 2019. We excluded 107 patients with positive margins, previous lung cancer, neoadjuvant treatment and pathological stage II or higher status or for whom preoperative computed tomography (CT) scans were not available at the time of the study.

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End-stage kidney disease (ESKD) is associated with a substantial economic burden. In France, the cost of care for such patients represents 2.5% of the total French healthcare expenditures but serves less than 1% of the population.

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Background: Although previous studies have provided data on early pandemic periods of alcohol and substance use in adolescents, more adequate studies are needed to predict the trends of alcohol and substance use during recent periods, including the mid-pandemic period. This study investigated the changes in alcohol and substance use, except tobacco use, throughout the pre-, early-, and mid-pandemic periods in adolescents using a nationwide serial cross-sectional survey from South Korea.

Methods: Data on 1,109,776 Korean adolescents aged 13-18 years from 2005 to 2021 were obtained in a survey operated by the Korea Disease Control and Prevention Agency.

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High-level burnout in physicians and nurses working in adult ICUs: a systematic review and meta-analysis.

Intensive Care Med

April 2023

CEReSS-Health Service Research and Quality of Life Center, Aix-Marseille University, 27 Boulevard Jean Moulin, 13005, Marseille, France.

Purpose: The prevalence of burnout in intensive care unit (ICU) professionals is difficult to establish due to the variety of survey instruments used, the heterogeneity of the targeted population, the design of the studies, and the differences among countries regarding ICU organization.

Methods: We performed a systematic review and meta-analysis examining the prevalence of high-level burnout in physicians and nurses working in adult ICUs, including only studies that use the Maslach Burnout Inventory (MBI) as a tool to evaluate burnout and involving at least 3 different ICUs.

Results: Twenty-five studies with a combined population of 20,723 healthcare workers from adult ICUs satisfied the inclusion criteria.

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Untreated major depression in healthcare workers: Results from the nationwide AMADEUS survey.

J Clin Nurs

November 2023

Assistance Publique des Hôpitaux de Marseille, CEReSS-Health Service Research and Quality of Life Center, Aix-Marseille University, Marseille, France.

Aims: Recent studies have suggested increased rates of depression in healthcare workers (HCWs), with direct impact on care quality and productivity. The objective was to determine the proportion of HCWs adequately treated for their major depression in a nationwide survey, the proportion of lifestyle risk factors for depression, and to determine if working in psychiatry department or professional status may modulate these outcomes.

Design: The method followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement guidelines.

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Article Synopsis
  • Burnout is common among healthcare workers, with sleep issues identified as potential risk factors; a study aimed to evaluate sleep health and its link to burnout while considering anxiety and depression.
  • Conducted in summer 2020, the survey included 1069 French healthcare workers, where 44.3% reported good sleep health and 13.4% experienced emotional exhaustion, highlighting differences by gender and profession.
  • Results showed that good sleep health significantly reduces the likelihood of emotional exhaustion, indicating the need for more research to determine how promoting sleep health can help lower burnout.
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In schizophrenia, it is currently thought that stigma experience is increased by psychotic and depressive symptomatology, exposure to stigma at the workplace, and that self-stigma levels vary across countries without knowing the factors explaining these variations. The aim of the present meta-analysis was to synthetize the data of observational studies comprehensively exploring multiple self-stigma dimensions and associated factors. A systematic literature search without language or time restrictions was conducted in Medline, Google Scholar, and Web of Science for studies, last 09/2021.

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