2,123 results match your criteria: "Center for Research "Bordeaux Population Health"[Affiliation]"

Serious Health-Related Suffering Impairs Treatments and Survival in Older Patients With Cancer.

J Pain Symptom Manage

November 2024

CEpiA team, U955 IMRB (M.F., C.M.T., C.J., M.H., P.C., M.L., E.P., F.C.P.), University Paris Est Créteil, Créteil, France; Public Health Department & URC (C.J., F.C.P.), APHP, Henri-Mondor Hospital, Creteil, France.

Article Synopsis
  • Many new cancer cases happen in older people, who often suffer from various problems that can make their treatment harder.
  • The study looked at how different types of suffering, like physical pain and emotional stress, affect cancer treatment and how long older patients might live.
  • Results showed that physical suffering impacts how well cancer can be treated and how long patients survive, and that emotional and family issues also play a role in their health and care needs.
View Article and Find Full Text PDF
Article Synopsis
  • A study investigated how exposure to various air pollutants affects mortality in dialysis patients, using data from 90,373 patients in France between 2012 and 2020.
  • The research found that higher pollution levels were linked to increased all-cause deaths and specifically higher rates of infectious mortality among these patients.
  • Results indicate that air pollution could be a significant factor in the rising deaths related to chronic kidney disease (CKD) globally, with stronger effects observed in women and patients with fewer comorbidities.
View Article and Find Full Text PDF

Importance: Depression is a leading cause of disability. The timing and persistence of depression may be differentially associated with long-term mental health and psychosocial outcomes.

Objective: To examine if depression symptoms during early and middle childhood and adolescence and persistent depression symptoms are associated with impaired young adult outcomes independent of early risk factors.

View Article and Find Full Text PDF

Subjective risk factors of severe pain at discharge from the emergency department.

Intern Emerg Med

August 2024

Univ Lyon, Univ Gustave Eiffel, Univ Claude Bernard Lyon 1, UMRESTTE UMR T 9405, 69622, Bron, France.

Objective: To examine the risk factors for severe pain upon discharge from the emergency department, assuming appropriate pharmacological treatment of pain, in order to improve pain relief in emergency departments and reduce the risk of potential chronic pain.

Methods: An analytic study was conducted utilizing data from a multicenter randomized controlled trial to evaluate patients' experiences upon admission and discharge from the emergency department (ED). Severe pain was defined by a score of six on a numerical rating scale of zero to ten.

View Article and Find Full Text PDF

Background And Objectives: Foster families for older adults could represent a transitional or alternative model to nursing homes. The aim of this study was to describe the clinical characteristics of older adults in foster families and to compare them with those of residents in nursing homes in French West Indies.

Research Design And Methods: This study is a cross-sectional analysis of the KArukera Study of Aging in Foster Families (KASAF) cohort.

View Article and Find Full Text PDF

Cost analysis study comparing the impact of treatment with aprotinin versus tranexamic acid in cardiac surgery under cardiopulmonary bypass.

Ann Pharm Fr

November 2024

CHU de Bordeaux, unité de pharmacie clinique, service pharmacie à usage intérieur, avenue de Magellan, 33604 Pessac, France; Université Bordeaux, Inserm Bordeaux Population Health Research Center team Pharmacoepidemiology, UMR 1219, université de Bordeaux, Case 11, 146, rue Léo-Saignat, 33076 Bordeaux, France; Université Bordeaux, Inserm, biologie des maladies cardiovasculaires, U1034, avenue de Magellan, 33600 Pessac, France. Electronic address:

Article Synopsis
  • Aprotinin was taken off the market in 2008 due to safety concerns but was reintroduced in France in 2018. A study was conducted to compare its effectiveness with tranexamic acid in high-risk cardiac surgery patients.
  • Economic analysis showed no significant difference in overall costs between the two treatments, but the tranexamic acid group incurred higher costs for blood products.
  • The initial higher cost of aprotinin is compensated by the greater expenses of blood products required for patients treated with tranexamic acid.
View Article and Find Full Text PDF

Chéradame, J, Loursac, R, Piscione, J, Carling, C, Decq, P, and Jacqmin-Gadda, H. Impact of weekly training-load structure and content on the risk of injury in professional Rugby Union match-play. J Strength Cond Res 38(9): 1613-1619, 2024-The aim of this study was to investigate the impact of different components of daily training load during the week preceding the match on the risk of sustaining a match injury in professional rugby union.

View Article and Find Full Text PDF
Article Synopsis
  • The announcement of Parkinson's disease (PD) diagnosis often leads to negative emotions for patients, impacting their coping strategies and overall adjustment to the condition.
  • A national French survey involving 397 recent PwPD, along with their caregivers and healthcare professionals, found that 60% of patients were not expecting their diagnosis and 82% experienced negative feelings, particularly influenced by male gender and older age.
  • There is a significant need for improved communication and support during the diagnosis process, as many PwPD and caregivers felt they lacked sufficient information and expressed a desire for multidisciplinary follow-up.
View Article and Find Full Text PDF

Urea Level and Depression in Patients with Chronic Kidney Disease.

Toxins (Basel)

July 2024

Centre for Research in Epidemiology and Population Health (CESP), Clinical Epidemiology Team, Inserm U1018, Paris-Saclay University, 12 Avenue Paul Vaillant Couturier, F-94800 Villejuif, France.

Article Synopsis
  • * In a cohort of 2505 CKD patients, researchers found that while urea levels did not significantly predict new antidepressant prescriptions, higher urea was linked to worsening depressive symptoms over a 5-year follow-up.
  • * The findings suggest a connection between serum urea levels and depression symptoms, highlighting the need for further research to clarify the mechanisms involved.
View Article and Find Full Text PDF

Introduction: Dementia is a multifactorial disease with Alzheimer's disease (AD) and vascular dementia (VaD) pathologies making the largest contributions. Yet, most genome-wide association studies (GWAS) focus on AD.

Methods: We conducted a GWAS of all-cause dementia (ACD) and examined the genetic overlap with VaD.

View Article and Find Full Text PDF
Article Synopsis
  • Cutaneous leishmaniasis (CL) in sub-Saharan Africa is under-researched, and this study aims to review the species of Leishmania, vectors, and reservoirs contributing to human cases in the region.
  • The systematic review analyzed 188 studies and reports, revealing a rise in publications post-2010, with a notable focus on East Africa where species resistance to standard treatments poses challenges for management.
  • Emerging cases and unclear reservoir identification in regions like Sudan and Ghana highlight the need for further research on transmission dynamics and effective treatment options for CL.
View Article and Find Full Text PDF

Cost-effectiveness analysis of community-led HIV self-testing among key populations in Côte d'Ivoire, Mali, and Senegal.

J Int AIDS Soc

July 2024

Department of Epidemiology and Biostatistics, School of Population and Global Health, Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada.

Introduction: HIV self-testing (HIVST) is a promising strategy to improve diagnosis coverage among key populations (KP). The ATLAS (Auto Test VIH, Libre d'Accéder à la connaissance de son Statut) programme implemented HIVST in three West African countries, distributing over 380,000 kits up between 2019 and 2021, focussing on community-led distribution by KP to their peers and subsequent secondary distribution to their partners and clients. We aim to evaluate the cost-effectiveness of community-led HIVST in Côte d'Ivoire, Mali and Senegal.

View Article and Find Full Text PDF

Treatment decisions for neovascular age-related macular degeneration (nAMD) in the setting of individualised treatment regimens are adapted to disease activity. The main marker of disease activity and trigger for re-treatment with anti-vascular endothelial growth factor (anti-VEGF) agents is the presence of retinal fluid on optical coherence tomography (OCT). Recently, attention has focused on the impact of residual retinal fluid on nAMD management.

View Article and Find Full Text PDF

Biomarker-guided therapy is a growing area of research in medicine. To optimize the use of biomarkers, several study designs including the biomarker-strategy design (BSD) have been proposed. Unlike traditional designs, the emphasis here is on comparing treatment strategies and not on treatment molecules as such.

View Article and Find Full Text PDF

Background: In Togo, few data are available on viral hepatitis in street adolescents, a vulnerable population due to their lifestyle. The aim of this study was to describe the lifestyle of street adolescents (sexual practices and drug use), to estimate the prevalence of hepatitis B and C viruses, and to describe their HBV immunization profile in Togo.

Methods: A cross-sectional study was conducted in Lomé (Togo) in July 2021.

View Article and Find Full Text PDF
Article Synopsis
  • Cerebral small vessel disease (cSVD) is a major contributor to stroke and dementia, and currently lacks specific treatments, prompting a study using Mendelian randomization to identify protein associations.
  • The research combined cerebrospinal fluid (CSF) and plasma data with genetic studies to identify 49 proteins linked to cSVD, highlighting 16 that appeared in both fluids and showing connections to immune response and extracellular matrix pathways.
  • Notably, many identified proteins were associated with stroke and dementia, with some already having known drug targets, paving the way for potential new biomarkers and therapies for cSVD.
View Article and Find Full Text PDF

Transcriptome-wide association study and Mendelian randomization in pancreatic cancer identifies susceptibility genes and causal relationships with type 2 diabetes and venous thromboembolism.

EBioMedicine

August 2024

Division of Genetic Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA; Vanderbilt Genetics Institute, Vanderbilt University Medical Center, Nashville, TN, USA; Clare Hall, University of Cambridge, Cambridge, United Kingdom. Electronic address:

Article Synopsis
  • This study investigates the genetic factors influencing pancreatic adenocarcinoma (PDAC) risk and its relationship with type 2 diabetes (T2D) and venous thromboembolism (VTE).
  • It analyzed data from 8,803 PDAC patients and 67,523 controls, using genetic analysis to identify 16 associated genes, including six novel ones.
  • Findings suggest that specific genes (HNF4G and PDX1) may link PDAC to T2D, while ABO may indicate a causal relationship of VTE affecting PDAC, calling for more research on these genetic influences.
View Article and Find Full Text PDF

Introduction: To eliminate cervical cancer (CC), access to and quality of prevention and care services must be monitored, particularly for women living with HIV (WLHIV). We assessed implementation practices in HIV clinics across sub-Saharan Africa (SSA) to identify gaps in the care cascade and used aggregated patient data to populate cascades for WLHIV attending HIV clinics.

Methods: Our facility-based survey was administered between November 2020 and July 2021 in 30 HIV clinics across SSA that participate in the International epidemiology Databases to Evaluate AIDS (IeDEA) consortium.

View Article and Find Full Text PDF
Article Synopsis
  • Blood pressure variability (BPV) affects brain health and can lead to issues like depression, cognitive impairment, and dementia, but the exact mechanisms are not well understood.
  • A review of studies revealed inconsistent data on the link between BPV and depression or anxiety due to differing methods and measurements used in research.
  • Overall findings suggest that while BPV may relate to brain health, the connection to brain structures important for cognition is likely independent of depression and has only a modest link to anxiety.
View Article and Find Full Text PDF

Epidemiology of travel-associated dengue from 2007 to 2022: A GeoSentinel analysis.

J Travel Med

October 2024

Department of Infectious Tropical Diseases and Microbiology, IRCCS Sacro Cuore-Don Calabria Hospital, Negrar di Valpolicella, Verona, Italy.

Article Synopsis
  • Dengue poses a significant health risk to international travelers, with 5,958 cases reported from 2007 to 2022 at GeoSentinel sites, where 81.6% were confirmed cases.
  • The study revealed that the median age of affected travelers was 33 years, with the majority traveling for tourism and acquiring the virus primarily in South East Asia.
  • Complicated cases of dengue were rare, with only 1.6% of travelers experiencing complications; however, there is a crucial need for awareness and preventive measures among travelers heading to endemic areas.
View Article and Find Full Text PDF

Geographical coverage of SARS-CoV-2 screening and care centers in Haiti: what do national surveillance data tell us?

BMC Public Health

June 2024

University of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health Research Centre, Bordeaux, France.

Background: In Haiti, reported incidence and mortality rates for COVID-19 were lower than expected. We aimed to analyze factors at communal and individual level that might lead to an underestimation of the true burden of the COVID-19 epidemic in Haiti during its first two years.

Methods: We analyzed national COVID-19 surveillance data from March 2020 to December 2021, to describe the epidemic using cluster detection, time series, and cartographic approach.

View Article and Find Full Text PDF

Health expectancies (HEs) have become a key indicator for monitoring healthy aging. So far, they have mainly been calculated based on functional rather than subjective health measures. Yet, by integrating several dimensions (medical, social, and cultural), subjective health is also an important measure of an older person's health status.

View Article and Find Full Text PDF
Article Synopsis
  • Health professionals in the Kara region of Togo lack training and resources related to dengue fever, with only 3% receiving relevant training in the past 3 years and 10% having access to diagnostic tests.
  • The study found that while nearly half of the surveyed healthcare workers had good knowledge of dengue, only 30% showed positive attitudes, and only 9.4% applied appropriate practices when diagnosing and treating the disease.
  • Ongoing training for healthcare workers was shown to significantly improve their ability to diagnose and manage dengue fever, highlighting the need for enhanced education and resource availability in Togo.*
View Article and Find Full Text PDF