799 results match your criteria: "Departement universitaire[Affiliation]"

Background: Symptoms frequently associated with endometriosis affect quality of life (QoL). Our aim investigated the hypothesis that cluster analysis can be used to identify homogeneous phenotyping subgroups of women according to the burden of the endometriosis for their QoL, and then to investigate the phenotype differences observed between these subgroups.

Methods: We developed an anonymous online survey, which received responses from 1,586 French women with endometriosis.

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Temporomandibular joint septic arthritis: a report of thirteen cases and a systematic review of the literature.

Rheumatol Int

January 2025

Department of Oral and Maxillofacial Surgery, U1008 - Advanced Drug Delivery Systems, Univ. Lille, CHU Lille, INSERM, Lille, F-59000, France.

Introduction: Temporomandibular joint (TMJ) septic arthritis is a rare frequently misdiagnosed condition with non-specific symptoms. We present our experience of thirteen cases of TMJ septic arthritis and perform a systematic review of the literature to collate the multiple characteristics of this condition.

Material And Method: A total of 133 cases of TMJ septic arthritis in humans across 62 studies were analyzed by searching PubMed, Cochrane Library, DOAJ and ClinicalTrials.

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Background: : With more than 60 million new cases around the world each year, traumatic brain injury (TBI) causes substantial mortality and morbidity. Managing TBI is a major human, social, and economic concern. In the last 20 years, there has been an increase in clinical trials in neurocritical care, leading mostly to negative results.

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Treatment of attention-deficit/ hyperactivity disorder (ADHD) in patients with a substance use disorder (SUD) and comorbid ADHD (SUD +ADHD) may have positive effects on the outcome of both conditions, but controversy exists regarding the preferred ADHD treatment in these patients. Little is known about the treatments that are provided for these patients in routine addiction care practice and the factors that are associated with treatment provision. To describe the treatments provided in everyday clinical practice and to explore factors associated with ADHD treatment provision in patients with SUD +ADHD.

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A French regional survey of the role of general practitioners in the follow-up of patients with post-intensive-care syndrome (PICS).

Anaesth Crit Care Pain Med

December 2024

Département d'Anesthésie-Réanimation et Médecine Périopératoire, Centre Hospitalier Universitaire de Saint-Etienne, 42055 Saint-Etienne, France; Université de Lyon, UJM-Saint-Etienne, Laboratoire Interuniversitaire de Biologie de la Motricité, EA 7424, F-42023, Saint-Etienne, France.

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Article Synopsis
  • The study aims to refine the D. Dejour trochlear dysplasia classification by using quantitative MRI measurements to enhance objectivity and repeatability.
  • Researchers analyzed adult knee MRIs to establish thresholds for sulcus angle and lateral trochlear inclination, leading to a classification system that differentiates levels of trochlear dysplasia based on MRI findings.
  • The new classification demonstrates high sensitivity (87%) for diagnosing objective patellar instability and achieves excellent interobserver agreement, indicating its reliability for clinical use.
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Hypoxia (HY) and sleep deprivation have opposite effects on appetite. As HY may alter sleep, it may be informative to assess the accumulative effects of these two stressors on hunger, energy intake (EI), and food reward. Seventeen young, active, healthy males completed four 5-hr sessions in normoxia (NO) or normobaric HY (FIO2 = 13.

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According to the World Health Organization, air pollution is responsible for 90 % of deaths in Africa. However, limited data on exposure to air pollution is available, and studies are rare, particularly in French-speaking Africa. This study aims to investigate the impact of air pollution on mortality in 12 French-speaking African countries (Algeria, Burkina Faso, Burundi, Cameroon, Guinea, Ivory Coast, Madagascar, Mali, Morocco, Democratic Republic of Congo, Senegal, Tunisia).

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Development and validation of a training course on proton pump inhibitor deprescription for general practitioners in a rural continuing medical education program: a pilot study.

BMC Med Educ

October 2024

Department of Gastroenterology and Pancreatology, Toulouse Rangueil University Hospital, Université Toulouse Paul Sabatier, 1 avenue Jean Poulhès, TSA 50032, Toulouse Cedex 9, 31059, France.

Background: Despite being cornerstone medications for managing gastrointestinal disorders, proton pump inhibitors (PPI) have raised concerns due to inappropriate prescribing and overutilization, their potential side effects, and interactions with other medications. General practitioners (GPs) provide long-term patient follow-up and are targets to promote PPI deprescribing to reach the widest possible population. GPs practicing in rural settings encounter unique challenges as their numbers dwindle and their workload increases.

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Background: People with prediabetes are at high risk of developing type 2 diabetes (T2D). This study evaluates clinical, sociodemographic characteristics, and Finnish Diabetes Risk Score (FINDRISC) of individuals with prediabetes recruited in primary care by their general practitioner (GP) for PREDIABRUN study.

Methods: PREDIABRUN, a prospective cohort study in primary care on Reunion Island, aimed to identify risk factors for developing T2D in 500 adults with prediabetes (18-70 years) between July 2019 and December 2022.

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Article Synopsis
  • Vulnerable social groups struggle with accessing quality care, particularly for cervical cancer screening via Cervico-Uterine Smear (CUS), highlighting the need for effective primary care systems.
  • A study in France examined data from 695,694 women aged 25 to 64 in 2012, revealing that 29% underwent CUS, primarily by gynecologists, with significant screening rate disparities based on age, location, and socioeconomic status.
  • The findings suggest that involving General Practitioners in cervical screening could enhance equality in access to care, particularly for deprived populations, emphasizing the importance of organizing health systems around primary care.
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Aim: Height velocity is considered a key auxological tool to monitor growth, but updated height velocity growth charts are lacking. We aimed to derive new French height velocity growth charts by using a big-data approach based on routine measurements.

Methods: We extracted all growth data of children aged 1 month-18 years from the electronic medical records of 42 primary care physicians, between 1 January 1990 and 8 February 2018, throughout the French metropolitan territory.

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Correction to: Patterns of Pregabalin Users from Substance Abuse Treatment Facilities: Results from the French OPPIDUM Program from 2008 to 2022.

CNS Drugs

October 2024

Service de Pharmacologie Clinique et Pharmacosurveillance, Centre d'évaluation et d'information sur la pharmacodépendance - Addictovigilance Aix Marseille Univ, APHM, INSERM, Inst Neurosci Syst, UMR 1106, University Hospital, 270 boulevard Sainte Marguerite, 13009, Marseille, France.

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IL-17 inhibitors in axial spondyloarthritis. An overview.

Expert Opin Biol Ther

September 2024

Centre d'Investigation Clinique, INSERM CIC-1434, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.

Introduction: The therapeutic armamentarium for spondyloarthritis has expanded considerably in recent years, and there is growing evidence to support the increasing use of IL-17 inhibitors (IL-17i) in axial spondyloarthritis (axSpA).

Areas Covered: This literature review provides an update on the role of IL-17 in the pathogenesis of axSpA, efficacy and safety from clinical trials and real-life studies on the use of IL17i in axSpA. We also review the impact of extra-musculoskeletal manifestations on the decision to treat with IL17i and the efficacy of IL17i on structural progression.

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Managing older patients with oral targeted cancer therapies in primary care: A qualitative study.

J Geriatr Oncol

November 2024

UMR 1302 Institut Desbrest d'Épidémiologie et de Santé Publique, INSERM, Université de Montpellier, Montpellier, France; Service de médecine gériatrique, CHU Carémeau, Nîmes, France. Electronic address:

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The pipeline of immunomodulatory therapies in polymyalgia rheumatica and giant cell arteritis: A systematic review of clinical trials.

Autoimmun Rev

September 2024

Service de Rhumatologie, Centre National de Référence des Maladies Auto-immunes et Systémiques Rares (RESO), Hôpitaux Universitaires de Strasbourg, F-67000 Strasbourg, France; Département Universitaire de Pharmacologie, Addictologie, Toxicologie et Thérapeutique (DUPATT), Université de Strasbourg, Strasbourg, France; Center for Clinical Investigation, INSERM U1434, Strasbourg, France. Electronic address:

Introduction: The objective of this systematic review was to provide an overview of current developments and potentially available therapeutic options for polymyalgia rheumatic (PMR) and giant cell arteritis (GCA), in the coming years.

Methods: We conducted a systematic review of 17 national and international clinical trial databases for all disease-modifying anti-rheumatic drugs (DMARDs) for PMR and GCA that are already marketed, in clinical development or withdrawn. The search was performed on January 2024, with the keywords "polymyalgia rheumatica" and "giant cell arteritis".

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Objective: translate and adapt the Facilitator Competency Rubric to the Portuguese language and the Brazilian culture, and analyze the measurement properties.

Method: methodological study that completed the steps of translation, synthesis of translations, back translation, review by a Committee of Experts composed of 7 professionals, testing of the pre-final version with 33 simulation facilitators, and submission to the author of the original instrument. For content validation, the Content Validity Index and the modified Kappa Coefficient were calculated.

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Patterns of Pregabalin Users from Substance Abuse Treatment Facilities: Results from the French OPPIDUM Program from 2008 to 2022.

CNS Drugs

September 2024

Service de Pharmacologie Clinique et Pharmacosurveillance, Centre d'évaluation et d'information sur la pharmacodépendance - Addictovigilance Aix Marseille Univ, APHM, INSERM, Inst Neurosci Syst, UMR 1106, University Hospital, 270 boulevard Sainte Marguerite, 13009, Marseille, France.

Introduction: In recent years, pregabalin has received growing attention due to its abuse liability. The aim of this study was to further characterize patterns of pregabalin users from substance abuse treatment facilities and detect changes in users profile over the study period.

Methods: The data source was the Observation des Produits Psychotropes Illicites ou Détournés de leur Utilisation Médicamenteuse (OPPIDUM) program, an annual, repeated, cross-sectional, nationwide, multicenter survey that collects consumption data from patients with substance use disorders.

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Advanced practice nursing implementation in France: A mixed-method study.

J Adv Nurs

December 2024

Inserm U1094, IRD U270, Univ. Limoges, CHU Limoges, EpiMaCT-Epidemiology of Chronic Diseases in Tropical Zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, Limoges, France.

Aim(s): To describe advanced practice nursing (APN) in the French healthcare landscape and to provide insights on how the role is defined and implemented and how the role is perceived by physicians.

Design: A mixed-method approach incorporating qualitative and quantitative data to offer a global understanding of APN implementation in France was used.

Methods: Data were collected through questionnaires and interviews with APNs and physicians in diverse healthcare settings in France.

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Therapeutic patient education programs on diabetes in sub-Saharan Africa: A systematic review.

PLoS One

June 2024

Institute of Epidemiology and Tropical Neurology, Inserm U1094, IRD UMR270, University Limoges, CHU Limoges, EpiMaCT - Epidemiology of Chronic Diseases in Tropical Zone, OmegaHealth, Limoges, France.

Background: Diabetes is a chronic disease associated with the potential for blindness, kidney failure, heart attacks, strokes, and lower limb amputations. The global prevalence of diabetes is rising, particularly in the sub-Saharan African (SSA) region, where accessing treatment and antidiabetic drugs is complex, leading to challenges in managing the condition. Intentional and structured therapeutic education has demonstrated its ability to enhance health outcomes in diabetes patients.

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Article Synopsis
  • A study is investigating whether flow cytometric analysis of myeloperoxidase expression in peripheral blood can accurately rule out myelodysplastic neoplasm (MDS), potentially reducing unnecessary bone marrow aspirations for about 35% of patients.
  • The MPO-MDS-Valid project involves recruiting 400 patients from multiple hospitals in France to validate the testing method by comparing it to established diagnoses made by experienced hematopathologists.
  • The research has been ethically approved, and results will be shared through publication to inform medical practice and improve patient care.
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[Stereotactic radiation therapy for liver tumours].

Rev Med Liege

May 2024

Département universitaire de Radiothérapie, Centre Oscar Lambret, Lille, France.

Liver lesions are common in oncology, and various focal treatments can be used, such as surgery, chemoembolization, radiofrequency, and systemic treatment. However, these treatments are often not feasible for a number of reasons, including the patient's general health or the characteristics of the lesion itself. Additionally, localized relapses may occur after focal treatments.

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GPs' practices when prescribing buprenorphine in primary care: A survey among the Sentinelles network.

Therapie

November 2024

Département universitaire de médecine générale, faculté de médecine, université de Toulouse, 133, route de Narbonne, 31063 Toulouse, France; CERPOP, Inserm, UPS, université de Toulouse, 31000 Toulouse, France; MSPU de Pins Justaret, 31860 Pins Justaret, France. Electronic address:

Introduction: France is a leading country for opioid agonist treatment providing, with a predominance of buprenorphine. General practitioners (GPs) are the main prescribers of buprenorphine, but they seem to be less involved over the last 10 years. This work is the second part of a larger study analysing buprenorphine prescribing among French GPs working in primary care, and aims to describe GPs' practices when prescribing buprenorphine.

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Promoting clinical research in community-based practice: Threats and opportunities.

Ann Dermatol Venereol

June 2024

Centre de Preuves en Dermatologie, Société Française de Dermatologie, 10 Cité Malesherbes, 75009 Paris, France; AP-HP, Hôpital Pitié-Salpêtrière, consultation dermatoses faciales, Paris, France.

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