[Overview of clinical skills used by IPAs and collaboration with medical staff].

The creation of advanced practice nursing has led to the emergence of a new link in the healthcare chain. The advanced practice nurse (APN) has seen his nursing skills broadened, particularly clinical skills, and is gradually finding his place in the multi-professional team. This survey presented here explores the clinical skills mobilized by APN and his collaboration with medical professionals within a team of professionals from the Loire-Atlantique regional hospital grouping.

[Diagnosis of possession by a djinn in a transcultural consultation].

The transcultural approach is indicated for complex cases where the cultural dimension is useful in fully understanding a problem. The cultural coding of certain symptoms, such as trance or possession, can be difficult to achieve in conventional individual therapy. The clinical case of Aïcha, originally from Morocco, referred by her psychiatrist for a transcultural opinion, illustrates a reflection on diagnostic elaboration in the face of possession by a djinn.

[ETP and transcultural clinics in health centers in French Guiana].

French Guiana is a "transcultural world" in its own right, with its indigenous "inland" populations, highly isolated from the healthcare system, more affected by chronic cardiometabolic and infectious diseases than either the coast or mainland France. Transcultural clinics and therapeutic patient education (TPE) therefore play a key role. French Guiana is a pioneer in TPE, health mediation and the practice of "outreach" via local hospitals, delocalized specialty consultations and so on.

[Continuity of care and the power of narrative in perinatal psychotrauma].

With the help of clinical vignettes, the authors present their approach to maternity care for exiled pregnant women at risk of psychotrauma. They emphasize the importance of co-constructing a life story to bridge discontinuities, and of working as a team with continuity to avoid further breakdowns. At stake is the birth of a baby, which may suffer from psychotraumatic sharing without adequate support.

[Play and relational and transcultural issues in occupational therapy].

In occupational therapy, intersubjective movements unfold between the professional and the patient at several levels: in the therapeutic relationship, through the activity and within the institution. A psychodynamic reading of these movements helps to develop working hypotheses. When the person being cared for and the occupational therapist are from different cultures, specific unconscious relational movements are at work.

[The question of cultural transference and countertransference in transcultural clinical practice].

Through a clinical analysis of the cultural transfers and counter-transfers at play in the exchange between a nurse and a young unaccompanied minor, the authors propose a reflection on the question of transcultural encounters in healthcare. What recognition should be given to otherness, so as not to reduce the other to his or her difference, but rather to support him or her in the construction of an identity at the heart of the issue of métissage?

[The cultural counter-transference of the caregiver in detention].

Cultural counter-transference between the different actors in the prison environment can be very strong. However, it is rarely taken into account when analyzing the interactions that healthcare professionals may have with prison officers and inmates. Health professionals working in the medical-psychological service are confronted with a number of cleavages, which could have less impact on them and their care if these counter-transferential movements were better taken into account.

[The female genital mutilation: the current situation and the role of healthcare workers in the fight against excision].

Female genital mutilation: the current situation and the role of healthcare workers in combating excision. Female genital mutilation/cutting (FGM/C) affects more than 200 million girls and women, mainly in African countries. These procedures have no medical rationale and are essentially a form of power abuse.

[An internship in the quality and risk management department: An added value in initial nursing training?].

As part of an innovative project initiated by the Quality and Risk Management Department and the Institut de Formation en Soins Infirmiers (Ifsi) at the Laon hospital in the Aisne region of France, a semester 5 nursing student was given the opportunity to put her initial training in quality, risk management and assessment of professional practices to good use during a five-week work placement. Her feedback, like that of the quality department and Ifsi, was positive.

Evolutionary analysis of a coupled epidemic-voluntary vaccination behavior model with immunity waning on complex networks.

Vaccination is the most effective method of preventing and controlling the transmission of infectious diseases within populations. However, the phenomenon of waning immunity can induce periodic fluctuations in epidemic spreading. This study proposes a coupled epidemic-vaccination dynamic model to analyze the influence of immunity waning on the epidemic spreading within the context of voluntary vaccination.

[Factors influencing pain during intrauterine device insertion].

Objectives: Fear of pain during intrauterine device (IUD) insertion remains a barrier to its adoption. In the absence of consensus on an optimal pharmacological strategy, it is crucial to determine the factors influencing this pain to reassure and improve the patient experience.

Methods: It was a prospective study conducted in Provence-Alpes-Côte d'Azur between August 2023 and 2024, interviewing adult patients and healthcare professionals during consultations for IUD insertion.

Primary Antibody Deficiencies: Curation Of Gene-Disease Relationships Using A ClinGen Validation Framework.

Background: The Clinical Genome Resource (ClinGen) is an international collaborative effort between scientists and clinicians, diagnostic and research laboratories as well as the patient community. Using a standardized framework, ClinGen has established guidelines to classify gene-disease relationships as Definitive, Strong, Moderate, and Limited based on available scientific and clinical evidence. When the genetic and functional evidence for a gene-disease relationship has conflicting interpretations or contradictory evidence, they can be Disputed or Refuted.

Candida tropicalis, Clavispora lusitaniae, Limosilactobacillus fermentum, Liquorilactobacillus mali, and Leuconostoc pseudomesenteroides are associated with Ethanol Levels in Malian Traditional Fermented Milk Products.

Fermented milk products (FMP) have been consumed by humans for millennia and the health benefits are no longer to be demonstrated. Although the manufacturing procedure have been industrialized, FMPs are still produced traditionally in many parts of the world with variable manufacturing procedures and unknown sanitary conditions. In this study, we aimed at comparing the physico-chemical properties of industrial and traditional FMPs from France and Mali as well as their microbial diversity.

Assessment of Outcomes & Anatomical Changes in the Upper Urinary Tract following Flexible Ureteroscopy with a Flexible and Navigable Suction Ureteral Access Sheath (FANS): 3-Month Results from a Multicenter Study.

Objectives: To study the long-term outcomes of the flexible and navigable suction ureteral access sheath (FANS) in flexible ureteroscopy (FURS). FANS has well-established efficiency and 30-day perioperative safety; however, its influence on pelvicalyceal and ureteric anatomy remains to be investigated.

Methods: This was a prospective study of patients with normal renal anatomy who underwent FURS with FANS for renal stones from April 2023 to August 2024 in 16 centers worldwide.

Oxygen traces impact on biological methanation from hydrogen and CO.

Biomethane production from biological methanation of CO is promising both for biogas upgrading and surplus renewable energy storage. One of the questions for process upscaling is the impact of oxygen (in the biogas or in the purified CO-rich off-gas) on the biological process. An adapted anaerobic thermophilic consortium was submitted to increasing amounts of oxygen in batch and continuous tests at partial pressures ranging from 0 to 50 mbar.

Assessment of chronic ankle instability: are functional scores relevant enough?

Introduction: A poorly treated acute ankle sprain can rapidly progress to chronic instability, with varying degrees of disability secondary to weakness of the ankle stabilizers. The aim of our study was to evaluate functional scores and physical tests in the assessment of eversion and proprioception deficits after non-surgical treatment of chronic ankle instability. Our hypothesis was that these functional scores and physical tests are suitable and sufficient for assessing the functional aspect of an unstable ankle.

Overview of three decades of Management Patterns of Renal Angiomyolipomas.

Objective: To analyze clinical and radiological features and trends in the management pattern of renal angiomyolipomas (AML) in a tertiary care center over a 30-year period.

Patients And Methods: We retrospectively reviewed the charts of patients referred to our institutions from 1992 to 2022 with final diagnosis of AML. Demographics, clinical presentation, radiological findings, renal function status, and treatment options were recorded.

Individualized transfusion decisions to minimize adverse cardiovascular outcomes in patients with acute myocardial infarction and anemia.

Background: Risk-benefit tradeoffs between restrictive versus liberal red blood cell transfusion strategies may vary across individuals. This exploratory analysis aimed to derive and evaluate individualized treatment effects of defined transfusion strategies in patients with acute MI and anemia with the goal of minimizing adverse cardiovascular outcomes.

Methods: This study analyzed 3,447 (98.

Leveraging Deep Learning for Immune Cell Quantification and Prognostic Evaluation in Radiotherapy-Treated Oropharyngeal Squamous Cell Carcinomas.

The tumor microenvironment (TME) plays a critical role in cancer progression and therapeutic responsiveness, with the tumor immune microenvironment (TIME) being a key modulator. In head and neck squamous cell carcinomas (HNSCC), immune cell infiltration significantly influences the response to radiotherapy (RT). A better understanding of the TIME in HNSCC could help identify patients most likely to benefit from combining RT with immunotherapy.

A CT-based evaluation and comparison of ganglionated plexus targeting techniques for cardioneuroablation.

Background: Cardioneuroablation (CNA) targets ganglionated plexus (GP) to treat neurally-mediated syncope, yet a standardized GP identification method is lacking. Post-processing of cardiac computed tomography (CT) identifies epicardial fat thus allowing for fat pad identification. While CT-guided CNA's feasibility is documented, data about GP anatomy and comprehensive evaluations of GP targeting methods remain scarce.