543 results match your criteria: "Réseau Hospitalier de Médecine Sociale[Affiliation]"

The ABILHAND is a widely used questionnaire assessing bimanual daily life activities in adults with stroke. A recently modified version tailored for the sub-Saharan African population (ABILHAND-Stroke Benin) has been created. This study aimed to investigate its test-retest reliability and responsiveness.

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Background: Physical activity supports the health and well-being of individuals with physical disabilities. Despite the significance of engaging in physical activity, barriers faced by individuals with disabilities, such as limited access to adapted facilities and lack of transportation, can restrict their participation. Community organizations play a role in addressing these challenges, but virtual reality (VR) also offers a way to diversify adapted activities.

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Objective: The adoption of policies promoting healthier restaurant food environments is contingent on their acceptability. Limited evidence exists regarding individual characteristics associated with restaurant food environment policy acceptability, especially health-related characteristics. This study examined associations between health characteristics and restaurant food environment policy acceptability among urban Canadians.

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Article Synopsis
  • The review covers the genetic and epigenetic factors related to food allergies, including their inheritance and the advantages and limitations of study methods.
  • Genome-wide association studies have identified 16 significant genetic variants linked to food allergies, often overlapping with other allergic conditions.
  • The article emphasizes the importance of integrating genetic and epigenetic data for understanding disease mechanisms and suggests future implications for predicting food allergy risks and responses to treatment.
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Objective: Suboptimal primary health care management of shoulder pain has been reported in previous studies. Implementing clinical practice guidelines (CPGs) recommendations using a theoretical approach is recommended to improve shoulder pain management. This study aims to identify determinants for implementing recommendations from shoulder CPGs to help develop an intervention based on the identified determinants.

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[Legal framework for nurse practitioners in the Canton of Vaud].

Rev Med Suisse

December 2024

Institut universitaire de formation et de recherche en soins, Faculté de biologie et de médecine, Centre hospitalier universitaire vaudois et Université de Lausanne, 1018 Lausanne.

Nurse practitioners (NPs) have existed internationally for several decades, with scientific literature demonstrating improved access to care, patient safety, and well-being. To address the sociodemographic challenges of public health and the shortage of healthcare professionals, the Canton of Vaud was the first in Switzerland to develop a legal framework that defines the responsibilities and requirements of the NP role in order to integrate them into the healthcare system. The integration of NPs into the hospital setting has shown promising results.

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Racism remains a major obstacle in access to quality healthcare. Understanding the concept and definition of racism in healthcare remains unclear for many. This first article in a series on racism in health care, aims to clarify the different forms of racism in health care, their influence on access to health care, and propose measures to limit their influence in the care of racialized groups.

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Djibouti is confronted with malaria resurgence, with malaria having been occurring in epidemic proportions since a decade ago. The current epidemiology of drug-resistant is not well known. Molecular markers were analyzed by targeted sequencing in 79 clinical isolates collected in Djibouti city in 2023 using the Miseq Illumina platform newly installed in the country.

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[Pregabalin in prisons: recommendations for the general practitioner].

Rev Med Suisse

November 2024

Service de médecine et psychiatrie pénitentiaire, Département de psychiatrie, Centre hospitalier universitaire vaudois, 1011 Lausanne.

The misuse of pregabalin (Lyrica) has emerged as a common problem in recent years, particularly among vulnerable populations. This reality is reflected in the prison environment, where pregabalin is subject to abuse and trafficking. In this article, we detail the issues surrounding this misuse and our practical strategy for tackling it.

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This analysis aimed to (1) identify longitudinal joint trajectories of participation in organized and unorganized physical activity contexts, and level of daily moderate-to-vigorous physical activity (MVPA) and (2) assess whether basic psychological need satisfaction during adolescence differentiates between membership in different physical activity trajectories. Participants (n = 888; 56% girls) reported their involvement in 36 different physical activities, level of MVPA, and their perceived satisfaction of competence, autonomy, and relatedness satisfaction in physical activity up to three times per year, over 8 years (from ages 10 to 17 years). Group-based multi-trajectory models were used to identify longitudinal joint trajectories of physical activity participation.

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Refining Criteria for a Neurodevelopmental Subphenotype of Bipolar Disorders: A FondaMental Advanced Centers of Expertise for Bipolar Disorders Study.

Biol Psychiatry

October 2024

Fondation Fondamental, Créteil, France; Centre Hospitalier Universitaire de Montpellier, Hôpital Lapeyronie, Psychiatric Emergency and Post Emergency Department, Pole Urgence, Montpellier, France; L'Institut de Génomique Fonctionnelle, Université de Montpellier, Centre National de la Recherche Scientifique, Institut National de la Santé et de la Recherche Médicale, Montpellier, France. Electronic address:

Article Synopsis
  • Bipolar disorder (BD) is a complex mental health condition, and researchers aimed to identify a neurodevelopmental phenotype (NDP) that contributes to its development and impacts clinical outcomes.
  • By analyzing data from over 4,400 BD patients, they established nine specific clinical features that characterize this NDP, which are linked to poorer prognosis and treatment responses.
  • The findings suggest that patients with a higher NDP load may have overlapping genetic factors with ADHD, indicating a potential shared biological basis for these disorders.
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Article Synopsis
  • The study aimed to identify prognostic factors for neck pain by reviewing multiple systematic reviews.
  • A comprehensive search across databases like PubMed and Scopus resulted in the inclusion of 16 studies, from which 44 prognostic factors for non-specific neck pain and 47 for trauma-related neck pain were extracted.
  • The findings indicated that most factors linked to worse outcomes related to cognitive-emotional aspects, socio-environmental influences, and condition characteristics, which can help clinicians personalize treatment approaches for patients with neck pain.
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Effectiveness of the ten- and thirteen-valent pneumococcal conjugate vaccines to prevent serotype 19A invasive pneumococcal disease in Quebec, Canada. A Canadian immunization research network (CIRN) study.

Vaccine

December 2024

Axe Maladies infectieuses et immunitaires, Centre de recherche du CHU de Québec - Université Laval, Québec, QC, Canada; Direction des risques biologiques, Institut National de Santé Publique du Québec, Québec, QC, Canada; Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Québec, QC, Canada; Département de Médecine Sociale et Préventive, Université Laval, Québec, QC, Canada. Electronic address:

In the province of Quebec, Canada, a 2 + 1 dose pneumococcal conjugate vaccine (PCV) program for children was implemented in 2004. PCV7, PCV10, PCV13 and a mixed PCV10/PCV13 schedule were sequentially used without catch-up. The effectiveness of vaccination schedules to prevent serotype 19A invasive pneumococcal disease (IPD) in <5-year-old children was estimated by the indirect cohort method during 2009-2023.

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[The "Midis-Adolescents": multi-disciplinary network group to support young people].

Rev Med Suisse

September 2024

Pédopsychiatre, Unité DEPART, Service universitaire de psychiatrie de l'enfant et de l'adolescent, Département de psychiatrie, Centre hospitalier universitaire vaudois, 1022 Chavannes-près-Renens.

Adolescence is a unique period of development during which some young people can present significant liabilities. These include vulnerabilities that may be psychological, social, familial or academic. Risk behaviors, such as those addictive, are often part of this period of life.

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Article Synopsis
  • A bacterium can grow in the human stomach, causing chronic inflammation, peptic ulcers, and cancer, and this study focuses on its prevalence among Nunavik's Inuit population using data from 2004 and 2017.
  • The study found high rates of colonization (70.9%) and associated issues like gastritis (11.2%) and peptic ulcers (2.4%), with few cases of gastric cancer reported.
  • Factors influencing higher colonization included the number of people in a household and age, while drinking municipal or natural water and lower alcohol consumption were linked to reduced colonization rates.
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We explored whether ankle torque variability or plantar perceptual threshold explains human balance control more effectively. We hypothesized that ankle torque variance is a better indicator of center of pressure (COP) velocity variance than plantar perceptual sensitivity. Two conditions were tested: loaded (23-kg vest added) and unloaded, as loading should diminish plantar sensitivity and increase COP velocity variability.

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Purpose: This study questions the quality of life of young to mid-life hematology patients during lockdowns in France.

Method: Fifteen semi-structured interviews were conducted in 2022.

Findings: Thematic content analysis identified three main themes: (1) regulating fear of COVID-19 during the health crisis, (2) maintaining relationships and fostering social support during the pandemic, and (3) removing the stigma of cancer with COVID-19: a positive factor for patients' quality of life.

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Article Synopsis
  • Multiple sclerosis (MS) is a debilitating disease affecting over 90,000 Canadians, and current treatments only offer limited relief; many patients turn to cannabis for symptom management despite the lack of solid scientific backing.
  • This clinical trial seeks to evaluate the effectiveness of various doses of cannabinoids (THC and CBD), both individually and in combination, for alleviating spasticity in MS patients, comparing results against a placebo group.
  • The study will involve 250 participants and utilize a double-blind, randomized design, measuring outcomes such as self-reported spasticity, pain, and quality of life over a period of four weeks, with potential for an additional 12-week treatment phase for those who respond well.
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Article Synopsis
  • Pseudofolliculitis barbae (PFB) is a chronic skin condition that affects predominantly black Africans who shave regularly, with significant aesthetic and professional implications; however, research data on this issue in Sub-Saharan Africa is limited.
  • A study conducted in March 2019 involving 655 African-descent police students in Dakar revealed a 38.8% prevalence of PFB, with higher rates in males (43.7%) compared to females (11.9%).
  • The main characteristics of PFB included pruritic and papular lesions, commonly found on the submandibular region, and complications such as post-inflammatory hyperpigmentation; risk factors identified included male gender and a family history of P
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This multi-methods study describes the development of a pediatric rehabilitation telehealth intervention fidelity checklist, estimates its inter-rater reliability, and documents raters' implementation experience. A literature scan and expert consultation identified eighteen key behaviors and categorized them into three subdomains, measured using a 5-point measurement system. To estimate the checklist's inter-rater reliability, three raters scored 33 video recordings.

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Adherence to clinical practice guidelines for using electroconvulsive therapy in elderly depressive patients.

BMC Psychiatry

July 2024

French Society for Biological Psychiatry and Neuropsychopharmacology, Saint Germain en Laye, France.

Objectives: Electroconvulsive therapy (ECT) is one of the most effective treatments in mood disorders, mainly in major depressive episode (MDE) in the context of either unipolar (MDD) or bipolar disorder (BD). However, ECT remains a neglected and underused treatment. Older people are at high risk patients for the development of adverse drug reactions.

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Childhood acute lymphoblastic leukemia (cALL) survivors suffer early-onset chronic diseases classically associated with aging. Normal aging is accompanied by organ dysfunctions, including immunological ones. We hypothesize that thymic immunosenescence occurs in cALL survivors and that its severity may correlate with early-onset chronic diseases.

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Article Synopsis
  • * Through qualitative interviews with ten LBP patients, five key themes emerged: frustration with limitations, delays in seeking help, a desire for understanding their condition, expectations for effective treatment, and the need for emotional support.
  • * The findings underline the significance of considering patient perspectives in care, which is essential for fostering a collaborative approach and improving treatment outcomes based on evidence-based practices.
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Introduction: Public acceptability of policies aiming to improve the healthfulness of the restaurant food environment is key to their successful implementation. Yet, the acceptability of these policies remains ambiguous, especially across diverse population groups. This study aims to examine associations between sociodemographic characteristics and acceptability levels of three restaurant food environment policies of varying degrees of intrusiveness across 17 urban Canadian jurisdictions.

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