11 results match your criteria: "Tours University Hospital Center[Affiliation]"

In France, there are two main types of psychosocial educational therapies for people with mental disorders: (1) therapeutic patient education (TPE) or "training", and (2) psychoeducation. Both types of educational therapy aim to improve disease morbidity, treatment compliance and patient quality of life, but they have very different modes of application. The aim of this study was to interview mental health professionals in order to explore and identify the determinants (barriers and enablers) underlying their acceptance of therapeutic patient education (TPE) in order to facilitate the implementation of these programmes among people with severe mental illness such as schizophrenia.

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Trial of Labor Compared With Elective Cesarean Delivery for Low-Lying Placenta.

Obstet Gynecol

September 2022

Departments of Obstetrics and Gynecology, Bordeaux University Hospital Center, Bordeaux, Angers University Hospital Center, Angers, Rennes University Hospital Center, Rennes, Tours University Hospital Center, Tours, Nantes University Hospital Center, Nantes, Caen University Hospital Center, Caen, and Brest University Hospital Center, Brest, France; and EGA Institute for Women's Health, Faculty of Population Health Sciences, University College London, London, United Kingdom.

Article Synopsis
  • This study compares outcomes for women with low-lying placenta who either chose a trial of labor or an elective cesarean delivery, focusing on severe postpartum hemorrhage and maternal/neonatal morbidity.
  • Conducted in France from 2007-2012, it involved 171 women out of 128,233 births, with similar rates of severe postpartum hemorrhage and morbidity between both delivery modes.
  • The findings suggest that a trial of labor may be safe for women with an internal os distance of 11-20 mm after 35 weeks, although those with a distance of 1-10 mm showed lower rates of vaginal delivery.
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Psychobiological Factors in Global Health and Public Health.

Int J Environ Res Public Health

May 2022

Laboratory Bioengineering Nanosciences LBN, University of Montpellier, 34193 Montpellier, France.

Psychobiological research is a systems approach that aims to integrate the biological, psychological and social systems that may influence health or pathology, particularly in chronic diseases and physical and/or psychiatric disorders. In this approach, we can expect to be able to deduce a 'biological signature' associated with particular symptom clusters. Similarly, psychosocial factors such as life events, health attitudes and behaviours, social support, psychological well-being, spirituality and personality are to be considered in terms of their influence on individual vulnerability to disease.

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The Schizophrenia Coping Oral Health Profile and Index (SCOOHPI) was developed to assess oral health coping strategies in people with schizophrenia. We show that the difficulty and discrimination indices of 18 items, selected for the final version, are acceptable according to the Rasch model, as are the inter-item (0.25) and inter-score (α = 0.

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Deltopectoral approach for shoulder arthroplasty: anatomic basis.

Int Orthop

February 2015

Tours University Hospital Center, Orthopaedics and Trauma I, François Rabelais University, Trousseau Hospital, Tours, France,

Purpose: The deltopectoral approach is a common surgical procedure for shoulder arthroplasty. Many surgeons are familiar with this procedure, but certain steps are still controversial. This is the case for the management of subscapularis, where surgeons must choose between tenotomy and the lesser tuberosity osteotomy.

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The role of Group X secreted phospholipase A2 (GX-sPLA2) during influenza infection has not been previously investigated. We examined the role of GX-sPLA2 during H1N1 pandemic influenza infection in a GX-sPLA2 gene targeted mouse (GX(-/-)) model and found that survival after infection was significantly greater in GX(-/-) mice than in GX(+/+) mice. Downstream products of GX-sPLA2 activity, PGD2, PGE2, LTB4, cysteinyl leukotrienes and Lipoxin A4 were significantly lower in GX(-/-) mice BAL fluid.

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Evaluation of the role of glenosphere design and humeral component retroversion in avoiding scapular notching during reverse shoulder arthroplasty.

J Shoulder Elbow Surg

February 2014

François Rabelais University, Trousseau Hospital, Tours University Hospital Center, Orthopaedics and Trauma Department, Chambray-les-Tours, France.

Background: Scapular notching is a common observation during radiological follow-up of reverse shoulder arthroplasty. The purpose of this study was to evaluate the effect of glenosphere design and humeral component retroversion on movement amplitude in the scapular plane and inferior scapular impingement.

Materials And Methods: The Aequalis Reversed Shoulder Prosthesis (Tornier) was implanted into 40 cadaver shoulders.

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The concordance of MRI and arthroscopy in traumatic meniscal lesions in children.

Orthop Traumatol Surg Res

November 2011

Pediatric Orthopedics Department, Clocheville Hospital, Tours University Hospital Center, 37044 Tours cedex, France.

Introduction: Traumatic meniscal lesions in children must be diagnosed quickly and efficiently as a priority in order to conserve the meniscus and safeguard the future of the knee. They are often isolated and difficult to identify clinically. In the diagnostic work up stage, an excessive resort to diagnostic arthroscopy has given way to increasing use of MRI by radiologists without pediatric specialization.

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Otosclerosis in children and adolescents: a clinical and CT-scan survey with review of the literature.

Int J Pediatr Otorhinolaryngol

February 2008

Department Face and Neck, Unit of Pediatric Oto-Rhino-Laryngology, Tours University Hospital Center, 37044 Tours, France.

Objective: To assess the role of the CT-scan in the preoperative evaluation of juvenile otosclerosis and to study additional outcome data.

Design And Setting: We performed a retrospective case series study from an academic referral hospital using data from 1992 to 2005.

Patients And Methods: We selected patients younger than 18-year-old who had undergone primary stapedectomy for otosclerosis among the 10 stapedectomies performed over the study period and analyzed the patients' systematic pre- and post-operative audiograms and CT-scan findings.

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