24 results match your criteria: "University College of General Medicine[Affiliation]"

Background: The 16-item Meat Attachment Questionnaire (MAQ-16) assesses emotional and cognitive attachment to meat across four dimensions: hedonism, affinity, entitlement, and dependence. Recently validated in French, we aimed to develop and validate a shorter, four-item version (MAQ-4) to reduce participant burden.

Methods: In this 2023 observational study in the Rhône-Alpes region, 919 primary care patients were invited to complete the French MAQ-16 (MAQ-16).

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Article Synopsis
  • Training primary care providers (PCPs) in a new method using a decision aid (DA) to promote smoking cessation did not lead to higher smoking abstinence rates after six months in smokers.
  • The intervention increased quit attempts and the use of cessation aids in the short term, showing effectiveness in getting smokers to try quitting.
  • Patients also felt more involved in their decision-making regarding smoking cessation when their PCPs used the DA approach, as indicated by higher scores on the CollaboRATE scale.
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Lipoprotein(a) and risk-weighted apolipoprotein B: a novel metric for atherogenic risk.

Lipids Health Dis

September 2024

Université Claude Bernard Lyon 1, University College of General Medicine, 8 Avenue Rockefeller, Lyon, 69008, France.

Article Synopsis
  • Retention of apoB-containing lipoproteins in arterial walls is a key factor in causing atherosclerotic cardiovascular disease (ASCVD), with apoB serving as an essential marker for estimating risk.
  • Elevated levels of lipoprotein(a) (Lp(a)) may lead to an underestimation of ASCVD risk using apoB alone since Lp(a) has a significantly higher atherogenicity compared to LDL.
  • A new metric called risk-weighted apolipoprotein B has been developed to better quantify and understand lipid-driven atherogenic risk by incorporating the contributions of both apoB and Lp(a).
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Validation and Refinement of the Sense of Coherence Scale for a French Population: Observational Study.

Interact J Med Res

July 2024

Institut universitaire de Médecine de Famille et de l'Enfance (University Institute for Primary Care), University of Geneva, Geneva, Switzerland.

Background: Salutogenesis focuses on understanding the factors that contribute to positive health outcomes. At the core of the model lies the sense of coherence (SOC), which plays a crucial role in promoting well-being and resilience.

Objective: Using the validscale Stata command, we aimed to assess the psychometric properties of the French version of the 3-dimension 13-item SOC questionnaire (SOC-13), encompassing the comprehensibility, manageability, and meaningfulness dimensions.

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Background: Many patients may be tempted to use non-pharmacological home remedies (NPHRs) to relieve various complaints. To the best of our knowledge, there is little data on the characteristics of patients using NPHRs. In this cross-sectional study carried out between March 2020 and July 2021, we examined the socio-demographic factors underlying their use in patient populations in Switzerland and France.

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Background: Increasing primary care's attractiveness as a career choice is an important task of socially accountable medical schools. Research has broadly studied influences on medical students' career choice. However, a deeper understanding of the processes behind career decision-making could support medical schools in their efforts to promote primary care careers.

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Non-pharmacological home remedies used by primary care patients.

Eur J Intern Med

February 2024

University Institute for Primary Care, Faculty of Medicine, University of Geneva, Geneva, Switzerland; University College of General Medicine, University Claude Bernard Lyon 1, Lyon, France. Electronic address:

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Introduction: A better understanding of the determinants involved in general practitioners' (GPs) decision-making processes when it comes to prescribing statins as primary prevention in patients with multimorbidity could provide insights for improving implementation of primary prevention guidelines.

Methods: We conducted a qualitative study using a deductive framework-based and inductive analysis of GPs' semi-structured interviews verbatim, from which expertise profiles of prescribers were also drawn. The analytical framework was built from a pragmatic synthesis of the evidence-based medicine, Modelling using Typified Objects (MOT) model of clinical reasoning processes, Theoretical Domains Framework, and shared decision-making frameworks.

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Objective: Fever contributes to the inflammatory response; in some infections, antipyretics could prolong the illness. The objective of our study was to evaluate the impact of antipyretic treatments on the evolution of acute upper and lower respiratory tract infections (RTI).

Method: A systematic literature review of randomized controlled trials (RCTs) with meta-analysis was conducted.

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Background: Patients frequently visit their primary care physician (PCP) for digestive symptoms. We aimed to compile a list of non-pharmacological home remedies (NPHRs) that patients frequently use and find effective so that PCPs can then propose them to their patients with various digestive symptoms.

Methods: In this questionnaire-based survey on the use and perceived effectiveness of NPHRs for digestive symptoms, 50 randomly selected Swiss or French PCPs consecutively recruited 20-25 patients between March 2020 and July 2021.

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Background: Statins are a first line, evidence-based yet underprescribed treatment for cardiovascular primary prevention. In primary care settings, multimorbidity is a complex situation which makes it difficult to apply prevention guidelines.

Aim: To assess the associations between multimorbidity and prescription of statins in accordance with the 2016 ESC recommendations ("appropriate prescription"), and to identify the factors and conditions associated with these prescriptions.

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Perceived Effectiveness and Overall Satisfaction of Using a Toilet Stool to Prevent or Treat Constipation: An Analysis of Online Comments.

J Am Board Fam Med

July 2022

From University Institute for Primary Care (IuMFE), Faculty of Medicine, University of Geneva, Geneva, Switzerland (PS, DMH, HM), University College of General Medicine, University Claude Bernard Lyon 1, Lyon, France (CQ, MV), and Mermoz Primary Health Centre, Lyon, France (HM).

Introduction: Constipation is a common complaint in the general population. Squatting (using a toilet stool) is associated with faster and more complete bowel emptying, and could therefore help prevent or treat constipation. We analyzed the reviews of online buyers of a toilet stool to assess perceived effectiveness, overall satisfaction and potential side effects.

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Background: SARS-CoV-2 has been responsible for a pandemic since the beginning of 2020. Vaccine arrival brings a concrete solution to fight the virus. However, vaccine hesitancy is high.

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Introduction: The early identification of COVID-19 patients is of outmost importance in the current pandemic. As with other pathogens, presenting symptoms of SARS-CoV-2 may vary, depending on sociodemographic factors. We aimed to describe the clinical characteristics of COVID-19 patients by age/gender and to assess whether the diagnostic performance of these symptoms varied according to these variables.

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The early identification of patients suffering from SARS-CoV-2 infection in primary care is of outmost importance in the current pandemic. The objective of this study was to describe the clinical characteristics of primary care patients who tested positive for SARS-CoV-2. We conducted a cross-sectional study between March 24 and May 7, 2020, involving consecutive patients undergoing RT-PCR testing in two community-based laboratories in Lyon (France) for a suspicion of COVID-19.

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National institutions should improve the information made available to patients about cervical smears.

Patient Educ Couns

December 2021

University College of General Medicine, Claude Bernard University Lyon 1, Lyon, France; UMR 5558, CNRS, The Biometry and Evolutionary Biology Laboratory (LBBE), Claude Bernard University Lyon 1, Lyon, France.

Article Synopsis
  • The study evaluated the quality of patient information leaflets and websites about cervical smears from UK and French national institutions.
  • The analysis revealed that informational tools lack clear evidence levels for screening studies and don't adequately address the effectiveness and potential risks of cervical cancer screening.
  • The conclusion emphasized the need for better-informed decision-making tools that include patient perspectives and are based on reliable scientific evidence.
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Validity of the Good Practice Guidelines: The example of type 2 diabetes.

Diabetes Res Clin Pract

November 2020

Universite Claude Bernard Lyon 1, University College of General Medicine, 8 Avenue Rockefeller, 69008 Lyon, France; Universite Claude Bernard Lyon 1, UMR 5558, LBBE CNRS, 8 Avenue Rockefeller, 69008 Lyon, France.

Aims: To assess the methodological quality of the systematic reviews of the literature for Good Practice Guidelines (GPGs) for treatment of type 2 diabetes (T2D).

Methods: The GPGs on treatment of T2D from May 2012 onwards were searched on PubMed, the Guidelines International Network, the National Guidelines Clearing House and the Infobanque des guides de pratique clinique. Quality of the GPGs was assessed by means of grading of levels of evidence, strength of recommendations, statements pertaining to systematic reviews, description of their methods, search for Randomized Controlled Trials meta-analyses, and citations from three meta-analyses which contested the strategy of intensive glycemic control and metformin as first-line treatment.

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VIVIANE study of HPV vaccination.

Lancet Infect Dis

December 2019

Specialist in Gynecology, Oncological Gynecology, and Senology, Lausanne, Switzerland.

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Association between difference in blood pressure reduction and risk of cardiovascular events in a type 2 diabetes population: A meta-regression analysis.

Diabetes Metab

December 2019

Service de pharmacotoxicologie, hospices civils de Lyon, CHU de Lyon, 69424 Lyon, France; CNRS, laboratoire de biométrie et biologie évolutive UMR5558, université Lyon, université Lyon 1, 69622 Villeurbanne, France.

Aim: Recent US recommendations indicate a target blood pressure (BP) of 130/80mmHg for patients with type 2 diabetes (T2D). Our aim was to characterize the association between risk of cardiovascular events and differences in BP decreases in randomized trials of a T2D population.

Methods: A systematic search was made for randomized clinical trials assessing the effects of antihypertensive treatments in T2D patients on mortality, and fatal and non-fatal cardiovascular events, using a meta-regression technique to explore the influence of BP decreases on treatment effects.

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Efficacy of acetylleucine in vertigo and dizziness: a systematic review of randomised controlled trials.

Eur J Clin Pharmacol

May 2019

University College of General Medicine and UMR 5558, Laboratoire de Biométrie et Biologie Evolutive, Claude-Bernard Lyon 1 University, CNRS, Lyon, 69622, France.

Purpose: To assess the efficacy of acetylleucine to improve or stop an attack of vertigo and dizziness (vertigo/dizziness).

Methods: Systematic review by 2 independent reviewers. Consultation of the Medline, Cochrane and ClinicalTrials.

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Background: Despite overwhelming evidence that sex and gender are critical factors in the delivery and practice of medicine, there is no unified sex- and gender-based medicine (SGBM) undergraduate medical education curriculum. Two Workshops within the 2015 Sex and Gender Medical Education Summit: a Roadmap to Curricular Innovation sought to lay the framework for such a curriculum.

Methods: Attendees to the Sex and Gender Educational Summit self-selected attendance for one of two Workshops: (A) Utilization of SGBM Resources in U.

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Background: It is essential to anticipate and limit the social, economic and sanitary cost of type 2 diabetes (T2D), which is in constant progression worldwide. When blood glucose targets are not achieved with diet and lifestyle intervention, insulin is recommended whether or not the patient is already taking hypoglycaemic drugs. However, the benefit/risk balance of insulin remains controversial.

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