116 results match your criteria: "centre de référence des lymphœdèmes primaires[Affiliation]"

Introduction: MODY2 (maturity-onset diabetes of the young type 2, MIM125851) is a monogenic diabetes with an autosomal dominant transmission caused by a variant of the gene. MODY2 is often confused with type 1 or type 2 diabetes, but despite a slightly elevated blood glucose level, it does not induce long-term vascular complications, nor does it require pharmacological treatment. Genetic testing for the diagnosis of MODY2 is currently reserved for genetic specialists and some physicians.

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Study Question: Does the prevalence of 12-month infertility in Burkina Faso, Côte d'Ivoire, Kenya, and Uganda differ between women trying to conceive and the broader population of women exposed to unprotected sex, and how are prevalence estimates affected by model assumptions and adjustments?

Summary Answer: Estimates of 12-month infertility among tryers ranged from 8% in Burkina Faso to 30% in Côte d'Ivoire, increasing substantially among a larger population of women exposed to unprotected intercourse.

What Is Known Already: While having a child is a fundamental human experience, the extent to which women and couples experience infertility is a neglected area of research, particularly in sub-Saharan Africa. Existing estimates of infertility in this region vary widely from 2% to 32%, however, potential impacts of variability in study populations and model assumptions have not been well-examined.

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New insights in breast cancer-related lymphedema.

J Med Vasc

September 2024

Department of Lymphology, Cognacq-Jay Hospital, centre de référence des lymphœdèmes primaires, 15, rue Eugène Millon, 75015 Paris, France. Electronic address:

Upper limb lymphedema after breast cancer treatment including axillary dissection occurs in almost 20% of women. Its treatment consists of complete decongestive physiotherapy based on low-stretch bandage to reduce volume, followed by elastic compression to maintain it. In this article, we will detail recent data on lymphedema risk factors with possible genetic predisposition, prevention (surgical, compression), manual lymphatic drainage, physical activity, weight, advice, and treatments including gene therapy.

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Study Question: What is the nature of women's care-seeking for difficulties conceiving in sub-Saharan Africa (SSA), including the correlates of seeking biomedical infertility care at a health facility?

Summary Answer: Care-seeking for difficulties getting pregnant was low, much of which involved traditional or religious sources of care, with evidence of sociodemographic disparities in receipt of biomedical care.

What Is Known Already: Nearly all research on infertility care-seeking patterns in SSA is limited to clinic-based studies among the minority of people in these settings who obtain facility-based services. In the absence of population-based data on infertility care-seeking, we are unable to determine the demand for services and disparities in the use of more effective biomedical sources of care.

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Background: Vaccination is a protective measure against infectious diseases and remains one of the best investments in public health. Some African countries are still struggling to reach the required child immunization coverage. Several factors are responsible for limiting immunization coverage.

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[Healthcare, expenses unlike any other].

Med Sci (Paris)

May 2024

Centre d'épidémiologie et santé des populations, Équipe Soins primaires et prévention, Inserm UMR1018, UPS, UVSQ. P. Descartes, Villejuif, France.

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Glycaemic Effects of a 156-km Ultra-trail Race in Athletes: An Observational Field Study.

Sports Med

August 2024

Univ. Lille, Univ. Artois, Univ. Littoral Côte d'Opale, ULR 7369 - URePSSS - Unité de Recherche Pluridisciplinaire Sport Santé Société, 59000, Lille, France.

Article Synopsis
  • Ultra-trail running races present significant challenges to glucose metabolism, with previous studies showing varied results based on sporadic measurements of blood sugar levels.
  • This study examined the continuous glucose levels of 55 athletes during and after a 156-km ultra-trail race, measuring factors such as running intensity, performance, and psychological stress.
  • Findings revealed no immediate risk of hypo- or hyperglycemia during the race itself, but a notable increase in hyperglycemia occurred in the 48 hours post-race, along with significant changes in various biomarkers indicative of physical stress and recovery.
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Background: Little is known about postabortion care (PAC) services in Burkina Faso, despite PAC's importance as an essential and life-saving component of emergency obstetric care. This study aims to evaluate PAC service availability, readiness, and accessibility in Burkina Faso.

Methods: Data for this study come from the Performance Monitoring for Action (PMA) Burkina Faso project and the Harmonized Health Facility Assessment (HHFA) conducted by the Institut de Recherche en Sciences de la Santé and the Ministry of Health.

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Objective: To determine the impact of the SARS-CoV-2 (COVID-19) pandemic and lockdowns on the mental health status, training, perceptions of the physiotherapy profession, and career plans of French physiotherapy students.

Design: A descriptive cross-sectional study was conducted, representing the first and only survey of its kind, using a national online survey.

Subjects: A total of 2678 French physiotherapy students participated in the study.

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[Update of indications and techniques for the management of lymphedema after breast cancer surgery].

Gynecol Obstet Fertil Senol

March 2024

Unité de lymphologie, Centre de référence des lymphœdèmes primaires, membre de la filière FAVA-Multi et du Réseau européen VASCERN, hôpital de Cognacq-Jay, 15, rue Eugène-Millon, 75015 Paris, France. Electronic address:

Objectives: Upper limb lymphedema secondary to breast cancer treatment is the leading cause of lymphedema in France. Despite improved surgical practices and de-escalation of radiotherapy, the risk of lymphedema after breast cancer still affects 5-20% of patients, with this variation depending on the measurement method used and the population studied. Lymphedema has a negative impact on quality of life and body image, and their possible occurrence remains a major concern for all women treated for breast cancer.

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Introduction: PRICOV-19 is a European cross-sectional study based on an online questionnaire, describing the impact of the pandemic on primary care structures (PCS). In France, PCS are solo practices (SP), single or multi-professional group practices (GP), coordinated practice structures (CPS): health houses and health centers. Triage, whether it is digital (TD), by telephone (TT) or at the reception (TR), is essential to reduce the risk of infection, and is part of recommended organizational practices.

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Introduction: Yellow nail syndrome (YNS), a very rare disorder of unknown etiology, is characterized by a triad associating yellow nails, respiratory manifestations, and lymphedema. YNS treatment remains non-codified.

Method: This retrospective study was conducted from January 2008 to December 2022 in a single tertiary department exclusively dedicated to lymphatic diseases.

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[Not Available].

Can Fam Physician

November 2023

Professeure agrégée au Département de médecine familiale de l'Université d'Ottawa (Ontario), médecin de famille dans l'Équipe universitaire de santé familiale d'Ottawa, omnipraticienne en oncologie au Centre de cancérologie de L'Hôpital d'Ottawa, directrice du programme de compétences avancées R3 en oncologie en MF et responsable régionale des soins primaires en cancérologie pour la région de Champlain.

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Article Synopsis
  • Niger has limited research and legal restrictions on induced abortion, making this the first national study to estimate its incidence and safety.
  • The study used data from a survey of 3,696 women aged 15-49, revealing a one-year abortion rate of 6.7 per 1,000 when using the indirect method, compared to 0.4 per 1,000 for self-reports.
  • Findings showed a high prevalence of unsafe abortions, with 97% of respondents indicating non-recommended methods, highlighting the need for better access to family planning and post-abortion care in Niger.
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[Pretibial myxedema after Graves' disease: A differential diagnosis of lymphedema].

Rev Med Interne

December 2023

Unité de lymphologie, site constitutif du centre national de référence des lymphœdèmes primaires, hôpital Cognacq-Jay, 15, rue Eugène-Millon, 75015 Paris, France. Electronic address:

Article Synopsis
  • Pretibial myxedema is an uncommon symptom of Graves' disease that can resemble lower limb lymphedema, complicating diagnosis.* -
  • The study includes three cases of pretibial myxedema in patients with a history of Graves' disease, where misdiagnosis of lymphedema was suspected due to specific leg symptoms.* -
  • Proper diagnosis involves evaluating the patient's medical history, particularly regarding Graves' disease, and addressing lifestyle factors like smoking that could worsen the condition.*
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The impact of phonological short-term memory impairment on verbal repetition in the logopenic variant of primary progressive aphasia.

Neuropsychol Dev Cogn B Aging Neuropsychol Cogn

July 2024

Chaire de recherche sur les aphasies primaires progressives, Fondation de la famille Lemaire, Québec, QC, Canada.

The logopenic variant of primary progressive aphasia (lvPPA) is characterized mainly by anomia, production of phonological errors, and impairment in repetition of sentences. The functional origin of these language impairments is mainly attributed to the breakdown of phonological short-term memory. The present study examined the effects of phonological short-term memory impairment on language processing in lvPPA.

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Introduction: The Benin Immunization and Logistic Directorate commissioned this study to provide evidence-based data to improve the performance of the Expanded Programme on Immunization. The objectives were to identify immunization stakeholders, describe their profile, their geographical distribution and determine their training needs.

Methods: In December 2020, we conducted a census of Benin's immunization stakeholders via their administrative files and telephone interviews.

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Prevalence of Chronic Pain Among People with Dementia: A Nationwide Study Using French Administrative Data.

Am J Geriatr Psychiatry

December 2023

Service de Pharmacologie médicale (NK, NB, ST, NA, CB, CC), Centres Addictovigilance et Pharmacovigilance, Centre d'Evaluation et de Traitement de la Douleur, Université Clermont Auvergne, CHU Clermont-Ferrand, INSERM, NEURO-DOL, F-63000 Clermont-Ferrand, France; Université Clermont Auvergne (NK, NA, CB, CC), Institut Analgesia, Clermont-Ferrand, France; Observatoire Français des Médicaments Antalgiques (OFMA) (NA, CB, CC), Université Clermont Auvergne, Clermont-Ferrand, France.

Objective: Alzheimer's disease or Related Dementia (ADRD) is known to disturb pain perception and reduce the ability to report it, resulting in underestimation by practitioners and sub-optimal medical management. The aim of this study was to estimate the prevalence of all types of CP among people with ADRD.

Design: Nationwide cross-sectional study.

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[Not Available].

Can Fam Physician

July 2023

Professeure agrégée au Département de médecine familiale de l'Université d'Ottawa (Ontario), médecin de famille dans l'Équipe universitaire de santé familiale d'Ottawa, omnipraticienne en oncologie au Centre de cancérologie de l'Hôpital d'Ottawa, directrice du programme de compétences avancées R3 en oncologie en MF et responsable régionale des soins primaires en cancérologie pour la région de Champlain.

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Detecting cervical esophagus with ultrasound on healthy voluntaries: learning curve.

Ultrasound J

May 2023

SAMU 93 - UF Recherche-Enseignement-Qualité, Université Paris 13, Sorbonne Paris Cité, Inserm U942, Hôpital Avicenne, Assistance Publique-Hôpitaux de Paris, 125, Rue de Stalingrad, 93009, Bobigny, France.

Article Synopsis
  • - The study explored how effectively prehospital medical and paramedical staff were able to learn tracheal-esophageal ultrasound through a combination of online training and hands-on workshops over a few months.
  • - Results showed significant improvement in image acquisition times, with participants reducing their time to capture the target image from about 20 seconds to less than 10 seconds after training, indicating a successful learning curve.
  • - There were no major performance differences based on the participants' professions (physicians vs. nurses) or prior ultrasound experience, suggesting that the training method was effective for all involved.
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[Increased trunk volume].

Rev Med Interne

October 2023

Unité de lymphologie, Centre national de référence des Lymphœdèmes Primaires, hôpital Cognacq-Jay, 15, rue Eugène-Millon, 75015 Paris, France. Electronic address:

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[Management of the end of life in the emergency department: evaluation of a dedicated training course on emergency department practices at the CHU Ambroise Paré].

Soins Gerontol

February 2023

Services des urgences adultes, Hôpital Ambroise-Paré, AP-HP, Université Paris Saclay, 9 avenue Charles-de-Gaulle, 92100 Boulogne-Billancourt, France; UMR 1173, Inserm, Université Versailles St Quentin, France.

End of life is a common situation in emergency medicine. However, the training of nursing staff seems to be lacking in this area. We studied the impact of dedicated training on the management of end-of-life patients admitted to the adult emergency department of the Ambroise-Paré University Hospital.

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Background: Depression has a high prevalence among European countries. Several instruments have been designed to assess its symptoms in different populations. The Hopkins Symptom Checklist 25 (HSCL-25) scale has been identified as valid, reproducible, effective, and easy to use.

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