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Transition is a coordinated and progressive process aiming at the transfer of a young patient from a pediatric care to the adult health system. Transfer of medical care to adult facilities is a complex task requiring multiple involvements of both paediatric and adult care providers, taking into account the medical, psychosocial and educational needs of the youth. The Transition Working Group of the French Network for Rare Liver Diseases (Filfoie) proposes recommandations and tools in order to optimize the transition process and transfer of young people with chronic liver disease from child-centred to adult-centred healthcare services. [ABSTRACT FROM AUTHOR]

Pharmacy and pharmaceutical sciences embrace a series of different disciplines. Pharmacy practice has been defined as "the scientific discipline that studies the different aspects of the practice of pharmacy and its impact on health care systems, medicine use, and patient care". Thus, pharmacy practice studies embrace both clinical pharmacy and social pharmacy elements. Like any other scientific discipline, clinical and social pharmacy practice disseminates research findings using scientific journals. Clinical pharmacy and social pharmacy journal editors have a role in promoting the discipline by enhancing the quality of the articles published. As has occurred in other health care areas (i.e., medicine and nursing), a group of clinical and social pharmacy practice journal editors gathered in Granada, Spain to discuss how journals could contribute to strengthening pharmacy practice as a discipline. The result of that meeting was compiled in these Granada Statements, which comprise 18 recommendations gathered into six topics: the appropriate use of terminology, impactful abstracts, the required peer reviews, journal scattering, more effective and wiser use of journal and article performance metrics, and authors' selection of the most appropriate pharmacy practice journal to submit their work. [ABSTRACT FROM AUTHOR]

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Copyright of Études Inuit Studies is the property of Centre interuniversitaire d'etudes et de recherches autochtones (CIERA) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Résumé: Avec la pandémie de SARS-CoV-2, dans notre établissement, les lits de salle de surveillance post-interventionnelle du bloc opératoire ont été transformés en lits de réanimation non-COVID. Le service de pharmacie a accompagné les équipes au cours des trois périodes, avec la mise en place d'un circuit du médicament adapté : création d'une armoire de dotation, fréquence d'approvisionnement, dispensation nominative et présence pharmaceutique. Objectifs : évaluer l'organisation pharmaceutique mise en place, la satisfaction des équipes infirmiers et recueillir des axes d'amélioration. Méthode : un questionnaire a été remis aux infirmiers ayant travaillé dans cette unité. Résultats : au total, 155 patients, soit une analyse de 111 prescriptions, ont été pris en charge sur 126 jours d'ouverture de cette unité. L'ensemble des infirmiers ayant participé aux trois périodes ainsi que le cadre de santé ont complété le questionnaire, soit 21 réponses. L'étape ressentie comme la plus difficile est la prescription (48 %) liée au support papier utilisé. La présence pharmaceutique a été appréciée à 90 %, notamment pour des demandes d'approvisionnement d'un médicament (95 %), ou d'information sur un médicament (58 %). Il est souhaité (90 %) que cette présence soit renouvelée en cas de réouverture de l'unité. Une amélioration de la satisfaction est constatée à chaque période. Conclusion : en cas de nouvelle vague, il a été décidé de poursuivre le détachement d'un pharmacien pour sécuriser le fonctionnement de ce type d'unité, notamment par l'analyse quotidienne des prescriptions avec les médecins et par l'interaction avec les infirmiers pour le bon usage du médicament. During the SARS CoV-2 pandemia and at three separate time period, our institution chose to turn the post interventional surveillance room of the operating room into a non-COVID intensive care unit. The chosen workflow included that the pharmacy team provided support to the medical team and was instrumental to implement an adapted drug circuit, including the creation of a supply cabinet, a specific frequency of its supply, a nominative dispensation and the presence of a pharmacist. Objectives : The study aims to evaluate the proposed pharmaceutical organization workflow, the satisfaction of the nursing team and to collect their expert feedback for improvement. Method : A satisfaction survey questionnaire was set up and given to the nurses who worked in this temporary unit. Results : A total of 155 patients, i.e. an analysis of 111 prescriptions, were treated during the 126 days during which the unit was running. All the nurses who participated to the three time periods and the health care manager completed the questionnaire, i.e. 21 responses. The step that was felt to be the most difficult was prescribing (48%) due to the paper medium used. The presence of a pharmacist in the medical unit was appreciated by 90% of the survey respondents, particularly for requests on the supply of a drug (95%), or on drug information (58%). 90% of the respondents were hoping that this experience would be renewed if the unit opens again. An increase of the satisfaction due to the pharmaceutical presence is reported in each successive period. Conclusion : In case of an eventual new epidemic wave, it was decided to continue to assign a pharmacist to the non-COVID intensive care unit, in order to protect the unit performance. The survey revealed that two key factor are instrumental to this success, a daily analysis of prescriptions with the physicians and the on-site interaction with the nurses for the promotion of the right use of medications. [ABSTRACT FROM AUTHOR]

Four brief passages from Diseases of Women (= DW) criticize treatments practiced by some physicians. They deal with the use of remedies (astringent drugs, milk, and water) and with the confusion between two affections (ulcer and dropsy, which are kinds of bleeding). This paper tries to find out where the criticized practices come from. Some of them are described in a few other Hippocratic treatises or even in DW itself. Moreover, in order to try to find out who wrote each of the four passages, this paper highlights that many chapters have been composed by different authors at different times, and that DW has links with Places in man and with Regimen in acute diseases. Therefore, it appears that there was a controversy about the way to treat female patients: was it possible to take into account gynaecological symptoms without excluding the general ones? [ABSTRACT FROM AUTHOR]

Résumé: Le développement de la recherche en soins premiers est un enjeu de l'universitarisation de cette discipline. La réforme du troisième cycle de 2017 prévoit que la thèse soit un travail de recherche disciplinaire. La thèse est souvent le premier travail de recherche pour les étudiants. Ce travail vise à mesurer le taux de directions de thèses assurées par des enseignants de médecine générale. Les objectifs secondaires étaient de mesurer le taux de thèses disciplinaires et d'analyser l'évolution de la valorisation des thèses stéphanoises et de leurs contenus (méthode et champ disciplinaire). De 2004 à 2016, 583 thèses ont été analysées. Le taux de directions de thèses assurées par un enseignant de médecine générale à Saint-Étienne a dépassé 50 % en 2011 et est actuellement voisin de deux tiers. Le caractère disciplinaire a lui aussi régulièrement augmenté pour atteindre plus des trois quarts des thèses en 2016. Un peu plus du quart des thèses a été publié. Parmi les soixante et une revues retrouvées, Médecine et exercer comptaient le plus de publications avec respectivement 19,9 % et 15,5 % justifiant la publication de ce travail dans les deux revues. Research development in primary care is a stake as the general practice is a growing discipline in university's field. The French reform of the medical post graduated education in 2017 involves a disciplinary work for thesis. The thesis is often the first research work for students. This paper aims to evaluate the thesis supervision's rate taken in charge by general practitioners' teachers from 2004 to 2016 in the city of Saint-Etienne. Secondary objectives were to evaluate the disciplinary thesis rate, the evolution of thesis' valorization and their contents. From 2004 to 2016, 583 thesis were analyzed. The rate of thesis supervision provided by general practitioners' teachers exceeded 50% in 2011 and is currently close to 2/3. The general practice nature of thesis has also increased to surpass 3/4 in 2016. More than the quarter of thesis were published. Among the sixty-one journals found, Médecine and exercer had the highest number of publications, with 19.9% and 15.5% respectively justifying the publication of this work in both journals. [ABSTRACT FROM AUTHOR]

Résumé: Les personnes avec une déficience intellectuelle ont un risque plus élevé de développer un cancer colique ; le cancer du sein survient plus tôt et est plus souvent disséminé. Le taux de réalisation du dépistage organisé des cancers reste inférieur à la population générale. Cet article tente de comprendre les particularités du dépistage organisé des cancers chez les personnes avec une déficience intellectuelle et d'effectuer un focus sur une action de promotion en Auvergne-Rhône-Alpes. A higher risk of developing colorectal cancer is observed in people with intellectual disability; breast cancer occurs earlier and more often disseminated. However, the rate of organized cancer screening remains below the general population. This paper aims to understand the particularities of organized cancer screening for people with intellectual disability and to focus on a promotional action in Auvergne-Rhône-Alpes. [ABSTRACT FROM AUTHOR]

Résumé: En France, les assurés sociaux de la CPAM ont droit à un examen périodique de santé (EPS) réalisé au centre d'examen de santé. Il est orienté vers la prévention, quelles que soient les maladies préexistantes de l'assuré, la lutte contre la précarité et les inégalités d'accès aux soins. Les médecins généralistes (MG) estiment intervenir fréquemment en matière de prévention. Aux termes d'une enquête quantitative transversale descriptive observationnelle par questionnaire papier anonyme, réalisée de février à mai 2018, auprès de 240 MG libéraux de la Loire, les MG semblent favorables à un EPS adapté à une population qui leur semble devoir être ciblée différemment. Une meilleure collaboration entre MG et centres d'examens de santé préalablement et au décours de l'EPS pourrait être envisagée. In France, social security contributors are entitled to a periodic health examination (PHE) carried out at the health examination center (HEC). The PHE is oriented towards prevention whatever pre-existing illnesses, the fight against precariousness and inequalities in access to care. General practitioners (GPs) consider that they frequently intervene in the field of prevention. According to a quantitative cross-sectional descriptive observational survey by anonymous paper questionnaire, conducted from February to May 2018, among 240 liberal GPs in the Loire district, GPs seem to favour a PHE adapted to a population that they feel should be targeted differently. It would be interesting to better understand this point of view. Better collaboration between MG and HEC before and during the PHE could be envisaged. [ABSTRACT FROM AUTHOR]

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In this paper we apply some multivariate statistical methods to the problem of personnel planning in a hospital. We first determine the average day of activities of a nurse team for a given health care unit and then we compare the activities of two different health care units. Personnel planning is simpler when some care units can be considered equivalent from the point of view of activities. The techniques presented in this paper can prove effective. [ABSTRACT FROM AUTHOR]

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Abstract: Objective: Mindfulness-based cognitive interventions are increasingly making their way into the field of healthcare on account of proven effects in a wide range of mental disorders. Despite the psychological aspect emphazised in the etiology of sexual disorders, they paradoxically have been less investigated in terms of sexual problem management. The objective of this paper will be to highlight through the review of studies relating to the integration of mindfulness in sexotherapeutic programs the applicability potential of these approaches and, more particularly, to examine the specific relevance of Mindfulness-Based Cognitive Therapy (MBCT). Method: To show the interest of mindfulness for sexual problems, which is the major component of the MBCT intervention, we have first reviewed the underlying psychological causes of sexual dysfunctions through the DSM-4TR criteria and the main international search engines Interscience Wiley, PsycARTICLES, PubMed, Science Direct and Springerlink. Moreover, this bibliographic review has enabled us to select the studies relating to the use of mindfulness in the field of sexology. Results: This research has enabled to show four main types of etiological factors of psychological type, namely cognitive, emotional, behavioural and environmental factors. The scientific literature points out more specifically the key role of cognitive parameters in sexuality, especially through the influence of negative automatic thoughts and distractions, and of relational parameters such as a bad communication in the couple. Furthermore, it reveals a paucity of empirical studies and two main orientations targeted respectively on the relevance of mindfulness to sexual or relational problems, as well as, to our knowledge, no study about MBCT in that research field. Discussion: Considering the action process of the multimodal MBCT program detailed in this paper, the highlighting of the obvious link between cognitive factors and sexual dysfunctions and the promising results of the studies integrating mindfulness in sexotherapeutic treatment, this new kind of approach seems to be of great interest for the management of sexual dysfunctions and, more specifically, through the relapse prevention which is a fundamental aspect of any sexual therapy. [Copyright &y& Elsevier]

The article focuses on research papers related to medical care including treatment of heart failure, loss of smell and mortality rates. Topics discussed include statistical analysis of medical care, frequency of mortality, rapid atrial fibrillation, reduction of mortality and hospitalization, and renin-angiotensin system (RAAS).

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Abstract: The health record in its paper version is a success as a device of interprofessional communication around the child. It made it possible to outline a true "culture of sharing". But it presents limits, which principal ones are a bad control of its confidentiality, a defect of ubiquity, a lack of interactivity and evolution capacities. Its computerization in a standardized architecture will make it possible to go through these limits, making of the child''s health notebook a powerful tool for a better communication, sharing informations and the medical follow-up of the child. All the actors of the child''s health will be easily able to reach informations that they try, today, to share with more or less success. So defined, the child''s electronic health record, the heir of the paper version, should find all its place as personal medical record using the same infrastructures and the same developments as the adult one. [Copyright &y& Elsevier]

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The paper presents a two-year follow-up of the patients admitted in 1999 in three catchment areas (sectors). By comparing the group of patients who were new in 1999 (N = 321) to the group of those who were already treated (N = 498), the paper describes the type of care received by the patients in 1999, 2000 and 2001 according to age, gender, diagnosis, and type of care. The paper describes the probability of follow up according to the above data. The paper shows the value of a knowledge of the actual pathways of the patients within the psychiatric care organization. [Copyright &y& Elsevier]

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This paper provides a review of the literature on Near Death Experience (NDE). Several recurring features of the NDE, and their frequency, are presented. The issue of cultural variations of NDE being the subject of a debate, we chose to expose the data that support the cultural invariance hypothesis, but also those that reveal an impact of culture. In light of recent research in neurophysiology and psychology, severalmechanisms potentially involved in NDE are described and discussed in relation to the two main current theoretical approaches that dominate this topic (i.e. “in-brain” and “out-of-brain” approaches). In a more applied perspective, it appears that NDE leads to positive life changes, but also to major disruptions that raise the question of therapeutic care of patients who experienced an NDE. [ABSTRACT FROM AUTHOR]

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Abstract: Objectives: Telemedicine grows differently among the different specialties. Tele-psychiatry, one of the earliest applications of telemedicine, is struggling to find its full place in patient care, and is often seen only as a geographical distances stopgap. The main objective of this paper is to summarize the stakes of this new practice and to put some answers to the question of its place in our current practices. Materials and methods: Literature review focused on patient satisfaction and comparison with the practice of face-to-face. Review of international recommendations on the practice of tele-psychiatry. Reminder of its ethical, professional and legal framework in France. Results: The use of video-consultation appears to improve access to care, may serve to promote patient education, to avoid unnecessary travel to the patient or therapist. Patient satisfaction appears identical to the face-to-face practice. Conclusions: Tele-psychiatry, used and disclosed appropriately, can greatly contribute to improve care in numerous fields: consultation-liaison psychiatry, accessibility to overspecialised consultations, continuing education of physicians. [Copyright &y& Elsevier]

Abstract: Objective: To estimate the morbidity and mortality conferences (MMC) impact in intensive care unit (ICU) setting on quality of care and patients’ safety. Data sources: A review of English and French articles in Medline database (1990–2011) related to MMC in the ICU. Keywords used: “morbidity (and) mortality conference(s)”, “intensive care unit”, “intensive/critical care medicine”. Additional studies identified by hand search in French national guidelines about MMCs and in the Annales Françaises d’Anesthésie Réanimation and Réanimation journals index. Identification and preliminary analysis performed using title and abstract, for every study related to MMC in the ICU. Study selection: Only original studies about MMC in the ICU setting that reported an assessment were included. Papers reporting guidelines and methods for MMC implementation were excluded. Data extraction: Extraction used predefined data fields, including study design, MMC characteristics, assessment methods and results. Data synthesis: Studies about MMC in the ICU are recent and scarce. Results comparison and synthesis are impaired by discrepancies in study designs. Although the effectiveness of MMC is not evidence-based, data are consistent for their positive impact on quality of care and patient safety in the ICU. Conclusion: Further studies are required to assess the impact of MMC in the ICU. Based on this literature review, a 4-level evaluation scheme can be suggested: 1) evaluation of MMC implementation in care units and facilities; 2) evaluation of MMC organization; 3) evaluation of MMC on quality of care; 4) evaluation of MMC impact on patients’ mortality and morbidity. [Copyright &y& Elsevier]

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Abstract: Introduction: In the case of multidigital hand trauma, the tissue of the amputated parts can be used for the reconstruction of the defected tissue localized on the other fingers. Patients and methods: A series of seven patients has been reviewed in this paper; the authors illustrate the different possibilities of using the “spare-parts concept” in the emergency hand trauma surgery. Results: The functional results are presented. Discussion: The different techniques of reconstruction using the “spare-parts concept” are discussed. Conclusion: In the cases of multidigital lesions, the surgeon should choose the best opportunity to use the tissue of the amputated digits, or the non-conservable ones, to reconstruct the neighboring preserved segments. [Copyright &y& Elsevier]

Abstract: Bacground: Stenotrophomonas maltophilia (Smalto) is a prominent nosocomial pathogen, commonly isolated in the hospital environment. Multiple Smalto nosocomial outbreaks have been linked to contaminated water sources. This study aimed to develop a medium able to ease healthcare environment Smalto isolation. Methods: Financed, from March 2007 to June 2008, by a university hospital of Amiens’ clinical research program, this study allowed Stenotrophomonas maltophilia selective medium with coloured indicator (SM2i) development. SM2i is constituted of Mueller Hinton agar (MH), maltose, DL-methionine, bromothymol blue. The mixture sterilized is refreshed at 50°C, its pH adjusted to 7.1, and render selective by addition of vancomycin, imipenem and amphotericin B. Then, SM2i agar is sunk into 90cm diameter Petri dish dated and stored at 4°C for 4 weeks. SM2i is developed using Pasteur Institute culture type collection (CIP) strains of Smalto, Burkholderia cepacia, Pseudomonas aeruginosa (Psa) and a Smalto strain of our hygiene laboratory collection. It was validate on Psa imipenem-resistant and Enterococcus faecium vancomycin-resistant strains, then, tested on cold water first jet and faucet cotton-swabs samples. SM2i tests were made in comparison with the MH agar, MH agar plus four paper disks loaded 10μg of imipenem and Cetrimed agar. Its sensitivity, specificity, positive (PPV) and negative (NPV) predictive values, accuracy, likehood-ratio (LR) and Youden index have been determined. Results: SM2i agar is better in culturing Smalto test-strains. On SM2i, Smalto colonies are smooth, round, greeny, olive or lime green, have a green olive centre with a peripheral lighter or a dark green centre with an olive green suburb surrounded by a blue halo. SM2i is a selective, specific, predictive, accurate medium to search for Smalto in healthcare environment. In 122 pairs of cold water first jet and taps cotton-swabs samples, Smalto was isolated from 14.8% of water samples, 10.7% of cotton-swabs samples. It was isolated alone in 6.6% of water samples and 2.5% of swab samples. Thus, smalto has biocontaminated 17.2% of cold water taps. Compared to MH agar, SM2i sensitivity, specificity, PPV, NPV, accuracy, LR were 100, 100, 100, 100, 100% and ∞, and 87.5, 100, 100, 98.1, 98.4% and ∞ for water and cotton-swabs samples respectively. Conclusion: SM2i is a selective, specific, predictive medium which can allow easily isolating and identifying accurately Smalto in environmental samples. Its evaluation on clinical samples is on going. [Copyright &y& Elsevier]

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Abstract: The MEAH, a French national agency working on health services organization, has led a two-year campaign on safety improvement in radiotherapy centers. The pilot project involved three voluntary French cancer centers in 2005 and 2006. Building on the results of this project, a roll-out campaign has been launched, involving more than 50 additional cancer centers from 2007 and on. This paper presents the results of experiences of these campaigns. Notably, the axes of improvement chosen by professionals, such as risk analysis or use of checklists are discussed. [Copyright &y& Elsevier]

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Copyright of Recherches Sociographiques is the property of Recherches Sociographiques and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Recherches Sociographiques is the property of Recherches Sociographiques and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract: Aim: The aim of this paper is to review our scientific knowledge of the effect of aerobic training on the activity of the autonomic nervous system on the cardiovascular function measured by short-term heart rate variability (HRV). Current knowledge: Cardiovascular morbidity and mortality are associated with autonomic nervous system disorders. Then, HRV represents prognosis tool of cardiovascular mortality. Aerobic training is a non-pharmacological process to increase cardiovascular health. Points of view and plans: Even if aerobic training improved HRV, cardiovascular autonomic adaptations seem to be dependant of various factors such as age, sex and training characteristics. To determine minimal quantity of physical activity to improve HRV and cardiovascular health, it is necessary to study the impact of these parameters. [Copyright &y& Elsevier]

Copyright of IRBM is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper presents a synthesis of different studies willing to bring a scientific insight into leg compression, which is the process of applying external compression forces onto the human leg with stockings or socks, for enhancing the venous flow. It seems obvious that the pressure distribution on the leg affects the blood flow in the veins. However, the pressure distribution that leads to the optimal blood flow is not trivial, and it is different with regard to the application: medical treatment or recovering after an effort in sports. In order to improve the scientific knowledge about this topic, a numerical 2D model was set up for computing stress fields inside the leg, accounting for the actual material properties of both the compression stocking and of the leg biological tissues. Suitable identification methods, based either on model updating from digital image correlation (for the compression stockings), or on image warping and model updating from MRI scans (for the internal leg tissues), were developed for retrieving these material properties. [ABSTRACT FROM AUTHOR]