Search

Datura is a plant that induces hallucinogenic effects with a predominant action due to atropine. The induced psychological effects are short-lived, less than 2 days. However, in the event of serious poisoning, cardio-respiratory symptoms may be observed, which can sometimes lead to death. There is no real addiction to datura due to its side effects, but any consumption should alert the general practitioner to understand the reasons for such consumption and to be able to remedy it. [ABSTRACT FROM AUTHOR]

Hallucinogenic mushrooms are used in France for recreational purposes, most often following festive gatherings. The clinical consequences of this consumption are not significant; They are mainly observed on a psychological level, but in certain cases, which are quite rare, require care by a health professional. However, it is important for the general practitioner to clearly determine the reasons for this type of addiction which can in certain cases be associated with other psychoactive substances which, in turn, can lead to serious organic problems, and in certain cases fatal. [ABSTRACT FROM AUTHOR]

Synthetic cannabinoids (CS) belong to the emerging market of new synthetic products, sold on the Internet or in specialized stores. Appearing since the 1970s, there are now more than 160 of them. These are molecules produced in the laboratory that mimic the effects of Δ9-tetrahydrocannabinol (THC) on brain receptors. These molecules are pure laboratory products, formidable synthetic drugs whose nature and concentration vary from one product to another and even from one batch to another of the same product. Added to mixtures of herbs for smoking or to liquids for electronic cigarettes, sold in particular under the names of Spice, K2, herbal incense, potpourri or Black Mamba, CS are sometimes presented as a legal and safe alternative to natural cannabis. We are far from it! [ABSTRACT FROM AUTHOR]

Nefopam (Acupan®) is a centrally acting non-opioid analgesic used for the treatment of moderate to severe pain. Similar to a level 1 analgesic in view of the WHO pain classification, it is a 1st or 2nd line drug depending on the intensity of the pain, but due to a significant risk of drug dependence, it should not be used in the context of chronic pain. What can be its interest in general medicine, and under what conditions? [ABSTRACT FROM AUTHOR]

Résumé: Les femmes sans domicile fixe sont tout aussi susceptibles, et peut-être même plus que les autres, d'être victimes de violences de la part de leur partenaire. Malheureusement le silence demeure chez ces femmes qui souhaitent parfois oublier une situation encore plus déstabilisante. Le but de ce travail est de déterminer, à partir d'expériences vécues, la fréquence et l'importance des violences subies par les femmes sans-abri hébergées dans des centres d'hébergement et réinsertion sociale des Pyrénées Orientales. Women who are homeless are just as likely, and perhaps even more likely than others, to experience partner violence. Unfortunately, silence remains among these women who sometimes wish to forget an even more destabilizing situation. The aim of this work is to determine, from lived experiences, the frequency and extent of violence suffered by homeless women accommodated in accommodation and social reintegration centers in the Eastern Pyrenees. [ABSTRACT FROM AUTHOR]

Résumé: Face à la pandémie de COVID-19, l'inquiétude face à une pénurie de masques est grande. Outre la diminution des quantités produites en Chine, le fait qu'ils ne soient ni réutilisables, ni lavables et que leur durée d'utilisation soit courte participe à la survenue de cette pénurie. Est-il envisageable de les réutiliser tout de même et/ou de fabriquer des masques avec des matériaux courants, comme cela est proposé par de nombreux internautes ? Faced with the Covid-19 pandemic, concern over a shortage of masks is great. In addition to the decrease in the quantities produced in China, the fact that they are neither reusable nor washable and that their duration of use is short contributes to the occurrence of this shortage. Is it possible to reuse them all the same and/or to make masks with common materials, as is proposed by many Internet users? [ABSTRACT FROM AUTHOR]

Résumé: Mme X, 21 ans, nous consulte car elle présente une sensation de cuisson, et une chaleur au niveau d'un tatouage réalisé la veille. Elle est allée voir un tatoueur ayant pignon sur rue dans sa ville. Cependant, elle a peur d'avoir un problème infectieux suite à la réalisation de cet acte. Cliniquement, nous mettons en évidence une plage érythémateuse très homogène tout autour de son tatouage. En fait cette réaction est très fréquente et correspond à une réaction inflammatoire secondaire à la réalisation de son tatouage. Ms. X, 21, consults us because it has a feeling of cooking, and heat at a tattoo done the day before. She went to see a tattoo artist who was well established in his city. However, she is afraid of having an infectious problem following the realization of this act. Clinically, we highlight a very homogeneous erythematous beach all around his tattoo. In fact this reaction is very common, and corresponds to an inflammatory reaction secondary to the realization of his tattoo. [ABSTRACT FROM AUTHOR]

Résumé: Les TROD VIH ont montré leur intérêt dans la recherche de cette pathologie parmi les hommes ayant des relations sexuelles avec les hommes (HSH). Ce test est disponible gratuitement grâce au soutien de certaines associations comme AIDES. Une étude menée entre 2014 et 2015 montrait que 0,1 % des patients qui acceptaient d'effectuer le test étaient positifs, la majorité de ces résultats positifs étant retrouvés chez les HSH (plus de 90 %). De plus, les résultats montraient que la grande majorité des patients qui acceptaient de réaliser le TROD n'avaient jamais fait de test VIH dans le passé, malgré le nombre important de facteurs de risques pour contracter cette pathologie. La démarche nécessite d'être encouragée du fait que les HSH sont enclins à ne plus recourir aux préservatifs depuis l'introduction d'un nouveau traitement prophylactique qui évite la transmission du VIH. Quick tests for HIV have been shown to be useful in detecting the disease amongst men who have sex with men (MSM). This test is available free of charge with the support of specific associations like AIDES. A study done in 2014-2015 showed that 0,1% of patients who agreed to take the test were found to be positive for HIV; of which the majority of positive results were found in MSM (more than 90%). Moreover, the results showed that the majority of people who agreed to undergo this quick test had never had an HIV test done in the past, despite having numerous risk factors for contracting the disease. However, the process needs to be encouraged given MSM are prone to not using condoms since the introduction of a new prophylactic treatment that prevents the transmission of HIV [ABSTRACT FROM AUTHOR]

Résumé: Grâce au concours d'une équipe solidaire, une prise en charge multidisciplinaire des patients en fin de vie est possible. Entre 1999 et 2016, nous avons suivi 118 patients, pour lesquels la douleur a été un symptôme princeps (98,3 %) lors de leur prise en charge. Le caractère nociceptif des douleurs était prépondérant en début de prise en charge ; le caractère mixte était le plus important lors des derniers instants de vie. La complémentarité entre les différents acteurs de soins a permis une prise en charge satisfaisante, et d'obtenir 98 % de soulagement chez les patients. [ABSTRACT FROM AUTHOR]

Copyright of Médecine is the property of John Libbey Eurotext Ltd. 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.)

Pellagra, a rare disease that is nonexistent in developped countries, is a pathology caused by a deficiency of vitamin PP or vitamin B3. It is mostly seen in devlopping countries. Pellagra can be linked to maize or other cereals such as sorghum or millet. In developped countries including Europe and USA, this pathology has become very rare. However, it can affect several categories of patients suffering from deficiencies, digestive absorption disorders, chronic alcoholism as well as disadvantaged populations, particulary refugees living in precarious conditions with food aid that is not always well-balanced. The latter categories of patients may be seen by the general practitioner. [ABSTRACT FROM AUTHOR]

Résumé: L'acupuncture est une pratique médicale fréquente (entre 3 000 et 4 000 médecins pratiquent cet art). Les effets secondaires suite à la réalisation d'une séance d'acupuncture restent rares (moins de 1/1000), et le plus souvent s'apparentent à un malaise vagal ou à des douleurs localisées. Cependant, certaines complications hémorragiques locales ou infectieuses (périchondrite) doivent être connues pour qu'une prise en charge rapide par le médecin généraliste puisse être effectuée. Acupuncture is a frequently performed medical practice (between 3,000 and 4,000 doctors perform this skill). Adverse effects due to acupuncture practice are rare (less than 1/1000) and mostly are a vasovagal episode or local pain. However, some local bleeding or infection complications (such as perichondritis) need to be known about to allow the famiily doctor to intervene quickly if these happen. [ABSTRACT FROM AUTHOR]