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24 results on '"Gramont, Baptiste"'

1. Polymyalgia rheumatica and giant cell arteritis following COVID-19 vaccination: Results from a nationwide survey

Author

Jarrot, Pierre-André, primary, Mirouse, Adrien, additional, Ottaviani, Sébastien, additional, Cadiou, Simon, additional, Salmon, Jean-Hugues, additional, Liozon, Eric, additional, Parreau, Simon, additional, Michaud, Martin, additional, Terrier, Benjamin, additional, Gavand, Pierre-Edouard, additional, Trefond, Ludovic, additional, Lavoiepierre, Virginie, additional, Keraen, Jeremy, additional, Rekassa, Daniel, additional, Bouldoires, Bastien, additional, Weitten, Thierry, additional, Roche, Damien, additional, Poulet, Antoine, additional, Charpin, Caroline, additional, Grobost, Vincent, additional, Hermet, Marion, additional, Pallure, Magali, additional, Wackenheim, Chloe, additional, Karkowski, Ludovic, additional, Grumet, Pierre, additional, Rogier, Thomas, additional, Belkefi, Nabil, additional, Pestre, Vincent, additional, Broquet, Emilie, additional, Leurs, Amélie, additional, Gautier, Sophie, additional, Gras, Valérie, additional, Gilet, Pierre, additional, Holubar, Jan, additional, Sivova, Nadia, additional, Schleinitz, Nicolas, additional, Durand, Jean-Marc, additional, Castel, Brice, additional, Petrier, Alexandre, additional, Arcani, Robin, additional, Gramont, Baptiste, additional, Guilpain, Philippe, additional, Lepidi, Hubert, additional, Weiller, Pierre-Jean, additional, Micallef, Joelle, additional, Saadoun, David, additional, and Kaplanski, Gilles, additional

Published
2024
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2. Proton pump inhibitors and risk of severe COVID-19 in older people

Author

Gramont, Baptiste, primary, Fayolle, Sophie, additional, Beltramin, Diva, additional, Bidat, Nisrine, additional, Boudet, Julie, additional, Chaux, Robin, additional, Grange, Lucile, additional, Barrau, Mathilde, additional, Gagneux-Brunon, Amandine, additional, Cathébras, Pascal, additional, Killian, Martin, additional, Botelho-Nevers, Elisabeth, additional, and Célarier, Thomas, additional

Published
2024
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6. COVID-19 Bed Management Using a Two-Step Process Mining and Discrete-Event Simulation Approach

Author

Le Lay, Jules, Augusto, Vincent, Alfonso-Lizarazo, Edgar, Masmoudi, Malek, Gramont, Baptiste, Xie, Xiaolan, Bongue, Bienvenu, and Celarier, Thomas

Abstract

The sudden admission of many patients with similar needs caused by the COVID-19 (SARS-CoV-2) pandemic forced health care centers to temporarily transform units to respond to the crisis. This process greatly impacted the daily activities of the hospitals. In this paper, we propose a two-step approach based on process mining and discrete-event simulation for sizing a recovery unit dedicated to COVID-19 patients inside a hospital. A decision aid framework is proposed to help hospital managers make crucial decisions, such as hospitalization cancellation and resource sizing, taking into account all units of the hospital. Three sources of patients are considered: (i) planned admissions, (ii) emergent admissions representing day-to-day activities, and (iii) COVID-19 admissions. Hospitalization pathways have been modeled using process mining based on synthetic medico-administrative data, and a generic model of bed transfers between units is proposed as a basis to evaluate the impact of those moves using discrete-event simulation. A practical case study in collaboration with a local hospital is presented to assess the robustness of the approach. Note to Practitioners— In this paper we develop and test a new decision-aid tool dedicated to bed management, taking into account exceptional hospitalization pathways such as COVID-19 patients. The tool enables the creation of a dedicated COVID-19 intensive care unit with specific management rules that are fine-tuned by considering the characteristics of the pandemic. Health practitioners can automatically use medico-administrative data extracted from the information system of the hospital to feed the model. Two execution modes are proposed: (i) fine-tuning of the staffed beds assignment policies through a design of experiment and (ii) simulation of user-defined scenarios. A practical case study in collaboration with a local hospital is presented. The results show that our model was able to find the strategy to minimize the number of transfers and the number of cancellations while maximizing the number of COVID-19 patients taken into care was to transfer beds to the COVID-19 ICU in batches of 12 and to cancel appointed patients using ICU when the department hit a 90% occupation rate.

Published
2024
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8. Suivre les patients sous anticorps monoclonaux (deuxième partie).

Author

Barnay, Camille, Damin-Pernik, Marlène, Falcon, Aurélien, Gramont, Baptiste, and Charles, Rodolphe

Subjects
MONOCLONAL antibodies, IMMUNOGLOBULINS, CARCINOLOGY, AUTOIMMUNE diseases, GENERAL practitioners, VACCINATION
Abstract

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.)

Published
2023
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10. Ocular Inflammation Induced by Immune Checkpoint Inhibitors

Author

Chaudot, Florence, primary, Sève, Pascal, additional, Rousseau, Antoine, additional, Maria, Alexandre Thibault Jacques, additional, Fournie, Pierre, additional, Lozach, Pierre, additional, Keraen, Jeremy, additional, Servant, Marion, additional, Muller, Romain, additional, Gramont, Baptiste, additional, Touhami, Sara, additional, Mahmoud, Habeeb, additional, Quintart, Pierre-Antoine, additional, Dalle, Stéphane, additional, Lambotte, Olivier, additional, Kodjikian, Laurent, additional, and Jamilloux, Yvan, additional

Published
2022
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14. Médecine hospitalière polyvalente : de l’Odyssée 2022 au Cid 2023.

Author

Héry, Ludovic, Goutte, Julie, Tanguy-Lainé, Krystell, Poulingue, Géraldine, Gramont, Baptiste, Hugo Jouhair, Lion-Daolio, Sylvie, Yann Poulingue, and Yekhlef, Wanda

Subjects
CIDER (Alcoholic beverage), HOSPITALS, CONTINUOUS training (Exercise), FORMALIZATION (Linguistics), MEDICAL societies
Abstract

The article focuses on French Society of general medicine [SFMP] in 2020 and its members federate, advance, build and develop a dynamic cider. It mentions forces to pursue the fabulous adventure of medicine multipurpose hospital (MHP) and recognition of practices, recertification, requalification, initial and continuous training dedicated, and clinical research. It also mentions formalization of the creation cross-disciplinary specialized training (FST).

Published
2023
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16. Graduated compression stockings in prevention of venous thromboembolism among acutely ill medical patients aged over 75 years: a French national survey

Author

Gramont,Baptiste, Chalayer,Émilie, Savall,Angélique, Killian,Martin, Celarier,Thomas, Tardy,Bernard, Gramont,Baptiste, Chalayer,Émilie, Savall,Angélique, Killian,Martin, Celarier,Thomas, and Tardy,Bernard

Abstract

Baptiste Gramont,1 Émilie Chalayer,1,2 Angélique Savall,3 Martin Killian,1 Thomas Celarier,1 Bernard Tardy21Department of Internal Medicine and Geriatrics, CHU, Saint Etienne, France; 2Centre d’Investigation Clinique, Inserm CIC-EC 1408, Saint Etienne, France; 3Department of Education and Research in General Practice, Jean Monnet University, Saint Etienne, FranceBackground: The thromboprophylactic efficacy of graduated compression stockings (GCS) has not yet been demonstrated in acutely ill medical patients, and guidelines vary considerably. Older acutely ill medical patients appear to constitute a distinctive population presenting high risks of both thrombosis and bleeding.Objective: To evaluate the practices and beliefs of a panel of French geriatricians regarding GCS management in acutely ill medical patients aged over 75 years.Methods: A survey was designed to study French geriatric practice concerning GCS use for thromboprophylaxis.Results: A total of 111 geriatricians answered the questionnaire. Among the responders, 46% declared frequent or very frequent prescription of GCS for preventing venous thromboembolism (VTE) in acutely ill, hospitalized medical patients, 54% declaring that they frequently re-evaluated GCS prescription during the patient’s hospitalization. The main reason reported for discontinuing GCS use was patient request. Regarding complications of GCS, 87% of responders declared having already noted adverse effects with the use of GCS, although 80% estimated the risk of complications to be low or very low. In the context considered, the efficacy of wearing GCS was believed to be high or very high for 73% of responders. GCS prescription was judged to be in accordance with evidence-based medicine for 69%.Conclusion: There is a gap between the frequent use of GCS to prevent VTE in older patients presenting an acute medical illness and the availability of data concerning their efficacy, safety, and managemen

Published
2019

22. Prescriptions d'inhibiteurs de la pompe à protons au long cours dans une unité de médecine interne.

Author

Gramont, Baptiste and Cathébras, Pascal

Subjects
*INTERNAL medicine, *PUMPING machinery, *HOSPITALS, *MEDICAL protocols, *PROTONS
Abstract

Résumé: Près d'un quart de la population française a consommé un inhibiteur de la pompe à protons et la moitié sont des utilisateurs au long cours. Longtemps considérés comme « anodins » avec un bon profil de tolérance, la liste des effets secondaires de cette classe médicamenteuse s'allonge depuis plusieurs années dans la littérature scientifique. Cet article rappelle, à la lumière de l'analyse des prescriptions ambulatoires des patients hospitalisés dans un service de médecine interne, l'importante surprescription au long cours des inhibiteurs de la pompe à protons, trop souvent en dehors des recommandations de bonne pratique. Nearly a quarter of the French population has taken a proton pump inhibitor, half are long-term users. Long considered "harmless" with a good tolerance profile, the list of adverse effects of this class of drugs has been growing in the scientific literature for several years. This article recalls, in the light of the analysis of prescriptions for patients hospitalized in a department of internal medicine, the significant over-prescription of proton pump inhibitor over the long term, too often outside the recommendations of good practice. [ABSTRACT FROM AUTHOR]

Published
2020
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23. Trop de médecine ?

Author

Gramont, Baptiste

Subjects
*QUATERNARY structure, *QUATERNARY Period, *MEDICINE, *PRESCRIPTION (Law), *PROFESSIONALISM
Abstract

The article reports on over-screening, over-prescription, over-treatment, medicalization of any deviation from the health standard, and prevention quaternary. It notes that it should be noted that the benefit and risk assessment of over-medicalization should not come only from healthcare professionals. It adds that legitimacy for the temptation to each health user not to suffer and to be permanently monitored, observed, protected by the medical profession.

Published
2020
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