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Guerrero JLS, Brito PHS, Ferreira MA, Arantes JDA, Rusch E, Oliveira BVDS, Velasco-Bolaños J, Carregaro AB, Dória RGS. Evaluation of Gastric pH and Gastrin Concentrations in Horses Subjected to General Inhalation Anesthesia in Dorsal Recumbency. Animals (Basel) 2024; 14:1183. [PMID: 38672331 PMCID: PMC11047614 DOI: 10.3390/ani14081183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2024] [Revised: 04/04/2024] [Accepted: 04/07/2024] [Indexed: 04/28/2024] Open
Abstract
The prevalence of gastric disorders in high-performance horses, especially gastric ulceration, ranges from 50 to 90%. These pathological conditions have negative impacts on athletic performance and health. This study was designed to evaluate changes in gastric pH during a 24 h period and to compare gastrin concentrations at different time points in horses undergoing general inhalation anesthesia and dorsal recumbency. Twenty-two mixed-breed mares weighing 400 ± 50 kg and aged 8 ± 2 years were used. Of these, eight were fasted for 8 h and submitted to 90 min of general inhalation anesthesia in dorsal recumbency. Gastric juice samples were collected prior to anesthesia (T0), and then at 15 min intervals during anesthesia (T15-T90). After recovery from anesthesia (45 ± 1 min), samples were collected every hour for 24 h (T1 to T24) for gastric juice pH measurement. During this period, mares had free access to Bermuda grass hay and water and were fed a commercial concentrate twice (T4 and T16). In a second group (control), four non-anesthetized mares were submitted to 8 h of fasting followed by nasogastric intubation. Gastric juice samples were then collected at T0, T15, T30, T45, T60, T75, and T90. During this period, mares did not receive food or water. After 45 min, mares had free access to Bermuda grass hay and water, and gastric juice samples were collected every hour for four hours (T1 to T4). In a third group comprising ten non-fasted, non-anesthetized mares with free access to Bermuda grass hay and water, gastric juice samples were collected 30 min after concentrate intake (T0). In anesthetized mares, blood gastrin levels were measured prior to anesthesia (8 h fasting; baseline), during recovery from anesthesia, and 4 months after the anesthetic procedure, 90 min after the morning meal. Mean values of gastric juice pH remained acidic during general anesthesia. Mean pH values were within the physiological range (4.52 ± 1.69) and did not differ significantly between time points (T15-T90; p > 0.05). After recovery from anesthesia, mean gastric pH values increased and remained in the alkaline range throughout the 24 h period of evaluation. Significant differences were observed between T0 (4.88 ± 2.38), T5 (7.08 ± 0.89), T8 (7.43 ± 0.22), T9 (7.28 ± 0.36), T11 (7.26 ± 0.71), T13 (6.74 ± 0.90), and T17 (6.94 ± 1.04) (p < 0.05). The mean gastric juice pH ranged from weakly acidic to neutral or weakly alkaline in all groups, regardless of food and water intake (i.e., in the fasted, non-fasted, and fed states). Mean gastric pH measured in the control group did not differ from values measured during the 24 h post-anesthesia period or in the non-fasted group. Gastrin concentrations increased significantly during the post-anesthetic period compared to baseline (20.15 ± 7.65 pg/mL and 15.15 ± 3.82 pg/mL respectively; p < 0.05). General inhalation anesthesia and dorsal recumbency did not affect gastric juice pH, which remained acidic and within the physiological range. Gastric juice pH was weakly alkaline after recovery from anesthesia and in the fasted and fed states. Serum gastrin levels increased in response to general inhalation anesthesia in dorsal recumbency and were not influenced by fasting. Preventive pharmacological measures are not required in horses submitted to general anesthesia and dorsal recumbency.
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Affiliation(s)
- Jesus Leonardo Suarez Guerrero
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo (USP), 225 Duque de Caxias Norte Avenue, Pirassununga 13635-900, SP, Brazil; (J.L.S.G.); (P.H.S.B.); (M.A.F.); (J.d.A.A.); (E.R.); (B.V.d.S.O.); (A.B.C.)
| | - Pedro Henrique Salles Brito
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo (USP), 225 Duque de Caxias Norte Avenue, Pirassununga 13635-900, SP, Brazil; (J.L.S.G.); (P.H.S.B.); (M.A.F.); (J.d.A.A.); (E.R.); (B.V.d.S.O.); (A.B.C.)
| | - Marília Alves Ferreira
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo (USP), 225 Duque de Caxias Norte Avenue, Pirassununga 13635-900, SP, Brazil; (J.L.S.G.); (P.H.S.B.); (M.A.F.); (J.d.A.A.); (E.R.); (B.V.d.S.O.); (A.B.C.)
| | - Julia de Assis Arantes
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo (USP), 225 Duque de Caxias Norte Avenue, Pirassununga 13635-900, SP, Brazil; (J.L.S.G.); (P.H.S.B.); (M.A.F.); (J.d.A.A.); (E.R.); (B.V.d.S.O.); (A.B.C.)
| | - Elidiane Rusch
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo (USP), 225 Duque de Caxias Norte Avenue, Pirassununga 13635-900, SP, Brazil; (J.L.S.G.); (P.H.S.B.); (M.A.F.); (J.d.A.A.); (E.R.); (B.V.d.S.O.); (A.B.C.)
| | - Brenda Valéria dos Santos Oliveira
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo (USP), 225 Duque de Caxias Norte Avenue, Pirassununga 13635-900, SP, Brazil; (J.L.S.G.); (P.H.S.B.); (M.A.F.); (J.d.A.A.); (E.R.); (B.V.d.S.O.); (A.B.C.)
| | - Juan Velasco-Bolaños
- Grupo de Investigación en Ciencias Agropecuarias (Group GIsCA), Facultad de Medicina Veterinaria y Zootecnia, Institución Universitaria Visión de las Américas, Pereira 660003, Colombia;
- Research Group Calidad de Leche y Epidemiología Veterinária (CLEV), Universidad de Caldas, Manizales 170004, Colombia
| | - Adriano Bonfim Carregaro
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo (USP), 225 Duque de Caxias Norte Avenue, Pirassununga 13635-900, SP, Brazil; (J.L.S.G.); (P.H.S.B.); (M.A.F.); (J.d.A.A.); (E.R.); (B.V.d.S.O.); (A.B.C.)
| | - Renata Gebara Sampaio Dória
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo (USP), 225 Duque de Caxias Norte Avenue, Pirassununga 13635-900, SP, Brazil; (J.L.S.G.); (P.H.S.B.); (M.A.F.); (J.d.A.A.); (E.R.); (B.V.d.S.O.); (A.B.C.)
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Sanches MC, Bessi WH, Rusch E, Schaffhausser MB, Cassoli AA, Freitas SH, Gehrcke MI, Carregaro AB. Cardiopulmonary and propofol-sparing effects of dexmedetomidine in total intravenous anesthesia in cats undergoing ovariohysterectomy. J Feline Med Surg 2022; 24:e490-e497. [PMID: 36409556 PMCID: PMC10812347 DOI: 10.1177/1098612x221130036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVES This study aimed to assess the effect of dexmedetomidine on the propofol-based anesthesia of cats subjected to ovariohysterectomy. METHODS Twenty-eight cats were randomly allocated to four groups (seven cats in each) and premedicated with either 5 µg/kg dexmedetomidine (groups Dex 1, Dex 3 and Dex 5) or 0.05 ml saline (Prop group) intramuscularly. After the induction of anesthesia with propofol, total intravenous anesthesia was initiated with 300 µg/kg/min propofol plus 3 ml/kg/h NaCl 0.9% (Prop), or 200 µg/kg/min propofol plus dexmedetomidine at the rates of 1 µg/kg/h (Dex 1), 3 µg/kg/h (Dex 3) or 5 µg/kg/h (Dex 5). Cardiorespiratory variables were assessed 5 mins after induction and every 10 mins thereafter, until the end of anesthesia. The propofol infusion rate was adjusted every 10 mins (± 50 µg/kg/min) to maintain anesthetic depth. The times to extubation, sternal recumbency, ambulation and total recovery were recorded. Pain scoring was performed 1, 2, 4, 8, 12 and 24 h after the end of anesthesia. RESULTS Dexmedetomidine produced a propofol-sparing effect of 72.8%, 71.1% and 74.6% in the Dex 1, Dex 3 and Dex 5 groups, respectively. Cats in the Prop group maintained higher heart rate values than the other groups, and the mean arterial pressure remained higher in the Dex 3 and Dex 5 groups. Rescue intraoperative analgesia (fentanyl bolus) was most frequent in the Prop group. There was no significant difference in the time of extubation. Cats in the Dex 1 and Dex 3 groups had a faster anesthetic recovery, with shorter times to achieving sternal recumbency, regaining ambulation and reaching full recovery. Cats in the Dex 1 and Dex 5 groups presented the best recovery quality scores, with 4 (range 4-5) and 4 (range 3-5), respectively, while the Prop group scored 1 (range 1-3), the worst anesthetic recovery score among the groups. CONCLUSIONS AND RELEVANCE The use of dexmedetomidine as a total intravenous anesthesia adjuvant, especially at doses of 1 and 3 µg/kg/h, reduces propofol consumption and improves cardiorespiratory stability and intraoperative analgesia, while promoting a better and quicker recovery from anesthesia.
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Affiliation(s)
- Mariana C Sanches
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo, São Paulo, Brazil
| | - Wellington H Bessi
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo, São Paulo, Brazil
| | - Elidiane Rusch
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo, São Paulo, Brazil
| | - Marianna B Schaffhausser
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo, São Paulo, Brazil
| | - Ana A Cassoli
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo, São Paulo, Brazil
| | - Silvio H Freitas
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo, São Paulo, Brazil
| | - Martielo I Gehrcke
- Departament of Veterinary Clinics, Federal University of Pelotas, Pelotas, Brazil
| | - Adriano B Carregaro
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo, São Paulo, Brazil
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Cordeiro JF, Sanches MC, Rusch E, Xavier NV, Cassoli AA, Fahlman Å, Carregaro AB. Intranasal oxygen reverses hypoxaemia in immobilised free-ranging capybaras (Hydrochoerus hydrochaeris). PLoS One 2021; 16:e0260441. [PMID: 34847151 PMCID: PMC8631649 DOI: 10.1371/journal.pone.0260441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 11/09/2021] [Indexed: 11/18/2022] Open
Abstract
Capybara (Hydrochoerus hydrochaeris) is the main host of tick-borne pathogens causing Brazilian spotted fever; therefore, controlling its population is essential, and this may require chemical restraint. We assessed the impact of chemical restraint protocols on the partial pressure of arterial oxygen (PaO2) and other blood variables in 36 capybaras and the effect of different flows of nasal oxygen (O2) supplementation. The capybaras were hand-injected with dexmedetomidine (5 μg/kg) and midazolam (0.1 mg/kg) and butorphanol (0.2 mg/kg) (DMB, n = 18) or methadone (0.1 mg/kg) (DMM, n = 18). One-third of the animals were maintained in ambient air throughout the procedure, and one-third were administered intranasal 2 L/min O2 after 30 min whereas the other third were administered 5 L/min O2. Arterial blood gases, acid-base status, and electrolytes were assessed 30 and 60 min after drug injection. The DMB and DMM groups did not vary based on any of the evaluated variables. All animals developed hypoxaemia (PaO2 44 [30; 73] mmHg, SaO2 81 [62; 93] %) 30 min before O2 supplementation. Intranasal O2 at 2 L/min improved PaO2 (63 [49; 97] mmHg and SaO2 [92 [85; 98] %), but 9 of 12 capybaras remained hypoxaemic. A higher O2 flow of 5 L/min was efficient in treating hypoxaemia (PaO2 188 [146; 414] mmHg, SaO2 100 [99; 100] %) in all the 12 animals that received it. Both drug protocols induced hypoxaemia, which could be treated with intranasal oxygen supplementation.
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Affiliation(s)
- Jefferson F. Cordeiro
- Veterinary Medicine Department, Faculty of Animal Science and Food Engineering, University of São Paulo (USP), Pirassununga, SP, Brazil
| | - Mariana C. Sanches
- Veterinary Medicine Department, Faculty of Animal Science and Food Engineering, University of São Paulo (USP), Pirassununga, SP, Brazil
| | - Elidiane Rusch
- Veterinary Medicine Department, Faculty of Animal Science and Food Engineering, University of São Paulo (USP), Pirassununga, SP, Brazil
| | - Nathalia V. Xavier
- Veterinary Medicine Department, Faculty of Animal Science and Food Engineering, University of São Paulo (USP), Pirassununga, SP, Brazil
| | - Ana Angélica Cassoli
- Veterinary Medicine Department, Faculty of Animal Science and Food Engineering, University of São Paulo (USP), Pirassununga, SP, Brazil
| | - Åsa Fahlman
- Swedish Biodiversity Centre, Department of Urban and Rural Development, Swedish University of Agricultural Sciences (SLU), Uppsala, Sweden
| | - Adriano B. Carregaro
- Veterinary Medicine Department, Faculty of Animal Science and Food Engineering, University of São Paulo (USP), Pirassununga, SP, Brazil
- * E-mail:
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Mahamat Nadjib A, Abdel-Mahamoud A, Grammatico-Guillon L, Rusch E. Évaluation des connaissances et des comportements des parents sur la vaccination contre la poliomyélite : enquête dans les ménages en zones urbaines et périurbaines de la ville d’Abéché à l’Est du Tchad. Rev Epidemiol Sante Publique 2021. [DOI: 10.1016/j.respe.2021.04.113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Rusch E, Bovi MF, Martinelli EC, Garcia-Gomes MS, Mori CM, Martins DS, Carregaro AB. Effects of Three Consecutive Days of Morphine or Methadone Administration on Analgesia and Open-Field Activity in Mice with Ehrlich Carcinoma. J Am Assoc Lab Anim Sci 2021; 60:349-356. [PMID: 33863403 DOI: 10.30802/aalas-jaalas-20-000053] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
This study assessed the exploratory behavioral responses in BALB/c mice inoculated with Ehrlich ascitic carcinoma after 3 consecutive days of treatment with morphine or methadone. Fifty-three female mice, 60 ± 10 d old, were used. Seven days after intraperitoneal tumor inoculation (2 × 106 cells), the animals were randomized into 7 groups: morphine 5 mg/kg (MO5), morphine 7.5 mg/kg (MO7.5), morphine 10 mg/kg (MO10), methadone 2.85 mg/kg (ME2.85), methadone 4.3 mg/kg (ME4.3), methadone 5.7 mg/kg (ME5.7), and 0.9% NaCl (Saline) (n = 7). Drug treatments were administered subcutaneously every 6 h for 3 d. The animals were evaluated for analgesia using the mouse grimace scale (MGS) and for general activity using the open field test. The MGS was performed before tumor inoculation (day 0), on day 7 at 40, 90, 150, 240, and 360 min after drug injection, and on days 8 and 9 at 40, 150, 240, and 360 min after drug injection. The open field test was performed before tumor inoculation (day 0), on day 7 after inoculation at 40, 90, 150, 240, and 360 min after drug injection, and on days 8 and 9 after inoculation at 40, 150, and 360 min after drug injection. MGS results indicated that administration of morphine promoted analgesia for up to 240 min. Conversely, methadone reduced MGS scores only at 40 min. All tested doses promoted a significant dose-dependent increase in the total distance traveled and the average speed, and increase that was markedly pronounced on days 8 and 9 as compared with day 7. The frequencies of rearing and self-grooming decreased significantly after morphine or methadone administration. Despite the difference in analgesia, both drugs increased locomotion and reduced the frequency of rearing and self-grooming as compared with the untreated control animals.
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Affiliation(s)
- Elidiane Rusch
- Department of Veterinary Medicine, Faculty of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, Brazil
| | - Milena F Bovi
- Department of Veterinary Medicine, Faculty of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, Brazil
| | - Elaine C Martinelli
- Department of Pathology, School of Veterinary Medicine and Animal Sciences, Research Center for Veterinary Toxicology (CEPTOX), University of Sao Paulo, São Paulo, Brazil
| | - Mariana Sa Garcia-Gomes
- Department of Pathology, School of Veterinary Medicine and Animal Science, University of Sao Paulo, São Paulo, Brazil
| | - Claudia Mc Mori
- Department of Pathology, School of Veterinary Medicine and Animal Science, University of Sao Paulo, São Paulo, Brazil
| | - Daniele S Martins
- Department of Veterinary Medicine, Faculty of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, Brazil
| | - Adriano B Carregaro
- Department of Veterinary Medicine, Faculty of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, Brazil;,
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Vinciguerra A, Nanty I, Guillaumin C, Rusch E, Cornu L, Courtois R. Les déterminants du décrochage dans l’enseignement secondaire : une revue de littérature. Psychologie Française 2021. [DOI: 10.1016/j.psfr.2019.09.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Valandro P, Massuda MB, Rusch E, Birgel DB, Pereira PPL, Sellera FP, Ribeiro MS, Pogliani FC, Birgel Junior EH. Antimicrobial photodynamic therapy can be an effective adjuvant for surgical wound healing in cattle. Photodiagnosis Photodyn Ther 2021; 33:102168. [PMID: 33497814 DOI: 10.1016/j.pdpdt.2020.102168] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2020] [Revised: 12/21/2020] [Accepted: 12/23/2020] [Indexed: 01/28/2023]
Abstract
BACKGROUND Rumenostomy is a useful procedure commonly performed in cattle for medical treatment of domestic ruminants with forestomach diseases. Methylene blue (MB)-mediated antimicrobial photodynamic therapy (APDT) has been broadly investigated to treat infected wounds. AIM The aim of the study was to evaluate the effectiveness of MB-mediated APDT (MB-APDT) combined with chlorhexidine and zinc oxide ointment on wound healing process after rumenostomy. METHODS Fourteen Nelore bulls were subjected to rumenostomy procedure. Animals were randomly divided into MB-APDT (MB associated with a red diode laser performed immediately after surgery and repeated on days 3, 5, 7 and 10) and control groups. Daily care included topical cleaning with chlorhexidine 2% followed by topical zinc oxide ointment. Animals were followed-up until the 28th day. RESULTS Wounds presented a better post-surgical profile in MB-APDT group when it was compared with the control group. In MB-APDT group, it was also possible to observe less pain on palpation of wounds borders, less edema and inflammatory exudate. Additionally, animals from MB-APDT group were faster discharged from the cattle care facility. CONCLUSION Our results support the use of MB-APDT for the post-surgical management of rumenostomy. This pilot study ratifies the use of APDT in cattle and also suggests that it could be performed for other surgical procedures as a complementary approach or an alternative for topical administration of antibiotics.
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Affiliation(s)
- Patrícia Valandro
- Department of Veterinary Medicine, School of Animal Science and Food Engineering University of São Paulo, Pirassununga, Brazil
| | - Mayara B Massuda
- Department of Veterinary Medicine, School of Animal Science and Food Engineering University of São Paulo, Pirassununga, Brazil
| | - Elidiane Rusch
- Department of Veterinary Medicine, School of Animal Science and Food Engineering University of São Paulo, Pirassununga, Brazil
| | - Daniela B Birgel
- Department of Veterinary Medicine, School of Animal Science and Food Engineering University of São Paulo, Pirassununga, Brazil
| | - Philipe P L Pereira
- Department of Internal Medicine, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, Brazil
| | - Fábio P Sellera
- Department of Internal Medicine, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, Brazil; School of Veterinary Medicine, Metropolitan University of Santos, Santos, Brazil
| | - Martha S Ribeiro
- Center for Lasers and Applications, Nuclear, and Energy Research Institute, National Commission for Nuclear Energy, São Paulo, SP, Brazil
| | - Fabio C Pogliani
- Department of Internal Medicine, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, Brazil
| | - Eduardo H Birgel Junior
- Department of Veterinary Medicine, School of Animal Science and Food Engineering University of São Paulo, Pirassununga, Brazil.
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Monmousseau F, Mulot L, Rusch E, Picon L, Brunet-Houdard S, Aubourg A. Étude des facteurs influençant la qualité de vie et chacune de ses dimensions chez des patients atteints de la maladie de Crohn initiant un traitement par anti-TNF. Rev Epidemiol Sante Publique 2020. [DOI: 10.1016/j.respe.2020.03.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Aesch B, Castel S, Capsec J, Fourquet F, Rusch E, Grammatico-Guillon L. La Réhabilitation améliorée après chirurgie (RAAC) : analyse de l’impact au CHRU de Tours, France. Rev Epidemiol Sante Publique 2020. [DOI: 10.1016/j.respe.2020.01.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Thoreau B, Bayer G, Barbet C, Cloarec S, Meriau E, Lachot S, Garot D, Bernard L, Gyan E, Perrotin F, Pouplard C, Maillot F, Gatault P, Sautenet B, Rusch E, Buchler M, Fremeaux-Bacchi V, Vigneau C, Fakhouri F, Halimi J. Microangiopathies thrombotiques (MAT) associées aux infections : particularités et pronostic. Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.10.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Laurent A, Ferron C, Lombrail P, Berry P, Frattini MO, Berdougo F, Rusch E. How to build and share an experiential knowledge in public health? Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz187.091] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Health promotion stakeholders are encouraged to base their intervention strategies on evidence. However, the evidence produced by public health research is outcome-based and provides little information on “how to act?” It is necessary to complete this evidence with experiential data constituting an evidence of a different nature, answering questions about organizations, skills and tools mobilized to achieve the results, and valuing skilled actors’ knowledge and good practice.
For two years, a group of 15 French organizations has been working on capitalization and sharing experiential knowledge. This work is part of the setting up of a national evidence platform. After a benchmarking phase, the group developed and tested a capitalization method which focuses on the collection and analysis of qualitative data and aims to explain the contexts and processes at work in the actions: knowledge and skills, strategies, perceived challenges and facilitating factors, key moments. The group also worked on the structure, content and use of a shareable document.
The test has shown the pedagogical interest of the method for the actors who were invited to develop a reflective thinking about their action, as well as the relevance of this method to build experiential knowledge. The ongoing group’s work concerns the dissemination of collected data. A practical guide for stakeholders is being finalised. The group is defining the selection process of the initiatives to be valued, in particular with regard to results that make sense for all stakeholders.
The main difficulty of the approach - its low level of recognition and entrenchment in public health - will be discussed during the presentation, as well as the necessity to ensure the legitimacy of this approach in a context where the notion of evidence is centered on quantitative data produced with an objective defined “a priori” and in a controlled context.
Key messages
This work opens the way for an original reflection in public health to build a shareable experiential knowledge, and to valorize and strengthen field actors’ practical expertise. This work has pedagogical, political, scientific and informational impacts. It contributes to knowledge transfer and provides self-training, a practical vision of policies, and questions for research.
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Monmousseau F, Pradère B, Dubnitskiy-Robin S, Watt S, Le Fol T, Bruyère F, Rusch E, Faivre d’Arcier B, Brunet-Houdard S. Remplacer tous les urétéroscopes réutilisables par des dispositifs à usage unique ou adopter une stratégie mixte dans le traitement des lithiases urinaires ? Étude de la valeur-seuil reposant sur un modèle d’impact budgétaire. Rev Epidemiol Sante Publique 2019. [DOI: 10.1016/j.respe.2019.01.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Dubnitskiy-Robin S, Pradère B, Faivre D’Arcier B, Watt S, Le Fol T, Bruyère F, Rusch E, Monmousseau F, Brunet-Houdard S. Analyse d’impact budgétaire du passage au « tout usage unique » pour la prise en charge des lithiases urinaires par urétéroscopie dans un établissement public de santé. Rev Epidemiol Sante Publique 2019. [DOI: 10.1016/j.respe.2019.01.092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Laurent E, Gras G, Druon J, Rosset P, Baron S, Le-Louarn A, Rusch E, Bernard L, Grammatico-Guillon L. Key features of bone and joint infections following the implementation of reference centers in France. Med Mal Infect 2018. [PMID: 29526340 DOI: 10.1016/j.medmal.2018.02.004] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
OBJECTIVES French reference centers for bone and joint infections (BJI) were implemented from 2009 onwards to improve the management of complex BJIs. This study compared BJI burden before and after the implementation of these reference centers. PATIENTS AND METHODS BJI hospital stays were selected from the 2008 and 2013 national hospital discharge database using a validated algorithm, adding the new complex BJI code created in 2011. Epidemiology and economic burden were assessed. RESULTS BJI prevalence increased in 2013 (70 vs. 54/100,000 in 2008). Characteristics of BJI remained similar between 2008 and 2013: septic arthritis (50%), increasing prevalence with age and sex, case fatality 5%, mean length of stay 17.5 days, rehospitalization 20%. However, device-associated BJIs increased (34 vs. 26%) as well as costs (€421 million vs. €259 in 2008). Similar device-associated BJI characteristics between 2008 and 2013 were: septic arthritis (70%), case fatality (3%), but with more hospitalizations in reference centers (34 vs. 30%) and a higher cost per stay. Among the 7% of coded complex BJIs, the mean length of stay was 22.2 days and mean cost was €11,960. CONCLUSIONS BJI prevalence highly increased in France. Complex BJI prevalence assessment is complicated by the absence of clinical consensus and probable undercoding. A validation of clinical case definition of complex BJI is required.
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Affiliation(s)
- E Laurent
- Unité régionale d'épidémiologie hospitalière (UREH), Centre-Val de Loire, Centre Hospitalier régional universitaire (CHRU) de Tours, 37000 Tours, France; Équipe de Recherche EE1 EES, université de Tours, 37000 Tours, France.
| | - G Gras
- Service de maladies infectieuses, CHRU de Tours, 37000 Tours, France
| | - J Druon
- Service de chirurgie orthopédique, CHRU de Tours, 37000 Tours, France
| | - P Rosset
- Service de chirurgie orthopédique, CHRU de Tours, 37000 Tours, France; Faculté de médecine, université de Tours, 37000 Tours, France
| | - S Baron
- Unité régionale d'épidémiologie hospitalière (UREH), Centre-Val de Loire, Centre Hospitalier régional universitaire (CHRU) de Tours, 37000 Tours, France; Équipe de Recherche EE1 EES, université de Tours, 37000 Tours, France
| | - A Le-Louarn
- Unité régionale d'épidémiologie hospitalière (UREH), Centre-Val de Loire, Centre Hospitalier régional universitaire (CHRU) de Tours, 37000 Tours, France
| | - E Rusch
- Unité régionale d'épidémiologie hospitalière (UREH), Centre-Val de Loire, Centre Hospitalier régional universitaire (CHRU) de Tours, 37000 Tours, France; Équipe de Recherche EE1 EES, université de Tours, 37000 Tours, France
| | - L Bernard
- Service de maladies infectieuses, CHRU de Tours, 37000 Tours, France; Faculté de médecine, université de Tours, 37000 Tours, France
| | - L Grammatico-Guillon
- Unité régionale d'épidémiologie hospitalière (UREH), Centre-Val de Loire, Centre Hospitalier régional universitaire (CHRU) de Tours, 37000 Tours, France; Faculté de médecine, université de Tours, 37000 Tours, France
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Monmousseau F, Rusch E. Inégalités d’accès géographique aux thérapies innovantes contre le cancer. Le cas des habitants de la région Centre-Val de Loire de 2009 à 2013. Rev Epidemiol Sante Publique 2018. [DOI: 10.1016/j.respe.2018.01.112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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16
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Laurent E, Gras G, Druon J, Stanovici J, Fèvre K, Lemaignen A, Rusch E, Bernard L, Rosset P, Grammatico-Guillon L. Classement des infections ostéoarticulaires complexes en réunion de concertation pluridisciplinaire. Med Mal Infect 2017. [DOI: 10.1016/j.medmal.2017.03.217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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17
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Abdel-Mahaoud A, Roussot A, Mahamat Nadjib A, Grammatico-Guillon L, Rusch E, Combier E, Quantin C. Prise en charge des pathologies cardiovasculaires, pulmonaires et traumatiques : lieux d’hospitalisation et flux des patients domiciliés en Autunois et Morvan. Rev Epidemiol Sante Publique 2017. [DOI: 10.1016/j.respe.2017.03.091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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18
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Mahamat Nadjib A, Attoh-Touré H, Baron S, Abdel-mahamoud A, Brunet-Houdard S, Rusch E, Grammatico-Guillon L. Connaissances, attitudes et pratiques des parents face à la vaccination contre la poliomyélite à Abéché, Tchad. Rev Epidemiol Sante Publique 2017. [DOI: 10.1016/j.respe.2017.03.110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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19
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Dupont A, Pasquereau A, Pédrono G, Jourdan C, Rusch E, Thélot B. Surveillance épidémiologique des traumatismes crâniens à partir des données d’hospitalisation. Rev Epidemiol Sante Publique 2016. [DOI: 10.1016/j.respe.2016.06.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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20
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Belin Y, Fourquet F, Gouin JM, Le Louarn A, Kouadio H, Rusch E. Étude des parts d’activité des établissements hospitaliers : utilité d’une analyse départementale via le PMSI. Rev Epidemiol Sante Publique 2016. [DOI: 10.1016/j.respe.2016.01.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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21
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Monmousseau F, Rusch E, Moulay-Elrhazi A. Évolution des dépenses de consommation de biomédicaments : cas de la région Centre – Val de Loire de 2008 à 2013. Rev Epidemiol Sante Publique 2016. [DOI: 10.1016/j.respe.2016.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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22
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Attoh-Toure H, Baron S, Rusch E, Benie Bi Vroh J, Guillon-Grammatico L. Évaluation de l’impact d’une formation en vaccinologie des professionnels de santé à Abidjan : connaissances, attitudes et pratiques. Rev Epidemiol Sante Publique 2015. [DOI: 10.1016/j.respe.2015.03.116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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23
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Grammatico-Guillon L, Rusch E, Astagneau P. Surveillance of prosthetic joint infections: international overview and new insights for hospital databases. J Hosp Infect 2015; 89:90-8. [DOI: 10.1016/j.jhin.2013.09.016] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2013] [Accepted: 09/23/2013] [Indexed: 10/26/2022]
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24
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Potard C, Kubiszewski V, Fontaine R, Pochon R, Rusch E, Courtois R. Peer violence, mental health and suicidal ideation in a sample of French adolescent. International Journal of Mental Health Promotion 2014. [DOI: 10.1080/14623730.2014.963403] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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25
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Haguenoer K, Sengchanh S, Gaudy-Graffin C, Boyard J, Fontenay R, Marret H, Goudeau A, Pigneaux de Laroche N, Rusch E, Giraudeau B. Vaginal self-sampling is a cost-effective way to increase participation in a cervical cancer screening programme: a randomised trial. Br J Cancer 2014; 111:2187-96. [PMID: 25247320 PMCID: PMC4260034 DOI: 10.1038/bjc.2014.510] [Citation(s) in RCA: 68] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2014] [Revised: 08/08/2014] [Accepted: 08/20/2014] [Indexed: 01/05/2023] Open
Abstract
Background: Cervical cancer screening coverage remains insufficient in most countries. Our objective was to assess whether in-home vaginal self-sampling with a dry swab for high-risk human papillomavirus (HR-HPV) testing is effective and cost-effective in increasing participation in cervical cancer screening. Methods: In March 2012, 6000 unscreened women aged 30–65 years, living in a French region covered by a screening programme, who had not responded to an initial invitation to have a Pap smear were equally randomised to three groups: ‘no intervention' ‘recall', women received a letter to have a Pap smear; and ‘self-sampling', women received a self-sampling kit to return to a centralised virology laboratory for PCR-based HPV testing. Results: Participation was higher in the ‘self-sampling' than in the ‘no intervention' group (22.5% vs 9.9%, P<0.0001; OR 2.64) and ‘recall' group (11.7%, P<0.0001; OR 2.20). In the ‘self-sampling' group, 320 used the self-sampling kit; for 44 of these women with positive HR-HPV test results, 40 had the recommended triage Pap smear. The ICER per extra screened woman was 77.8€ and 63.2€ for the ‘recall' and ‘self-sampling' groups, respectively, relative to the ‘no intervention' group. Conclusions: Offering an in-home, return-mail kit for vaginal self-sampling with a dry swab is more effective and cost-effective than a recall letter in increasing participation in cervical cancer screening.
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Affiliation(s)
- K Haguenoer
- 1] INSERM, U1153, Paris, France [2] Cancer Screening Department, CHRU de Tours, Tours 37000, France
| | - S Sengchanh
- Cancer Screening Department, CHRU de Tours, Tours 37000, France
| | - C Gaudy-Graffin
- 1] Department of Bacteriology and Virology, CHRU de Tours, Tours 37000, France [2] Université François-Rabelais de Tours, PRES Centre-Val de Loire Université, Tours 37000, France [3] INSERM U966, Tours 37000, France
| | - J Boyard
- Cancer Screening Department, CHRU de Tours, Tours 37000, France
| | - R Fontenay
- Medico-Economic Evaluation Unit, CHRU de Tours, Tours 37000, France
| | - H Marret
- 1] Université François-Rabelais de Tours, PRES Centre-Val de Loire Université, Tours 37000, France [2] Department of Gynaecology and Obstetrics, CHRU de Tours, Tours 37000, France
| | - A Goudeau
- 1] Department of Bacteriology and Virology, CHRU de Tours, Tours 37000, France [2] Université François-Rabelais de Tours, PRES Centre-Val de Loire Université, Tours 37000, France [3] INSERM U966, Tours 37000, France
| | | | - E Rusch
- 1] Université François-Rabelais de Tours, PRES Centre-Val de Loire Université, Tours 37000, France [2] Medico-Economic Evaluation Unit, CHRU de Tours, Tours 37000, France [3] Université François-Rabelais, Équipe émergente de recherche Éducation, Éthique, Santé, Tours, France
| | - B Giraudeau
- 1] INSERM, U1153, Paris, France [2] Université François-Rabelais de Tours, PRES Centre-Val de Loire Université, Tours 37000, France [3] CHRU de Tours, INSERM CIC1415, Tours 37000, France
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Grammatico-Guillon L, Baron S, Gaborit C, Denier P, Rosset P, Bernard L, Rusch E, Astagneau P. Intérêt et limites du Programme de médicalisation des systèmes d’information dans la surveillance des infections de prothèses orthopédiques. Rev Epidemiol Sante Publique 2014. [DOI: 10.1016/j.respe.2014.05.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Grammatico-Guillon L, Baron S, Gaborit C, Bernard L, Rosset P, Rusch E, Astagneau P. G-07: Infection du site opératoire après arthroplastie de hanche ou du genou : une cohorte PMSI, 2008–2012. Med Mal Infect 2014. [DOI: 10.1016/s0399-077x(14)70176-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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28
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Laurent E, Baron S, Lecuyer AI, Godillon L, Gaborit C, Rusch E. Prise en charge hospitalière des soins palliatifs en région Centre en MCO, SSR et HAD – PMSI 2009–2011. Rev Epidemiol Sante Publique 2014. [DOI: 10.1016/j.respe.2014.01.066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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29
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Laurent E, Baron S, Lecuyer AI, Godillon L, Gaborit C, Rusch E. Tarification des soins palliatifs en région Centre en MCO, SSR, et HAD–PMSI 2009–2011. Rev Epidemiol Sante Publique 2014. [DOI: 10.1016/j.respe.2014.01.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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30
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Hassen-Khodja C, Rucheton A, Grammatico-Guillon L, de Bouët du Portal H, Rusch E, Lanoue MC. Cartographie des risques liés à la chimiothérapie anticancéreuse dans les établissements de santé. Rev Epidemiol Sante Publique 2013. [DOI: 10.1016/j.respe.2013.07.432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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31
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Grammatico-Guillon L, Rusch E, Denier P, Bernard L, Rosset P, Astagneau P. Nouvel outil de mesure des infections du site opératoire : le PMSI, dans les infections de prothèses orthopédiques. Rev Epidemiol Sante Publique 2013. [DOI: 10.1016/j.respe.2013.07.162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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32
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Grammatico-Guillon L, Maakaroun Vermesse Z, Baron S, Gettner S, Rusch E, Bernard L. Paediatric bone and joint infections are more common in boys and toddlers: a national epidemiology study. Acta Paediatr 2013. [PMID: 23205841 DOI: 10.1111/apa.12115] [Citation(s) in RCA: 55] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
AIM Little is known about bone and joint infections (BJIs) in children, despite the risk of growth disturbance. This study examined BJIs epidemiology using the French National Hospital Discharge Database (HD). METHODS Any child <15 years hospitalized with an HD diagnosis of BJI, alone or in combination with sepsis or orthopaedic procedure, was included. The majority of BJIs (96%) were haematogenic infections. We conducted descriptive analyses to evaluate epidemiological and economic outcomes of paediatric haematogenic BJIs. RESULTS There were 2592 paediatric patients with 2911 BJI hospitalizations and an overall incidence of 22 per 100 000. BJIs occurred more frequently in boys than girls (24 vs 19 per 100 000) and in toddlers. Septic arthritis (52%) and osteomyelitis (44%) were the most frequent infections, 16.6% of patients had a micro-organism coded (61% were Staphylococci) and 13% of had comorbidities. The mean hospital stay was 8.6 days, costing approximately €5200 per BJI stay. CONCLUSION This national study of paediatric BJIs in France showed a higher prevalence in toddlers and boys and demonstrated that the HD database can be used to study BJIs. However, the number of BJI cases was maybe overestimated by coding reactive arthritis as septic arthritis in the absence of bacterial evidence.
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Affiliation(s)
| | | | - S Baron
- Tours University Hospital; Tours; France
| | - S Gettner
- Tours University Hospital; Tours; France
| | - E Rusch
- Tours University Hospital; Tours; France
| | - L Bernard
- Tours University Hospital; Tours; France
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Grammatico-Guillon L, Baron S, Gettner S, Lecuyer AI, Gaborit C, Rosset P, Rusch E, Bernard L. Bone and joint infections in hospitalized patients in France, 2008: clinical and economic outcomes. J Hosp Infect 2012; 82:40-8. [PMID: 22738613 DOI: 10.1016/j.jhin.2012.04.025] [Citation(s) in RCA: 76] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2012] [Accepted: 04/20/2012] [Indexed: 12/15/2022]
Abstract
BACKGROUND Adult bone and joint infections (BJIs) often require repeated and prolonged hospitalizations and are considered as a serious public health issue. AIM To describe the epidemiology and economical outcomes of BJI in France. METHODS BJI hospitalizations with selected demographic, medical, and economic parameters from the French national hospital database for the year 2008 were identified. Overall patient characteristics and hospital stays for BJI underwent univariate analysis. Risk factors for device-associated infections were identified using multiple logistic regression modelling. FINDINGS Of all hospitalizations in France, 0.2% were BJI-related, representing 54.6 cases per 100,000 population, with a higher prevalence in males (sex ratio: 1.54). BJIs were more often native (68%) than device-associated (32%). The mean age was 63.1 years. Only 39% of hospital discharges had microbiological information coded; Staphylococcus spp. were isolated in 66% of those cases. Obesity, Staphylococcus spp., male sex and age >64 years were important risk factors for device-associated infections, whereas diabetes and ulcer sores were significantly associated with native infections. The case fatality was 4.6%. Intensive care unit stays were needed in 6% of cases. Readmissions to hospital occurred in 19% of cases, with significantly longer stays for device-associated infections than for native BJIs (18.9 vs 16.8 days). The cost of BJIs was €259 million, or about €7,000 per hospitalization in 2008. CONCLUSIONS This is the largest BJI study to date. The high economic burden of BJIs was mostly associated with more frequent and prolonged hospitalizations, high morbidity, and complexity of care.
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Kubiszewski V, Fontaine R, Huré K, Rusch E. [Cyber-bullying in adolescents: associated psychosocial problems and comparison with school bullying]. Encephale 2012; 39:77-84. [PMID: 23095590 DOI: 10.1016/j.encep.2012.01.008] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2011] [Accepted: 01/02/2012] [Indexed: 11/19/2022]
Abstract
AIM The aim of this study was to determine the prevalence of adolescents engaged in cyber-bullying and then to identify whether students involved in cyber- and school bullying present the same characteristics of internalizing problems (insomnia, perceived social disintegration, psychological distress) and externalizing problems (general aggressiveness, antisocial behavior). METHOD Semi-structured interviews were conducted with 738 adolescents from a high-school and a middle-school (mean age=14.8 ± 2.7). The Electronic Bullying Questionnaire and the Olweus Bully/Victim Questionnaire were used to identify profiles of cyber-bullying (cyber-victim, cyber-bully, cyber-bully/victim and cyber-neutral) and school bullying (victim, bully, bully/victim and neutral). Internalizing problems were investigated using the Athens Insomnia Scale, a Perceived Social Disintegration Scale and a Psychological Distress Scale. Externalizing problems were assessed using a General Aggressiveness Scale and an Antisocial Behavior Scale. RESULTS Almost one student in four was involved in cyber-bullying (16.4% as cyber-victim, 4.9% as cyber-bully and 5.6% as cyber-bully/victim); 14% of our sample was engaged in school bullying as a victim, 7.2% as a bully and 2.8% as a bully/victim. The majority of adolescents involved in cyber-bullying were not involved in school bullying. With regard to the problems associated with school bullying, internalizing problems were more prevalent in victims and bully/victims, whereas externalizing problems were more common in bullies and bully/victims. A similar pattern was found in cyber-bullying where internalizing problems were characteristic of cyber-victims and cyber-bully/victims. Insomnia was elevated in the cyber-bully group which is specific to cyberbullying. General aggressiveness and antisocial behavior were more prevalent in cyber-bullies and cyber-bully/victims. Looking at the differences between types of bullying, victims of "school only" and "school and cyber" bullying had higher scores for insomnia and perceived social disintegration than victims of "cyber only" bullying or students "non-involved". Higher general aggressiveness scores were observed for "school only" bullies and "school and cyber" bullies than for bullies in "cyber only" bullying or students "non-involved". Regarding antisocial behavior, "school only" bullies, "cyber only" bullies, "school and cyber" bullies had higher scores than students "non-involved". DISCUSSION This study highlights the importance of investigating both school and cyber-bullying as many psychosocial problems are linked to these two specific and highly prevalent forms of bullying.
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Affiliation(s)
- V Kubiszewski
- EA 2114, laboratoire de psychologie des âges de la vie, université François-Rabelais, 3, rue des Tanneurs, BP 4103, 37041 Tours cedex 1, France.
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Kubiszewski V, Hazouard E, Rusch E, Fontaine R. Effet modérateur de la réactivité émotionnelle sur la plainte de sommeil des élèves victimes de harcèlement scolaire (bullying). Neurophysiol Clin 2012. [DOI: 10.1016/j.neucli.2012.02.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Guillon L, Baron S, Lecuyer AI, Gettner S, Bernard L, Rusch E. Épidémiologie et impact économique des infections ostéoarticulaires chez les adultes hospitalisés en France. Rev Epidemiol Sante Publique 2012. [DOI: 10.1016/j.respe.2011.12.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Grammatico-Guillon L, Thiercelin N, Mariani S, Lecuyer AI, Goudeau A, Bernard L, Rusch E. Étude des séjours pour pneumopathie à Streptococcus pneumoniae entre 2004 et 2008 en région Centre. Rev Epidemiol Sante Publique 2012; 60:1-8. [DOI: 10.1016/j.respe.2011.07.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2011] [Revised: 06/16/2011] [Accepted: 07/11/2011] [Indexed: 11/30/2022] Open
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Thiercelin N, Rabiah Lechevallier Z, Rusch E, Plat A. Facteurs de risque du delirium tremens : revue de la littérature. Rev Med Interne 2012; 33:18-22. [DOI: 10.1016/j.revmed.2011.08.002] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2011] [Revised: 06/13/2011] [Accepted: 08/06/2011] [Indexed: 01/09/2023]
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Gueorguiev Penev D, Laurent E, Baron S, Diot E, Bastides F, de Gialluly C, Bernard L, Rusch E. Borréliose de Lyme : recensement des cas adultes hospitalisés en Indre-et-Loire, à partir du PMSI (1999–2006). Rev Epidemiol Sante Publique 2010; 58:339-47. [DOI: 10.1016/j.respe.2010.05.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2009] [Revised: 04/08/2010] [Accepted: 05/27/2010] [Indexed: 10/19/2022] Open
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Tranquart F, Correas JM, Ladam Marcus V, Manzoni P, Vilgrain V, Aube C, Elmaleh A, Chami L, Claudon M, Cuilleron M, Diris B, Garibaldi F, Lucidarme O, Marion D, Beziat C, Rode A, Tasu JP, Trillaud H, Bleuzen A, Le Gouge A, Giraudeau B, Rusch E. [Real-time contrast-enhanced ultrasound in the evaluation of focal liver lesions: diagnostic efficacy and economical issues from a French multicentric study]. ACTA ACUST UNITED AC 2009; 90:109-22. [PMID: 19212279 DOI: 10.1016/s0221-0363(09)70089-7] [Citation(s) in RCA: 54] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
The recent introduction of high-end ultrasound equipment combined with recent contrast agents provides marked improvements in the characterization of focal liver lesions as previously reported by monocentric studies. The aim of the present study was to evaluate the diagnostic performance of Contrast-Enhanced Ultrasonography (CEUS) using SonoVue as well as its medico-economic value for characterization of focal liver lesions. These nodules were not characterized on previous CT or conventional sonography. This prospective multicentric study conducted in 15 French centres found diagnostic performances similar to those reported for CT and MRI, with a concordance rate of 84.5%, sensitivity greater than 80% and specificity greater than 90% for all types of lesions. Higher acceptance was found for CEUS compared to other imaging modalities. Economical assessment based on examination reimbursment and contrast agent cost showed a lower cost for contrast ultrasound versus CT and MRI. This French multicentric study confirmed the high diagnostic value of CEUS for focal liver lesion characterization and demonstrated a lower economical impact compared to other imaging modalities such as CT and MRI.
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Affiliation(s)
- F Tranquart
- Pole Imagerie, CIC-IT Ultrasons-Radiopharmaceutiques, Hôpital Bretonneau, CHRU de Tours, UMR Inserm 930-CNRS 2448-Université François Rabelais, 37044 Tours Cedex 9, France.
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Abstract
OBJECTIVES To determine to what degree the predominance of risky sexual behaviour during adolescence is the result of social influence, in particular that of peers, according to the perception of their attitudes and sexual behaviour. METHODS Data were collected through structured and confidential individual interviews with 100 adolescents, selected randomly from among 1467 students attending one French high school. RESULTS Although this study is of an exploratory nature, it reveals that the perception of peers is associated with a higher frequency of sexual initiation and commitment, including oral sex, but also commitment to protected sex. Sexual permissiveness of peers is associated with a higher frequency of sexual practices considered risky. The attitudes of peers with regard to contraception are associated with protective contraceptive attitudes, without a direct influence on behavioural patterns. CONCLUSIONS The sexual norms of peers influence youths' individual attitudes and behaviours. Gender differences in sexual socialization also play a role. Both aspects must be taken into account when devising prevention programmes concerning adolescent sexuality.
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Affiliation(s)
- C Potard
- Universite Francois Rabelais, Departement de Psychologie, Tours, France
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42
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Tranquart F, Le Gouge A, Correas J, Ladam Marcus V, Manzoni P, Vilgrain V, Aube C, Bellin M, Chami L, Claudon M, Cuilleron M, Drouillard J, Gallix B, Lucidarme O, Marion D, Rode A, Tasu J, Trillaud H, Fayault A, Rusch E, Giraudeau B. Role of contrast-enhanced ultrasound in the blinded assessment of focal liver lesions in comparison with MDCT and CEMRI: Results from a multicentre clinical trial. EJC Suppl 2008. [DOI: 10.1016/j.ejcsup.2008.06.003] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
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Halimi JM, Hadjadj S, Aboyans V, Allaert FA, Artigou JY, Beaufils M, Berrut G, Fauvel JP, Gin H, Nitenberg A, Renversez JC, Rusch E, Valensi P, Cordonnier D. [Microalbuminuria and urinary albumin excretion: French guidelines]. Ann Biol Clin (Paris) 2008; 66:277-284. [PMID: 18558566 DOI: 10.1684/abc.2008.0229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
UNLABELLED Measurement of urinary albumin excretion (UAE) may be done on a morning urinary sample or on a 24 hour-urine sample. Values defining microalbuminuria are: - 24-hour urine sample: 30-300 mg/24 hours - Morning urine sample: 20-200 mg/mL or 30-300 mg/g creatinine or 2.5-25 mg/mmol creatinine (men) or 3.5-35 mg/mol (women). - Timed urine sample: 20-200 mug/min. The optimal use of semi-quantitative urine test-strip is not clearly defined. It is generally believed that microalbuminuria reflects a generalized impairment of the endothelium; however, no definite proof has been shown in humans. In diabetic subjects, microalbuminuria is a marker of increased risk of cardiovascular (CV) and renal morbidity and mortality in type 1 and type 2 diabetic subjects. The increase in UAE during follow-up is also a marker of CV and renal risk in type 1 and type 2 diabetic subjects; its decrease during follow-up is associated with lower risks. In non-diabetic subjects, microalbuminuria is a marker of increased risk for diabetes mellitus, deterioration of the renal function, CV morbidity and all-cause mortality. It is a marker of increased risk for the development of hypertension in normotensive subjects, and is associated with unfavorable outcome in patients with cancer and lymphoma. Persistence or elevation of UAE overtime is associated with deleterious outcome in some hypertensive subjects. Measurement of UAE may be recommended in hypertensive subjects with 1 or 2 CV risk factors in whom CV risk remains difficult to assess, and in those with refractory hypertension: microalbuminuria indicates a high CV risk and must lead to strict control of arterial pressure. Studies focused on microalbuminuria in non-diabetic, non-hypertensive subjects are limited; most of them suggest that microalbuminuria predicts CV complications and deleterious outcome as it is in diabetic or hypertensive subjects. Subjects with a history of CV or cerebrovascular disease have an even greater CV risk if microalbuminuria is present than if it is not; however, in all cases, therapeutic intervention must be aggressive regardless of whether microalbuminuria is present or not. It is not recommended to measure UAE in non-diabetic non-hypertensive subjects in the absence of history of renal disease. Monitoring of renal function (UAE, serum creatinine and estimation of GFR) is annually recommended in all subjects with microalbuminuria. MANAGEMENT in patients with microalbuminuria, weight reduction, sodium restriction (< 6 g/day), smoking cessation, strict glucose control in diabetic subjects, strict arterial pressure control are necessary; in diabetic subjects: use of maximal doses of ACEI or ARB are recommended; ACEI/ARB and thiazides have synergistic actions on arterial pressure and reduction of UAE; in non-diabetic subjects, any of the five classes of anti-hypertensive medications (ACEI, ARB, thiazides, calcium channel blockers or beta-blockers) can be used.
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Affiliation(s)
- J M Halimi
- Service de néphrologie-immunologie clinique, CHU de Tours, France.
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Michinov E, Olivier-Chiron E, Rusch E, Chiron B. Influence of transactive memory on perceived performance, job satisfaction and identification in anaesthesia teams. Br J Anaesth 2008; 100:327-32. [DOI: 10.1093/bja/aem404] [Citation(s) in RCA: 65] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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45
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Haguenoer K, Rusch E, Lansac J. [To screen or to prevent cervical carcinoma?]. J Gynecol Obstet Biol Reprod (Paris) 2008; 37:1-2. [PMID: 18068908 DOI: 10.1016/j.jgyn.2007.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
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46
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Halimi JM, Hadjadj S, Aboyans V, Allaert FA, Artigou JY, Beaufils M, Berrut G, Fauvel JP, Gin H, Nitenberg A, Renversez JC, Rusch E, Valensi P, Cordonnier D. Microalbuminuria and urinary albumin excretion: French clinical practice guidelines. Diabetes & Metabolism 2007; 33:303-9. [PMID: 17702622 DOI: 10.1016/j.diabet.2007.06.001] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/13/2007] [Revised: 06/26/2007] [Accepted: 06/27/2007] [Indexed: 11/26/2022]
Abstract
Urinary albumin excretion (UAE) may be assayed on a morning urinary sample or a 24 h-urine sample. Values defining microalbuminuria are: 1) 24-h urine sample: 30-300 mg/24 h; 2) morning urine sample: 20-200 mg/ml or 30-300 mg/g creatinine or 2.5-25 mg/mmol creatinine (men) or 3.5-35 mg/mmol (women); 3) timed urine sample: 20-200 mug/min. The optimal use of semi-quantitative urine test-strip is not clearly defined. It is generally believed that microalbuminuria reflects a generalized impairment of the endothelium; however, no definite proof has been obtained in humans. IN DIABETIC SUBJECTS Microalbuminuria is a marker of increased risk of cardiovascular (CV) and renal morbidity and mortality in type 1 and type 2 diabetic subjects. The increase in UAE during follow-up is associated with greater CV and renal risks in type 1 and type 2 diabetic subjects; its decrease during follow-up is associated with lower risks. IN NON-DIABETIC SUBJECTS: Microalbuminuria is a marker of increased risk for diabetes mellitus, deterioration of renal function, CV morbidity and all-cause mortality. It is a marker of increased risk for the development of hypertension in normotensive subjects, and is associated with unfavorable outcome in patients with cancer and lymphoma. Persistence of elevated UAE during follow-up is associated with poor outcome in some hypertensive subjects. Measurement of UAE may be recommended in hypertensive medium-risk subjects with 1 or 2 CV risk factors in whom CV risk remains difficult to assess, and in those with refractory hypertension: microalbuminuria indicates a high CV risk and must lead to strict control of arterial pressure. Studies focused on microalbuminuria in non-diabetic non-hypertensive subjects are limited; most of them suggest that microalbuminuria predicts CV complications and deleterious outcome. Subjects with a history of CV or cerebrovascular disease have an even greater CV risk if microalbuminuria is present than if it is not; however, in all cases, therapeutic intervention must be aggressive regardless of whether microalbuminuria is present or not. It is not recommended to measure UAE in non-diabetic non-hypertensive subjects in the absence of history of renal disease. Monitoring of renal function (UAE, serum creatinine and estimation of GFR) is recommended annually in all subjects with microalbuminuria. MANAGEMENT In patients with microalbuminuria, weight reduction, sodium restriction (<6 g per day), smoking cessation, strict glucose control in diabetic subjects, strict arterial pressure control are necessary; in diabetic subjects: use of maximal doses of angiotensin-converting enzyme inhibitors (ACEI) or angiotensin receptor blockers (ARB) are recommended; ACEI/ARB and thiazides have synergistic actions on arterial pressure and reduction of UAE; in non-diabetic subjects, any of the five classes of anti-hypertensive medications (ACEI, ARB, thiazides, calcium channel blockers or beta-blockers) can be used.
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Affiliation(s)
- J-M Halimi
- Service de Néphrologie-Immunologie Clinique, CHU de Tours, 37044 Tours cedex, France.
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Rusch E, Mercier P, Fourquet F, Baron S, Linassier C, Gabach P, Ochmann A. B4-6 - Le chaînage des données médico administratives hospitalières : une alternative aux registres ? Cas du cancer du sein en région Centre (France) en 2003. Rev Epidemiol Sante Publique 2006. [DOI: 10.1016/s0398-7620(06)76812-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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48
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Rusch E. [Hospital (public and private) and ambulatory care systems: structures and principles of charges]. Rev Prat 2001; 51:797-804. [PMID: 11387679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Affiliation(s)
- E Rusch
- Hôpital F.-Widal, 200, rue du Faubourg-Saint-Denis, 75475 Paris
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Rusch E. [Evaluation of diagnostic or screening procedures. Test validity, sensitivity, specificity, predictive values. Definition of and indications for mass screening]. Rev Prat 1997; 47:2189-93. [PMID: 9501613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- E Rusch
- Médicalisation du système d'information, hôpital Lanboisière, Paris
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