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Bourgeois HP, Solal-Celigny P, Capitain O, Bourbouloux E, Baudon J, Marcq M, Boucher E, Delecroix V, Blot E, Ferec MARC, Egreteau J, Artignan X, Corbinais S, Alleaume C, Cojocarasu O, Hardy-Bessard AC, Naudeix E, Berger V, Ingrand P, Grude F. Assessing 2-month clinical prognosis in patients with solid tumors: Final results of PRONOPALL study. J Clin Oncol 2014. [DOI: 10.1200/jco.2014.32.15_suppl.9558] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Defossez G, Rollet A, Dameron O, Ingrand P. Temporal representation of care trajectories of cancer patients using data from a regional information system: an application in breast cancer. BMC Med Inform Decis Mak 2014; 14:24. [PMID: 24690482 PMCID: PMC3983896 DOI: 10.1186/1472-6947-14-24] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2013] [Accepted: 03/27/2014] [Indexed: 12/04/2022] Open
Abstract
Background Ensuring that all cancer patients have access to the appropriate treatment within an appropriate time is a strategic priority in many countries. There is in particular a need to describe and analyse cancer care trajectories and to produce waiting time indicators. We developed an algorithm for extracting temporally represented care trajectories from coded information collected routinely by the general cancer Registry in Poitou-Charentes region, France. The present work aimed to assess the performance of this algorithm on real-life patient data in the setting of non-metastatic breast cancer, using measures of similarity. Methods Care trajectories were modeled as ordered dated events aggregated into states, the granularity of which was defined from standard care guidelines. The algorithm generates each state from the aggregation over a period of tracer events characterised on the basis of diagnoses and medical procedures. The sequences are presented in simple form showing presence and order of the states, and in an extended form that integrates the duration of the states. The similarity of the sequences, which are represented in the form of chains of characters, was calculated using a generalised Levenshtein distance. Results The evaluation was performed on a sample of 159 female patients whose itineraries were also calculated manually from medical records using the same aggregation rules and dating system as the algorithm. Ninety-eight per cent of the trajectories were correctly reconstructed with respect to the ordering of states. When the duration of states was taken into account, 94% of the trajectories matched reality within three days. Dissimilarities between sequences were mainly due to the absence of certain pathology reports and to coding anomalies in hospitalisation data. Conclusions These results show the ability of an integrated regional information system to formalise care trajectories and automatically produce indicators for time-lapse to care instatement, of interest in the planning of care in cancer. The next step will consist in evaluating this approach and extending it to more complex trajectories (metastasis, relapse) and to other cancer localisations.
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Guerif S, Didas O, Vallee M, Garcia A, Debaene B, Fromont G, Tasu JP, Le Rest CC, Ingrand P, Irani J. Focal Salvage HDR Brachytherapy for Local Prostate Cancer Recurrence after a Primary Radiation Therapy: Early Experience of Prospective Study. Brachytherapy 2014. [DOI: 10.1016/j.brachy.2014.02.419] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Lorente P, Antone E, Ingrand P, Gilbert M, Neau JP, Paquereau J, Meurice JC. Influence de l’âge des patients de plus de 65ans sur la qualité du traitement du syndrome d’apnées obstructives du sommeil par pression positive continue. Rev Mal Respir 2014. [DOI: 10.1016/j.rmr.2013.10.207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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105
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Gilbert M, Antone E, Ingrand P, Neau JP, Paquereau J, Meurice JC. L’enregistrement positionnel de longue durée : une aide au diagnostic du syndrome d’apnées du sommeil positionnel – étude pilote sur 16 patients. Rev Mal Respir 2014. [DOI: 10.1016/j.rmr.2013.10.209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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106
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Rigoard P, Monlezun O, Lode-Kolz K, Roulaud M, Paquereau J, Ingrand P, Veyrieras C, Brandet C, Guetarni F, Prévost A, Bataille B. Stimulation médullaire épidurale et qualité du sommeil chez les patients souffrant de failed-back surgery syndrome : présentation de l’étude prospective ancillaire ménée dans le cadre de l’étude française multicentrique randomisée ESTIMET. Neurochirurgie 2013. [DOI: 10.1016/j.neuchi.2013.10.108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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107
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Gaud M, Frasquet-Darrieux M, Christin P, Deluca A, Compain F, Bucco C, Godard A, Pierre F, Ingrand P, Hankard R. P131 Les femmes obèses gestantes gagnent moins de masse grasse et retrouvent plus rapidement leur corpulence antérieure après la grossesse. NUTR CLIN METAB 2013. [DOI: 10.1016/s0985-0562(13)70463-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Puyade M, Guilhot F, Defossez G, Ingrand P. Inégalités d’accès aux soins chez les patients atteints de myélome multiple en Poitou-Charentes de 2008–2010. Rev Med Interne 2013. [DOI: 10.1016/j.revmed.2013.10.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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109
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Atanassov H, Viallemonteil E, Lucas C, Gaud M, Frasquet M, Christin P, Compain F, Ingrand P, Hankard R. P214 Surexpression du récepteur aux immunoglobulines polymériques dans le lait de la femme obèse. NUTR CLIN METAB 2013. [DOI: 10.1016/s0985-0562(13)70545-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Jouhet V, Defossez G, Ingrand P. Automated selection of relevant information for notification of incident cancer cases within a multisource cancer registry. Methods Inf Med 2013; 52:411-21. [PMID: 23615926 DOI: 10.3414/me12-01-0101] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2012] [Accepted: 03/27/2013] [Indexed: 11/09/2022]
Abstract
OBJECTIVE The aim of this study was to develop and evaluate a selection algorithm of relevant records for the notification of incident cases of cancer on the basis of the individual data available in a multi-source information system. METHODS This work was conducted on data for the year 2008 in the general cancer registry of Poitou-Charentes region (France). The selection algorithm hierarchizes information according to its level of relevance for tumoral topography and tumoral morphology independently. The selected data are combined to form composite records. These records are then grouped in respect with the notification rules of the International Agency for Research on Cancer for multiple primary cancers. The evaluation, based on recall, precision and F-measure confronted cases validated manually by the registry's physicians with tumours notified with and without records selection. RESULTS The analysis involved 12,346 tumours validated among 11,971 individuals. The data used were hospital discharge data (104,474 records), pathology data (21,851 records), healthcare insurance data (7508 records) and cancer care centre's data (686 records). The selection algorithm permitted performances improvement for notification of tumour topography (F-measure 0.926 with vs. 0.857 without selection) and tumour morphology (F-measure 0.805 with vs. 0.750 without selection). CONCLUSION These results show that selection of information according to its origin is efficient in reducing noise generated by imprecise coding. Further research is needed for solving the semantic problems relating to the integration of heterogeneous data and the use of non-structured information.
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Sissaoui S, De Luca A, Piloquet H, Guimber D, Colomb V, Peretti N, Bouniol A, Breton A, Chouraqui JP, Coste ME, Djeddi D, Dorigny B, Goulet O, Gottrand F, Hermouet P, Lambe C, Leke A, Leprince S, Mas E, Massicot P, Renard P, Thomassin N, Triolo V, Turquet A, Vanrenterghem A, Fischbach M, Ingrand P, Hankard R. Large scale nutritional status assessment in pediatric hospitals. ACTA ACUST UNITED AC 2013. [DOI: 10.1016/j.clnme.2013.02.002] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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112
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Rollet A, Defossez G, Dameron O, CoRIM Poitou-Charentes, CRISAP Poitou-Charentes, Ingrand P. Développement et évaluation d’un algorithme de représentation des parcours de soins de patientes atteintes de cancer du sein à partir des données d’un système d’information régional. Rev Epidemiol Sante Publique 2013. [DOI: 10.1016/j.respe.2013.01.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Arroyo-Anlló EM, Beauchamps M, Ingrand P, Neau JP, Gil R. Lexical Priming in Alzheimer's Disease and Aphasia. Eur Neurol 2013; 69:360-5. [DOI: 10.1159/000347223] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2012] [Accepted: 01/16/2013] [Indexed: 11/19/2022]
Abstract
Lexical priming was examined in patients with Alzheimer's disease and in aphasic patients. Control participants were divided into young and elderly [cf. Arroyo-Anlló et al.: Eur J Cogn Psychol 2004;16:535-553]. For lexical priming, a word-stem completion task was used. Normal elderly participants had lexical priming scores that were significantly lower than those of young individuals. Analysis of covariance with age and educational level as covariates showed that the control participants, aphasic and Alzheimer patients did not differ significantly on the lexical priming task. Our results suggest that performance in the lexical priming task diminishes with physiological aging, but is not significantly affected by mild or moderate Alzheimer's disease or by fluent or non-fluent aphasia.
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Yue S, Antone E, Ingrand P, Bironneau V, Neau JP, Paquereau J, Meurice JC. Pronostic cardio-vasculaire et métabolique du syndrome d’apnées du sommeil positionnel : étude de cohorte historique à partir de 240 patients. Rev Mal Respir 2013. [DOI: 10.1016/j.rmr.2012.10.105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Beau P, Tallineau C, Barbieux JP, Ingrand P, Matuchansky C. Cholesterol-lowering effect of continuous enteral nutrition in man. Clin Nutr 2012; 10:279-83. [PMID: 16839932 DOI: 10.1016/0261-5614(91)90007-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/1991] [Accepted: 05/24/1991] [Indexed: 11/19/2022]
Abstract
We have studied the effect of polymeric cholesterol-free enteral nutrition (EN) on serum lipid and apolipoprotein levels in 30 consecutive non-diabetic, non-hyperlipaemic gastrointestinal patients. EN-40 +/- (SEM) 2 kcal/kg/day including 35% vegetable lipids (50% highly polyunsaturated fat, 50% medium chain triglycerides)-was delivered continuously (24h) via the gastric route for at least 2 weeks (mean duration: 35 +/- 4 days). In the entire group, serum total cholesterol decreased by 10.5% (p < 0.01) on day 7 and 17.5% (p < 0.01) on day 28 (n = 12); this was accompanied by 21% and 20% decreases in LDL-cholesterol and apolipoprotein B (p < 0.05) levels respectively, on day 28. In the 19 patients who were normocholesterolaemic on day 0, serum total cholesterol decreased by 15% (p < 0.01) on day 7 and by 28% (p < 0.05) on day 28 (n = 7). Conversely, in the other 11 patients with a low (<3.7 mmol/L) pre-EN serum total cholesterol level, no significant changes were observed during EN. We conclude that continuous, cholesterol-free EN has, in normocholesterolaemic patients, a marked cholesterol-lowering effect; the respective role of the composition of the diet and the continuous delivery of nutrient within the gut have yet to be investigated.
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Chubilleau C, Comte J, Ben-Brik E, Pubert M, Hulin A, Leonard S, Giraud J, Ingrand P. Étude écologique du lien entre pesticides et mortalité en Poitou-Charentes entre 2003 et 2007. ARCH MAL PROF ENVIRO 2012. [DOI: 10.1016/j.admp.2012.03.338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Arroyo-Anlló EM, Ingrand P, Gil R. Improvement of Semantic Categorization through Procedural Learning in Alzheimer's Disease. ACTA ACUST UNITED AC 2012; 30:121-9. [DOI: 10.3233/jad-2012-111856] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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118
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De Luca A, Piloquet H, Mansilla M, Simon D, Fischbach M, Caldari D, Dorigny B, Ingrand P, Hankard R. Évaluation tricentrique de l’état nutritionnel chez l’enfant hospitalisé. Arch Pediatr 2012; 19:545-6. [DOI: 10.1016/j.arcped.2012.02.019] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2012] [Accepted: 02/24/2012] [Indexed: 11/30/2022]
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Ingrand I, Houeto JL, Gil R, Mc Gee H, Ingrand P, Paccalin M. The validation of a French-language version of the Aging Perceptions Questionnaire (APQ) and its extension to a population aged 55 and over. BMC Geriatr 2012; 12:17. [PMID: 22545766 PMCID: PMC3459801 DOI: 10.1186/1471-2318-12-17] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2011] [Accepted: 04/13/2012] [Indexed: 11/27/2022] Open
Abstract
Background Several studies have shown the influence of the perceptions of aging on the cognitive functioning and the mental and physical health of older people. These relationships have not to date been studied in France where validated instruments are lacking. The primary objective of this study was to validate a French-language version of the Aging Perceptions Questionnaire (APQ) in the French general population aged 65 and over. The secondary objective was to study the stability of the dimensions of this instrument among participants aged 55 to 64. Methods The study was proposed to the cohort of the Observatoire Régional du Vieillissement (OPREVI) (observatory of aging), located in a small town in Poitou-Charentes (western France). An anonymous questionnaire including the APQ was sent by mail to inhabitants aged 55 and over. The original English language APQ was described with adults aged 65 and older. It has 32 items distributed on 7 dimensions: timeline chronic and cyclical, positive and negative consequences, positive and negative control and emotional representations. Results 656 adults participated in this survey (286 men, 370 women). Among those aged 65 and over (n = 394), the seven-factor structure estimated by confirmatory factor analysis was coherent with original findings. Internal consistency as evaluated by Cronbach alpha, was between 0.83 for consequences negative and 0.52 for control negative. Several dimensions were strongly correlated. Among participants aged 55 to 64 (n = 262), the same factorial model yielded an acceptable fit. Multi-group confirmatory factor analysis concluded to approximate factorial invariance between the two age groups with a null delta in comparative fit index. Conclusion This study among French people aged 65 and over, added further evidence of the multidimensional structure of the French version of the APQ which is superimposed to the dimensions of the original Irish version. The same factorial structure applies acceptably to the younger group (aged 55–64). The OPREVI study is ongoing, and will collect data on the physical, material and social characteristics of participants. It will therefore be possible to analyse the variables associated with the perceptions of aging. On the basis of an individual's perceptions of aging as captured by this questionnaire, and his or her clinical profile, tailored multi-dimensional assistance could be made available aiming to provide incentives to anticipate or to adapt to difficulties.
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Defossez G, Jouhet V, Ingrand P. Identification d’événements traceurs de la trajectoire de soins en cancérologie : apport des données du Programme de médicalisation des systèmes d’information (PMSI). Rev Epidemiol Sante Publique 2012. [DOI: 10.1016/j.respe.2011.12.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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121
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Gaud MA, Frasquet-Darrieux M, Glomot F, Bucco C, Christin P, Compain F, Pierre F, Ingrand P, Hankard R. Gestational weight gain: arguments for a transgenerational weight-control process. Am J Clin Nutr 2012; 95:529; author reply 529-31. [PMID: 22268022 DOI: 10.3945/ajcn.111.027235] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Michaud-Herbst A, Jouhet V, Ingrand P, Letard JC, Dupuychaffray JP, Barrioz T, Beauchant M. Evaluation of French guidelines on the indications of colonoscopy: results of a regional practice survey. Clin Res Hepatol Gastroenterol 2011; 35:839-44. [PMID: 21917542 DOI: 10.1016/j.clinre.2011.07.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2011] [Accepted: 07/26/2011] [Indexed: 02/04/2023]
Abstract
BACKGROUND AND AIMS Compliance with guidelines on colonoscopic indications can improve colorectal cancer screening efficiency. We conducted a regional practice survey of gastroenterologists working in the public and private sectors in France, and compared the results with French national guidelines. METHODS Four consecutive yearly questionnaire-based practice surveys were conducted, and remedial measures were recommended on the basis of the results. RESULTS We analyzed 5128 colonoscopies carried out by 65 practitioners. Of these, 4266 (83.2%) conformed to contemporary guidelines, 391 (7.6%) did not conform, and 471 (9.2%) could not be classified, owing to a lack of information. Remedial measures led to a significant increase in the number of colonoscopies conforming to guidelines (p=0.037) and to a significant fall in the number of unclassified procedures (p=0.0018). The distribution of colonic lesions differed between procedures that did and did not conform to guidelines (2.4% versus 0.3% of colorectal cancers, 11.4% vs. 6.9% of advanced adenomas, and 17.5% vs. 14.6% of non-advanced adenomas; p<0.0001). CONCLUSION This longitudinal multicenter survey shows that national colonoscopy guidelines are largely respected in France and improve the detection of colonic neoplasia. Practices improved following implementation of remedial measures.
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Gaud MA, Frasquet-Darrieux M, Glomot F, Bucco C, Christin P, Compain F, Pierre F, Ingrand P, Hankard R. P043 Prise de poids au cours de la grossesse de la femme obèse. NUTR CLIN METAB 2011. [DOI: 10.1016/s0985-0562(11)70110-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Fougere B, Underner M, Ingrand P, Meurice JC. [Smoking habits among staff at the Rochefort-sur-Mer Hospital]. Rev Mal Respir 2011; 28:1104-10. [PMID: 22123136 DOI: 10.1016/j.rmr.2011.03.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2010] [Accepted: 03/18/2011] [Indexed: 10/16/2022]
Abstract
OBJECTIVE The aim of the study was to establish an inventory of staff in the hospital who smoked to allow better identification of people at risk and thus develop targeted preventive strategies, which we hoped would be more effective. PATIENTS AND METHODS This survey was conducted at the Rochefort-sur-Mer Hospital in March 2008. The sociodemographic characteristics of the population responding and differences in characteristics between smokers and non-smokers were examined. The level of dependence of smokers and patterns of smoking in the workplace were also evaluated. The results were compared with those of the survey "Baromètre tabac personnel hospitalier 2003". RESULTS The response rate was 57%, with the study population characterized by a high proportion of women (82%). The proportion of smokers was 29%, similar to that found in the general population (30%) but higher than 24% of the survey of hospital staff Tobacco Barometer 2003. The hospital staff is still weakly dependent on tobacco. The attitude to smoking was strongly linked to socioeconomic group and the domestic staff and health care assistants were most likely to smoke and were also the most dependent. Finally, the hospital has itself become a smoke free environment without tobacco. CONCLUSION It is essential to promote measures to prevent smoking among hospital staff taking into account its specific features (high proportion of women). Targeted actions should in particular be conducted amongst the groups of workers who are the most affected.
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Mathis S, Dupuis-Girod S, Plauchu H, Giroud M, Barroso B, Ly KH, Ingrand P, Gilbert B, Godenèche G, Neau JP. Cerebral abscesses in hereditary haemorrhagic telangiectasia: a clinical and microbiological evaluation. Clin Neurol Neurosurg 2011; 114:235-40. [PMID: 22093524 DOI: 10.1016/j.clineuro.2011.10.036] [Citation(s) in RCA: 52] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2011] [Revised: 10/21/2011] [Accepted: 10/21/2011] [Indexed: 11/26/2022]
Abstract
OBJECTIVES Hereditary haemorrhagic telangiectasia (HHT) is a rare autosomal dominant disorder that can lead to neurological manifestations including strokes and cerebral abscesses. Our objectives were to describe clinical, radiological, bacteriological, and outcome characteristics of patients with cerebral abscess and HHT, and to concurrently compare this group with a control group with cerebral abscess, but without HHT. PATIENTS AND METHODS Patients with HHT and cerebral abscess in 5 French medical centers were included. Their clinical, radiological, biological data and prognosis were compared to the data of unselected patients with cerebral abscesses but without HHT included during the same period of time. RESULTS Twenty-six patients (13 men and 13 women; 44.7±17.2; range 12-79 years), with HHT and cerebral abscess were included. A pulmonary arteriovenous malformation (AVM) was present in all cases. Cerebral abscesses were solitary, supratentorial, and mostly lobar. In all cases, pathogens were anaerobic or facultative anaerobic germs (particularly streptococcus). No death was observed, but various sequels were present in up to two-thirds of the patients. We observed a recurrence of the cerebral abscess in 4 patients with a mean delay of 81 months. In comparison with the control group, cerebral abscesses were generally of later recurrence and significantly more often unique and less often due to staphylococcus. CONCLUSION HHT cerebral abscesses are particularly linked to pulmonary arteriovenous malformations and anaerobic germs. Their clinical, radiological and bacteriological characteristics are quite different than in a control group with more solitary brain localizations, no staphylococcus infection and a significantly longer interval to recurrence.
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