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Lane J, Manceau LM, de Chantal PL, Chagnon A, Cardinal M, Lauzier-Jobin F, Lanoue S. Implementing a mental health app library in primary care: A feasibility study. Eval Program Plann 2024; 103:102413. [PMID: 38471327 DOI: 10.1016/j.evalprogplan.2024.102413] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 02/13/2024] [Accepted: 02/22/2024] [Indexed: 03/14/2024]
Abstract
Confronted with a wide range of digital health tools (DHT), professionals and patients need guidance to use these tools correctly and optimize health management. In the fall of 2020, a DHT library developed by Quebec-based company TherAppX was implemented in 22 institutions. The library was designed to enable healthcare professionals to use DHT in clinical care. The purpose of the current study was to assess the feasibility of implementing the library, including user experience, changes in DHT recommendation habits, and factors that helped or hindered the implementation process. A multi-methods design focusing on secondary use of quantitative data collected by TherAppX and semi-structured interviews with users was employed. While the quantitative analyses indicated infrequent use of the library, qualitative analyses highlighted several factors that hindered its implementation, including certain library and user characteristics and the unprecedented context of the COVID-19 pandemic. Nevertheless, the quantitative analyses confirmed interest in DHT and their usefulness during follow-ups. The results revealed a marginally significant pre-post changes in the frequency with which DHT were recommended. This study helped identify areas for improvements and indicates that further evaluation is needed. Future implementations would benefit from ensuring optimal conditions for a successful implementation.
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Affiliation(s)
- Julie Lane
- Centre RBC d'expertise universitaire en santé mentale, Faculty of Education, Université de Sherbrooke, 2500 Boulevard de l'Université, Sherbrooke, QC J1K 2R1, Canada.
| | - Luiza Maria Manceau
- Centre RBC d'expertise universitaire en santé mentale, Faculty of Education, Université de Sherbrooke, 2500 Boulevard de l'Université, Sherbrooke, QC J1K 2R1, Canada
| | - Pier-Luc de Chantal
- Department of Psychology, Faculty of human sciences, Université du Québec à Montréal, C.P. 8888 succursale Centre-ville, Montréal, QC H3C 3P8, Canada
| | - Alexandre Chagnon
- TherAppX, 160 Rue Cowie #203, Granby, QC J2G 3V3, Canada; Faculty of Pharmacy, Université Laval, 2325, rue de l'Université, Québec, QC G1V 0A6, Canada
| | - Michael Cardinal
- TherAppX, 160 Rue Cowie #203, Granby, QC J2G 3V3, Canada; Public Health School, Université de Montréal, 2900, Bd Édouard-Montpetit, Montréal, QC H3T 1J4, Canada
| | - François Lauzier-Jobin
- Centre RBC d'expertise universitaire en santé mentale, Faculty of Education, Université de Sherbrooke, 2500 Boulevard de l'Université, Sherbrooke, QC J1K 2R1, Canada
| | - Sèverine Lanoue
- Centre RBC d'expertise universitaire en santé mentale, Faculty of Education, Université de Sherbrooke, 2500 Boulevard de l'Université, Sherbrooke, QC J1K 2R1, Canada
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de Chantal PL, Chagnon A, Cardinal M, Faieta J, Guertin A. Evidence of User-Expert Gaps in Health App Ratings and Implications for Practice. Front Digit Health 2022; 4:765993. [PMID: 35252957 PMCID: PMC8891373 DOI: 10.3389/fdgth.2022.765993] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [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: 08/28/2021] [Accepted: 01/25/2022] [Indexed: 11/17/2022] Open
Abstract
Searching the commercial Google Play Store and App Store is one of the most common strategies for discovering mobile applications for digital health, both among consumers and healthcare professionals. However, several studies have suggested a possible mismatch between this strategy and the objective of finding apps in physical and mental health that are both clinically relevant and reliable from a privacy standpoint. This study provides direct evidence of a gap between the five-star user rating system and expert ratings from a curated library of over 1,200 apps that cover both physical and mental health. An objective metric is derived to assess the strength of the user-expert gap for each app, which in turn allows identifying missed opportunities—low user ratings and high expert ratings—and overrated apps—high user ratings and low expert ratings. Implications for practice and care delivery are discussed.
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Affiliation(s)
- Pier-Luc de Chantal
- Department of Psychology, Université du Québec à Montréal, Montréal, QC, Canada
- Therappx, Granby, QC, Canada
- *Correspondence: Pier-Luc de Chantal
| | - Alexandre Chagnon
- Therappx, Granby, QC, Canada
- Department of Pharmacy, Université Laval, Québec City, QC, Canada
| | | | - Julie Faieta
- Therappx, Granby, QC, Canada
- Department of Rehabilitation Science and Technology, University of Pittsburgh, Pittsburg, PA, United States
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Turcotte V, Chagnon A, Guénette L. Experience and perspectives of users and non-users of the Ask your pharmacist teleconsultation platform. Exploratory Research in Clinical and Social Pharmacy 2021; 2:100031. [PMID: 35481130 PMCID: PMC9032014 DOI: 10.1016/j.rcsop.2021.100031] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Revised: 05/28/2021] [Accepted: 05/28/2021] [Indexed: 11/26/2022] Open
Abstract
Background There is a growing trend concerning the use of information and communication technologies (ICT) for seeking health-related information such as information on medications and side effects. However, people looking online for health information cannot always judge the credibility of the information. Objective(s) This study aimed to describe patients' and pharmacists' experience using an asynchronous teleconsultation platform entitled “Ask Your Pharmacist” (AYP) and gather their perspectives and those of various healthcare and social services professionals providing primary care. Methods We performed semi-structured individual interviews over the telephone with patients having used the platform, pharmacists providing teleconsultation services on the platform, and various professionals delivering healthcare and psychosocial services to ambulatory patients. The questions explored specific themes, such as the perceived utility and impacts of the platform. We transcribed the interviews and performed a content analysis. Results We interviewed eight patients, six AYP pharmacists, and 15 healthcare and social services professionals. Participants perceived that the platform was simple to use and accessible. They also perceived that AYP promoted the visibility and the value of pharmacists' services. Some constraints were also shared, notably regarding questions requiring immediate attention or about complex situations. Conclusions The experience and perspectives of users and non-users of the AYP platform are mostly positive, but concerns were also raised regarding patients' safety. Results suggest that AYP could be a complementary tool to offer to ambulatory patients for simple, general and non-urgent problems.
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Abstract
Background: An increasing number of pharmacists use technology and social media to connect with patients. However, such means may pose confidentiality issues and legal problems. To correct this situation, a platform of teleconsultation services provided by pharmacists, titled “Ask Your Pharmacist,” was created in Quebec, Canada. Methods: A web-based satisfaction survey was carried out among patients and pharmacists who have used the Ask Your Pharmacist platform to describe their experience and satisfaction with the platform and explore the perceived usefulness of this service in the province of Quebec. Results: A total of 53 patients and 27 pharmacists completed the survey. Most patients were satisfied or very satisfied with their experience with Ask Your Pharmacist (96.2%), said that it met their need (88.7%), and agreed they would not have to consult again about the matter discussed with the pharmacist (75.5%). The main motivation of pharmacists for volunteering on Ask Your Pharmacist was to meet the needs of patients (85.1%), promote their profession (55.6%), improve drug utilization in the population (55.6%) and increase accessibility to a pharmacist (51.9%). Most (81.5%) felt that providing written consultation (rather than oral) required more research on their part. Discussion: Most patients judged they would not have to have another consultation about the matter discussed with the pharmacist, suggesting that Ask Your Pharmacist may avoid the need for physician and emergency department visits. Conclusion: Most patients and pharmacists were satisfied with their experience with Ask Your Pharmacist and perceived this service as useful. Further studies should assess the impact of this platform on the utilization of other health care services. Can Pharm J (Ott) 2021;154:xx-xx.
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Affiliation(s)
- Line Guénette
- Axe Santé des populations et pratiques optimales en santé, Centre de recherche du CHU de Québec-Université Laval, Laval University, Quebec City
| | - Alexandre Chagnon
- Centre intégré universitaire de santé et de services sociaux de l'Estrie-Centre hospitalier universitaire de Sherbrooke, Granby, QC
| | - Véronique Turcotte
- Axe Santé des populations et pratiques optimales en santé, Centre de recherche du CHU de Québec-Université Laval, Laval University, Quebec City
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Flores D, Haddad A, Maschi C, Paoli V, Franceschetti C, Chagnon A. 619 Pseudo-tumeur inflammatoire tardive après chirurgie réparatrice d’une fracture du plancher de l’orbite. J Fr Ophtalmol 2007. [DOI: 10.1016/s0181-5512(07)80432-3] [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: 11/28/2022]
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Paris JF, Murris S, Corgie L, Lamblin G, Aubran C, Graffin B, Chagnon A, Carli P. Déficit sélectif en IgA associé à une spondylarthrite ankylosante, un lupus érythémateux disséminé et un lymphome malin non hodgkinien. Rev Med Interne 2006. [DOI: 10.1016/j.revmed.2006.10.123] [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]
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Carli P, Graffin B, Landais C, Leyral G, Crémades S, Gisserot O, Chagnon A. W. Busch et les enzymes de destruction massive…. Rev Med Interne 2005; 26 Suppl 2:S270-1. [PMID: 16129170 DOI: 10.1016/s0248-8663(05)81280-9] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- P Carli
- Service de médecine interne, HIA Sainte-Anne, Toulon Armées, France
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Carli P, Graffin B, Leyral G, Chemsi M, Paris JF, Chagnon A. La cardite rhumatismale : un diagnostic d'exclusion. Rev Med Interne 2004; 25 Suppl 2:S237-8. [PMID: 15460461 DOI: 10.1016/s0248-8663(04)80014-6] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- P Carli
- Service de médecine interne, hôpital d'Instruction des Armées Sainte-Anne, 83800 Toulon-Naval, France
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Gisserot O, Leyral G, Ichou M, Chabbert I, Carli P, Chagnon A, de Jaureguiberry J. Syndrome de Gougerot-Sjögren et carcinome thymique. Rev Med Interne 2002. [DOI: 10.1016/s0248-8663(02)80216-8] [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]
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Rouland JF, Peigne G, Sellem E, Renard JP, Williamson W, Filippi JM, Cohn H, Hamard P, Abellan P, Chagnon A, Malet F, Haye I. [An observational, retrospective two-year cost study in primary open-angle glaucoma and ocular hypertension in newly diagnosed patients]. J Fr Ophtalmol 2001; 24:233-43. [PMID: 11285438] [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: 02/19/2023]
Abstract
PURPOSE To investigate the different treatment strategies in France and the direct costs for patients with newly diagnosed primary open-angle glaucoma or ocular hypertension who have started treatment with beta-blockers, and to estimate the total direct cost for two years of treat. MATERIAL and methods: We analyzed 225 medical charts retrospective in eleven academically and office-based centers in France over the first two years after diagnosis. Standard costs for each resource in current medical practice were determined from the French Social Security perspective. RESULTS The vast majority of patients (90%) had a diagnosis of primary, open-angle glaucoma or ocular hypertension in both eyes. In 60% of the patients we found a moderate or severe defect in their visual field or optic nerve. Intraocular pressure before treatment was 23.9+4.7mmHg and 17.5+4.2mmHg after two years of treatment. Over the first two years, 25% of visits led to a change in therapy (medical or surgical), involving 64% of the patients. Two-thirds of the changes occurred during the first year of treatment and in around 80% of cases for low intraocular pressure at check-up. Laser surgery or surgical intervention was performed in 25% of the patients. Total direct costs for two years were 5698F.F. The intraocular pressure before treatment was positively correlated (p<0.01) with treatment costs, while the initial intraocular pressure-lowering effects of treatment were negatively correlated with two-year costs. CONCLUSION After two years of treatment, the mean intraocular pressure decreased from 24 to 17.5mmHg. The higher the basal intraocular pressures is, the more intensive the treatment and the higher the costs. The more efficient the treatment to decrease baseline intraocular pressure is, the earlier the costs will be reduced.
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Affiliation(s)
- J F Rouland
- Service d'Ophtalmologie, CHRU, 12, avenue Oscar Lambret, 59037 Lille Cedex, France
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Chagnon A. Contribution de certaines anomalies biologiques au diagnostic du paludisme. Med Mal Infect 1999. [DOI: 10.1016/s0399-077x(00)88268-2] [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: 10/27/2022]
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Yao NA, Chagnon A, Paris JF, Kologo K, Marlier S, Carli P. [Corticoid-sensitive recurrent multifocal superficial thrombophlebitis in an 84-year-old man]. Rev Med Interne 1999; 20:823. [PMID: 10522308 DOI: 10.1016/s0248-8663(00)88693-2] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Yao AN, Carli P, Marlier S, Paris JF, Lescout JM, Chagnon A. [A painless relapse]. Rev Med Interne 1999; 20:536-7. [PMID: 10422148 DOI: 10.1016/s0248-8663(99)80091-5] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- A N Yao
- Service de médecine interne, HIA Sainte-Anne, Toulon Naval, France
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Marlier S, Gisserot O, Yao N, Hecht M, Paris JF, Carli P, Chagnon A. [Extra-capillary glomerulonephritis induced by D-penicillamine therapy]. Presse Med 1999; 28:689-90. [PMID: 10228478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/12/2023] Open
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Paris JF, Alla P, Cellarier G, Champagne S, Carli P, Chagnon A. [Aseptic osteonecrosis of the femur head in the course of rheumatoid purpura]. Presse Med 1998; 27:616-7. [PMID: 9767936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/09/2023] Open
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Paris JF, Carli P, Morand JJ, Amah Y, Chagnon A. [Severe recurrent hypoglycemia disclosing anorexia nervosa]. Presse Med 1997; 26:610. [PMID: 9180870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
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Abstract
Case report is a 75-year old woman who presented an unexplained febrile encephalopathy with diffuse myoclonic jerks and a gout's polyarthritis. None of these etiologies was found: infectious, toxic, vascular, metabolic, hormonal, immunologic. The spectacular effect on neurologic symptoms of a treatment by colchicine alone lead us to consider that gout encephalopathy probably exists.
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Affiliation(s)
- P Alla
- Service de médecine interne, hôpital d'instruction des Armées Sainte-Anne, Toulon Naval, France
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de Jaureguiberry JP, Pignon D, Galzin M, Carli P, Jaubert D, Chagnon A. [Persistent polyclonal B-cell lymphocytosis with binucleated lymphocytes in a male patient]. Rev Med Interne 1997; 18:258. [PMID: 9161582 DOI: 10.1016/s0248-8663(97)89307-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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Gisserot O, Jaureguiberry JP, Carli P, Paris JF, Jaubert D, Chagnon A. Heel pain as the inaugural manifestation of metastatic prostate cancer. Rev Rhum Engl Ed 1996; 63:870-1. [PMID: 9010979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Chagnon A. [Travelers' diarrhea]. Rev Prat 1996; 46:189-95. [PMID: 8746033] [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] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Up to fifty per cent of travellers going from temperate countries to tropical or subtropical countries present a diarrhoea. Enterotoxigenic Escherichia coli remain the most frequent bacterial cause, being identified in 40 to 70% of cases. Laboratory investigations are reserved to grave or protracted cases or those which resist to empirical therapy. Careful selection of food and beverage can limit its incidence. In adults at high risk of complications (sick or aged people) or who cannot suffer an interruption of their activity, one can prefer to a chemoprophylaxis with possible occurrence of adverse effects the early administration of a fluoroquinolone, which besides is a first-choice treatment of serious cases.
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Affiliation(s)
- A Chagnon
- Service de médecine interne et maladies tropicales, Institut de médecine navale, Toulon
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Alla P, Carli P, Paris JF, Chagnon A. [Results of sequential prolonged courses of albendazole and praziquantel in recurrent neurocysticercosis]. Med Trop (Mars) 1996; 56:308. [PMID: 9026603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Paris JF, Alla P, Cellarier G, Morand JJ, Carli P, Chagnon A. [Rhabdomyolysis during Shigella flexneri shigellosis]. Med Trop (Mars) 1996; 56:411. [PMID: 9139203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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Carli P, de Jauréguiberry JP, Paris JF, Marlier S, Galzin M, Chagnon A. [Polyarthritis during treatment with interferon-alpha. 2 cases]. Presse Med 1995; 24:1709. [PMID: 8545405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
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Chagnon A. [Medical care of elderly patients]. Rev Med Interne 1995; 16:656-7. [PMID: 7481151 DOI: 10.1016/0248-8663(96)80766-1] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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Carli P, Chagnon A, Harlé JR, Paris JF, Marlier S, Galzin M. [Inflammatory rheumatism and celiac disease in adults. Coincidence or pathogenic relationship?]. Presse Med 1995; 24:606-10. [PMID: 7761362] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
Five adults had inflammatory rheumatic disorders 6 to 20 years before the diagnosis of coeliac disease. It is known that joint inflammation occurs in certain patients with adult coeliac sprue who develop either a specific inflammatory rheumatic disease or an atypical progressive polyarthropathy, sometimes as the first manifestation of the intestinal disorder. The diagnosis of adult coeliac sprue should be entertained in these cases even in absence of major digestive disorders or malabsorption. IgA anti-reticulin antibodies and atrophy of the duodenojejunal villosities are the best indicators for diagnosis. There are two important reasons for making the diagnosis of "asymptomatic adult coeliac sprue". First a gluten-free diet can improve or even cure the inflammatory joint disease, a rare situation which emphasizes the causal relationship between these two diseases. Second, the risk of developing lymphoma (especially in the small bowel) is apparently lower in patients on gluten-free diet. Pathogenesis is unclear. Frequently the two autoimmune disorders simply appear to coincide in the same patient; more rarely, arthritis is a symptom of coeliac disease. The immunological mechanisms probably begin when antigens cross an excessively permeable intestinal mucosa.
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Affiliation(s)
- P Carli
- Service de Médecine interne, HIA Sainte Anne, Toulon
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Marlier S, Chagnon A, Brocq O, de Jaureguiberry JP, Jaubert D, Paris JF, Carli P. [Lymphoma induced by low-dose methotrexate in rheumatoid arthritis with severe lymphopenia]. Ann Med Interne (Paris) 1995; 146:206-208. [PMID: 7653933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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Oziol E, Bonal J, Chauveau E, Talard P, Carli P, Chagnon A. [Acute myocarditis in non-typhoid Salmonella infection]. Arch Mal Coeur Vaiss 1995; 88:99-101. [PMID: 7646257] [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] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
The authors report a case of myocarditis secondary to a Salmonella Virchow infection in a 20 year old non-immunodeficient man without a previous medical history. The outcome was favourable after treatment with fluoroquinolone. The features of this rare complication of non-typhic salmonella infection are discussed with respect to this and four other recently published cases.
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Affiliation(s)
- E Oziol
- Service de médecine interne, hôpital d'instruction des armées Sainte-Anne, Toulon-Naval
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Carli P, Jourdan P, Lescout JM, Paris JF, Galzin M, Chagnon A. Ostéome ostéoïde du rachis cervical: intérêt du repérage isotopique peropératoire. Rev Med Interne 1995. [DOI: 10.1016/0248-8663(96)86737-3] [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: 11/26/2022]
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Bonal J, Bouchiat C, de Jaureguiberry JP, Duval JL, Carli P, Chagnon A. [Spondylodiscitis disclosing endocarditis on the endocavitary electrodes of cardiac pacemakers]. Arch Mal Coeur Vaiss 1994; 87:1735-1738. [PMID: 7786115] [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] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Permanent pacemaker electrode infection is rare but can be fatal. The authors report two cases presenting with spondylodiscitis, a previously described mode of presentation of valve endocarditis but not previously reported in this context. In one case, recurrent courses of antibiotics did not prevent repeated episodes of bacteraemia. In the second, the relapse of infection occurred at different sites of the vertebral column until surgical removal of the electrodes: the usual features of this pathology were observed: frequent but not constant infection at the site of the pacemaker implantation, making the diagnosis more difficult; delayed signs of spondylodiscitis after implantation of the pacemaker; recurrence of infection when antibiotic therapy alone was prescribed and, therefore, the need for surgical ablation of all implanted material. The authors underline the diagnostic value of transoesophageal echocardiography.
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Affiliation(s)
- J Bonal
- Service de médecine interne, hôpital d'instruction des armées Sainte-Anne, Toulon Naval
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Paris JF, Galzin M, Marlier S, Carli P, Chagnon A. [Recurrent thyrotoxicosis and chronic lymphocytic Hashimoto's thyroiditis]. Presse Med 1994; 23:1314. [PMID: 7984535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
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Marlier S, Paule P, Paris JF, Galzin M, Carli P, Chagnon A. Lipides et infection : à propos de 50 patients hospitalisés dans un service de médecine interne. Rev Med Interne 1994. [DOI: 10.1016/s0248-8663(05)82746-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Paris JF, Galzin M, Marlier S, Carli P, Chagnon A. Thyrotoxicose récurrente et thyroïdite lymphocytaire chronique de Hashimoto. Rev Med Interne 1994. [DOI: 10.1016/s0248-8663(05)82760-2] [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]
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34
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Oziol E, Bonal J, Chauveau E, Duval JL, Carli P, Chagnon A. [Association of familial polycystic kidney and primary hyperaldosteronism]. Rev Med Interne 1994; 15:695. [PMID: 7800992 DOI: 10.1016/s0248-8663(05)82186-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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35
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Brodq O, Carli P, Paris JF, Brouchiat C, Chagnon A. [Capsular retraction of the hip in the postpartum period]. Rev Rhum Ed Fr 1993; 60:629. [PMID: 8012343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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36
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Perrin C, Michiels JF, Lacour JP, Chagnon A, Fuzibet JG. Sinus histiocytosis (Rosai-Dorfman disease) clinically limited to the skin. An immunohistochemical and ultrastructural study. J Cutan Pathol 1993; 20:368-74. [PMID: 7693780 DOI: 10.1111/j.1600-0560.1993.tb01278.x] [Citation(s) in RCA: 49] [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] [Indexed: 01/26/2023]
Abstract
A case study of sinus histiocytosis of Rosai-Dorfman (SH) clinically limited to the skin is presented with immunohistochemical study of the infiltrate, in both paraffin and cryostat sections. Factor XIIIa, a dendrocyte marker, was demonstrated in the cytoplasm of histiocytes. This feature had not been previously reported in this disease. In addition, the cells expressed S100 protein, CD4, CD1a, CD68, and CD11c. This immunophenotyping study suggests that SH could affect the antigen-presenting activity of Factor XIIIa cells, i.e., the skin dermal dendrocyte.
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Affiliation(s)
- C Perrin
- Department of Pathology, University of Nice, France
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37
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Chagnon A, Marlier S, Brocq O, de Jaureguiberry J, Jaubert D, Paris J, Carli P. Lymphome sous méthotrexate à faible dose au cours d'une polyarthrite rhumatoïde avec lymphopénie majeure. Rev Med Interne 1993. [DOI: 10.1016/s0248-8663(05)80525-9] [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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38
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Paris J, Chagnon A, Marlier S, Brocq O, Yao N'Dri A, Carli P. Érythroblastopénie aiguë induite par le parvovirus B19 révélant une sphérocytose héréditaire à l'âge adulte. Rev Med Interne 1993. [DOI: 10.1016/s0248-8663(05)80568-5] [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]
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39
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Carsuzaa F, de Jaureguiberry J, Carli P, Arnoux D, Chagnon A. Affections cutanées révélant une dysthyroïdie auto-immune. Rev Med Interne 1993. [DOI: 10.1016/s0248-8663(05)80578-8] [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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40
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Carli P, Carpentier J, Chagnon A, Yao N'Dri A, Chauveau E. Anticorps antiphospholipides au cours du paludisme: deux observations. Rev Med Interne 1993. [DOI: 10.1016/s0248-8663(05)80460-6] [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: 12/01/2022]
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41
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Chagnon A, Carli P, Paris JF, Cameli M, Carloz E. Carpian tunnel syndrome: a most unusual presentation of leishmaniasis. Eur J Med 1993; 2:314. [PMID: 8252169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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42
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Drouet A, Chagnon A, Valance J, Carli P, Muzellec Y, Paris JF. [Meningoencephalitis after vaccination against yellow fever with the 17 D strain: 2 cases]. Rev Med Interne 1993; 14:257-9. [PMID: 8378658 DOI: 10.1016/s0248-8663(05)82493-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [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: 01/30/2023]
Abstract
The authors report two cases of meningoencephalitis consecutive to immunization with the 17 D yellow fever virus in adults. This complication is exceptional; the rare cases previously reported usually occurred in children. The meningoencephalitis had no particular clinical features; it was more severe in our second case but nevertheless followed a favourable course, as usually described in the literature. The pathogenesis of these central nervous system reactions is unclear. In our two cases the vaccine seems to have acted synergistically with another neurotropic virus (adenovirus in the first case, unknown virus in the second) which was either pre-existing and latent or occurring de novo.
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Affiliation(s)
- A Drouet
- Service de Neurologie, Hôpital d'Instruction des Armées Sainte-Anne, Toulon Naval
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Boyer B, Billant JB, Solacroup JC, Dubayle P, Nun P, Gueguen E, Chagnon A, Le Vot J. [Neurocysticercosis of spinal manifestation. Apropos of a case]. J Radiol 1993; 74:81-6. [PMID: 8474042] [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] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
A case of spinal extramedullary cysticercosis with location in basal cisterns is reported. It was revealed by a severe sciatalgia and studied with MR imaging which is precious for the diagnosis and the follow-up. Cerebral cisternal arachnoiditis is the main problem in this racemose form where long medical treatment is necessary.
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Affiliation(s)
- B Boyer
- Service de Radiologie, H.I.A. Sainte-Anne, Toulon Naval
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Carli P, Yao N, Marlier S, Muzellec Y, Nun P, Chagnon A. [Febrile cervicalgia caused by Streptococcus milleri external pachymeningitis]. Presse Med 1993; 22:33. [PMID: 8469658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
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45
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Oziol E, Bonal J, Chaveau E, Talard P, Carli P, Chagnon A. Myocardite aiguë au cours d'une salmonellose non typhique. Rev Med Interne 1993. [DOI: 10.1016/s0248-8663(05)80241-3] [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: 10/25/2022]
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Carli P, Chagnon A, Harlé J, Paris J, Bouchiat C, Marlier S. Rhumatisme inflammatoire et maladie cœliaque. Association ou lien pathogénique? À propos de 4 observations. Rev Med Interne 1992. [DOI: 10.1016/s0248-8663(05)80941-5] [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]
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49
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Mahlier S, Carli P, Elizagaray A, Boyer B, Chagnon A. Ischémie du pied après immobilisation plâtrée: une forme d'algodystrophie. Rev Med Interne 1992. [DOI: 10.1016/s0248-8663(05)81057-4] [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]
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50
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Chagnon A, Carloz E, Cameli M, Paris J, Mary C, Carli P. Syndrome du canal carpien, manifestation inhabituelle d'une leishmaniose. Rev Med Interne 1992. [DOI: 10.1016/s0248-8663(05)81086-0] [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]
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