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1.
BJOG ; 127(1): 88-97, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31544327

RESUMO

OBJECTIVE: To assess the short-term incidence of serious complications of surgery for urinary incontinence or pelvic organ prolapse. DESIGN: Prospective longitudinal cohort study using a surgical registry. SETTING: Thirteen public hospitals in France. POPULATION: A cohort of 1873 women undergoing surgery between February 2017 and August 2018. METHODS: Preliminary analysis of serious complications after a mean follow-up of 7 months (0-18 months), according to type of surgery. Surgeons reported procedures and complications, which were verified by the hospitals' information systems. MAIN OUTCOME MEASURES: Serious complication requiring discontinuation of the procedure or subsequent surgical intervention, life-threatening complication requiring resuscitation, or death. RESULTS: Fifty-two women (2.8%, 95% CI 2.1-3.6%) experienced a serious complication either during surgery, requiring the discontinuation of the procedure, or during the first months of follow-up, necessitating a subsequent reoperation. One woman also required resuscitation; no women died. Of 811 midurethral slings (MUSs), 11 were removed in part or totally (1.4%, 0.7-2.3%), as were two of 391 transvaginal meshes (0.5%, 0.1-1.6%), and four of 611 laparoscopically placed mesh implants (0.7%, 0.2-1.5%). The incidence of serious complications 6 months after the surgical procedure was estimated to be around 3.5% (2.0-5.0%) after MUS alone, 7.0% (2.8-11.3%) after MUS with prolapse surgery, 1.7% (0.0-3.8%) after vaginal native tissue repair, 2.8% (0.9-4.6%) after transvaginal mesh, and 1.0% (0.1-1.9%) after laparoscopy with mesh. CONCLUSIONS: Early serious complications are relatively rare. Monitoring must be continued and expanded to assess the long-term risk associated with mesh use and to identify its risk factors. TWEETABLE ABSTRACT: Short-term serious complications are rare after surgery for urinary incontinence or pelvic organ prolapse, even with mesh.


Assuntos
Diafragma da Pelve/cirurgia , Prolapso de Órgão Pélvico/cirurgia , Telas Cirúrgicas/efeitos adversos , Adulto , Idoso , Idoso de 80 Anos ou mais , Análise de Variância , Colposcopia/efeitos adversos , Colposcopia/mortalidade , Colposcopia/estatística & dados numéricos , Feminino , França/epidemiologia , Humanos , Incidência , Complicações Intraoperatórias/etiologia , Complicações Intraoperatórias/mortalidade , Pessoa de Meia-Idade , Prolapso de Órgão Pélvico/mortalidade , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/mortalidade , Estudos Prospectivos , Sistema de Registros , Slings Suburetrais/efeitos adversos , Slings Suburetrais/estatística & dados numéricos , Telas Cirúrgicas/estatística & dados numéricos , Centros Cirúrgicos/estatística & dados numéricos , Adulto Jovem
2.
Equine Vet J ; 52(1): 112-119, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31033041

RESUMO

BACKGROUND: Horses are one of the potential reservoirs of antimicrobial resistance (AMR) determinants that could be transferred to human subjects. OBJECTIVE: To describe the AMR patterns of major bacteria isolated from diseased horses in France. STUDY DESIGN: Retrospective observational study. METHODS: Data collected between 2012 and 2016 by RESAPATH, the French national surveillance network for AMR, were analysed. Only antimicrobials relevant in veterinary and human medicine for the isolated bacteria were considered. Mono- and multidrug resistance were calculated. The resistance proportions of major equine diseases were assessed and compared. Where data permitted, resistance trends were investigated using nonlinear analysis (generalised additive models). RESULTS: A total of 12,695 antibiograms were analysed. The five most frequently isolated bacteria were Streptococcus spp., Escherichia coli, Pseudomonas spp., Staphylococcus aureus, Pantoea spp. and Klebsiella spp. The highest proportions of resistance to gentamicin were found for S. aureus (22.1%) and Pseudomonas spp. (26.9%). Klebsiella spp. and E. coli had the highest proportions of resistance to trimethoprim-sulfamethoxazole (15.5 and 26.2%, respectively). Proportions of resistance to tetracycline were among the highest for all the bacteria considered. Resistance to third-generation cephalosporins was below 10% for all Enterobacteriaceae. The highest proportions of multidrug resistance (22.5%) were found among S. aureus isolates, which is worrying given their zoonotic potential. From 2012 to 2016, resistance proportions decreased in Pseudomonas spp. isolates, but remained the same for S. aureus. For Streptococcus spp. and E. coli, resistance proportions to trimethoprim-sulfamethoxazole increased. MAIN LIMITATIONS: Since antibiograms are not systematic analyses, any selection bias could impact the results. CONCLUSIONS: Such studies are essential to estimate the magnitude of the potential threat of AMR to public health, to design efficient control strategies and to measure their effectiveness. These findings may also guide the initial empirical treatment of horse diseases.


Assuntos
Antibacterianos/farmacologia , Infecções Bacterianas/veterinária , Farmacorresistência Bacteriana Múltipla , Doenças dos Cavalos/microbiologia , Animais , Infecções Bacterianas/epidemiologia , Infecções Bacterianas/microbiologia , França/epidemiologia , Doenças dos Cavalos/epidemiologia , Cavalos , Saúde Pública , Estudos Retrospectivos
3.
Soins ; 64(840): 18-27, 2019 Nov.
Artigo em Francês | MEDLINE | ID: mdl-31847964

RESUMO

France needs to meet numerous public health challenges and maintain universal cover for its population. It is nevertheless surprising to observe that the development of nursing leadership, which is an effective strategy in numerous other countries, is not a priority in France. Faced with this observation, it is important to clarify this concept with the help of extensive foreign scientific literature in order to envisage how its practice can be boosted with the aim of obtaining similar benefits to those evaluated in other national contexts.


Assuntos
Assistência à Saúde , Liderança , Cuidados de Enfermagem , França
4.
Soins ; 64(840): 41-42, 2019 Nov.
Artigo em Francês | MEDLINE | ID: mdl-31847968

RESUMO

The provision of home health care in France is primarily based on the contribution made by private practice nurses. This method of practice requires a specific expression of nursing leadership notably with regard to its clinical component.


Assuntos
Serviços de Assistência Domiciliar , Liderança , Papel do Profissional de Enfermagem , França , Humanos , Prática Privada
5.
Soins ; 64(840): 43-47, 2019 Nov.
Artigo em Francês | MEDLINE | ID: mdl-31847969

RESUMO

Clinical leadership is expected of advanced practice nurses with regard to their scope of competencies. The effective implementation of this competency within the teams requires management support. It is a first step towards the reinforcement of clinical leadership in France.


Assuntos
Prática Avançada de Enfermagem , Liderança , França , Humanos
6.
7.
Rev Infirm ; 68(256): 35-36, 2019 Dec.
Artigo em Francês | MEDLINE | ID: mdl-31870478

RESUMO

With 54,000 new cases per year, breast cancer is most frequently observed among women in France. It is the leading cause of death among women due to cancer: nearly 12,000 deaths per year. Based on her own experience with this disease and the heavy treatments that result from it, a free-lance nurse has developed a home-based consultation to accompany women during their care journey. Sharing of experience.


Assuntos
Neoplasias da Mama , Assistência Domiciliar , Encaminhamento e Consulta , Neoplasias da Mama/enfermagem , Feminino , França , Humanos
8.
Soins ; 64(841): 26-29, 2019 Dec.
Artigo em Francês | MEDLINE | ID: mdl-31864508

RESUMO

The ageing of the French population and the high occurrence of cancers in the population of patients aged over 75 has resulted in the convergence of the competences of two specialties, oncology and geriatrics, in order to optimise the quality of the care provided. Geriatric oncology care must be adapted to the medical, psychological and social situation of each patient.


Assuntos
Geriatria/organização & administração , Oncologia/organização & administração , Neoplasias/terapia , Idoso , França/epidemiologia , Humanos , Neoplasias/epidemiologia , Qualidade da Assistência à Saúde
9.
Soins ; 64(841): 34-37, 2019 Dec.
Artigo em Francês | MEDLINE | ID: mdl-31864510

RESUMO

Beyond the recommendations of the French directorate general for healthcare provision encouraging hospitals to find alternatives to conventional hospitalisation for their patients, hospital at home care is appreciated by patients for the comfort it enables them to maintain in the continuation of their cancer treatment. It is also increasingly favoured by oncologists who can be assured of the continuity of their protocols by a nursing community with expertise in chemotherapy.


Assuntos
Serviços de Assistência Domiciliar , Neoplasias/tratamento farmacológico , França , Humanos
10.
Soins ; 64(841): 40-45, 2019 Dec.
Artigo em Francês | MEDLINE | ID: mdl-31864512

RESUMO

Located across three sites in Ile-de-France, the Institut Curie combines care, research and teaching activities to fight cancer. Faced with the progression of ambulatory care, the departments have had to adapt in order to improve patient support and oversee community-hospital coordination. Nurses become involved just after the disclosure of the diagnosis by the doctor, but also coordinate the patient's pathway in ambulatory care. They anticipate the needs of the teams, the patients and their carers. Patients appreciate their availability and the fact that they have a single contact person.


Assuntos
Hospital Dia , Neoplasias/tratamento farmacológico , França , Humanos
11.
Soins ; 64(841): 52-55, 2019 Dec.
Artigo em Francês | MEDLINE | ID: mdl-31864515

RESUMO

In many countries, health systems are facing major difficulties in maintaining the quality, continuity and safety of the care provision. That is why healthcare systems are being reformed across the world. These reforms are redefining the boundaries between medical and paramedical professions, and have resulted in the emergence of advanced practices, notably in nursing. The field of oncology is not immune from these issues. It must deal with the evolution of techniques and technologies, the increase in knowledge as well as an evolution in the needs of patients with cancer. In France, advanced practice nurses appear to have found their place in oncology as they can take an active part in the priorities fixed by the different national cancer plans, notably through the prevention role which is one of the objectives.


Assuntos
Prática Avançada de Enfermagem , Oncologia/organização & administração , França , Humanos
12.
BMJ ; 367: l6015, 2019 Nov 05.
Artigo em Inglês | MEDLINE | ID: mdl-31690553

RESUMO

OBJECTIVE: To evaluate the association between gifts from pharmaceutical companies to French general practitioners (GPs) and their drug prescribing patterns. DESIGN: Retrospective study using data from two French databases (National Health Data System, managed by the French National Health Insurance system, and Transparency in Healthcare). SETTING: Primary care, France. PARTICIPANTS: 41 257 GPs who in 2016 worked exclusively in the private sector and had at least five registered patients. The GPs were divided into six groups according to the monetary value of the received gifts reported by pharmaceutical, medical device, and other health related companies in the Transparency in Healthcare database. MAIN OUTCOME MEASURES: The main outcome measures were the amount reimbursed by the French National Health Insurance for drug prescriptions per visit (to the practice or at home) and 11 drug prescription efficiency indicators used by the National Health Insurance to calculate the performance related financial incentives of the doctors. Doctor and patient characteristics were used as adjustment variables. The significance threshold was 0.001 for statistical analyses. RESULTS: The amount reimbursed by the National Health Insurance for drug prescriptions per visit was lower in the GP group with no gifts reported in the Transparency in Healthcare database in 2016 and since its launch in 2013 (no gift group) compared with the GP groups with at least one gift in 2016 (-€5.33 (99.9% confidence interval -€6.99 to -€3.66) compared with the GP group with gifts valued at €1000 or more reported in 2016) (P<0.001). The no gift group also more frequently prescribed generic antibiotics (2.17%, 1.47% to 2.88% compared with the ≥€1000 group), antihypertensives (4.24%, 3.72% to 4.77% compared with the ≥€1000 group), and statins (12.14%, 11.03% to 13.26% compared with the ≥€1000 group) than GPs with at least one gift between 2013 and 2016 (P<0.001). The no gift group also prescribed fewer benzodiazepines for more than 12 weeks (-0.68%, -1.13% to -0.23% compared with the €240-€999 group) and vasodilators (-0.15%, -0.28% to -0.03% compared with the ≥€1000 group) than GPs with gifts valued at €240 or more reported in 2016, and more angiotensin converting enzyme (ACE) inhibitors compared with all ACE and sartan prescriptions (1.67%, 0.62% to 2.71%) compared with GPs with gifts valued at €1000 or more reported in 2016 (P<0.001). Differences were not significant for the prescription of aspirin and generic antidepressants and generic proton pump inhibitors. CONCLUSION: The findings suggest that French GPs who do not receive gifts from pharmaceutical companies have better drug prescription efficiency indicators and less costly drug prescriptions than GPs who receive gifts. This observational study is susceptible to residual confounding and therefore no causal relation can be concluded. TRIAL REGISTRATION: OSF register OSF.IO/8M3QR.


Assuntos
Indústria Farmacêutica/economia , Prescrições de Medicamentos/estatística & dados numéricos , Clínicos Gerais/estatística & dados numéricos , Doações , Padrões de Prática Médica/estatística & dados numéricos , Adolescente , Adulto , Idoso , Bases de Dados Factuais/estatística & dados numéricos , Indústria Farmacêutica/estatística & dados numéricos , Prescrições de Medicamentos/economia , Medicamentos Genéricos/economia , Feminino , França , Clínicos Gerais/economia , Humanos , Reembolso de Seguro de Saúde/economia , Reembolso de Seguro de Saúde/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Programas Nacionais de Saúde/economia , Programas Nacionais de Saúde/estatística & dados numéricos , Padrões de Prática Médica/economia , Medicamentos sob Prescrição/economia , Estudos Retrospectivos , Adulto Jovem
14.
Zootaxa ; 4576(3): zootaxa.4576.3.4, 2019 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-31715749

RESUMO

Only a single known specimen of Cnemaspis timoriensis (Duméril Bibron, 1836) exists, the holotype in the Muséum National d'Histoire Naturelle in Paris, France. Purportedly collected by Charles Gaudichaud-Beaupré in the year 1818 on Timor Island in the Lesser Sunda Archipelago during the circumnavigation of the globe by the vessel L'Uranie, intensive research on Timor has failed to produce additional specimens or any similarly appointed gecko. Using a series of detailed morphological comparisons, we provide irrefutable evidence that the animal in question is not a member of Cnemaspis but of the neotropical genus Gonatodes. Furthermore, we ascertained that C. timoriensis is conspecific with G. humeralis, a widely distributed South American species. We also show that a specimen labeled with the timoriensis name in the Museum für Naturkunde, Berlin, Germany is not conspecific and not part of a type series. While the taxon name timoriensis has nomenclatural priority over the two-decades-younger name humeralis, usage would dictate that to preserve the nomenclatural stability of neotropical geckos the junior synonym should be retained. An application to the International Commission on Zoological Nomenclature to this effect is in preparation.


Assuntos
Lagartos , Animais , Austrália , Berlim , França , Alemanha , Indonésia , Ilhas , Paris
15.
Zootaxa ; 4674(3): zootaxa.4674.3.7, 2019 Sep 25.
Artigo em Inglês | MEDLINE | ID: mdl-31716006

RESUMO

The aim of this study is to assess the species status of the Middle-European Thanasimus Latreille, 1806 species using mitochondrial CO1 sequence data. Molecular biological results clearly support the synonymy of T. pectoralis (Fuss, 1863) and T. rufipes (Brahm, 1797) with T. femoralis (Zetterstedt, 1828) as already proposed by Kolibác (1992). Results of the present study indicate high genetic variation within T. formicarius (Linné, 1758) and emphasize the study of population dynamics of T. formicarius within Europe. Furthermore, preliminary screening of all available T. formicarius sequences on BOLD and Genbank (shorter than 500bp) indicates the presence of a "Continental" and a more "Atlantic" clade in T. formicarius. To support our hypothesis of a probably cryptic species among T. formicarius, more studies, with more specimens from different populations, especially from southern England, northern France and the northern part of the Iberian Peninsula, will be necessary.


Assuntos
Besouros , DNA Mitocondrial , Variação Genética , Animais , Besouros/genética , Inglaterra , Europa (Continente) , França , Haplótipos , Filogenia , Análise de Sequência de DNA
16.
Zootaxa ; 4671(4): zootaxa.4671.4.5, 2019 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-31716033

RESUMO

A new Ischnomera from northern Sicily is described. Besides this species, in the western Mediterranean I. xanthoderes complex were distinct one species from the Iberian peninsula and southern France (I. xanthoderes), and one from northwestern Africa (I. tenietensis). All species are figured and a key to the species is published.


Assuntos
Besouros , África , Animais , França , Sicília
17.
Zootaxa ; 4624(1): zootaxa.4624.1.2, 2019 Jun 27.
Artigo em Inglês | MEDLINE | ID: mdl-31716234

RESUMO

In this paper the primary types of Centris described by Amédée Lepeletier de Saint-Fargeau in 1841 deposited at Muséum National d'Histoire Naturelle, France and Hope Entomological Collection, Oxford University Museum of Natural History, United Kingdom were studied. To stabilize the application of some names, lectotypes were designated for C. bimaculata, C. collaris, C. decolorata, C. denudans, C. dorsata, C. ferruginea, C. fuscata, C. maculata (= C. decolorata), C. obsoleta, C. picea, C. poecila, C. trigonoides, C. violacea and C. vittata. Centris picea nomen oblitum is withdrawn from the synonymy of C. lanipes (Fabricius) and proposed as new junior synonym of C. trigonoides nomen protectum. Centris nigrescens is removed from the synonymy of C. vittata and revalidated, proposing C. merrillae Cockerell and C. lanipes ogilviei Cockerell as its new junior synonymies. Lectotypes for this latter species and for C. rubella Smith (= C. ferruginea) were also designated. In addition, due to the impossibility of identifying C. thoracica and the misplacement of its type material, it is proposed to consider it nomen dubium and place it incertae sedis.


Assuntos
Himenópteros , Distribuição Animal , Animais , Abelhas , Entomologia , França , Reino Unido
18.
Zootaxa ; 4613(2): zootaxa.4613.2.1, 2019 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-31716410

RESUMO

For the first time large numbers of thecideide brachiopods have been collected from the Mozambique Channel, more particularly from the western part of the Comorian Island of Mayotte (France). The moderately diverse brachiopod fauna is from a submarine cave situated on the second barrier reef encircling this island, with three different genera being found: Thecidellina, Ospreyella and Minutella. The last genus is represented by M. cf. minuta (Cooper, 1981), which was first discovered around Madagascar. Ospreyella is represented by a new species (O. mayottensis sp. nov.) as is Thecidellina, which is represented by T. leipnitzae sp. nov. This species is markedly distinct from T. europa Logan et al., 2015 from Europa Island in the southern Mozambique Channel (1,200 km south of Mayotte), providing an example of allopatric speciation in an isolated cryptic habitat.


Assuntos
Invertebrados , Animais , Comores , França , Ilhas , Madagáscar , Moçambique
19.
Zootaxa ; 4565(4): zootaxa.4565.4.11, 2019 Mar 12.
Artigo em Inglês | MEDLINE | ID: mdl-31716459

RESUMO

The nomenclature of some taxa of the tribe Bidessini is dealt with. Currently, the names of these taxa are mostly interpreted as synonyms of Bidessus unistriatus (Goeze, 1777). The four oldest names for this species are shown to be nomina dubia due to insufficient descriptions and lack of name-bearing types. These names are in their original combinations Dyticus parvulus O.F. Müller, 1776, Dytiscus unistriatus Goeze, 1777, Dytiscus unistriatus Schrank, 1781, and Dyticus monostriatus Geoffroy in Fourcroy, 1785. The uncertainties of these species-level names also affect the identity of the genus-level names Bidessus Sharp, 1882, and Hydroglyphus Motschulsky, 1853a, meaning that the stability of nomenclature in the tribe Bidessini is considerably threatened. To eliminate this threat by clarifying the taxonomic status and the type locality of each of these nominal taxa, one and the same male specimen is designated as neotype for unistriatus Goeze, unistriatus Schrank and monostriatus Geoffroy in Fourcroy, and thus these three names become objective synonyms. The neotype is selected from modern material collected near Paris (France) because the type localities of all three taxa include "Paris environs". This is the locality from which Geoffroy (1762) described the non-binominal "ditique à une seule strie" and to which is referred in the descriptions of the latter three taxa. To prevent the threat of the stability by the name parvulus O.F. Müller it is intended to make an application to the ICZN in order to suppress this name for the purpose of priority.


Assuntos
Besouros , Animais , França , Masculino , Paris
20.
Zootaxa ; 4565(3): zootaxa.4565.3.9, 2019 Mar 11.
Artigo em Inglês | MEDLINE | ID: mdl-31716469

RESUMO

Cyrnus cintranus is one of five Cyrnus species with distribution ranges restricted to western Europe. In this paper, we redescribe the poorly defined female of C. cintranus. We also draw attention to the existence of a previously unmentioned morphological feature that aids significantly in the identification of the female of C. cintranus, separating it from the females of the other Cyrnus species. New data are provided on the distribution and ecology of this species.


Assuntos
Holometábolos , Animais , Ecologia , Europa (Continente) , Feminino , França
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