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Shao Hui Huang
No abstract text is available yet for this article.
December 2018: Journal of Medical Imaging and Radiation Sciences
Andreas Älgå, Karin Karlow Herzog, Murad Alrawashdeh, Sidney Wong, Hamidreza Khankeh, Cecilia Stålsby Lundborg
Healthcare-associated infections (HAIs) constitute a major contributor to morbidity and mortality worldwide, with a greater burden on low- and middle-income countries. War-related injuries generally lead to large tissue defects, with a high risk of infection. The aim of this study was to explore how physicians in a middle-income country in an emergency setting perceive HAI and antibiotic resistance (ABR). Ten physicians at a Jordanian hospital supported by Médecins Sans Frontières were interviewed face-to-face...
December 1, 2018: International Journal of Environmental Research and Public Health
Konstantinos Makris
Harmonization of the postgraduate training of both Clinical Scientists and Physicians, in Laboratory Medicine (LM) has been a goal for many years, for the European Federation of Clinical Chemistry and Laboratory Medicine (EFLM) and the Union Européenne de Médecins Spécialistes (UEMS), Section of Laboratory Medicine/Medical Biopathology. This was based on the concept of free movement of people within the European Union. Much has been achieved within the respective European organizations in the development of curricula that will harmonize the postgraduate training at least within the European Union (EU)...
November 2018: EJIFCC
Michelle Jacobson, Marcus Bernardini, Mara L Sobel, Raymond H Kim, Jeanna McCuaig, Lisa Allen
OBJECTIF: La présente opinion de comité énumère les recommandations pour la prise en charge gynécologique des femmes ayant reçu un diagnostic de syndrome du cancer du sein et de l'ovaire héréditaire (CSOH) en ce qui a trait au dépistage, à la contraception, à la chimioprophylaxie, aux facteurs à considérer pour la fertilité, à la chirurgie de réduction du risque et aux soins post-ovariectomie. UTILISATEURS CIBLES: La présente opinion de comité s'adresse aux gynécologues oncologues, aux gynécologues généralistes, aux médecins de famille, aux conseillers en génétique, aux infirmières autorisées, infirmières praticiennes, aux résidents et aux autres fournisseurs de soins...
November 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Damien Leger, Yolande Esquirol, Claude Gronfier, Arnaud Metlaine
There are in France several millions of shift-workers and night-workers (20 to 25% of employees). These workers are therefore subject to variations in their working and rest schedules. These regular schedule changes are associated with repeated desynchronization of circadian biological clock. The negative impacts on sleep are insomnia, drowsiness, and reduced sleep time in 24hours. There is also a proven effect on the occurrence of a metabolic syndrome, with a likely effect on obesity, type 2 diabetes, blood pressure and coronary artery disease...
November 13, 2018: La Presse Médicale
Arnaud Metlaine, Damien Leger, Yolande Esquirol
Night work is not only a work performed at night. It has also to be considered as a specifically organized work with its own duties and moving tasks in a different relational context. Primary preventive assessments regarding work schedules and occupational associated constraints have to be considered beside family potential consequences. Taking account of the consensually accepted impact of night-shift work on health, particularly on sleep, we recommend an annual medical visit for night-shift workers. We also recommend to declare the night shift diseases to the Regional committee of occupational diseases via the "alinea 4"...
November 13, 2018: La Presse Médicale
Ali Majdoub, Anis Ben Hadj Kalifa, Imen Bannour, Yassine Meksi, Mouna Ouaz, Mohamed Kheder
OBJECTIVES: To determine the prevalence and to monitor the trends of resistance to broad-spectrum cephalosporins among various species of enterobacteria in the region of Mahdia (Tunisia) from 2002 to 2014. METHODS: A retrospective study was carried out in the microbiology laboratory at Tahar Sfar Teaching Hospital in Mahdia. Data concerning a thirteen-year period (2002-2014). All clinical isolates of enterobacteriaceae were identified with the API 20 E system. Antimicrobial susceptibilities were determined by disk diffusion on Mueller Hinton agar according to CA-SFM recommendations...
August 2018: La Tunisie Médicale
Valérie Langlois-Carbonneau
No abstract text is available yet for this article.
November 9, 2018: CJEM
Damien Léger
No abstract text is available yet for this article.
November 3, 2018: La Presse Médicale
Damien Leger, Arnaud Metlaine, Claude Gronfier
The circadian clock has an endogenous activity, independently of environmental cues. It is also synchronized on the 24hours cycle specifically by light. The central biological clock is located in the supra-chiasmatic nuclei of the hypothalamus. Multiple peripheral biological clocks are also identified in almost all the systems.
October 31, 2018: La Presse Médicale
Elisabeth Ruppert, Ulker Kilic-Huck
Circadian rhythm sleep disorders (CRSD) result from a disturbed endogenous clock (intrinsic CRSD) or from a misalignment between the biological clock and an imposed environment (extrinsic CRSD). Among intrinsic CRSD, one distinguishes the delayed sleep-wake phase disorder, the advanced sleep-wake phase disorder, the irregular sleep-wake rhythm disorder and the non-24-hour sleep-wake rhythm disorder. Shift work disorder, jet lag disorder and circadian sleep-wake disorder not otherwise specified are extrinsic CRSD...
October 31, 2018: La Presse Médicale
Jacques Taillard, Eric Mullens
Circadian rhythm sleep-wake disorders are characterized either by sleep schedules that do not correspond to the usual schedules usually imposed by the light/dark cycle and by socio-professional activities, or by an unusual number of sleep episodes 24h. These two anomalies of the sleep-wake cycle are caused by an alteration of the circadian system or its mechanisms of entraining. The clinician has various tools that will confirm the diagnosis of circadian rhythm sleep-wake disorders. These diagnostic tools determine the alteration of the circadian system by generally estimating the circadian phase or else confirm the misalignment of sleep relative to the external environment...
October 31, 2018: La Presse Médicale
Catherine Fallet-Bianco, Isabelle De Bie, Valérie Désilets, Luc Laurier Oligny
OBJECTIF: Examiner les données sur les autopsies fœtales et périnatales, le processus de consentement et les options de collecte de renseignements à la suite d'un diagnostic prénatal d'anomalies non chromosomiques afin d'aider les fournisseurs de soins à offrir du conseil postnatal au sujet du diagnostic et des éventuels risques de récurrence. RéSULTATS: Offrir de meilleurs conseils sur les autopsies fœtales et périnatales aux femmes et aux familles qui ont reçu un diagnostic prénatal d'anomalie fœtale non chromosomique...
October 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Ziad El-Khatib, Maya Shah, Samuel N Zallappa, Pierre Nabeth, José Guerra, Casimir T Manengu, Michel Yao, Aline Philibert, Lazare Massina, Claes-Philip Staiger, Raphael Mbailao, Jean-Pierre Kouli, Hippolyte Mboma, Geraldine Duc, Dago Inagbe, Alpha Boubaca Barry, Thierry Dumont, Philippe Cavailler, Michel Quere, Brian Willett, Souheil Reaiche, Hervé de Ribaucourt, Bruce Reeder
Background: It is a challenge in low-resource settings to ensure the availability of complete, timely disease surveillance information. Smartphone applications (apps) have the potential to enhance surveillance data transmission. Methods: The Central African Republic (CAR) Ministry of Health and Médecins Sans Frontières (MSF) conducted a 15-week pilot project to test a disease surveillance app, Argus, for 20 conditions in 21 health centers in Mambéré Kadéi district (MK 2016)...
2018: Conflict and Health
Fritz Allhoff, K Potts
Under customary international law, the First Geneva Convention and Additional Protocol I, medical personnel are protected against intentional attack. In § 1 of this paper, we survey these legal norms and situate them within the broader international humanitarian law framework. In § 2, we explore the historical and philosophical basis of medical immunity, both of which have been underexplored in the academic literature. In § 3, we analyse these norms as applied to an attack in Afghanistan (2015) by the United States; the United States was attempting to target a Taliban command-and-control centre but inadvertently destroyed a Médecins Sans Frontières hospital instead, killing 42 people...
October 16, 2018: Journal of the Royal Army Medical Corps
M Verdecchia, K Keus, S Blankley, D Vambe, C Ssonko, T Piening, E C Casas
INTRODUCTION: Since 2011 Médecins sans Frontières together with the eSwatini Ministry of Health have been managing patients with multi-drug resistant tuberculosis (MDR-TB) at Matsapha and Mankayane in Manzini region. This analysis describes the model of care and outcomes of patients receiving a 20 months MDR-TB treatment regimen between 2011 and 2013. METHOD: We conducted a retrospective observational cohort study of MDR-TB patients enrolled for treatment between May 2011 and December 2013...
2018: PloS One
Brian T Garibaldi, Chandrakant Ruparelia, Kathryn Shaw-Saliba, Lauren M Sauer, Lisa L Maragakis, Margaret Glancey, Marion Subah, Allyson R Nelson, Colby Wilkason, Laura Scavo, Lindsay Litwin, Patience Osei, Youseph Yazdi
BACKGROUND: During the 2014-2016 Ebola virus epidemic, more than 500 health care workers (HCWs) died in spite of the use of personal protective equipment (PPE). The Johns Hopkins University Center for Bioengineering Innovation and Design (CBID) and Jhpiego, an international nongovernmental organization affiliate of Johns Hopkins, collaborated to create new PPE to improve the ease of the doffing process. METHODS: HCWs in Liberia and a US biocontainment unit compared standard Médecins Sans Frontière PPE (PPE A) with the new PPE (PPE B)...
October 6, 2018: American Journal of Infection Control
Peter Hutten-Czapski
No abstract text is available yet for this article.
2018: Canadian Journal of Rural Medicine
Amanda Skoll, Amélie Boutin, Emmanuel Bujold, Jason Burrows, Joan Crane, Michael Geary, Venu Jain, Thierry Lacaze-Masmonteil, Jessica Liauw, William Mundle, Kellie Murphy, Suzanne Wong, K S Joseph
OBJECTIF: Évaluer les avantages et les risques de la corticothérapie prénatale chez les femmes qui présentent un risque d'accouchement prématuré ou qui subissent une césarienne à terme avant début de travail, et formuler des recommandations visant l'amélioration des issues néonatales et des issues à long terme. OPTIONS: Administrer ou ne pas administrer une corticothérapie prénatale aux femmes qui présentent un risque élevé d'accouchement prématuré ou qui subissent une césarienne avant travail à terme...
September 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
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