La Presse Médicale Open最新文献_第2页

Clinical practical guide for the management of an acute psychiatric crisis in primary care: A meta-review of systematic literature 初级保健中急性精神危机管理的临床实践指南：系统文献的元综述

La Presse Médicale Open Pub Date : 2023-01-01 DOI: 10.1016/j.lpmope.2023.100043

Sophie Le Bail , Jocelyn Mouden , Margaux Gaillard , Julie Dupouy

{"title":"Clinical practical guide for the management of an acute psychiatric crisis in primary care: A meta-review of systematic literature","authors":"Sophie Le Bail , Jocelyn Mouden , Margaux Gaillard , Julie Dupouy","doi":"10.1016/j.lpmope.2023.100043","DOIUrl":"https://doi.org/10.1016/j.lpmope.2023.100043","url":null,"abstract":"<div><h3>Background</h3><p>The duration of untreated psychosis is negatively associated with long-term outcomes. General practitioners play a key role in the pathway to care but they have difficulties managing an acute psychiatric crisis such as first-episode psychosis. Therefore, the objective of this meta-review was to provide clinical practical guides on the management of first-episode psychosis, aimed to general practitioners.</p></div><div><h3>Methods</h3><p>We searched Pubmed, Cochrane and Web of Science for systematic reviews of literature, meta-analyses and guidelines of oral antipsychotics or benzodiazepines treatment for the management of acute psychiatric crisis, published from 2005 to 2021. The reports have been selected and reviewed independently by two researchers.</p></div><div><h3>Results</h3><p>31 articles were included, with 25 on first-episode psychosis. Second-generation antipsychotics are the mainstay of treatment. The choice of the antipsychotic drugs should be guided mainly by side-effects, to maximize tolerability and acceptability. It must be introduced at a low starting dose with gradual titration until the minimal effective dosage is reached.</p></div><div><h3>Conclusion</h3><p>We merged our meta-review findings into a comprehensive algorithm for the management of first-episode psychosis in primary care, from assessment to first-line therapies and follow-up.</p></div>","PeriodicalId":100860,"journal":{"name":"La Presse Médicale Open","volume":"4 ","pages":"Article 100043"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50194676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An innovative model for improving access to care: Patients’ experience of a primary care network caring for underserved communities in France 改善获得护理的创新模式：患者对法国服务不足社区初级护理网络的体验

La Presse Médicale Open Pub Date : 2023-01-01 DOI: 10.1016/j.lpmope.2023.100039

Stacy Geffroy , Théo Reynaud , Jérémy Khouani , Simon Lavabre , Sandrine Loubière , Maeva Jego

{"title":"An innovative model for improving access to care: Patients’ experience of a primary care network caring for underserved communities in France","authors":"Stacy Geffroy , Théo Reynaud , Jérémy Khouani , Simon Lavabre , Sandrine Loubière , Maeva Jego","doi":"10.1016/j.lpmope.2023.100039","DOIUrl":"https://doi.org/10.1016/j.lpmope.2023.100039","url":null,"abstract":"<div><h3>Background</h3><p>Vulnerable people have complex health needs but face multiple barriers to accessing healthcare. In 2018, Médecins du Monde (MDM), a French non-governmental association which care for underserved people, initiated an ambulatory primary care network in Marseille, France: the <em>“PASS De Ville”</em> (PDV). It supports vulnerable populations in obtaining immediate access to common primary care in the city before their health insurance rights are established. We aimed to assess the experience and care expectations of the patients who used the PDV.</p></div><div><h3>Methods</h3><p>We conducted a qualitative study based on a grounded theory approach. Patients who met at least one of the general practitioners involved in the PDV were included. We conducted semi-structured interviews amongst 16 service users, between February and May 2021. Two researchers performed an inductive analysis using NVivo.</p></div><div><h3>Results</h3><p>The patients had both medical and non-medical needs. Alongside health, access to health insurance was a subject often considered a key priority. Although patients seemed to have little understanding of how the PDV works, they nevertheless managed to benefit from it and access medical care more easily. PDV users reported feeling more socially integrated through consideration by healthcare givers. Most of them still identified the general practitioner encountered during the PDV as their referent doctor once their health insurance rights were established.</p></div><div><h3>Conclusion</h3><p>The PDV seems to support better integration into the French primary care system for patients who encounter barriers seeking medical care. Other studies are needed to identify PDV's efficiency on care pathways and patients’ overall health.</p></div>","PeriodicalId":100860,"journal":{"name":"La Presse Médicale Open","volume":"4 ","pages":"Article 100039"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50194675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevention of NEphron loss in type 2 DIABetic patients followed in general practice. Protocol of the French PENEDIAB study 预防2型糖尿病患者的NEphron丢失在全科医学中遵循。法国PENEDIAB研究的议定书

La Presse Médicale Open Pub Date : 2023-01-01 DOI: 10.1016/j.lpmope.2023.100040

Gabrielle Lisembard, Sabine Bayen, Pierre Fontaine, Francois Glowacki, François Quersin, Alissa Sebbah, Marc Bayen

{"title":"Prevention of NEphron loss in type 2 DIABetic patients followed in general practice. Protocol of the French PENEDIAB study","authors":"Gabrielle Lisembard, Sabine Bayen, Pierre Fontaine, Francois Glowacki, François Quersin, Alissa Sebbah, Marc Bayen","doi":"10.1016/j.lpmope.2023.100040","DOIUrl":"https://doi.org/10.1016/j.lpmope.2023.100040","url":null,"abstract":"<div><h3>Background</h3><p>The number of diabetic patients is constantly increasing in France. The severity of long-term diabetes is linked to the complications it causes, including renal failure. GFR decline is a good means of measuring a loss of renal function. General practitioners (GPs) are in the front line concerning the global accompaniment of these patients. This includes prevention, follow-up, therapeutical adaptation.</p></div><div><h3>Purpose</h3><p>To identify GFR decline diabetic patients and the impact of implemented measures in general practice to reduce this loss.</p></div><div><h3>Materials and methods</h3><p>We present the protocol of a prospective, multicentred, randomized, controlled, two-arm interventional study amongst a study population in the North-West region of France. The 360 types 2 diabetic patients will be recruited by 36 GPs. The inclusion criteria target women or men over 50 with type 2 diabetes, and GFR less than 90 ml/min and greater than 45 ml/min (stage 2 and 3a renal failure). 18 GPs will be randomized in an intervention group (training on GFR decline screening and specific patient-centred measures). The study is promoted by the University Hospital of Lille. The main objective of the study is to demonstrate that patient-adapted preventive management reduces GFR decline in type 2 diabetic patients.</p></div><div><h3>Expected results</h3><p>To improve the patients’ quality of life through the early screening any study on GFR decline should involve GPs since they do have a preventive role in general practice and avoid renal failure.</p></div><div><h3>Conclusion</h3><p>Up to now, in France, any study on GFR decline should involve GPs since they do have a preventive role</p></div>","PeriodicalId":100860,"journal":{"name":"La Presse Médicale Open","volume":"4 ","pages":"Article 100040"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50194674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vegans, strict vegetarians, partial vegetarians, omnivores: Do they differ in food choice motives, coping, and quality of life? 纯素食者、严格素食者、部分素食者、杂食者:他们在食物选择动机、应对方式和生活质量上有什么不同吗?

La Presse Médicale Open Pub Date : 2022-10-01 DOI: 10.1016/j.lpmope.2022.100033

Eva Hanras, Sasha Mathieu, Basilie Chevrier, E. Boujut, G. Dorard

引用次数: 3

Challenges in management of frailty by primary healthcare teams: from identification to follow-up 初级保健团队管理虚弱的挑战:从识别到随访

La Presse Médicale Open Pub Date : 2022-10-01 DOI: 10.1016/j.lpmope.2022.100032

B. Chicoulaa, E. Escourrou, Florence Durrieu, V. Milon, Louise Savary, Maxime Gelibert, A. Stillmunkés, S. Oustric, M. Rougé-Bugat

引用次数: 0

Alexithymia, Reading the Mind in the Eyes and Empathy in Patients with Antisocial Personality Disorder 反社会型人格障碍患者述情障碍、眼神读心与共情

La Presse Médicale Open Pub Date : 2022-10-01 DOI: 10.1016/j.lpmope.2022.100034

Aslı Kazgan Kılıçaslan, S. Yıldız, B. S. Emir, Faruk Kılıç

引用次数: 0

The remaining role and feasibility of detoxification in opioid addiction after 30 years of medication for opioid use disorder: A systematic review 阿片类药物使用障碍治疗30年后，解毒在阿片类药物成瘾中的剩余作用和可行性:一项系统综述

La Presse Médicale Open Pub Date : 2022-08-01 DOI: 10.1016/j.lpmope.2022.100030

P. Patrizio, C. Clesse, L. Bernard, M. Batt, G. Kanny

引用次数: 0

Alcohol and diving: a cross-sectional study of attitudes towards alcohol consumption among 4,322 French divers 酒精和潜水:对4,322名法国潜水员对酒精消费态度的横断面研究

La Presse Médicale Open Pub Date : 2022-07-01 DOI: 10.1016/j.lpmope.2022.100029

L. Cuminetti, C. d'Andréa, N. Bouscaren

引用次数: 0

Views, facilitators, barriers and strategies associated with detoxification in patients with opioid use disorder: A qualitative study on primary care general practitioners. 阿片类药物使用障碍患者解毒相关的观点、促进因素、障碍和策略:对初级保健全科医生的定性研究

La Presse Médicale Open Pub Date : 2022-05-01 DOI: 10.1016/j.lpmope.2022.100027

T. S. Nguyen, G. Kanny, C. Clesse, L. Bernard, Charly Beyaert, M. Batt, P. Patrizio

引用次数: 1

Erratum to: “Reprint of: Development of vaccines and vaccinal strategies against COVID-19: The information contributing to shared decision-making” by Bruet S et al. (La Presse Medicale Open 2022; 3: 100024 -https://doi.org/10.1016/j.lpmope.2022.100024) 对Bruet S等人(La Presse Medicale Open 2022;3: 100024 -https://doi.org/10.1016/j.lpmope.2022.100024)

La Presse Médicale Open Pub Date : 2022-05-01 DOI: 10.1016/j.lpmope.2022.100025

引用次数: 0