Sante Publique最新文献

{"title":"Connaissances, attitudes et pratiques du matériel d’ostéosynthèse chez les usagers du service de chirurgie au Centre Hospitalier Régional (CHR) de Dédougou (Burkina Faso).","authors":"Abdramane Berthe","doi":"10.3917/spub.251.0225","DOIUrl":"https://doi.org/10.3917/spub.251.0225","url":null,"abstract":"<p><strong>Introduction: </strong>Osteosynthesis materials (OSM) are raising concerns among patients and medical staff, influencing attitudes and practices related to their use. Research in sociology and anthropology on these materials is limited, justifying a study of the knowledge, attitudes, and practices (KAP) of users of the surgical department at the Regional Hospital Center (CHR) of Dédougou (Burkina Faso).</p><p><strong>Methods: </strong>This is a descriptive cross-sectional mixed-methods study. A sample of 310 users was selected for the administration of a digital questionnaire. Semi-structured interviews with 51 individuals explored detailed perceptions and experiences concerning osteosynthesis materials (OSM). The data were analyzed using QDA Miner, with strict adherence to ethical principles.</p><p><strong>Results: </strong>The majority of users (63%) had heard of OSM, mainly from informal sources, but only 53% understood its advantages and disadvantages. Attitudes were predominantly positive, with 82% willing to use OSM if necessary, although 18% expressed reluctance due to high costs and cultural prejudices. Nearly 29% of users had experienced a fracture, with 50% having been offered OSM. Effective communication between caregivers and patients is crucial to improving the understanding and acceptance of OSM.</p><p><strong>Conclusion: </strong>The study highlights the need to strengthen communication and education strategies for better understanding of OSM. Efforts should include policies to make OSM financially accessible, integrate cultural concerns into care planning, and improve the training of healthcare professionals.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"225-237"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Manifestations cutanées de la trypanosomiase humaine africaine gambiense (THA).","authors":"Ansoumane Kourouma, Mamadou Camara, Mariama Layba Camara, Mamadou Baïlo Diallo, Omar Camara, Moïse Kagbadouno, Bruno Bucheton","doi":"10.3917/spub.251.0173","DOIUrl":"https://doi.org/10.3917/spub.251.0173","url":null,"abstract":"<p><strong>Introduction: </strong>Cutaneous manifestations of HAT are common and often go unrecognized by healthcare providers. The objective of this research was to describe the epidemiological, therapeutic, and progressive aspects of the cutaneous manifestations of HAT.</p><p><strong>Patients and methods: </strong>This is an ambispective, descriptive, and analytical study of HAT patients presentingcutaneous manifestations, treated and monitored at the center from 01/01/2018 to 12/31/2023. The variables analyzed were epidemiological, clinical, paraclinical, therapeutic, and progressive.</p><p><strong>Results: </strong>The prevalence of cutaneous signs was 67.9%, and the most represented data were: the age group ≥ 20 years (74.4%) with a sex ratio of 1.31; activities with lower risk of HAT (58.4%), passive patients (55.2%); patients in phase II (99.2%), pruritus (100%) of severe intensity (50%), scratching lesions (78.4%) localized on the thorax (82.6%), upper (75 .5%) and lower (54.1%) limbs, and abdomen (50.9%); therapeutic abstinence (82.4%), and the association of other dermatological diseases (23.2%). The average evolution of skin signs was six months, and on average after two months 96.7% of the patients monitored were completely cured. The factors significantly associated with scratching lesions in multivariate analysis were thoracic location (p: 0.0006), age group from 0 to 19 years (p: 0.03), activities with a higher risk of HAT (p: 0.03), and leukorachia ≥100cel/μl (p: 0.01).</p><p><strong>Conclusion: </strong>Scraping lesions on the thorax are highly indicative of HAT.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"173-181"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Doubles Perspectives : analyse des interventions des assistants sociaux auprès des femmes victimes de violence conjugale.","authors":"Laila Mrabti, Zouhair Belamfedel Alaoui","doi":"10.3917/spub.251.0141","DOIUrl":"https://doi.org/10.3917/spub.251.0141","url":null,"abstract":"<p><strong>Objective: </strong>This study assesses the effectiveness of psychosocial interventions by social workers in the Integrated Units for the Care of Women and Children Victims of Violence (UIPFEVV) in Morocco by examining their impact, as well as the organizational structures and operational processes involved. It also explores institutional and social power dynamics, as well as cultural influences affecting service delivery to better understand the mechanisms of response to domestic violence.</p><p><strong>Methods: </strong>A qualitative exploratory approach was adopted, including semi-structured interviews with 13 social workers and 10 victims of domestic violence in the Fès-Meknès region. Data were analyzed using inductive thematic analysis, employing the Donabedian Model to evaluate the quality of care and feminist critical theory to examine the institutional and cultural structures of care.</p><p><strong>Results: </strong>The study identifies five main themes regarding social workers' interventions: improving reception and confidentiality, empathy and interview techniques, balancing administrative and emotional support, challenges in orientation and referral, and gaps in post-intervention follow-up. The results show efforts to create a safe and empathetic environment, but also highlight challenges related to resource allocation, personalized support adaptation, and maintaining a continuous relationship with the victims. The Donabedian Model helped identify strengths and weaknesses in structures and processes, while feminist critical theory revealed systemic imbalances affecting the quality of services.</p><p><strong>Conclusions: </strong>The study emphasizes the need to adapt interventions to the cultural and personal contexts of victims to enhance service effectiveness. It recommends enhanced professional training, better resource allocation, and the implementation of rigorous follow-up protocols to adequately meet the needs of women victims of domestic violence. These adjustments are essential to ensure continuous and effective support, thus facilitating recovery and well-being for victims, while taking into account the institutional and power dynamics influencing these interventions.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"141-150"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recrutement actif de seniors socio-économiquement défavorisés pour des ateliers de prévention : la procédure INVITE.","authors":"Clélia M Bianchi, Aurélie Bocquier, Chloé Cogordan, Hélène Tréhard, Mélissa Badiou, Dolorès Nadal, Julie Dessirier, Guillaume Briclot, Christelle Trotta, Christophe Dubois, Pierre Verger, Nicole Darmon","doi":"10.3917/spub.251.0089","DOIUrl":"https://doi.org/10.3917/spub.251.0089","url":null,"abstract":"<p><strong>Introduction: </strong>The risk of aging in poor health is greater among disadvantaged people, but they benefit less from health prevention actions focused on diet and physical activity.</p><p><strong>Purpose of the study: </strong>The INVITE research-action aims to [1] develop an active recruitment procedure to encourage older adults identified as disadvantaged to attend diet and physical activity prevention workshops in the French region Provence-Alpes Côte d'Azur (PACA), [2] evaluate the feasibility and acceptability of this procedure, and [3] measure the effective participation in the workshops of the identified older adults.</p><p><strong>Results: </strong>The INVITE procedure was co-developed by researchers, social workers, and older adults. It includes six steps: identification, invitation letter, telephone contact, home visit, phone call confirmation, and welcome session during the workshop. A pre-test phase made it possible to identify the barriers facing older adults and their motivations at each step, and thus to improve the procedure. The evaluation phase of the effective participation showed that, for 9 workshops, 47 home visits were carried out and 11 older adults participated in the workshops.</p><p><strong>Conclusion: </strong>The INVITE procedure is well received and makes it possible to reach out to disadvantaged older adults and bring them to prevention workshops. Since the prevention workshops promote social diversity, this procedure could be an effective lever to avoid widening social inequalities in health. A larger-scale deployment would help to better characterize participants' sociodemographic profiles and to evaluate costs.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"89-99"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research is a process, experience is singular, and expertise is collective","authors":"Olivier Grimaud, Christine Rolland, Fatoumata Hane, Frédéric Denis","doi":"10.3917/spub.255.0007","DOIUrl":"10.3917/spub.255.0007","url":null,"abstract":"","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 3","pages":"7-8"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Session 4. Santé Environnementale et au travail.","authors":"","doi":"10.3917/spub.hs2.2025.0014","DOIUrl":"https://doi.org/10.3917/spub.hs2.2025.0014","url":null,"abstract":"","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 HS2","pages":"14-16"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Session 1. Santé des jeunes et de la femme.","authors":"","doi":"10.3917/spub.hs2.2025.0005","DOIUrl":"https://doi.org/10.3917/spub.hs2.2025.0005","url":null,"abstract":"","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 HS2","pages":"5-8"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Évaluation d’un plan de prévention psycho-affective et sexuelle (PPAS) au collège.","authors":"David Mignot, Manoël Letessier, Antoine Chatrenet, Ilyess Mejri, Hikombo Hitoto","doi":"10.3917/spub.254.0047","DOIUrl":"https://doi.org/10.3917/spub.254.0047","url":null,"abstract":"","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 4","pages":"47-83"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mise en œuvre d’une consultation prénatale de prévention dédiée aux futurs pères/coparents à Montreuil : analyse du contexte et des parties prenantes.","authors":"Swati Perrot, Inès Moloufoukila, Louise Pages, Julie Chateauneuf, Vincent Kaufmann, Pierre-Etienne Manuellan, Perrine Bonnefoy, Pauline Penot, Johann Cailhol","doi":"10.3917/spub.254.0097","DOIUrl":"https://doi.org/10.3917/spub.254.0097","url":null,"abstract":"","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 4","pages":"97-112"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation psychométrique préliminaire de l’échelle CIPS26-v1 mesurant la construction d’une Communauté Interprofessionnelle de Pratique en Santé (CIPS).","authors":"Jonathan Faës, Grégory Aiguier, Sandrine Schoenenberger","doi":"10.3917/spub.254.0131","DOIUrl":"https://doi.org/10.3917/spub.254.0131","url":null,"abstract":"","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 4","pages":"131-141"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145715624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}