Bulletin De L Academie Nationale De Medecine最新文献

{"title":"Vésale, un génie à l’origine de la parcellisation du corps","authors":"","doi":"10.1016/j.banm.2025.01.013","DOIUrl":"10.1016/j.banm.2025.01.013","url":null,"abstract":"","PeriodicalId":55317,"journal":{"name":"Bulletin De L Academie Nationale De Medecine","volume":"209 3","pages":"Pages 403-406"},"PeriodicalIF":0.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609548","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":"Évolutions organisationnelles et sociétales","authors":"","doi":"10.1016/j.banm.2025.01.017","DOIUrl":"10.1016/j.banm.2025.01.017","url":null,"abstract":"","PeriodicalId":55317,"journal":{"name":"Bulletin De L Academie Nationale De Medecine","volume":"209 3","pages":"Page 428"},"PeriodicalIF":0.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609560","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":"Discussion à la suite de la présentation : « Maladies auto-inflammatoires : aspect physiopathologique »","authors":"Alexandre Belot","doi":"10.1016/j.banm.2025.01.010","DOIUrl":"10.1016/j.banm.2025.01.010","url":null,"abstract":"","PeriodicalId":55317,"journal":{"name":"Bulletin De L Academie Nationale De Medecine","volume":"209 3","pages":"Pages 372-373"},"PeriodicalIF":0.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609647","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":"Communiqué. Diagnostic précoce et traitements préventifs de la progression de la fibrose rénale","authors":"Académie nationale de médecine","doi":"10.1016/j.banm.2025.01.006","DOIUrl":"10.1016/j.banm.2025.01.006","url":null,"abstract":"","PeriodicalId":55317,"journal":{"name":"Bulletin De L Academie Nationale De Medecine","volume":"209 3","pages":"Pages 336-337"},"PeriodicalIF":0.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609635","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":"Adaptations de la formation médicale aux attentes de la société concernant le système de santé : expérience belge","authors":"Dominique Vanpee","doi":"10.1016/j.banm.2025.01.007","DOIUrl":"10.1016/j.banm.2025.01.007","url":null,"abstract":"<div><div>Cet article présente les grandes lignes des adaptations récentes de la formation médicale au sein de la faculté de médecine de l’UCLouvain située à Bruxelles, face aux enjeux actuels du système de santé. L’accent est mis sur la responsabilité sociale en santé, une approche intégrant les compétences professionnelles, l’éthique, la durabilité, tout en répondant aux défis liés au vieillissement de la population, à l’augmentation des maladies chroniques, à la soutenabilité financière et environnementale, ainsi qu’à l’impact des innovations technologiques et de l’intelligence artificielle.</div></div><div><div>This article outlines the main points of the recent adaptations in medical education at the Faculty of Medicine at UCLouvain in Brussels, in response to the current challenges of the healthcare system. The focus is on social responsibility in healthcare, an approach that integrates professional skills, ethics, sustainability, while addressing challenges related to population aging, the rise of chronic diseases, financial and environmental sustainability, as well as the impact of technological innovations and artificial intelligence.</div></div>","PeriodicalId":55317,"journal":{"name":"Bulletin De L Academie Nationale De Medecine","volume":"209 3","pages":"Pages 417-420"},"PeriodicalIF":0.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609557","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":"L’étude du vieillissement est un axe de recherche en développement","authors":"Serge Adnot,&nbsp;Jean-Pierre Michel","doi":"10.1016/j.banm.2024.11.024","DOIUrl":"10.1016/j.banm.2024.11.024","url":null,"abstract":"","PeriodicalId":55317,"journal":{"name":"Bulletin De L Academie Nationale De Medecine","volume":"209 3","pages":"Pages 330-331"},"PeriodicalIF":0.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609850","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":"Le mouvement en art et en médecine","authors":"Pierre Brissot,&nbsp;Jacques Caton,&nbsp;Richard Villet","doi":"10.1016/j.banm.2025.01.026","DOIUrl":"10.1016/j.banm.2025.01.026","url":null,"abstract":"","PeriodicalId":55317,"journal":{"name":"Bulletin De L Academie Nationale De Medecine","volume":"209 3","pages":"Pages 382-402"},"PeriodicalIF":0.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609551","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":"Les enjeux économiques de la vaccination","authors":"Frédéric Bizard","doi":"10.1016/j.banm.2024.10.020","DOIUrl":"10.1016/j.banm.2024.10.020","url":null,"abstract":"<div><div>La vaccination est une des interventions de santé publique les plus côuts-efficaces et qui sauve le plus de vies humaines, dont 2,5 millions d’enfants chaque année. Le retour sur investissement moyen pour chaque € investi est de 34<!--> <!-->€ contre 14<!--> <!-->€ en moyenne en santé publique. La vaccination améliore sensiblement la santé et le bien-être de la population. La théorie économique aide à concevoir qu’une intervention sanitaire comme la vaccination peut être source de croissance économique. La crise Covid a montré que chaque million de personnes vaccinées générait un gain de 8 milliards $ de PIB. L’avenir prospère de l’industrie du vaccin garantit une source d’activités économiques dynamiques, dont la France pourrait tirer profit. Les politiques sont peu enclins à exploiter les évaluations économiques réalisées autour des vaccins, d’une part du fait de l’approche court-termiste de la gestion budgétaire en santé et, d’autre part, du fait de la prise en compte nécessaire de bénéfices économiques plus larges à intégrer pour les vaccins dans les études. Le développement des vaccins s’inscrit dans une transformation nécessaire des modèles de santé, historiquement centrés sur le curatif vers des modèles dits de santé globale, où le maintien en bonne santé est aussi stratégique que le soin. D’ici à 2040, la bonne santé aura un impact majeure sur la croissance économique, sachant que 70 % des gains de santé se feront par la prévention, dont la vaccination.</div></div><div><div>Vaccination is one of the most cost-effective public health interventions and saves the most human lives, including 2.5 million children each year. The average return on investment for each € invested is €<!--> <!-->34 compared to €<!--> <!-->14 on average in public health. Vaccination significantly improves the health and well-being of the population. Economic theory suggests that a health intervention such as vaccination can be a source of economic growth. The Covid crisis has shown that each million people vaccinated generated a gain of $8 billion in GDP. The prosperous future of the vaccine industry guarantees a source of dynamic economic activities, from which France could benefit. Politicians are reluctant to exploit the economic evaluations carried out on vaccines, on the one hand because of the short-term approach to health budget management and, on the other hand, because of the necessary consideration of broader economic benefits to be integrated for vaccines in studies. The development of vaccines is part of a necessary transformation of healthcare models, historically focused on curative treatment, towards so-called global health models, where maintaining good health is as strategic as care. By 2040, good health will have a major impact on economic growth, knowing that 70% of health gains will be made through prevention, including vaccination.</div></div>","PeriodicalId":55317,"journal":{"name":"Bulletin De L Academie Nationale De Medecine","volume":"209 2","pages":"Pages 236-246"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144776","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":"Réponse à la lettre des Drs Alain Braillon et Florian Naudet","authors":"Bernard Granger","doi":"10.1016/j.banm.2024.12.010","DOIUrl":"10.1016/j.banm.2024.12.010","url":null,"abstract":"","PeriodicalId":55317,"journal":{"name":"Bulletin De L Academie Nationale De Medecine","volume":"209 2","pages":"Page 328"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144789","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 clinique de la perfusion tissulaire périphérique au cours du choc septique","authors":"Hafid Ait-Oufella","doi":"10.1016/j.banm.2024.07.022","DOIUrl":"10.1016/j.banm.2024.07.022","url":null,"abstract":"<div><div>Lors d’infections graves, des études menées sur les animaux et les humains ont révélé une altération de la perfusion microcirculatoire, ce qui entraîne des défaillances viscérales et peut potentiellement mener au décès. La gravité et la persistance des anomalies microcirculatoires sont des facteurs prédictifs de mortalité, indépendamment du débit cardiaque ou de la pression artérielle. Il est donc essentiel de développer des outils pour évaluer la perfusion microcirculatoire au chevet des patients. De nombreuses recherches sur le sepsis indiquent que l’analyse de la perfusion périphérique, par des mesures telles que la température (et/ou le gradient), le temps de recoloration cutanée, l’étendue des marbrures ou la diurèse, constitue des méthodes simples permettant aux réanimateurs d’évaluer rapidement les anomalies microcirculatoires.</div></div><div><div>Animal and human studies have documented alterations of microcirculatory blood flow during serious infections, potentially leading to lethal organ damages. Both severity and persistence of microcirculatory disorders are predictive factors for mortality, independently of cardiac output or arterial pressure. Several tools derived from skin analysis have been developed, allowing clinicians to quickly evaluate the peripheral perfusion including the temperature gradient, the capillary refill time, the extent of mottling and urinary output. In this review, we report that these bedside non-invasive parameters represent interesting tools for risk stratification in septic patients, being related to organ failure severity and predictive of mortality.</div></div>","PeriodicalId":55317,"journal":{"name":"Bulletin De L Academie Nationale De Medecine","volume":"209 2","pages":"Pages 198-203"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145596","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}