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[Diagnostic approach for metabolic dysfunction associated steatotic liver disease]. [代谢功能障碍相关脂肪变性肝病的诊断方法]。
La Revue du praticien Pub Date : 2026-04-01
Lucia Parlati, Charlotte Mouliade, Stanislas Pol
{"title":"[Diagnostic approach for metabolic dysfunction associated steatotic liver disease].","authors":"Lucia Parlati, Charlotte Mouliade, Stanislas Pol","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Metabolic dysfunction associated steatotic liver disease (MASLD) is a systemic disease affecting the liver. The diagnostic approach consists of the identification of hepatic steatosis, the exclusion of other causes of steatosis and the evaluation of hepatic fibrosis. Comorbidities (obesity, type 2 diabetes, dyslipidemia, high blood pressure, sleep apnea syndrome, cardiovascular diseases, endocrinopathies) must be evaluated and managed when diagnosis of MASLD is made. Simple tests (FIB-4, liver stiffness) mainly allow to differentiate between steatosis and steatohepatitis to define a simplified follow-up by the general practitioner or a specialized multidisciplinary follow-up. The increasing morbidity and mortality linked to MASLD justifies its screening, confirmation of the diagnosis, evaluation of the severity of the liver disease and monitoring according to the stage of the disease.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 4","pages":"393-397"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847849","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
[Metabolic dysfunction-associated steatotic liver diseases: 10 key messages]. [代谢功能障碍相关脂肪变性肝病：10个关键信息]。
La Revue du praticien Pub Date : 2026-04-01
Catherine Buffet
{"title":"[Metabolic dysfunction-associated steatotic liver diseases: 10 key messages].","authors":"Catherine Buffet","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 4","pages":"418"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147848072","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
[Koenen's tumor]. 科龙的肿瘤。
La Revue du praticien Pub Date : 2026-04-01
Matthieu Bellakehal, Arthur Lallier
{"title":"[Koenen's tumor].","authors":"Matthieu Bellakehal, Arthur Lallier","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 4","pages":"424"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147848090","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
[The Origins of SAMU]. [SAMU的起源]。
La Revue du praticien Pub Date : 2026-04-01
Jean-Noël Fabiani-Salmon
{"title":"[The Origins of SAMU].","authors":"Jean-Noël Fabiani-Salmon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 4","pages":"460-462"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147848136","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
[Assessment of disorders presented by sexually abused children]. [被性侵儿童的精神障碍评估]。
La Revue du praticien Pub Date : 2026-04-01
Hélène Romano
{"title":"[Assessment of disorders presented by sexually abused children].","authors":"Hélène Romano","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Children who are victims of sexual abuse may exhibit a wide range of disorders, both in terms of their manifestations and the time it takes for them to appear. The consequences can be manifold and have severe repercussions on their psychomotor development, or even major consequences on the health of adult victims in their childhood. This article, based on the author's clinical experience and a review of the literature, highlights the consequences of sexual abuse on children and the difficulties in identifying it. It describes the multiple psychological and physical consequences in the lives of children who suffer abuse. It proposes an assessment focused on identifying specific, non-specific, and suggestive disorders associated with sexual abuse.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 4","pages":"428-432"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847891","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
[Eating disorders]. 饮食失调。
La Revue du praticien Pub Date : 2026-04-01
Nathalie Godart, Tiphaine Cruanès, France Hirot, Caroline Huas
{"title":"[Eating disorders].","authors":"Nathalie Godart, Tiphaine Cruanès, France Hirot, Caroline Huas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Eating disorders (EDs) are very frequent and are increasing since the Covid-19 pandemic. They include anorexia nervosa, bulimia nervosa, binge eating disorder, avoidance and restriction disorders and their subsyndromic forms. EDs affect people of all ages, they generate somatic, psychiatric and social complications. Early diagnosis and appropriate care can considerably improve the prognosis. Unfortunately, these disorders steel underdiagnosed and the specialized care pathway available are not well known. After describing eating disorders, the article outlines elements for identification and initial assessment, and discusses the main lines of treatment, which must be multidisciplinary, coordinated, gradual and tailored to each individual.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 4","pages":"433-440"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847899","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
[Multiple steatocystoma]. (多个steatocystoma)。
La Revue du praticien Pub Date : 2026-04-01
Ulysse Comte, Sophia Pansard, Arthur Gras-Jollivet, Clément Bauchet, Pierre Francès
{"title":"[Multiple steatocystoma].","authors":"Ulysse Comte, Sophia Pansard, Arthur Gras-Jollivet, Clément Bauchet, Pierre Francès","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 4","pages":"421"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147848068","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
[Biliary ileus]. 胆汁性肠梗阻。
La Revue du praticien Pub Date : 2026-04-01
Mahdi Samet, Mohammed Leknani, Yassir Akil, Siham Bhallil, Nadia Mouna, Hamid Ziani, Siham Nasri, Imane Kamaoui, Imane Skiker
{"title":"[Biliary ileus].","authors":"Mahdi Samet, Mohammed Leknani, Yassir Akil, Siham Bhallil, Nadia Mouna, Hamid Ziani, Siham Nasri, Imane Kamaoui, Imane Skiker","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 4","pages":"422-423"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847922","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
[HILLY: The silent injury experienced by families of intensive care patients]. [希利：重症监护病人家属所经历的无声伤害]。
La Revue du praticien Pub Date : 2026-04-01
Elie Azoulay, Frédéric Pochard, Nancy Kentish-Barnes
{"title":"[HILLY: The silent injury experienced by families of intensive care patients].","authors":"Elie Azoulay, Frédéric Pochard, Nancy Kentish-Barnes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Admission to the intensive care unit represents a profound psychological ordeal for patients' family members. Far beyond the initial shock related to the severity of the illness, the hospital experience exposes families to a cumulative burden of stress, including prolonged uncertainty, confrontation with medical technology, physical exhaustion, loneliness, opaque medical language, and a sense of helplessness. Numerous studies show that during the months following an ICU stay, up to 70% of relatives experience symptoms of anxiety, 35% symptoms of depression, and nearly one third symptoms consistent with post-traumatic stress disorder. To name this specific burden, we propose the concept of HILLY (healthcare-associated family mental injury). HILLY does not pathologize families' experiences nor does it assign individual blame; rather, it highlights the often-unintentional role of certain care-delivery and organizational practices in the emergence of an avoidable trauma, which adds to that of critical illness itself. Restricted visiting policies, fragmented or jargon-laden communication, lack of dedicated spaces for listening, and insufficient recognition of the role of relatives all contribute to exacerbating this injury. The COVID-19 pandemic starkly illustrated the consequences of family exclusion, leading to complicated grief and heightened psychological symptoms among both relatives and healthcare professionals. Preventing HILLY requires a systemic approach: acknowledging this injury, training teams in communication skills, integrating family mental health into quality indicators, valuing relational time, and organizing structured follow-up after ICU discharge. Thinking HILLY means broadening the ethical framework of care to include those who accompany patients, and recognizing that caring for a patient also means caring for their family.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 4","pages":"371-375"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147848092","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
[The role of bariatric surgery and endoscopy in the management of MASLD]. 减肥手术和内窥镜检查在MASLD治疗中的作用。
La Revue du praticien Pub Date : 2026-04-01
Nawel Chouraqui, Guillaume Lassailly
{"title":"[The role of bariatric surgery and endoscopy in the management of MASLD].","authors":"Nawel Chouraqui, Guillaume Lassailly","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The epidemic of metabolic dysfunction-associated steatotic liver disease (MASLD), amplified by shifting dietary habits and increasing sedentary lifestyles, has elevated metabolic dysfunction-associated steatohepatitis (MASH) to a major public health challenge, burdened by the threat of cirrhosis and hepatocellular carcinoma.In this alarming context, bariatric surgery has progressively established itself as a key therapeutic solution, transforming the prognosis for patients with severe forms of the disease. Its efficacy extends beyond simple weight loss: it improves metabolism, reduces hepatic steatosis, inflammation, and, above all, fibrosis. Recent data confirm its impact on long-term survival, with a significant reduction in cardiovascular morbimortality and an overall improvement in life expectancy.However, this approach remains reserved for carefully selected patients. Its integration into therapeutic algorithms raises crucial questions, particularly with the emergence of new pharmacological therapies or less invasive endoscopic approaches.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 4","pages":"409-412"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147848110","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
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