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[Bronchiectasis in patients with severe asthma : a narrative literature review]. [重度哮喘患者支气管扩张：叙述性文献综述]。
Revue medicale de Liege Pub Date : 2025-01-01
Iseult Lambert, Doriane Calmes, Florence Schleich, Renaud Louis
{"title":"[Bronchiectasis in patients with severe asthma : a narrative literature review].","authors":"Iseult Lambert, Doriane Calmes, Florence Schleich, Renaud Louis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Asthma is a common respiratory disease, accounting for 3 to 10 % of severe cases. Among these, bronchiectasis is more frequent (prevalence between 15.5 % and 67.5 % depending on the studies), but the causal relationship between the two diseases remains unclear. The aim of this literature review is to define the characteristics associated with the presence of bronchiectasis in patients with severe asthma. Patients presenting both severe asthma and bronchiectasis are generally older. The duration of their asthmatic disease is longer. They also have more impaired respiratory function, more difficult-to-control asthma, and decreased quality of life. The inflammatory profile varies. The efficacy of mepolizumab, a biological treatment targeting interleukin 5, has been demonstrated in patients with allergic bronchopulmonary aspergillosis, particularly in terms of reducing exacerbations. However, optimal management for patients presenting with both diseases remains to be defined, and additional studies are needed to clarify the relationship between them and thus implement preventive measures.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 1","pages":"29-34"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019263","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
[Out-of-hospital cardiac arrests : year 2023 review of the CHC - Bcar registry in Liege area (Belgium)]. [院外心脏骤停：列日地区（比利时）2023年CHC - Bcar登记审查]。
Revue medicale de Liege Pub Date : 2025-01-01
Pierre Goffin, Michelle Yerna, Grégory Kinon, Samy Aouchria, Diane de Longueville
{"title":"[Out-of-hospital cardiac arrests : year 2023 review of the CHC - Bcar registry in Liege area (Belgium)].","authors":"Pierre Goffin, Michelle Yerna, Grégory Kinon, Samy Aouchria, Diane de Longueville","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Out-of-hospital cardiac arrests represent impactful events. Despite the evolution of care, they are still associated with high morbidity and mortality. We present the analysis of our activity included in the 2023 CHC - Bcar registry in Liege area (Belgium). A cardiac massage is initiated by bystander in more than 50 % of cases. However, we must remember the crucial aspect of early resuscitation and defibrillation to improve outcome, just like the training of the general public in life-saving actions.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 1","pages":"26-28"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019270","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 empathy in health science students : a comparative study at the University of Liège]. [健康科学专业学生共情能力评估：一项来自法国里昂奇大学的比较研究]。
Revue medicale de Liege Pub Date : 2024-12-01
Céline Mathy, Céline Coutellier, Marc Vanderthommen, Christophe Demoulin
{"title":"[Assessment of empathy in health science students : a comparative study at the University of Liège].","authors":"Céline Mathy, Céline Coutellier, Marc Vanderthommen, Christophe Demoulin","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Empathy refers to the ability to understand the emotions of others and to show this understanding. It plays a crucial role in the healthcare professions and should be developed during training. The aim of this study was to compare the empathy levels of students from different sections of health sciences enrolled in their final year at the University of Liège.</p><p><strong>Materials and methods: </strong>Students in their final year of Medicine, Psychology and Physiotherapy at ULiège were asked to complete the Jefferson Scale of Empathy (HPS version), two numerical scales (0-10) relating to empathy (importance and self-assessment, respectively) and some demographic questions.</p><p><strong>Results: </strong>In total, 292 subjects (103 students in Physiotherapy, 99 in Medicine and 90 in Psychology) took part in the study. Empathy scores were significantly higher for Psychology students (118.7 ± 9.60) than for Medicine (109.9 ± 13.4) and Physiotherapy (109.5 ± 12.6) students. The importance of empathy in the practice of the profession was estimated at 8.96 ± 1.18 and the average level of self-perceived empathy was 7.85 ± 1.12.</p><p><strong>Conclusion: </strong>This study suggests that Psychology students are more empathetic than Medicine and Physiotherapy students. Students generally consider themselves to be empathetic and believe that this concept is important in professional practice.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 12","pages":"801-806"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857494","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
[Characterization of patients hospitalized by general practitioners for type 2 diabetes rebalancing : retrospective descriptive study of an internal medicine department in Strasbourg]. [全科医生住院治疗2型糖尿病患者的特征：斯特拉斯堡内科的回顾性描述性研究]。
Revue medicale de Liege Pub Date : 2024-12-01
Karim Boussouf, Léa Docquier, Emmanuel Andrès, Nathalie Jeandidier, Manuel Méndez-Bailón, Noel Lorenzo-Villalba
{"title":"[Characterization of patients hospitalized by general practitioners for type 2 diabetes rebalancing : retrospective descriptive study of an internal medicine department in Strasbourg].","authors":"Karim Boussouf, Léa Docquier, Emmanuel Andrès, Nathalie Jeandidier, Manuel Méndez-Bailón, Noel Lorenzo-Villalba","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Type 2 diabetes is a public health problem in which general practitioners are in the front line, acting on all fronts, from screening to management.</p><p><strong>Methods: </strong>Single-centre, quantitative, retrospective and descriptive study aimed at characterising the profile of patients referred to hospital by general practitioners in an internal medicine department in Strasbourg for rebalancing of their type 2 diabetes during the period from 1 January 2020 to 31 December 2022.</p><p><strong>Results: </strong>167 files were analysed, resulting in the inclusion of 72 patients with an average age of 61.1 years, M/F sex ratio 1.25. 51% were of foreign origin. 34.7% were covered by universal health insurance (CMU) and 7% by state medical aid (AME). Alcohol and tobacco intoxication were significant, as were associated comorbidities and vascular complications linked to diabetes. The average age of diabetes was 16 years. The mean length of hospitalisation was 5.9 days (± 1.9). The mean HbA1c was 10.2% (± 2.4). Prior to hospitalization, 44% of patients were being treated with insulin and 39% with oral antidiabetics only. Insulin treatment was started/modified/stopped in 58% of cases.</p><p><strong>Conclusions: </strong>Patients admitted to hospital had long-standing diabetes with significant imbalance, occurring in a difficult social context and requiring insulin therapy adjustment in most cases.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 12","pages":"771-778"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857495","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
[Place of exploratory laparoscopy in the diagnosis and treatment of chronic pelvic pain]. 【腹腔镜探查在慢性盆腔疼痛诊断和治疗中的地位】。
Revue medicale de Liege Pub Date : 2024-12-01
Louise Gottal, Marie Timmermans, Charlotte Gerardy, Michelle Nisolle, Géraldine Brichant
{"title":"[Place of exploratory laparoscopy in the diagnosis and treatment of chronic pelvic pain].","authors":"Louise Gottal, Marie Timmermans, Charlotte Gerardy, Michelle Nisolle, Géraldine Brichant","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>Chronic pelvic pain (CPP) accounts for 15 to 40 % of exploratory laparoscopies. An exploratory laparoscopy was performed to exclude the presence of peritoneal endometriosis in patients experiencing significant impairment of their quality of life.</p><p><strong>Methods: </strong>This retrospective observational study was carried out in a tertiary referral center for endometriosis. Forty-six patients with CPP, including a non contributive clinical examination and additional investigations, underwent exploratory laparoscopy. They were divided into three subgroups : patients with a history of endometriosis (group 1), those with another non-gynecological concomitant etiology of CPP (group 2) and those without any primary etiological diagnosis (group 3). We report the observed endometriosis lesions, surgical techniques applied and histopathological results.</p><p><strong>Results: </strong>Exploratory laparoscopy revealed endometriosis lesions in 93.5 % of cases. Endometriosis lesions were found in 85 % of cases in group 1 (n = 20), 100 % in group 2 (n = 6) and 80 % in group 3 (n = 20).</p><p><strong>Conclusion: </strong>Exploratory laparoscopy maintains a fundamental role in the diagnosis of patients with CPP, enabling simultaneous visualization and surgical treatment of endometriosis lesions.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 12","pages":"786-792"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857501","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
[Transthyretin cardiac amyloidosis patients in internal medicine : a 10-year retrospective study]. [内科转甲状腺素类心脏淀粉样变性患者：10年回顾性研究]。
Revue medicale de Liege Pub Date : 2024-12-01
Xavier Jannot, Emmanuel Andrès, François Severac, François Sauer, Jean-Jacques Von Hunolstein, Manuel Méndez-Bailón, Noel Lorenzo-Villalba
{"title":"[Transthyretin cardiac amyloidosis patients in internal medicine : a 10-year retrospective study].","authors":"Xavier Jannot, Emmanuel Andrès, François Severac, François Sauer, Jean-Jacques Von Hunolstein, Manuel Méndez-Bailón, Noel Lorenzo-Villalba","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Transthyretin cardiac amyloidosis is a pathology increasingly encountered in all hospital departments, including internal medicine. The aim of our study is to describe the characteristics and care pathway of patients with transthyretin cardiac amyloidosis in internal medicine and to show that the number of patients diagnosed is increasing.</p><p><strong>Methods: </strong>Descriptive, retrospective, non-interventional, single-center study at Strasbourg University Hospitals (HUS). Study period over 10 years from January 2013 to December 2023. Inclusion of adult patients diagnosed with transthyretin amyloidosis following hospitalization in internal medicine. Exclusion of patients with a type of amyloidosis other than transthyretin amyloidosis after medical record review.</p><p><strong>Results: </strong>We were able to include 44 patients, 66 % of whom were men, with a mean age of 83.7 years at diagnosis. The mean time to diagnosis was 37 months. The most common comorbidities, besides heart failure (67 %), were atrial fibrillation (91 %), hypertension (80 %) and anemia (64 %). The mean time from diagnosis to first rehospitalization was 9 months, with an average of four recurrent hospitalizations until death, which took an average of 22 months. There was twice more cases diagnosed after versus before 2018.</p><p><strong>Conclusion: </strong>Our study was able to profile the typical internal medicine inpatient with transthyretin cardiac amyloidosis and find significantly more patients diagnosed over the last 5 years. In order to better assess the impact of this disease, a prospective study would enable us to be more precise and limit biases.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 12","pages":"793-800"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857511","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
[Ventricular aneurism complicating a myocardial infarction]. [并发心肌梗塞的心室动脉瘤]。
Revue medicale de Liege Pub Date : 2024-12-01
Benjamin Deleixhe, Marc Magnée, Patrizio Lancellotti
{"title":"[Ventricular aneurism complicating a myocardial infarction].","authors":"Benjamin Deleixhe, Marc Magnée, Patrizio Lancellotti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report the clinical case and the infrequent image of a patient developing a ventricular aneurysm following a myocardial infarction. We take advantage of this clinical case to recall some differences between aneurysm and pseudo-aneurysm with a very different prognosis.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 12","pages":"779-785"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857513","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
[How I treat…the cardiogenic acute pulmonary oedema]. [如何治疗…心源性急性肺水肿]。
Revue medicale de Liege Pub Date : 2024-12-01
Félix Ducrocq, Michèle Yerna
{"title":"[How I treat…the cardiogenic acute pulmonary oedema].","authors":"Félix Ducrocq, Michèle Yerna","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the context of Acute Pulmonary Edema (APE), the old school moto was LMNOP, for \"Lasix-Morphine-Nitrates-Oxygen-Positive Pressure\". However, this mnemonic, while not entirely inaccurate, deserves revision or at least a slight reinterpretation. APE remains a well-known condition in emergency departments, with a high mortality rate. Despite its prevalence, management recommendations have seen minimal evolution over the past four decades, with references dating back to a 1974 article in the New England Journal of Medicine that already advocated for the triplet of Lasix-Oxygen-Nitrates, a recommendation still present in the 2021 ESC guidelines. In this article, we will discuss the management and potential updates in the treatment of this common pathology.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 12","pages":"755-761"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857499","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
[Herpes zoster : vaccination and management of satellite lesions in immunocompromised patients]. [带状疱疹：免疫功能低下患者卫星性病变的疫苗接种和管理]。
Revue medicale de Liege Pub Date : 2024-12-01
Thibaut Delahaye, Arjen Nikkels
{"title":"[Herpes zoster : vaccination and management of satellite lesions in immunocompromised patients].","authors":"Thibaut Delahaye, Arjen Nikkels","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Shingles, also termed herpes zoster (HZ), is due to the reactivation of the varicella zoster virus (VZV) in a dorsal root nerve ganglion with an intra-axonal passage of the virus to a predetermined dermatome. The risk of HZ increases with age, as well as the morbidity risks. The most feared complication is post-herpetic neuralgia, defined as persisting pain sensations three months after the resolution of the skin lesions. Those risks are even more important in the immunocompromised patient. Currently a recombinant vaccine against HZ reactivation is available with an excellent safety profile. It has demonstrated a very high vaccine protection achieving 97 % for preventing HZ and its complications. A patient presented severe facial HZ with a large number of HZ satellite lesions disseminated over the entire tegumentum. These satellite lesions are a reliable clinical marker for HZ with a high risk for complications. This case underlines the risk of morbidity in the elderly immunocompromised patient as well the fact that HZ is a vaccine preventable disease, currently reimbursed, but not well-known.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 12","pages":"762-765"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857497","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 PROMISE study : confirmation of effectiveness of benralizumab in severe eosinophilic asthmatic patients]. 【PROMISE研究：确认benralizumab治疗严重嗜酸性哮喘患者的有效性】。
Revue medicale de Liege Pub Date : 2024-12-01
France Louis, Mare Sabbe, Florence Schleich, Geneviève Philippe, Renaud Louis
{"title":"[The PROMISE study : confirmation of effectiveness of benralizumab in severe eosinophilic asthmatic patients].","authors":"France Louis, Mare Sabbe, Florence Schleich, Geneviève Philippe, Renaud Louis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Benralizumab is a monoclonal antibody directed toward the α subunit of the interleukin-5 receptor. This drug has been established as a key treatment for severe hypereosinophilic asthma. Here we report results of the PROMISE study, an observational study conducted in 73 severe asthmatic patients treated at the asthma clinic of CHU Liège and whose blood eosinophil count was > 300/µl. After 6 months of treatment, benralizumab reduced exacerbation rate by 92 % and oral corticoid maintenance dose by 83 %, and significantly improved asthma control and quality of life. These effects were maintained over a 18-month time period. These clinical effects were associated with blood and airway depletion in eosinophils but not with a reduction in FeNO (fractional exhaled nitric oxide). The PROMISE study confirms the effectiveness of benralizumab in severe eosinophilic asthmatic patients.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 12","pages":"807-811"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857507","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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