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[Prevention of infertility : recognizing and targeting numerous risk factors]. [不孕不育的预防：认识并针对众多风险因素]。
Revue medicale de Liege Pub Date : 2024-06-01
Vania Servais, Cécile Habran, Véronique Masson, Michelle Nisolle, Laurie Henry
{"title":"[Prevention of infertility : recognizing and targeting numerous risk factors].","authors":"Vania Servais, Cécile Habran, Véronique Masson, Michelle Nisolle, Laurie Henry","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Follow-up consultations in gynaecology and general practice offer valuable opportunities to discuss fertility and the importance of a pre-conceptional assessment before attempting pregnancy. During these consultations, it is vital for healthcare professionals to provide patients with essential information about considerations before conceiving a child. Additionally, it is important to educate patients about basic hygiene practices that can impact both male and female fertility. The prevention of fertility disorders requires a holistic approach identifying and targeting numerous risk factors.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 5-6","pages":"442-447"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312665","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
[What to do to prevent osteoporosis ? Between myths and scientific reality]. [如何预防骨质疏松症？ 神话与科学现实之间]。
Revue medicale de Liege Pub Date : 2024-06-01
Céline Regnier, Marine Mina, Florence Chauveheid, Clio Ribbens, Olivier Malaise
{"title":"[What to do to prevent osteoporosis ? Between myths and scientific reality].","authors":"Céline Regnier, Marine Mina, Florence Chauveheid, Clio Ribbens, Olivier Malaise","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Osteoporosis is a skeletal disease characterized by low bone density and altered microarchitecture, exposing to bone fragility and an increased risk of fracture. Several therapeutic modalities can effectively reduce the risk of fractures both vertebral and non-vertebral. While a significant part of bone strength and structure is genetically determined, it should be recalled that the environment also plays a significant role in these parameters and the risk of fracture, thus offering preventive opportunities thanks to lifestyle. In this article, we review the common misconceptions and myths about the influence of diet and physical activity on bone mineral density and fracture risk.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 5-6","pages":"429-435"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312690","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
[Sometimes less is more. Preventing overdiagnosis by sharing decisions]. [有时少即是多，通过共享决策防止过度诊断]。
Revue medicale de Liege Pub Date : 2024-06-01
Gilles Henrard, Louise Joly, Laeticia Buret, Didier Giet
{"title":"[Sometimes less is more. Preventing overdiagnosis by sharing decisions].","authors":"Gilles Henrard, Louise Joly, Laeticia Buret, Didier Giet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this article, we will define «quaternary prevention», which consists in minimizing the iatrogenic effects of medical interventions, and more specifically the notion of «overdiagnosis». We will then discuss how a poor appreciation of the risks, on the part of both patients and clinicians, seems to fuel the phenomenon. We will discuss the interest of placing quaternary prevention within the broader framework of Shared Decision Making. We will focus on one of the stages of Shared Decision Making process, that of risk communication. Finally, we'll conclude that, fundamentally, clinicians should not only share information with patients, but also the power to decide.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 5-6","pages":"304-310"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312675","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
[Urinary cytology for the detection of urothelial lesions]. [尿液细胞学检测尿道病变]。
Revue medicale de Liege Pub Date : 2024-06-01
Loïc Duchêne, Éric Davenne, Fréderic Lifrange, Nancy Detrembleur, Géraldine Delporte, David Waltregny, Philippe Delvenne
{"title":"[Urinary cytology for the detection of urothelial lesions].","authors":"Loïc Duchêne, Éric Davenne, Fréderic Lifrange, Nancy Detrembleur, Géraldine Delporte, David Waltregny, Philippe Delvenne","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Urine cytology is a long-used technique for the detection of high grade neoplastic urothelial lesions. Since 2016, «The Paris System» classification has revolutionized this field by introducing a standardized terminology widely adopted by cytopathologists and urologists. In this article, we explain this classification and discuss its impact on the clinical management of patients with urothelial lesions, as well as its role in the secondary prevention of these lesions.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 5-6","pages":"424-428"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312688","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
[Non-pharmacological prevention of chronic kidney disease]. [慢性肾病的非药物预防]。
Revue medicale de Liege Pub Date : 2024-06-01
Guillaume Merckx, Mélanie Somja, Gwendoline Makalou, François Jouret
{"title":"[Non-pharmacological prevention of chronic kidney disease].","authors":"Guillaume Merckx, Mélanie Somja, Gwendoline Makalou, François Jouret","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Preventing chronic kidney disease (CKD) is a major public health objective. CKD leads to significant cardiovascular morbidity and mortality, with a negative impact on quality of life and significant societal repercussions. Several drugs are effective in preventing and curbing CKD, including blockers of the renin/angiotensin/aldosterone system and inhibitors of the SGLT2 co-transporter. New molecules are currently in clinical trials focusing on the nephro-protection, such as non-steroidal mineralocorticoid receptor antagonists and GPL-1 receptor agonists. In addition to this drug arsenal, CKD prevention also relies on non-pharmacological optimization of hygienic-dietary measures, including smoking avoidance, physical activity and dietetics. The aim of this article is to detail this non-medicinal approach to the prevention and slow down of CKD.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 5-6","pages":"411-417"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312660","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 prematurity's complications]. [预防早产儿并发症]。
Revue medicale de Liege Pub Date : 2024-06-01
Hélène Warnier, Justine Dauby, Virginie De Halleux, Sarah Denes, Patrick Emonts, Caroline Lefebvre, Nadege Hennuy, Charlène Materne, Diane Snyers, Sophie Tribolet, Renaud Viellevoye, Vincent Rigo
{"title":"[Prevention of prematurity's complications].","authors":"Hélène Warnier, Justine Dauby, Virginie De Halleux, Sarah Denes, Patrick Emonts, Caroline Lefebvre, Nadege Hennuy, Charlène Materne, Diane Snyers, Sophie Tribolet, Renaud Viellevoye, Vincent Rigo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Prematurity remains a leading cause of mortality and morbidity in neonates and children. Prevention of preterm birth and of its complications is a major public health issue. From before conception to long term follow up, many health actors are engaged in this preventive strategy with the same goal : to give the best quality of life for these vulnerable young patients. We will review different preventive aspects during antenatal and perinatal period, during NICU (Neonatal Intensive Care Unit) stay and after discharge. Prevention of prematurity's complications requires a global approach including respiratory, nutritional and infectious aspects among others. Neuroprotective strategies are a key point of this global approach.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 5-6","pages":"436-441"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312667","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
[For an integrated approach to brain health]. [脑健康综合方法]。
Revue medicale de Liege Pub Date : 2024-06-01
Gabrielle Scantamburlo, Pierre Maquet
{"title":"[For an integrated approach to brain health].","authors":"Gabrielle Scantamburlo, Pierre Maquet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The brain is a vital organ that partly regulates our homeostasis and governs our interactions with the world (i.e. the physical, biological, and social environments). A healthy environment and a peaceful and equitable society ensure a normal brain development and promote individual (physical, mental, social, and spiritual) well-being. However, brain health is never certain and can be deteriorated, from conception until death, by exposure to multiple physical, chemical, biological, psychological, and social agents - the so-called exposome. From an integrated perspective, this article highlights the need to value, promote and protect brain health. The current challenge is to strengthen public awareness, education and research on brain health, in order to prevent neurological and psychiatric diseases.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 5-6","pages":"311-318"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312654","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
[Role of the occupational medicine in the prevention of diseases and accidents]. [职业医学在预防疾病和事故中的作用]。
Revue medicale de Liege Pub Date : 2024-06-01
John Colin, Lorane Elias, Michel Muller, Martine Poncin, Dorina Rusu
{"title":"[Role of the occupational medicine in the prevention of diseases and accidents].","authors":"John Colin, Lorane Elias, Michel Muller, Martine Poncin, Dorina Rusu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Occupational medicine is an essential branch of preventive medicine that aims to protect the health of workers in the workplace. Any work situation exposes the worker to occupational hazards. The three levels of prevention applied in occupational medicine make it possible, together, to control risks. Primary prevention aims to prevent the occurrence of damage related to occupational risks, secondary prevention aims to early detect work-related health problems and in tertiary prevention, the objective is to limit the consequences of occupational risks or diseases already developed. It is not always possible to completely eliminate an occupational hazard. Regular medical examinations, at a frequency appropriate to the risks identified, meet this objective and therefore make it possible to detect work-related health problems or problems that could influence work. A proactive approach focused on prevention helps to reduce occupational risks, prevent work-related diseases, and to promote a healthy and safe work environment for all.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 5-6","pages":"285-290"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312672","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
[Towards a disruptive preventive approach for sustainable healthcare systems]. [迈向可持续医疗系统的颠覆性预防方法]。
Revue medicale de Liege Pub Date : 2024-06-01
Gilles Louis, Michèle Guillaume, Delphine Kirkove, Benoît Pétré
{"title":"[Towards a disruptive preventive approach for sustainable healthcare systems].","authors":"Gilles Louis, Michèle Guillaume, Delphine Kirkove, Benoît Pétré","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Faced with the multiple challenges impacting the Belgian healthcare system - notably the aging of the population, the increase in chronic diseases and growing social inequalities in health - the development of a disruptive preventive approach rooted in health promotion is essential to address the population's health problems in a cross-sectional and intersectoral way. However, the scant attention paid to prevention and promotion in the Belgian political landscape (only 3 % of healthcare expenditure), accentuated by the fragmentation of its deployment between the various political-institutional entities (Federal Authority, Communities and Regions), represents a significant limitation. New opportunities, supported in particular by \"4P medicine\", are paving the way for a modernization of preventive approaches. However, this new way of conceiving prevention will only be beneficial to the community, in all its diversity and complexity, if it re-engages with the fundamentals of health promotion.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 5-6","pages":"269-276"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312687","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
[Health promotion and prevention : what role for community pharmacists ?] [健康促进与预防：社区药剂师的角色是什么？］
Revue medicale de Liege Pub Date : 2024-06-01
Aurore Gaspar, Frédéric Lecomte, Anne-Lise Delwaide, Robin Crunenberg, France Louis, Geneviève Philippe
{"title":"[Health promotion and prevention : what role for community pharmacists ?]","authors":"Aurore Gaspar, Frédéric Lecomte, Anne-Lise Delwaide, Robin Crunenberg, France Louis, Geneviève Philippe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Belgian community pharmacists play a pivotal role in both primary and tertiary preventive health activities. Their involvement extends beyond the pharmaceutical care associated with dispensing to include innovative services such as medication review. Additionally, they offer therapeutic education sessions to patients as part of the «Good Use of Medicines» programme. The recent pandemic has precipitated significant changes in pharmacists' responsibilities: they have been temporarily granted authority to prescribe and administer vaccines for COVID-19 and influenza, as well as to perform nasopharyngeal screenings for SARS-CoV-2. As frontline healthcare providers, pharmacists have the potential to expand their role in secondary prevention, particularly in screening and providing diagnostic guidance using in vitro diagnostic medical assays. The skills developed in the vaccination domain could be leveraged to enhance vaccination coverage for other diseases, emulating models used in other countries. Furthermore, the challenges posed by climate change present opportunities for pharmacists to contribute meaningfully to public health.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 5-6","pages":"291-296"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312655","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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