Publications by authors named "Dominique Barbier"

30 Publications

  • Page 1 of 1

A 12-year follow-up of intestinal schistosomiasis in pre-school-aged children in Assoni Village, Eastern Senegal.

Infect Dis Poverty 2021 Jun 27;10(1):89. Epub 2021 Jun 27.

NGO Le Kaïcedrat, Paris, France.

Background: To monitor the prevalence of schistosomiasis in school-aged children (SAC), the National Bilharzia Control Program (PNLB) was set up by the Senegalese authorities; however, geographically isolated Bedik ethnic groups that did not benefit from this program were found to be heavily infected with Schistosoma mansoni. This observation led us to implement a new schistosomiasis control program in 2008 under the aegis of the non-governmental organization "Le Kaïcedrat" and in partnership with the PNLB/WHO to monitor the prevalence of schistosomiasis in this area. In the village of Assoni, where 100% of SAC were infected, analysis of the stools of pre-school-aged children (PSAC) showed that they were massively infected, so we decided to focus our program on them.

Methods: From 2008 to 2020, we (i) monitored the prevalence of S. mansoni in PSAC in Assoni using double-stool smear preparation, (ii) treated the infected PSAC with a standard dose of praziquantel 40 mg/kg, (iii) ran educational campaigns each year in the village, and (iv) built latrines to improve sanitation and reduce schistosomiasis transmission. Linear regression was used to examine the trend in the annual schistosomiasis prevalence and a two-sided of Chi-squared test was used to compare prevalence between the different age groups of PSAC.

Results: We observed an extremely high prevalence of schistosomiasis (78%) in PSAC before implementation of the program in 2008. Contamination occurred in very young children, as 64.3% of children under 2 years old were infected. Moreover, prevalence increased with age and reached 96.8% in children 4 to < 6 years old. Our annual interventions in Assoni Village raised awareness among villagers that water bodies were areas of significant infestation, allowed the building of 88 latrines and led to a decrease in prevalence in PSAC as only 11% of these children were infected in 2020.

Conclusion: Our study allowed Assoni to be the first village in Senegal to treat PSAC since 2014, but only on an individual basis. It also shows that schistosomiasis is difficult to eradicate and that multi-sectorial actions are required to keep its prevalence at a low level.
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http://dx.doi.org/10.1186/s40249-021-00867-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8237420PMC
June 2021

Does a combined screw and dowel construct improve tibial fixation during anterior cruciate ligament reconstruction?

Eur J Orthop Surg Traumatol 2021 Jun 14. Epub 2021 Jun 14.

Department of Orthopaedics, Children's Hospital, CHU de Toulouse, Toulouse, France.

Purpose: The aims of the present study were to compare the biomechanical properties of tibial fixation in hamstring-graft ACL reconstruction using interference screw and a novel combination interference screw and dowel construct.

Material And Methods: We compared the fixation of 30 (2- and 4-stranded gracilis and semitendinosis tendons) in 15 fresh-frozen porcine tibiae with a biocomposite resorbable interference screw (Group 1) and a screw and dowel construct (Group 2). Each graft was subjected to load-to-failure testing (50 mm/min) to determine maximum load, displacement at failure and pullout strength.

Results: There were no significant differences between the biomechanical properties of the constructs. Multivariate analysis demonstrated that combination constructs (β = 140.20, p = 0.043), screw diameter (β = 185, p = 0.006) and 4-strand grafts (β = 51, p = 0.050) were associated with a significant increase in load at failure. Larger screw diameter was associated with increased construct stiffness (β = 20.15, p = 0.020).

Conclusion: The screw and dowel construct led to significantly increased fixation properties compared to interference screws alone in a porcine model. Increased screw diameter and utilization of 4-strand ACL grafts also led to improvement in load-to-failure of the construct. However, this is an in vitro study and additional investigations are needed to determine whether the results are reproducible in vivo.

Level Of Evidence: Level V; Biomechanical study.
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http://dx.doi.org/10.1007/s00590-021-03049-2DOI Listing
June 2021

Prognostic factors for intramedullary nailing in radial neck fracture in children.

Orthop Traumatol Surg Res 2020 Nov 26;106(7):1287-1291. Epub 2020 Sep 26.

Chirurgie Orthopédique et Traumatologique Pédiatrique, Hôpital d'enfants, CHU de Nancy, rue du Morvan, 54500 Vandœuvre-lès-Nancy, France. Electronic address:

Introduction: Radial fracture accounts for 1% of fractures in children. It is potentially serious, and treatment is controversial. Several studies assessed prognostic factors, only one of which used exclusive intramedullary nailing, despite this being the gold standard.

Hypothesis: Open surgery provides poor functional results in radial neck fracture.

Material And Method: All patients undergoing reduction and internal fixation of radial neck fracture between 2005 and 2015 were analysed. Inclusion criteria comprised Jeffery type 1 fracture with open growth plate, complete file, and ≥1 year's follow-up. Treatment systematically comprised Métaizeau intramedullary nailing, with crossover to open reduction only in case of failure. Good results were defined as full range of motion and pain-free elbow.

Results: Fifty-six patients were included: 33 girls, 23 boys; mean age, 9 years. On the Judet classification modified by Métaizeau, 4 fractures were grade 2, 29 grade 3, 15 grade 4A and 8 grade 4B. Closed reduction was performed in 48 cases, including 8 with the help of percutaneous leverage effect. Eight required a surgical approach. Twenty-three showed postoperative reduction defect. At a mean 74 months' follow-up, at a mean age of 15 years, 37 patients had reached full skeletal maturity. Sixteen had poor results. Open reduction was associated with poor outcome (p<0.01). Age, initial epiphyseal tilt, associated lesions, immobilisation time, time to nail removal and residual tilt after reduction did not significantly affect outcome (p-values>0.05). Percutaneous leverage effect had no impact on the quality of results (p=1).

Discussion: Open reduction is to be avoided in radial neck fracture. A prospective study is needed to assess remodelling potential according to age.

Level Of Evidence: IV, retrospective study.
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http://dx.doi.org/10.1016/j.otsr.2020.05.014DOI Listing
November 2020

Intra-medullary osteosclerosis of the tibia in children.

Orthop Traumatol Surg Res 2019 05 8;105(3):551-556. Epub 2019 Apr 8.

Service de chirurgie orthopédique infantile, centre hospitalier universitaire de Toulouse, 31000 Toulouse, France.

Background: Intra-medullary osteosclerosis of the tibia is a rare condition characterised by chronic pain due to diaphyseal hyperostosis with no detectable triggering factor. The main differential diagnoses are stress fracture and osteoid osteoma. Of the few cases reported to date, most were in adults. The objective of this study was to assess paediatric patients with intra-medullary osteosclerosis to determine whether the first visit provides sufficient information to establish the diagnosis and rule out both osteoid osteoma and stress fracture, whether a biopsy is required, and which treatment is optimal.

Hypothesis: The diagnosis of intra-medullary osteosclerosis of the tibia can be made at the first visit.

Patients And Methods: Seven paediatric patients, 4 males and 3 females, with a mean age of 11 years, were included in this retrospective study. We evaluated the clinical features, findings from imaging studies (standard radiographs, computed tomography, magnetic resonance imaging, and bone scintigraphy), and treatment outcomes.

Results: At the first visit, all patients had a painful swelling at the middle of the shin and imaging study evidence of antero-lateral tibial cortical thickening extending into the medullary cavity; in 5 patients, a linear lucency was visible. No other bone abnormalities were seen. Treatments included non-operative measures, pinning, and nailing. None of these treatments provided permanent bone healing or pain relief, although transitory freedom from pain with or without radiological bone healing was achieved.

Discussion: Intra-medullary osteosclerosis of the tibia is rarely reported and therefore probably underdiagnosed. Distinctive characteristics of the cortical and endosteal thickening include location at the antero-lateral mid-diaphysis and, in some cases, the concomitant presence of a linear lucency that can provide the early diagnosis. The distinctive radiological features allow differentiation from a stress fracture. The management is challenging.

Level Of Evidence: IV, retrospective observational study.
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http://dx.doi.org/10.1016/j.otsr.2018.10.026DOI Listing
May 2019

Is the Clavicula Pro Humero Technique of Value for Reconstruction After Resection of the Proximal Humerus in Children?

Clin Orthop Relat Res 2017 Oct 11;475(10):2550-2561. Epub 2017 Jul 11.

Pediatric Orthopedics Department, Children's Hospital, CHU Nancy, Rue du Morvan, 54000, Nancy, France.

Background: There are several options for reconstruction of proximal humerus resections after wide resection for malignant tumors in children. The clavicula pro humero technique is a biologic option that has been used in the past, but there are only scant case reports and small series that comment on the results of the procedure. Because the longevity of children mandates a reconstruction with potential longevity not likely to be achieved by other techniques, the clavicula pro humero technique may be a potential option in selected patients.

Questions/purposes: (1) How successful is the clavicula pro humero procedure in achieving local tumor control? (2) What is the frequency of nonunion? (3) What are the complications of the procedure? (4) What scores do patients achieve (on the Musculoskeletal Tumor Society (MSTS) and the Toronto Extremity Salvage Score (TESS) after this procedure?

Methods: Four university hospitals performed the clavicula pro humero technique in eight children aged 8 to 18 years between June 2006 and February 2014. During that period, general indications for this approach included all reconstructions of the proximal humerus for malignant tumors in children older than 8 years. All patients were followed for a mean of 40 months (range, 25-86 months); one patient was lost to followup before 2 years. The tumor resections removed the rotator cuff muscles in all patients, glenohumeral joint in five, and deltoid muscle in three. The median length of the bone defect after resection was 20 cm (range, 7-25 cm). It was reduced to 9 cm (range, 0-17 cm) or 27% (range, 0%-64%) of the total humerus length after clavicular rotation. Direct osteosynthesis (one patient), induced membrane technique (one patient), or vascularized fibular autograft (six patients) was used to complete the defect after rotation of the clavicle if necessary. Presence of union (defined as bone healing before 10 months, as assessed by disappearance of the osteotomy on AP and lateral view radiographs), and complications were determined by chart review performed by a surgeon not involved in patient care. Function assessed by the MSTS and the TESS scores were determined by the patients with their families.

Results: None of the patients had tumor recurrence. One patient died of pulmonary metastases before the 2-year followup. Proximal and distal bone unions were achieved before 10 months without an additional surgical procedure in two and six of seven patients, respectively. Fourteen local complications occurred resulting in nine revision operations. The main complication was aseptic proximal pseudarthrosis (five patients); other complications included one proximal junction fracture, one clavicle fracture complicated by clavicle osteolysis, one distal junction fracture, one necrosis of the skin paddle of the fibular autograft, one glenoclavicular ossification, and one distal pseudarthrosis complicated by a fracture of this distal junction. Function, as assessed by the MSTS score, was a median of 23 of 30 (range, 11-27). The median TESS score was 82% (range, 75%-92%). Shoulder ROM (median; range) in abduction, front elevation, and external and internal rotations were 70°(30°-90°), 75°(30°-85°), 10°(0°-20°), and 80°(80°-100°), respectively. Three of the seven patients reported dissatisfaction with the cosmetic appearance.

Conclusions: The clavicula pro humero technique achieved oncologic local control after resection and reconstruction of proximal humerus tumors in children. Although union times are approximately 2 years and some patients underwent augmentation with other grafts, it eventually provides a solid, painless, biologic, and stable reconstruction and creates a mobile acromioclavicular joint and generally good function. Nonunion of the proximal junction is the main complication of this technique. We cannot directly compare this technique with other reconstruction options, and longer followup is needed, but this may be a useful reconstruction option to consider in select pediatric patients with sarcomas of the proximal humerus.

Level Of Evidence: Level IV, therapeutic study.
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http://dx.doi.org/10.1007/s11999-017-5438-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5599409PMC
October 2017

Nostrilplasty by Manipulating the Dilator Naris Muscles: A Pilot Study.

Plast Reconstr Surg 2017 05;139(5):1208e-1210e

Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Tours, Tours, France.

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http://dx.doi.org/10.1097/PRS.0000000000003306DOI Listing
May 2017

Residual bone growth after lengthening procedures.

J Child Orthop 2016 Dec 23;10(6):613-617. Epub 2016 Nov 23.

Scientific and Clinical Laboratory for Deformity Correction and Limb Lengthening, Federal Russian State-Financed Ilizarov, Kurgan, Russia.

The prognosis of limb length discrepancy is a major subject in paediatric orthopaedic surgery. The strategy depends on the prognosis and must be adapted to each patient. The residual growth of the lengthened segment often remains unknown, but is dependent on age, the percentage of lengthening and other factors. Using a large cohort of 150 children who had undergone bone lengthening procedures, we describe five patterns of post-intervention growth and identify factors that are favourable for normal residual growth. The criteria for bone lengthening which should maintain good residual growth are-bone age at lengthening should be before the pubertal growth spurt; the interval between two lengthening procedures should be over three years; the percentage of lengthening should be <30% of the initial segment; and no more than two lengthening procedures should be carried out during infancy.
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http://dx.doi.org/10.1007/s11832-016-0792-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5145842PMC
December 2016

Schistosomiasis Sustained Control Program in Ethnic Groups Around Ninefescha (Eastern Senegal).

Am J Trop Med Hyg 2016 09 18;95(3):614-22. Epub 2016 Jul 18.

Université de Caen Normandie, UNICAEN, UFR des Sciences Pharmaceutiques, Laboratoire de Parasitologie et Mycologie Médicale, Caen, France.

Schistosomiasis is the second most significant parasitic disease in children in several African countries. For this purpose, the "Programme National de Lutte contre les Bilharzioses" (PNLB) was developed in partnership with the World Health Organization (WHO) to control this disease in Senegal. However, geographic isolation of Bedik ethnic groups challenged implementation of the key elements of the schistosomiasis program in eastern Senegal, and therefore, a hospital was established in Ninefescha to improve access to health care as well as laboratory support for this population. The program we have implemented from 2008 in partnership with the PNLB/WHO involved campaigns to 1) evaluate schistosomiasis prevalence in children of 53 villages around Ninefescha hospital, 2) perform a mass drug administration following the protocol established by the PNLB in school-aged children, 3) monitor annual prevalence, 4) implement health education campaigns, and 5) oversee the building of latrines. This campaign led to a drop in schistosomiasis prevalence but highlighted that sustainable schistosomiasis control by praziquantel treatment, awareness of the use of latrines, and inhabitants' voluntary commitment to the program are crucial to improve Schistosoma elimination. Moreover, this study revealed that preschool-aged children, for whom praziquantel was not recommended until 2014 in Senegal, constituted a significant reservoir for the parasite.
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http://dx.doi.org/10.4269/ajtmh.15-0125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5014268PMC
September 2016

Gradual Metatarsal Lengthening by External Fixation: A New Classification of Complications and a Stable Technique to Minimize Severe Complications.

Foot Ankle Int 2015 Nov 10;36(11):1369-77. Epub 2015 Jul 10.

Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, Kurgan, Russia.

Background: The surgical management of brachymetatarsia remains controversial, and choice is based on potential complications. We report a classification of complications based on severity, and we hypothesized that use of a semicircular external fixator would minimize severe complications in lateral metatarsal lengthening.

Methods: We retrospectively reviewed 30 patients (10 to 46 years old) with single or multiple brachymetatarsia and performed 54 metatarsal lengthenings with a mean follow-up of 7 months.

Results: The mean gain in length was 15 mm (33.7%), and the mean healing index was 67 d/cm. No further procedure was performed. No dislocations or subluxations were reported, but 26 complications (48.1%) occurred, classified as 1 severe (1.8% of the metatarsals), 5 intermediate (9.3%), and 20 benign (37%): 4 incomplete osteotomies, 8 adjacent metatarsal osteotomies, 2 involuntary adjacent metatarsal fixations due to the lack of fluoroscopy use, 6 early consolidations, 2 metatarsal fractures, 2 skin complications, 1 superficial infection, and 1 metatarsophalangeal clinodactyly.

Conclusion: A classification of complications based on severity was developed. Gradual lengthening of the lateral metatarsals by semicircular external fixation reduced the risk of severe complications because of stability without donor site morbidity. Thin wires were an advantage in the pediatric population.

Level Of Evidence: Level IV, retrospective case series.
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http://dx.doi.org/10.1177/1071100715593373DOI Listing
November 2015

Sewage sludge or cattle slurry as pasture fertilisers: comparative cysticercosis and trichostrongylosis risk for grazing cattle.

Parasitol Res 2005 Aug 10;97(1):27-32. Epub 2005 Jun 10.

INRA, BASE, 37380 Nouzilly, France.

Sewage sludge and slurry are used as fertilisers on pastures grazed by ruminants. The former may be a source of Taenia saginata, which causes cysticercosis in cattle and taeniosis in man. The latter is a source of digestive tract-strongyles, a major helminth infection in cattle. The interest of application on pastures of these two biowastes is environmental (optimal recycling of biowastes) and agronomic (fertilisation). The parasitic risk and the fertilisation value of such applications on pastures were evaluated during one grazing season. Liquid sewage sludge did induce higher herbage biomass, which corresponded to higher liveweight gains during the first 2 months of grazing, compared to slurry spread pastures and calves grazing them. The sludge group of calves did not acquire live cysticerci and thus the risk was nil under the conditions of the study (delay of 6 weeks between application and grazing). The slurry group of calves did become lightly infected with digestive-tract strongyles, mostly Ostertagia ostertagi. Under the conditions of this experiment, a 6-week delay between application and grazing strongly reduced the risk of infection: it renders compatible the agronomic use and requirements of public or animal health.
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http://dx.doi.org/10.1007/s00436-005-1403-xDOI Listing
August 2005

[Pleading that the health democracy in psychiatry does not become a health demagogy].

Soins Psychiatr 2005 May-Jun(238):16-8

psychiatre des hôpitaux, CH de Montfavet, Avignon.

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July 2005

[The pre-depressive syndrome (3/4) - Medicinal treatment].

Presse Med 2004 Sep;33(15):1049-50

Psychiatre des hôpitaux, Médecin légiste.

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http://dx.doi.org/10.1016/s0755-4982(04)98837-9DOI Listing
September 2004

[La Traviata, or office admission of prisoners].

Soins Psychiatr 2004 May-Jun(232):19-23

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July 2004

[The burnout syndrome of the caregiver].

Presse Med 2004 Mar;33(6):394-9

SLAVES TO THEIR WORK: The Anglo-Saxons were the first to evoke the "burn out syndrome" although the Canadians prefer to use "burning" in order to emphasize these situations in which the person is as it were literally "consumed by his/her work". The burn-out syndrome more specifically involves all those who have chosen to devote their lives to others. This is the case notably with health care workers because they are in direct contact with suffering, poverty, hardship, disease and death. THE ENHANCING FACTORS: There is no particular pre-morbid personality. Nevertheless, various factors can be at the origin of a burn out syndrome: subconscious motivations in the choice of the profession, capacity to adapt to hardship at work, excessive idealization of the profession, lack of recognition and the absence of any possibility of promotion. INSTALLATION IN 4 STAGES: The onset of an occupational burn out syndrome is usually insidious. Schematically, the first stage is idealistic enthusiasm. Then a helpless stagnation period follows with progressive disinterest, followed by a phase of frustration, before the onset of an apathetic disenchantment with search for a form of security. VARIOUS POINTS IN COMMON WITH DEPRESSION: A range of effects exist: sleep and digestive disorders, reduced performance, progressive feeling of exhaustion with impact on friends and relatives, irritability towards others, absence of dialogue, and a feeling of "emptiness". THREE ELEMENTS TO THERAPEUTIC POSSIBILITIES: The first consists in improving work conditions by changing the environment; the second consists in improving communications and enhancing the end to isolation and the third consists in changing the employee's private life. Such as reorganizing the person's life so that they can disconnect and develop other interest than through their work.
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http://dx.doi.org/10.1016/s0755-4982(04)98606-xDOI Listing
March 2004

Influence of chronic hypoxemia on peripheral muscle function and oxidative stress in humans.

Clin Physiol Funct Imaging 2004 Mar;24(2):75-84

Laboratoire de Physiopathologie Respiratoire (EA 2201), Faculté de Mèdecine, Institut Jean Roche, Université de la Méditerranée, Marseille, France.

Transient re-oxygenation of humans suffering from chronic obstructive pulmonary disease (COPD) allows the assessment of the consequences of chronic hypoxemia on peripheral muscle and metabolism apart from the effects of de-conditioning. The subjects performed maximal voluntary contractions (MVC) of flexor digitorum and vastus lateralis muscles and sustained infra-maximal contractions. COPD patients repeated the whole challenge during a 50-min oxygen breathing period and after recovery to baseline hypoxemia. We measured the compound evoked muscle mass action potential (M-wave) and the medium frequency (MF) of surface electromyography (EMG) power spectrum. Blood lactate (LA) and potassium (K+), erythrocyte-reduced glutathione (GSH), and plasma thiobarbituric acid reactive substances (TBARS) were also measured. Compared with a control group, COPD patients had lower MVCs, an attenuated decrease in MF during exercise, lower resting level of GSH, no posthandgrip TBARS increase and no GSH consumption. Reoxygenation (1) increased MVCs, (2) accentuated the MF decline and (3) elicited a posthandgrip TBARS increase and GSH consumption. Thus, we conclude that chronic hypoxemia exerts specific muscular effects: a reduced force production, an attenuated 'muscle wisdom', and the suppression of the exercise oxidative stress.
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http://dx.doi.org/10.1111/j.1475-097X.2004.00533.xDOI Listing
March 2004

[The problematics of depression].

Presse Med 2004 Feb;33(3):194-200

Psychiatre des hôpitaux, médecin légiste, Centre Hospitalier, 2, avenue de la Pinède 84143 Montfavet.

Doubt, one of the fundamental symptoms of depression. Patients frequently believe they're incurable. They are persuaded that nothing can be done for them. Most of the time, when they are told, they do not accept that they are going through a crisis, a critical period in life. The ever repeated question is: "What's the use?" Which shows to what extent the person is depressed and disillusioned. For them there is nothing that can be of any use. A frequent problem. The Yearly prevalence of phases of major depression in the general population in France is of around 10% and throughout life of more than 10% in men and 20% in women. In France the estimation is that more than one out of 7 inhabitants is depressed. The role of the general practitioner. The physician must help those who surround the depressed patient, but it is often necessary that the practitioner refer to a consulting specialist who will specify what type of depression the patient is suffering from, eventually make an assessment (using specific scales) of the intensity of the episode, and indicate which type of antidepressor is best adapted, the side effects that should be monitored, the associations to be avoided, and any control biological assays to be foreseen. The role of the specialist. In parallel, the specialist will schedule a psychotherapy, either maintenance or more structured (in such a way that the patients, if they wish, can work on the mechanisms that provoked the depression and hence protect themselves against any eventual relapse). The interest of co-therapies. It can be interesting that the general practitioners and specialists collaborate in the necessity for hospitalisation or not (with patient's consent or not), monitoring of a suicide risk, or the need to change treatment. The sharing of the tasks is always very positive for the patients. The patients, as those who surround them, are reassured by the fact that the family doctor and a specialist are collaborating in order to optimise treatment as rapidly as possible. The organisation of such co-therapies requires that the general practitioner also have good knowledge of the various types of psychotherapy available for the patient.
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http://dx.doi.org/10.1016/s0755-4982(04)98521-1DOI Listing
February 2004

[Pre-depressive syndrome, the 7 precursor signs].

Presse Med 2004 Feb;33(4):281-2

Psychiatre des Hôpitaux, Médecin légiste.

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http://dx.doi.org/10.1016/s0755-4982(04)98556-9DOI Listing
February 2004

[Illicit love (or some thoughts on the relationship between psychiatry and justice)].

Presse Med 2004 Jan;33(1):10-2

Psychiatre des Hôpitaux, médecin légiste diplômé de criminologie clinique, expert près des Tribunaux, Centre hospitalier de Montfavet.

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http://dx.doi.org/10.1016/s0755-4982(04)98464-3DOI Listing
January 2004

[Post-partum blues and post-natal depression].

Soins Psychiatr 2004 Jan-Feb(230):36-40

Centre hospitalier, Montfavet.

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March 2004

[The erl king or the therapeutic relationship].

Soins 2003 Dec(681):44-5

Hôpital de Montfavet.

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December 2003

[Swan-song or the chronicle of the announced death of the sector].

Soins Psychiatr 2003 May-Jun(226):29-32

Centre hospitalier, Montfavet (84).

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July 2003

[Symbolic adoption, affiliation and identification].

Soins Psychiatr 2003 Mar-Apr(225):23-7

Centre hospitalier, Montfavet.

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June 2003

[The good, the bad, the ugly?].

Soins Psychiatr 2002 Nov-Dec(223):40-2

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January 2003

The use of urban sewage sludge on pastures: the cysticercosis threat.

Vet Res 2002 Sep-Oct;33(5):575-97

PAP, INRA, Nouzilly, France.

Urban sewage production is increasing and its agronomical use as a fertiliser has been advocated. Considerable defiance is prevalent in consumers and among farmers on the use of such fertilisers due to unknown pathological or environmental risks. The aim of the present review was to consider which pathological risk is major. Cysticercosis due to Taenia saginata appears to be one of the major pathological threats when sewage sludge is used to fertilise cattle pastures in temperate areas. The situation is different in Africa (Taenia solium and T. saginata are both highly prevalent) and Asia (Taeniasaginata-like are prevalent). The processing of sludge and the delay between its application onto a pasture and grazing are probably major risk factors. Little data are available on the influence of processing, delay between processing and the use of sludge on the pathogenic risk. Producers and consumers will be more confident on the use of sludge if objective data are gained on risk. Most of the cases of cysticercosis (North America, United-Kingdom, Germany or Denmark) are related to poor human hygiene or accidental overflooding of sewage plants onto pastures. The standard application of sludge on pastures is apparently at low risk. This low risk does not mean that surveillance should cease since outbreaks of cysticercosis have been reported. Future investigations should concentrate on the most sustainable means of reducing risk (length of storage before use, composting, other treatments).
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http://dx.doi.org/10.1051/vetres:2002040DOI Listing
January 2003

Right-to-left atrial shunt without pulmonary artery hypertension.

Respiration 2002 ;69(5):461-3

Department of Chest Diseases and Allergy, Hôpital Nord, Marseille, France.

A 70-year-old woman without any history of pulmonary or cardiac disease developed breathlessness with severe arterial hypoxemia. Cardiac ultrasound examination and spirometry were normal. Cardiac catheterization and intravenous microbubble injection demonstrated an interatrial right-to-left shunt. The defect was closed surgically, and the patient recovered immediately. On surgery, the aorta was elongated, inducing an angulation of the interatrial septum and leading to the atrial septal defect just above the inferior vena cava.
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http://dx.doi.org/10.1159/000064010DOI Listing
December 2002

[Demedicalization of hysteria].

Soins Psychiatr 2002 Jul(221):34

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July 2002

[The medico-legal examination, art or science?].

Presse Med 2002 Jun;31(22):1011-2

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June 2002

[Depression in infants and children, a clinical reality].

Soins Pediatr Pueric 2002 Apr(205):16-8

Psychiatre des hôpitaux, CH, Montfavet.

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April 2002

[Nursing care strategy. Role of the nurse in team work].

Soins Psychiatr 2002 Mar(219):21-2

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March 2002

[You're anxious? How bizarre!].

Presse Med 2002 Mar;31(10):437-8

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March 2002
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