Revue De Medecine Interne最新文献

{"title":"Premier et second cycles des études médicales : le mirage de l’enseignement par simulation haute-fidélité","authors":"Thomas Hanslik","doi":"10.1016/j.revmed.2025.01.001","DOIUrl":"10.1016/j.revmed.2025.01.001","url":null,"abstract":"","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"46 1","pages":"Pages 1-3"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974087","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 publications qui changent… le réveillon de l’interniste","authors":"Valentin Lacombe","doi":"10.1016/j.revmed.2024.11.008","DOIUrl":"10.1016/j.revmed.2024.11.008","url":null,"abstract":"","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"45 12","pages":"Pages 790-792"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142684008","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":"Mise au point sur le diagnostic et la prise en charge des troubles neurologiques fonctionnels de Jean-Martin Charcot à 2024","authors":"Mickael Aubignat,&nbsp;Pierre-Andréa Cervellera","doi":"10.1016/j.revmed.2024.11.006","DOIUrl":"10.1016/j.revmed.2024.11.006","url":null,"abstract":"<div><div>Functional neurological disorders (FND) represent a major clinical challenge, characterized by neurological symptoms without identifiable organic lesions. Since the initial descriptions by Jean-Martin Charcot in the 19th century, the understanding and management of FND have evolved considerably. This review aims to provide an up-to-date overview of current knowledge on the diagnosis and management of FND, integrating recent advances and multidisciplinary therapeutic approaches. The diagnosis of FND is based on specific positive clinical signs, rather than on the exclusion of other pathologies. Diagnostic criteria have been refined, promoting earlier recognition and better acceptance by patients. Psychiatric comorbidities, stress factors, and traumatic histories are frequently associated with FND, highlighting the importance of a holistic evaluation. The management of FND includes a multimodal approach, combining psychotherapy, physical rehabilitation, and targeted pharmacological interventions. The involvement of emerging technologies such as non-invasive brain stimulation and the use of artificial intelligence tools, opens up new perspectives in patient care. Finally, this review addresses the ongoing challenges related to stigma and the training of healthcare professionals, while proposing avenues for improving the quality of care provided to patients with FND.</div></div>","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"45 12","pages":"Pages 750-758"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756069","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":"Issue Contents","authors":"","doi":"10.1016/S0248-8663(24)01324-9","DOIUrl":"10.1016/S0248-8663(24)01324-9","url":null,"abstract":"","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"45 12","pages":"Pages e23-e24"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143135823","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":"How to avoid gifts from your patients after the Christmas holidays?","authors":"Quentin Richier ,&nbsp;Dorothée Fey ,&nbsp;Mary Kate Kelly ,&nbsp;Shakeel Sumodhee ,&nbsp;Achille Raviez ,&nbsp;Benjamin Glemain","doi":"10.1016/j.revmed.2024.11.015","DOIUrl":"10.1016/j.revmed.2024.11.015","url":null,"abstract":"<div><h3>Background</h3><div>Receiving gifts from patients could generate an ethical dilemma for physicians and refusing a present may be perceived as an offence.</div></div><div><h3>Objective</h3><div>To differentiate the particular physician characteristics that are associated with receiving gifts from outpatients. To propose a strategy to avoid gifts and thus ethical dilemma.</div></div><div><h3>Design</h3><div>A prospective and multicentric study in France during the month of January 2024.</div></div><div><h3>Setting</h3><div>Public hospitals, private hospitals and family practices across 20 cities in France.</div></div><div><h3>Participants</h3><div>Physicians from 21 medical and surgical specialities. Setting Public hospitals, private hospitals and family practices across 20 cities in France.</div></div><div><h3>Interventions</h3><div>Each physician completed a questionnaire that highlighted their habitual practices during consultations and recorded the gifts they received on a standardized gift calendar.</div></div><div><h3>Main outcomes measures</h3><div>Receiving at least one gift during January 2024.</div></div><div><h3>Results</h3><div>In total, 655 physicians were contacted before December 31st, 2023, 109 (16.6%) positively responded, of them 76 (70%) declared receiving at least one gift from patients. An experience<!--> <!-->&gt;<!--> <!-->10 years in the current job (<em>P</em> <!-->=<!--> <!-->0.04), being the “Explorer” Myers Briggs Type Indicator (MBTI) personality type (<em>P</em> <!-->=<!--> <!-->0.034), and a frequent delay of over 30<!--> <!-->minutes at the end of the day of consultations (<em>P</em> <!-->=<!--> <!-->0.048) were statistically associated with a higher likelihood of receiving at least one gift from patients in multivariate analysis. The physicians who received the most gifts per 100 consultations were those with over 10 years experience and those who fell under the MBTI personality role “Explorer”: 2.72 (IQR [1.56–7.55], <em>P</em> <!-->=<!--> <!-->0.029) and 3.33 (IQR [2.16–6.43], <em>P</em> <!-->=<!--> <!-->0.028), respectively.</div></div><div><h3>Conclusion</h3><div>After analysing the factors that increase the risk of receiving a gift from a patient, we have surmised the following advice for physicians who do not wish to find themselves in the midst of an ethical dilemma. They should avoid staying in the same service for more than 5 years, try to adopt the MBTI personality type “Analyst” and be on time in their consultations.</div></div>","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"45 12","pages":"Pages 744-749"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752713","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":"Des membres inférieurs asymétriques","authors":"Stéphane Vignes ,&nbsp;Yasaman Jahromi ,&nbsp;Cynthia Nabitz ,&nbsp;Guillaume Canaud","doi":"10.1016/j.revmed.2024.08.001","DOIUrl":"10.1016/j.revmed.2024.08.001","url":null,"abstract":"","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"45 12","pages":"Pages 782-783"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984259","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 syndrome d’hyperviscosité sérique : mise au point en 2024","authors":"Pierre-Edouard Debureaux ,&nbsp;Nathalie Parquet ,&nbsp;Anne C. Brignier ,&nbsp;Dikelele Elessa ,&nbsp;Virginie Lemiale ,&nbsp;Virginie Siguret ,&nbsp;Pierre-Antoine Quintard ,&nbsp;Stéphanie Harel ,&nbsp;Bruno Royer ,&nbsp;Bertrand Arnulf ,&nbsp;Alexis Talbot","doi":"10.1016/j.revmed.2024.07.008","DOIUrl":"10.1016/j.revmed.2024.07.008","url":null,"abstract":"<div><div>Seric hyperviscosity syndrome is a medical emergency linked to hyperproteinemia. The clinical diagnosis hinges on a triad of symptoms: mucosal hemorrhages, visual disturbances, and neurological disorders, observed in the most severe cases. Diagnosis is swiftly confirmed through an urgent fundoscopic examination. Therapeutic plasma exchange is the primary treatment for severe cases or following confirmation by fundoscopy. Laboratory tests predominantly identify the syndrome's etiology, with Waldenström's macroglobulinemia (characterized by a marked IgM peak) being the most common cause, followed by multiple myeloma and cryoglobulinemias. To prevent recurrence, targeted treatment of the underlying cause is implemented following plasma exchange sessions.</div></div>","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"45 12","pages":"Pages 759-766"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908743","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":"Chez les adultes admis aux soins intensifs et sous ventilation mécanique, l’utilisation du pantoprazole en prophylaxie diminue-t-elle le risque d’hémorragie digestive haute tout en étant sécuritaire ?","authors":"Luc Lanthier ,&nbsp;Michaël Mayette ,&nbsp;Alexandre Mutchmore ,&nbsp;Marc-Émile Plourde ,&nbsp;Michel Cauchon","doi":"10.1016/j.revmed.2024.10.010","DOIUrl":"10.1016/j.revmed.2024.10.010","url":null,"abstract":"","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"45 12","pages":"Pages 787-788"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549858","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’impact du changement climatique sur les maladies systémiques","authors":"Maxime Beydon ,&nbsp;Anaïs Roeser ,&nbsp;Nathalie Costedoat-Chalumeau ,&nbsp;Benjamin de Sainte-Marie ,&nbsp;Yann Nguyen ,&nbsp;Club Greenternist","doi":"10.1016/j.revmed.2024.11.016","DOIUrl":"10.1016/j.revmed.2024.11.016","url":null,"abstract":"","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"45 12","pages":"Pages 739-743"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796680","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":"Aortites","authors":"Olivier Espitia ,&nbsp;Claire Toquet ,&nbsp;Bastien Jamet ,&nbsp;Jean-Michel Serfaty ,&nbsp;Christian Agard","doi":"10.1016/j.revmed.2024.06.015","DOIUrl":"10.1016/j.revmed.2024.06.015","url":null,"abstract":"<div><div>Aortitis is a rare disease entity of unknown prevalence. Primary aortitis mainly affects the thoracic aorta. They are most often diagnosed on imaging by grade III 18-FDG uptake of the aortic wall on PET, or by circumferential thickening<!--> <!-->&gt;<!--> <!-->2.2<!--> <!-->mm on CT or MRI with late-stage contrast. More rarely, aortitis is histologically proven, as in some cases of clinically isolated aortitis discovered after planned aortic aneurysm surgery or during aortic dissection surgery. The most common histological types are granulomatous/giant cell or lymphoplasmacytic. Clinical signs associated with aortitis are often non-specific: asthenia, fever, dry cough, chest, back, lumbar or abdominal pain. Aortitis can be divided into different etiological categories: primary aortitis, which includes vasculitis with a preferential or exclusive tropism for the aortic wall, aortitis secondary to systemic or iatrogenic diseases, and infectious aortitis. The main etiologies of primary aortitis are giant cell arteritis (GCA), Takayasu arteritis (TA) or clinically isolated aortitis. Aortitis secondary to systemic diseases is seen in atrophying polychondritis, systemic lupus and inflammatory rheumatic diseases such as spondyloarthropathy and rheumatoid arthritis. In both ACG and AT, aortitis is a negative factor, characterized by a higher risk of relapse, cardiovascular complications and increased mortality. The management of aortitis is insufficiently codified, and relies on the control of cardiovascular risk factors, with particular monitoring of blood pressure and LDL cholesterol, and on corticosteroid therapy and immunosuppressive drugs, the use of which will depend on the disease associated with the aortitis, the initial severity and comorbidities.</div></div>","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"45 12","pages":"Pages 767-775"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141736203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}