Malaise grave du nourrisson (MGN) et reflux gastro-oesophagien (RGO) sous traitement médical seul

Cette étude rétrospective porte sur 75 nourrissons qui ont été hospitalisés pour malaise grave du nourrisson (MGN) à l'Hôpital Cantonal de Genève entre 1994 et 1999 et qui répondaient à nos critères de sélection. Nous avons essayé de montrer un lien entre les reflux gastro-oesophagiens (RGO) et les MGN ainsi que l'impact du traitement du RGO sur les MGN. Les 3/4 des patients présentaient un RGO pathologique et la majorité des nourrissons étaient, au moment du malaise, dans une position qui favorise le reflux. Nous pensons donc que ces deux entités ont un lien, d'autant plus que le nombre de MGN a augmenté depuis la recommendation du décubitus dorsal qui favorise le RGO. Dans 94.7 % des cas, le traitement médical suffisait à la prévention des récidives de malaise. La position ventrale semble la position la plus protectrice, mais son association avec la mort subite du nourrisson en limite l'indication. Etude menée à l'Hôpital cantonal universitaire de Genève

General support of physical exercise programs in pediatric oncology but differences in perception by childhood cancer care professionals at European and North-African/Arab centers

Purpose: To explore the perception of physical exercise programs for pediatric oncology patients among childhood cancer care professionals. We also aimed at comparing such perceptions between cultures. Healthcare professionals’ endorsement may be essential for initiating and promoting such programs. Methods: An anonymous survey was designed and administered voluntarily to childhood cancer care professionals (including pediatric oncologists, nurses, and physiotherapists) in European, North-African and Arab pediatric oncology centers. Results: Five-hundred-and twenty-eight professionals from 14 sites answered the survey. Most respondents considered physical exercise programs as a suitable therapeutic approach for pediatric cancer patients with a potential positive contribution to survival (81%), wellbeing (82%), quality of life (80%), and self-esteem (75%). 91% of respondents would also support the future introduction of physical exercise programs into standard pediatric oncological care. There was a comparatively higher appreciation of physical exercise programs among European centers compared to North-African / Arab centers. Conclusion: We registered a broad acceptance of physical exercise programs among all European and North-African / Arab childhood cancer care professionals. The positive perception was independent of any pre-existing experience with such programs and seems therefore representative. This finding may encourage the further promotion of physical exercise programs in pediatric oncology