Diagnostic tardif des cancers gynécologiques à Mayotte et intérêt de la mise en place d'un dépistage (étude des cancers gynécologiques diagnostiqués entre 2004 et 2006)

Notre étude est une étude rétrospective de la période 2004-2006, se basant sur 112 dossiers de cancers gynécologiques diagnostiqués à Mayotte. Elle a permis d'estimer l'incidence des cancers du col et du sein. Le cancer du col est le cancer le plus fréquent chez la femme avec une incidence de 40,9/100 000 comparable avec celle des pays en voie de développement. Le cancer du sein est le deuxième cancer diagnostiqué chez la femme avec une incidence de 32,7/100 000 très inférieure à l'incidence nationale. La mise en place d'un dépistage du cancer du col doit être une considérée comme une priorité sanitaire.NANTES-BU Médecine pharmacie (441092101) / SudocSudocFranceF

[Management of endometrioma].

International audiencePreoperative evaluation: clinical examination, and research for associated lesions. Laparoscopic approach. Cystectomy: gold standard, conformed to the endometrioma pathophysiology (3 zones). Laser CO2 Plasmajet® vaporisation: important data lead to legitimate utilisation. Haemostasis: be patient! Use of bipolar energy sparingly. Look for other endometriotic lesions, and systematic treatment. Preoperative medical treatment not always useful. Postoperative treatment: decrease recurrence. Especially for patients with no immediate pregnancy desire

Disability and quality of life in elderly people with diabetes.

To implement preventive policies of disability in older diabetic people, the role of diabetes in the disablement process should be investigated. Diabetes mellitus is consistently associated with a higher prevalence of disability at all states, as well as with a progression in disability states and may be considered as a brake on recovery. This association is partially explained by existing complications, associated conditions (obesity, depression, arterial hypertension) treatment burden, and other social characteristics (lower income, lower educational level). Finally, in the disablement process, the role of altered muscle metabolism due to diabetes, aging, nutrition and sedentary lifestyle may represent a major target for interventions to improve functions and potentially activities in elderly people

Repetitive Transcranial Magnetic Stimulation Therapy (rTMS) for Endometriosis Patients with Refractory Pelvic Chronic Pain: A Pilot Study

International audienceEndometriosis concerns more than 10% of women of reproductive age, frequently leading to chronic pelvic pain. Repetitive transcranial magnetic stimulation (rTMS) over the primary motor cortex (M1) induces an analgesic effect. This effect on chronic pelvic pain is yet to be evaluated. The objective of this study was to assess the feasibility and effect of rTMS to reduce pain and improve quality of life (QoL) in patients with chronic pelvic pain due to endometriosis. This pilot, open-labelled prospective trial examined treatment by neuronavigated rTMS over M1, one session per day for 5 consecutive days. Each session consisted of 1.500 pulses at 10 Hz. We assessed tolerance, pain change and QoL until 4 weeks post treatment with a primary endpoint at day 8. Twelve women were included. No patients experienced serious adverse effects or a significant increase in pain. Nine women reported improvement on the Patient Global Impression of Change with a reduction in both pain intensity and pain interference (5.1 ± 1.4 vs. 4.1 ± 1.6, p = 0.01 and 6.2 ± 2.1 vs. 4.2 ± 1.5, p = 0.004, respectively). rTMS appears well tolerated and might be of interest for patients suffering from chronic pelvic pain for whom other treatments have failed. A randomized controlled trial is mandatory before proposing such treatmen

Health status and drug use 1 year before and 1 year after skilled nursing home admission during the first quarter of 2013 in France: a study based on the French National Health Insurance Information System

International audienc

Use of augmented reality in laparoscopic gynecology to visualize myomas

International audienc

Détermination de la surface équivalente radar d'une cible à partir d'un modèle de mesures multistatiques en champ proche exploitant les matrices de répartition du système de mesure

CERGY PONTOISE-BU Neuville (951272102) / SudocSudocFranceF