Intérêt des hospitalisations multiples en service d'addictologie dans le parcours du patient alcoolodépendant (analyse globale et devenir à 2 ans d'une cohorte de 79 patients)

CONTEXTE : L alcoolodépendance constitue un problème de santé publique en France. L hospitalisation complète en Addictologie constitue une réponse possible pour les patients alcoolodépendants. Le principe de la prise en charge proposée repose sur un sevrage de toute boisson alcoolisée et un objectif d abstinence totale dans la durée. Certains patients, suite à des rechutes, sont amenés à être hospitalisés à plusieurs reprises. OBJECTIF : Evaluer les répercussions des hospitalisations multiples en Addictologie sur le parcours global et addictologique des patients alcoolodépendants. METHODE : Notre étude a comporté deux phases. La première évalue rétrospectivement les caractéristiques bio-psycho-sociales de 79 patients alcoolodépendants hospitalisés dans le service d Addictologie du Cateau-Cambrésis en 2010, pour au moins un deuxième sevrage programmé hospitalier. La deuxième phase évalue l évolution globale à 2 ans de 30 de ces patients, à travers des entretiens individuels. RESULTATS : La première phase montre une grande hétérogénéité de la population de 79 patients hospitalisés en 2010 dans leurs caractéristiques médicales, sociales, psychologiques et addictologiques. Une grande majorité se trouve dans une situation d instabilité ou de rupture (familiale, professionnelle). La deuxième phase révèle l évolution d un groupe de 30 patients d un point de vue professionnel, social, financier, affectif et médical. 12 patients accèdent à une abstinence de plus d un an ; leur évolution socio-médicale globale est favorable. 18 patients n accèdent pas à une abstinence prolongée ; certains d entre eux voient leur situation globale se dégrader mais la plupart parvient à maintenir une certaine stabilité, voire à améliorer certaines sphères de leur vie sociale. Parmi les 30 patients, 1 seul parvient à contrôler sans excès ses consommations d alcool en 2012. On relève l importance de la motivation personnelle dans la prise en charge. CONCLUSION : Les hospitalisations complètes en Addictologie, dans leur répétition, peuvent constituer le renforcement temporaire d un étayage pluridisciplinaire nécessaire dans la durée chez les patients alcoolodépendants les plus fragiles. Ce type de soins semble adapté à la population étudiée.LILLE2-BU Santé-Recherche (593502101) / SudocSudocFranceF

Etude de la vulnérabilité à présenter des ivresses pathologiques après consommation d'alcool (évaluation du métabolisme du trytophane par la voie des kinurénines)

LILLE2-BU Santé-Recherche (593502101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Un dernier pour la yourte

Auteurs par ordre de participation : J. Abesdris, C.Durot, G.Fauvel, P.Guibé, D.Lecallier, P.Michaud, A.Plat, O.Delclos, D. Higgins, B. Crost, M.Myagmarjav, T. Tolvgoo, B. Tumur-Ochir, G. LacazeInternational audienc

The computation of loudness in the auditory continuity phenomenon

cote interne IRCAM: McAdams94cNone / NoneNational audienceNon

Contribution of associated trees to long-term species conservation, carbon storage and sustainability: A functional analysis of tree communities in cacao plantations of Central Cameroon

In Central Africa, most cacao is still cultivated in low-input agroforests where cacao associated trees are traditionally valued by farmers. These systems are sustainable on the long run, support biodiversity conservation and carbon storage. Yet, little knowledge exists on the contribution of tree community management to explain such results. In Central Cameroon, we investigated cacao agroforest associated tree community contributions to the long-term (i) maintenance of tree species encountering a conservation issue and (ii) carbon storage. We further simulated the simplification of these systems by checking for the effect of tree density decrease on community functional groups or traits. Finally, we linked farmers' use of associated trees to their functional features and conservation status. Cacao agroforestry systems were able to combine high levels of species richness with long-term conservation abilities and carbon storage. Simplification emphasized consistent shifts of functional traits/groups that will change the way they function and alter the existing balances between different associated tree uses. Since traditional agroforests are now foreseen as providers of timber/non-timber forest products, our study argues that this paradigm change in such low-input systems - if carried improperly - is likely to impair the provision of the services they currently provide as well as their sustainability. (Résumé d'auteur

International workshop on insecticide resistance in vectors of arboviruses, December 2016, Rio de Janeiro, Brazil

International audienceVector-borne diseases transmitted by insect vectors such as mosquitoes occur in over 100 countries and affect almost half of the world's population. Dengue is currently the most prevalent arboviral disease but chikungunya, Zika and yellow fever show increasing prevalence and severity. Vector control, mainly by the use of insecticides, play a key role in disease prevention but the use of the same chemicals for more than 40 years, together with the dissemination of mosquitoes by trade and environmental changes, resulted in the global spread of insecticide resistance. In this context, innovative tools and strategies for vector control, including the management of resistance, are urgently needed. This report summarizes the main outputs of the first international workshop on Insecticide resistance in vectors of arboviruses held in Rio de Janeiro, Brazil, 5-8 December 2016. The primary aims of this workshop were to identify strategies for the development and implementation of standardized insecticide resistance management, also to allow comparisons across nations and across time, and to define research priorities for control of vectors of arboviruses. The workshop brought together 163 participants from 28 nationalities and was accessible, live, through the web (> 70,000 web-accesses over 3 days)

Bendamustine-based conditioning prior to autologous stem cell transplantation (ASCT): Results of a French multicenter study of 474 patients from LYmphoma Study Association (LYSA) centers

International audienc

International workshop on insecticide resistance in vectors of arboviruses, December 2016, Rio de Janeiro, Brazil [+ Erratum : art. no 391]

Vector-borne diseases transmitted by insect vectors such as mosquitoes occur in over 100 countries and affect almost half of the world's population. Dengue is currently the most prevalent arboviral disease but chikungunya, Zika and yellow fever show increasing prevalence and severity. Vector control, mainly by the use of insecticides, play a key role in disease prevention but the use of the same chemicals for more than 40 years, together with the dissemination of mosquitoes by trade and environmental changes, resulted in the global spread of insecticide resistance. In this context, innovative tools and strategies for vector control, including the management of resistance, are urgently needed. This report summarizes the main outputs of the first international workshop on Insecticide resistance in vectors of arboviruses held in Rio de Janeiro, Brazil, 5-8 December 2016. The primary aims of this workshop were to identify strategies for the development and implementation of standardized insecticide resistance management, also to allow comparisons across nations and across time, and to define research priorities for control of vectors of arboviruses. The workshop brought together 163 participants from 28 nationalities and was accessible, live, through the web (> 70,000 web-accesses over 3 days)