Changes in Physicians’ Practice Using a Cardiologic Tele-expertise network in Mongolia: An Ethnographic Study on Implementation of Technology in Medical Practice

The Luxembourg Government has supported the Mongolian Government in cardiologic care since 2001 through a telemedicine project. The fundamental strategy was to create a centre disseminating knowledge and providing assistance to physicians through a tele-expertise network. To better understand what factors contributed to the successful implementation of the project. This ethnographic study aims to understand how the project has changed doctors’ practice to identify elements that facilitate acceptance of telemedicine.  A qualitative approach based on the central role played by physicians was used. The purpose of this research is to contribute to the development of telemedicine in capitalising on the experience of the Mongolian telemedicine project. We gathered physicians’ insights through participant observation and in-depth interviews of nineteen physicians of the project, added to focus group interviews including nine physicians from the most remote provinces. Our findings show that the technical and social aspects of the project reinforce each other in fostering doctors’ greater autonomy, creating a sense of belonging to a community and promoting ownership of the project, crucial elements for acceptance. The project offers technological support through a tele-expertise network and a dedicated website that help improving professional capacities and participate in increasing physicians’ self-confidence and autonomy. Meanwhile, the technological structure is supported by strong collaboration between  physicians, their participation to the project development and involvement toward new professional activities. It results in structuring a community of cardiologists with a great sense of belonging and ownership that created a social environment for the technology to work

1204-2004 : une commémoration à revisiter

Patte Didier. 1204-2004 : une commémoration à revisiter. In: Études Normandes, 53e année, n°1, 2004. 1204-2004 Quelle Normandie ? pp. 49-54

Identité normande et rayonnement de la Normandie. Une réflexion géopolitique

Patte Didier. Identité normande et rayonnement de la Normandie. Une réflexion géopolitique. In: Études Normandes, 52e année, n°1, 2003. La Normandie recomposée - II. L'Identité Normande. pp. 25-45

Inflammatory pain upregulates spinal inhibition via endogenous neurosteroid production

Inhibitory synaptic transmission in the dorsal horn (DH) of the spinal cord plays an important role in the modulation of nociceptive messages because pharmacological blockade of spinal GABAA receptors leads to thermal and mechanical pain symptoms. Here, we show that during the development of thermal hyperalgesia and mechanical allodynia associated with inflammatory pain, synaptic inhibition mediated by GABAA receptors in lamina II of the DH was in fact markedly increased. This phenomenon was accompanied by an upregulation of the endogenous production of 5α-reduced neurosteroids, which, at the spinal level, led to a prolongation of GABAA receptor-mediated synaptic currents and to the appearance of a mixed GABA/glycine cotransmission. This increased inhibition was correlated with a selective limitation of the inflammation-induced thermal hyperalgesia, whereas mechanical allodynia remained unaffected. Our results show that peripheral inflammation activates an endogenous neurosteroid-based antinociceptive control, which discriminates between thermal and mechanical hyperalgesia

Le site de référence du Partenariat européen d’innovation pour un vieillissement actif et en bonne santé MACVIA-LR (contre les maladies chroniques pour un vieillissement en bonne santé en Languedoc-Roussillon)

International audienceLe site de référence du Partenariat européen d'innovation pour un vieillissement actif et en bonne santé MACVIA-LR (contre les maladies chroniques pour un vieillissement en bonne santé en Languedoc-Roussillon