A Publication Rate Comparison of Oral Communications Presented at the 2010 and 2015 French General Practice Congresses and European General Practice Network Meetings

International audienceBackground and Objectives: We sought to assess and compare the publication rates of research presented at two French general practice congresses (Collège National des Généralistes Enseignants (CNGE, National College of General Practice Teachers) and Congrès de la Médecine Générale de France (CMGF [French General Practice Congress]) and the European General Practice Research Network (EGPRN) meetings held in 2010 and 2015. Methods: We included all oral presentations from the 2010 and 2015 CNGE, CMGF and EGPRN meetings. We searched subsequent publications up to December 2018. We collected study themes, study designs, author qualifications, and journals for all published presentations. Results: Overall, we included 701 oral presentations; 33% of the 2010 presentations, and 30% of the 2015 presentations were subsequently published (P=.40). For both years, the overall publication rate was higher for presentations from the EGPRN meetings compared with the French meetings (55.6% vs 27.1%; P<.05). Published articles mostly concerned clinical research and quantitative methods from academic authors. Seventeen percent of articles from the EGPRN meetings were published by BMC Family Practice and the European Journal of General Practice, whereas 32% of articles from the French meetings were published by Exercer, the French Journal of General Practice. Conclusions: More than half of the presentations at the 2010 and 2015 EGRPN meetings were published, whereas the publication rate from the French meetings remained under 30%. Further efforts are needed to increase the publication rate of general practice studies in peer-reviewed international journals

Micro-phenomenological approach to explore the patient experience during an initial spirometry examination to diagnose COPD in general practice in France

International audienceObjectives To explore the patient experience of a spirometry test used to confirm chronic obstructive pulmonary disease (COPD) diagnosis in patients with suspected smoking-related COPD. Design This is a qualitative study, performed with open interviews in adults following a routine spirometry test to confirm COPD diagnosis. Data were analysed with a phenomenological-inspired micro-phenomenology approach. Participants Eligible patients were recruited through their general practitioner, 10 were interviewed. Setting Primary care in Centre-Val-De-Loire area, France, in 2018. Results Participants reported the spirometry test experience as being unfamiliar but gave meaning to the symptoms they experience. Participants expressed a desire to perform the test well and a willingness to confront their state of health. After the spirometry had been completed and the results announced, participants moved through stages of grief from their pre-spirometry self and symptom perception to a state of acceptance. Overall, participants expressed a narrative of an evolving cognitive and corporeal awareness during this spirometry experience. The verbatim quotes describe a cognitive rupture with their chronic illness usually considered as a ‘way of life’. Conclusions A spirometry test goes beyond a diagnostic value, providing patients with an opportunity to gain awareness of their own state of health, reframe their breathlessness-related limitations and thus begin to accept the disease. These awareness gains may be considered as small steps towards health behavioural change. Spirometry may have educative potential and support lifestyle changes

Repérage des troubles liés à une substance et troubles addictifs en soins premiers Points de vue d’addictologues

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Repérage des troubles liés à une substance et troubles addictifs dans le discours des patients dépendants

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Impulsivity as a Risk Factor for Addictive Disorder Severity during the COVID-19 Lockdown: Results from a Mixed Quantitative and Qualitative Study

Interindividual differences in personality traits, especially impulsivity traits, are robust risk factors for addictive disorders. However, their impact on addictive disorders during the COVID-19 lockdown remains unknown. This study assessed patients being followed for addictive disorders before the lockdown. We aimed to determine whether impulsivity traits (i.e., negative- and positive urgency) were associated with addictive disorders severity during the lockdowns. We also explored the patients’ subjective experiences, focusing on high versus low impulsivity. The quantitative study assessed 44 outpatients consulting for addictive disorders, for impulsivity, emotion regulation, anxiety/depression, and their addictive disorder characteristics, using self-administered questionnaires. In the qualitative study, six patients from the quantitative study were assessed using guided interviews. We observed that higher negative and positive urgencies were associated with addictive disorder severity. The subjective experiences of patients during the lockdowns differed according to their emotion-related impulsivity: high versus low. Low impulsive patients used online technologies more effectively to maintain follow-up, with more positive reappraisal. In contrast, highly impulsive patients reverted more frequently to self-medication with substances and/or behaviors, more social isolation, and found coping with negative emotions more challenging. Overall, the patient’s ability to cope with stressful events, like the COVID-19 lockdown, depended on their emotion-related impulsivity

Cross-analyzing addiction specialist and patient opinions and experiences about addictive disorder screening in primary care to identify interaction-related obstacles: a qualitative study

International audienceAbstract Background Promptly identifying individuals with addictive disorders reduces mortality and morbidity and improves quality of life. Although screening in primary care with the Screening, Brief Intervention and Referral Treatment strategy has been recommended since 2008, it remains underutilized. This may be due to barriers including lack of time, patient reluctance or perhaps the timing and approach for discussing addiction with their patients. Objective This study aims to explore and cross-analyze patient and addiction specialist experiences and opinions about early addictive disorder screening in primary care to identify interaction-related screening obstacles. Design and participants Qualitative study with purposive maximum variation sampling among nine addiction specialists and eight individuals with addiction disorders conducted between April 2017 and November 2019 in Val-de-Loire, France. Main Measures Using a grounded theory approach, verbatim data was collected from face-to-face interviews with addiction specialists and individuals with addiction disorders. These interviews explored their opinions and experiences with addiction screening in primary care. Initially, two independent investigators analyzed the coded verbatim according to the data triangulation principle. Secondly, convergences and divergences between addiction specialist and addict verbatim categories were identified, analyzed, and conceptualized. Key Results Four main interaction-related obstacles to early addictive disorder screening in primary care were identified and conceptualized: the new concepts of shared self-censorship and the patient's personal red line, issues not addressed during consultations, and opposition between how physicians and patients would like to approach addictive disorder screening. Conclusions To continue analysis of addictive disorder screening dynamics, further studies to examine the perspectives of all those involved in primary care are required. The information revealed from these studies will provide ideas to help patients and caregivers start discussing addiction and to help implement a collaborative team-based care approach. Trial registration This study is registered with the Commission Nationale de l’Informatique et des Libertés (CNIL) under No. 2017–093

Synthesis of core-shell magnetic nanoparticles containing ultra-small domains of silicalite-1

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Synthesis of core-shell magnetic nanoparticles containing ultra-small domains of silicalite-1

International audienc