Mise en place d un outil de dépistage rapide de la maltraitance des enfants de 0 à 5 ans (hors abus sexuel) dans le cadre de la prévention primaire au cabinet du généraliste

La maltraitance infantile est un problème de santé publique majeur en France. Le médecin généraliste, de par sa position, a un rôle crucial à jouer pour la prévention et le dépistage de ce phénomène. Un rappel juridique et historique permet de constater toute l ambiguïté de la situation du médecin face à la maltraitance infantile alors que cette dernière reste importante en France. La mise au point d un outil de dépistage rapide au cabinet du médecin peut constituer une aide précieuse pour le travail du médecin. Dans cette perspective une revue de littérature a été réalisée concernant les facteurs de risques. Puis dans le cadre d une étude rétrospective cette grille a été confrontée aux dossiers d enfants hospitalisés pour maltraitance dans le service de pédiatrie de l Hôpital Jean Verdier de Bondy. A la suite de cette confrontation, nous avons pu présentée une nouvelle grille de dépistage qui, avant d être exploitée, devra faire l objet d une étude afin de tester sa spécificité à partir de dossiers témoinsChild maltreatment is a major public health problem in France. Because of his status the GP has a crucial part to play in prevention and detection of this phenomenon. A legal and historical recall shows the ambiguity of the GP's position facing child maltreatment, even though the latest remains important in France. Setting up a quick abuse detection scale at the GP's practice can be of great help for the doctor's work. In this view, we did a revue of the literature concerning risk factors. Then in a retrospective study we confronted our tool to the medical records of children hospitalized for child abuse problems in the child department of the Jean Verdier Hospital in Bondy, France. After that confrontation we managed to present a new detection scale witch's specificity will have to be tested in a study using control medical records.PARIS13-BU Serge Lebovici (930082101) / SudocSudocFranceF

Syndrome des antiphospholipides et hypercholesterolémie (deux facteurs de risque de thrombose cérébrale anténatale de l'enfant? : étude à propos d'un cas)

LE KREMLIN-B.- PARIS 11-BU Méd (940432101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Care management for foreign children, adolescents, young adults with cancer, and their families

International audienceBACKGROUND: Little is known about care management for foreign patients in pediatric oncology in European centers. We aimed to describe care given to children, adolescents, and young adults who came to France for cancer treatment, and to determine whether their geographical origin had an influence on decision making. PROCEDURE: We conducted a monocentric retrospective study on all foreign patients aged 0-25 years and hospitalized for at least one night in Institut Curie (Paris, France) from 2009 to 2013. We analyzed the potential advantages of receiving treatment in France as well as their social and familial consequences. RESULTS: A total of 93 foreign patients' files were retrieved. Most of these patients came from Africa (70%). In accord with the specific expertise of the institution, retinoblastoma was the most frequent tumor type (39%). An antitumor treatment had already been administrated in the native country in 44% of patients. We considered that 66% of patients received a significant medical advantage from care in our institution. The treatment provided in France was considered impossible in the native country in 44% of cases. The social and familial impact on the patients' families was high (59%). Almost all patients (96%) received the treatment that would have been proposed to their French counterparts. CONCLUSIONS: There were notable medical advantages for foreign patients who come to France for their oncologic treatment despite important familial consequences. Patients' geographical origin did not have an influence on medical decisions