Determinants of Adherence to Recommendations of the Dietary Approach to Stop Hypertension in Adults with Hypertension Treated in a Hospital in Benin

Abstract The dietary approach to stop hypertension (DASH) is an effective nutritional strategy to prevent and treat cardiovascular disease. Optimal benefit from dietary recommendations in management of hypertension depends on the compliance. This analytic cross sectional study aimed at establishing determinants of DASH among adults with hypertension treated at hospital in Benin. The study included 150 hypertensive adults selected during medical visit for blood pressure monitoring at hospital Saint-Luc in Cotonou from June 3 rd to July 1 st , 2014. Data on consumption of sodium, fruits and vegetables, alcohol, saturated and trans fat rich products were collected by questionnaire. A score of adherence to DASH was built. Determinants of adherence to DASH were identified using logistic regression model. Only 20% of subjects showed adherence to DASH. Better knowledge on hypertension OR=5.18 (95%IC 1.98-13.22) and healthy dietary habits and lifestyle prior to diagnosis of hypertension OR=4.26 (95%IC 1.67-13.18) increased the likelihood of adherence to dietary recommendations for hypertension management. Nutrition education and information of patients on hypertension and its complications during medical consultations may increase their adherence to dietary recommendations for management of the disease

International registry of congenital porto-systemic shunts: a multi-centre, retrospective and prospective registry of neonates, children and adults with congenital porto-systemic shunts.

BACKGROUND Congenital portosystemic shunts (CPSS) are rare vascular malformations associated with the risk of life-threatening systemic conditions, which remain underdiagnosed and often are identified after considerable diagnostic delay. CPSS are characterized by multiple signs and symptoms, often masquerading as other conditions, progressing over time if the shunt remains patent. Which patients will benefit from shunt closure remains to be clarified, as does the timing and method of closure. In addition, the etiology and pathophysiology of CPSS are both unknowns. This rare disorder needs the strength of numbers to answer these questions, which is the purpose of the international registry of CPSS (IRCPSS). METHOD A retrospective and prospective registry was designed using secuTrial® by the ISO certified Clinical Research Unit. Given that a significant number of cases entered in the registry are retrospective, participants have the opportunity to use a semi-structured minimal or complete data set to facilitate data entry. In addition, the design allows subjects to be entered into the IRCPSS according to clinically relevant events. Emphasis is on longitudinal follow-up of signs and symptoms, which is paramount to garner clinically relevant information to eventually orient patient management. The IRCPSS includes also three specific forms to capture essential radiological, surgical, and cardiopulmonary data as many times as relevant, which are completed by the specialists themselves. Finally, connecting the clinical data registry with a safe image repository, using state-of-the-art pseudonymization software, was another major focus of development. Data quality and stewardship is ensured by a steering committee. All centers participating in the IRCPSS have signed a memorandum of understanding and obtained their own ethical approval. CONCLUSION Through state-of-the-art management of data and imaging, we have developed a practical, user-friendly, international registry to study CPSS in neonates, children, and adults. Via this multicenter and international effort, we will be ready to answer meaningful and urgent questions regarding the management of patients with CPSS, a condition often ridden with significant diagnostic delay contributing to a severe clinical course

Inventaire et évaluation des vieilles forêts des Pyrénées de Midi-Pyrénées

Les 11, 12 et 13 février 2016, ce sont déroulées les 5e Rencontres Naturalistes de Midi-Pyrénées dans le Gers, à Auch. Tous les 3 ans, ce rendez-vous incontournable des amateurs et professionnels de la biodiversité de Midi-Pyrénées et d’ailleurs, a rassemblé plus de 600 participants sur les 3 jours. Le succès de cet événement n’aurait pas été aussi complet sans l’aide des bénévoles et des associations partenaires. Les 5e Rencontres Naturalistes se sont ouvertes sur les discours de Nadia Baïtiche-Moine, Adjointe au Maire d’Auch, de Jérôme Calas, Président de Nature Midi-Pyrénées et de Ronny Guardia-Mazzoleni, Conseiller régional Languedoc-Roussillon-Midi-Pyrénées. Au cours de ces 3 jours, ce sont près de 35 communications sur la faune, la flore et les espaces naturels, agricoles et forestiers qui ont été présentées : une véritable synthèse des différents travaux menés en Midi-Pyrénées depuis 3 ans dans le domaine de la connaissance et de la préservation de notre riche patrimoine naturel régional. Les nombreux participants d’horizons divers (associations, conservatoires, services de l’Etat, laboratoires de recherche, établissements scolaires, PNR ou collectivités) ont eu également l’occasion de profiter des temps de pause pour échanger autour d’une vingtaine de posters scientifiques et de différentes expositions

International registry of congenital porto-systemic shunts: a multi-centre, retrospective and prospective registry of neonates, children and adults with congenital porto-systemic shunts

BACKGROUND: Congenital portosystemic shunts (CPSS) are rare vascular malformations associated with the risk of life-threatening systemic conditions, which remain underdiagnosed and often are identified after considerable diagnostic delay. CPSS are characterized by multiple signs and symptoms, often masquerading as other conditions, progressing over time if the shunt remains patent. Which patients will benefit from shunt closure remains to be clarified, as does the timing and method of closure. In addition, the etiology and pathophysiology of CPSS are both unknowns. This rare disorder needs the strength of numbers to answer these questions, which is the purpose of the international registry of CPSS (IRCPSS). METHOD: A retrospective and prospective registry was designed using secuTrial® by the ISO certified Clinical Research Unit. Given that a significant number of cases entered in the registry are retrospective, participants have the opportunity to use a semi-structured minimal or complete data set to facilitate data entry. In addition, the design allows subjects to be entered into the IRCPSS according to clinically relevant events. Emphasis is on longitudinal follow-up of signs and symptoms, which is paramount to garner clinically relevant information to eventually orient patient management. The IRCPSS includes also three specific forms to capture essential radiological, surgical, and cardiopulmonary data as many times as relevant, which are completed by the specialists themselves. Finally, connecting the clinical data registry with a safe image repository, using state-of-the-art pseudonymization software, was another major focus of development. Data quality and stewardship is ensured by a steering committee. All centers participating in the IRCPSS have signed a memorandum of understanding and obtained their own ethical approval. CONCLUSION: Through state-of-the-art management of data and imaging, we have developed a practical, user-friendly, international registry to study CPSS in neonates, children, and adults. Via this multicenter and international effort, we will be ready to answer meaningful and urgent questions regarding the management of patients with CPSS, a condition often ridden with significant diagnostic delay contributing to a severe clinical course

Orf (contagious ecthyma) transmitted by a cat

International audienc

Post-traumatic stress disorder among ICU healthcare professionals before and after the Covid-19 health crisis: a narrative review

Abstract Background The ICU (intensive care unit) involves potentially traumatic work for the professionals who work there. This narrative review seeks to identify the prevalence of post-traumatic stress disorder (PTSD) among ICU professionals; how PTSD has been assessed; the risk factors associated with PTSD; and the psychological support proposed. Methods Three databases and editorial portals were used to identify full-text articles published in English between 2009 and 2022 using the PRISMA method. Results Among the 914 articles obtained, 19 studies met our inclusion criteria. These were undertaken primarily during the Covid-19 period (n = 12) and focused on nurses and assistant nurses (n = 10); nurses and physicians (n = 8); or physicians only (n = 1). The presence of mild to severe PTSD among professionals ranged from 3.3 to 24% before the pandemic, to 16–73.3% after the pandemic. PTSD in ICU professionals seems specific with particularly intense intrusion symptoms. ICU professionals are confronted risk factors for PTSD: confrontation with death, unpredictability and uncertainty of care, and insecurity related to the crisis COVID-19. The studies show that improved communication, feeling protected and supported within the service, and having sufficient human and material resources seem to protect healthcare professionals from PTSD. However, they also reveal that ICU professionals find it difficult to ask for help. Conclusion ICU professionals are particularly at risk of developing PTSD, especially since the Covid-19 health crisis. There seems to be an urgent need to develop prevention and support policies for professionals

Human- and climate-driven shoreline changes on a remote mountainous tropical Pacific Island: Tubuai, French Polynesia

International audienc

Investigating Wind Energy Potential in Tahiti, French Polynesia

In order to achieve France’s goal of carbon neutrality by 2050, the French Polynesian administration has set the objective of producing 100% of the local electricity requirements from renewable energy resources. To this end, we present the wind characteristics at six selected locations in Tahiti. Surface wind observations from 2008 to 2020 obtained from the Meteorological Service of French Polynesia are analysed in terms of wind speed, dominant wind direction and power density to identify the most suitable locations for the deployment of wind farms. The Weibull distribution is used to fit the wind speed data recorded at 10 m above ground level, as it is widely used by turbine manufacturers. Then, wind speed is extrapolated vertically up to the hub height with the power law, which is also commonly used in wind energy studies. The theoretical annual energy output and capacity factor of four selected commercial wind turbines are assessed for each site in order to provide stakeholders with the relevant information regarding wind energy harvesting in Tahiti. Power law indices lower than 0.2 were chosen. Our results show that all year round, two sites, Faaa and Tautira, are suitable to host wind turbines, even with a power law index as low as 0.1.ISSN:1996-107