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Admission to a nursing home means seclusion forprelin-gual deaf people who have used sign language all their life. Nursing homes providing care for the deaf should have personnel capable of using sign language. But even that is not be enough. If such institutions want to provide adequate care for this population, the essential point is to have teams with deaf personnel who use sign language themselves. © La Revue de Gériatrie. Source


Buttitta M.,University of Lille Nord de France | Buttitta M.,Charles de Gaulle University - Lille 3 | Rousseau A.,University of Lille Nord de France | Rousseau A.,Charles de Gaulle University - Lille 3 | And 5 more authors.
Neuropsychiatrie de l'Enfance et de l'Adolescence | Year: 2014

Objective: The objective of this study is to evaluate the relationship between social anxiety and satisfaction of needs for autonomy, competence and relatedness in obese adolescents. Literature review reports that obese children and adolescents have higher social anxiety that their normal weight peers. But relations between obesity and social anxiety are not clear. We explore the relationship between social anxiety and satisfaction of needs for autonomy, competence and relatedness, three basic psychological needs advanced by Self-Determination Theory (SDT). SDT predicts that satisfaction of these needs should result in well-being and mental health. Thereby, a low satisfaction of the needs for autonomy, competence and relatedness is associated with psychopathology. These psychological needs are not yet explored in obese adolescents. We expect that obese adolescents have higher social anxiety and lower satisfaction of the needs for autonomy, competence and relatedness as compared to controls. Furthermore, high social anxiety could be associated with low satisfaction of these needs. Methods: The study sample consists of a clinical group of 17 obese adolescents and a control group of 67 normal weight adolescents. They completed self-report questionnaires. Social anxiety was assessed with the Fear of Negative Evaluation Scale (FNE). Satisfaction of the needs for autonomy, competence and relatedness was measured with the Perceived Autonomy in Life Domains Scale (PALDS), the Perception of Competence in Life Domains Scale (PCLDS) and the Interpersonal Relationship Quality Scale (EQRI). Results: Obese adolescents have significantly lower satisfaction of needs for autonomy and competence in leisure domain as compared to controls. Social anxiety is negatively correlated with satisfaction of needs for autonomy and competence in interpersonal relationships domain, general competence and relatedness with friends. Conclusions: Physical complications in obese adolescents could explain dissatisfaction of needs for autonomy and competence in leisure domain. This assumption could be explored in future research. Results should improve treatment of obese adolescents. Consistent with SDT, satisfaction of the needs for autonomy, competence and relatedness is linked with social anxiety. Impairment of satisfaction of these needs could contribute to understanding the social anxiety in adolescents. © 2014 Elsevier Masson SAS. Source


Huvenne H.,Institute of cardiometabolism and nutrition | Huvenne H.,University Pierre and Marie Curie | Huvenne H.,French Institute of Health and Medical Research | Huvenne H.,Groupement Des Hopitaux Of Linstitut Catholique Of Lille | And 24 more authors.
Journal of Clinical Endocrinology and Metabolism | Year: 2015

Context: Infrequent mutations have been reported in the leptin receptor (LEPR) gene in humans with morbid obesity and endocrine disorders. However LEPR mutations are rarely examined in large populations from different ethnicities in a given country. Objective: We estimated the prevalence of LEPR mutations in French patients with severe obesity and evaluated mutated patients' phenotype. Design and Patients: We sequenced the LEPR gene in 535 morbidly obese French participants. We conducted clinical investigations to determine whether individuals with a novel shared mutation display particular characteristics relative to obesity history, body composition, hormonal functions, and the outcome of bariatric surgery. Results: We identified 12 patients with a novel LEPR mutation (p.C604G, p.L786P, p.H800-N831del, p.Y422H,p.T711NfsX18,p.535-1G>A,p.P166CfsX7).Six unrelated subjects were carriers of the p.P166CfsX7 mutation leading to deletion overlapping exons 6 to 8. All subjects originated from Reunion Island (France). Their clinical features (severe early-onset obesity, food impulsivity, and hypogonadotropic hypogonadism) did not differ from other new LEPR mutation carriers. Results concerning weight loss surgery were inconsistent in homozygous LEPR mutation carriers. Heterozygous LEPR mutation carriers exhibited variable severity of obesity and no endocrine abnormality. Conclusion: Among seven newly discovered LEPR mutations in this French obese population, we identified a LEPR frameshift mutation shared by six subjects from Reunion Island. This observation suggests a founder effect in this Indian Ocean island with high prevalence of obesity and supports a recommendation for systematic screening for this mutation in morbidly obese subjects in this population. Copyright © 2015 by the Endocrine Society. Source


Moraux A.,Imagerie Medicale Jacquemars Gielee | Wawer R.,Groupement Des Hopitaux Of Linstitut Catholique Of Lille | Demondion X.,Laboratoire danatomie
European Radiology | Year: 2015

ᅟ: The aim of this study was to demonstrate that ultrasound can allow a precise assessment of the indirect tendon of the rectus femoris using a new lateral approach. Methods and materials: Four hips were dissected for the anatomical study of the proximal rectus femoris insertions. Under ultrasonographic guidance, spinal needles piercing the direct tendon were placed in the indirect tendon, following by dissection. Then, high-resolution ultrasound was performed in 20 volunteers with assessment of the indirect tendon of the rectus femoris. Results: At dissection, the spinal needles were located in or immediately adjacent to the indirect tendon, thus confirming that it was correctly depicted by ultrasound. The indirect tendon could be identified in each cadaver and each volunteer with ultrasound. The optimal position of the probe to allow assessment of the indirect tendon could be defined. No significant changes in the appearance or thickness of the tendon could be observed. Conclusion: The results of our study showed that the indirect tendon of the rectus femoris muscle can be clearly depicted by sonography in healthy adult subjects. The potential applications of this new use of sonography must now be confirmed by clinical studies. Key Points: • The anatomy of the proximal rectus femoris is reviewed • Until now, sonography was limited for assessing direct and conjoined tendons • The indirect tendon can be clearly depicted by sonography • A new lateral approach for studying the indirect tendon is described © 2015, European Society of Radiology. Source


Dupont C.,Pediatric Gastroenterology | Kalach N.,Groupement Des Hopitaux Of Linstitut Catholique Of Lille | Soulaines P.,Pediatric Gastroenterology | Bradatan E.,Regional Hospital | And 6 more authors.
Pediatric Drugs | Year: 2014

Results: Of the 86 infants randomized, CMPA with eHF intolerance was confirmed in 75 infants; all of them tolerated the allocated AAFs. The major allergic symptom disappeared within 1 month in 61.9 and 51.5 % and regurgitations disappeared in 66.7 and 42.3 % of infants who received TAAF and RAAF, respectively. Infants had significantly more normal stools (soft or formed consistency) with the TAAF (90.5 vs. 66.7 %; p = 0.011). From baseline, daily family life significantly improved with both AAFs: crying time decreased by 97.3 (p < 0.001) and 28.6 min (p = 0.014) and sleeping time increased by 64.6 (p = 0.009) and 29.0 min with TAAF and RAAF, respectively. At day 30, weight and body mass index z-score gains were 0.1 and 0.2 with TAAF and 0.2 and 0.0 with RAAF.Introduction: Amino-acid-based formulas (AAFs) are recommended for children with cow’s milk protein allergy (CMPA) failing to respond to extensively hydrolyzed formulas (eHFs).Objective: This study aimed to assess the tolerance/hypoallergenicity and efficacy of a thickened AAF (TAAF) in these infants.Methods: This multicenter, double-blind, randomized controlled trial (NCT01940068) compared 3-month feeding with a pectin-based TAAF (Novalac®, United Pharmaceuticals, Paris, France) and a commercially available “reference” AAF (RAAF; Neocate®, Nutricia, Germany) in infants aged <18 months with CMPA and persistent allergy symptoms with eHF feeding. Reported here are the results of an interim analysis after 1 month of feeding.Conclusion: Both AAFs were well tolerated by infants with CMPA and eHF intolerance and ensured appropriate growth, with the TAAF providing additional comfort. © 2014, Springer International Publishing Switzerland. Source

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