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Strasbourg, France

Swanstrom L.L.,Oregon Health And Science University | Perretta S.,Hopitaux Universitaires
Annals of the New York Academy of Sciences | Year: 2011

The following on interventional endoscopy and single incision surgery contains commentaries on transluminal endoscopic esophageal surgery, flexible endoscopy, triangulation, advanced flexible operating platforms, experimental transesophageal procedures, and para- and intra-esophageal endoscopic surgery. © 2011 New York Academy of Sciences. Source

Rey D.,Hopitaux Universitaires
Expert Review of Anti-Infective Therapy | Year: 2011

Post-exposure prophylaxis (PEP) with antiretrovirals is now widely used worldwide after either occupational contact (with blood or another blood-containing fluid), or nonoccupational contact (mainly sexual or injection-drug use). It is assumed to reduce the risk of HIV transmission by at least 80%, although its efficacy has not been completely proven. Several countries have issued guidelines to help the clinician in their decision to offer PEP and to improve its cost-effectiveness. This article reviews the different antiretroviral combinations used, their safety profile, the recommendations and indications of PEP. The initial evaluation of an exposed individual is presented, as well as the follow-up during and after treatment. © 2011 Expert Reviews Ltd. Source

Uebelhart B.,Hopitaux Universitaires
Joint Bone Spine | Year: 2016

Bariatric surgery currently relies on combinations of restrictive and malabsorptive procedures. Early decreases in bone mineral density (BMD) have been reported. However, the accuracy of dual-energy X-ray absorptiometry used to measure BMD can be diminished by the major weight loss, whereas quantitative computed tomography (QCT) measurements are less affected. The nutritional deficiencies induced by mixed bariatric surgery procedures, together with changes in hormones produced by adipocytes and/or the gastrointestinal tract, are often associated with elevations in serum levels of bone resorption markers. Although the data are limited, the incidence of fractures does not seem higher after bariatric surgery than in non-operated obese patients. © 2016 Société française de rhumatologie. Source

Lang P.-O.,Hopitaux Universitaires
Geriatrie et Psychologie Neuropsychiatrie du Vieillissement | Year: 2011

The burden of illness and healthcare resource utilisation associated with herpes zoster in individuals aged 60 years or above is substantial, causing severe loss of quality of life. In the absence of antiviral therapy, up to 45% of over 60 year-olds experience pain which persists for months to years. The importance of preventive strategies for PHN is becoming widely recognised. The aim of the present reviewis not only to present the herpes zoster-associated burden, but also to detail the effectiveness of the preventive approaches currently available. Source

Charloux A.,Hopitaux Universitaires
Revue Francaise d'Allergologie | Year: 2014

Practicing sports may increase the risk of developing or aggravating asthma, depending for one thing on the environment in which the sport is performed: for example, in chlorinated swimming pools, in cold, dry air for winter/mountain sports, and with exposure to interior or exterior airborne allergens and pollutants. For athletes, particularly those practicing endurance sports, the high level of ventilation required under these conditions puts them at an increased risk of atopy and asthma. In contrast, the few published studies focusing on recreational sports have not reported an increase in asthma prevalence or its symptoms; nevertheless, more studies are needed. Only scuba diving is contra-indicated for patients with active asthma. But asthmatic sports-men and sports-women must be made aware of the potential risks of aggregation of their asthma in the situations noted above. In such individuals, their asthma must be controlled and exercise-induced bronchospasm prevented. © 2014 Elsevier Masson SAS. Source

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