La Revue du praticien
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The beneficial effect of a moist wound environment has been well established for healing rate of acute wounds, pain relief and debridement of chronic wounds. Modern dressings are occlusive or semi occlusive, classified according to their physical composition and to their performances such as absorbent capacity, hydrating ability, adhesive components and debridement capacity. ⋯ Nevertheless, the indications of modern dressings were recently determined according to a systematic review of the literature and to a formal consensus process. Despite the lack of appropriate studies, modern dressings remains a part of the standard of care and are widely used according to the experience of the clinicians, in larger indications than what may be recommended by evidence-based medicine.
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La Revue du praticien · Jun 2010
[Impact of group therapeutic education in the management of adult sleep disorders. Prospective study conducted from September 2007 to March 2008 by a group of general practitioners].
The prescription of hypnotic drugs in the management of adult insomnia is a public health issue. The implementation of a non-pharmacological, therapeutic approach is a daily problem for primary physicians. ⋯ Group therapeutic education in the form of cognitive behavioral therapy performed during a conference results in a change in behaviors and a mid-term improvement in sleep quality in participants.
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La Revue du praticien · Feb 2010
[Screening and early diagnosis of cancers: 2 ways for a same goal].
Early diagnosis is the most efficient way to decrease mortality rate, side effects and sequelae due to cancer. The first step consists in anticipating diagnosis by simultenaously taking into consideration non specific clinical symptoms and risk of cancer estimated by the combination of individual risk factors. Screening is a different way to anticipate diagnosis of cancer. ⋯ Organised cancer screening programs allow quality control, evaluation and efficiency measure of the screening policy. Opportunist screenings as developed in some countries or for particular tumours are decided by practitioners and patients following practice recommendations. Side effects of these approaches have to be kept in mind: overdiagnosis and socio-economic inequalities must be controlled for both opportunistic and organised screenings.