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Lelievre Benedicte Triau Stephane Codron Philippe Mariau Yoran Papin-Lefebvre Frederique Collin Alexandre Drevin Guillaume Le Roux Gael Briet Marie Boels David Letournel Franck 《Forensic Toxicology》2020,38(2):505-510
Forensic Toxicology - In developed countries, lead intoxication is decreasing in adults as sources of contamination were considerably reduced. Hence, cases of lead encephalopathy have become... 相似文献
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Frédérique Papin-Lefebvre Elodie Guillaume Grégoire Moutel Guy Launoy Célia Berchi 《Health policy (Amsterdam, Netherlands)》2017,121(10):1079-1084
Objective
French health authorities put general practitioners at the heart of the colorectal cancer screening. This position raises organisational issues and poses medico-legal problems for the professionals and institutions involved in these campaigns, related to the key concepts of medical decisions and suitability of standards. The objective of our study is to reveal the preferences of general practitioners related to colorectal cancer screening organisation with regard to the medico-legal riskMethods
A discrete choice questionnaire presenting hypothetical screening scenarios was mailed to 2114 physicians from 20 French different areas. The preferences of 358 general practitioners were analysed using logistic regression models.Results
The factors that have significant impact on the preferences of general practitioners are the capacity of the primary care professional in the procedure, the manner in which pre-screening information is given to patients, the manner in which screening results are given to patients, the number of reminders sent to patients who test positive and who do not undergo a colonoscopy and the remuneration of the attending physician.Conclusions
Our results reveals that current colorectal cancer screening organisation is not adapted to general practitioners preferences. This work offers the public authorities avenues for reflection on possible developments in order to optimize the involvement of general practitioners in the promotion of cancer screening programme. 相似文献3.
Isabelle Le Blanc-Louvry Sophie Thureau Cathia Duval Frédérique Papin-Lefebvre Jacques Thiebot Jean Nicolas Dacher Cyril Gricourt Emmanuel Touré Bernard Proust 《European radiology》2013,23(7):1829-1835
Objectives
The principal aim of our study was to establish concordance between post-mortem CT (PMCT) and forensic standard autopsy (SA) in detecting lesions according to different anatomical regions. A secondary aim was to determine the efficacy of PMCT in showing lethal lesions.Methods
PMCTs were compared with autopsies in 236 cadavers in different contexts of death. PMCT findings were assessed by two independent radiologists.Results
Concordance between PMCT and autopsy was almost perfect in showing skull, basal skull and hyoid bone fractures as well as in detecting facial, vertebral or pelvic fractures. Both examinations were discordant in demonstrating some intracranial injuries, vascular or organ wounds (more findings showed by autopsy), as well in showing free air in anatomical cavities (more findings detected by PMCT). Moreover, PMCT was effective in determining lethal lesions in the context of craniofacial trauma or after a gunshot wound. Concordance between the findings of the two radiologists was almost perfect for each type of lesion.Conclusion
PMCT could be considered as effective as SA in determining the cause of death in certain traumatic events. It was also effective in showing lethal lesions and could be a useful tool in reducing the number of SA.Key Points
? Post-mortem CT is increasingly performed as an alternative/adjunct to formal autopsy. ? More modern CT systems provide greater anatomical scope. ? PMCT can usually determine the cause of most deaths following trauma. ? Prospective studies are still required to establish an algorithm for forensic CT. 相似文献
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