📇 Rhumatologue · ST VIVIEN DE MEDOC · (33) · Libéral
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Cabinet de groupe — continuité de soins
Plusieurs praticiens dans le même cabinet — un confrère peut prendre le relais en cas d'absence
Délais de RDV courts dans la région
144.4 rhumatos / 100 000 hab. — département bien doté
✨ Génération du profil synthétique IA en cours…
SELARL DR RATON
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Lien Doctolib = recherche Google site:doctolib.fr (le 1er résultat est presque toujours le profil correct s'il existe).
AEM education and training · 2022
AbstractBackgroundAs a result of the COVID‐19 pandemic, patterns of patient presentations and medical education have changed, potentially resulting in fewer and different types of patient encounters. Procedural proficiency is a cornerstone of emergency medicine (EM) training, and residents must meet Accreditation Council for Graduate Medical Education (ACGME) requirements to graduate. It is feared there may have been a pandemic‐induced decrease in opportunities for residents to perform procedures. This study investigates the change in procedures performed by EM residents during the initial year of the pandemic.MethodsThis study utilized a multicenter retrospective design. Across three EM residency programs, logs of 14 ACGME‐required procedures performed by residents were reviewed. For each procedure, counts were compared prepandemic year (March 2019 to February 2020) to during pandemic year (March 2020 to February 2021). Procedures were further grouped into 4‐month periods: March to June, July to October, and November to February.ResultsA total of 113 EM resident physicians were included in this study. Procedures performed by EM residents tended to decrease during the COVID‐19 pandemic. There were statistically significant decreases in number of annual cricothyrotomies (2.4 vs. 0.9, p < 0.001) and pediatric trauma resuscitations (5.7 vs. 3.9, p = 0.024). Comparing the first 4‐month periods of each year, there were significant decreases in cardiac pacing (6.3 vs. 5.4, p = 0.038), chest tubes (2.2 vs. 1.0, p < 0.001), cricothyrotomies (0.6 vs. 0.1, p = 0.001), intubations (8.2 vs. 4.4, p = 0.002), and pericardiocenteses (1.7 vs. 0.2, p < 0.001).ConclusionsThe COVID‐19 pandemic has led to a decrease in the number of procedures performed per EM resident in many of the domains required by the ACGME. Although only some procedures had statically significant decreases, it remains to be seen if this will lead to decreased resident procedural competency. Further research may be required in this area to determine any such effect.
The American journal of emergency medicine · 2025
Molecular syndromology · 2022
In this report, we describe phenotypic features of a patient with mucopolysaccharidosis type IVA (Morquio syndrome) harboring a novel exon 1 deletion in <i>GALNS</i> with enzymatic confirmation consistent with Morquio syndrome. To our knowledge, this is the first reported case of this variant. Additionally, we protein modelled wild-type GALNS and the pathogenic variant with an exon 1 deletion for comparative analysis using statistical mechanics methods described herein. We demonstrate that, even when the protein is translated, the mutation would affect protein stability and function via homodimer interaction modifications. Lastly, given the patient’s 2 successful pregnancies, data about the management of pregnancies in mucopolysaccharidoses are reviewed, and we discuss the management of pregnancy in patients with Morquio syndrome.
Source PubMed · Recherche par auteur (homonymes possibles, vérifier l'affiliation).
The Journal of emergency medicine · 2024 · Case Reports
Lamour D, Bruno TW, Shih RD, Solano JJ, et al.
AEM education and training · 2022 · Journal Article
Bruno TW, Janwadkar R, Clayton LM, Hughes PG, et al.
Molecular syndromology · 2022 · Journal Article
Selvam P, Jain A, Abbott J, Ahuja AS, et al.
The American journal of emergency medicine · 2025 · Journal Article
Caplan C, Engstrom G, Wells M, Alter SM, et al.