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Biomedical subjects

Philippe Perrin

Publications and source records attributed to Philippe Perrin.

4 recordsLinked to original sources

Relation between motion sickness susceptibility and vasovagal syncope susceptibility.

Motion sickness is common in the population, especially in children, but its physiopathology is only partially understood and the true nature of the particular susceptibility of certain subjects remains completely unknown. Some symptoms of motion sickness, like pallor and cold sweating, are of an autonomic nature and the role of the autonomic nervous system in vasovagal syncope is well known. Our aim was therefore to study the relationship between motion sickness susceptibility and vasovagal syncope susceptibility. Questionnaires about susceptibility to motion sickness and to vasovagal syncope or presyncope in adulthood and childhood, filled in by 899 students (20.4 +/- 2.1 years, 405 men), were analysed. Motion sickness susceptibility in childhood was 31.1% and in adulthood 7.9% (p < 0.001). Vasovagal syncope susceptibility in childhood was 36.4% and in adulthood 33.9% (NS). A relationship between motion sickness susceptibility in adulthood and vasovagal syncope susceptibility in childhood and adulthood (p = 0.004 and 0.005, respectively) was found. Despite the limitations of a retrospective study this relationship between motion sickness susceptibility and vasovagal syncope susceptibility may indicate that a common mechanism exists, explaining the particular susceptibility of some subjects to both disorders. This paradigm may prove useful in better understanding the true nature of motion sickness and vasovagal syncope.

Aging↗

[Colorectal cancer screening: a survey of French general practitioners].

AIM: To determine knowledge, beliefs, self-reported practices and wishes of French general practitioners regarding colorectal cancer screening before the start of an organized screening program. METHODS: A postal survey of the 600 general practitioners of the Haut-Rhin area was made in 2002. RESULTS: Response rate was 62%. Eighty-five% asked routinely their patients about their family history of colorectal cancer. Colorectal cancer screening was routinely proposed by 92% of practitioners to individuals with a family history (86% with colonoscopy) and by 20% to individuals without family history (69% with faecal occult blood test). Seventy-five% did not know French consensus conference guidelines on colorectal cancer screening. Fifty-three% ordered routinely faecal occult blood testing, mostly for the screening of individuals with family history and for the evaluation of symptoms, mainly iron-deficiency anemia and weight loss. Seventy-seven% would explore with colonoscopy subjects with positive faecal occult blood test. Fifty-four% had personally undergone screening. Fifty-six% considered that mass screening could reduce a lot colorectal cancer mortality and most of them agreed with the forthcoming organized colorectal cancer mass screening program. CONCLUSIONS: Screening for colorectal cancer is ordered less often than screening for female cancers. General practitioners are unaware of current guidelines. Beliefs and practices vary considerably and faecal occult blood testing is often inappropriately prescribed. Medical education concerning screening is needed. Colorectal cancer screening guidelines and policy should be clarified in France.

Adult↗

Judo, better than dance, develops sensorimotor adaptabilities involved in balance control.

OBJECTIVES: Training allows sportsmen to acquire new balance control abilities, possibly differing according to the discipline practised. We compared, by means of static and dynamic posturographic tests, the postural skills of high-level judoists, professional dancers and controls, in order to determine whether these sports improved postural control. RESULTS: With eyes open, judoists and dancers performed better than controls, indicating a positive effect of training on sensorimotor adaptabilities. Yet, with eyes closed, only judoists retained a significantly better stance. CONCLUSIONS: These data indicate that the practice of a high-skill activity involving proprioceptive afferences especially improves both performance and balance control.

Adult↗

[The operating microscope in dental practice: minimally invasive restorations].

With the visualization provided by the operating microscope (OM), it is now possible to place fillings in formerly inaccessible areas and work in a way that preserves the most enamel and/or dentin. The OM enables working with full overview in interdental areas or in hard-to-reach areas around crowns. The good view not only enables new forms of therapy, but reduces stress while working. The two clinical cases cited show clearly how the OM can be used advantageously in a range of situations--from the economical repair of a large old filling to minimal-invasive initial treatment. As an added bonus, the OP allows a completely relaxed and upright working posture.

Adult↗