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See detailL'éducation thérapeutique: Une solution pour vaincre l'inertie clinique et le défaut d'observance
Scheen, A. J.; Bourguignon, J. P.; Guillaume, M. et al

in Revue Medicale de Liege (2010), 65(5-6), 250-255

Therapeutic education (TPE) aims to enable the patient suffering from a chronic diseases to manage his/her illness and treatment, and prevent avoidable complications, while keeping or improving his/her ... [more ▼]

Therapeutic education (TPE) aims to enable the patient suffering from a chronic diseases to manage his/her illness and treatment, and prevent avoidable complications, while keeping or improving his/her quality of life. it comprises a set de practical tools aiming the patient to acquire skills to manage himself/herself the disease, its care and supervision, in partnership with healthcare providers. TPE may contribute to improve therapeutic compliance and to reduce clinical inertia, two drawbacks frequently encountered in the management of patients with chronic diseases. As an illustration, we briefly present edudora2 («Education thérapeutique et préventive face au diabète et à l'obésité à risque chez l'adulte et l'adolescent» = "Preventive and therapeutic education for diabetes and at risk obesity in adults and adolescents"), an ongoing original project in three frontier regions (Wallonia - Grand-duchy of Luxembourg - Lorraine). [less ▲]

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See detailSexual precocity after immigration from developing countries to Belgium: Evidence of previous exposure to organochlorine pesticides
Krstevska-Konstantinova, M.; Charlier, C.; Craen, M. et al

in Human Reproduction (2001), 16(103), 1020-1026

In a retrospective auxological study of 145 patients seen in Belgium during a 9-year period for treatment of precocious puberty, 28% appeared to be foreign children (39 girls, one boy) who immigrated 4 to ... [more ▼]

In a retrospective auxological study of 145 patients seen in Belgium during a 9-year period for treatment of precocious puberty, 28% appeared to be foreign children (39 girls, one boy) who immigrated 4 to 5 years earlier from 22 developing countries, without any link to a particular ethnic or country background. The patients were either adopted (n = 28) or non-adopted (n = 12), the latter having normal weight and height at immigration and starting early puberty without evidence of earlier deprivation. This led to the hypothesis that the mechanism of precocious puberty might involve previous exposure to oestrogenic endocrine disrupters. A toxicological plasma screening for eight pesticides detected p,p′-DDE, which is derived from the organochlorine pesticide DDT. Median p,p′-DDE concentrations were respectively 1.20 and 1.04 ng/ml in foreign adopted (n = 15) and non-adopted (n = 11) girls with precocious puberty, while 13 out of 15 Belgian native girls with idiopathic or organic precocious puberty showed undetectable concentrations (<0.1 ng/ml). A possible relationship between transient exposure to endocrine disrupters and sexual precocity is suggested, and deserves further studies in immigrant children with non-advanced puberty. [less ▲]

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