Background: The consumption of dietary supplements (DS) has increased by almost 10% last decade. This trend may be true also for pregnant women;however, it was reported that pregnant women do not sufficient and correc...Background: The consumption of dietary supplements (DS) has increased by almost 10% last decade. This trend may be true also for pregnant women;however, it was reported that pregnant women do not sufficient and correct knowledge on nutritional needs during pregnancy. Thus, we here attempted to determine the French situation of how French pregnant women take DS and its social-clinical significance using questionnaires, with special reference to vitamin D (VD) overtaking. Materials and Methods: A prospective multi-centric study was performed in three maternities in Paris. One hundred-fifty questionnaires were administered to pregnant women by midwife. Results: Thirty-four patients were interviewed at the maternity ward of the Deaconesses, 61 at the Pitié-Salpêtrière and 55 at Armand Trousseau. During pregnancy, DS started mainly during the first trimester. Frequently, doctors initially prescribe them and women tended to continue to take them thereafter. Possible VD overdosage was observed. Conclusion: We here characterized French pregnant women in terms of DS during pregnancy and also, to our knowledge, for the first time emphasized the risk of vitamin D overdose during pregnancy in France. However, since the cumulative dose throughout the pregnancy was not determined here, definite conclusion of whether women really take overdose of this supplement may not be made. Women of higher socio-professional society tended to consume more DS during pregnancy, and, thus, further monitoring may be needed especially to this fraction of pregnant women.展开更多
To reform the unit of preventive medicine in Orleans metropole, the Director of the Administration decided to co-sign an agreement to optimize the organization of a common preventive medicine service: we made a delibe...To reform the unit of preventive medicine in Orleans metropole, the Director of the Administration decided to co-sign an agreement to optimize the organization of a common preventive medicine service: we made a deliberation model to permit for others towns which wanted to join us. The cost evaluated to reach the service was the cost for medical examination, regardless of the professional which included staff costs and operating costs (social benefits, costs of supplies and materials, training costs). A statement of the tasks performed for the beneficiary community was kept daily by the SMP. A strong will of the Metropolis and municipalities is to develop a synergy around health and safety at work. A joint Metropolis of Orleans, an organization chart since 1/2/2016 integrates the preventive medicine service within a Quality of Life at Work service: a multi-disciplinary service composed of prevention specialists, social workers, responsible for social action and SMP, a Department of Preventive Medicine was developed and itself multidisciplinary in accordance with the law of July 20, 2011: including doctors, nurses, psychologists, sophrologist, and a dietician. A new and active network of health is now operant with specialist correspondents. An audit is programmed in April 2018 to assess the efficacy of this network.展开更多
文摘Background: The consumption of dietary supplements (DS) has increased by almost 10% last decade. This trend may be true also for pregnant women;however, it was reported that pregnant women do not sufficient and correct knowledge on nutritional needs during pregnancy. Thus, we here attempted to determine the French situation of how French pregnant women take DS and its social-clinical significance using questionnaires, with special reference to vitamin D (VD) overtaking. Materials and Methods: A prospective multi-centric study was performed in three maternities in Paris. One hundred-fifty questionnaires were administered to pregnant women by midwife. Results: Thirty-four patients were interviewed at the maternity ward of the Deaconesses, 61 at the Pitié-Salpêtrière and 55 at Armand Trousseau. During pregnancy, DS started mainly during the first trimester. Frequently, doctors initially prescribe them and women tended to continue to take them thereafter. Possible VD overdosage was observed. Conclusion: We here characterized French pregnant women in terms of DS during pregnancy and also, to our knowledge, for the first time emphasized the risk of vitamin D overdose during pregnancy in France. However, since the cumulative dose throughout the pregnancy was not determined here, definite conclusion of whether women really take overdose of this supplement may not be made. Women of higher socio-professional society tended to consume more DS during pregnancy, and, thus, further monitoring may be needed especially to this fraction of pregnant women.
文摘To reform the unit of preventive medicine in Orleans metropole, the Director of the Administration decided to co-sign an agreement to optimize the organization of a common preventive medicine service: we made a deliberation model to permit for others towns which wanted to join us. The cost evaluated to reach the service was the cost for medical examination, regardless of the professional which included staff costs and operating costs (social benefits, costs of supplies and materials, training costs). A statement of the tasks performed for the beneficiary community was kept daily by the SMP. A strong will of the Metropolis and municipalities is to develop a synergy around health and safety at work. A joint Metropolis of Orleans, an organization chart since 1/2/2016 integrates the preventive medicine service within a Quality of Life at Work service: a multi-disciplinary service composed of prevention specialists, social workers, responsible for social action and SMP, a Department of Preventive Medicine was developed and itself multidisciplinary in accordance with the law of July 20, 2011: including doctors, nurses, psychologists, sophrologist, and a dietician. A new and active network of health is now operant with specialist correspondents. An audit is programmed in April 2018 to assess the efficacy of this network.
