Journal of the Faculty of Medicine and Dentistry of the Université catholique de Louvain (UCL)

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Month's articles

Psychiatrie infanto-juvénile

Child and youth abuse, let's talk about it!

Child and youth abuse is a societal as well as medical issue. Over time, its management has changed. As a physician, it is essential to recognize the clinical signs and know how to think and act in case of concern and suspicion. When a child describes acts of abuse, the physician must do everything in his power to provide him with help, while being bound by professional secrecy. The physician can break this secret in case of imminent, serious, and urgent risk endangering the child's life. Nowadays, it is known that child abuse has consequences for the adults of tomorrow and is associated with increased physical and psychological problems.

We propose guidelines for the care of abused children, taking into account the particularity of the Belgian system.

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Hematology/Oncology

Side effects of multiple myeloma treatments

The prolonged use of new drugs such as proteasome inhibitors, immunomodulators, and monoclonal antibodies in the treatment of multiple myeloma is associated with adverse side effects that represent a daily challenge for physicians. We propose a series of recommendations based on clinical cases.

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Diabétologie

New Type 2 diabetes treatments: cardiovascular safety/benefit...

Diabetic nephropathy is currently the leading cause of chronic end-stage renal disease, along with its clinical consequences. Its prevention implies multidisciplinary management based on strict control of blood glucose from diabetes onset, in addition to blood pressure control, primarily using ACE-I inhibitors or sartans. Recent clinical trials have demonstrated the cardiovascular security/benefits as well as nephroprotective effects of new classes of antihyperglycemic agents (DDP-4 inhibitors, GLP-1 agonists and SGLT-2 inhibitors), in addition to their well-established antihyperglycemic effects.

This paper aims to review the state of the art of diabetes-related cardiovascular and renal complication management.

 

 

 

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Dermatology

Internal medicine and dermatology

We herein report on the “Peau’se dermatologique” meeting held on June 3rd, 2019 in the Cliniques universitaires Saint-Luc, Brussels, and focused on dermatological manifestations of systemic diseases. Professor Camille Francès, member of the Dermatology department at Hôpital Tenon in Paris, presented eight interesting clinical cases of systemic diseases with associated dermatological features.

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Diabétologie

Impact of Freestyle Libre flash glucose monitoring system on...

The self-monitoring of glucose values is deemed necessary in diabetic patients to achieve a better glycemic control while avoiding hypoglycemias. New technologies have been devel-oped, such as the Freestyle Libre (sFL), a flash glucose monitoring system whose impact on better glycemic control and improved quality of life must still be assessed. This study confirmed the significant rise in the frequency of self-monitored glucose tests performed when using the sFL, in comparison with baseline, thereby resulting in an improvement in glycemic control and various quality of life features. Larger studies are required to elucidate the potential benefits gained by using sFL in blood glucose self-monitoring by diabetic in a larger scale.

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Geriatry

Clinical manifestations of depression in the elderly

This article provides some insight into the clinical presentation of depression among the elderly, along with some management paths pertaining to this common, morbid, and at times potentially lethal syndrome. Diagnosis may be challenging because of complaints frequently related to ageing, comorbidities, and polypharmacy. Nonetheless, diagnosis should be made as early as possible. As first step, we must emphasize the relevance of spending time with seniors, thereby improving their communication skills. Several methods borrowed from cognitive rehabilitation may be proposed thereafter. This article is a summary of the twentieth annual meeting organized by the geriatric service association of the CHU, UCL Namur, Belgium.

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STOPP/START.v2

The tool STOPP / START.v2 allows evaluation of drug treatments prescribed to patients age 65 and older.

 

This tool, designed for all care settings, stimulates thinking and challenging medication taken by patients, especially drugs forcardiovascular and nervous system.

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