Epidemiological Survey on Gastrointestinal and Pulmonary Parasites in Cats Around Toulouse (France).

Various feline parasites are potentially zoonotic thus establishing factors associated with parasitism is of animal and public health interest. The aim of this study was to determine the prevalence of endoparasites in client-owned cats, living in the area of Toulouse, France, over the period 2015 - 2017, and to investigate possible risk factors. A total of 498 faecal samples from cats of the University Animal Hospital of Ecole Nationale Vétérinaire de Toulouse were analysed, 448 from cats presented for consultation and 50 at post-mortem. Analysis was performed using a commercial flotation enrichment method with a hypersaturated sodium chloride solution and Baermann technique. Further examination of the gastrointestinal tract contents was conducted on necropsied cats. Overall, 11.6 % of cats were positive for endoparasites; 50 (11.2 %) consultation cases and 8 (16 %) post-mortem cases, with no significant difference in prevalence between the groups. Amongst infected cats, most were infected by a single species of parasite and 10.3 % (n=6) were infected with two or more. The most common parasite was Toxocara cati with a prevalence of 9.4 % (n=47). Other endoparasites encountered were: Cystoisospora sp 1.0 % (n=5), Aelurostrongylus abstrusus 1.0 % (n=5), Strongyloides sp 0.6 % (n=3), Dipylidium caninum 0.4 % (n=2), Aonchotheca putorii 0.2 % (n=1), Ancylostomatidae 0.2 % (n=1) and Toxascaris leonina 0.2 % (n=1). The examination of the gastronintestinal tract contents of the necropsied cats revealed Mesocestoides sp 0.4 % (n=2) and Tænia (Hydatigera) tæniaeformis sensu lato 0.2 % (n=1) which are seldomly diagnosed by flotation methods. In this study, increasing age and neutered status were statistically associated with reduced odds of infection by endoparasites (helminth and coccidian). Predictors of significantly increased risk included being male, intact, and not receiving regular anthelmintic treatment. The same risk factors were highlighted specifically for Toxocara cati infections, with rural location being an additional risk factor for infection.

Supporting innovation in health care: A short experience in a dedicated unit of the French Ministry of Public Health.

INTRODUCTION: The Delegation for Innovation in Health Care (DIES) was created by the Ministry of Solidarity and Health to centralize and support innovative health care projects. Following its dissolution, only two and a half years after its creation, the members of this delegation aimed to present the projects, which were submitted and treated by the DIES. METHODS: All potential project leaders were free to explain the objectives of their project to our team. These projects were then classified according to their objective, their type, the medical specialty concerned, the target population and their purpose. The DIES graded the degree of innovation, advised on the need for complementary scientific evaluation and oriented the personnel in charge towards fitting financing structures. RESULTS: Between April 2016 and December 2018, the DIES received 269 potential project leaders, almost exclusively from the national territory of France, focused on diversified medical specialties with a slight predilection for chronic diseases and disabilities. The projects were often at an economically tenuous stage of development. Less than 5% of the projects concerned drug therapy. More than a third involved medical devices, including "surgical" projects (predominately orthopedics), disability compensation methodology, vascular problems and bandages. E-health, the organization of care, and a "non-classifiable" category that included wellness projects each represented 20% of the projects. Almost 80% of these projects had some electronically (e-) based mechanism. Only 15% of all projects had the ambition to meet an unmet or poorly covered need. Only about a third of the project leaders presented a clinical or medico-economic evaluation with sufficiently rigorous methodology to assess the achievement of their objectives. CONCLUSION: Innovative health projects are dominated by the search for improvement in the organization of the health care system and the care pathway with e-connected applications. Evaluation of the vast majority of these projects is very difficult and this situation reinforces the idea that these requests should be centralized to improve support for promoters of innovation.

[Congenital heart disease: from childhood to adulthood]. / Cardiopathie congénitale: de l'enfance à l'âge adulte.

With the improvement of congenital heart surgery, most children with congenital heart disease will survive into adulthood with a good quality of life. Regular cardiac follow-up is recommended for all patients. The adolescent period coincides often with medium and long term consequences and complications and repeat surgery or catheter interventions might be needed. It is therefore of prime importance to begin the transition process early and to pursue it well into adulthood. We have elaborated a formal transition program adapted to youngsters with congenital heart disease.

Perinatal, neonatal, and rearing period mortality of dairy calves and replacement heifers in France.

Dairy calf and replacement heifer mortality in France was assessed by calculating mortality rates at 0 to 2d (calves), 3d to 1 mo (calves and heifers), 1 to 6 mo of age, and 6 mo of age to first calving (heifers) using the national identification database. Between birth and 2-d-old, 261,000 and 251,000 of the 3.56 and 3.43 million calves born in 2005 and 2006, respectively, died. The overall 0- to 2-d-old calf mortality rate was around 6.7%, which is similar to the low range of values reported in the literature. Among the 2.38 and 2.39 million calf-month, 139,000 and 133,000 died between 3d and 1 mo of age in 2005 and 2006, respectively. Among the 3d to 1 m of age group, dairy calf mortality rate was around 5.7%. Such a rate has not been reported previously because of the great differences in age classes between studies. For the 0- to 2-d-old and 3-d- to 1-mo-old calves, annual mortality was zero on 26 and 44% of the farms, respectively. Calf mortality during the first month of life increased in winter (to 12-17%) and decreased in summer (to 8-12%), with a small peak in June or July. Mortality during the first month of life is higher in males than in females, with a mortality odds ratio of 1.20 (and 95% confidence interval of 1.19-1.21). Such a difference is also found within the noncrossed or beef-crossed calf subpopulations. Disregarding the sex, the mortality of beef-crossed calves is slightly less than that of noncrossed dairy calves, with a mortality odds ratio of 0.98 (and 95% confidence interval of 0.98-0.99) before 1 mo of age. In heifers, around 51,000, 35,000, and 40,900 out of the 1.2 million 3-d- to 1-mo-old, 1.1 million 1- to 6-mo-old, and 950,000 6-mo-old to first calving heifers died, respectively. The respective mortality rates were 4.5, 3.1, and 4.1%; these rates are similar to the low range of values previously published. The proportions of farms with no heifer mortality during a year were higher than for calves, between 60 and 70%. The mortality probability for heifers was very high for the first day of life (95% survival between 2-30 d of age), then decreased during the first year of life and became constant up to around 3 yr of age (88% survival at 36 mo of age). The risk of mortality is higher in Montbéliarde and Normande heifers compared with Holstein. In conclusion, and beyond the average mortality rates, farmers and farm advisors should keep in mind the broad range of mortality values, which shows that very low mortality (1-2%) can be achieved, even in animals with a known high risk of mortality, such as beef-crossed dairy calves.

[Metachronous sinonasal squamous-cell carcinoma after pharyngolaryngectomy]. / Carcinome épidermoïde métachrone des cavités naso-sinusiennes après pharyngolaryngectomie.

OBJECTIVE: Three laryngectomized patients developed metachronous sinonasal squamous-cell carcinoma. We reviewed their files to search for clinical features useful for early diagnosis of this localization. CASE REPORTS: Two of the patients, a textile worker and a food processing worker, had occupation exposure risk factors for sinonasal squamous-cell carcinoma. The anatomic modifications created by laryngectomy contributed to late diagnosis of the metachronous tumor at an advanced stage. Surgery was performed in all three patients. Local recurrence was observed at one year in two patients. DISCUSSION: Sinonasal fibroscopy should be part of the surveillance scheme in laryngectomized patients to enable early diagnosis and treatment of metachronous tumors.