0000000000065258

AUTHOR

Jacques Cosnes

showing 5 related works from this author

Controlled trial comparing two types of enteral nutrition in treatment of active Crohn's disease: elemental versus polymeric diet.

1991

International audience; To determine whether an elemental diet or a polymeric defined formula diet would be more effective for treating active Crohn's disease, we conducted a prospective randomised clinical trial in 30 patients with active Crohn's disease unresponsive to steroids and/or complicated by malnutrition. They received a four to six week enteral nutrition course with either an elemental diet or a polymeric diet. Clinical remission occurred in 10 of the 15 patients on elemental diet compared with 11 of the 15 patients assigned to polymeric diet. Both groups showed similar improvements in nutritional status, biological inflammation, alpha 1 antitrypsin clearance, and colonoscopic le…

AdultMalemedicine.medical_specialtyElemental dietColon030309 nutrition & dieteticsNutritional StatusEnteral administrationGastroenterologylaw.invention03 medical and health sciencesEnteral Nutrition0302 clinical medicineCrohn DiseaseRandomized controlled trial[ CHIM.ORGA ] Chemical Sciences/Organic chemistrylawInternal medicinemedicineHumansProspective StudiesProspective cohort studyFood Formulated2. Zero hunger0303 health sciencesCrohn's disease[CHIM.ORGA]Chemical Sciences/Organic chemistrybusiness.industryGastroenterologyColonoscopymedicine.disease[CHIM.ORGA] Chemical Sciences/Organic chemistry3. Good healthClinical trialMalnutritionParenteral nutritionFemale030211 gastroenterology & hepatologybusinessResearch ArticleFollow-Up Studies
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Perception of improved state of health and subjective quality of life in Crohn's disease patients treated with Infliximab.

2009

International audience; UNLABELLED: BACKGROUND AND AIMS AND METHOD: Although Infliximab is a very potent therapy of refractory Crohn's disease, its administration requires iterative infusions in hospital and there are concerns regarding its long-term safety. The aim of this study was to assess in a sample of 51 patients suffering from CD the impact of type of treatment (intravenous Infliximab versus conventional therapy without Infliximab) on the evaluation of the state of health (CGI) and the quality of life (MOS-SF36). Secondary variables were also assessed: the impact of depression (MADRS), the impact of activity of the disease (Harvey-Bradshaw Index). RESULTS: Overall, the assessments m…

medicine.medical_specialtySF-36State of health[SHS.PSY]Humanities and Social Sciences/PsychologyDisease03 medical and health sciences[ SHS.PSY ] Humanities and Social Sciences/Psychology0302 clinical medicineQuality of lifeRefractoryInternal medicinemedicine030212 general & internal medicineDepression (differential diagnoses)ComputingMilieux_MISCELLANEOUSCrohn's diseasebusiness.industry[CHIM.ORGA]Chemical Sciences/Organic chemistryGastroenterologyGeneral Medicinemedicine.diseaseInfliximab3. Good healthPhysical therapy030211 gastroenterology & hepatologybusinessmedicine.drug
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Personality and fatigue perception in a sample of IBD outpatients in remission: a preliminary study.

2012

International audience; BACKGROUND AND AIMS: Fatigue is considered as a feature of IBD. Nevertheless, medical variables would partly explain this complex phenomenon. Psychological variables would be especially connected to fatigue for patients in remission. Moreover, personality is known to be linked to the fatigue of patients with CFS. This preliminary study aimed to determine if personality dimensions are linked to the perception of fatigue in IBD. METHODS: 81 IBD outpatients in remission completed the MFI (fatigue); ISI, EES (sleep disturbances); TCI-R (personality); HADS (depression and anxiety). Medical data were collected (ferritin, C-reactive protein, number of flare-ups, number of h…

Persistence (psychology)AdultMalemedicine.medical_specialtymedia_common.quotation_subjectIBDAnxietyPersonality DisordersSeverity of Illness Index03 medical and health sciences0302 clinical medicineQuality of life[ CHIM.ORGA ] Chemical Sciences/Organic chemistrySeverity of illnessOutpatientsmedicinePersonalityHumansPsychiatryIrritable bowel syndromeDepression (differential diagnoses)Fatiguemedia_commonRetrospective Studiesbusiness.industryDepression[CHIM.ORGA]Chemical Sciences/Organic chemistryGastroenterologyRetrospective cohort studySleep disturbancesGeneral Medicinemedicine.diseaseInflammatory Bowel Diseases030227 psychiatry3. Good healthQuality of LifeAnxiety030211 gastroenterology & hepatologyFemalePerceptionmedicine.symptombusinessFollow-Up StudiesPersonalityJournal of Crohn'scolitis
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Crohn's disease and fatigue: constancy and co-variations of activity of the disease, depression, anxiety and subjective quality of life.

2010

International audience; Fatigue in Crohn's disease (CD) is considered as a consequence of the disease and its treatment. If research showed the impact of the activity of the disease on vitality, patients can express fatigue even if the disease is inactive. Sleep disturbances are now considered in inflammatory bowel disease (IBD) and they could be involved in fatigue. It is well-known that depression and anxiety occur in IBD: They involve sleep disturbances and asthenia. But neither factors have been assessed simultaneously from a longitudinal perspective. Fifty-two patients participated in this study. Fatigue (MFI), depression (HAD-D), anxiety (HAD-A), sleep disturbances (ISI, IQPS), subjec…

AdultMalemedicine.medical_specialty[SHS.PSY]Humanities and Social Sciences/PsychologyContext (language use)DiseaseAnxietyInflammatory bowel disease[SHS.PSY] Humanities and Social Sciences/Psychology03 medical and health sciences[ SHS.PSY ] Humanities and Social Sciences/Psychology0302 clinical medicineCrohn DiseaseQuality of life[ CHIM.ORGA ] Chemical Sciences/Organic chemistrySurveys and QuestionnairesInternal medicinemedicineHumansPsychiatryFatigueApplied PsychologyDepression (differential diagnoses)Crohn's diseaseDepression[CHIM.ORGA]Chemical Sciences/Organic chemistryMiddle Agedmedicine.diseasedigestive system diseases3. Good healthPsychiatry and Mental healthClinical PsychologySleep deprivationQuality of LifeSleep DeprivationAnxietyFemale030211 gastroenterology & hepatologymedicine.symptomPsychology030217 neurology & neurosurgery
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La fatigue des patients atteints d'une maladie de Crohn en rémission : exploration du rôle du parcours médical et des facteurs psychologiques

2012

le document est disponible en ligne : http://www.sciencedirect.com/science/article/pii/S0003448711002496; International audience; a fatigue au cours de la maladie de Crohn est le plus souvent renvoyée à la maladie. Toutefois, il a été montré que même en période de rémission, un certain nombre de patients demeuraient fatigués. D’autres facteurs explicatifs sont donc à rechercher, tant dans le parcours médical que dans la représentation causale de la maladie, sa gravité perçue, la souffrance psychologique. Les résultats obtenus auprès de 77 patients atteints d’une maladie de Crohn en rémission ont montré que le niveau de fatigue générale (MFI) générait des différences significatives pour la g…

03 medical and health sciencesPsychiatry and Mental health0302 clinical medicineArts and Humanities (miscellaneous)[SHS.PSY]Humanities and Social Sciences/Psychology030211 gastroenterology & hepatology030212 general & internal medicineApplied Psychology
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