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FRANCE IN SOUTH AMERICA. The French healthcare system is in fact the same in many parts of the country. Some are in tropical zones, which is not always understood during medical studies, the second cycle of which currently still takes place in mainland France, including for overseas students. French Guiana is a region of France in South America; its history evokes penal colonies, tropical diseases and more recently trafficking in addictive substances or clandestine gold panning. Furthermore, it is the scene of a rapid transition of indigenous populations towards a consumer society. French Guiana has a whole series of very real obstacles to care: language barrier, restricted technical platforms, understaffing of professionals, geographical distance and complicated accessibility. These difficulties sometimes lead to the need for medical evacuations to better-equipped areas. Making this region attractive for health professionals to reduce inequality in access to care is an objective highlighted during the latest Assises de la pédiatrie et de la santé de l'enfant in 2023 and by the Haut Conseil de la Santé Publique in 2021.
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Br J Cancer
September 2025
School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.
Background: Studies examining the association of chronic kidney disease (CKD) with cancer risk have demonstrated conflicting results.
Methods: This was an individual participant data meta-analysis including 54 international cohorts contributing to the CKD Prognosis Consortium. Included cohorts had data on albuminuria [urine albumin-to-creatinine ratio (ACR)], estimated glomerular filtration rate (eGFR), overall and site-specific cancer incidence, and established risk factors for cancer.
J Gynecol Obstet Hum Reprod
September 2025
CEReSS - Health Service Research and Quality of Life Center, UR3279, Aix-Marseille University, Marseille, France; Department of Public Health, Assistance Publique-Hôpitaux de Marseille, Marseille, France.
Objective: To report the territorial distribution and characteristics of healthcare centres performing surgical abortion in France, along with the accessibility of these centres.
Material And Methods: A nationwide population-based cohort study of all women hospitalized for surgical abortion was conducted from January 1 to December 31, 2022 in metropolitan France. Number, location, activity volume and use of local anaesthesia rate of surgical abortion centres were reported as distribution activity across metropolitan France.
Lancet Infect Dis
September 2025
Global Health Governance Programme, Usher Institute, University of Edinburgh, Edinburgh, UK.
Background: Most countries have endorsed a national action plan (NAP) on antimicrobial resistance. We previously used a governance framework to assess NAPs on antimicrobial resistance available for the period of 2020-21 from 114 countries, finding substantial variation worldwide in the commitment of resources to address an escalating global health challenge. We sought to expand and advance this analysis to include the NAPs of more low-income and middle-income countries, to cover the period of 2021-22, and to examine the strength of NAPs to address antimicrobial resistance.
View Article and Find Full Text PDFPublic Health
September 2025
Department of Pediatrics, Cayenne Hospital, French Guiana.
Objectives: Adolescent pregnancies (AP), defined as pregnancies in girls aged 10-19 years, are associated with adverse maternal and neonatal outcomes. They are frequently reported among those with low economic status. French Guiana (FG) is a French overseas territory with important social inequalities in South America, marked by inequalities.
View Article and Find Full Text PDFNat Commun
September 2025
Ecology, Department of Biology, University of Konstanz, Konstanz, Germany.
Due to anthropogenic pressure some species have declined whereas others have increased within their native ranges. Simultaneously, many species introduced by humans have established self-sustaining populations elsewhere (i.e.
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