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How to reduce the sudden nontraumatic death related to sport risk? Sport's related sudden cardiac death (SCD) is still dramatically perceived and often widely publicized. In case of SCD sport's practice reveals a heart disease that is mainly overlooked. In a society under the influence of the precautionary principle, preventing SCD seems essential. However, implementing effective SCD prevention is not easy. Among the three most often preventive actions proposed, the pre-participation screening evaluation, the athlete's education, and the population education for resuscitation maneuvers, the pre-participation evaluation currently seems to have the most difficulty in proving its effectiveness.Prevention of osteo-articular lesions in amateur and leisure sports. Physical exercise and sport are now recognized by the World Health Organisation and the ministry of Health as non-drug therapy/treatment for many pathologies. Its use implies an increase in the number of sportsmen and therefore, statistically, an increase in the risk of osteoarticular lesions. Before starting, it is advisable to carry out a check-up to determine non-contraindication, as well as particularities and patient's preference for one or more sports. To avoid injuries and allow the regularity necessary for an efficient treatment, preventive measures must be taken. Major preventive measures consist in choosing one or several sports practiced in a safe environment and in well-qualified instructors to teach correct technique, advise on the right equipment, manage the intensity and frequency of each session to allow progression, and give precautions to be followed regarding weather and pollution conditions. Others preventive measures are those of competitive sports warming-up, stretching, active recovery, sleep, hydration and nutrition also apply to every athlete no matter his or her level. Certain preventive measures are specific according to morphology or traumatic pathologies, such as orthosis, and others to age, young and old, or the level of the athlete.Practice of sports in the general population. According to several surveys, it is estimated that 33 to 46% of French people never do sport or physical exercise, and this proportion tends to increase over the years. Men generally do more sport than women, and the frequency of participation tends to decrease with advancing age. The sport is mainly practiced outdoors, and the practice in commercial health and sport centers remains very minority (on average 5% of the participants). More than half of the people who exercise or play sport practice sport alone, without supervision, in total autonomy; however, this form of practice varies according to the type of sport. The most popular sport activities are walking and running, followed by fitness activities (fitness, resistance exercises, yoga, etc.). Women are particularly attracted to sports such as horse riding, tennis or gymnastics. The regularity of practice depends on the type of sport, and among people who report playing sports, 57% follow at least 2 sessions per week, for most of the year. For the general population, it is mainly the maintenance of health, the need for general wellbeing and relaxation that motivate people who do exercise or play sport, much more than the taste for competition and the need to perform.Fabry disease. 10-Deacetylbaccatin-III research buy Fabry disease is an X-linked disorder in which lysosomal alpha-galactosidase A is lacking, leading to enzyme-substrate accumulation and tissues dysfunction. Acroparesthesia, angiokeratoma, familial nephropathy or hypertrophic cardiomyopathy should suggest Fabry disease. Enzymatic assay allows diagnosis in men but genetic assay is needed for women. Enzyme replacement therapy is available since 2001 and a pharmacologic chaperone since 2016.Covid-19 do not neglect neurological symptoms. Covid-19 is a highly contagious acute viral disease caused by a new coronavirus, SARS-CoV-2. It appeared in December 2019 in China and has spread rapidly affecting more than 2.5 million people with more than 177,000 deaths worldwide to date. Among the diverse symptoms depicted around this pathology neurological ones have been long overlooked. They may be signs of a severe form of Covid-19.Conductive hearing loss with a normal eardrum. Conductive hearing loss with a normal eardrum is defined by a hearing loss in in relation to a disturbance in the transmission of sound waves from a normal eardrum to an intact cochlear nerve. The interest in diagnosing these kinds of hearing loss is due on the one hand to their high frequency, on the other hand to the socio-professional repercussions that they can induce and finally to the fact that a large part of them are accessible to surgical treatment or, hearing aid. The CT-scan contributes to the diagnostic orientation and the preoperative assessment. If the pathologies of the middle ear dominate in frequency the possible causes of conductive hearing loss with a normal eardrum, especially otosclerosis, abnormalities of the inner ear, which can be responsible for conductive or mixed hearing loss, have recently listed thanks to advances in modern digital imaging. After a brief anatomical reminder of the tympano-ossicular system, we will deal with their positive, differential and etiological diagnosis.Innovations in child psychotherapy. The psychotherapeutic approach represents the main focus of care in the field of child and adolescent mental health because of the limited place of psychopharmacology at this period of life. In recent years we have witnessed a diversification of theoretical models and the development of new focused approaches which explicitly raise the question of the formalization of therapeutic objectives and their sharing with the child/adolescent and his/her family. The aim of this article is to present some of the main innovations developed in recent years in the field of child and adolescent psychotherapy and in particular parental guidance, mindfulness meditation, trauma-focused psychotherapies and psychotherapies delivered via the internet. Beyond the specificities of these models, all these approaches converge to underline the involvement of the entourage and the perception on the part of the child of being understood by the therapist as the two main mechanisms at the heart of change in psychotherapy and as levers capable of promoting the re-emergence of a capacity to learn in the interpersonal and social world.

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