Chateau Gontier Sur Mayenne

Researchers are investigating the best treatment approach for uncomplicated acute small bowel obstruction (aSBO). The current standard "Bologna guidelines" recommend non-surgical management for 72 hours before considering surgery, but this approach only succeeds in 60 to 70% of cases. Delaying surgery may increase complications and mortality. Recent studies suggest that early surgery within 24 hours might reduce risks and shorten hospital stays, especially with the availability of laparoscopy, which may decrease operative complications though it is not always feasible. The study also focuses on differentiating two types of aSBO mechanisms using a CT scan-based radiological score to predict treatment success and guide decisions.

Low back pain is a common condition affecting about 23% of the general population and can lead to challenges such as psychosocial difficulties and prolonged inability to work. In France, treatment usually involves general practitioners and sometimes physiotherapists. Researchers are evaluating whether coordinated care involving general practitioners, physiotherapists, and occupational health services can improve the management and outcomes for patients with subacute or recurrent acute low back pain compared to standard care. The study compares two approaches: coordinated care and standard care. Coordinated care includes early contact with occupational health services initiated by the general practitioner and the use of an occupational retention tool. Patients in this group also receive an active physiotherapy program consisting of 15 individual, intensive, and regular rehabilitation sessions lasting one hour each, scheduled two to three times per week. This approach is deployed at the territory level to assess its impact on patient outcomes. Participants will be followed for one year after enrollment. During this time, researchers will monitor the perceived inability to work as the primary outcome. The study involves regular assessments and tracking of patient progress to evaluate the effectiveness of coordinated care in reducing prolonged disability related to low back pain. Overall, the study aims to improve the care pathway and reduce the risk of long-term disability for patients in primary care settings.