Recherche

[19/10/2017]
  ZFDebug log Log variables Variables cache Cache database 0 in 0 ms file 148 Files 14519K in 1336ms

Event log for indexController->searchAction() (media module)

1015ms11892KStartup - ZFDebug construct()
94ms1025KindexController::searchAction
291ms1806KDispatch
1336ms14343KShutdown

View variables

actionActif => 'search'
controllerActif => 'index'
controllerActifName => 'Index'
moduleActif => 'media'
moduleActifName => 'Media'
response => Zend_Controller_Response_Http Object()
rows =>
0 =>
med_a_la_une => 0
med_actif => 1
med_affiliations => '<p>1. Urgences, Centre hospitalier de Castres, Castres, France<br />2. Urgences p&eacute;diatriques, H&ocirc;pital des Enfants-CHU Toulouse, Toulouse, France<br />3. Pneumo-Allergologie p&eacute;diatrique, CHU Toulouse, Toulouse, France</p>'
med_annee => 0000
med_auteurs => 'Jean-Louis Montserret (1), Camille Bréhin (2), Audrey Martin-Blondel (3), Isabelle Claudet (2)'
med_condition_direct => 0
med_date_archive => '0000-00-00 00:00:00'
med_date_captation => '2016-05-10'
med_date_captation_fr => '10/05/2016'
med_date_crea => '2016-04-25 13:30:17'
med_date_debut => '2016-04-25 00:00:00'
med_date_fin => '0000-00-00 00:00:00'
med_date_maj => '2017-12-08 20:48:29'
med_description => ''
med_description_longue => '<p>Introduction&nbsp;: L'adr&eacute;naline est le traitement de premi&egrave;re intention de l'anaphylaxie s&eacute;v&egrave;re de l'enfant selon les recommandations 2006 de la World Allergy Organization.<br /> <br /> Objectif - Evaluer la pr&eacute;valence de son utilisation dans l'anaphylaxie s&eacute;v&egrave;re de l'enfant au niveau des h&ocirc;pitaux d'une m&ecirc;me r&eacute;gion.<br /> <br /> Patients et M&eacute;thodes&nbsp;: Sur la p&eacute;riode 2012-2013, les dossiers d'enfants &acirc;g&eacute;s de moins de 15 ans dont le code diagnostic &eacute;tait cod&eacute; J46, J384, J393, L500, L509, T780, T782, T784 ont &eacute;t&eacute; r&eacute;trospectivement s&eacute;lectionn&eacute;s, et les patients ayant un crit&egrave;re clinique de gravit&eacute; justifiant l'administration d'adr&eacute;naline ont &eacute;t&eacute; inclus.<br /> <br /> R&eacute;sultats&nbsp;: Sur la p&eacute;riode, 116 patients ont &eacute;t&eacute; inclus (58 issus du CHU, 58 des CHR) et auraient d&ucirc; b&eacute;n&eacute;ficier d'une injection d'adr&eacute;naline. Elle a &eacute;t&eacute; inject&eacute;e chez 49 patients (42,2%), 42 patients en CHU et 7 autres en CHR. La posologie et la voie d'administration &eacute;taient adapt&eacute;es dans 100% des cas. La moyenne d'&acirc;ge des patients &eacute;tait de 5,8&plusmn; 4,3 ans, il existait un gradient de gravit&eacute; clinique inversement li&eacute; &agrave; l'&acirc;ge&nbsp;: le groupe d'&acirc;ge inf&eacute;rieur &agrave; 2 ans comportait 42% de patients graves (3,2 [1,3-7,9[, p=0,014). Le transport &eacute;tait m&eacute;dicalis&eacute; dans 8% des cas, 45% d'entre eux &eacute;taient exempts d'ant&eacute;c&eacute;dents allergiques. Les manifestations cliniques &eacute;taient essentiellement cutan&eacute;omuqueuses (62%) et respiratoires (28%). Une expansion vol&eacute;mique par cristallo&iuml;des &eacute;tait prescrite chez 20 patients (91% des patients hypotendus). Il n'existait pas de diff&eacute;rence en terme de gravit&eacute; entre les patients ayant re&ccedil;u de l'adr&eacute;naline et les autres. Parmi les patients pr&eacute;sentant des crit&egrave;res de gravit&eacute; clinico-biologiques (n=27), 40% ont b&eacute;n&eacute;fici&eacute; d'une injection d'adr&eacute;naline. Un antihistaminique H1 ou un cortico&iuml;de seul &eacute;tait prescrit dans 15% des cas, la posologie de la m&eacute;quitazine, antiH1 le plus prescrit, &eacute;tait sous dos&eacute;e chez 42% des enfants. A l'issue de la surveillance aux urgences, une hospitalisation &eacute;tait n&eacute;cessaire dans 59,5% des cas.<br /> <br /> Conclusion&nbsp;: Dans des situations o&ugrave; elle est recommand&eacute;e, l'utilisation de l'adr&eacute;naline reste insuffisante. Des r&eacute;ticences &agrave; son injection persistent notamment en lien avec l'hypoth&eacute;tique risque cardiovasculaire secondaire, risque th&eacute;orique dans la population p&eacute;diatrique exempte de pathologies coronariennes.</p>'
med_duree_preview => 0
med_fichiers_joints => ''
med_id => 273
med_images => ''
med_integration => ''
med_max_vue_user => 0
med_nb_vues => 0
med_numero_final => 'P030'
med_poubelle => 0
med_public => 1
med_rang => 0000000000000
med_recommande => 0
med_soustitre => ''
med_standalone => 0
med_tags => 'anaphylaxie,adrénaline,pédiatrie'
med_titre => 'Prévalence de l'utilisation de l'adrénaline dans la prise en charge pré-hospitalière et hospitalière des réactions anaphylactiques de l'enfant'
med_video_dir => ''
med_video_height => 0
med_video_poster => ''
med_video_width => 0
med_vignette => '5a2aec8154731.jpg'
med_vignette2 => NULL
tags =>
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1 => 'adrénaline'
2 => 'pédiatrie'
them_id => 35
titre_nf => 'P030 - Prévalence de l'utilisation de l'adrénaline dans la prise en charge pré-hospitalière et hospitalière des réactions anaphylactiques de l'enfant'
url_rewriting => 'prevalence-de-l-utilisation-de-l-adrenaline-dans-la-prise-en-charge-pre-hospitaliere-et-hospitaliere-des-reactions-anaphylactiques-de-l-enfant'
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video_preview => 'http://bus.sfmu.org/medias/videos/previews/273.mp4'
videos_url =>
vignettes =>
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web_id => 2
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med_a_la_une => 0
med_actif => 1
med_affiliations => ''
med_annee => 2017
med_auteurs => 'Amina BRAHIMI (Lille), Emmanuel CLUIS (Lille), Stéphane Digard, Abdel LAABIDI (Paris), Noella LODE (Paris), Benjamin LOLOM (Paris), Alexia Moreira (Paris), Roger THERIZOL (Charenton le Pont), Patrick MIROUX (Angers)'
med_condition_direct => 0
med_date_archive => '2020-06-09 00:00:00'
med_date_captation => '2017-06-01'
med_date_captation_fr => '01/06/2017'
med_date_crea => '2017-06-09 12:31:33'
med_date_debut => '2017-06-01 00:00:00'
med_date_fin => '2018-06-01 00:00:00'
med_date_maj => '2017-06-10 16:21:46'
med_description => ''
med_description_longue => ''
med_duree_preview => 0
med_fichiers_joints => NULL
med_id => 2388
med_images => ''
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med_max_vue_user => 0
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med_public => 1
med_rang => 0000000000000
med_recommande => 0
med_soustitre => ''
med_standalone => 0
med_tags => ''
med_titre => 'Transferts spécifiques : néonatalogie, pédiatrie / bariatrique / assistance circulatoire'
med_video_dir => '/urgences2017/plateautv/27TRANSFERTSSPECIFIQUES'
med_video_height => 720
med_video_poster => ''
med_video_width => 1280
med_vignette => ''
med_vignette2 => NULL
tags =>
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them_id => 35
titre_nf => 'Transferts spécifiques : néonatalogie, pédiatrie / bariatrique / assistance circulatoire'
url_rewriting => 'transferts-specifiques-neonatalogie-pediatrie-bariatrique-assistance-circulatoire'
video_preview => 'http://bus.sfmu.org/medias/videos/previews/2388.mp4'
videos_url =>
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src => 'http://bus.sfmu.org/medias/videos/urgences2017/plateautv/27TRANSFERTSSPECIFIQUES/27TRANSFERTSSPECIFIQUES.mp4'
type => 'video/mp4'
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6 => 'http://bus.sfmu.org/medias/images/cms/vignette-media/640/2388__60.jpg'
web_id => 2
2 =>
med_a_la_une => 0
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med_affiliations => ''
med_annee => 2017
med_auteurs => 'Pr V. GAJDOS, Pédiatrie, Clamart'
med_condition_direct => 0
med_date_archive => '2020-06-20 00:00:00'
med_date_captation => '2017-05-12'
med_date_captation_fr => '12/05/2017'
med_date_crea => '2017-06-20 16:38:07'
med_date_debut => '2017-06-20 00:00:00'
med_date_fin => '2019-06-20 00:00:00'
med_date_maj => '2018-02-16 20:16:51'
med_description => ''
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med_duree_preview => 0
med_fichiers_joints => NULL
med_id => 2454
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med_rang => 0000000000000
med_recommande => 1
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med_tags => ''
med_titre => 'Qu’apportent les biomarqueurs dans l’exploration d’une fièvre en pédiatrie ?'
med_video_dir => '/UDI/Biomarqueurs2017/07gajdos'
med_video_height => 720
med_video_poster => ''
med_video_width => 1280
med_vignette => ''
med_vignette2 => ''
tags =>
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them_id => 35
titre_nf => 'Qu’apportent les biomarqueurs dans l’exploration d’une fièvre en pédiatrie ?'
url_rewriting => 'qu-apportent-les-biomarqueurs-dans-l-exploration-d-une-fievre-en-pediatrie-'
video_preview => 'http://bus.sfmu.org/medias/videos/previews/2454.mp4'
videos_url =>
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type => 'video/mp4'
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med_a_la_une => 0
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med_date_crea => '2015-11-17 14:46:15'
med_date_debut => '2015-11-17 00:00:00'
med_date_fin => '2018-11-17 00:00:00'
med_date_maj => '2017-08-01 18:42:17'
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med_titre => 'La détresse respiratoire aiguë de l'enfant '
med_video_dir => '/UDI/2015/besacon/conf/SFMU_Atelier_7_La_detresse_respiratoire_aigue_de_l_enfant'
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med_video_poster => ''
med_video_width => 1920
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tags =>
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titre_nf => 'La détresse respiratoire aiguë de l'enfant '
url_rewriting => 'la-detresse-respiratoire-aigue-de-l-enfant-'
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med_titre => 'Compte-rendu : la détresse respiratoire aiguë de l'enfant '
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med_date_fin => '2020-10-01 00:00:00'
med_date_maj => '2017-10-25 15:31:30'
med_description => '<ul> <li>Rappel des recommandations : mise en &oelig;uvre. Dr Jean-Louis Chabernaud (Clamart)</li> <li>L&rsquo;ECMO en p&eacute;diatrie : indications pragmatiques. Dr Pierre-Louis L&eacute;ger (Paris)</li> </ul>'
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med_soustitre => 'Rappel des recommandations - L'ECMO en pédiatrie'
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med_titre => 'Arrêt cardiaque en pédiatrie'
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them_id => 35
titre_nf => 'Arrêt cardiaque en pédiatrie'
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med_soustitre => 'Dr Jean-Louis Charbernaud'
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med_titre => 'Take home message: Arrêt cardiaque en pédiatrie'
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med_date_crea => '2017-11-09 22:01:26'
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med_date_fin => '0000-00-00 00:00:00'
med_date_maj => '2017-11-17 17:34:41'
med_description => '<p>JOURNEE NATIONALE DES INFIRMIERS ET PERSONNELS DE L&rsquo;URGENCE<br />L&rsquo;objectif de ces journ&eacute;es est de faire un &eacute;tat des lieux des derni&egrave;res connaissances param&eacute;dicales sur le vaste th&egrave;me de l&rsquo;accouchement et de la p&eacute;diatrie. <br />L&rsquo;accouchement en pr&eacute;-hospitalier<br />Les complications de l&rsquo;accouchement <br />Accueil de l&rsquo;enfant aux urgences <br />Relation de soins avec l&rsquo;enfant et sa famille</p>'
med_description_longue => ''
med_duree_preview => 0
med_fichiers_joints => NULL
med_id => 2575
med_images => ''
med_integration => ''
med_max_vue_user => 0
med_nb_vues => 0
med_numero_final => ''
med_poubelle => 0
med_public => 1
med_rang => NULL
med_recommande => 0
med_soustitre => 'Delphine HUGENSCHMITT (LYON)'
med_standalone => 0
med_tags => ''
med_titre => 'Synthèse Journée nationale des infirmiers et personnels de l'urgence'
med_video_dir => '/UDI/2017/jti2017/csu'
med_video_height => 1080
med_video_poster => ''
med_video_width => 1920
med_vignette => ''
med_vignette2 => NULL
tags =>
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them_id => 35
titre_nf => 'Synthèse Journée nationale des infirmiers et personnels de l'urgence'
url_rewriting => 'synthese-journee-nationale-des-infirmiers-et-personnels-de-l-urgence'
video_preview => 'http://bus.sfmu.org/medias/videos/previews/2575.mp4'
videos_url =>
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web_id => 2
session => Zend_Session_Namespace Object()
urlParams =>
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controller => 'index'
module => 'media'
them_id => 35
viewMessenger =>

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