Jean-Marc Cloos

• MD, PhD
• Medical Director at Centre Hospitalier du Nord (CHdN)

Objectives: The objective of this work is to determine the extent to which a project management office (PMO) could represent an added value for the hospital sector. Methods: After a general overview of the PMO concept, its specificity in the healthcare field, and a description of the specific local situation, 11 interviews were conducted using an i...

Conference on Mental Fitness held in several locations. German & French translation: see linked data.

Cours donné dans le cadre du Bachelor en Médecine de l'Université du Luxembourg

Cours donné dans le cadre du Bachelor en Médecine de l'Université du Luxembourg

Le dépistage précoce de l’usage éthylique

Cours donné dans le cadre du Bachelor en Médecine de l'Université du Luxembourg

De la consommation à l’addiction : substances et comportements.

Objectives A clear definition of what we understand of high‐dose misuse or of a ‘markedly increased dose’ (as stated by the DSM‐5) is important and past definitions may be inadequate. The aim of this review is to describe the different definitions used and to test these definitions for their accuracy. Methods A narrative PubMed literature review w...

Le futur médecin rencontre, dans son parcours d’études, de multiples formes d’évaluation, dont chacune évalue un ou plusieurs domaines de sa connaissance. En situation clinique, le contact avec le patient en présence du maître de stage est un moment privilégié qui permet au MEVS d’expliquer son raisonnement clinique et au maître de stage de l’éval...

Les aspects médicaux des consommateurs chroniques de drogues illicites

Cours donné aux médecins en voie de spécialisation en psychiatrie à l'Université Libre de Bruxelles (ULB)

This thesis is presented as part of the PhD in Medical Sciences of the University of Liège (ULg). It provides an overview of the use of benzodiazepine hypnotics and anxiolytics, their likelihood of progression to high-dose dependence and their mortality risk. The general section summarizes the indications of benzodiazepines, their types and their c...

Les benzodiazépines hypnotiques présentent un risque de développement d’une dépendance à haut dosage nettement plus important que les benzodiazépines anxiolytiques, selon une étude luxembourgeoise récente. Cet article résume les principales indications de ces molécules et les recommandations thérapeutiques actuelles. Il donne un aperçu des actions...

Benzodiazepine hypnotics bear a higher risk of high dose dependence than benzodiazepine anxiolytics, according to a recent study in Luxemburg. This article summarizes the main indications of these molecules and the current treatment recommendations. It provides an overview of public health actions of the past and the future to reduce their excessiv...

Benzodiazepines are not all the same concerning their risk of high-dose use. We studied benzodiazepine use from the Luxembourg national records of all insured. We calculated the 12-year prevalence from 1995 to 2007. Benzodiazepine users were divided into 3 groups, short-term with no longer than 3-month intake, intermediate with multiple administrat...

Benzodiazepines have been considered the treatment of choice for a variety of neuropsychiatric disorders. They are currently much more controversial and drugs considered less dangerous are generally preferred. This article summarizes the characteristics of the different benzodiazepines present on the Belgian market. It describes abuse and dependenc...

Éthique appliquée dans la prise en charge médicale des addictions: Questions éthiques et contraintes de terrain dans le travail avec les consommateurs de drogues.

Prévention des problèmes d’alcool au travail

Conférence de presse donnée dans le cadre de la présentation de la brochure "Bonne Nuit" du Ministère de la Santé du Grand-Duché de Luxembourg: https://sante.public.lu/fr/publications/b/bonne-nuit-conseils-fr-de.html

Les benzodiazépines constituent les substances les plus largement prescrites du groupe des hypnotiques, sédatifs et anxiolytiques. Elles sont utilisées dans un grand nombre de domaines médicaux. Généralement bien tolérées, elles peuvent cependant être à l’origine d’abus, voire de tolérance et de dépendance. Ces problèmes d’addiction aux benzodiazép...

Background: Prevalence rates of benzodiazepine intake vary amongst studies, mainly due to definitions of benzodiazepine use and abuse, lengths of observation period and samples of subject. Objective: To examine short-and long-term clinical use of benzodiazepines in a large national sample from 1995 to 2006. Methods: A twelve-year population-based s...

Présentation donnée aux parents d'élèves du Lycée Vauban

The aim of this study is to provide a review of articles published between July 2007 and August 2008 on the current use and rationale of benzodiazepines in anxiety disorders. Recent review articles confirm selective serotonin reuptake inhibitors as first-choice drugs for treating anxiety disorders, alongside newer agents such as pregabalin or serot...

Cours donné aux médecins en voie de spécialisation

Conférence donnée aux pharmaciens

• 17% of the population receive at least one prescription per year. • Nearly 2/3 of them are 50 years or older, nearly 2/3 are female. • The average number of prescribed DDDs/1000 insured/day is 83. • 5% of the consumers take two or more DDDs per day. • More than 25% have long-term prescriptions (> 3 months). • Low-dose dependency is suspected in 1...

The chronic use of benzodiazepines is of limited therapeutic benefit and increases the risk of adverse events. The purpose of the study was to examine benzodiazepine prescription patterns of physicians in domiciliary practice in the Grand-Duchy of Luxembourg and to obtain reliable results on the prevalence of benzodiazepine use within the country.

Ce mémoire porte sur les benzodiazépines et leur délivrance au Grand-Duché de Luxembourg. Il est présenté dans le cadre de la Capacité d’Addictologie Clinique de la Faculté de Médecine de l’Université Louis Pasteur de Strasbourg. En matière clinique, le contenu du mémoire reproduit les bonnes pratiques actuellement recommandées (AWMF 2006). Le prem...

Brain disorders (psychiatric, neurological and neurosurgical diseases) are leading causes of disease and disability. According to WHO data they cause 35% of the burden of all diseases in Europe. The present study aims to estimate the cost of defined brain disorders and adds all selected disorders to arrive at the total cost for Luxembourg. A model...

The aim of this article is to provide an updated review of studies and recommendations published from August 2003 to August 2004 on the treatment of panic disorder. Cognitive-behavioral psychotherapy remains the treatment of choice for panic disorder. Recent studies confirm selective serotonin reuptake inhibitors as the first-choice drugs in treati...

Comprendre les raisons qui motivent une personne à changer de comportement constitue un travail intéressant pour le thérapeute. Cette motivation dépend de plusieurs facteurs et peut être considérée comme un facteur influençant les conduites individuelles dans un processus de changement. Avant d'entamer un sevrage tabagique, le fumeur doit d'abord s...

Schizophrenia is one of the most complex and puzzling diseases to affect mankind. It is the most common of the severe mental illnesses (psychoses) with an estimated prevalence of 0.5 – 1% in the general population and accounts for a very large portion of the day to day workload of the average psychiatrist. 50% of long–term psychiatric patients in m...

Évaluer l’handicap chez des personnes souffrant de problèmes de santé chronique est d’une importance capitale et concerne particulièrement le domaine de la psychiatrie. La révision, par l’Organisation Mondiale de la Santé (OMS), de la « Classification Internationale du Fonctionnement, de l’Handicap et de la Santé (CIF) » a lancé de multiples études...

En médecine préventive, l'effet nocif du tabac a été une des découvertes les plus importantes. On suppose en effet que chaque deuxième fumeur décède prématurément. Les décès sont principalement dus aux cancers, aux problèmes respiratoires (bronchopathies chroniques obstructives aboutissant à l'emphysème) aux maladies cardio-vasculaires (accidents v...

This book provides an overview of the strengths and limitations of the currently available systems for the diagnosis and classification of mental disorders, in particular the DSM-IV and the ICD-10, and of the prospects for future developments. Among the covered issues are: * The impact of biological research * The diagnosis of mental disorders i...

The Association of European Psychiatrists (AEP) was founded to foster communication between psychiatrists in Europe in all major fields, including in particular clinical practice, training, research and ethics. To achieve these aims, the AEP organizes European Congresses (every second year), spring and autumn symposia (in the years between Congress...

The 10th Revision of the International Classification of Diseases (ICD-10) and the 4th Edition of the Diagnostic and Statistical Manual of Mental Disorders both provide general criteria for the diagnosis of personality disorder as well as specific criteria for 8 (ICD-10) and 10 individual personalty disorders. The general criteria are essentially t...

This text presents the background, results and conclusions of a major cross-cultural applicability study of the revised version of the WHO's "International Classification of Functioning and Disability" (ICIDH-2), adopted in 2001, and used in 191 countries. Like the related ICD-10 did for diseases, ICIDH-2 is expected to revolutionize care of disabi...

Over the past twenty years the World Health Organization (WHO) has developed a number of semi-structured instruments to evaluate psychopathology. The CIDI (Composite International Diagnostic Interview) is a fully structured diagnostic interview for use by lay interviewers as well as by clinicians. Its main interest lies in the assessment of large p...

It is suspected that anxiety disorders are accompanied by various degrees of disablement, ranging from only mild discomfort to extreme distress. The suitability of several instruments to access this disablement has been described in the past. This presentation is part of a multinational project involving the national CRP-Sante (“Centre de Recherche...

La prévention et la promotion dans le domaine de la santé mentale, à la base de l'épanouissement individuel et du bien-être social, ont été renforcées par de récentes initiatives de l'Union Européenne. Après avoir brossé un bref aperçu des concepts de santé et de santé mentale, l'auteur rappelle dans la première partie du mémoire la fréquence et l'...

Few countries can provide adequate health services for all the mentally ill, yet none have developed a rational system to decide who should be treated. This innovative book considers ways to resolve this dilemma. The questions are clear: What should the criteria be for deployment of scarce treatment resources? How do we determine and apply such cri...

This text offers information to doctors wishing to spend part of their career in another European country. It offers: practical advice on all 20 countries; useful addresses; and study options at postgraduate level and beyond.

Background: Training of psychiatrists remains quite heterogenous in European countries. The requirements and the regulations of postgraduate psychiatry training in some French speaking countries are reviewed and compared. Methods: The author was interested to compare residency training in Belgium and Switzerland. Comparisons include length and cont...

An electronic database containing the curricula and other information of more than 200 medical schools from 40 different countries has been compiled and made accessible via the World Wide Web (http:@yi.com/emsis), with the aims of providing an overview and to enable a comparison of the curricula of Medical Schools in Europe, of facilitating the coo...

Après avoir brossé un bref aperçu de l’Internet, les auteurs posent les notions de messagerie électronique, de liste de distribution, de forum de discussion. Ils suggèrent également quelqu’applicabilités pour le psychiatre. Sont également évoquées plusieurs méthodes d’obtention d’information sur le WorldWideWeb, particulièrement dans le cadre d’une...

Studies examining possible risk factors for the development of alcoholism (ALC) have focused on a variety of personality factors, including those associated with impulsive behaviour. The aim of this study was to evaluate the relationship between impulsive behaviour and alcohol consumption.41 impulsive patients {21 with ALC: age: 36 (22-60); female...

Depuis deux décennies, les pays occidentaux tentent de rationaliser l'affectation du budget consacré aux soins de santé. Sachant qu'une grande part de ce budget est alloué aux hôpitaux, les pouvoirs publics ont successivement conçu différents mécanismes de financement pour ces institutions. Le rappel historique des politiques et réformes de dix pay...