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  1. Article: The impact of productivity standards on psychotherapy.

    Franco, Gilbert

    Frontiers in psychology

    2023  Volume 14, Page(s) 1229628

    Language English
    Publishing date 2023-11-20
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2023.1229628
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Videogames and Therapy: A Narrative Review of Recent Publication and Application to Treatment.

    Franco, Gilbert E

    Frontiers in psychology

    2016  Volume 7, Page(s) 1085

    Abstract: Individuals who play videogames can interact with virtual worlds, resulting in emotional and intellectual connections that have therapeutic implications in the hands of a skilled and informed therapist. There is research available in the literature that ... ...

    Abstract Individuals who play videogames can interact with virtual worlds, resulting in emotional and intellectual connections that have therapeutic implications in the hands of a skilled and informed therapist. There is research available in the literature that suggests that videogames are a viable option in psychotherapy. The present article provides a review of the literature available in the use of videogames in treatment, discusses the importance of disseminating the findings in the literature, and discusses the integration of videogames in treatment.
    Language English
    Publishing date 2016-07-14
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2016.01085
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Videogames as a Therapeutic Tool in the Context of Narrative Therapy.

    Franco, Gilbert E

    Frontiers in psychology

    2016  Volume 7, Page(s) 1657

    Language English
    Publishing date 2016-10-25
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2016.01657
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Supervision and MFT burnout: overcoming the challenges therapists face in the workplace.

    Franco, Gilbert E

    Frontiers in psychology

    2015  Volume 6, Page(s) 1644

    Language English
    Publishing date 2015-10-27
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2015.01644
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  5. Article: Commentary: Awareness of Risk Factors for Digital Game Addiction: Interviewing Players and Counselors.

    Franco, Gilbert E

    Frontiers in psychology

    2015  Volume 6, Page(s) 1913

    Language English
    Publishing date 2015-12-16
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2015.01913
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  6. Article ; Online: Standardized Methodology for Duplex Ultrasound Examination of Arteriovenous Access for Hemodialysis: A Proposal of the French Society of Vascular Medicine and the French-Speaking Society of Vascular Access.

    Pichot, Olivier / Diard, Antoine / Bosc, Jean-Yves / Abbadie, Fabrice / Franco, Gilbert / Mahé, Guillaume / Sadaghianloo, Nirvana

    Ultrasound in medicine & biology

    2023  Volume 49, Issue 10, Page(s) 2213–2220

    Abstract: Duplex ultrasound (DUS) is an essential tool for characterizing and monitoring arteriovenous (AV) access for hemodialysis. The aim of the work described here, requested by the French Society of Vascular Medicine in collaboration with the French-Speaking ... ...

    Abstract Duplex ultrasound (DUS) is an essential tool for characterizing and monitoring arteriovenous (AV) access for hemodialysis. The aim of the work described here, requested by the French Society of Vascular Medicine in collaboration with the French-Speaking Vascular Access Society, is to propose a standardized methodology for performing and documenting DUS, taking into account the variety of AV access techniques and the problems routinely encountered. A steering committee reviewed the literature and selected the relevant references. A draft was prepared, and all items with missing or conflicting data were submitted to a Delphi consensus. The final document was discussed and approved by all participants. The principles of DUS evaluation of AV access consist of examination of the afferent artery, the anastomosis and the entire venous drainage system. DUS uses B-mode ultrasound, color flow, pulsed wave and power Doppler analysis. DUS can be used in a variety of clinical situations, which can directly influence the methodology of the examination and the interpretation of the results. Blood flow should be assessed as it correlates with the risk of thrombosis. The measurement should be adapted to the different anatomical and hemodynamic conditions encountered. Characterization of stenosis should take into account the residual diameter of the drainage vein and its hemodynamic consequences. Other complications can be assessed with a standardized DUS examination. When performed according to a rigorous methodology, DUS of the AV access allows a comprehensive assessment of its functionality and eliminates the need for further invasive diagnostic procedures.
    MeSH term(s) Humans ; Arteriovenous Shunt, Surgical ; Renal Dialysis ; Ultrasonography, Doppler, Duplex/methods ; Veins ; Cardiology
    Language English
    Publishing date 2023-08-04
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 186150-5
    ISSN 1879-291X ; 0301-5629
    ISSN (online) 1879-291X
    ISSN 0301-5629
    DOI 10.1016/j.ultrasmedbio.2023.07.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Clinical hemodialysis experience with percutaneous arteriovenous fistulas created using the Ellipsys® vascular access system.

    Hebibi, Hedia / Achiche, Jedjiga / Franco, Gilbert / Rottembourg, Jacques

    Hemodialysis international. International Symposium on Home Hemodialysis

    2019  Volume 23, Issue 2, Page(s) 167–172

    Abstract: Introduction: The aim of this study is to report our clinical hemodialysis experience using a percutaneous arteriovenous fistula (pAVF) created with the Ellipsys® vascular access system. This pAVF device creates a permanent AVF anastomosis between the ... ...

    Abstract Introduction: The aim of this study is to report our clinical hemodialysis experience using a percutaneous arteriovenous fistula (pAVF) created with the Ellipsys® vascular access system. This pAVF device creates a permanent AVF anastomosis between the proximal radial artery (PRA) and the deep communicating vein (DCV) in the proximal forearm.
    Methods: The medical records of all patients with a pAVF were retrospectively reviewed. The clinical data analyzed included reliability of pAVF use, quality of dialysis, rate and success of puncture, and pAVF related complications, along with incidence of subsequent interventions.
    Findings: Between May 2017 and November 2018, 34 patients had a pAVF created with technical success in 33 patients (97%). Twenty-eight out of 34 (82%) patients had successful two-needle cannulation within 10 days to 6 weeks after pAVF creation. The mean Kt/v was 1.6 (1.2-2) and the average recirculation was 10%. Fifteen patients (44%) needed no further access intervention. Twelve patients (35%) required an additional procedure to assist maturation of the pAVF in order to facilitate puncture. The average blood flow measured at the brachial artery, before the first cannulation, was 850 ml/min. From causes unrelated to the procedure, four patients died during the follow-up study. Two patients required revision to a surgical AVF. None of the pAVFs developed aneurysmal degeneration steal syndrome, or high access flow related issues.
    Discussion: The Ellipsys® pAVF offers a safe and functional vascular access for hemodialysis. Advantages included prompt access maturation, avoidance of high flow AVFs, and a simple nonsurgical procedure with high patient satisfaction. Functional outcomes are equivalent and likely better than surgical fistulas. There appears to be less aneurysmal degeneration and need for future re-intervention. Objective dialysis parameters indicate excellent quality of hemodialysis for the patient.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Arteriovenous Shunt, Surgical/methods ; Female ; Humans ; Male ; Middle Aged ; Renal Dialysis/methods ; Retrospective Studies ; Vascular Patency/physiology
    Language English
    Publishing date 2019-03-01
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2192458-2
    ISSN 1542-4758 ; 1492-7535
    ISSN (online) 1542-4758
    ISSN 1492-7535
    DOI 10.1111/hdi.12738
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  8. Article ; Online: Creating percutaneous radiocephalic arteriovenous fistulas at the wrist.

    Mallios, Alexandros / Nelson, Peter R / Franco, Gilbert / Jennings, William C

    The journal of vascular access

    2020  Volume 22, Issue 2, Page(s) 299–303

    Abstract: Background: The first arteriovenous fistulas were created at the wrist more than 60 years ago. Basic surgical construction techniques remain unchanged with mobilization and repositioning of the vessels followed by a sutured anastomosis. We used the ... ...

    Abstract Background: The first arteriovenous fistulas were created at the wrist more than 60 years ago. Basic surgical construction techniques remain unchanged with mobilization and repositioning of the vessels followed by a sutured anastomosis. We used the Ellipsys device to construct percutaneous radiocephalic-arteriovenous fistulas at the wrist and report the results.
    Methods: Data were reviewed retrospectively for all patients who had a percutaneous radiocephalic-arteriovenous fistula created during a 6-month period. Each individual underwent ultrasound vessel mapping in addition to physical examination. When a radiocephalic-arteriovenous fistula was feasible and a communicating vein ⩾ 2 mm in diameter was noted in the distal forearm along with a radial artery ⩾ 2 mm, a percutaneous radiocephalic-arteriovenous fistula was considered and reviewed with the patient.
    Results: Four individuals met the criteria to consider a percutaneous radiocephalic-arteriovenous fistula and all elected to have the procedure performed. Ages were 54-85 years. Three were diabetic and one was female. All percutaneous radiocephalic-arteriovenous fistulas were technically successful. Two individuals had not yet started dialysis therapy. Successful and repetitive cannulation for the two individuals with catheters was initiated at 4 and 8 weeks post procedure. The two pre-dialysis patients had physiologic arteriovenous fistula maturation (6 mm vein diameter and >500 mL/min flow) at 4 and 12 weeks. There were no procedural or late complications and none required intervention. Follow-up was 8-23 months (mean 16 months).
    Conclusion: The success of these percutaneous radiocephalic-arteriovenous fistulas suggests that use of the Ellipsys device will be applicable at the wrist in selected patients where appropriate vessel sizes and configurations are found.
    MeSH term(s) Aged ; Aged, 80 and over ; Arteriovenous Shunt, Surgical/adverse effects ; Arteriovenous Shunt, Surgical/instrumentation ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation/adverse effects ; Blood Vessel Prosthesis Implantation/instrumentation ; Female ; Humans ; Male ; Middle Aged ; Radial Artery/diagnostic imaging ; Radial Artery/physiopathology ; Radial Artery/surgery ; Renal Dialysis ; Retrospective Studies ; Treatment Outcome ; Vascular Patency ; Wrist/blood supply
    Language English
    Publishing date 2020-06-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2252820-9
    ISSN 1724-6032 ; 1129-7298
    ISSN (online) 1724-6032
    ISSN 1129-7298
    DOI 10.1177/1129729820933737
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  9. Article ; Online: Ultrasound evaluation of percutaneously created arteriovenous fistulae between radial artery and perforating vein at the elbow.

    Franco, Gilbert / Mallios, Alexandros / Bourquelot, Pierre / Jennings, William / Boura, Benoit

    The journal of vascular access

    2020  Volume 21, Issue 5, Page(s) 694–700

    Abstract: Objective: To investigate the hemodynamics of percutaneous arteriovenous fistulae (pAVF) created between the proximal radial artery and the deep communicating vein of the elbow.: Methods: Consecutive patients with a percutaneously created proximal ... ...

    Abstract Objective: To investigate the hemodynamics of percutaneous arteriovenous fistulae (pAVF) created between the proximal radial artery and the deep communicating vein of the elbow.
    Methods: Consecutive patients with a percutaneously created proximal radial artery to perforating vein arteriovenous fistulae were evaluated and compared with control patients with clinically well-functioning surgical wrist radiocephalic arteriovenous fistulae (sWRC-AVF).
    Results: Thirty-one patients with a pAVF (21 males - 68%, mean age: 62 years, range: 53-81), with mean follow-up of 254 days (range: 60-443) and 32 patients with a surgical fistula (20 males - 62%, mean age of 63 years, range: 30-84) were evaluated. Mean access flow and distribution range were similar in the two study groups, with a mean flow of 859 mL/min vs 919 mL/min, respectively. There was no significant difference in the mean radial artery diameter (4 mm vs 4.3 mm,
    Conclusions: pAVF have a favourable hemodynamic profile with many similarities when compared with surgically created wrist fistulae. Cephalic and/or basilic vein matured with only minor outflow shunted to the deep venous system.
    MeSH term(s) Aged ; Aged, 80 and over ; Arteriovenous Shunt, Surgical ; Blood Flow Velocity ; Elbow/blood supply ; Female ; Humans ; Male ; Middle Aged ; Predictive Value of Tests ; Radial Artery/diagnostic imaging ; Radial Artery/physiopathology ; Radial Artery/surgery ; Renal Dialysis ; Retrospective Studies ; Time Factors ; Treatment Outcome ; Ultrasonography, Doppler ; Vascular Patency ; Veins/diagnostic imaging ; Veins/physiopathology ; Veins/surgery ; Wrist/blood supply
    Language English
    Publishing date 2020-01-10
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 2252820-9
    ISSN 1724-6032 ; 1129-7298
    ISSN (online) 1724-6032
    ISSN 1129-7298
    DOI 10.1177/1129729819897654
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  10. Article ; Online: Feasibility for arteriovenous fistula creation with Ellipsys

    Franco, Gilbert / Mallios, Alexandros / Bourquelot, Pierre / Hebibi, Hadia / Jennings, William / Boura, Benoit

    The journal of vascular access

    2020  Volume 21, Issue 5, Page(s) 701–704

    Abstract: Objective: To investigate the feasibility of percutaneous arteriovenous fistula creation in consecutive patients screened for first access creation.: Methods: Prospective study of ultrasound mapping based on the following minimal anatomic ... ...

    Abstract Objective: To investigate the feasibility of percutaneous arteriovenous fistula creation in consecutive patients screened for first access creation.
    Methods: Prospective study of ultrasound mapping based on the following minimal anatomic requirements: a patent proximal radial artery and adjacent elbow perforating vein with straight trajectory, each greater than or equal to 2 mm in diameter and within 1.5 mm of each other. In addition, the same population was evaluated for feasibility of a distal radiocephalic fistula established.
    Results: One hundred consecutive patients were examined between November 2018 and January 2019. Sixty-seven were male (67%) and mean age was 61 years. Sixty-three patients (63%) and a total of 100 limbs (50%) were found to be eligible for a percutaneous fistula creation with Ellipsys
    Conclusion: More than 60% of patients were eligible for Ellipsys. The absence of veins at the elbow and a large distance between vessels were the most common limiting factors. Less than one half of the patients were candidates for surgical fistula and this percentage dropped significantly for older individuals.
    MeSH term(s) Adult ; Age Factors ; Aged ; Aged, 80 and over ; Arteriovenous Shunt, Surgical/adverse effects ; Arteriovenous Shunt, Surgical/instrumentation ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation/adverse effects ; Blood Vessel Prosthesis Implantation/instrumentation ; Feasibility Studies ; Humans ; Male ; Middle Aged ; Prospective Studies ; Prosthesis Design ; Radial Artery/diagnostic imaging ; Radial Artery/physiopathology ; Radial Artery/surgery ; Renal Dialysis ; Risk Factors ; Time Factors ; Treatment Outcome ; Upper Extremity/blood supply ; Vascular Patency ; Veins/diagnostic imaging ; Veins/physiopathology ; Veins/surgery ; Young Adult
    Language English
    Publishing date 2020-01-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2252820-9
    ISSN 1724-6032 ; 1129-7298
    ISSN (online) 1724-6032
    ISSN 1129-7298
    DOI 10.1177/1129729819900114
    Database MEDical Literature Analysis and Retrieval System OnLINE

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