<?xml version="1.0" encoding="UTF-8"?><mets:mets xmlns:mets="http://www.loc.gov/METS/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:mads="http://www.loc.gov/mads/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:tef="http://www.abes.fr/abes/documents/tef" xmlns:metsRights="http://cosimo.stanford.edu/sdr/metsrights/" xmlns:dcterms="http://purl.org/dc/terms/">
    <mets:metsHdr ID="rennes1-ori-wf-1-20826" CREATEDATE="2025-03-19T15:10:55" LASTMODDATE="2025-03-19T15:10:56">
  <mets:agent ROLE="CREATOR">
            <mets:name>Université de Rennes</mets:name>
        </mets:agent>
</mets:metsHdr>
    <mets:dmdSec ID="desc_expr" CREATED="2025-03-19T15:10:55">
  <mets:mdWrap MDTYPE="OTHER" OTHERMDTYPE="tef_desc_these">
            <mets:xmlData>
                <tef:thesisRecord>
     <dc:title xml:lang="fr">La prise en charge de la fatigue chronique dans les maladies inflammatoires chroniques de l'intestin (MICI)</dc:title>
     <dcterms:alternative xml:lang="en">Management of chronic fatigue in inflammatory bowel disease (IBD)</dcterms:alternative>
     <dc:subject xml:lang="fr">Maladies inflammatoires chroniques de l’intestin</dc:subject><dc:subject xml:lang="fr">MICI</dc:subject><dc:subject xml:lang="fr">Maladie de Crohn</dc:subject><dc:subject xml:lang="fr">rectocolite hémorragique</dc:subject><dc:subject xml:lang="fr">RCH</dc:subject><dc:subject xml:lang="fr">Fatigue chronique</dc:subject>
     <dc:subject xml:lang="en">Chronic inflammatory bowel diseases</dc:subject><dc:subject xml:lang="en">IBD</dc:subject><dc:subject xml:lang="en">Crohn's disease</dc:subject><dc:subject xml:lang="en">ulcerative colitis</dc:subject><dc:subject xml:lang="en">UC</dc:subject><dc:subject xml:lang="en">Chronic fatigue</dc:subject>
     <tef:sujetRameau><tef:vedetteRameauNomCommun>
						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="174762844">Maladies inflammatoires chroniques de l'intestin</tef:elementdEntree>
      <tef:subdivision autoriteSource="Sudoc" type="subdivisionDeSujet" autoriteExterne="027790967">Complications (médecine)</tef:subdivision>
					</tef:vedetteRameauNomCommun><tef:vedetteRameauNomCommun>
						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="028713591">Maladie de Crohn</tef:elementdEntree>
					</tef:vedetteRameauNomCommun><tef:vedetteRameauNomCommun>
						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="028691172">Rectocolite hémorragique</tef:elementdEntree>
					</tef:vedetteRameauNomCommun><tef:vedetteRameauNomCommun>
						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="030630312">Syndrome de fatigue chronique</tef:elementdEntree>
					</tef:vedetteRameauNomCommun></tef:sujetRameau>
     
     
     
     <dcterms:abstract xml:lang="fr">Les maladies inflammatoires chroniques de l’intestin ou MICI sont des pathologies auto-immunes regroupant notamment la maladie de Crohn et la rectocolite hémorragique. Ce sont des maladies évoluant avec des phases de poussées caractérisées par des douleurs abdominales, des rectorragies et des troubles de l’absorption entrecoupées par des phases de rémission. Un nombre conséquent de patients atteints de MICI se plaignent de souffrir de fatigue au quotidien mais son origine reste pour l’heure inconnue. A l’issue de cette thèse nous avons pu réaliser une fiche à destination des patients résumant les principales solutions pouvant être utilisées pour soulager cette fatigue chronique. L’élaboration de cette fiche est issue de recherches à partir de la littérature scientifique ainsi que d’une étude que nous avons menée auprès des patients du service des maladies de l’appareil digestif du CHU de Rennes.</dcterms:abstract>
     <dcterms:abstract xml:lang="en">Chronic inflammatory bowel diseases (IBD) are autoimmune disorders that include Crohn's disease and ulcerative colitis. These diseases are characterized by periods of flare-ups, marked by abdominal pain, rectal bleeding, and absorption issues which are interspersed with periods of remission. A significant number of patients with IBD report daily fatigue, though its underlying cause remains unknown. At the end of this thesis, we were able to create a leaflet for patients summarizing the main solutions that could be used to easen this chronic fatigue. The development of this leaflet was based on extensive review of the curent scientific literature, as well as the study we conducted with patients from the Digestive Diseases Department at the CHU of Rennes.</dcterms:abstract>
     <dc:type>Electronic Thesis or Dissertation</dc:type><dc:type xsi:type="dcterms:DCMIType">Text</dc:type>
     <dc:language xsi:type="dcterms:RFC3066">fr</dc:language>
    </tef:thesisRecord>
            </mets:xmlData>
        </mets:mdWrap>
</mets:dmdSec>
    <mets:dmdSec ID="desc_edition" CREATED="2025-03-19T15:10:55">
  <mets:mdWrap MDTYPE="OTHER" OTHERMDTYPE="tef_desc_edition">
            <mets:xmlData>
                <tef:edition><dcterms:medium xsi:type="dcterms:IMT">application/pdf</dcterms:medium><dcterms:extent>1 : 6464 Ko</dcterms:extent><dc:identifier xsi:type="dcterms:URI">https://ged.univ-rennes1.fr/nuxeo/site/esupversions/bf624058-c804-4dd1-9e52-aea80ffbc237</dc:identifier></tef:edition>
            </mets:xmlData>
        </mets:mdWrap>
</mets:dmdSec>
    <mets:amdSec>
        <mets:techMD ID="admin_expr">
            <mets:mdWrap MDTYPE="OTHER" OTHERMDTYPE="tef_admin_these">
                <mets:xmlData>
                    <tef:thesisAdmin>
                        <tef:auteur>
       <tef:nom>Julou</tef:nom>
       <tef:prenom>Morgane</tef:prenom>
       
       <tef:dateNaissance>2000-04-26</tef:dateNaissance>
       <tef:nationalite scheme="ISO-3166-1">FR</tef:nationalite>
       <tef:autoriteExterne autoriteSource="Sudoc">28903129X</tef:autoriteExterne>
       <tef:autoriteExterne autoriteSource="mailPerso">morgane.julou35@gmail.com</tef:autoriteExterne>
      </tef:auteur>
                        <dc:identifier xsi:type="tef:NNT">2025URENP009</dc:identifier>
                        <dc:identifier xsi:type="tef:nationalThesisPID">http://www.theses.fr/2025URENP009</dc:identifier>
                        <dcterms:dateAccepted xsi:type="dcterms:W3CDTF">2025-02-28</dcterms:dateAccepted>
                        <tef:thesis.degree>
                            <tef:thesis.degree.discipline xml:lang="fr">Pharmacie</tef:thesis.degree.discipline>
                            <tef:thesis.degree.grantor>
        <tef:nom>Universite de Rennes</tef:nom><tef:autoriteInterne>thesis.degree.grantor_1</tef:autoriteInterne>
        
        <tef:autoriteExterne autoriteSource="Sudoc">26693823X</tef:autoriteExterne>
       </tef:thesis.degree.grantor>
                            <tef:thesis.degree.level>Doctorat (thèse d'exercice)</tef:thesis.degree.level>
                        </tef:thesis.degree>
                        <tef:theseSurTravaux>non</tef:theseSurTravaux>
                        <tef:avisJury>oui</tef:avisJury><tef:directeurThese><tef:nom>Bousarghin</tef:nom><tef:prenom>Latifa</tef:prenom><tef:autoriteInterne>intervenant_1</tef:autoriteInterne><tef:autoriteExterne autoriteSource="Sudoc">076373347</tef:autoriteExterne></tef:directeurThese>
      
      
      
      
                        
                        <tef:oaiSetSpec>ddc:610</tef:oaiSetSpec>
                        
                    <tef:MADSAuthority authorityID="intervenant_1" type="personal"><tef:personMADS><mads:namePart type="family">Bousarghin</mads:namePart><mads:namePart type="given">Latifa</mads:namePart></tef:personMADS></tef:MADSAuthority><tef:MADSAuthority authorityID="thesis.degree.grantor_1" type="corporate"><tef:personMADS><mads:namePart>Universite de Rennes</mads:namePart><mads:description>Sciences et technologie, medecine, pharmacie, odontologie, droit, economie, gestion, philosophie</mads:description></tef:personMADS></tef:MADSAuthority></tef:thesisAdmin>
                </mets:xmlData>
            </mets:mdWrap>
        </mets:techMD><mets:techMD ID="file_1"><mets:mdWrap MDTYPE="OTHER" OTHERMDTYPE="tef_tech_fichier"><mets:xmlData><tef:meta_fichier>
     <tef:encodage>ASCII</tef:encodage>
     <tef:formatFichier>PDF</tef:formatFichier>
     
     
     
     <tef:taille>6619405</tef:taille>
    </tef:meta_fichier></mets:xmlData></mets:mdWrap></mets:techMD>
        
        <mets:rightsMD ID="dr_expr_thesard">
            <mets:mdWrap MDTYPE="OTHER" OTHERMDTYPE="tef_droits_auteur_these">
                <mets:xmlData>
                    <metsRights:RightsDeclarationMD>
                        <metsRights:Context CONTEXTCLASS="GENERAL PUBLIC">
                            <metsRights:Permissions DISCOVER="true" DISPLAY="true" COPY="true" DUPLICATE="true" MODIFY="false" DELETE="false" PRINT="true"/>
                        </metsRights:Context>
                    </metsRights:RightsDeclarationMD>
                </mets:xmlData>
            </mets:mdWrap>
        </mets:rightsMD>
        <mets:rightsMD ID="dr_expr_univ">
            <mets:mdWrap MDTYPE="OTHER" OTHERMDTYPE="tef_droits_etablissement_these">
                <mets:xmlData>
                    <metsRights:RightsDeclarationMD>
                        <metsRights:Context CONTEXTCLASS="GENERAL PUBLIC">
                            <metsRights:Permissions DISCOVER="true" DISPLAY="true" COPY="true" DUPLICATE="true" MODIFY="false" DELETE="false" PRINT="true"/>
                        </metsRights:Context>
                    </metsRights:RightsDeclarationMD>
                </mets:xmlData>
            </mets:mdWrap>
        </mets:rightsMD>
        <mets:rightsMD ID="dr_version">
            <mets:mdWrap MDTYPE="OTHER" OTHERMDTYPE="tef_droits_version">
                <mets:xmlData>
                    <metsRights:RightsDeclarationMD>
                        <metsRights:Context CONTEXTCLASS="GENERAL PUBLIC">
                            <metsRights:Permissions DISCOVER="true" DISPLAY="true" COPY="true" DUPLICATE="true" MODIFY="false" DELETE="false" PRINT="true"/>
                        </metsRights:Context>
                    </metsRights:RightsDeclarationMD>
                </mets:xmlData>
            </mets:mdWrap>
        </mets:rightsMD>
    </mets:amdSec>
    <mets:fileSec>
  <mets:fileGrp ID="FGrID1" USE="archive"><mets:file ID="FID1" ADMID="file_1" MIMETYPE="application/pdf" USE="maitre"><mets:FLocat LOCTYPE="URL" xlink:href="https://ged.univ-rennes1.fr/nuxeo/site/esupversions/bf624058-c804-4dd1-9e52-aea80ffbc237"/></mets:file></mets:fileGrp>
 </mets:fileSec>
    <mets:structMap TYPE="logical">
        <mets:div DMDID="desc_expr" ADMID="dr_expr_thesard dr_expr_univ admin_expr" TYPE="THESE" CONTENTIDS="http://ori-oai-search.univ-rennes1.fr/uid/rennes1-ori-wf-1-20826/oeuvre">
            <mets:div ADMID="dr_version" TYPE="VERSION_COMPLETE" CONTENTIDS="http://ori-oai-search.univ-rennes1.fr/uid/rennes1-ori-wf-1-20826/oeuvre/version">
                <mets:div DMDID="desc_edition" TYPE="EDITION" CONTENTIDS="http://ori-oai-search.univ-rennes1.fr/uid/rennes1-ori-wf-1-20826/oeuvre/version/edition">
                    <mets:fptr FILEID="FGrID1"/>
                </mets:div>
            </mets:div>
        </mets:div>
    </mets:structMap>
</mets:mets>