References of "Jamoulle, Marc"
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See detailImprovement of a Long Covid patient after vaccinations, a case report in family practice
Jamoulle, Marc ULiege; Kazenza-Mugisha, Gisele; Zayane, Ayoub

in The Permanente Journal (in press)

Since 2019, primary care has been under great pressure from Covid-19 patients and now from those affected by Long Covid. The issue of this new condition, its diagnosis and available treatments, were ... [more ▼]

Since 2019, primary care has been under great pressure from Covid-19 patients and now from those affected by Long Covid. The issue of this new condition, its diagnosis and available treatments, were investigated on the occasion of an anecdotal and unexpected recovery of a patient with Long Covid. A 48-year-old woman, a single mother of two and patient in our family practice for several years, became sick from Covid-19 in October 2020. She never recovered, and 9 months later was still showing signs of severe Long Covid with somatic, behavioral, cognitive and memory disorders. After her two vaccinations by Comirnaty - Pfizer/BioNTech, she reported severe side effects, followed at day 12 after the first vaccine by an unexpected improvement still present at day 30 and 44 of the Long Covid symptoms from which she had suffered for several months. SARSCoV-2 antibodies were very high and although Magnetic Resonance Imaging were not very contributory, cerebral tomoscintigraphic examination was compatible with a cerebral pathology of vascular type. While no conclusions can be drawn from an isolated case, this case allows us to show that post Covid patients, who may already be highly comorbid, should be accompanied on a long-term basis. The disease is not yet precisely defined and symptoms may be non-specific or may vary depending on the organs affected. Diagnostic procedures are not always helpful. A post Covid heartsink patient with medically unexplained symptoms may well be a Covid long hauler. This makes listening to the patient‘s words and narrative medicine very powerful. [less ▲]

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See detailÉtude descriptive et narrative de cas de Long Covid en médecine générale et intérêt diagnostique de la scintigraphie cérébrale. Rapport de recherche clinique
Jamoulle, Marc ULiege; Kazeneza-Mugisha, Gisele; Zayane, Ayoub

Report (2021)

Les soins primaires sont soumis à une forte pression par les patients atteints de Covid-19 et ceux touchés par le Long Covid. La question du Long Covid, son diagnostic et son approche thérapeutique sont ... [more ▼]

Les soins primaires sont soumis à une forte pression par les patients atteints de Covid-19 et ceux touchés par le Long Covid. La question du Long Covid, son diagnostic et son approche thérapeutique sont abordés ici en détail. Le Long Covid est décrit sur base d'un suivi de la littérature mais aussi de l'expérience clinique accumulée en consultation de médecine générale. Les principales caractéristiques de vingt et un cas (seize femmes) de Long Covid rencontrés en 2021 sont exposées. L'expérience de six d'entre eux est relatée sur base des notes de leur dossier médical. Ces six patients ont été interviewés et invités chacun à relire et corriger les textes les concernant. Il s'agit donc d'une étude descriptive basée sur la clinique et la narration du vécu, vérifiée par les patients. Le Long Covid, première maladie dans l'histoire de la médecine à avoir été décrite d'abord par les patients eux-mêmes sur les réseaux sociaux, n'est pas encore précisément définie et les symptômes multi-systémiques peuvent être non spécifiques ou varier en fonction des organes touchés. Le diagnostic repose sur l'écoute attentive de l'histoire du patient. Une fatigue irrépressible inconnue auparavant, un brouillard cérébral, des troubles de la mémoire de travail avec éventuelle anomie, une anosmie, une dysgueusie ou d'autres symptômes multiples survenant après un Covid aigu sont très caractéristiques du Long Covid. Les preuves biologiques du Covid manquent chez dix patients. La PCR a pu être ne pas être faite ou être négative en phase aiguë de la maladie. Les anticorps anti-SARS-CoV-2 ne sont pas toujours présents ou sont indiscernables des anticorps post-vaccinaux. Dans treize des vingt et un cas présentés, la scintigraphie cérébrale (ECD Tc-99m) a pu mettre en évidence un trouble sévère de la perfusion cérébrale. Deux scintigraphies cérébrales de contrôle à trois mois ont montré une amélioration importante. Dans dix cas, les preuves de laboratoire manquent. Le dosage des anticorps tissulaires (Lymphocytes B) est attendu. Un patient qui présente plusieurs mois après un Covid des symptômes médicalement inexpliqués, peut très bien être un Long Covid. Il n'y a aucun traitement spécifique connu. La revalidation neurocognitive et la physiothérapie peuvent aider ces patients qui ont besoin d'un accompagnement empathique à long terme pour supporter leur état [less ▲]

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See detailEstudio descriptivo y narrativo de casos de Covid Largo en la práctica general y el valor diagnóstico de la gammagrafía cerebral. Informe de investigación clínica
Jamoulle, Marc ULiege; kazeneza-Mugisha, Gisele; Zayane, Ayoub

Report (2021)

La atención primaria está sometida a una gran presión por parte de lospacientes con Covid-19 y los afectados por Covid largo. El tema delCovid Largo, su diagnóstico y el enfoque terapéutico se discuten ... [more ▼]

La atención primaria está sometida a una gran presión por parte de lospacientes con Covid-19 y los afectados por Covid largo. El tema delCovid Largo, su diagnóstico y el enfoque terapéutico se discuten aquíen detalle. El Covid Largo se describe sobre la base de una revisiónde la literatura, pero también sobre la base de la experiencia clínicaen la práctica general. Se exponen las principales características deveintiún casos (dieciséis mujeres) de Covid Largo encontrados en 2021.La experiencia de seis de ellos se relata a partir de las notas de sushistorias clínicas. Se entrevistó a estos seis pacientes y se les pidió quereleyeran y corrigieran los textos que les afectaban. Se trata, pues, deun estudio descriptivo basado en la experiencia clínica y narrativa,verificada por los pacientes. Long Covid es la primera enfermedad en lahistoria de la medicina que fue descrita por primera vez por los propios pacientes en las redes sociales. Aún no está definida con precisión ylos síntomas multisistémicos pueden ser inespecíficos o variar segúnlos órganos afectados. El diagnóstico se basa en la escucha atenta delhistorial del paciente. La fatiga irreprimible desconocida hasta ahora,la niebla cerebral, los trastornos de la memoria de trabajo con posibleanomia, la anosmia, la disgeusia u otros síntomas múltiples que apa-recen después de Covid agudo son muy característicos de Covid largo.Faltan pruebas biológicas de Covid en diez pacientes. La PCR puede nohaberse realizado o haber sido negativa en la fase aguda de la enferme-dad. Los anticuerpos anti-SARS-CoV-2 no siempre estaban presentes oeran indistinguibles de los anticuerpos post-vacunación. En trece de losveintiún casos presentados, las gammagrafías cerebrales (ECD Tc-99m)pudieron demostrar un trastorno grave de la perfusión cerebral. Dosgammagrafías cerebrales de seguimiento a los tres meses mostraron unamejora significativa. En diez casos, faltaban pruebas de laboratorio. Seespera un ensayo de anticuerpos tisulares (linfocitos B). Un paciente quese presenta varios meses después de un Covid con síntomas inexplicablesdesde el punto de vista médico bien puede ser un Covid largo. No seconoce ningún tratamiento específico. La revalidación neurocognitiva yla fisioterapia pueden ayudar a estos pacientes que necesitan un apoyoempático a largo plazo para afrontar su enfermedad. [less ▲]

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See detailDescriptive and narrative study of Long Covid cases in general practice and diagnostic value of brain scintigraphy
Jamoulle, Marc ULiege; Kazeneza-Mugisha, Gisele; Zayane, Ayoub

Report (2021)

Primary care is under great pressure from patients with Covid-19 and those affected by Long Covid. The issue of Long Covid, its diagnosis and therapeutic approach are discussed here in detail. The Long ... [more ▼]

Primary care is under great pressure from patients with Covid-19 and those affected by Long Covid. The issue of Long Covid, its diagnosis and therapeutic approach are discussed here in detail. The Long Covid is described on the basis of a review of the literature and also on the basis of clinical experience in general practice. The main characteristics of twenty one cases (sixteen women) of Long Covid encountered in 2021 are outlined. The experience of six of them is reported on the basis of notes from their medical records. These six patients were interviewed and each was asked to reread and correct the texts concerning them. This is therefore a descriptive study based on clinical and narrative experience, verified by the patients. Long Covid, the first disease in the history of medicine to be described first by patients themselves on social networks, is not yet precisely defined and the multi-systemic symptoms may be non-specific or vary according to the organs affected. Diagnosis is based on careful listening to the patient's history. Previously unknown irrepressible fatigue, brain fog, working memory disorders with possible anomia, anosmia, dysgeusia or other multiple symptoms occurring after an acute Covid are varyingcharacteristics of Long Covid. Biological evidence of Covid is missing in ten patients as PCRs may have been not done or came back negative in the acute phase of the disease. Anti-SARS-CoV-2 antibodies are not always present or are indistinguishable from post-vaccine antibodies. In thirteen of the twenty one cases presented, brain scans (ECD Tc-99m) were able to demonstrate a severe disorder of cerebral perfusion. Two follow-up brain scans at three months showed significant improvement. In ten cases, laboratory evidence was lacking. Tissue antibody testing (B-cells) is expected. A patient who presents several months after a Covid with medically unexplained symptoms may well be a Long Covid. There is no known specific treatment. Neurocognitive revalidation and physiotherapy may help those patients who need long-term empathic support to cope with their condition. [less ▲]

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See detailEntre audiopsychophonologie et neurosciences, apport de l’oreille électronique dans les troubles de l’apprentissage
Romain, Pierre; Jamoulle, Marc ULiege

Conference (2021, October 21)

L'audiopsychophonologie, science expérimentale développée depuis les années 5O sous l'influence du Dr Tomatis (France) s'est développée par l'usage de l'oreille électronique. L'oreille électronique, un ... [more ▼]

L'audiopsychophonologie, science expérimentale développée depuis les années 5O sous l'influence du Dr Tomatis (France) s'est développée par l'usage de l'oreille électronique. L'oreille électronique, un système de modulation du son, permet de rencontrer certain troubles de l'apprentissage et du comportement par stimulation cérébrale. Il a été montré, y compris par des études systématiques, que cette approche pouvait bénéficier aux enfants et adultes atteints de trouble de l'attention, de dyslexie, dysgraphie ou de trouble de la localisation des sons entre autres. Cette technique est aussi mise à profit dans l'apprentissage des langues. Récemment, les travaux en neurosciences autour de musique et cognition ont permis de commencer à approfondir cette approche expérimentale. [less ▲]

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See detailQuaternary prevention and global warming
Jamoulle, Marc ULiege

Conference (2021, August 21)

Opening lecture of the 1rst WONCA conference on Planetary heah

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See detailVous avez dit médecine générale?
Jamoulle, Marc ULiege

Conference given outside the academic context (2021)

An attempt to describe the content of general practice through the content of Q-Codes and other information management tools in general practice

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See detailMédecine générale et Recommandations de bonne pratique: Rapport d'évaluation pragmatique sur les Evidence Based Medical Guidelines®
Jamoulle, Marc ULiege

Report (2020)

The author is a family physician and terminologist. He shares here his experience of proofreading translations from English to French of the Evidence Based Medical Guidelines (EBMG) published by DUODECIM ... [more ▼]

The author is a family physician and terminologist. He shares here his experience of proofreading translations from English to French of the Evidence Based Medical Guidelines (EBMG) published by DUODECIM Ltd and Finnish general practitioners. These EBMGs are point-of-care summaries of guidelines available to healthcare personnel in several countries. In Belgium they are disseminated by CEBAM, the Belgian Centre for Evidence Based Medicine, through the ebpracticenet website (www.ebpnet.be/), on behalf of the National Institute for Health and Disability Insurance (NIHDI). After having corrected several hundreds of summaries (each on average 4 A4-pages), the author wishes to shares his experience. Terminological issues are first addressed. System of corrections, specific difficulties or questions of acronyms are reviewed. Then the author gives a partial presentation of his own critical readings of one hundred summaries, which were studied more deeply with regard to content. The main pitfalls encountered in the field of prevention, clinical pharmacology or mental health which are discussed here in light of the author's experience and vision of family medicine. The exchange of these criticisms with the Finnish authors of the guidelines proved to be particularly interactive and fruitful. Although the concept of evidence for shaping clinical practice may not be fully developed, the Finnish point-of-care summaries (EBMGs) are an indispensable tool for understanding and supporting the complexity of family medicine. [less ▲]

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See detailOral Chloroquine treatment for COVID-19 infection. Available data from literature & field practices on April 20, 2020 (ver 1.8)
Jamoulle, Marc ULiege

E-print/Working paper (2020)

Publications addressing the treatment of COVID-19 by Hydroxychloroquine available on April 20, 2020. gathered sinc March 13, 2020. This compilation does not constitute a recommendation to use the HCQ in ... [more ▼]

Publications addressing the treatment of COVID-19 by Hydroxychloroquine available on April 20, 2020. gathered sinc March 13, 2020. This compilation does not constitute a recommendation to use the HCQ in the treatment of Covid-19 [less ▲]

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See detailVaccination against human papilloma virus in the light of quaternary prevention
Pizzanelli, Miguel; Jamoulle, Marc ULiege

in Revista Brasileira de Medicina de Família e Comunidade (2019), 14(41), 1800

In spite of the demonstrated benefits, the question of HPV massive vaccination is still subject to intense discussions and controversies. The protection against cancer is still unproven and need more time ... [more ▼]

In spite of the demonstrated benefits, the question of HPV massive vaccination is still subject to intense discussions and controversies. The protection against cancer is still unproven and need more time to be accurate about the quantification of the decrease in cervical cancer. The analysis of HPV vaccine relevance is very complex due to several overlapped levels to be considered. The authors analyze many of the ethical, sociological, economic, political and finally scientific issues involved. The population trust in vaccines has been affected owing to dubious practices of many pharmaceutical companies. Faced with this manipulation of information on a worldwide scale, general practitioners have organized themselves to fight this uncertainty. Quaternary prevention, a concept supported by the World Organization of Family doctors, advocates the application of ethically acceptable procedures in health care. This opinion article addresses some of the multiple dimensions involved to encourage reflection on this issue [less ▲]

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See detailAméliorer la concertation entre les oncologues et les médecins généralistes par un système de vidéoconférence
Jamoulle, Marc ULiege

in Revue Médicale de Bruxelles (2019), 40

The consultation between family physicians and specialists is considered very important in our health system. In spite of the good will of the actors, the consultation sessions currently organized in ... [more ▼]

The consultation between family physicians and specialists is considered very important in our health system. In spite of the good will of the actors, the consultation sessions currently organized in oncology are in practice not attended by the treating physicians mainly because of logistical difficulties. By proposing the use of video-conferencing on demand, organized by the hospital and made available to family doctors, it is hoped to increase the participation of family physicians in the consultation sessions organized within the hospital. The document makes a succinct statement of the issue and the current state of process validation. It addresses the technical, ethical and managerial aspects to be met in order to implement this new form of communication between oncologists and general practitioners [less ▲]

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See detailPractice report of a family doctor in vocational training in a Brazilian Alagoas semi-arid area.
Herminia, Elza; Horita, Julia; Jamoulle, Marc ULiege

Poster (2019, November 07)

Title : Practice report of a family doctor in vocational training in a Brazilian Alagoas semi-arid area. Authors : Elza Herminia1, Julia Horita2, Marc Jamoulle3 1MD. GP in vocational training, Unidade ... [more ▼]

Title : Practice report of a family doctor in vocational training in a Brazilian Alagoas semi-arid area. Authors : Elza Herminia1, Julia Horita2, Marc Jamoulle3 1MD. GP in vocational training, Unidade Básica De Saúde 18, Alagoas, Brazil, 2 MD, GP, Universidade do Estado do Rio de Janeiro, Brazil 3 MD, PhD, GP, Département de médecine générale, University of Liège, Belgium Descriptors : • MeSH ; Health Services; Health Services Research; Inservice Training ; Physicians, Primary Care; Health Education • Q-Codes : family doctor; vocational training; primary care setting; accessibility; patient knowledge; epidemiology of primary care; ICPC-2; Q-Codes Introduction: In 1994 the Family Health Strategy was implanted by the Brazilian Unified Health System (SUS) as the basis of its Primary Care public service. The lack of interest of the medical professionals in working in remote areas practically drove the program to bankruptcy. Shortage of manpower led to the launch of the Mais Médicos (More Doctors Program) in 2013 based on three strategic fronts: i) new Medical Courses ii) investments in the structure of Primary Healthcare Units; iii) allocation of Brazilian and foreign doctors [1]. The first author, trained in Universidad Franz Tamayo, Cochabamba, Bolivia, after working for several years as a dentist in Brazil, is in first year vocational training in rural medicine in Teotônio Vilela, a municipality of the state of Alagoas, in northeast Brazil, in a zone of extreme poverty (level 7, WHO). Her team is formed by a nurse, two nursing assistants, three community health agents and one administrative assistant in the Primary Care Unit n°8, which covers 10 small villages. Geographical accessibility is complicated: the journey to the villages are 25 to 30 km long, which takes hours especially in the rainy season, allowing to meet 10 patients a day (20 in periods of drought). Working conditions are aggravated by the lack of basic material such as pediatric scale and basic drugs, lack of infrastructure (making it difficult to ensure confidentiality), illiteracy and poverty of the population. The team organizes sessions of health education following Paulo Freire principles [2]. Aim: To describe the vocational training activities in the Mais Médicos (More Doctors) Program Methods: Factual observation of the contacts with the population using CIAP-2 [3] to describe the clinical activities and Q-Codes [4], a new tool to describe the non-clinical situations at stake during the patient doctor encounters and activities Results: Data is currently being collected and it is intended to show the daily activities during two months focusing on the problems of accessibility (geographical, temporal, cultural, economic), on the variety of the problems addressed and the decisions to take. Discussion: It will be addressed in the poster after analysis of data. The present study is also an example of international collaboration, enabling a field actor to analyze her activity [5] and feel in step with the international community of primary care researchers Bibliography: 1. Santos, L. M. et al. (2015) Cien Saude Colet, 20(11) . https://www.ncbi.nlm.nih.gov/pubmed/26602731 2. Chiarella, T.et al (2015). Rev Br Educ Méd http://dx.doi.org/10.1590/1981-52712015v39n3e02062014 3. Landsberg et al. (2012) Cien Saude Colet, 17(11), 3025-3036. https://www.ncbi.nlm.nih.gov/pubmed/23175309 4. Jamoulle, M et al.(2018). Eur J Gen Pract, 24(1), 68-73. https://www.ncbi.nlm.nih.gov/pubmed/29243572 5. Johnston, J., et al. (2014) Rural Remote Health, 14(3), 2870. https://www.ncbi.nlm.nih.gov/pubmed/25269934 [less ▲]

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See detailMédecine générale et médecine du travail. Pour une éthique de la prévention
Jamoulle, Marc ULiege

Conference (2019, October 11)

Au gré de ses 45 années de pratique de médecine générale avec une population précarisée dans un environnement post-industriel abandonné, l’auteur évoque sa confrontation au monde du travail en général et ... [more ▼]

Au gré de ses 45 années de pratique de médecine générale avec une population précarisée dans un environnement post-industriel abandonné, l’auteur évoque sa confrontation au monde du travail en général et à la médecine du travail en particulier. La transformation en Belgique de la santé au travail en bien-être au travail va de pair avec l’extension du rôle du médecin généraliste/médecin de famille qui accompagne, soigne, protège et défend le patient, y compris contre un système de santé traversé de valeurs contradictoires. Après un bref rappel des risques fondamentaux, ceux liés au réchauffement climatiques et ceux liés aux inégalités de santé, l’auteur aborde les champs de la prévention, soit de l’approche des phénomènes de santé et de maladie en fonction du temps. Dans la suite de l’approche préventive basée sur l’histoire naturelle des maladies, il propose une approche basée sur la relation entre le médecin et le patient, qui peut tout aussi bien s’étendre à la relation entre les décideurs politique et la population ou entre les salariés et le médecin du travail. Il montre que la relation, le doute et l’incertitude imposent de facto une éthique de la prévention qui impose au médecin de famille, au médecin du travail ou au politiques de santé un regard critique sur leurs agir. [less ▲]

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See detailExploring GP/FM content: Views and queries of ICPC and Q-Codes on the HeTOP database
Jamoulle, Marc ULiege; Pizzanelli, Miguel; Santiago, Luiz Miguel et al

Poster (2019, September 26)

Poster for the WICC Annual Meeting, Crete, 26-29 Sept 2019 Exploring GP/FM content: Views and queries of ICPC and Q-Codes on the HeTOP database Marc Jamoulle1 MD, PhD, Miguel Pizzanelli2, MD, MSc, Luiz ... [more ▼]

Poster for the WICC Annual Meeting, Crete, 26-29 Sept 2019 Exploring GP/FM content: Views and queries of ICPC and Q-Codes on the HeTOP database Marc Jamoulle1 MD, PhD, Miguel Pizzanelli2, MD, MSc, Luiz Miguel Santiago3, MD, PhD, Julien Grosjean4, Ir, PhD, Stefan Darmoni5, MD, PhD (contact marc.jamoulle@gmail.com ) 1. Family Physician, Scientific collaborator, university of Liege, Belgium and University of Rouen, France 2. Family Physician, Professor of family practice University de la Republica, Montevideo, Uruguay 3. Family Physician, Professor of family practice, University of Coimbra, Portugal 4. Professor of informatics, University of Rouen, France 5. Professor of medical informatics, University of Rouen, France The International Classification of Primary Care (ICPC-2) is available in many languages and ranks the most common clinical problems encountered in primary care. The non-clinical concepts treated by family physicians were described following careful analysis of family physician communications at many congresses and referred to as Q-Codes. ICPC-2 in 22 languages including process codes and Q-Codes in 12 languages were published online on the Health Terminology/Ontology Portal (HeTOP, developed at the Rouen University Hospital) under the acronym 3CGP for “Core concept Classification in General Practice / Family Medicine”. The headings in both classifications have an Unique Resource Identifier (URI) and are available in both Excel and Web Ontology Language (OWL) formats. The topics and codes are linked to the large classifications existing through the HeTOP multi-terminology server. 20% of ICPC codes and all Q-Codes are related to corresponding MeSH concepts with automatic access to a bibliography on PubMed. New translations can be introduced directly from a standardized Excel file. They can also be edited online in an advanced mode. 3CGP is used as a resource for the teaching of family medicine in Belgium (French speaking), Portugal and Uruguay. The French-speaking doctors in training (ULB-ULg-UCL) and the students of the University of Coimbra in Portugal use it to index their work of end of study (master thesis). In Uruguay, the Department of General Medicine indexes a grey literature database with this system. The HeTOP application saves action logs which makes possible the analysis of the site traffic (excluding robots and scientists with edition permission). The poster, which gives access to the website and Uniform Resource Locators (URIs), shows available data at the end of September 2019. It is noted that ICPC was the subject of 1,253 individual searches with 3,949 views (surfing on the items) in August 2019, which is to this day the highlight of monthly attendance. The non-clinical concepts exposed in the Q-codes were the subject of 1,597 searches and 9,887 views in February 2019, during which time Belgian students are encouraged to find the research theme for their final work. Unsurprisingly, the most used language is French, followed by English, then Portuguese and Spanish. More than 500 different sections of ICPC-2 were consulted, including all procedure codes. All sections of the Q-Codes (i.e. 182) were consulted between 100 and 550 times. Although the use of 3CGP for teaching general medicine and the indexation of its work has not yet been the subject of a validation study, it is shown that the system enjoys factual validation. [less ▲]

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See detailRéseau Santé Wallon en Médecine de Famille, essai d’utilisation en temps réel
Jamoulle, Marc ULiege

Conference (2019, June 18)

Consultations de médecine de famille (mai – juin 2019). Acquisition d’information sur le lieu du soin en face du patient au travers du Réseau de Santé Wallon. En raison d’un changement de dossier médical ... [more ▼]

Consultations de médecine de famille (mai – juin 2019). Acquisition d’information sur le lieu du soin en face du patient au travers du Réseau de Santé Wallon. En raison d’un changement de dossier médical électronique, j’ai utilisé le RSW comme source unique d’information entrante ces deux derniers mois en consultation de MG. Je relate ici les difficultés rencontrées. L’objet de cet exposé est d’augmenter l’avantage que donne le RSW. L’identification des points à améliorer nous permettra d’aller plus loin et d’en augmenter encore l’efficacité et l’adoption. Les captures d’écran de cet exposé datent toutes de mai-juin 2019. Elles ont été prises au cours des consultations et en présence du patient puis documentées ensuite. Cet essai d’utilisation ouvre la porte à quelques recommandations : 1 Accès technique : Plateforme multi navigateurs 2 Authentification : Simplifier la sécurisation 3 Accès dossier: Augmenter la rapidité Diminuer la redondance Solutionner l’accès des fragiles 4 Méta-information : Utiliser des standards 5 Pertinence des info : Considérer la désidérabilité clinique 6 Viser à l’exhaustivité des informations transmises 7 Etablir un cycle de qualité pour évaluer les actions proposées [less ▲]

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See detailCannabis Consommation Marchandisation Echange d’information
Jamoulle, Marc ULiege

Conference given outside the academic context (2019)

Explications succinctes de l'histoire du cannabis, son interdiction et ses nouveaux usages sous forme de CBD à l'intention d'un pubic non médecin.

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See detailNumérisation et responsabilité sociale des facultés de médecine
Jamoulle, Marc ULiege

in Boelen, C; Cauli, M; Ladner, L (Eds.) Dictionnaire francophone de responsabilité sociale en santé (2019)

La numérisation de toutes les activités humaines est galopante et va bien plus vite que notre culture permet de l’absorber. Numérique et digital sont maintenant interchangeables pour désigner les ... [more ▼]

La numérisation de toutes les activités humaines est galopante et va bien plus vite que notre culture permet de l’absorber. Numérique et digital sont maintenant interchangeables pour désigner les nouvelles technologies de l'information et de la communication qui ont bouleversé le monde à la fin du siècle passé [ ]. Nous nous occupons ici de la digitalisation de la connaissance qui remet en cause tous les fondamentaux de l’acquisition du savoir, de sa gestion et de son utilisation face à la vie humaine fragile. Fractures socio-économique, fracture sociocognitive, fracture Nord-Sud étaient déjà énoncées en 2007 dans les relations entre fracture numérique et culture par Jacques Perriault [ ]. Le descripteur du thésaurus MeSH est encore plus signifiant et exprime la division : « digital divide » contrairement à sa traduction française qui ne fait état que du fait : « fracture numérique ». [less ▲]

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See detailLe concept de prévention quaternaire et la responsabilité sociétale des facultés de médecine.
Jamoulle, Marc ULiege; La Valle, Ricardo

in Cauli, M; Ladner, J; Boelen, C (Eds.) Dictionnaire francophone de responsabilité sociale en santé (2019)

La prévention organisée sur la maladie La prévention a d’abord été affaire de commerce. Il fallait transporter les biens sans les maladies . La prévention clinique ou prévention médicalisée est une ... [more ▼]

La prévention organisée sur la maladie La prévention a d’abord été affaire de commerce. Il fallait transporter les biens sans les maladies . La prévention clinique ou prévention médicalisée est une création de la moitié du 20eme siècle. Les termes de prévention primaire, secondaire et tertiaire ont été proposés par Leavell et Clark dans les années 50 à partir des phases de la Syphilis et sont devenus un standard dans le monde de la santé publique . Dans cette perspective, le patient est l'objet de procédures de soins le long de la ligne de temps. La maladie est au centre de l’organisation. Le terme prévention primaire est utilisé avant qu’un problème ne se pose. La place de la prévention secondaire n'est pas claire. Les cardiologues utilisent ce terme en tant que prévention après un événement, ce qui est en réalité la prévention tertiaire. Cette vision chronologique a incité Bury à utiliser le concept de prévention quaternaire pour définir les soins palliatifs . Toujours dans les années 50 les combats entre les industries du beurre, de la margarine et du sucre aux USA font émerger, après la découverte d’un nouveau processus rapide de fabrication de la margarine , la notion de facteur de risque et celle de prévention du risque cardiovasculaire. Le marché pharmaceutique y trouve une extension fantastique . La prévention organisée selon la relation Nous avons proposé une vision relationnelle de la prévention. Notre modèle, conçu en 1986, est construit sur un tableau à double entrée, sous influence de Illitch , Balint ou McWinney. La prévention y est résultante des relations entre patient et médecin au long du temps. Le croisement entre science et conscience délimite quatre nébuleuses, traduisant la limite floue entre santé et maladie. Cependant, dans la pratique au jour le jour, la distinction est utilisée et on représente quatre domaines d'activité. La ligne du temps y traverse la table en oblique. Patients et médecins se retrouvent à la fin et meurent ensemble (point Ω) (voir Figure 1) [less ▲]

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See detailThe Q-codes: Metadata, Research data, and desiderata, oh my! Improving access to grey literature in family medicine
Resnick, Melissa P.; Ittoo, Ashwin ULiege; Jamoulle, Marc ULiege et al

in Farace, D.; Frantzen (Eds.) GL20 Proceedings Twentieth International Conference on Grey Literature “Research Data Fuels and Sustains Grey Literature”. (2019, February)

Abstract: Problem/Goal: In GL19’s “Indexing grey literature in General Practice: Family Medicine in the Eraof Semantic Web,” Jamoulle and colleagues(Jamoulle et al., 2018) propose the use of a relatively ... [more ▼]

Abstract: Problem/Goal: In GL19’s “Indexing grey literature in General Practice: Family Medicine in the Eraof Semantic Web,” Jamoulle and colleagues(Jamoulle et al., 2018) propose the use of a relatively new terminology (3CGP) to allow for the indexing and retrieval of (GP/FM) knowledge which otherwise would be lost, or difficult to locate. Though designed to meet Cimino’s (Cimino, 1998) twelve desiderata for the design of a controlled healthcare vocabulary, Jamoulle and colleagues (Jamoulle et al., 2018) acknowledge that a detailed requirement by requirement evaluation of 3CGP was not performed. The goal of this paper is to evaluate the Q-Codes component of the 3CGP terminology, in detail, with each of Cimino’s twelve desiderata. Research Method/Procedure: In our work, we will focus on qualitative analysis, whereby our taxonomy, the Q-Codes, and in particular, its vocabulary satisfies a standard set of desiderata. Qualitative analysis provides a simple and yet effective way to assess the Q-Codes taxonomy’s quality. We will briefly describe each of the desiderata and discuss how our taxonomy satisfies each one of them (or not). Anticipated Results of the Research: The qualitative evaluation is intended as an initial stage, which focuses on the Q-Codes taxonomy’s contents, namely, its vocabulary (e.g. terms and definitions). Our aim with the qualitative evaluation is to investigate whether our proposed taxonomy, and in particular its vocabulary, satisfies a set of desiderata. This will enable us to determine whether the knowledge acquisition and (part of) the conceptualization steps of our ontology development process have been performed correctly. We consider that validating our vocabulary against a set of well-defined desiderata is paramount before evaluating other aspects of the taxonomy (such as the relations). As a set of desiderata, we chose that proposed by Cimino in his seminal study entitled “Desiderata for controlled medical vocabularies in the twenty-first century” (Cimino, 1998). These desiderata ensure that our taxonomy can be successfully deployed and exploited in actual GM/FM applications / activities, such as indexing grey literature. The desiderata define a set of (desired) characteristics that (ideally all) standard medical vocabularies should satisfy. Thus, these desiderata help in alleviating inter-operability issues, with the use of common standards ensuring the efficient integration of our taxonomy with other medical vocabularies and resources (taxonomies, ontologies). From the results of this study, improvements can be made to the Q-Codes component of, and thus, the 3CGP terminology. This, in turn, improves the ability to index the grey literature with the 3CGP terminology, providing greater access to needed information. Indication of costs related to the project: This project has not been funded. 3CGP is placed under Attribution-Non-Commercial-Share-Alike4.0International(CCBY-NC-SA4.0) license. [less ▲]

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See detail“M@dNotes Project”. Giving colour to Grey Literature
Pizzanelli, Miguel; Jamoulle, Marc ULiege

in Revista Brasileira de Medicina de Família e Comunidade (2019), 14(41), 1-6

Sharing the results of research and scientific production is crucial for the survival and development of all disciplines. Health information is becoming uncertain and powerful economic interests ... [more ▼]

Sharing the results of research and scientific production is crucial for the survival and development of all disciplines. Health information is becoming uncertain and powerful economic interests disrupting medical information has triggered a loss of credibility. M@dNotes project (in Spanish NotasL@cas), is the by-product of nonprofit collaborative international knowledge network with participation of students, general practitioners, family physicians, and healthcare workers. One of the aims of this network is to discuss the validity of the information available on sensitive subjects and build a knowledge exchange network inside a community of practice. It has been created to share different materials excluded from traditional academic publishing and commercial distribution channels: monographic reports, commented articles, files with references searches. These materials product of learning process are qualified with an appropriate level because there were submitted to a peer review or judged by a scientific committee to get an approval. Includes an indexing method (Q Codes and ICPC) to manage and retrieve the materials received. The project provides a particular folder to upload and share the documents. A web blog is the dissemination friendly tool or interface to share and retrieve the documents available in the network. Through a facility in the cloud, it is possible to access an excel file with all the materials shared, codes assigned and the hyperlink to get a pdf file of each material. [less ▲]

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