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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 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 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 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 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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See detailUne base de connaissance multilingue et dynamique en ligne pour la médecine générale et les soins primaires
Jamoulle, Marc ULiege; Knupp Augusto, Daniel; Pizzanelli, Miguel et al

in Pan African Medical Journal (2019)

The International Classification of Primary Care, second version (ICPC-2) aligned with the International Classification of Diseases Tenth Revision (ICD-10) is a standard for the epidemiology of Primary ... [more ▼]

The International Classification of Primary Care, second version (ICPC-2) aligned with the International Classification of Diseases Tenth Revision (ICD-10) is a standard for the epidemiology of Primary Care. ICPC-2 is also suitable for identifying clinical topics that family physicians discuss. Contextual areas of knowledge in family medicine and Primary Health Care such as management, structure, patient categories, research methods, ethical or environmental aspects are not standardized and most often reflect expert views. A qualitative research method, applied to the analysis of multiple family medicine conferences, has identified, in addition to clinical items, a set of contextual concepts addressed by family physicians during their exchanges. Assembled in a hierarchical format, they found their place alongside the ICPC-2, under the name of Q-Codes version 2.5, on the interlingual multi-terminological server of the Department of Information and Medical Informatics (D2IM) of the University of Rouen, France. Both classifications are published under the acronym 3CGP for Core Content Classification of General Practice at www.hetop.eu/3CGP. This site provides open access to ICPC-2 in 22 languages and Q-Codes in ten languages. The result of the joint use of these two classifications, as descriptors in congresses, to identify concepts in texts, or to index gray literature in family medicine and primary care is presented here in different pilot uses. The validity and generalizability of 3CGP seems good considering the translations already done by colleagues around the world and the applicability of the method on both sides of the Atlantic. However, the reproducibility and intercoders variation are still to be tested for the Q-Codes. The question of maintenance remains. Through this method, one can highlight the conceptual extension, complexity and dynamics of the profession of general practitioner and primary care physician. [less ▲]

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See detailContext and practice of the final work of pre graduate student in General Practice / Family Medicine. Use of 3GCP in Integrated Master's of Medicine at the University of Coimbra.
Tavares, Ariana; Santiago, Luiz Miguel; Jamoulle, Marc ULiege et al

in Family Medicine and Primary Care Review (2019)

Abstract: Background General Practice/Family Medicine includes approaches to the biological, technological, behavioural, sociological and anthropological domains Objectives To document the domains ... [more ▼]

Abstract: Background General Practice/Family Medicine includes approaches to the biological, technological, behavioural, sociological and anthropological domains Objectives To document the domains addressed in the final assignments of the Integrated Master’s Degree in Medicine at the University of Coimbra in area of GP/FM. Material and methods Observational study of the titles of final assignments granted by the Faculty of Medicine of the University of Coimbra. The domain analysis using as codes the International Classification in Primary Care-2 and the Q-Codes, a context classification in Primary Care, year of elaboration and gender of author was carried out for each title of final assignment. A descriptive and inferential analysis was performed. Results 169 papers were analysed, 23,1% written by male students, with a positive overall growth dynamics (Δ=+7,0) between 2008-2017. Q-Codes were registered 276 times, while the ICPC-2 codes was used 133 times. Under the Q-Codes, the “doctor’s issues” is the most frequently addressed (n=112, 67,2%) and under the International Classification in Primary Care-2 classifications, the chapter “Psychological” was predominant (n=35, 21,0%). Under the Q-Codes, subcategories “primary care setting” (n=26; 15,6%) , “health issue management” (n=23; 13,8%) and “unable to code, unclear” (22; 13,2%) were dominant. Within the International Classification in Primary Care-2, the subcategories “diabetes noninsulin dependent” (n=22, 13,2%), “depressive disorder” (8, 4,8%) and “hypertension uncomplicated” (8, 4,8%) were predominantly focused on. Conclusions The 3CGP may become a professional tool, allowing for a more precise identification of final works, for a better communication method in the medical activity and avoiding the loss of previously developed works. [less ▲]

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See detailThe M@dnote project. Giving colour to Grey Literature in General Practice. A collaborative GPs knowledge network
Pizzanelli, Miguel; Resnick, Melissa P.; Cardillo, Elena et al

Poster (2018, December 03)

Abstract (397 words) “M@dNotes Project”. Giving colour to Grey Literature in General Practice. A collaborative GPs knowledge network. Sharing the results of research and scientific production is crucial ... [more ▼]

Abstract (397 words) “M@dNotes Project”. Giving colour to Grey Literature in General Practice. A collaborative GPs knowledge network. Sharing the results of research and scientific production is crucial for the survival 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 non-profit collaborative international knowledge network of 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. The project was born because we realized that more than 95% of the postgraduate and pregraduate research/reports/ scholar works (monographic works) to accomplish or finished one part of the training were finally lost and unpublished. Most of them come from interesting "minds" and are interesting topics to improve the applying of evidence in medical healthcare. From this perspective, M@dNotes is a unique local platform to rescue knowledge and support exchange and collaboration. Perhaps is isolated due to the circumstance of being restricted to few countries or a small group of practice. Nevertheless, we are trying to improve our qualifications in order to link M@dNotes to an open access network. It has been created to share different materials excluded from traditional academic publishing and commercial distribution channels: monographic, commented articles, files with references searches. These materials considered “grey literature” are the product of intense learning process and has been produced to achieve a qualification, be presented in a conference or were collected by users spontaneously through the web searches, with a knowledge purpose. Many of them qualified with an appropriate level because were submitted to a peer review or judged by a scientific committee to get an approval. The project includes an indexing method (Q Codes and ICPC) to manage and retrieve the materials received. Q-Codes are intended for indexing Family medicine related documentation jointly with the International Classification of Primary Care (ICPC). The project provides a particular folder to upload and share the documents. A web blog is the dissemination tool or friendly interface to share and retrieve the documents shared 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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See detailIndexing grey multilingual literature in General Practice: Family Medicine in the Era of Semantic Web
Jamoulle, Marc ULiege; Pizzanelli, Miguel; Cardillo, Elena et al

in Grey Journal (2018), Spring 2018(1),

Problem/Goal: Sharing the results of research with General Practitioners (GPs) is crucial for the survival of the discipline of General Practice / Family Medicine (GP/FM). The production of abstracts in ... [more ▼]

Problem/Goal: Sharing the results of research with General Practitioners (GPs) is crucial for the survival of the discipline of General Practice / Family Medicine (GP/FM). The production of abstracts in GP/FM probably exceeds 15,000 per year worldwide. Each abstract often represents two years of work for its authors and is expressed in local languages. Only 45% of them are published in indexed medical journals. Usual indexing systems like MeSH are not multilingual nor adapted to the particular field of GP/FM. Consequently, these abstracts are lacking bibliographic control and more than half of the research presented by GPs at congresses is lost. Considering the absence of appropriate domain-specific terminologies or classification systems, we propose a new multilingual indexing system. The existing International Classification of Primary Care (ICPC) is currently used for clinical purposes and has now been expanded with a taxonomy related to contextual aspects (called Q-Codes) such as education, research, practice organization, ethics or policy in GP/FM, currently not captured. The set is proposed under the name Core Content Classification in General Practice (3CGP). The aim is to facilitate indexing of GP/FM specific scientific work and to improve performance in information storage and retrieval for research purposes in this field. Research Method/Procedure: Using qualitative analysis, a corpus of 1,702 abstracts from six GP/FM- related European congresses was analyzed to identify main themes discussed by GPs (e.g., continuity, accessibility or medical ethics), handled in a domain-specific taxonomy called Q-Codes and translated in 8 languages. In addition, a methodology for building a lightweight ontology (in OWL-2) was applied to Q-Codes, adding object and datatype properties to the hierarchical relations, including mapping to the MeSH thesaurus, Babelnet (www.babelnet.org) and Dbpedia. Finally, the Q-Codes in 8 languages have been integrated in a healthcare terminology service (www.hetop.eu/q) with a companion website (http://3cgp.docpatient.net). Results of the Research: The creation and the on-line publication of this multilingual terminological resource (see http://3cgp.docpatient.net), for indexing abstracts and for facilitating Medline searches, could reduce loss of knowledge in the domain. The database is available in 12 human languages and in Web Ontology Language (OWL) for computer use. In addition, through better indexing of the grey literature (online database, congress abstracts, master’s and doctoral thesis) of which we show the first results, we hope to enhance the accessibility of research in GP/FM domain and promote the emergence of networks of researchers. Indication of costs related to the project: This project has not been funded. 3CGP is placed under Attribution-Non-Commercial-Share-Alike 4.0 International (CC BY-NC-SA 4.0). ICPC is copyrighted by WONCA. Keywords General practice, Terminology, Electronic publishing, Repository, Grey Literature. [less ▲]

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See detailMultilingual resource to disseminate main concepts in Family Medicine and Primary care
Jamoulle, Marc ULiege; Bae, Jong-Myon; Pizzanelli, Miguel et al

Poster (2018, October 19)

Background: General practice/ Family Medicine (GP/FM) and Primary Health Care (PHC) Knowledge Management (KM) - High complexity by intertwined human and technical approaches - Content not harmonized. No ... [more ▼]

Background: General practice/ Family Medicine (GP/FM) and Primary Health Care (PHC) Knowledge Management (KM) - High complexity by intertwined human and technical approaches - Content not harmonized. No uniform table of content for both disciplines - Classification system available only for clinical purposes (ICPC 1987- ongoing) - No existing contextual features classification Methods - Qualitative analysis of 2300 abstracts of GP congresses - Elaboration of a taxonomy called Q-Codes about contextual information (ie not clinical), - Complementary to the International Classification of Primary care (ICPC-2) - Using online HeTOP semantic base (OWL-2) to develop terminological records - Linking concept to existing terminologies and knowledge repositories (PubMed- DBpedia-Babelnet) - Multilingual translation by dedicated GPs worldwide (10 languages – more ongoing) - Experimental use of Q-Codes in various KM situations Results • GP/FM & PHC evolutionary knowledge base on www.hetop.eu/Q (exportable in Excel and OWL-2) • 182 Q-Codes Uniform Resource Identifier (URI) in 10 languages: ex : Korean Shared Decision Making in Korean • Experiments are ongoing and presented on http://3cgp.docpatient.net/(abstracts indexing, pedagogy, master thesis indexing, discussion indexing, automatic annotators, e-learning application) Conclusion Indexing of the GP/FM literature (congress abstracts, master's and doctoral thesis, group discussions) enhance the accessibility of research results and promote the emergence of networks of researchers. The work is ongoing and will be maintained by the Q-Code working group into the WONCA International Classification Committee. More on : Jamoulle & all EJGP Dec 2017. [less ▲]

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See detailImplications éthiques, pédagogiques, socio-politiques et anthropologiques de la prévention quaternaire
Jamoulle, Marc ULiege; Roland, Michel; Bae, Jong-Myon et al

in Revue Médicale de Bruxelles (2018), 39

The concept of quaternary prevention, resulting from a reflection on the doctor-patient relationship, is presented as a renewal of the age-old ethical requirement: first, a doctor must do no harm; second ... [more ▼]

The concept of quaternary prevention, resulting from a reflection on the doctor-patient relationship, is presented as a renewal of the age-old ethical requirement: first, a doctor must do no harm; second, the doctor must control himself/herself. The origin of the concept, its endorsement by the World Organization of Family Doctors (WONCA) and the European Union of General Practitioners (UEMO), its dissemination, and the debates to which it has given rise, are presented by a panel of authors from 10 countries. This collective text deals more specifically with : the ethics of prevention, the importance of teaching Quaternary prevention and Evidence Based Medicine, the social and political implications of the concept of Quaternary prevention, and its anthropological dimensions. [less ▲]

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See detailCore Content Classification in General Practice/Family Medicine (3CGP). An Indexing System for General Practice Knowledge Management
Jamoulle, Marc ULiege

Conference (2018, August 28)

Qualitative analysis of the productions of general practitionners

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See detailLa desconfianza es la peor antivacunas
Jamoulle, Marc ULiege; Pizzanelli, Miguel

E-print/Working paper (2018)

La cuestión de la vacunación contra el virus del papiloma humano, es por el momento, objeto de intensas discusiones. Uno podría pensar a primera vista que se trata de una cuestión puramente médica y, por ... [more ▼]

La cuestión de la vacunación contra el virus del papiloma humano, es por el momento, objeto de intensas discusiones. Uno podría pensar a primera vista que se trata de una cuestión puramente médica y, por lo tanto, científica. Sin embargo no lo es. Veremos que se trata en primer lugar de una pregunta o problema de tipo sociológico, luego económico y político y finalmente de tipo científico. Este asunto es tan urticante que se le ha llamado “la primera guerra de vacunas” (1,2) Nuestro objetivo no es detallar la historia reciente de la vacuna, sino recordar algunos hechos interesantes. La protección de la población y los individuos ha sido siempre una de las preocupaciones de la medicina. Como los médicos lidian permanentemente con el tiempo, llegar antes de un evento es el objetivo de la prevención, a pesar de que los pacientes aún no estén enfermos o aún no se vean afectados por un daño potencial. Estamos hablando de prevención primaria. Las vacunas y el descubrimiento de la higiene del agua han sido uno de los descubrimientos históricos más importantes contra los eventos que han trastornado la esperanza de vida de los humanos. Pero es la naturaleza médica de la vacunación, sus aspectos protectores y preventivos que han afectado más a la población. [less ▲]

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See detailTowards the semantic annotation and the prevention of the loss of information of second opinion requests from rural Brazilian primary healthcare providers: the Q-codes use case – a work in progress
Resnick, Melissa P.; Cardillo, Elena; Jamoulle, Marc ULiege et al

in Challenges and Opportunities for Knowledge Organization in the Digital Age, (2018, July)

Objectives. To support documentation, various terminologies have been created to assist in this activity. Only a few terminologies cover the General Practice / Family Medicine (GP/FM) domain (e.g., the ... [more ▼]

Objectives. To support documentation, various terminologies have been created to assist in this activity. Only a few terminologies cover the General Practice / Family Medicine (GP/FM) domain (e.g., the International Classification of Primary Care - ICPC). As ICPC fails to capture some non-clinical issues (e.g., organizational and managerial aspects), the Q-Codes taxonomy has been developed to extend ICPC, encompassing those contextual professional issues. The aim of this work is to show the value of Q-Codes in preventing loss of information through the semantic annotation of Second Opinion Requests of rural Brazilian primary healthcare providers. Methods. Question-answer pairs for the years 2010-2012, in the Brazilian-Portuguese language, was obtained from an urban telehealth center. Each selected question was read to determine its semantic meaning, and coded using both the ICPC and Q-Codes classification systems. Based on this meaning, each question was manually assigned between 0 and 5 Q-Codes. Results. The majority of Q-Code assignments were almost equally split between the Patient's Category", QC (42%) and the "Family Doctor's Issue", QD (37%) domains. Domain QT, that is "Knowledge Management", covered 21% of the assignments, while a single assignment was made to the domain QP, “Patient Issue”. Six of the top 10 Q-Codes assigned belong to the cited QC domain, 3 to the QD, and 1 to the QT domain. Discussion. Analysis demonstrates that lost information represents age (QC), health prevention (QD), and medical education (QT). Medical education is one of the reasons that the telehealth system was implement, while age and health prevention are important to providing healthcare in Brazil. Conclusions. Preliminary results show that Q-Codes capture information that otherwise would be lost in the case of using only clinical coding systems such as ICPC. [less ▲]

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