References of "Revista Brasileira de Medicina de Família e Comunidade"
     in
Bookmark and Share    
Full Text
Peer Reviewed
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 ▲]

Detailed reference viewed: 186 (8 ULiège)
Full Text
Peer Reviewed
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 ▲]

Detailed reference viewed: 33 (0 ULiège)
Full Text
Peer Reviewed
See detailQuaternary prevention: first, do not harm - Editorial
Jamoulle, Marc ULiege

in Revista Brasileira de Medicina de Família e Comunidade (2015), 10(35), 1-3

Clinical prevention, under the influence of public health, has been organised in a chronological manner since the middle of the 20th century. A paradigm shift from a chronological to a constructivist ... [more ▼]

Clinical prevention, under the influence of public health, has been organised in a chronological manner since the middle of the 20th century. A paradigm shift from a chronological to a constructivist relationship-based preventive pattern of care offers new insights into the practice of doctors. This paradigm shift brings to light the concept of quaternary prevention, a critical look at medical activities with an emphasis on the need not to harm. Quaternary prevention addresses the fundamental question of what constitutes too much or too little medicine. It is the fourth form of disease prevention, but also the fourth frame of action for family doctors [less ▲]

Detailed reference viewed: 115 (0 ULiège)
Full Text
Peer Reviewed
See detailTeaching and learning Quaternary prevention
Gomes, Luís Filipe; Gusso, Gustavo; Jamoulle, Marc ULiege

in Revista Brasileira de Medicina de Família e Comunidade (2015), 10(35), 1-14

This article presents an overview of different techniques and skills required for teaching and learning quaternary prevention (P4). It adopts the Expertise Model that defines the competences required in ... [more ▼]

This article presents an overview of different techniques and skills required for teaching and learning quaternary prevention (P4). It adopts the Expertise Model that defines the competences required in P4 for each level: novice, competent, proficient, and expert. This should be used as a step-wise roadmap for teachers in order to achieve high standard levels of performance. This is complemented by a list of methods used in teaching and assessment of learners’ performance and competence. By covering a range of learning and teaching issues, those who aim to teach quaternary prevention can explore the proposed framework. Quaternary prevention is a research and teaching fertile medical field that requires the integration of different areas such as health service organization, epidemiology, communication skills, and andragogy either at the macro or the micro levels health related activities. [less ▲]

Detailed reference viewed: 105 (7 ULiège)
Full Text
Peer Reviewed
See detailThe words of prevention, part I: changing the model
Jamoulle, Marc ULiege; Gavilan, Enrique; Cardoso, Raquel Val et al

in Revista Brasileira de Medicina de Família e Comunidade (2015), 10(35), 1-9

ABSTRACT Objective: This part I article explores the different meanings of relevant keywords for General Practice/Family Medicine (GP/FM) in the prevention domain. The aim is to contribute to information ... [more ▼]

ABSTRACT Objective: This part I article explores the different meanings of relevant keywords for General Practice/Family Medicine (GP/FM) in the prevention domain. The aim is to contribute to information process in GP/FM by keeping in line with the main terms used in health care organization. Methods: Important keywords for GP/FM in the prevention domain were selected. Then, a search was carried out on the main sources in GP/FM databases, as well as in Medical Subject Heading and major terminological databases available online. Results and Discussion: There is discrepancy between the conceptual contents of major prevention models amongst the usual bibliographic sources of knowledge in GP/FM in particular and medicine in general. Conclusion: For GP/FM, distribution of preventive activities is now firmly established on a new constructivist model, privileging the doctor-patient relationships and introducing a cybernetic thinking on the health care activities with a special commitment to ethics and the positive duty of beneficence. [less ▲]

Detailed reference viewed: 142 (6 ULiège)
Full Text
Peer Reviewed
See detailThe words of prevention, part II: ten terms in the realm of quaternary prevention
Jamoulle, Marc ULiege; Gavilan, Enrique; Cardoso, Raquel Val et al

in Revista Brasileira de Medicina de Família e Comunidade (2015), 10(35), 1-9

ABSTRACT Objective: This part II article about the ‘words of prevention’ presents in a terminological way the content of ten current concepts used in the prevention domain which are closely linked to ... [more ▼]

ABSTRACT Objective: This part II article about the ‘words of prevention’ presents in a terminological way the content of ten current concepts used in the prevention domain which are closely linked to quaternary prevention: (1) overinformation, (2) overdiagnosis, (3) medically unexplained symptoms, (4) overmedicalisation, (5) incidentaloma, (6) overscreening, (7) overtreatment, (8) shared decision making, (9) deprescribing, and (10) disease mongering. Methods: with the support of the laboratory team of the University of Rouen, France, which is dedicated to medical terminology and semantic relationships, it was possible to utilize a graphic user interface (called DBGUI) allowing the construction of links for each of chosen terms, and making automatic links to MeSH, if any. Those concepts are analyzed in their environment in current literature, as well as in their MeSH counterparts, if any, and related semantic online terminologies. Results and Discussion: The rules in terminological development aspire to cover the whole field of a concept and in the meantime, it helps to avoid the noise due to proxy and not exactly related issues. This refers to exhaustivity and specificity in information retrieval. Our finds show that referring to MeSH only in information retrieval in General Practice/Family medicine can induce much noise and poor adequacy to the subject investigated. Conclusion: Gathering concepts in specially prepared terminologies for further development of ontologies is a necessity to enter in the semantic web area and the era of distributed data. [less ▲]

Detailed reference viewed: 369 (9 ULiège)
Full Text
Peer Reviewed
See detailPrevenção quaternária: primeiro não causar dano - Editorial
Jamoulle, Marc ULiege

in Revista Brasileira de Medicina de Família e Comunidade (2015), 10(35), 1-3

A prevenção clínica, sob a influência da saúde pública, foi organizada de forma cronológica, desde meados do século XX. No entanto, uma mudança de paradigma de uma ordem cronológica para um padrão ... [more ▼]

A prevenção clínica, sob a influência da saúde pública, foi organizada de forma cronológica, desde meados do século XX. No entanto, uma mudança de paradigma de uma ordem cronológica para um padrão construtivista fundamentado em uma relação preventiva de atendimento, oferece novas,reflexões à prática dos médicos. Essa mudança de paradigma traz à tona o conceito de prevenção quaternária, um olhar crítico sobre as atividades médicas, com ênfase na necessidade de não causar danos. A prevenção quaternária aborda a questão principal do que se constitui como ‘muita’ ou ‘pouca’ medicina. Ela é a quarta forma de prevenção de doenças, e também a quarta etapa de ação dos médicos de família [less ▲]

Detailed reference viewed: 1178 (3 ULiège)
Full Text
Peer Reviewed
See detailManifesto de Curitiba: pela Prevenção Quaternária e por uma Medicina sem conflitos de interesse
Silva, André Luiz da; Mangin, Derelie; Pizzanelli, Miguel et al

in Revista Brasileira de Medicina de Família e Comunidade (2014), 9(33), 371-374

Detailed reference viewed: 41 (3 ULiège)
Full Text
Peer Reviewed
See detailPrevenção Quaternária e limites em medicina
Jamoulle, Marc ULiege; Gomes, Luis

in Revista Brasileira de Medicina de Família e Comunidade (2014), 9(31),

O conceito de Prevenção Quaternária, um questionamento sobre a base da ação médica, nasceu na articulação da relação médico-paciente. Refere-se a toda a atividade médica, sendo uma importante ferramenta ... [more ▼]

O conceito de Prevenção Quaternária, um questionamento sobre a base da ação médica, nasceu na articulação da relação médico-paciente. Refere-se a toda a atividade médica, sendo uma importante ferramenta para a medicina de família. É uma interrogação ética sobre os excessos da demasiada e demasiadamente pouca medicina e fornece algumas respostas. [less ▲]

Detailed reference viewed: 632 (4 ULiège)
Full Text
Peer Reviewed
See detailComentário sobre o artigo de Pizzanelli
Jamoulle, Marc ULiege

in Revista Brasileira de Medicina de Família e Comunidade (2014), 9(31),

Detailed reference viewed: 27 (1 ULiège)