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Статті в журналах з теми "Contexte épidémiologique"
Lagacé-Wiens, Philippe, Claire Sevenhuysen, Liza Lee, Andrea Nwosu, and Tiffany Smith. "Incidence des interventions non pharmaceutiques sur la détection de l’influenza A et B en laboratoire au Canada." Relevé des maladies transmissibles au Canada 47, no. 3 (March 31, 2021): 155–61. http://dx.doi.org/10.14745/ccdr.v47i03a04f.
Повний текст джерелаLAMINI N'SOUNDHAT, Norbert Edgard, Daphtone Chabel NKOUALA-KIDEDE, Yvette MOIGNY-GAJOU, Francina Eddie OMBOUMAHOU BAKALE, Anah Précieu SALEMO, Ondzala AKOLI EKOYA, Affleck Romaric Letier ANGALLA, and Richard BILECKOT. "Lombalgie commune chez le personnel soignant au CHU de Brazzaville: aspects épidémiologiques, cliniques et étiologiques." Rhumatologie Africaine Francophone 6, no. 1 (December 30, 2023): 17–24. http://dx.doi.org/10.62455/raf.v6i1.50.
Повний текст джерелаDjemi, EM, EK Zegbeh-N’guessan, PIJ Berete, L. Traoré, AL Yao, AABD Amenou, H. Mafata, YG Dally, and ADM Ory Opokou. "Fractures de la mandibule au CHU de Bouake : aspects épidémiologique, thérapeutique et évolutif (Côte d’Ivoire)." Journal Africain des Cas Cliniques et Revues 8, no. 3 (July 31, 2024): 83–91. http://dx.doi.org/10.70065/24ja83.001l023107.
Повний текст джерелаMESSAOUDI, Réda, Mohamed Amine Moueden, Hadj Touhami, Zahia Zouaoui, Naima Mesli, and Abdelkader Adria. "Epidemiological profile of constitutional thrombopathies in western Algeria." Batna Journal of Medical Sciences (BJMS) 8, no. 2 (December 28, 2021): 110–14. http://dx.doi.org/10.48087/bjmsoa.2021.8204.
Повний текст джерелаShowier, Adrienne, and Andrea K. Boggild. "Strongyloidiasis Presenting as Larva Currens 38 Years after Presumed Exposure." Journal of Cutaneous Medicine and Surgery 16, no. 6 (November 2012): 433–35. http://dx.doi.org/10.1177/120347541201600613.
Повний текст джерелаEstève, J. "L' Analyse des Données de Survle Dans le Contexte Épidémiologique*." Gaceta Sanitaria 6, no. 29 (1992): 78–85. http://dx.doi.org/10.1016/s0213-9111(92)71097-8.
Повний текст джерелаHorra, A., M. Abou-Elfadl, S. Rouadi, R. Abada, M. Mahtar, M. Roubal, M. Essaadi, and F. Kadiri. "Les otites moyennes chroniques compliquées : profil épidémiologique de notre contexte." Annales françaises d'Oto-rhino-laryngologie et de Pathologie Cervico-faciale 129, no. 4 (October 2012): A105. http://dx.doi.org/10.1016/j.aforl.2012.07.279.
Повний текст джерелаBoelle, Pierre-Yves, Rodolphe Thiébaut, and Dominique Costagliola. "Données massives, vous avez dit données massives ?" Questions de santé publique, no. 30 (September 2015): 1–4. http://dx.doi.org/10.1051/qsp/2015030.
Повний текст джерелаGiami, Alain. "Le questionnaire ACSF: l'influence d'une représentation épidémiologique de la sexualité." Population Vol. 48, no. 5 (May 1, 1993): 1229–56. http://dx.doi.org/10.3917/popu.p1993.48n5.1256.
Повний текст джерелаBenamouzig, Daniel, and François Alla. "Développer la recherche en services de santé : Pour accompagner les changements (organisationnels) du système de santé." Questions de santé publique, no. 33 (October 2017): 1–8. http://dx.doi.org/10.1051/qsp/2017033.
Повний текст джерелаДисертації з теми "Contexte épidémiologique"
Aounallah-Skhiri, Hajer. "Mode de vie et santé de l'adolescent en Tunisie dans un contexte de transition épidémiologique." Paris 6, 2010. http://www.theses.fr/2010PA066108.
Повний текст джерелаDamien, Barikissou Georgia. "Evaluation épidémiologique de l’efficacité des stratégies de lutte anti-vectorielle contre le paludisme dans un contexte de lutte intégrée." Thesis, Montpellier, 2015. http://www.theses.fr/2015MONTT044/document.
Повний текст джерелаDespite national and international efforts, malaria remains a major public health in many countries. Health systems are hindered by the lack of information on the actual burden of malaria and the effectiveness of vector control tools. Vector-control measures are a component of integrated malaria control strategies. The objective of our thesis was to evaluate the efficacy and the effectiveness of malaria vector control tools using parasitological and clinical criteria.With a block randomized control trial, we investigated whether the combination of long-lasting insecticidal mosquito nets (LNs) with indoor residual spraying (IRS) or Carbamate-treated Plastic Sheeting (CTPS) conferred better protection against malaria vectors than did LNs alone. The clinical incidence density of malaria was not reduced in the children from the "Universal LN" group (incidence density rate (0.95, 95% CI 0.67–1.36, p=0.79), nor in those from the "Target LN + IRS" group (1.32, 0.90–1.93, p=0.15) or from the "Universal LN + CTPS group (1.05, 0.75–1.48, p=0.77) compared with the reference group "Target LN". The same trend was observed with the prevalence and parasite density of asymptomatic infections. The evaluation of the effectiveness of vector control tools is possible but requires enormous technical, logistic and financial resources. The evaluation of the effectiveness of malaria vector control tools after distribution requires a more flexible epidemiological study. Considering the ethical and financial constraints of the longitudinal study, we validated the use of a case-control study to this purpose. It was conducted primarily among children aged 0-5 years old and then applied to the entire population. Results were spatial dependant when taking into account age and compliance to chemoprophylaxis as confusion factors, use of other vector control tools, sex, and economic status, school level of the mother or the head of the house. In the rural area, the use of LNs provided significant level of protection (40-50%) against clinical cases among children aged 0-5 years old. This significant protection was obtained among all population only if the LNs were associated to IRS. In the urban area, the use of LN was not provided protection against clinical cases but reduce 50% of the risk of Plasmodium falciparum infection in one neighbourhood. The limits of this case-control study may be intrinsic to control measures (lake of coverage, vector resistance to insecticides etc.). The exposure of vector control tools measures may also be subject to bias. Several factors interfering with the success of malaria control were discussed. The first negative factor to the effectiveness of vector control tools was the "no use of LNs". Then follows the immediate environment where the fight against vectors took place. The description of the room where played vector control fighting shows that the space available for all the actors (LNs, IRS, humans and vectors) to play their role properly is quite limited. This space is often poorly enlightened. Similarly the presence of open flames is involved in the degradation of the physical integrity of LNs. The presence of holes on the bed-nets indicates a loss of effectiveness because from a hole index above 100, individuals are highly exposed to the bites of vectors. In addition, An. funestus, one of the main vectors of malaria transmission in the study area, bitted after 6:00 am and provides much of the transmission in outdoor. Finally, the nets can also create personal injury as fire. At the end our work, we conclude that the innovative vector control tools are required to improve malaria vector control. But, operational research seems now essential as the vector control tools used on a large scale have provided good efficacy results in the laboratory. The challenge then is to obtain comparable results in real condition of use and look for effectiveness barriers
Kalantari, Soudabeh. "Étude épidémiologique et clinique des violences vécues par les femmes iraniennes : clinique des violences en contexte conjugal en Iran à Téhéran." Phd thesis, Université Rennes 2, 2012. http://tel.archives-ouvertes.fr/tel-00785574.
Повний текст джерелаWasniewski, Marine. "Apport des outils de détection de l’immunité adaptés au contexte épidémiologique pour le contrôle et la surveillance de la rage animale." Thesis, Paris Est, 2018. http://www.theses.fr/2018PESC1093.
Повний текст джерелаRabies is a deadly zoonosis that can affect wild and domestic mammals as much as humans. About 70,000 human deaths are reported each year, mostly in children from developing countries. Dogs, which are the major reservoir and source of the RABV species, account for 98-99% of these deaths. Currently, fourteen species of Lyssavirus, mainly circulating in chiroptera, are officially recognized. Vaccination, combined with sanitary measures, remains the best tool for preventing and controlling the disease. To date, only serology has allowed to control the effectiveness of rabies vaccination, as the production of neutralizing antibodies is the first evidence of protective immunity. Studies based on viral seroneutralisation, including my own studies, have highlighted the influence of various factors. Some of them have led to recommend modifications of vaccine protocols. They also contributed to monitor the effectiveness of individual or group vaccination field programmes and to improve these programmes. Seroneutralisation tests are also used in the context of the epidemiological surveillance of unvaccinated animal populations. I first successfully adapted these tests to lyssaviruses of interest in France. In a second step, their implementation in chiropters in France provided information on the circulation of EBLV-1 and EBLV-2 species, (only on a serological basis for the latter). This survey also allowed to highlight, within a specific colony, a phenomenon of serological transition over time, which should deserve to be studied further. However, seroneutralisation tests are difficult to be implemented in countries where rabies is very prevalent, mainly because of limited resources. My work, which recommends the use of an ELISA test as an alternative method, contributed to questioning the dogma of the necessary use of seroneutralisation tests. This test, coupled with a blood sampling system adapted to the field, should improve the monitoring of the effectiveness of vaccination campaigns for both wildlife and domestic animals, including in enzootic countries, where the quality of the blood samples cannot be guaranteed. Humoral immune response assessment tools are very valuable tools for the control and surveillance of animal rabies all around the world. My work, complementary to those carried out by other teams, has helped to make the priority objective of international organizations possible, i.e. the eradication of canine rabies in the world by 2030. However, further works are needed to improve the available tools and to propose more adapted ones, in order to achieve all the goals of eradication, for both canine and sylvatic rabies
Charters, Kathleen Anne. "Putting health behaviour theory into context and context into health behaviour theory. : COVID-19 through the health psychology looking glass." Electronic Thesis or Diss., Paris, EHESS, 2024. http://www.theses.fr/2024EHES0042.
Повний текст джерелаThe COVID-19 pandemic highlighted the importance of health protective behaviours in reducing disease spread and subsequent health burden. Understanding the psychological determinants motivating behavioural engagement is therefore critical in an epidemic and pandemic setting. At the time of the pandemic outbreak, relatively little research attention had focused on the dynamics of human behavioural response to an unfolding, constantly evolving epidemic threat. This doctoral research therefore sought to address this gap in the literature firstly by investigating existing theory in the COVID-19 context, and secondly by expanding upon existing theory to account for the epidemic setting, thereby putting health behaviour theory into context and context into health behaviour theory. To this end, the first part of the doctoral research investigated two health behaviour issues of concern to researchers and health authorities: unrealistic optimism and risk compensation. Findings from the first repeated cross-sectional study (N=12,378), conducted at pre-, early and peak first-wave epidemic stages (February–April 2020) in France, Italy, Switzerland and the United Kingdom, indicated that people across all four countries became increasingly unrealistically optimistic over time and that this was associated with behavioural disengagement. Results of the second study (N=14,003) during the initial eight months of the vaccine rollout in France (February–September 2021), suggested risk compensation occurred towards the end of the vaccine rollout, particularly towards avoidance of social gatherings among those with a completed vaccination schedule.As results from these initial studies suggested that the epidemic setting influenced risk appraisal and adherence to mitigation measures, and addressing a gap in the literature due to the paucity of research in this area, the second part of the doctoral study explored the effect of the epidemiological context on behaviour and the social cognitive pathways involved. Seventeen bi-monthly surveys were conducted over nine months (March–November 2020, N=34,016). Multilevel analysis revealed that there was an association between the epidemiological context and protective behaviour, with time serving to moderate the effect of incidence on behaviour. Further pathway analysis indicated that the effect of the epidemiological context on behaviour was only partially mediated by social cognitive variables. Surprisingly, with the exception of perceived social norms, which made the greatest mediational contribution, social cognitions commonly and repeatedly found to predict behavioural response contrastingly contributed little to mediating the epidemiological context–behaviour relationship. Implications for theory, future research, public health policy and practice are discussed. Above all, these research findings highlight the need to nurture theory by examining, testing and expanding upon it in different contexts. Through its extension of extant theory to an epidemic of an emerging infectious disease, COVID-19, the current investigation explored the underlying layers of influence and possible causal mechanisms involved in the complex and dynamic psychological process of risk appraisal and behavioural engagement. By putting theory into context and context into theory, this doctoral research sought to nourish and advance theory, thereby making a significant contribution to the field of health behaviour research
Imounga, Laure Manuella. "Contexte sanitaire et situation épidémiologique de la Guyane vis-à-vis des cancers : comparaisons infrarégionales, nationales, internationales et Spécificités Gastric cancer incidence and mortality in French Guiana: South American or French ? Incidence and mortality of cervical cancer in French Guiana: temporal and spatial trends." Thesis, Guyane, 2020. http://www.theses.fr/2020YANE0013.
Повний текст джерелаThe purpose of this study was to know the epidemiological situation of French Guiana with regard to cancer between 2005 and 2014 in terms of incidence and mortality, to study the evolution of these indicators, to compare them with those of mainland France for 2012 in order to highlight the specificities of French Guiana and then compare them with the Antilles and Latin America.The databases of the French Guiana Cancer Registry and CépiDC-INSERM identified 4,392 new cases and 1,305 cancer deaths in French Guiana between 2005 and 2014 and highlighted an excess incidence and mortality in men. The most frequent and fatal cancers in men over the 2005-2014 period, ranked by mortality were: prostate, lung, stomach, liver, colon-rectum and pancreas. In women, the most frequent and fatal cancers were breast, cervix, colon-rectum, lung, ovary, and cancer of the stomach.The analysis of incidence and mortality of all cancers showed that the epidemiological situation between 2005 and 2014 was more favorable overall in French Guiana than in mainland France in 2012. However, cancers and cancer deaths occur much earlier in French Guiana with younger median age of at diagnosis and at death than in France. In addition, the sex ratio was similar for incidence and lower in French Guiana than in France in terms of mortality, i.e. a smaller gap between men and women in French Guiana which suggests a more unfavorable situation among women in French Guiana than in France. Between 2005 and 2014 * (* 2012 for France), the incidence of all cancers declined in men and slightly increased in women in the two territories. Cancer mortality declined in men and slightly increased in women in French Guiana, while incidence and mortality both declined in mainland France. Certain cancers in French Guiana were on the rise compared to France (lung, colon-rectum, breast, thyroid, multiple myeloma and plasmacytoma).Through the spatial analyzes, we were able to show that French Guiana presented municipal disparities. In comparison with France, certain cancers were over-represented in terms of incidence and mortality (prostate, stomach, cervix, multiple myeloma and plasmacytoma with an inversion of the sex ratio for the latter location). The comparative analysis of these cancers with the West Indies and the countries of Latin America has shown similar epidemiological profiles according to the type of cancer and the region of the world considered. French Guiana often has a profile that resembles Latin America for cervical cancer and gastric cancer.These specificities reflect the many particularities of French Guiana: youth, social inequalities, ethnic composition, climate, greater sedentary lifestyle and obesity, lower consumption of alcohol and tobacco, deficiencies ... all factors that shape the risk of cancer.This study is in line with the requirements of the French Cancer Plan and its results could be used to implement actions for the prevention and therapeutic management of cancers in French Guiana. Further studies on the stage at diagnosis and survival of cancers seem important in order to have a broader overview of the epidemiological situation in French Guiana
Clairet, Anne-Laure. "Gestion des risques médicamenteux dans des contextes spécifiques : typologie et épidémiologie." Thesis, Bourgogne Franche-Comté, 2019. http://www.theses.fr/2019UBFCE020.
Повний текст джерелаThe medical management of a patient is a multidisciplinary process consisting of several stages: prescription, dispensation, administration. Securing the medical management of a patient is essential to control the iatrogenic risk. In France, for all causes, nearly 6.2 serious adverse events occur per 1000 days of hospitalization (9.2 in surgery and 4.7 in medicine), or about one serious adverse event every five days in a hospital ward with 30 beds. Medication errors would be estimated at nearly 60,000 to 130,000 per year, nearly half of which would be preventable.Clinical pharmacy is a health discipline focused on the patient whose exercise aims to optimize the therapeutic management at each stage of the care pathway. For this, clinical pharmacy acts contribute to the security, relevance and efficiency of the use of health products.The objectives of this thesis are to describe the pharmacist's role in the prevention and management of medication errors through the example of two unique care pathways and the management of a patient in a particular care context:- the care pathway of the patient initiating oral anticancer treatment;- the path of care of the elderly subject:o the role of the hospital pharmacist in the care and continuity of the elderly patient's care during acute hospitalization in a geriatric ward;o the training of community pharmacists in the preparation of outpatient medication reports and feedback on their implementation;- the hospitalization of a patient in intensive care unit.This work allows the synthesis of 3 examples related to the complexity of the care of the patients within the care pathways or in particular care contexts:- Acute management of a patient with chronic illness in a medical resuscitation department;- Chronic management of a medical oncology patient during the initiation of oral anticancer treatment;- The hospital and outpatient care of a polyp old patient.Drug risks differ according the type of treatment. Thus, the main risk identified during a first prescription of an oral anticancer drug is the self-medication of the patient. In intensive care, the pharmacist must be expert in order to be able to answer certain problems not seen in other conventional wards. New missions are entrusted to community pharmacists, especially in the care of the elderly.Faced with these new missions of the pharmacist and in view of the expertise required of a pharmacist in specialized care services (oncology, Intensive care unit for example), it is necessary to evolve some university education
Girdary, Laurent. "Analyse géographique de la transition de la dengue suivant les contextes d'habitations en Guadeloupe." Thesis, Antilles-Guyane, 2012. http://www.theses.fr/2012AGUY0565/document.
Повний текст джерелаAt present, dengue fever has become the arbovirose the most wide-spread worldwide with 40 % ofthe exposed population, 2,5 billion people. The disease is endemie in all the continents excepted Europe even though the fust cases ofautochthonoustransmissionwere observedinmetropolitanFranceandCroatiain2010.Because oftherecentincrease of its incidence, dengue fever is now a major public health problem in the tropical countries and a threat for the other countries in the worldwide. Due to its mode oftransmission, the disease is closely linked to the environment. Urbanization is an important factor ofthe emergence or the re-emergence of dengue in the tropical countries. This study aims to analyze the links between health and environment domains, which correspond to the epidemiological situation of the dengue and the evolution ofthe urbanization in Guadeloupe.Information about suspect and confirmed cases of dengue were collected. The incidence of suspect and confirmed cases has been estimated, then represented at two different administrative boundaries: communes and sections. Environmental factors including the physical and socio-demographic variables were taken into account to the definition, the identification and the analyze ofevolution of the housing patterns during the studied period. Two methods were used: Il Raster" consisting of a regular analysis based on squares units and "Vector" based on the administrative limits of sections. These classifications allowed to describe the distribution ofthe different housing patterns ofGuadeloupe and to estimate indicators for the analyzing of sanitary data. The results highlight a worsening ofepidemiological situation ofthe dengue over the time in the department. Major outbreaks occurred in 2001,2005/2006 and 2007. The north Basse-Terre, the Pointe-à-Pitre urban area as weIl as the whole coast (frOID the city of Gosier to Saint-François) ofthe southeast ofGrande-Terre were the most affected regions by the increase ofincidence of dengue. Concerning the housing classes, eight different patterns were identified: tourist, natural, intermediate, agricultural, residential, rural, suburban and urban. The intermediate class corresponds to buffer regions between the other patterns. The difference between the agricultural and rural contexts lies in the predominance ofagricultural surface for the first one while the rural context is characterized by the inhabited farmland. The evolution over time of spatial extend ofthese patterns was described in relation with incidence. Results showed that the housing patterns are statically associated with the incidence ofdengue in Guadeloupe. In particular, the touristic, residential and rural patterns have a high positive association with dengue incidence
Venier, Anne-Gaëlle. "Pseudomonas aeruginosa en réanimation : épidémiologie et facteurs de risque d’acquisition." Thesis, Bordeaux 2, 2011. http://www.theses.fr/2011BOR21851/document.
Повний текст джерелаDespite major advance in techniques and reinforcement of infection control measures, Pseudomonas aeruginosa remains frequent in intensive care unit (ICU) and is responsible for severe hospital-acquired infections. Several patient and pathogen-specific risk factors have been associated with acquisition of P. aeruginosa in ICUs Nevertheless those risk factors were identified in monocentric studies which rarely took in account the context of cares. If individual risk factors for P. aeruginosa acquisition have appeared to be predominant since then, the role of contextual variables seems to have been underestimated. This thesis provides insight into the epidemiology of P. aeruginosa in ICU, identifies individual and contextual risk factors for P. aeruginosa infection and P. aeruginosa acquisition and emphasizes the interest of contextual variables which gives new perspectives to P. aeruginosa prevention
Signoli, Michel. "Etude anthropologique de crises démographiques en contexte épidémique : aspects paléo et biodémographiques de la Peste en Provence." Aix-Marseille 2, 1998. http://www.theses.fr/1998AIX2651U.
Повний текст джерелаКниги з теми "Contexte épidémiologique"
Krieger, Nancy. Epidemiology and the People's Health: Theory and Context. Oxford University Press, Incorporated, 2011.
Знайти повний текст джерелаЧастини книг з теми "Contexte épidémiologique"
"Table of Contents." In Analyse des tableaux de contingence en épidémiologie, XV—XXIV. Presses de l'Université du Québec, 2004. http://dx.doi.org/10.2307/j.ctv18phbxd.5.
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