1,721,212 research outputs found
"Projeto NotasL@cas". Dando cor à Literatura Gris
Full text linkpeer reviewedSharing 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
Core Content Classification of General Practice Family Medicine 3CGP/FM
Full text link502 --- Attempt to classify main descriptors of GP/FM job. Proposal for a metaclinical classification
Marc Jamoulle. [email protected]
metaclinical provisional web site
Context:
ICPC use is growing in any domain of GP/FM. Widely accepted as clinical tool; it is also used in various ways in practice management such as immunization targeting, documentation indexing or clinical messaging. Its components, RFE/Process/Appreciation allow a quite interesting conceptual representation of GP/FM clinical activities. Nevertheless, family doctor work area and work load need specific descriptors in order to fulfil the following objectives
Objectives:
Global description of activity, skills and knowledge (except health problems, procedure and diseases)
Classification complementary to ICPC (expanded from Q codes Lamberts et all, circa 1987).
Descriptors needed for indexation.
Main axes of training for undergraduate and vocational
All those items aim to describe the content of GP/FM in its non clinical approach. They constitute meta-information on the way the clinics and the patient doctor relationships are driven. That’s why I have chosen to use the name metaclinical classification for describing this tool.
Methods:
The Q codes, developed by Lamberts at all circa 1987 for use in bibliographic retrieval in Amsterdam University (UVA) department of GP/FM form the first building blocks of the classification. The Q letter has been chosen because it is not used in ICPC. This first approach has been filled up with my personal experience along 30 years of practice, research and teaching. From this as an empirical document, one try to change, fill the gaps and modify the content of the classification using publication on GP/FM, pair experience and critics and application to real work. UMLS corresponding descriptors searching and indexation exercises on published document could be also a good way to verify the applicability of the classification. About Safety, one has chosen to distribute the concept over all the classification when adequate rather than a special category.
First proposal
8 domains have been designed:
Patient issues
Provider’s issues
Structure of practice
Patient’s categories
Hazards
Ethics
Training, teaching, editing
R & D tools
Those domains have been open in the simplest way, only to quote the concerned concept. A formal representation and numeration or coding principle has to be chose
Marc Jamoulle: “La medicina familiar tiene que prevenir hasta la propia medicina”
Full text linkEl creador del
concepto de
“prevención
cuaternaria”,
idea que busca
atenuar las
consecuencias de
la sobreatención,
fue reconocido
por ISALUD
con el título de
profesor honoris
causa; la visita
de un médico
que, a pesar de
la trascendencia
internacional de
su propuesta,
sigue atendiendo
a sus pacientes
en su consultorio
de Charleroi
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
پیشگیری کواترنر، مفهوم، منشاء، دیدگاه ها.
Full text linkThe author presents the concept of quaternary prevention, which since its origin in 1986 has spread worldwide and is now taught in many medical schools. The concept is an update of the old Hippocratic principle: No Harm. The concepts of primary, secondary and tertiary prevention, developed in the 50s on the basis of the study of disease. The author changes his point of view, proposing a view of health problems based on the doctor-patient relationship, and proposes the concept of quaternary prevention, to prevent that situation where the patient feels ill and the doctor can't find anything for him. The question of Long Covid is given as an example of this type of situation, where patients feel abandoned by doctors who don't want to understand why technology is of no use in this disease.نویسنده مفهوم پیشگیری از کواترنری را ارائه می دهد که از زمان پیدایش آن در سال 1986 در سراسر جهان گسترش یافته و اکنون در بسیاری از دانشکده های پزشکی تدریس می شود. این مفهوم به روز شده از اصل قدیمی بقراط است: بدون آسیب. مفاهیم پیشگیری اولیه، ثانویه و سوم، در دهه 50 بر اساس مطالعه بیماری توسعه یافت. نویسنده دیدگاه خود را تغییر می دهد و دیدگاهی را درباره مشکلات سلامتی بر اساس رابطه پزشک و بیمار ارائه می دهد و مفهوم پیشگیری کواترنری را پیشنهاد می کند تا از وضعیتی که بیمار احساس بیماری می کند و پزشک چیزی برای او پیدا نمی کند جلوگیری کند. سوال لانگ کووید به عنوان نمونه ای از این نوع موقعیت ها ارائه می شود، جایی که بیماران احساس می کنند توسط پزشکانی که نمی خواهند بفهمند چرا فناوری در این بیماری فایده ای ندارد، رها شده اند
Les Evidence Based Medical Guidelines® sont-elles adaptées à la médecine defamille?
Full text linkThe author is a family physician and terminologist. He shares 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 available to healthcare personnel in several countries. In Belgium they are disseminated by CEBAM, the Belgian Centre for Evidence Based Medicine, through the ebmpractice.net website on behalf of the national insurer, INAMI.
After having corrected a few hundred texts, the author 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 about a hundred recommendations that he has more particularly studied. 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 is not clear to anyone, the EBMGs are an indispensable tool for understanding and supporting the complexity of family medicine.L'auteur est médecin de famille et terminologue. Il nous fait part de son expérience de relecture des traductions de l'anglais vers le français des Evidence Based Medical Guidelines (EBMG) publiées par DUODECIM Ltd et les médecins généralistes finlandais. Ces EBMG sont disponibles pour le personnel de santé dans plusieurs pays. En Belgique, ils sont diffusés par le CEBAM, le Centre belge pour la médecine factuelle, via le site ebmpractice.net pour le compte de l'assureur national, l'INAMI.
Après avoir corrigé quelques centaines de textes, l'auteur partage son expérience. Les questions terminologiques sont abordées en premier lieu. Les systèmes de correction, les difficultés spécifiques ou les questions d'acronymes sont passés en revue. Ensuite, l'auteur présente partiellement ses propres lectures critiques d'une centaine de recommandations qu'il a plus particulièrement étudiées. Ce sont les principaux écueils rencontrés dans le domaine de la prévention, de la pharmacologie clinique ou de la santé mentale qui sont ici discutés à la lumière de l'expérience et de la vision de la médecine de famille de l'auteur. L'échange de ces critiques avec les auteurs finlandais des guidelines s'est révélé particulièrement interactif et fructueux. Bien que le concept d'évidence ne soit clair pour personne, les EBMG sont un outil indispensable pour comprendre et soutenir la complexité de la médecine de famille
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Quaternary prevention, an answer of family doctors to overmedicalization
No full textIn response to the questioning of Health Policy and Management (HPAM) by colleagues on the role of rank
and file family physicians in the same journal, the author, a family physician in Belgium, is trying to highlight
the complexity and depth of the work of his colleagues and their contribution to the understanding of the
organization and economy of healthcare. It addresses, in particular, the management of health elements
throughout the ongoing relationship of the family doctor with his/her patients. It shows how the three
dimensions of prevention, clearly included in the daily work, are complemented with the fourth dimension,
quaternary prevention or prevention of medicine itself, whose understanding could help to control the
economic and human costs of healthcar
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
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