4 results on '"Michel, Amouyal"'
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2. [The Childhood Asthma Control Test improves the therapeutic adaptations recommended for asthmatics aged 6 to 11 years in primary practice. A Randomized comparative prospective study]
- Author
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Guillaume, Perron, Marc, Garcia, François, Carbonnel, Florence, Trebuchon, Jean-Pierre, Daures, Michel, Amouyal, Pascal, Demoly, and David, Costa
- Subjects
Male ,General Practice ,Humans ,Female ,France ,Guideline Adherence ,Prospective Studies ,Child ,Asthma - Abstract
Asthma is the leading chronic disease of the child; control and treatment remain inadequate. Our objective was to assess whether the use of the Childhood Asthma Control Test (C -ACT) in primary care had an impact on adapting therapy.The study was quantitative prospective and compared 2 groups of general practioners. All had the same reminders about childhood asthma management. The C-ACT was detailed to one group only. Doctors in the control group had to work as usual without C-ACT. Doctors included asthmatic children aged 6 to 11 years who were consulting for their asthma or any other reason. The primary endpoint was the adaptation of asthma treatment according to the Global Initative for Asthma (GINA). Evaluations of the control group were compared with the after consultation self-administered online C-ACT.From April to October 2014, 61 physicians included 179 patients in two comparable groups. Although not significant statistically, doctors using C-ACT found 45% of uncontrolled asthma (vs. 31%). When the reason for consultation was not related to asthma, the figure was 25% (vs. 15%). Doctors using the C-ACT made twice less therapeutic adaptations not recommended by the GINA: 8% vs. 16%. 25% of evaluations of doctors in the control group were discordant with the internet C-ACT. After correction with the internet C-ACT of these imprecise initial assessments, the figure was 25%: 3 times more than in the C-ACT group (P=0.014).The use in primary care of C-ACT should allow a better assessment of asthma control and adaptation of treatment in children.
- Published
- 2018
3. [Living Lab MACVIA-LR. Equilibrium and the prevention of falls]
- Author
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Gregoire Mercier, B. Alomène, M. Lapierre, J. Pelissier, E. Viollet, J.L. Savy, F. Nouvel, Michel Amouyal, E. Royère, E. Roux, O. Engberink, Olivier Jonquet, J.M. Lussert, D. Jakovenko, Didier Delignières, Arnaud Dupeyron, S. Perrey, F. Abecassis, T. Akbaraly, G. Tallon, P.A. Adnet, F. Gressard, E. Pastor, N. Pinto, T. Camuzat, G. Dupeyron, D. Strubel, A. Matheron, Marie-Christine Picot, G. Baptista, S. Granier, Claude Jeandel, C. Boubakri, M.P. Pasdelou, Bernard Combe, G. Canovas, N. Raffort, Yannick Stephan, Jerôme Morel, Vivien Marmelat, A. Bedbrook, Rodolphe Bourret, I. Rédini-Martinez, P.L. Bernard, Isabelle Laffont, Jacques Mercier, Benoît G. Bardy, Hubert Blain, C. Laurent, M. Aoustin, Grégory Ninot, J. Burille, P. Domy, Béatrice Lognos, Jacques Bringer, M.V. Calmels, Grégoire Vergotte, M. Nogues, Jean-Marie Robine, Kjerstin Torre, Kevin Mandrick, J.-E. de La Coussaye, Sofiane Ramdani, M.P. Battesti, P. Martin-Gousset, D. Heve, Jean Bousquet, M.S. Léglise, Christine Meunier, F. Radier-Pontal, Jean-Michel Verdier, Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Euromov (EuroMov), Université de Montpellier (UM), Hôpital Universitaire de Réadaptation, de Rééducation et d'Addictologie du CHU de Nîmes [Grau-du-Roi] (CHU Nîmes), Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Mécanismes moléculaires dans les démences neurodégénératives (MMDN), Université de Montpellier (UM)-Université Montpellier 2 - Sciences et Techniques (UM2)-Institut National de la Santé et de la Recherche Médicale (INSERM)-École pratique des hautes études (EPHE), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL), Agence Régionale de la Santé (ARS), Société Publique Locale d'Exploitation de Balaruc-les-Bains, Balaruc-Les-Bains, Département de Rhumatologie[Montpellier], Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Hôpital Lapeyronie, Institut de Génétique Moléculaire de Montpellier (IGMM), Centre National de la Recherche Scientifique (CNRS)-Université de Montpellier (UM), Dynamique des capacités humaines et des conduites de santé (EPSYLON), Université Montpellier 1 (UM1)-Université Paul-Valéry - Montpellier 3 (UPVM)-Université de Montpellier (UM), Contre les MAladies Chroniques pour un VIeillissement Actif en Languedoc-Roussillon (MACVIA-LR), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Université Montpellier 1 (UM1)-Centre Hospitalier Universitaire de Nîmes (CHU Nîmes)-European Innovation Partnership on Active and Healthy Ageing Reference Site (EIP on AHA), Commission Européenne-Commission Européenne-Organisation Mondiale de la Santé / World Health Organization Office (OMS / WHO)-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM), Institut méditerranéen des métiers de la longévité (I2ML), Institut méditerranéen des métiers de la longévité, Caisse d'assurance retraite et de la santé au travail, CERMES3 - Centre de recherche Médecine, sciences, santé, santé mentale, société (CERMES3 - UMR 8211 / U988 / UM 7), Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Descartes - Paris 5 (UPD5)-École des hautes études en sciences sociales (EHESS), Caractéristiques féminines des dysfonctions des interfaces cardio-vasculaires (EA 2992), Université Montpellier 1 (UM1)-Université de Montpellier (UM), Institut de Génomique Fonctionnelle (IGF), Université de Montpellier (UM)-Université Montpellier 1 (UM1)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Montpellier 2 - Sciences et Techniques (UM2)-Centre National de la Recherche Scientifique (CNRS), Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046] (PhyMedExp), Université de Montpellier (UM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Service de Rééducation et réadaptation neurologique [CHU de Nîmes - Hôpital du Grau-du-Roi], Hôpital Universitaire de réadaptation, de Rééducation et d'Adictologie du CHU de Nîmes [Grau-du-Roi], Centre Hospitalier Régional Universitaire de Nîmes (CHRU Nîmes)-Centre Hospitalier Régional Universitaire de Nîmes (CHRU Nîmes), Centre Hospitalier Régional Universitaire de Nîmes (CHRU Nîmes), Université Montpellier 2 - Sciences et Techniques (UM2)-École pratique des hautes études (EPHE)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM), Université Montpellier 1 (UM1)-Université Paul-Valéry - Montpellier 3 (UM3)-Université de Montpellier (UM), Université Montpellier 1 (UM1)-Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre Hospitalier Régional Universitaire de Nîmes (CHRU Nîmes)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS)-European Innovation Partnership on Active and Healthy Ageing Reference Site (EIP on AHA), Commission Européenne-Commission Européenne-Organisation Mondiale de la Santé / World Health Organization Office (OMS / WHO), CERMES3 - Centre de recherche Médecine, sciences, santé, santé mentale, société (CERMES3 - UM 7 (UMR 8211 / U988)), Université de Montpellier (UM)-Université Montpellier 1 (UM1), and Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS)
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Geriatrics ,Gerontology ,medicine.medical_specialty ,business.industry ,Public health ,MEDLINE ,Information Dissemination ,General Medicine ,03 medical and health sciences ,0302 clinical medicine ,Health promotion ,Cost of illness ,medicine ,Postural Balance ,030212 general & internal medicine ,business ,030217 neurology & neurosurgery ,Independent living ,ComputingMilieux_MISCELLANEOUS ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology - Abstract
La Presse Medicale - In Press.Proof corrected by the author Available online since vendredi 16 octobre 2015
- Published
- 2015
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4. [Relevance of prison placements based on the perception of primary care medicine interns]
- Author
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Michel, Amouyal, Béatrice, Lognos, Jérémy, Lermoyer, Gérard, Bourrel, Jacques, Jourdan, and Agnès, Oude Engeberink
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Primary Health Care ,Attitude of Health Personnel ,Prisons ,General Practice ,Internship and Residency ,Pilot Projects - Abstract
The growing need for new placement opportunities for primary care interns has opened the way to placements in prison health centres. No study has previously assessed the educational value of this type of placement and its relevance to primary care for the general population.A qualitative pilot study was conducted in the Languedoc-Roussillon region of France by means of semistructured interviews and phenomenological and practical analysis based on all primary care interns completing a prison health centre placement in the region.The key dimensions emerging from the analysis are: exposure to a range of situations that are very similar to primary care in a public health context; learning how to manage complex situations; stronger orientation towards ethical health care; firmer belief in multidisciplinary teams; and enhanced awareness of the social role of primary care physicians.All interns considered this type of placement (towards the end of their training) to be a good preparation for their future primary care role, especially in the context of multidisciplinary practices.
- Published
- 2014
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