Search results for "PIDE"

Double validation of translated questionnaires in international studies

2018

Background Study questionnaires developed in one country can be translated and used for similar studies in other countries. The main problem of this process is that people speaking different languages can understand the meaning of some questions differently due to disparate mentalities and backgrounds. To avoid a misunderstanding, to perform correct conclusions in accordance to the mentality of each country, and to permit the comparison of results in different countries, the intellectual validation of questionnaires is widely used. The main problem of such a validation is its qualitative nature that can be biased by the subjective approach of the investigator. Therefore, there is a necessit…

Le social à l’épreuve, l’épreuve du social. Ou l'art d'accommoder la position sociale des patients dans le travail préventif en médecine générale

2021

Resume Objectif Cet article interroge la maniere dont les medecins generalistes liberaux prennent en compte la position sociale de leurs patients dans leur travail preventif. Methode Apres une revue des principales constructions normatives censees equiper les generalistes pour l’apprehension des dimensions sociales, l’article utilise deux enquetes sur la dispensation des soins preventifs, l’une epidemiologique (PrevQuanti) et l’autre sociologique (PrevQuali). Resultats La deontologie, la formation et les recommandations mettent difficilement en forme les dimensions sociales de la sante avec lesquelles doivent composer les generalistes. L’enquete PrevQuanti a pourtant mis en evidence que la …

Neighbourhood socio-economic characteristics and the risk of preterm birth for migrant and non-migrant women: a study in a French district

2011

Neighbourhood-level deprivation is associated with preterm birth; preterm birth rates are also higher for some, but not all migrant groups. We studied the impact of neighbourhood characteristics (a deprivation score and the proportion of foreign-born residents) on singleton preterm birth in the French district of Seine-Saint-Denis for women born in France, North Africa, sub-Saharan Africa and other countries. Multilevel logistic regression models were adjusted for maternal demographic and health care characteristics. For women born in France, the preterm birth rate rose with neighbourhood deprivation quintile (3.8% in the first to 5.7% in the fifth, adjusted odds ratio: 1.40 [95% confidence…

La coopération transfrontalière en matière de santé comme réponse aux difficultés d’accès aux soins dans un territoire

2018

Introduction De nombreuses personnes rencontrent des difficultes pour acceder aux soins adequats, notamment du fait de leur eloignement geographique et par consequent temporel du lieu qui offre ces soins. Qu’il s’agisse de situations d’urgence ou de protocoles therapeutiques plus longs, l’interdependance entre le territoire et les enjeux d’accessibilite interroge sur la pertinence de la delimitation de cet espace : administrative, juridique, geographique, demographique, ou autre. En outre, s’y ajoute la question de la mobilite des patients, particulierement dans le contexte europeen. Les zones frontalieres concentrent les problematiques liees a l’acces aux soins : a seulement quelques kilom…

Infecciones de transmisión sexual en población joven ¿qué mantiene su exposición al riesgo?

2019

Las infecciones de transmisión sexual, suponen uno de los riesgos más prevalentes entre lapoblación joven. En España, su incidencia se ha incrementado en los últimos años, siendo uno los países más afectados de Europa. Si bien se han llevado a cabo distintos esfuerzos preventivos para revertir la situación, no han mostrado la eficacia esperada. Por eso, resulta necesario profundizar en el análisis de aquellos factores que podrían mantener las conductas de riesgo. Así pues, el objetivo del presente estudio es evaluar el papel de factores psicológicos en la prevención de infecciones de transmisión sexual entre población joven. Para ello, 984 jóvenes de entre 18 y 24 años (32,7% hombres y 67,3…

Ficciones inmunitarias. Sobre la lógica de la inmunidad en la cultura contemporánea

2018

This article develops the concept of “immunitarian fiction” taking as paradigmatic examples epidemics and zombie narratives, which share the idea of contagion as the main matrix of their narrative. The article tries to address the following question: in what way do these fictions, and other similar ones, participate in the imaginary of immunity and, at the same time, show some of their internal contradictions? For this, the text reflects on a set of cultural products of mass diffusion (novels, television series, cinematographic works). We analyze, in the first place, how these fictions highlight the fears and social anxieties linked to the tensions of the “immune paradigm” and represent the…

2020

Background The COVID-19 pandemic triggered vast governmental lockdowns. The impact of these lockdowns on mental health is inadequately understood. On the one hand such drastic changes in daily routines could be detrimental to mental health. On the other hand, it might not be experienced negatively, especially because the entire population was affected. Methods The aim of this study was to determine mental health outcomes during pandemic induced lockdowns and to examine known predictors of mental health outcomes. We therefore surveyed n = 9,565 people from 78 countries and 18 languages. Outcomes assessed were stress, depression, affect, and wellbeing. Predictors included country, sociodemog…

2017

Background/Objective: The Life Orientation Test-Revised (LOT-R) is often used to assess dispositional optimism. The aims of this study were to test psychometric properties of the LOT-R, to provide normative scores, and to test the association between optimism and several psychological, sociodemographic, and behavioral factors. Method: A randomly selected German general population community sample with an age range of 18-80 years (N = 9,711) was surveyed. Results: The Confirmatory Factor Analysis (CFA) proved two (correlated) factors: Optimism and Pessimism. Invariance tests across gender and age groups confirmed metric invariance. There were only small gender differences in the LOT-R total …

Theoretical conditions for the coexistence of viral strains with differences in phenotypic traits : A bifurcation analysis

2019

We investigate the dynamics of a wild-type viral strain which generates mutant strains differing in phenotypic properties for infectivity, virulence and mutation rates. We study, by means of a mathematical model and bifurcation analysis, conditions under which the wild-type and mutant viruses, which compete for the same host cells, can coexist. The coexistence conditions are formulated in terms of the basic reproductive numbers of the strains, a maximum value of the mutation rate and the virulence of the pathogens. The analysis reveals that parameter space can be divided into five regions, each with distinct dynamics, that are organized around degenerate Bogdanov–Takens and zero-Hopf bifurc…

Molecular characterization of Treponema pallidum subsp. pallidum in Switzerland and France with a new multilocus sequence typing scheme

2018

Syphilis is an important public health problem and an increasing incidence has been noted in recent years. Characterization of strain diversity through molecular data plays a critical role in the epidemiological understanding of this re-emergence. We here propose a new high-resolution multilocus sequence typing (MLST) scheme for Treponema pallidum subsp. pallidum (TPA). We analyzed 30 complete and draft TPA genomes obtained directly from clinical samples or from rabbit propagated strains to identify suitable typing loci and tested the new scheme on 120 clinical samples collected in Switzerland and France. Our analyses yielded three loci with high discriminatory power: TP0136, TP0548, and TP…