Search results for "Sniiram"
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How Big Data Informs Us About the Population Health Status : endophthalmitis after ophthalmologic procedures
2022
The use of Big Data, in the form of almost exhaustive French medico-administrative databases, has made it possible to address several issues without which this would not have been possible. First, to define the incidence of endophthalmitis after ophthalmologic procedures without bias on specific recruitment modalities of respondents (tertiary centers, questionnaires ...). Thus, local observations of a change in prevalence trends of causative procedures were confirmed at the national level. The reliable description of the incidence of endophthalmitis will then make it possible to identify critical situations of recrudescence of cases. The knowledge of the delay of occurrence after the proced…
Proposal of an exploitation method of a national database, the PMSI, to estimate the frequency of the abused children in France, from 0 to 5 years ol…
2017
Importance: Childhood abuse is a global public health issue yet there is a serious lack of reliable epidemiological data and the figures reported are very often underestimated. A large part of these children are not diagnosed. Moreover, diagnosed children are not recorded in a single database.Objective: The aim of this study is to provide two estimations of the frequency of child physical abuse requiring hospitalization (hospital prevalence) and the corresponding in-hospital fatality. Design, setting and participants: This was a national retrospective study using a national hospital database (PMSI).We included all children aged less than 2 years old hospitalized at least once in France from…
Evaluation économique de la prématurité : une première année de vie aux enjeux majeurs : le cas de la France
2016
This thesis focuses on a first economic assessment of prematurity in France. Prematurity is defined as occurring before 37 weeks of gestation. It is increasing in France and worldwide. If the issues of public health are already well identified, medical care and collective choices concerning prematurity matters also involve significant economic challenges. The first part of this thesis attempts to present the public health issues of prematurity and highlights the remaining efforts required to provide prevention in France. It then considers economic issues on the use of socially fairer resources dedicated to perinatal health in a context where current health expenditure is rising. Assessment …