📇 Rhumatologue · DIEPPE CEDEX · (76) · Salarié

MME INGRID DEVOUEIZE-VERHASSELT

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17 articles scientifiques publiés — formation continue solide
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119.2 rhumatos / 100 000 hab. — département bien doté

Rhumatologue

📍 DIEPPE CEDEX (76)SalariéRPPS 10003978896

✨ Génération du profil synthétique IA en cours…

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Top publications · les plus citées

Ultrasonographic estimation of fetal weight: acquiring accuracy in residency

Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2002

📚 43 citations🎯 RCR 1.92

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Objective . Ultrasonographic imaging is considered an objective means for fetal weight estimation. The goals of this study were to determine the accuracy of ultrasonographic estimates of fetal weight performed by residents in training and to ascertain how rapidly the residents gained proficiency in this regard. Methods . A total of 300 ultrasonographic estimates of fetal weight and corresponding birth weight were collected and stratified into 4 groups by the level of residents' experience, from level 1 (inexperienced, with <6 months of exposure) to level 4 (advanced experience, with at least 24 months of training). The proportional difference between ultrasonographic estimates of fetal weight and birth weight was calculated for each case and grouped according to the level of training of the examiner. The derived data were compared by analysis of variance, linear regression, and χ 2 test. Results . Significant increases in the accuracy of ultrasonographic estimates of fetal weight were observed with advancing levels of resident experience ( P < .0001). Overall, 30.6% of ultrasonographic estimates of fetal weight fell within 5% of birth weight, and 60.6% fell within 10%. Among the least experienced residents (<6 months of training), 49.4% of estimates fell within 10% of birth weight; among those with 6 to 11 months of experience, 53.5% of estimates fell within 10%; among those with 12 to 23 months of experience, 64.1% of estimates fell within 10%; and among the most experienced (≥24 months), 73.6% of estimates fell within 10%. Conclusions . There is a learning curve for ultrasonographic estimates of fetal weight, with a significant decrease in the percent error seen with advancing training among residents, reaching acceptable levels of more than 70% of estimates within 10% of birth weight after 24 months of ultrasonographic experience.

EPI immunization coverage, timeliness and dropout rate among children in a West Cameroon health district: a cross sectional study

BMC public health · 2020

📚 22 citations🎯 RCR 1.96🔓 Open Access📄 PDF gratuit ↗

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Abstract Background Monitoring of the expanded program on immunization’s performance is not only limited to routine periodic reports but equally includes surveys. Based on unpublished national EPI surveillance data from the past 5 years in Cameroon, the Foumban health district has reported a high number of vaccine preventable disease suspected cases. Contradictory information on the immunization coverage in this district exists from both administrative data and published literature. As a result, the objective of this study was to estimate the immunization coverage and dropout rate in age group 12–23 months and timeliness in age group 0–59 months among children in Foumban Health District (Cameroon), in 2018. Method This was a descriptive cross-sectional study targeting randomly selected children aged 0–59 months from Foumban health district. Data were collected by trained and supervised surveyors using a pretested questionnaire to describe the immunization coverage, timeliness and dropout rate in eighty clusters of about thirty buildings selected by stratified random sampling in July 2018. Results In total, 80 clusters covering 2121 buildings were selected and all were reached (100%). A total of 1549 (81.2%) households accepted to participate in the survey and 1430 children aged 0–59 months including 294 (20.6%) aged 12–23 months were enrolled into the study. Of these 1430 children, 427 [29.9 (27.4–32.2)%] aged 0–59 months were vaccinated with evidence. In the age group 12–23 months, the immunization coverage with evidence of BCG, DPT-Hi + Hb 3 and measles/rubella were 28.6(23.4–33.9)%, 22.8 (18.1–27.6)% and 14.3 (10.3–18.1)% respectively. Within age group 0–59 months; the proportion of children who missed their vaccination appointments increased from 23.3 to 31.7% for the vaccine planned at birth (BCG) and last vaccine planned (Measles/Rubella) for the EPI program respectively. In age group 12–23 months; the specific (DPT-Hi + Hb1–3) and general (BCG-Measles/Rubella) dropout rates of vaccination with evidence were 14.1 and 50.0% respectively. Conclusion Documented immunization coverage, dropout rate and timeliness in Foumban Health district are lower than that targeted by the Cameroon EPI. Competent health authorities have to take necessary actions to ensure the implementation of national guidelines with regards to children access to immunization. Also, studies have to be conducted to identify determinants of low immunization coverage and delays in immunization schedules as well as high dropout rates.

Aetiologic and clinical characteristics of syncope in Chinese children

Acta paediatrica (Oslo, Norway : 1992) · 2007

📚 19 citations

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AbstractAim: This study aimed to improve diagnostic efficacy of syncope in children by analyzing the aetiology and clinical characteristics of syncope in Chinese children.Methods: We retrospectively analyzed the causes of syncope and diagnostic workup in 154 consecutive children seen in the Department of Pediatrics, Peking University First Hospital, China, because of a syncope‐related event.Results: In all patients with transient loss of consciousness (TLOC), there were 136 (88.31%) patients attributing to syncope, and 18 (11.69%) belonging to nonsyncopal cases. Neurally mediated syncope (NMS) was the most common cause of syncope (99 cases; 64.3%), with cardiac causes ranking second (10 cases; 6.5%). Other nonsyncopal causes included psychiatric problems and neurological and metabolic disorders. In 25 cases (16.2%), the cause was uncertain. Cases of NMS often had clear inducement of syncope and prodromes. Children with cardiac syncope often had a history of cardiac disease, were often younger than those with NMS, and showed exercise‐related syncope, syncope spells in any body position or at an early age, or sudden death in family members but no prodromes. Neurological disorder was suspected in cases of TLOC with seizures, TLOC spells in any position, postictal phase of disorientation or abnormal neurological signs. A metabolic cause is suspected with a history of metabolic disease, prolonged anger, or violent vomiting and diarrhoea. Children with psychiatric disorders were adolescent girls, with prolonged TLOC spells, who had more frequent TLOC. Although many tests were used in diagnosis, most were not goal directed. Now, electrocardiography is recommended in almost all children with syncope. Neurological testing, including electroencephalography and computed tomography were rarely helpful unless with evidence of neurological signs and symptoms. Head‐up tilt test (HUTT) was most useful in children with recurrent syncope in whom heart disease was not suspected.Conclusion: NMS was the most common cause of syncope. We recommended HUTT as the important basis of the TLOC workup.

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MME INGRID DEVOUEIZE-VERHASSELT

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Top publications · les plus citées

Publications scientifiques (17) — classées par pathologie

Transversal5

Épidémiologie & registres2

Essai clinique2

Pédiatrie2

Case report / série1

JAK inhibiteurs1

Pharmacovigilance1

Risque cardio-vasculaire1

Sclérodermie1

Sjögren1

Vraie vie / RWE1

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