References of "Gosset, Christiane"
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See detailEstimating the economic impact of a possible equine and human epidemic of West Nile virus infection in Belgium
Humblet, Marie-France ULg; Vandeputte, Sébastien; Fecher-Bourgeois, Fabienne ULg et al

in Eurosurveillance (2016), 21(31),

This study aimed at estimating, in a prospective scenario, the potential economic impact of a possible epidemic of WNV infection in Belgium, based on 2012 values for the equine and human health sectors ... [more ▼]

This study aimed at estimating, in a prospective scenario, the potential economic impact of a possible epidemic of WNV infection in Belgium, based on 2012 values for the equine and human health sectors, in order to increase preparedness and help decision-makers. Modelling of risk areas, based on the habitat suitable for Culex pipiens, the main vector of the virus, allowed us to determine equine and human populations at risk. Characteristics of the different clinical forms of the disease based on past epidemics in Europe allowed morbidity among horses and humans to be estimated. The main costs for the equine sector were vaccination and replacement value of dead or euthanised horses. The choice of the vaccination strategy would have important consequences in terms of cost. Vaccination of the country’s whole population of horses, based on a worst-case scenario, would cost more than EUR 30 million; for areas at risk, the cost would be around EUR 16–17 million. Regarding the impact on human health, short-term costs and socio-economic losses were estimated for patients who developed the neuroinvasive form of the disease, as no vaccine is available yet for humans. Hospital charges of around EUR 3,600 for a case of West Nile neuroinvasive disease and EUR 4,500 for a case of acute flaccid paralysis would be the major financial consequence of an epidemic of West Nile virus infection in humans in Belgium. [less ▲]

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See detailLe médecin scolaire et la suspicion de maltraitance à enfant : Vers des recommandations de bonnes pratiques dans l’intérêt de l’enfant
Renard, Florence ULg; Blavier, Adelaïde ULg; Lachaussée, Sophie et al

in Revue Médicale de Liège (2016), 71(10), 428-434

Child maltreatment, including all forms of maltreatment, remains a major public health problem in highincome countries. Healthcare professionals only contribute to a small proportion of reports. In French ... [more ▼]

Child maltreatment, including all forms of maltreatment, remains a major public health problem in highincome countries. Healthcare professionals only contribute to a small proportion of reports. In French-speaking Belgium, almost 100 % of school-aged children are regularly submitted to periodical school health visits. The school health doctor is well placed to recognize neglected or abused children. Based on international good practice recommendations, this paper proposes means for the detection and management of child abuse in the context of school medicine. [less ▲]

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See detailLe couplage « Micro-crédit, Micro-assurance santé et Offre des soins » peut améliorer l’accessibilité aux soins de santé de qualité en milieu urbain africain : Résultats d’une expérience menée dans la zone de santé de Bandalungwa à Kinshasa, Congo.
Manzambi Kuwekita, Joseph ULg; Gosset, Christiane ULg; Guillaume, Michèle ULg et al

in Médecine et Santé Tropicales (2015), 25

Summary This study, based on a survey carried out in 2008, examines how coupling «microcredit, micro-insurance and health care» can improve access to quality care in the health zone of Bandalungwa, in ... [more ▼]

Summary This study, based on a survey carried out in 2008, examines how coupling «microcredit, micro-insurance and health care» can improve access to quality care in the health zone of Bandalungwa, in Kinshasa. The bivariate analysis shows a significant association between the increase in purchasing power and realization of benefit (p = 0, 001), achievement of benefit and savings (p = 0, 000) savings and insurance health and improved access to health care: according to the main results, 68.8 %t of borrowers reported an increase in their purchasing power which 81.8% making benefit. Those with savings were 24.7 times more likely to contribute to a health insurance scheme than those without; 71.9% of those who have regularly contributed to health insurance have improved their access to care. Coupling microcredit, health microinsurance and health care can improve access to quality health care at lower cost. This suggests the integration of health insurance in the primary health care system. [less ▲]

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See detailFinancement de la santé et recouvrement des coûts : le lourd fardeau des ménages congolais. Résultats des comptes nationaux de la santé.
Manzambi Kuwekita, Joseph ULg; Eloko Eya Matangelo, Gérard; Bruyère, Olivier ULg et al

in Journal d’Épidémiologie et de Santé Publique (2015), 15(Mars 2015), 15-27

This study examines the share and allocation of household expenditure in health financing, as presented by the National Health Account figures. These figures are based on a national survey carried out in ... [more ▼]

This study examines the share and allocation of household expenditure in health financing, as presented by the National Health Account figures. These figures are based on a national survey carried out in 2010 among 11,000 households, 2,200 people living with HIV/AIDS, 183 institutions, 42 mutual funds, 18 companies and using the balance sheets of 1,300 companies. Total household health expenditure per capita per year amounted to U.S. $ 4.50. Routine health expenditure is covered by the households (40%) and international cooperation (45%) through direct payment without cost sharing (93.7%). A hospital stay is warranted in case of nutritional deficiencies (34%), malaria (12%) and mental disorders (10%). 82% of outpatient care is related to malaria (71%) and mental disorders (12.5 %). In conclusion, the observation that 71.58% of hospitals expenditure, 96.49% of ambulatory care centres expenditure, 98.48% of medical and diagnosis laboratories expenditure, 72.42% of pharmacies expenditures come from households’ out of pocket expenses calls for the establishment of solidarity mechanisms in the health sector. Outpatient malaria care consumes as much as 71% of household expenditure, and we therefore need to strengthen prevention, treatment and focus on monitoring progress. The fact that nutritional deficiencies are the leading cause of people seeking hospital care suggests that efforts are needed to improve their living conditions of households. Mental disorders are the third leading cause of hospital recourse and this pathology should therefore be included in the minimum and supplementary package of activities. [less ▲]

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See detailComment optimiser l’efficience de l’aide internationale, dans le domaine de la santé, en République Démocratique du Congo
Manzambi Kuwekita, Joseph ULg; Bruyère, Olivier ULg; Guillaume, Michèle ULg et al

in Santé Publique : Revue Multidisciplinaire pour la Recherche et l'Action (2015), 27(Janvier-Févier), 129-134

Analysis of national health insurance accounts in the Democratic Republic of Congo (DRC) clearly shows the importance of international sanitary aid, particularly for the funding of general referral ... [more ▼]

Analysis of national health insurance accounts in the Democratic Republic of Congo (DRC) clearly shows the importance of international sanitary aid, particularly for the funding of general referral hospitals, the management of inpatients with AIDS, administration of health zones and funding of preventive care providers. It The targeted changes described in this article could possibly optimize the efficiency of international aid for the DRC population, mainly for disorders considered to be a health care priority (i.e. malaria, AIDS, tuberculosis) as well as in the fight against malnutrition. Recommendations target the implementation of procedures for control of food chain security, changes in lifestyle and dietary habits of the population but also comprise extensive restructuring of the health care administration. A dramatic change of the structure in charge of drug distribution as well as eradication of the transfer of part of public health structure income to public health administrative personnel could result in the allocation of significant funds to the fight against the most important diseases. Better collaboration between the various departments in charge of health care professional training, together with enhanced responsibility of health care personnel is essential. Independent and respected non-governmental organizations should be involved in an audit process, targeting all aspects of the current DRC health system. Eventually, in an equal opportunity perspective, taking into consideration the very high degree of poverty of DRC inhabitants, implementation of health insurance programmes, use of generic drugs and generalization of micro-credit initiatives should also be implemented. [less ▲]

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See detailReprésentations et expérience des pères « primipares » de l’allaitement maternel : lien avec la durée de l’allaitement
Noirhomme-Renard, Florence ULg; Michèle, Close; Gosset, Christiane ULg

in Journal de Pédiatrie et de Puériculture (2015), 28(1), 7-15

ntroduction. — This study aim to investigate fathers experiences and representations in regard to breastfeeding. Methods. — Two groups of fathers were recruited in the year following the birth of their ... [more ▼]

ntroduction. — This study aim to investigate fathers experiences and representations in regard to breastfeeding. Methods. — Two groups of fathers were recruited in the year following the birth of their child: a group whose child was breastfed less than three months (n = 16), and the other whose child was breastfed more than 6months (n=17). They were interviewed by semi-structured interviews and completed a questionnaire of attitudes toward child feeding (IIFAS). Results. — Although the representation that had fathers of breastfeeding during pregnancy dif- fered somewhat between the two groups, medical and social factors are primarily associated with a short AM: medical complications in the mother or the child, social vulnerabilities, early breastfeeding difficulties. The involvement of health professionals has been mentioned by many fathers when breastfeeding difficulties, but it has, in most cases, led to the failure of AM in time. Increased fathers take place in the triad, sometimes modulated by their partner, and their emo- tional involvement and practice in breastfeeding are associated with long AM. Fathers whose baby was breastfed for more than 6 months have a score more in favor of breastfeeding on the scale IIFAS. Conclusion. — The inclusion of fathers in the comprehensive model of the determinants of breastfeeding provides further insight to the factors already identified. [less ▲]

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See detailBiological Effects of Cardiac Magnetic Resonance on Human Blood Cells.
LANCELLOTTI, Patrizio ULg; NCHIMI LONGANG, Alain ULg; Delierneux, Céline ULg et al

in Circulation. Cardiovascular imaging (2015), 8(9),

BACKGROUND: Cardiac magnetic resonance (CMR) is increasingly used for the diagnosis and management of cardiac diseases. Recent studies have reported immediate post-CMR DNA double-strand breaks in T ... [more ▼]

BACKGROUND: Cardiac magnetic resonance (CMR) is increasingly used for the diagnosis and management of cardiac diseases. Recent studies have reported immediate post-CMR DNA double-strand breaks in T lymphocytes. We sought to evaluate CMR-induced DNA damage in lymphocytes, alterations of blood cells, and their temporal persistence. METHODS AND RESULTS: In 20 prospectively enrolled healthy men (31.4+/-7.9 years), blood was drawn before and after (1-2 hours, 2 days, 1 month, and 1 year) unenhanced 1.5T CMR. Blood cell counts, cell death, and activation status of lymphocytes, monocytes, neutrophils, and platelets were evaluated. The first 2-hour post-CMR were characterized by a small increase of lymphocyte B and neutrophil counts and a transient drop of total lymphocytes because of a decrease in natural killer cells. Among blood cells, only neutrophils and monocytes displayed slight and transient activation. DNA double-strand breaks in lymphocytes were quantified through flow cytometric analysis of H2AX phosphorylation (gamma-H2AX). gamma-H2AX intensity in T lymphocytes did not change early after CMR but increased significantly at day 2 </=1 month before returning to baseline levels of 1-year post-CMR. CONCLUSIONS: Unenhanced CMR is associated with minor but significant immediate blood cell alterations or activations figuring inflammatory response, as well as DNA damage in T lymphocytes observed from day 2 until the first month but disappearing at 1-year follow-up. Although further studies are required to definitely state whether CMR can be used safely, our findings already call for caution when it comes to repeat this examination within a month. [less ▲]

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See detailDevelopment and validation of the French version of a tool assessing patient's expectations in lower limb osteoarthritis
NEUPREZ, Audrey ULg; Delcour, Jean-Pierre; Fatemi, Firouzeh et al

in Journal of Orthopaedics (2015), 12

Objective: The Hospital for Special Surgery (HSS) Hip Replacement Expectations Survey and <br />Knee Replacement Expectations Survey are validated tools developed to measure patients' <br />preoperative ... [more ▼]

Objective: The Hospital for Special Surgery (HSS) Hip Replacement Expectations Survey and <br />Knee Replacement Expectations Survey are validated tools developed to measure patients' <br />preoperative expectations for hip and knee arthroplasty. These instruments have possible <br />uses in both daily practice and research. Our objective was to assess the test-retest reliability <br />and the construct validity of the French version of the surveys. <br />Methods: Patients scheduled for total hip (n ¼ 82) or knee replacement (n ¼ 61) aged 38e90 <br />years were included. All completed the HSS Hip or Knee Replacement Expectations Survey <br />and the Expectation WOMAC to determine concurrent validity. <br />The test-retest reliability was assessed using the intraclass coefficient correlation (ICC), <br />the Bland and Altman Method and the coefficient of variation; the internal consistency was <br />assessed by the Cronbach a coefficient. The construct validity was investigated using the <br />Pearson correlation coefficient and floor and ceiling effects by percentage frequency of <br />lowest or highest possible score achieved by respondents. <br />Results: 143 patients scheduled for hip or knee arthroplasty were included. <br />The reliability was excellent between the test and the rested total score, with an ICC of <br />0.902 (0.853e0.936) and CV of 4.06% for the French Hip Replacement Expectations Survey <br />and 0.865 (0.786e0.917) and CV of 7.7% for the French Knee Replacement Expectations <br />Survey, without bias. <br />The Cronbach a coefficient was 0.72 for hip Survey and 0.82 for knee Survey showing a <br />good internal consistency. <br />Pearson correlation coefficients of 0.45 and 0.48 between Expectations WOMAC and <br />HSS, respectively for hip Survey and knee Survey, were observed but with systematic bias. <br />The lowest possible score was not reported by any patient and only three patients <br />(3.66%) scheduled for hip arthroplasty reported the highest possible score. Conclusions: The French version of the HSS Hip or Knee Replacement Expectations Survey is <br />a reliable and valid questionnaire and compares favourably with the original English <br />version. Therefore, this new version may help French-speaking clinicians to evaluate expectations <br />before lower limb arthroplasty. [less ▲]

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See detailEnfants en situation de vulnérabilité médico-psycho-sociale repérés par la médecine scolaire : les oubliés du réseau de soins ?
Noirhomme-Renard, Florence ULg; Bullens, Quentin ULg; Malchair, Alain ULg et al

in Revue Médicale de Liège (2014), 69(12),

Les besoins actuels de santé des enfants sortent largement du cadre biomédical. La prise en compte des déterminants sociaux de la santé dans la surveillance des enfants offre au médecin scolaire un poste ... [more ▼]

Les besoins actuels de santé des enfants sortent largement du cadre biomédical. La prise en compte des déterminants sociaux de la santé dans la surveillance des enfants offre au médecin scolaire un poste « vigie » pour le repérage d’enfants en situation de vulnérabilité, qui le conduit à la nécessité d’un réel « travail en réseau » pour concourir au développement harmonieux de l’enfant. [less ▲]

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See detailHow light and occupational therapy intervention could fight some psychogeriatric symptoms
Maggi, Patrick ULg; Bassain, Fatima; Gosset, Christiane ULg et al

Conference (2014, November 27)

Purpose: Aggregated results of systematic reviews separately show how light used as a treatment and some occupational therapy interventions could have a positive impact on psychobehavioural disorders in ... [more ▼]

Purpose: Aggregated results of systematic reviews separately show how light used as a treatment and some occupational therapy interventions could have a positive impact on psychobehavioural disorders in older people. Since the beginning of June 2014 the Walloon Government has been financing a project which consists of a non-pharmacological approach that combines light and occupational therapy for a psychogeriatric population with specific symptoms: spatial and temporal disorientations, apathy, depression, agitation, anxiety, confusion and circadian disorder. The objective of this abstract is to expose the assumptions that the combination of two different light devices and one specific occupational therapy program could have an impact on the different symptoms of a psychogeriatric population. Methods: To build our hypothesis, two literature reviews have been achieved. The first one concerning the use of light as therapy gathered 30 studies while the other one about occupational therapy activities collected 35 articles. Results: Despite of a heterogeneity between studies dealing with light and occupational therapy, the combination of these two non-pharmacological interventions might fight the depressive syndrome, reduce the temporal disorientation thanks to a regularity in the period of activity, restore the circadian rhythm and so reduce some troubles that can be linked to them: sleep disorder, risk of fall, apathy, agitation, behavioural and cognitive troubles (attention, concentration). Moreover, one of the two light devices used which can modulate the light intensity according to the rooms might reduce the spatial disorientation if it’s employed as a landmark. Conclusions: Based on literature reviews and our experience into this field it’s seems that a non-pharmacological approach involving light and occupational therapy intervention could have a positive effect on symptoms of psychogeriatric population. In admitting that those effects are becoming true after experimentation and analyses, we can also expect an improvement of the quality of life. [less ▲]

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See detailIsolement social, prévalence et facteurs de risque chez les personnes de 65 ans et plus en Belgique
Maggi, Patrick ULg; Delye, Samuel ULg; Gosset, Christiane ULg et al

in Nowik, Laurent; Thalineau, Alain (Eds.) Vieillir chez soi : Les nouvelles formes du maintien à domicile (2014)

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See detailLa démarche RAI, historique, philosophie, outils
Delye, Samuel ULg; Maggi, Patrick ULg; Gosset, Christiane ULg

Conference (2014, April 25)

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See detailThe 24-h recall instrument for home nursing to measure the activity profile of home nurses:development and psychometric testing
De Vliegher, Kristel; Aaertgeerts, Bert; Declercq, Anja et al

in Primary Health Care Research & Development (2014)

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See detailLes enfants négligés : le regard d'enseignants de classes maternelles et primaires
Noirhomme-Renard, Florence ULg; Lafalize, Aurélie; Gosset, Christiane ULg

Conference (2014)

Introduction La négligence infantile est fréquente et peut avoir un impact important sur le développement de l’enfant. L’enseignant est en première ligne pour la repérer. Cette étude vise à investiguer ... [more ▼]

Introduction La négligence infantile est fréquente et peut avoir un impact important sur le développement de l’enfant. L’enseignant est en première ligne pour la repérer. Cette étude vise à investiguer les repré-sentations et l’expérience d’enseignants de la région liégeoise face à cette problématique. Méthode Des entretiens semi-dirigés ont été menés auprès de 19 enseignants de 1ère maternelle à 2ème primai-re d’écoles à indice socio-économique faible, ayant une expérience professionnelle d’au moins 10 ans. Résultats La négligence est perçue comme un phénomène très fréquent caractérisé par des manquements de la part des parents et dont les conséquences multiples sont potentiellement graves pour l’enfant. Le repérage est important, et les signes évocateurs nombreux mais les enseignants se sentent démunis et limités dans leur champ d’action. Des freins au repérage peuvent être identifiés à différents ni-veaux (enfant, parents, enseignant, école, système d’aide). La plupart des enseignants pallient d’abord eux-mêmes aux besoins de l’enfant avant d’éventuellement rencontrer les parents. Certains discutent avec les collègues et/ou la direction qui interpelle parfois les services extérieurs. Dans tous les cas, les démarches s’arrêtent au fait d’informer la direction. Les rôles des services médico-psycho-sociaux gravitant autour de l’école ne sont pas bien connus, et les enseignants semblent avoir peu de contacts avec eux. L’école a un rôle de prévention important mais les besoins et attentes des enseignants sont nombreux : formation, clarification des rôles des différents intervenants. Conclusions Le besoin de soutien des enseignants face à la négligence des enfants est une évidence. [less ▲]

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