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See detailQuaternary prevention library and resources (QP library)
Pizzanelli, Miguel; Lavalle, Ricardo; Jamoulle, Marc ULg

Learning material (2017)

Collaborative Database on Quaternary Prevention Resources and References. Base de datos colaborativa de recursos y referencias bibliográficas sobre Prevención Cuaternaria. Base de Dados Colaborativa de ... [more ▼]

Collaborative Database on Quaternary Prevention Resources and References. Base de datos colaborativa de recursos y referencias bibliográficas sobre Prevención Cuaternaria. Base de Dados Colaborativa de Recursos e Referências sobre Prevenção Quaternária. Réseau collaboratif de ressources et de références en matière de Prévention du Quaternaire [less ▲]

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See detailTerminología multilingüe en medicina general y de familia - Versión en Español
Jamoulle, Marc ULg; Mariño, María Ana; La Valle, Ricardo et al

Book published by Care Editions (2016)

Esta monografía reproduce la lista de códigos Q, versión 2.5, y sus definiciones bajo el nombre de “Terminología multilingüe en medicina general y de familia – versión española” La clasificación Códigos-Q ... [more ▼]

Esta monografía reproduce la lista de códigos Q, versión 2.5, y sus definiciones bajo el nombre de “Terminología multilingüe en medicina general y de familia – versión española” La clasificación Códigos-Q para artículos no clínicos de medicina general y de familia se ha diseñado en base al desarrollo de una ontología informática en el servidor web www.hetop.eu del Laboratorio de Bioinformática de la Universidad de Rouen, Francia. Los Códigos Q tienden a representar los conceptos organizacionales esenciales de la Medicina Familiar. Los Códigos Q forman un capítulo complementario en la Clasificación Internacional de Atención Primaria, segunda edición (CIAP-2). Ellos son parte del proyecto 3CGP (Core Content Classification in General Practice Family medicine - Clasificación del contenido esencial de la atención primaria). Por lo tanto, combina las 3CGP con la clasificación ICPC-2 y los Códigos Q con el propósito de la indexación documental en medicina general y de familia. El proyecto de un sistema específico de indexación en medicina familiar se explica con precisión así como la capacidad del servidor web HeTOP es desarrollada en detalle. Se describe a continuación una lista tabular de los Códigos-Q, sus definiciones y finalmente un índice terminológico. [less ▲]

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See detailThe Q-Codes: General Practice / Family Medicine Online Multilingual Terminology & Knowledge Base. A semantic web based resource in English, Portuguese, French, Spanish, Dutch, Vietnamese, Turkish and Korean
Jamoulle, Marc ULg; Gusso, Gustavo; Mariño, Maria Ana et al

Conference (2016, November 02)

The session is devoted to the launch of an online knowledge database specific to GP / FM. This work is the result of a two years’ work of a cooperative project between participants from 12 countries and 8 ... [more ▼]

The session is devoted to the launch of an online knowledge database specific to GP / FM. This work is the result of a two years’ work of a cooperative project between participants from 12 countries and 8 languages. People are now used to the International classification of Primary Care (ICPC-2) which addresses the clinical issues in GP/FM , ie Symptoms, Process and Diagnosis. We have work on non-clinical issues i.e. all themes addressed by GPs during congresses which concern organizational, ethical, structure, teaching or patient related issues not encompassed by ICPC-2. The letter Q was used to name Q-Codes because this letter wasn’t yet used in ICPC-2. Q-codes are a classification of non-clinical items in General Practice / Family Medicine (GP/FM). Q-codes are a classification of non-clinical items in General Practice / Family Medicine (GP/FM). After a demonstration of the Q-Codes terminology and of the online database, we are proud to present to you a new GP/FM terminology in 6 languages freely available online. Relevant urls are : • for Q-Codes knowledge base http://www.hetop.eu/Q • for user guide and download http://3cgp.docpatient.net/ Contact marc.jamoulle@doct.ulg.ac.be [less ▲]

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See detailA semantic web based resource for GP/FM in English, Portuguese, French, Spanish, Dutch, Vietnamese & Korean
Jamoulle, Marc ULg; Gusso, Gustavo; Mariño, Maria Ana et al

Textual, factual or bibliographical database (2016)

The session is devoted to the launch of an online knowledge database specific to GP / FM. This work is the result of a two years’ work of a cooperative project between participants from 12 countries and 8 ... [more ▼]

The session is devoted to the launch of an online knowledge database specific to GP / FM. This work is the result of a two years’ work of a cooperative project between participants from 12 countries and 8 languages. People are now used to the International classification of Primary Care (ICPC-2) which addresses the clinical issues in GP/FM , ie Symptoms, Process and Diagnosis. We have work on non-clinical issues i.e. all themes addressed by GPs during congresses which concern organizational, ethical, structure, teaching or patient related issues not encompassed by ICPC-2. The letter Q was used to name Q-Codes because this letter wasn’t yet used in ICPC-2. Q-codes are a classification of non-clinical items in General Practice / Family Medicine (GP/FM). Q-codes are a classification of non-clinical items in General Practice / Family Medicine (GP/FM). After a demonstration of the Q-Codes terminology and of the online database, we are proud to present to you a new GP/FM terminology in 6 languages freely available online. Relevant urls are : · for Q-Codes knowledge base http://www.hetop.eu/Q · for user guide and download http://3cgp.docpatient.net/tutorials Contact marc.jamoulle@doct.ulg.ac.be [less ▲]

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See detailInternational Classification of Primary Care in a cross-lingual terminology portal (Poster)
Jamoulle, Marc ULg; Kuehlein, Thomas; Pizzanelli, Miguel et al

Poster (2015, October 23)

ICPC, reflecting the burden of family medicine, is available in the HeTOP cross-lingual terminology portal (URL: www.hetop.eu) in 19 languages, mostly European (e.g. Spanish, Portuguese) but also in ... [more ▼]

ICPC, reflecting the burden of family medicine, is available in the HeTOP cross-lingual terminology portal (URL: www.hetop.eu) in 19 languages, mostly European (e.g. Spanish, Portuguese) but also in Japanese or Mandarin. The HeTOP interface has been also translated in 10 languages by Wonca colleagues (including in Turkish, Vietnamese and Romanian). [less ▲]

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See detailThe words of prevention, part I: changing the model
Jamoulle, Marc ULg; Gavilan, Enrique; Cardoso, Raquel Val et al

in Revista Brasileira de Medicina de Família e Comunidade (2015), 10(35), 1-9

ABSTRACT Objective: This part I article explores the different meanings of relevant keywords for General Practice/Family Medicine (GP/FM) in the prevention domain. The aim is to contribute to information ... [more ▼]

ABSTRACT Objective: This part I article explores the different meanings of relevant keywords for General Practice/Family Medicine (GP/FM) in the prevention domain. The aim is to contribute to information process in GP/FM by keeping in line with the main terms used in health care organization. Methods: Important keywords for GP/FM in the prevention domain were selected. Then, a search was carried out on the main sources in GP/FM databases, as well as in Medical Subject Heading and major terminological databases available online. Results and Discussion: There is discrepancy between the conceptual contents of major prevention models amongst the usual bibliographic sources of knowledge in GP/FM in particular and medicine in general. Conclusion: For GP/FM, distribution of preventive activities is now firmly established on a new constructivist model, privileging the doctor-patient relationships and introducing a cybernetic thinking on the health care activities with a special commitment to ethics and the positive duty of beneficence. [less ▲]

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See detailThe words of prevention, part II: ten terms in the realm of quaternary prevention
Jamoulle, Marc ULg; Gavilan, Enrique; Cardoso, Raquel Val et al

in Revista Brasileira de Medicina de Família e Comunidade (2015), 10(35), 1-9

ABSTRACT Objective: This part II article about the ‘words of prevention’ presents in a terminological way the content of ten current concepts used in the prevention domain which are closely linked to ... [more ▼]

ABSTRACT Objective: This part II article about the ‘words of prevention’ presents in a terminological way the content of ten current concepts used in the prevention domain which are closely linked to quaternary prevention: (1) overinformation, (2) overdiagnosis, (3) medically unexplained symptoms, (4) overmedicalisation, (5) incidentaloma, (6) overscreening, (7) overtreatment, (8) shared decision making, (9) deprescribing, and (10) disease mongering. Methods: with the support of the laboratory team of the University of Rouen, France, which is dedicated to medical terminology and semantic relationships, it was possible to utilize a graphic user interface (called DBGUI) allowing the construction of links for each of chosen terms, and making automatic links to MeSH, if any. Those concepts are analyzed in their environment in current literature, as well as in their MeSH counterparts, if any, and related semantic online terminologies. Results and Discussion: The rules in terminological development aspire to cover the whole field of a concept and in the meantime, it helps to avoid the noise due to proxy and not exactly related issues. This refers to exhaustivity and specificity in information retrieval. Our finds show that referring to MeSH only in information retrieval in General Practice/Family medicine can induce much noise and poor adequacy to the subject investigated. Conclusion: Gathering concepts in specially prepared terminologies for further development of ontologies is a necessity to enter in the semantic web area and the era of distributed data. [less ▲]

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See detailInternational Classification of Primary Care in a cross-lingual terminology portal
Jamoulle, Marc ULg; Pizzanelli, Miguel; Grosjean, Julien et al

Poster (2015, March 20)

International Classification of Primary Care in a cross-lingual terminology portal M. Jamoulle1, M. Pizzanelli2, J. Grosjean 3 , G. Kerdelhué 3, SJ. Darmoni 3&4 1 Department of General practice, Liege ... [more ▼]

International Classification of Primary Care in a cross-lingual terminology portal M. Jamoulle1, M. Pizzanelli2, J. Grosjean 3 , G. Kerdelhué 3, SJ. Darmoni 3&4 1 Department of General practice, Liege University, Belgium 2 Unidad docente asistencial rural de Florida, Uruguay 3 Deparment of Biomedical Informatics, Rouen University Hospital, Normandy & TIBS, LITIS EA 4108, France 4 LIMICS, INSERM, U1142, Paris, France. ICPC is available in the HeTOP cross-lingual terminology portal (URL: www.hetop.eu) [1] in 19 languages, mostly European (e.g. Spanish, Portuguese) but also in Japanese or Mandarin. The HeTOP interface has been also translated in 10 languages, including by Wonca colleagues (in Turkish, Vietnamese and Romanian). This is very important for non-English speakers to access a health Web site in his/her native language. Thanks to a partial manual mapping between ICPC2 and MeSH, it is now also possible to query PubMed from 20% of ICPC2 codes. This task is time consuming as in lot of cases, the mapping is 1 to N (one ICPC code generates several MeSH terms; e.g. the ICPC term "diverticular disease" is mapped to two MeSH terms " diverticulosis, colonic" and " diverticulitis". HeTOP currently contains 56 health terminologies and ontologies (only 17 are included in UMLS as most of them are French terminologies), 1,951,834 concepts, 6,636,000 terms, 8,023,181 relations and 1,340,855 relations. Overall, HeTOP contains 108 millions of SPARQL triplets. These figures underlines the possible application of the so called "health big data". Overall, the number of distinct UMLS concepts with at least one French translation in UMLS (MeSH, MedDRA, WHOART, ICPC) is 45,405 vs. 317,539 in HeTOP. 1. Grosjean, J; Merabti, T; Griffon, N; Dahamna, B & Darmoni, SJ. Teaching medicine with a terminology/ontology portal. Stud Health Technol Inform 2012:180;949-53. [less ▲]

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See detailLa prevención cuaternaria en la clínica cotidiana.
Jamoulle, Marc ULg; Bernstein, Jorge; Pizzanelli, Miguel et al

Conference (2015, March 14)

Remue méninge sur les développements futur du concept de prévention quaternaire

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See detailManifesto de Curitiba: pela Prevenção Quaternária e por uma Medicina sem conflitos de interesse
Silva, André Luiz da; Mangin, Derelie; Pizzanelli, Miguel et al

in Revista Brasileira de Medicina de Família e Comunidade (2014), 9(33), 371-374

Detailed reference viewed: 36 (3 ULg)
See detailWorkshop, Addressing the limits of medical practice. Wonca 2013
Jamoulle, Marc ULg; Tsoi, Gene; Heath, Iona et al

Conference (2013, June 26)

Workshop, Addressing the limits of medical practice. Wonca 2013 DAY: Wednesday June 26, 2013 SESSION: WORKSHOP: 2.15. Ethics and law SESSION TIME: from 10:30 to 12:00 Marc Jamoulle, GP , researcher in ... [more ▼]

Workshop, Addressing the limits of medical practice. Wonca 2013 DAY: Wednesday June 26, 2013 SESSION: WORKSHOP: 2.15. Ethics and law SESSION TIME: from 10:30 to 12:00 Marc Jamoulle, GP , researcher in Primary care , IRSS-UCL, Belgium Gene Tsoi, Immediate Past President, Hong Kong College of Family Physicians, China Iona Heath, past-president of the Royal College of General Practitioners, United Kingdom Dee Mangin, Director, General Practice Research Group, Associate Professor, Otago university, New Zealand Mohamad Pezeshki, Associate Professor, Department of Community Medicine, Tabriz Medical School, Iran Miguel Pizzanelli Báez, head of the Primary care network, Florida, Uruguay As stated in Wonca dictionary of family Medicine (Bentzen, 2003), quaternary prevention definition is “Action taken to identify a patient or a population at risk of overmedicalisation, to protect them from invasive medical interventions and provide for them care procedures which are scientifically and medically acceptable.” Quaternary prevention, first coined at Wonca world Hong Kong 1995 by M. Jamoulle& M.Roland, describes the protection of patients from diagnostic tests, interventions and treatments that offer no benefit for overall morbidity or mortality for the individual, and may cause physical or psychological harm. The P4 concept pulls together all reflexive moves on the problems resulting from an excess of medical care, such as overscreening, overinvestigation, overprescription, and overtreatment. Since the first workshop in Wonca Basel 2009, the P4 concept has spread throughout the world, and has provoked an intense exchange of ideas. The speakers gathered here from around the world intend to show how front line family physicians could analyze, understand, appropriate and use the P4 concept to examine, analyze and modify their practice. The audience will be stimulated to share their concern about the limits of medicine exchange critical comments on the concept of P4. At the end of the workshop attendees will be able to able to use and apply Quaternary prevention to improve both the health of individual patients and public policy. More on http://www.ph3c.org/P4 rubric Events and conferences about Quaternary Prevention Or http://tinyurl.com/P4-Praga-2013 Speakers Marc Jamoulle : From Illitch to Moynihan , medicine can be dangerous for your health Gene Tsoi ; Doctor-Patient Relationship - sharing of experience with a GP from Hong Kong Iona Heath ; The ethical implications of excessive prevention Dee Mangin : Mutimorbidity, ageing, and Quaternary Prevention Mohammad Zakaria Pezeshki: Clinical Epidemiology and Quaternary Prevention Miguel Pizanelli, Jorge Bernstein & André L. Silva: A South American move; the “Comision de Prevencion Cuaternaria” [less ▲]

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