References of "Vandeweerd, Jean-Michel"
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See detailTreatment of a severe distal forelimb wound presenting with extensive laceration and distal interphalangeal joint luxation in a donkey
Brogniez, L; Launois,T; Perrin R et al

in Pferdeheilkunde (2012), 28(2), 160-166

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See detailIs evidence-based medicine so evident in veterinary research and practice? History, obstacles and perspectives.
Vandeweerd, Jean-Michel ULg; Kirschvink, Nathalie; Clegg, Peter et al

in Veterinary Journal (2012), 191(1), 28-34

Evidence-based medicine (EBM) refers to the conscientious, explicit and judicious use of current best evidence from research for the care of an individual patient. The concept of EBM was first described ... [more ▼]

Evidence-based medicine (EBM) refers to the conscientious, explicit and judicious use of current best evidence from research for the care of an individual patient. The concept of EBM was first described in human medicine in the early 1990s and was introduced to veterinary medicine 10 years later. However, it is not clear that the EBM approach promulgated in human medicine can be applied to the same extent to veterinary medicine. EBM has the potential to help veterinarians to make more informed decisions, but obstacles to the implementation of EBM include a lack of high quality patient-centred research, the need for basic understanding of clinical epidemiology by veterinarians, the absence of adequate searching techniques and accessibility to scientific data bases and the inadequacy of EBM tools that can be applied to the busy daily practise of veterinarians. This review describes the development of EBM in the veterinary profession, identifies its advantages and disadvantages and discusses whether and how veterinary surgeons should further adopt the EBM approach of human medicine. [less ▲]

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See detailSystematic review of efficacy of nutraceuticals to alleviate clinical signs of osteoarthritis.
Vandeweerd, Jean-Michel ULg; Coisnon, C.; Clegg, P. et al

in Journal of Veterinary Internal Medicine (2012), 26(3), 448-56

BACKGROUND: Various treatments of osteoarthritis (OA) have been described, including use of nutraceuticals. OBJECTIVES: To review systematically the literature about the effects of nutraceuticals on ... [more ▼]

BACKGROUND: Various treatments of osteoarthritis (OA) have been described, including use of nutraceuticals. OBJECTIVES: To review systematically the literature about the effects of nutraceuticals on clinical signs of pain or abnormal locomotion in horses, dogs, and cats, and to discuss methodological aspects of trials and systematic reviews. METHODS: A systematic search of controlled trials evaluating the impact of nutraceuticals on OA in horses, dogs, and cats was performed, using Medline, CAB Abstracts, and Google Scholar. Scientific evidence was evaluated by means of criteria proposed by the Food and Drug Administration (FDA), and a scoring system adapted from both the CONsolidated Standards of Reporting Trials (CONSORT) statement and recommendations for assessing trials by the Center of Evidence Based Medicine of Oxford. RESULTS: Twenty-two papers were selected and reviewed, with 5 studies performed in horses, 16 in dogs, and 1 in cats. The strength of evidence was low for all nutraceuticals except for omega-3 fatty acid in dogs. There were limited numbers of rigorous randomized controlled trials and of participants in clinical trials. CONCLUSIONS AND CLINICAL IMPORTANCE: The evidence of efficacy of nutraceuticals is poor, with the exception of diets supplemented with omega-3 fatty acids in dogs. Greater access to systematic reviews must be part of the objectives of the veterinary science in the future. Their reporting would be improved by internationally agreed-upon criteria for standards and guidelines. [less ▲]

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See detailPrevalence of naturally occuring cartilage defects in the ovine stifle
Pierson, Audrey ULg; Muylkens, Benoît ULg; Hontoir, Fanny et al

Poster (2012)

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See detailUnderstanding veterinary practitioners' decision-making process: implications for veterinary medical education
Vandeweerd, Jean-Michel ULg; Vandeweerd, Solene; Gustin, Catherine et al

in Journal of Veterinary Medical Education (2012), 39(2), 142-151

Understanding how veterinary practitioners make clinical decisions, and how they use scientific information to inform their decisions, is important to optimize animal care, client satisfaction, and ... [more ▼]

Understanding how veterinary practitioners make clinical decisions, and how they use scientific information to inform their decisions, is important to optimize animal care, client satisfaction, and veterinary education. We aimed to develop an understanding of private practitioners' process of decision making. On the basis of a grounded-theory qualitative approach, we conducted a telephone survey and semi-structured face-to-face interviews. We identified a decision-making framework consisting of two possible processes to make decisions, five steps in the management of a clinical case, and three influencing factors. To inform their decision, veterinary surgeons rarely take the evidence-based medicine (EBM) approach. They consult first-opinion colleagues, specialists, laboratories, and the Internet rather than scientific databases and peer-reviewed literature, mainly because of limited time. Most interviewees suggested the development of educational interventions to better develop decision-making skills in veterinary schools. Adequate information and EBM tools are needed to optimize the time spent in query and assessment of scientific information, and practitioners need to be trained in their use. [less ▲]

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See detailThe impact of detailed explanatory leaflets on patient satisfaction with urodynamic consultation: A double-blind randomized controlled trial.
Hougardy, Véronique ULg; Vandeweerd, Jean-Michel ULg; Reda, A. A. et al

in Neurourology and Urodynamics (2009), 28(5), 374-9

Aims To develop and validate a scale that is applicable in Belgium to investigate the aspects of female patients' satisfaction with urodynamic consultation, and to use it to measure the impact of a ... [more ▼]

Aims To develop and validate a scale that is applicable in Belgium to investigate the aspects of female patients' satisfaction with urodynamic consultation, and to use it to measure the impact of a detailed explanatory leaflet on their satisfaction. Materials and Methods Question items were obtained from a group consensus (Delphi process). Each item was scored on a five-point Likert scale. The satisfaction scale was administered to two groups of patients attending the clinics for urodynamics. One hundred twenty-nine patients were included in the study and randomized in two groups. One group (n = 60) received a detailed explanatory leaflet about urodynamic consultation and the other did not (n = 69). Responses were subjected to a reliability and principal component analysis (PCA) to achieve data reduction and analysis, and to assess the reliability of the new scale. Relevant items were retained to compare both interventions using regression analysis. Results A 15-item scale was derived from the Delphi process. Exploratory factor analysis suggested a single factor solution with 11 meaningful items. No significant difference was noted in global scores of satisfaction between the two groups (P = 0.051). Conclusions A short-form patient satisfaction scale with acceptable validity and reliability was developed and used to measure patient satisfaction with urodynamic consultation in this population of Belgian women. This study did not provide support for the effectiveness of explanatory leaflets in improving satisfaction. [less ▲]

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See detailOptimiser une prise de décision fondée sur la preuve scientifique
Vandeweerd, Jean-Michel ULg; Vandenput, Sandrina ULg

in Point Vétérinaire (2009), 40(298), 37-40

les deux premières étapes de la démarche de la médecine factuelle sont la formulation correcte de la question posée et l'élaboration précise de la requête dans les bases de données bibliographiques

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See detailLe système anglais présagerait-il de l'avenir en matière de qualité de l'enseignement universitaire en Communauté française de Belgique ?
Vandeweerd, Jean-Michel ULg; Mignon, Jacques ULg; Reggers, Thérèse ULg

in Actes du 22e congrès de l’Association internationale de pédagogie universitaire (AIPU) (2006)

Issues du monde industriel, les démarches d'amélioration de la qualité se sont rapidement étendues aux autres secteurs. Elles faisaient cependant défaut au niveau de l'enseignement supérieur en Communauté ... [more ▼]

Issues du monde industriel, les démarches d'amélioration de la qualité se sont rapidement étendues aux autres secteurs. Elles faisaient cependant défaut au niveau de l'enseignement supérieur en Communauté française de Belgique. Comblant cette lacune, celle-ci vient de se doter d'un outil de gestion de la qualité de son enseignement. L’Agence d’Evaluation de la Qualité de l'Enseignement Supérieur (AEQES) a été constituée au premier janvier 2003. La première réunion s'est tenue un an plus tard (23 janvier 2004). Elle doit permettre de répondre aux recommandations européennes déjà arrêtées en la matière, d’assurer la représentation de la Communauté française de Belgique dans les instances concernées, mais surtout de doter cette communauté d'une structure organisant l'évaluation de la qualité de l'enseignement au sein des établissements. Dans ce contexte, il est peu probable d’échapper à un courant d’inspiration anglo-saxonne en matière de qualité de l’enseignement supérieur dans lequel le processus qualité est considéré comme un ROI (Return On Investment) ou un processus d'amélioration continue dépendant des moyens (humains, technologiques, financiers, …) qui lui sont consacrés. Le cas qui suit concerne le travail de réflexion d’une trentaine de professionnels autour de la démarche qualité dans l’enseignement supérieur en Communauté française de Belgique. [less ▲]

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