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L'évaluation et la surveillance de la lutte contre l'alcoolisme : buts, indicateurs et systèmes de surveillance et de notification pour la lutte contre l'alcoolisme
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ISSN: 02508575 ISBN: 9289023236 9789289023238 Year: 1997 Volume: 59 Publisher: Copenhague: Organisation mondiale de la santé. Bureau régional de l'Europe,

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Sensibilité des thermorécepteurs cutanés : comparaison de deux tests
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Year: 1997 Publisher: Bruxelles: UCL,

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En milieu de travail, les outils vibrants sont utilisés de façon assez fréquente. La main d’œuvre exposée aux vibrations manu-brachiales varie entre 1.7 et 3.6% de la population ouvrière, selon les pays (Autriches, Etats-Unis, France, Pays-Bas, Royaume Uni, Suède et Suisse) (Christ et al, 1989).
En France, plus de 300 000 se servent de machines portatives vibrantes (Donati et Bitsch, 1991) (2) et aux USA, ce nombre est estimé à 1.2 million. Cependant, les risques liés aux vibrations passent souvent inaperçus ou au second plan.
Les effets de la vibration manu-brachiale sur la santé sont fonction des caractéristiques vibratoires de l’outil et des conditions d’exposition. Généralement, les vibrations rencontrées en industrie sont complexes, formées d’un ensemble d’ondes sinusoïdales, d’une certaine fréquence et d’une certaine amplitude. Elles sont classées en vibration de basses fréquences (de 0 à 60 Hz), de moyenne fréquence (de 60 à 500 Hz) et de hautes fréquences (sup à 500 Hz).
Les pathologies liées aux vibrations manu-brachiales ont été l’objet de plusieurs études, elles peuvent consister en des problèmes vasculaires, des lésions ostéo-articulaires, des troubles neurologiques ou vasculaires (Pelmear et Taylor 1992).
- Les lésions ostéoarticulaires sont surtout associées à l’utilisation d’outils de basses fréquences, qui se traduisent pas des arthroses, nécrose du semi-lunaire, (maladie de Kienbock) ; pseudarthrose du scaphoïde et des géodes. Elles ne sont diagnostiquées qu’à l’examen radiologie.
- Les troubles vasculaires se présentent sous la forme du phénomène de « Raynaud » ou syndrome du « doigt blanc », et sont provoqués généralement par l’exposition à des moyennes fréquences.
- Les troubles musculaires se traduisent par une diminution de concentration musculaire maximale et de la force de préhension (Pyykkö et al, 1986)
- Quant aux troubles neurologiques, ils semblent être les premiers à apparaître et se manifestent pas des paresthésies, des engourdissements, des troubles de la sensibilité tactile … Il peut s’agir d’une neuropathie localisée (c’est le cas de syndrome du canal carpien) et/ou d’une neuropathies diffuse qui va de la simple perte temporaire de la sensibilité tactile ou thermique, à la destruction des terminaisons nerveuses (Lundström, 1986).
les troubles neurosensoriels peuvent affecter les différents types de récepteurs sensoriels tels que, les mécanorécepteurs, nocicepteurs, thermorécepteurs …
- Les mécanorécepteurs qui sont sensibles à la déformation mécanique du récepteur lui-même ou des cellules environnantes ;
- Les nocicepteurs qui sont sensibles aux lésions tissulaires, que l’agent vulnérant soit physique ou chimique ;
- les thermorécepteurs qui sont sensibles aux modifications de la température, au froid pour certains récepteurs et à la chaleur pour d’autres.
Vibrations manu-brachiales et mécanorécepteurs dont l’objet d’une étude réalisée par l’Unité Hygiène et Physiologie du Travail (HYTR) de l’UCL. La relation entre vibrations et thermosensibilité est le but de la présente étude qui va consister à :
- Un passage en revue du mode de fonctionnement des thermorécepteurs ainsi que leurs structures histologiques et anatomiques.
- Une revue des différents tests seuil de sensibilité thermique (thermo esthésiomètres).
- La détermination du seuil de sensibilité thermique par deux tests différents et la comparaison entre ces deux tests chez des sujets non exposés aux vibrations.
- L’évaluation de l’effet de la vibration sur la thermosensibilité chez des travailleurs exposés.
- Confrontation des résultats de l’étude aux données de la littérature

Methods for the economic evaluation of health care programmes
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ISBN: 0192627740 0192627732 Year: 1997 Publisher: Oxford Oxford University Press

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Since its publication in 1987, Methods for the economic evaluation of health care programmes has become the standard textbook in this field world-wide Over the past ten years, the field of economic evaluation in health care has expanded considerably, with a rapid rise in the number of published studies, and wider recognition of their use in health care decision-making. Developments in economic evaluation have also led to the publication of several guidelines for study methodology, most recently those proposed by the United States Public Health Services Panel. The new edition of Methods for the economic evaluation of health care programmes follows the same basic structure as the first edition. The key methodological principles are outlined using a critical appraisal checklist that can be applied to any published study. The methodological features of the basic forms of analysis (cost analysis, cost-effectiveness analysis, cost-utility analysis, and cost-benefit analysis) are then explained in more detail. The book has been greatly revised and enlarged, especially with respect to cost-utility and cost- benefit analysis, where major methodological developments have taken place. New to this edition are chapters on collecting and analysing data, and presenting and using economic evaluation results. The new edition will be required reading for anyone commissioning, undertaking, or using economic evaluations in health care, and will be popular with health service professionals, health economists, and health-care decision makers. Reviews of the first edition: 'An important contribution to studies on the economic evaluation of medical care...'(British Medical Journal) 'This is essential reading. Only if all managers are aware of the powers of economic techniques will they be used sensibly'(The Health Service Journal (UK) 'The methodological chapters on cost analysis and cost utility analysis are gems... should become the standard text on the subject at the intermediate level at which it is aimed.'(Medical Decision Making) 'It leaves nothing important in economic evaluation analysis untouched.'(Health Policy and Planning)

An evaluation of radiation exposure guidance for military operations
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ISBN: 0309058953 9786610187027 1280187026 030959121X 0585085838 9780585085838 9780309058957 Year: 1997 Publisher: Washington, D.C. National Academy Press

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Keywords

HISTORY --- Military / Biological & Chemical Warfare --- Ionizing radiation --- Radiation --- Soldiers --- Nuclear warfare --- Program Evaluation --- Risk Assessment --- Radiation Dosage --- Nuclear Warfare --- Radiation Protection --- Military Personnel --- Radiologic Health --- Risk --- Health Care Evaluation Mechanisms --- Radiometry --- War --- Evaluation Studies as Topic --- Quality of Health Care --- Epidemiologic Measurements --- Occupational Groups --- Risk Management --- Organization and Administration --- Probability --- Social Problems --- Public Health --- Investigative Techniques --- Electromagnetic Phenomena --- Persons --- Health Services Administration --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Statistics as Topic --- Sociology --- Health Care Quality, Access, and Evaluation --- Physical Phenomena --- Environment and Public Health --- Named Groups --- Health Care --- Epidemiologic Methods --- Phenomena and Processes --- Social Sciences --- Anthropology, Education, Sociology and Social Phenomena --- Toxicology & Public Health --- Health & Biological Sciences --- Dosage --- Safety measures --- Health and hygiene --- Nuclear warfare. --- Dosage. --- Safety measures. --- Health and hygiene. --- United States. --- Atomic warfare --- CBR warfare --- Nuclear strategy --- Nuclear war --- Thermonuclear warfare --- Armed Forces personnel --- Members of the Armed Forces --- Military personnel --- Military service members --- Service members --- Servicemen, Military --- Radiation monitoring --- Radiation protection --- Dosage of ionizing radiation --- U.S. Army --- US Army --- Nuclear crisis control --- Nuclear weapons --- Armed Forces --- Measurement

Adequacy of the comprehensive clinical evaluation program
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ISBN: 0309057434 9786610191437 1280191430 030959040X 0585085854 9780585085852 9780309059497 0309059496 9780309057431 0309059496 Year: 1997 Publisher: Washington, D.C.

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Keywords

MEDICAL --- Health Care Delivery --- Persian Gulf War, 1991 --- Outcome and Process Assessment (Health Care) --- Occupational Diseases --- Quality of Health Care --- Evaluation Studies as Topic --- Medicine --- Health Care Evaluation Mechanisms --- Investigative Techniques --- Health Occupations --- Diseases --- Health Services Administration --- Health Care Quality, Access, and Evaluation --- Disciplines and Occupations --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Health Care --- Program Evaluation --- Persian Gulf Syndrome --- Process Assessment (Health Care) --- Military Medicine --- Regions & Countries - Asia & the Middle East --- History & Archaeology --- Middle East --- Financing, Government --- Financing, Organized --- Economics --- Health Care Economics and Organizations --- Veterans Disability Claims --- Veterans --- Medical care --- Health aspects --- Claim, Veterans Disability --- Claims, Veterans Disability --- Disability Claim, Veterans --- Disability Claims, Veterans --- Veterans Disability Claim --- Healthcare Economics and Organizations --- Capital --- Conditions, Economic --- Consumption --- Cost of Living --- Easterlin Hypothesis --- Economic Conditions --- Economic Factors --- Economic Policies --- Economic Policy --- Economics, Home --- Factors, Economic --- Home Economics --- Household Consumption --- Macroeconomic Factors --- Microeconomic Factors --- Policies, Economic --- Policy, Economic --- Production --- Remittances --- Utility Theory --- Consumer Price Index --- Condition, Economic --- Consumer Price Indices --- Consumption, Household --- Economic Condition --- Economic Factor --- Factor, Economic --- Factor, Macroeconomic --- Factor, Microeconomic --- Factors, Macroeconomic --- Factors, Microeconomic --- Household Consumptions --- Hypothesis, Easterlin --- Index, Consumer Price --- Indices, Consumer Price --- Living Cost --- Living Costs --- Remittance --- Theories, Utility --- Theory, Utility --- Utility Theories --- Government Financing --- Federal Aid --- Financing, Public --- Grants and Subsidies, Government --- Hill-Burton Act --- Subsidies, Government --- Act, Hill-Burton --- Aid, Federal --- Aids, Federal --- Federal Aids --- Government Subsidies --- Government Subsidy --- Hill Burton Act --- Public Financing --- Subsidy, Government --- Community Financing --- Grants --- Organized Financing --- Financing, Community --- Grant --- Medicine, Military --- Assessment, Process --- Process Measures --- Assessment, Process (Health Care) --- Assessments, Process --- Assessments, Process (Health Care) --- Measure, Process --- Measures, Process --- Process Assessment --- Process Assessments --- Process Assessments (Health Care) --- Process Measure --- Gulf War Syndrome --- Syndrome, Gulf War --- Syndrome, Persian Gulf --- Family Planning Program Evaluation --- Program Appropriateness --- Program Effectiveness --- Program Sustainability --- Evaluation, Program --- Appropriateness, Program --- Effectiveness, Program --- Evaluations, Program --- Program Evaluations --- Program Sustainabilities --- Sustainabilities, Program --- Sustainability, Program --- Community-Based Distribution --- Contraceptive Distribution --- Delivery of Healthcare --- Dental Care Delivery --- Distribution, Non-Clinical --- Distribution, Nonclinical --- Distributional Activities --- Healthcare --- Healthcare Delivery --- Healthcare Systems --- Non-Clinical Distribution --- Nonclinical Distribution --- Delivery of Dental Care --- Health Care Systems --- Activities, Distributional --- Activity, Distributional --- Care, Health --- Community Based Distribution --- Community-Based Distributions --- Contraceptive Distributions --- Deliveries, Healthcare --- Delivery, Dental Care --- Delivery, Health Care --- Delivery, Healthcare --- Distribution, Community-Based --- Distribution, Contraceptive --- Distribution, Non Clinical --- Distributional Activity --- Distributions, Community-Based --- Distributions, Contraceptive --- Distributions, Non-Clinical --- Distributions, Nonclinical --- Health Care System --- Healthcare Deliveries --- Healthcare System --- Non Clinical Distribution --- Non-Clinical Distributions --- Nonclinical Distributions --- System, Health Care --- System, Healthcare --- Systems, Health Care --- Systems, Healthcare --- Quality of Care --- Quality of Healthcare --- Care Qualities --- Care Quality --- Health Care Quality --- Healthcare Quality --- Healthcare Quality, Access, and Evaluation --- Administration, Health Services --- Health Services --- Health Professions --- Health Occupation --- Health Profession --- Occupation, Health --- Occupations, Health --- Profession, Health --- Professions, Health --- Investigative Technics --- Investigative Technic --- Investigative Technique --- Technic, Investigative --- Technics, Investigative --- Technique, Investigative --- Techniques, Investigative --- Healthcare Evaluation Mechanisms --- Evaluation Mechanism, Healthcare --- Evaluation Mechanisms, Healthcare --- Healthcare Evaluation Mechanism --- Mechanism, Healthcare Evaluation --- Mechanisms, Healthcare Evaluation --- Medical Specialities --- Medical Specialties --- Medical Specialty --- Specialities, Medical --- Specialties, Medical --- Specialty, Medical --- Medical Speciality --- Speciality, Medical --- Critique --- Evaluation --- Evaluation Indexes --- Evaluation Methodology --- Evaluation Report --- Evaluation Research --- Methodology, Evaluation --- Pre-Post Tests --- Qualitative Evaluation --- Quantitative Evaluation --- Theoretical Effectiveness --- Use-Effectiveness --- Critiques --- Effectiveness, Theoretical --- Evaluation Methodologies --- Evaluation Reports --- Evaluation, Qualitative --- Evaluation, Quantitative --- Evaluations --- Evaluations, Qualitative --- Evaluations, Quantitative --- Indexes, Evaluation --- Methodologies, Evaluation --- Pre Post Tests --- Pre-Post Test --- Qualitative Evaluations --- Quantitative Evaluations --- Report, Evaluation --- Reports, Evaluation --- Research, Evaluation --- Test, Pre-Post --- Tests, Pre-Post --- Use Effectiveness --- Diseases, Occupational --- Occupational Illnesses --- Disease, Occupational --- Illnesse, Occupational --- Illnesses, Occupational --- Occupational Disease --- Occupational Illnesse --- Donabedian Model --- Donabedian Triad --- Outcome and Process Assessment --- Structure Process Outcome Triad --- Model, Donabedian --- Triad, Donabedian --- Desert Storm, Operation, 1991 --- Gulf War, 1991 --- Operation Desert Storm, 1991 --- War in the Gulf, 1991 --- organization & administration --- Disability Evaluation --- Environmental Exposure --- Multiple Chemical Sensitivity --- Social Validity, Research --- Pharmacy Audit --- Audit, Pharmacy --- Pharmacy Audits --- Occupations --- Accidents, Occupational --- Industry --- Occupational Medicine --- Karoshi Death --- Iraq-Kuwait Crisis, 1990-1991 --- Health Workforce --- Program Evaluation. --- Veterans Disability Claims. --- Outcome and Process Assessment, Health Care --- diagnosis. --- organization & administration. --- United States. --- Evaluation.

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