J. Vader

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Richard Zach

University of Calgary

Giuseppe Primiero

Università degli Studi di Milano - State University of Milan (Italy)

Fabrizio Cariani

University of Maryland, College Park

saamay abilova

Kyrgyz State Medical Academy

Iancu Emil Plesea

UNIVERSITY OF MEDICINE AND PHARMACY CAROL DAVILA BUCHAREST

Raafat Hegazy

Zagazig University

Harshavardhan Deshmukh

INDIRA GANDHI NATIONAL OPEN UNIVERSITY

Karl Friston

University College London

James Bashkin

University of Missouri - St. Louis

Enrique Tolentino

University of the Philippines Los Baños

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Papers by J. Vader

Appropriateness of early management of newly diagnosed Crohn's disease in a European population-based cohort*

Scandinavian Journal of Gastroenterology, 2010

The European Panel on the Appropriateness of Crohn&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;am... more The European Panel on the Appropriateness of Crohn&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s disease Therapy (EPACT) has developed appropriateness criteria. We have applied these criteria retrospectively to the population-based inception cohort of Crohn&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s disease (CD) patients of the European Collaborative Study Group on Inflammatory Bowel Disease (EC-IBD). A total of 426 diagnosed CD patients from 13 European centers were enrolled at the time of diagnosis (first flare, naive patients). We used the EPACT definitions to identify 247 patients with active luminal CD. We then assessed the appropriateness of the initial drug prescription according to the EPACT criteria. Among the cohort patients 163 suffered from mild-to-moderate CD and 84 from severe CD. Among the mild-to-moderate disease group, 96 patients (59%) received an appropriate treatment, whereas for 66 patients (40%) the treatment was uncertain and in one case (1%) inappropriate. Among the severe disease group, 86% were treated medically and 14% required surgery. 59 (70%) were appropriately treated, whereas for one patient (1%) the procedure was considered uncertain and for 24 patients (29%) inappropriate. Initial treatment was appropriate in the majority of cases for non-complicated luminal CD. Inappropriate or uncertain treatment was given in a significant minority of patients, with an increased potential risk of adverse events.

Réfugiés, migrants, barrière de la langue : opinion des praticiens sur les moyens d'aide à la traduction

by M. Raynault and J. Vader

Santé Publique, 2002

Quand patient et soignant n'ont pas de langue commune, un interprète n'est pas forcément toujours... more Quand patient et soignant n'ont pas de langue commune, un interprète n'est pas forcément toujours la solution idéale -et ne peut de toute façon pas être présent à chaque consultation, notamment dans les cas d'urgence -. Par un questionnaire envoyé à tous les médecins membres du réseau de santé destiné aux demandeurs d'asile dans le canton de Vaud (N = 169), il apparaît (avec un taux de réponse de 91 %) que 45 % des médecins praticiens considèrent comme souhaitable de disposer d'un service téléphonique de traduction à distance, 58 % souhaitent disposer de glossaires avec termes phonétiques et illustrations. Il est estimé que ces deux moyens seraient utilisés aussi souvent que les traducteurs qualifiés, s'ils étaient disponibles. D'autres moyens d'aide à la traduction sont encore proposés par les praticiens.

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