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Biomedical subjects

F Hatton

Publications and source records attributed to F Hatton.

At least 73 records · Page 4Linked to original sources
PubMed1983

[Diabetes in private practice. Data of the INSERM national survey on private practice (1974-1975)].

Data from a national survey of private medicine in France were used to estimate the frequency of diabetes in primary care and to analyse both patient characteristics and therapeutic management. An approach was made to 2012 physicians who were requested to complete a questionnaire for each patient they saw during the course of a single day; 1103 responded and completed more than 20000 questionnaires. An additional investigation looked into the nature of the non responders. Diabetics represent 2,2% of patients in private medicine. Each year about 5,5 million consultations in private practice in France are for diabetes alone or for diabetes in association with other illnesses. 89% of diabetic patients are over 45 years of age and more than 48% older than 65. In most cases (80%), diabetes is associated with other medical problems, half of them being consequences of diabetes (cardio-vascular diseases, ocular and renal diseases). In 85% of cases, diabetics receive their basic care from a general practitioner. Therapeutic management is based mainly on drugs; diet or advice about life style are mentioned in barely one third of cases. Using linkage with social security data, it was possible to make a crude estimate of the number of diabetics in France. It was estimated at about 1 million for 52,6 million inhabitants.

Adult↗
PubMed1982

[Factors related to a population's behaviour towards x-ray screening of tuberculosis (author's transl)].

A study on the behaviour of a population towards a preventive measure (X-ray screening of tuberculosis) was carried out in 6,176 adults (average age 55), offered screening by the Mobile X-ray Screening Department of "D.D.A.S.S.", from February to June 1979, 68.6 per cent of them completed and returned the self-administered postal questionnaire. The following factors were related to people's behaviour: age, occupation, educational level, the fact of being invited for the second or third time and of not being vaccinated by B.C.G. According to the results of this survey no personal motivation related to the knowledge and the fear of the disease seems to guide people in their response to the measure offered.

Adult↗
PubMed1981

[Chronological assessment of the preventive measures taken in the field of road traffic accidents in France. Methodological problems and results. (author's transl)].

Corresponding to a non-experimental approach and based upon the study of indices obtained from permanent statistics, this assessment presents methodological difficulties linked both: to the choice of permanant indicators and to the interpretation of their variations in a situation of observation. The results permit us to appraise the consequences of the global policy of prevention in the field of road traffic accidents in France during many consecutive years: - the decrease of mortality and morbidity demographic indices; - the strengthening of the regressive tendency of the risk indices linked to road traffic (number of dead and wounded in relation to the "km" covered, to the consumption of motor-fuel...). The agreement of the evolutive tendencies of these indicators lets us think that the campaign against traffic accidents has had the desired effects even if they are still incomplete.

Accidents, Traffic↗
PubMed1980

[Cardiovascular mortality in industrial and developing countries (author's transl)].

In developing countries when causes of death are registered cardiovascular mortality levels revealed themselves surprising. For instance, they appear to be more important in Tebessa (Algeria) during 1974-1975, Mauritius (1973-1976) or Egypt (1971-1973) than in france, United States or Sweden before the age of 45 and very near after this age. These results are consistent with the mortality patterns by causes of death proposed by Preston according to life expectancy at birth. Before the age of 45, rheumatic heart diseases can explain this overmortality. After this age the recent observations in the Third-World, especially in Africa, show that cardiomyopathy, cardiomegaly and principally hypertension are widely spread to-day. On the other hand, ischemic heart diseases are still rare. For many authors, cardiovascular diseases are increasing in Africa because ways of life in developing and developed countries are becoming identical. In fact, this trend could be a little artificial. Formerly indeed, disparity in population age structures and mortality differences for all other causes were not enough taken into account.

Adolescent↗
PubMed1980

[Contraception and liberal medical acts. The results of a national enquiry carried out by INSERM 1974-1975 (author's transl)].

The authors examined the part taken by contraception in a liberal practice in France arising out of a national enquiry on liberal medicine in France which was conducted by INSERM in 1975 and which was concerned with the medical activity of a random sample of 1150 doctors carrying out 2 100 total acts. They particularly analysed how these acts were distributed between general practitioners and gynaecologists. It is estimated that in 1975 there were 4.6 million medical liberal acts for contraception in women between 15 and 44 years of age, which worked out at about 1 per person every 8 to 9 months. General practitioners performed about 55 per cent of these acts. The geographical situation (whether it is urban or rural) is the main determinant of the choice of general practitioner or gynaecologist and not the age of the women or their professional activity. Certainly from the point of view of doctors contraception plays an important part in the activity of gynaecologists (20 to 25 per cent of their acts) whereas it remains a weak part of the activity of general practitioners (approximately 1 act every 2 or 3 days). Gynaecologists are inversely busy according to the amount of contraception they practise, but one must consider that there is a balance between contraceptive acts and obstetrical acts. As far as general practitioners are concerned, on the other hand, the year they qualify is the most important, since the younger doctors give up more time for this kind of activity than the older ones.

Adolescent↗
PubMed1980

[Causes of death of children at the Hôpital des Enfants-Malades. Statistical study of 1 098 pathologic and clinical records collected from 1966 to 1975 (author's transl)].

The clinical and histopathologic records of 1 098 children under 15 years of age, deceased at the hôpital des Enfants-Malades from 1966 to 1975 were studied. This material represents 44% of the total deaths of the same period. This study uses both the international classification of diseases and W.H.O.'s criteria, for distinguishing in causes of death between the principal cause, the immediate cause and associated causes. A higher mortality rate was observed in boys (58%), during the first year of life (80%), during the first 12 hours following admission (13%) and during the night. Causes of death are rarely isolated (10%), more often multiple: double (50%), or even triple or more (40%). Malformations represent 40% of the main causes of death, infections 14%, perinatal mortality 11%. Among immediate causes, infectious diseases are responsible for 23% of the deaths, respiratory disorders for 15%. Among associated causes are seen, in decreasing order of frequency: surgical procedures, prematurity, known or unrecognized associated malformations. Infections occurring during hospitalization represent the principal iatrogenic disorders. Anatomico-clinical examination failed to find an immediate cause of death in 25% of the cases and a principal cause in 7%.

Adolescent↗
PubMed1980

[The adolescent today. Medical and demographic questions (author's transl)].

Medical and demographic aspects of adolescence are described. These include: statistics concerning medical causes of death, data obtained in special medical or social communicaties, especially hospital morbidity and chronic disease statistics; lastly, the results of sample surveys, such as that concerning morbidity breakdown in general practice. All these data can serve as a basis for an intelligent approach to the medical problems of adolescence.

Adolescent↗
PubMedDate not supplied

[Several methodologic aspects of chronic bronchitis surveys].

The frequency of chronic bronchitis and the late and irreversible character of the respiratory invalidity thus caused, led to recognition at an early stage when the disease is usually neglected by the patient. In the choice of examinations designed to select pathological cases, it is important to take into consideration a few elementary notions of methodology. 1 - Precise definition of objectives. 2 - Drawing up a questionnaire and evaluation of its performance. 3 - The place, execution and interpretation of morphological and functional investigations, are the main points developed from personal investigations and similar investigations carried out in other countries. Quality controls of these main methods of analysis of the disease under study are necessary for reliable numerical evaluation. The principles drawn up should be borne in mind at a time when epidemiology is occupying a basic position in bioclinical research and numerous attempts have been made to carry out investigations from which one should obtain the maximum information.

Bronchitis↗
PubMedDate not supplied

[Analysis of diabetes-related mortality in France (1970-1987) from multiple causes of death].

The aim of this study was to analyse the characteristics and the mortality rate of diabetic patients, in France, between 1970 and 1987, as well as the association between diabetes and other pathologies at death. These results are based on both the underlying and the associated causes of death registered on the death certificate, in contrast to most studies which use only the underlying cause. In 1987, there were 16,790 deaths in France for which diabetes was mentioned on the death certificate (as the underlying cause in 38% of cases). There was a higher mortality in male diabetic subjects then in female, for all ages except over 75 years. Between 1970 and 1987, the mortality decreased for both sexes, except for the oldest age group. The death rate varied greatly between geographical regions. A particularly high mortality occurred in the Nord-Pas-de-Calais, Lorraine and Alsace. Diabetes was significantly associated, at death, with other diseases and pathologies. The most frequent were vascular diseases (ischaemic heart disease, cerebral diseases and hypertension) and diseases of the genitourinary system. It if of note that 5% of the death certificates of these diabetic subjects indicated diabetic coma as a cause of death.

Adult↗
PubMedDate not supplied

[Pediatric anesthesia in France. Which patients? What reasons?].

The population undergoing anaesthesia and the reasons for such a procedure were studied in children (under 15 years of age), through data collected in an INSERM national survey on anaesthesia. This survey was representative of the whole anaesthetic activity performed yearly in France. 750,000 anaesthesias are performed each year in paediatrics, giving an annual rate of 6.4 anaesthesias per 100 children. The highest rate was observed at the age of 4 years, and the higher percentage of boys exists at any age. The main fields of intervention are ENT surgery (30.9%), digestive surgery (25.2%), orthopedic and trauma surgery (12,2%) and surgery on male genitalia (8.9%). The most common procedure is appendectomy which accounts for one fifth of all procedures in children (153,000 each year).

Adolescent↗