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Biomedical subjects

L Edouard

Publications and source records attributed to L Edouard.

At least 19 recordsLinked to original sources
PubMed1997

The teaching of evidence-based reproductive health in developing countries.

Evidence-based medicine is gaining increased importance in clinical practice. Unfortunately, prevailing circumstances have prevented this application of the best available evidence to clinical decision-making for reproductive health in developing countries. Poor infrastructure, inadequate personnel, gross underfunding of services for health and education as well as a conservative education system are obstacles in effecting change. By examining these impediments, we suggest strategies for clinical education and research with the aim of improving reproductive health care in developing countries. Evidence-based reproductive health will be promoted through access to appropriate information, interest from government and consumers, curriculum changes, application of research findings and finally, the judicious use of its principles in clinical practice.

Developing Countries↗
PubMed1997

Observer error and birthweight: digit preference in recording.

We investigated the presence of digit preference in the recording of birthweight by a retrospective analysis of an official dataset of birth registrations. All births occurring in the Province of Saskatchewan in Canada from 1981 to 1991, but excluding 1988, were considered for this analysis. Preference for the terminal digit 0 increased progressively with increasing birthweight over the whole range of birthweights. Correction for digit preference led to an increase of 1.8% in the number of low birthweight babies and a concomitant increase of 0.1% in the actual incidence of low birthweight. Epidemiological applications of birthweight should take into account the observer error caused by digit preference.

Bias↗
PubMed1997

On the determination of contraceptive prevalence using health care utilization data.

A potential application of health care utilization databases is in the determination of contraceptive prevalence. A model linking specific factors concerning the utilization of modern methods of family planning has been developed to estimate contraceptive prevalence by age group for Saskatchewan. The limitations of these estimations of contraceptive prevalence are discussed.

Adult↗
PubMed1996

Reliability of the recording of hysterectomy in the Saskatchewan health care system.

OBJECTIVE: To determine the validity of data pertaining to hysterectomy in the Saskatchewan health care utilisation datafiles. DESIGN: Retrospective analysis of routinely collected data covering hospital discharge records and practitioner claims for reimbursement of services, together with a review of clinical charts. SETTING: Province of Saskatchewan, Canada. SAMPLE: All 1905 cases of hysterectomy in one calendar year for analysis of datafiles and a random sample of 227 clinical charts for review. METHOD: Information in the hospitalisation datafile was validated through an external comparison with data extracted from a review of clinical charts, as well as an internal comparison with independent data from the practitioner claims file. Corresponding context data on drug use and performance of related procedures were also analysed. RESULTS: Concordance between hospital data and clinical charts was greater than 95% for those items of an administrative nature as well as type of hysterectomy and was around 85% for the diagnoses. When hospitalisation and practitioner claims data were compared, the concordance was 98% for type of hysterectomy but only 56% for diagnoses. CONCLUSIONS: The agreement between hospital data and clinical charts was excellent. The concordance between hospitalisation and practitioner claims data was almost exact for type of hysterectomy, while discrepancies in diagnoses between these files were mostly explainable on the basis of accepted clinical practice. Saskatchewan health care utilisation datafiles provide a source of valid data for research and evaluation studies.

Adolescent↗
PubMed1994

Unlocking datasets.

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Costs and Cost Analysis↗
PubMed1993

Overseas electives.

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Clinical Clerkship↗
PubMed1991

Pregnancy outcome among native Indians in Saskatchewan.

OBJECTIVE: To determine the difference in pregnancy outcome between native Indians and the provincial population in Saskatchewan. DESIGN: Retrospective analysis of data collected from all birth and death registration forms. SETTING: Saskatchewan. MAIN OUTCOME MEASURES: Incidence of low birth weight and rates of stillbirth and of neonatal and infant death. RESULTS: The neonatal death rate was higher in the Indian population than in the provincial population during the study period; the difference between the two groups in the rate decreased markedly after 1982. The rates of stillbirth and infant death were also higher among the Indians, and the difference persisted during the study period. The incidence of low birth weight and the rate of stillbirth were highest in the youngest and oldest maternal groups in the provincial population; however, the pattern was markedly different among the Indians, teenaged mothers having the best outcomes. CONCLUSION: Further studies are needed to determine the relation between maternal age and fetal outcome among native Indians.

Adolescent↗
PubMed1991

Physical inactivity among physicians.

OBJECTIVE: To determine whether physicians in Saskatoon encourage their patients to be physically active through their advice and lifestyle. DESIGN: Mail survey. SETTING: Saskatoon. PARTICIPANTS: All 451 physicians holding privileges in the three Saskatoon hospitals who were in regular contact with patients. OUTCOME MEASURES: Physical activity was quantified by means of the methods developed in the Canada Health Survey (CHS). Additional questions evaluated physicians' attitudes toward the importance of physical activity to themselves and their patients. RESULTS: A total of 210 physicians (47%) returned the questionnaire. Of the respondents 30% were in the active category as compared with the national average of 39% (p less than 0.05). This difference was accounted for mainly by the lower activity level of the male physicians aged 25 to 44 years. The difference is even more striking when the physicians were compared with people in managerial and professional occupations in the CHS, of whom 46% were active (p less than 0.001). Surprisingly, in light of these result whom 46% were active (p less than 0.001). Surprisingly, in light of these results, most of the respondents felt that physical activity was important to themselves and to their patients. CONCLUSION: Although the physicians were less active physically than the general population they believed that exercise was important to them personally and that patients should be counselled about physical activity. Further study is needed to determine how applicable these results are to Canadian physicians in general.

Adult↗