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M Manciaux

Publications and source records attributed to M Manciaux.

At least 37 records · Page 2Linked to original sources

Respiratory symptoms or signs on the day of the study alter pulmonary function in teenagers.

Pulmonary function variables (forced expiratory flows and vital capacity, static lung volume, alveolar N2 slope, closing volume and closing capacity) were compared in a group of 10-16 year old children with (n = 65) and without (n = 440) symptoms or signs of mild acute respiratory infection ('common cold'). Symptomatic children had a significant impairment of forced expiratory vital capacity and flows, with no change in static volumes, alveolar N2 slopes and closing volumes. The effect was present only in boys (in whom RV/TLC and phase III slope were borderline abnormal), was more evident in older children (13 to 16 years) and was independent of the smoking habits or the presence of chronic respiratory symptoms. The results are in favour of a predominant involvement of upper airways, but signs of lower airways dysfunction are present in boys and in children 13 to 16 years old.

Acute Disease↗

Accidental injuries in the young: from epidemiology to prevention.

Reducing children's injuries is an urgent task, if one is to decrease the toll of young human lives taken by accidents and the burden of handicaps resulting from them. Yet it is not an easy task, if one judges by the stability and resistance of this tremendous cause of death, disease and disability. This paper first reviews some conceptual difficulties in the definition of accidental injuries, their scaling and their recording; the assessment of risk and of the amount of exposure is also a trying process. Then some concrete problems are considered that deal with registration and surveys, and retrieval and use of information. Finally, some preventive outcomes are discussed, some models presented and a preventive strategy outlined. A series of WHO reports addressing these various issues are referred to.

Accident Prevention↗

[Accidents involving children and adolescents: from epidemiological findings to preventive action].

It is generally accepted that improving epidemiological knowledge of accidents in childhood and adolescence leads to a better implementation of more efficient prevention programs. Nevertheless, it is not yet generally admitted that any new preventive measure addressing these accidents has to be evaluated by competent epidemiologists. Obviously, there are exceptions regarding these two rules. Four examples of successful implementation are presented in this paper: safety packaging of aspirin; fences around private swimming pools; changes in minimal drinking and driving age in adolescence; bicycle accidents. The discussion is focused on four intervention levels suggested for the epidemiologists.

Accident Prevention↗

[Perinatal mortality in the Grand Duchy of Luxembourg. The trend from 1969 to 1979].

A systematic survey on perinatal mortality has been carried out in Grand Duchy of Luxembourg for eleven years: a 40 to 100 reduction of the rate is noticed, decreasing from 20.6 p. 1 000 in 1969 to 11.9 p. 1 000 in 1978 with a more distinct reduction of the early neonatal component. Important differences are observed in various geographical places both in the rates and in the evolution during the studied period. Differences associated with socioeconomic factors, maternal age and civil status at birth seem to fade out. During the whole period, perinatal mortality rates are lower in foreigners and more particularly in recent immigrants than in Luxembourg people. The chronological aspect of the evolution suggests that these facts are correlated with the adoption of preventive measures in perinatality. This program seems to be efficient not only by globally reducing perinatal mortality but also by decreasing social inequalities in perinatality.

Birth Rate↗

[Mental retardation and multiple handicaps (author's transl)].

Handicaps in childhood often go by 2 or 3, more often than usually said. Multiple handicaps create difficult problems as to their diagnosis and care. On the basis of an epidemiological survey conducted in the Paris area, the authors underline the frequency of behavioral problems as supplementary handicap, and the role and importance of the mental deficiency in multiple handicaps in childhood, the most frequency associations according to the level of mental deficiency, the social factors significantly associated with the mental handicap, in terms of inequality of risks and inequality of access to health care and rehabilitation.

Child↗