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Biomedical subjects

P Bourrel

Publications and source records attributed to P Bourrel.

At least 91 records · Page 5Linked to original sources

[Teaching at the Institute of Tropical Medicine of the Army Health Service (Le Pharo)].

Specialized education and training in tropical medicine given at I.M.T.S.S.A. aimes at bringing up the medical officers, attached to the Institute for instruction, to the highest possible level of competency to fulfil their duties in tropical zones in general and in particular in their first assignment, sometimes even in rural areas. Therefore, the objectives imparted to the different matters must correspond to the different tasks the newly seconded or posted medical officers will have to perform in tropical zones. In addition, pedagogical evaluation of these objectives and of the guided training, as well as evaluation of the knowledge acquired, are carried out several times during the course of the studies, in order to adapt these three parameters to the means and possibilities available in tropical zones.

France↗

[Training in epidemiology at the Institute of Tropical Medicine of the Army Health Service. Experience over 4 years].

The authors described the training in epidemiology received by 185 Army medical doctors attached for instruction to the I.M.T.S.S.A. since 1981. Statistical methodology, basic epidemiology, and applied epidemiology are taught in such way that Army medical doctors are better capable of rationalizing and strengthening their action of prevention in their posting either in France or seconded to developing countries. Description of pedagogical targets is underlined as well as methodology of control and evaluation of progress towards these targets. The authors are also able to appreciate, in terms of the level of capacity of the personnel trained, the severity of the consequences either of a strengthening of the pedagogical targets or of a reduction. When the reform of medical education and training imposes very often such an alternative, the authors point out how the leading opinion of the ones who utilize the services of the personnel should be taken into full consideration prior to any decision.

Epidemiology↗

[The reaction to viewing slides on tropical medicine. Evaluation study].

A series of slides on health priorities in Africa was shown to an audience of 123 people, of which 19 were not medical specialists. The authors of this experiment wanted to verify that the objectives set by the producers were met. The study, conducted in the form of a questionnaire, asked the people questioned to give their opinion on the objectives, the kind of public aimed at, the standard of the various subjects covered and the usefulness and cost-efficiency ratio of the type of audio-visual equipment used. Although the analysis of collected data reveals certain discrepancies as to the professional status of those questioned, the vast majority of participants considered this documentary support to be extremely worthwhile.

Africa↗

[Paralysis of the opposition of the thumb in leprosy: value of the transplantation of the extensor indicis (author's transl)].

The transplantation of the extensor indicis to restore the opposition of thumb has been realized by two techniques: -- transplantation through the 2nd interosseous space with suture on the abductor pollicis brevis but the result was poor for the guide pulley resulting did not work well. -- transplantation with reflexion on the cubital side of the wrist which in 5 cases proved to be satisfactory. In medico cubital paralysis one must also cure the "cubital claw of the thumb". The surgical procedure, using a dispensable tendon, could be directly associated to the sutures of the proximal injuries of the cubital nerve as a temporary palliative.

Hand↗