Adaptations des recommandations pour la pratique clinique: l'exemple du Programme cantonal Diabète de Vaud [Adaptation of clinical practice guidelines--the example of cantonal Diabetes Program].

With the growing number of scientific publications, practitioners can use scientific knowledge synthesis, including Clinical Practice Guidelines (CPG). The practical use of a CPG implies considering the context, that is the local healthcare system and the patient. Thus, the CPG can never replace the expertise of the practitioner! Diabetes is a wide public health issue and the canton of Vaud established the cantonal Diabetes Program (cDP), to optimize the care of diabetic patients. The cDP has many projects including the adaptation of reliable CPG to local needs. We present the pros and cons of the CPG in the cDP and the methods to adapt it to the regional healthcare context, and also at an individual level

Recherche scientifique en médecine de famille : expériences, barrières et besoins des praticiens

Scientific data from family medicine are relevant for the majority of the population. They are therefore essential from an ethical and public health perspective. We need to promote quality research in family medicine despite methodological, financial and logistic barriers. To highlight the strengths and weaknesses of research in family medicine in the French-speaking part of Switzerland we asked practitioners from this region to share their experience, critics and needs in relation to research. This article summarizes their contribution in light of the international literature

一次性レイノー現象の宿主・環境要因に関する研究 第1編 山間部と平野部における一般住民のレイノー現象の有症率の比較 第2編 レイノー現象発作と気温との関係 - 山間部と平野部におけるレイノー現象有症者の長期観察 - 第3編 健常者およびレイノー現象有症者における抗核抗体

第1編 山間部と平野部における一般住民のレイノー現象の有症率の比較第2編 レイノー現象発作と気温との関係 - 山間部と平野部におけるレイノー現象有症者の長期観察 -第3編 健常者およびレイノー現象有症者における抗核抗