Detecting and staging podoconiosis cases in North West Cameroon: positive predictive value of clinical screening of patients by community health workers and researchers.
Identifieur interne : 000614 ( PubMed/Corpus ); précédent : 000613; suivant : 000615Detecting and staging podoconiosis cases in North West Cameroon: positive predictive value of clinical screening of patients by community health workers and researchers.
Auteurs : Samuel Wanji ; Jonas A. Kengne-Ouafo ; Fabrice R. Datchoua-Poutcheu ; Abdel Jelil Njouendou ; Dizzel Bita Tayong ; David D. Sofeu-Feugaing ; Nathalie Amvongo-Adjia ; Bridget A. Fovennso ; Yolande F. Longang-Tchounkeu ; Fasil Tekola-Ayele ; Peter A. Enyong ; Melanie J. Newport ; Gail DaveySource :
- BMC public health [ 1471-2458 ] ; 2016.
English descriptors
- KwdEn :
- Adult, Cameroon (epidemiology), Community Health Workers, Elephantiasis (diagnosis), Elephantiasis (epidemiology), Elephantiasis (pathology), Elephantiasis (prevention & control), Feasibility Studies, Female, Health Services Accessibility, Humans, Male, Mass Screening (methods), Medically Underserved Area, Research Personnel, Rural Population, Severity of Illness Index.
- MESH :
- diagnosis : Elephantiasis.
- epidemiology : Cameroon, Elephantiasis.
- methods : Mass Screening.
- pathology : Elephantiasis.
- prevention & control : Elephantiasis.
- Adult, Community Health Workers, Feasibility Studies, Female, Health Services Accessibility, Humans, Male, Medically Underserved Area, Research Personnel, Rural Population, Severity of Illness Index.
Abstract
The suitability of using clinical assessment to identify patients with podoconiosis in endemic communities has previously been demonstrated. In this study, we explored the feasibility and accuracy of using Community Health Implementers (CHIs) for the large scale clinical screening of the population for podoconiosis in North-west Cameroon.
DOI: 10.1186/s12889-016-3669-6
PubMed: 27650390
Links to Exploration step
pubmed:27650390Le document en format XML
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Kengne-Ouafo</name><affiliation><nlm:affiliation>Parasites and Vector Biology research unit (PAVBRU), Department of Microbiology and Parasitology, University of Buea, Buea, Cameroon.</nlm:affiliation></affiliation></author><author><name sortKey="Datchoua Poutcheu, Fabrice R" sort="Datchoua Poutcheu, Fabrice R" uniqKey="Datchoua Poutcheu F" first="Fabrice R" last="Datchoua-Poutcheu">Fabrice R. Datchoua-Poutcheu</name><affiliation><nlm:affiliation>Research Foundation for Tropical Diseases and the Environment (REFOTDE), Buea, Cameroon.</nlm:affiliation></affiliation></author><author><name sortKey="Njouendou, Abdel Jelil" sort="Njouendou, Abdel Jelil" uniqKey="Njouendou A" first="Abdel Jelil" last="Njouendou">Abdel Jelil Njouendou</name><affiliation><nlm:affiliation>Parasites and Vector Biology research unit (PAVBRU), Department of Microbiology and Parasitology, University of Buea, Buea, Cameroon.</nlm:affiliation></affiliation></author><author><name sortKey="Tayong, Dizzel Bita" sort="Tayong, Dizzel Bita" uniqKey="Tayong D" first="Dizzel Bita" last="Tayong">Dizzel Bita Tayong</name><affiliation><nlm:affiliation>Parasites and Vector Biology research unit (PAVBRU), Department of Microbiology and Parasitology, University of Buea, Buea, Cameroon.</nlm:affiliation></affiliation></author><author><name sortKey="Sofeu Feugaing, David D" sort="Sofeu Feugaing, David D" uniqKey="Sofeu Feugaing D" first="David D" last="Sofeu-Feugaing">David D. 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Enyong</name><affiliation><nlm:affiliation>Parasites and Vector Biology research unit (PAVBRU), Department of Microbiology and Parasitology, University of Buea, Buea, Cameroon.</nlm:affiliation></affiliation></author><author><name sortKey="Newport, Melanie J" sort="Newport, Melanie J" uniqKey="Newport M" first="Melanie J" last="Newport">Melanie J. Newport</name><affiliation><nlm:affiliation>Wellcome Trust Centre for Global Health Research, Brighton and Sussex Medical School, Falmer Campus, Brighton, BN1 9PX, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name><affiliation><nlm:affiliation>Wellcome Trust Centre for Global Health Research, Brighton and Sussex Medical School, Falmer Campus, Brighton, BN1 9PX, UK.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27650390</idno><idno type="pmid">27650390</idno><idno type="doi">10.1186/s12889-016-3669-6</idno><idno type="wicri:Area/PubMed/Corpus">000614</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000614</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Detecting and staging podoconiosis cases in North West Cameroon: positive predictive value of clinical screening of patients by community health workers and researchers.</title><author><name sortKey="Wanji, Samuel" sort="Wanji, Samuel" uniqKey="Wanji S" first="Samuel" last="Wanji">Samuel Wanji</name><affiliation><nlm:affiliation>Parasites and Vector Biology research unit (PAVBRU), Department of Microbiology and Parasitology, University of Buea, Buea, Cameroon. swanji@yahoo.fr.</nlm:affiliation></affiliation></author><author><name sortKey="Kengne Ouafo, Jonas A" sort="Kengne Ouafo, Jonas A" uniqKey="Kengne Ouafo J" first="Jonas A" last="Kengne-Ouafo">Jonas A. Kengne-Ouafo</name><affiliation><nlm:affiliation>Parasites and Vector Biology research unit (PAVBRU), Department of Microbiology and Parasitology, University of Buea, Buea, Cameroon.</nlm:affiliation></affiliation></author><author><name sortKey="Datchoua Poutcheu, Fabrice R" sort="Datchoua Poutcheu, Fabrice R" uniqKey="Datchoua Poutcheu F" first="Fabrice R" last="Datchoua-Poutcheu">Fabrice R. Datchoua-Poutcheu</name><affiliation><nlm:affiliation>Research Foundation for Tropical Diseases and the Environment (REFOTDE), Buea, Cameroon.</nlm:affiliation></affiliation></author><author><name sortKey="Njouendou, Abdel Jelil" sort="Njouendou, Abdel Jelil" uniqKey="Njouendou A" first="Abdel Jelil" last="Njouendou">Abdel Jelil Njouendou</name><affiliation><nlm:affiliation>Parasites and Vector Biology research unit (PAVBRU), Department of Microbiology and Parasitology, University of Buea, Buea, Cameroon.</nlm:affiliation></affiliation></author><author><name sortKey="Tayong, Dizzel Bita" sort="Tayong, Dizzel Bita" uniqKey="Tayong D" first="Dizzel Bita" last="Tayong">Dizzel Bita Tayong</name><affiliation><nlm:affiliation>Parasites and Vector Biology research unit (PAVBRU), Department of Microbiology and Parasitology, University of Buea, Buea, Cameroon.</nlm:affiliation></affiliation></author><author><name sortKey="Sofeu Feugaing, David D" sort="Sofeu Feugaing, David D" uniqKey="Sofeu Feugaing D" first="David D" last="Sofeu-Feugaing">David D. Sofeu-Feugaing</name><affiliation><nlm:affiliation>Research Foundation for Tropical Diseases and the Environment (REFOTDE), Buea, Cameroon.</nlm:affiliation></affiliation></author><author><name sortKey="Amvongo Adjia, Nathalie" sort="Amvongo Adjia, Nathalie" uniqKey="Amvongo Adjia N" first="Nathalie" last="Amvongo-Adjia">Nathalie Amvongo-Adjia</name><affiliation><nlm:affiliation>Research Foundation for Tropical Diseases and the Environment (REFOTDE), Buea, Cameroon.</nlm:affiliation></affiliation></author><author><name sortKey="Fovennso, Bridget A" sort="Fovennso, Bridget A" uniqKey="Fovennso B" first="Bridget A" last="Fovennso">Bridget A. Fovennso</name><affiliation><nlm:affiliation>Parasites and Vector Biology research unit (PAVBRU), Department of Microbiology and Parasitology, University of Buea, Buea, Cameroon.</nlm:affiliation></affiliation></author><author><name sortKey="Longang Tchounkeu, Yolande F" sort="Longang Tchounkeu, Yolande F" uniqKey="Longang Tchounkeu Y" first="Yolande F" last="Longang-Tchounkeu">Yolande F. Longang-Tchounkeu</name><affiliation><nlm:affiliation>Research Foundation for Tropical Diseases and the Environment (REFOTDE), Buea, Cameroon.</nlm:affiliation></affiliation></author><author><name sortKey="Tekola Ayele, Fasil" sort="Tekola Ayele, Fasil" uniqKey="Tekola Ayele F" first="Fasil" last="Tekola-Ayele">Fasil Tekola-Ayele</name><affiliation><nlm:affiliation>Center for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Enyong, Peter A" sort="Enyong, Peter A" uniqKey="Enyong P" first="Peter A" last="Enyong">Peter A. Enyong</name><affiliation><nlm:affiliation>Parasites and Vector Biology research unit (PAVBRU), Department of Microbiology and Parasitology, University of Buea, Buea, Cameroon.</nlm:affiliation></affiliation></author><author><name sortKey="Newport, Melanie J" sort="Newport, Melanie J" uniqKey="Newport M" first="Melanie J" last="Newport">Melanie J. Newport</name><affiliation><nlm:affiliation>Wellcome Trust Centre for Global Health Research, Brighton and Sussex Medical School, Falmer Campus, Brighton, BN1 9PX, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name><affiliation><nlm:affiliation>Wellcome Trust Centre for Global Health Research, Brighton and Sussex Medical School, Falmer Campus, Brighton, BN1 9PX, UK.</nlm:affiliation></affiliation></author></analytic><series><title level="j">BMC public health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Cameroon (epidemiology)</term><term>Community Health Workers</term><term>Elephantiasis (diagnosis)</term><term>Elephantiasis (epidemiology)</term><term>Elephantiasis (pathology)</term><term>Elephantiasis (prevention & control)</term><term>Feasibility Studies</term><term>Female</term><term>Health Services Accessibility</term><term>Humans</term><term>Male</term><term>Mass Screening (methods)</term><term>Medically Underserved Area</term><term>Research Personnel</term><term>Rural Population</term><term>Severity of Illness Index</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Elephantiasis</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Cameroon</term><term>Elephantiasis</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mass Screening</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Elephantiasis</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Elephantiasis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Community Health Workers</term><term>Feasibility Studies</term><term>Female</term><term>Health Services Accessibility</term><term>Humans</term><term>Male</term><term>Medically Underserved Area</term><term>Research Personnel</term><term>Rural Population</term><term>Severity of Illness Index</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The suitability of using clinical assessment to identify patients with podoconiosis in endemic communities has previously been demonstrated. In this study, we explored the feasibility and accuracy of using Community Health Implementers (CHIs) for the large scale clinical screening of the population for podoconiosis in North-west Cameroon.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27650390</PMID><DateCreated><Year>2016</Year><Month>09</Month><Day>21</Day></DateCreated><DateCompleted><Year>2017</Year><Month>08</Month><Day>31</Day></DateCompleted><DateRevised><Year>2017</Year><Month>09</Month><Day>02</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2458</ISSN><JournalIssue CitedMedium="Internet"><Volume>16</Volume><PubDate><Year>2016</Year><Month>Sep</Month><Day>20</Day></PubDate></JournalIssue><Title>BMC public health</Title><ISOAbbreviation>BMC Public Health</ISOAbbreviation></Journal><ArticleTitle>Detecting and staging podoconiosis cases in North West Cameroon: positive predictive value of clinical screening of patients by community health workers and researchers.</ArticleTitle><Pagination><MedlinePgn>997</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12889-016-3669-6</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The suitability of using clinical assessment to identify patients with podoconiosis in endemic communities has previously been demonstrated. In this study, we explored the feasibility and accuracy of using Community Health Implementers (CHIs) for the large scale clinical screening of the population for podoconiosis in North-west Cameroon.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Before a regional podoconiosis mapping, 193 CHIs and 50 health personnel selected from 6 health districts were trained in the clinical diagnosis of the disease. After training, CHIs undertook community screening for podoconiosis patients under health personnel supervision. Identified cases were later re-examined by a research team with experience in the clinical identification of podoconiosis.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Cases were identified by CHIs with an overall positive predictive value (PPV) of 48.5% [34.1-70%]. They were more accurate in detecting advanced stages of the disease compared to early stages; OR 2.07, 95% CI = 1.15-3.73, p = 0.015 for all advanced stages). Accuracy of detecting cases showed statistically significant differences among health districts (χ2 = 25.30, p = 0.0001).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Podoconiosis being a stigmatized disease, the use of CHIs who are familiar to the community appears appropriate for identifying cases through clinical diagnosis. However, to improve their effectiveness and accuracy, more training, supervision and support are required. More emphasis must be given in identifying early clinical stages and in health districts with relatively lower PPVs.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wanji</LastName><ForeName>Samuel</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Parasites and Vector Biology research unit (PAVBRU), Department of Microbiology and Parasitology, University of Buea, Buea, Cameroon. swanji@yahoo.fr.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Research Foundation for Tropical Diseases and the Environment (REFOTDE), Buea, Cameroon. swanji@yahoo.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kengne-Ouafo</LastName><ForeName>Jonas A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Parasites and Vector Biology research unit (PAVBRU), Department of Microbiology and Parasitology, University of Buea, Buea, Cameroon.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Research Foundation for Tropical Diseases and the Environment (REFOTDE), Buea, Cameroon.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Datchoua-Poutcheu</LastName><ForeName>Fabrice R</ForeName><Initials>FR</Initials><AffiliationInfo><Affiliation>Research Foundation for Tropical Diseases and the Environment (REFOTDE), Buea, Cameroon.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Njouendou</LastName><ForeName>Abdel Jelil</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Parasites and Vector Biology research unit (PAVBRU), Department of Microbiology and Parasitology, University of Buea, Buea, Cameroon.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Research Foundation for Tropical Diseases and the Environment (REFOTDE), Buea, Cameroon.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tayong</LastName><ForeName>Dizzel Bita</ForeName><Initials>DB</Initials><AffiliationInfo><Affiliation>Parasites and Vector Biology research unit (PAVBRU), Department of Microbiology and Parasitology, University of Buea, Buea, Cameroon.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Research Foundation for Tropical Diseases and the Environment (REFOTDE), Buea, Cameroon.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sofeu-Feugaing</LastName><ForeName>David D</ForeName><Initials>DD</Initials><AffiliationInfo><Affiliation>Research Foundation for Tropical Diseases and the Environment (REFOTDE), Buea, Cameroon.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Biochemistry and Molecular Biology, University of Buea, Buea, Cameroon.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Amvongo-Adjia</LastName><ForeName>Nathalie</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Research Foundation for Tropical Diseases and the Environment (REFOTDE), Buea, Cameroon.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Laboratory of Parasitology and Ecology, Department of Animal Biology and Physiology, University of Yaoundé I, Yaounde, Cameroon.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fovennso</LastName><ForeName>Bridget A</ForeName><Initials>BA</Initials><AffiliationInfo><Affiliation>Parasites and Vector Biology research unit (PAVBRU), Department of Microbiology and Parasitology, University of Buea, Buea, Cameroon.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Research Foundation for Tropical Diseases and the Environment (REFOTDE), Buea, Cameroon.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Longang-Tchounkeu</LastName><ForeName>Yolande F</ForeName><Initials>YF</Initials><AffiliationInfo><Affiliation>Research Foundation for Tropical Diseases and the Environment (REFOTDE), Buea, Cameroon.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tekola-Ayele</LastName><ForeName>Fasil</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Center for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Enyong</LastName><ForeName>Peter A</ForeName><Initials>PA</Initials><AffiliationInfo><Affiliation>Parasites and Vector Biology research unit (PAVBRU), Department of Microbiology and Parasitology, University of Buea, Buea, Cameroon.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Research Foundation for Tropical Diseases and the Environment (REFOTDE), Buea, Cameroon.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Newport</LastName><ForeName>Melanie J</ForeName><Initials>MJ</Initials><AffiliationInfo><Affiliation>Wellcome Trust Centre for Global Health Research, Brighton and Sussex Medical School, Falmer Campus, Brighton, BN1 9PX, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Davey</LastName><ForeName>Gail</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Wellcome Trust Centre for Global Health Research, Brighton and Sussex Medical School, Falmer Campus, Brighton, BN1 9PX, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>MRC_MR/J008621/1</GrantID><Agency>Medical Research Council</Agency><Country>United Kingdom</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>09</Month><Day>20</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Public 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Version="1">26185194</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002163" MajorTopicYN="N">Cameroon</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003150" MajorTopicYN="Y">Community Health Workers</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004604" MajorTopicYN="N">Elephantiasis</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005240" MajorTopicYN="N">Feasibility Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006297" MajorTopicYN="Y">Health Services Accessibility</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008403" MajorTopicYN="N">Mass Screening</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008507" MajorTopicYN="Y">Medically Underserved Area</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012108" MajorTopicYN="Y">Research Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012424" MajorTopicYN="N">Rural Population</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC5029032</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Cameroon</Keyword><Keyword MajorTopicYN="N">Community Health Implementers</Keyword><Keyword MajorTopicYN="N">Podoconiosis</Keyword><Keyword MajorTopicYN="N">Predictive value</Keyword><Keyword MajorTopicYN="N">Screening</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>09</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>09</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>9</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>9</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>9</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27650390</ArticleId><ArticleId IdType="doi">10.1186/s12889-016-3669-6</ArticleId><ArticleId IdType="pii">10.1186/s12889-016-3669-6</ArticleId><ArticleId IdType="pmc">PMC5029032</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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