Hyperactivité et prescription de Ritaline® dans le canton de Vaud (Suisse), 2002 = Hyperactivity and prescription of Ritalin® in the canton of Vaud (Suisse), 2002

CONTEXTE. - La prévalence estimée du syndrome de troubles hyperactifs avec déficit d'attention (THADA) dans les pays européens varie entre 2 et 5 % chez les enfants d'âge scolaire. L'objectif de cette recherche, mandatée par le service de la santé publique du canton de Vaud, est d'évaluer la prescription de méthylphénidate (Ritaline®) dans le traitement des THADA chez les enfants. METHODE. - Le service de la santé publique a recueilli toutes les ordonnances de Ritaline® délivrées en 2002 dans les pharmacies du canton. Les données utilisées sont l'âge, le sexe et la commune de résidence du patient, la posologie, la date de prescription, le lieu de pratique et la spécialisation du médecin prescripteur. Seuls les patients domiciliés dans le canton de Vaud et âgés de moins de 20 ans ont été inclus dans l'analyse. RESULTATS. - Six cent quatre-vingt dix-sept patients de moins de 20 ans ont reçu de la Ritaline® en 2002. L'âge moyen est de 12,1 ans (médiane : 12 ans; minimum : trois ans, maximum : 19 ans), 15 % des patients sont des filles. La prévalence estimée du traitement est de 0,74 % pour la population de 5 à 14 ans résidant dans le canton de Vaud. Quatre-vingts pour cent des patients traités ont été vus au moins une fois dans l'année par un spécialiste (pédiatre ou psychiatre). CONCLUSIONS. - Moins de 1 % de la population enfantine reçoit du méthylphénidate dans le canton de Vaud. Les posologies sont en accord avec les recommandations émises en Suisse. La grande majorité des patients est suivie par des spécialistes. Une nouvelle analyse basée sur les données de 2005 sera conduite pour suivre l'évolution de la prescription de Ritaline®. [Ed.] [Abstract] BACKGROUND: The estimated prevalence of Attention Deficit Hyperactivity Disorder (ADHD) reported in European countries is 2 to 5% of school age children. Political concern has been expressed in Switzerland about possible over treatment with methylphenidate. The purpose of this research, commissioned by the regional public health authority, was to assess the prescription of methylphenidate (Ritalin® ) for children as a treatment of ADHD. METHODS: The regional health authority collected all prescriptions of Ritalin® delivered in pharmacies during 2002. Data available from prescriptions and analyzed were: age, sex and place of residence of the patient, dosage prescribed, date of prescription, place of practice and medical specialization of doctors. Only patients living in the canton of Vaud and aged less than 20 years were included in the analysis. RESULTS: Six hundred and ninety-seven patients, aged less than 20 years, received Ritalin® in 2002. The mean age was 12.1 years (median: 12 years; range: 3-19), 15% were female. These patients represented 0.74% of the 5-14 years old population living in the canton of Vaud. Eighty percent of patients had a prescription from a specialist (pediatrician or psychiatrist) during the year. CONCLUSIONS: Less than 1% of the young population receives methylphenidate in the canton of Vaud. Dosage complies with the recommendations of the Swiss Medic Compendium. The large majority of patients receive prescriptions for methylphenidate from specialists. A new study based on the 2005 data will be conducted to follow changes in the prescription of Ritalin®. [Ed.]]]> Attention Deficit Disorder with Hyperactivity ; Central Nervous System Stimulants ; Dopamine Uptake Inhibitors ; Methylphenidate ; Prescriptions, Drug ; Child ; Adolescent fre oai:serval.unil.ch:BIB_F96BC690D4A4 2023-07-29T01:38:25Z <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_F96BC690D4A4 Efficacité des béta bloquants sur des hémangiomes à sites multiples de Buys Roessingh, Anthony info:eu-repo/semantics/article article 2012-01-01 Rev med suisse fre oai:serval.unil.ch:BIB_F96C1C1578B1 2023-07-29T01:38:25Z <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_F96C1C1578B1 Perceval: déclinaisons d'un héros pour l'enfance https://dialnet.unirioja.es/servlet/libro?codigo=740470 Cordier, Hélène info:eu-repo/semantics/conferenceObject inproceedings 2019 Figures de Perceval: du Conte du Graal au XXIe siècle, pp. 315-326 info:eu-repo/semantics/altIdentifier/isbn/9788483447147 Perceval; Conte du Graal; littérature de jeunesse; médiévalisme fre spa oai:serval.unil.ch:BIB_F96C5BC78593 2023-07-29T01:38:25Z openaire documents urnserval <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_F96C5BC78593 Assessing teachers' perspectives on giving music lessons remotely during the COVID-19 lockdown period info:doi:10.1177/1029864921996033 info:eu-repo/semantics/altIdentifier/doi/10.1177/1029864921996033 Biasutti, Michele Antonini Philippe, Roberta Schiavio, Andrea info:eu-repo/semantics/article article 2021-03-08 Musicae Scientiae, pp. 102986492199603 info:eu-repo/semantics/altIdentifier/pissn/1029-8649 info:eu-repo/semantics/altIdentifier/pissn/2045-4147 Experimental and Cognitive Psychology; Music eng https://serval.unil.ch/resource/serval:BIB_F96C5BC78593.P001/REF.pdf http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_F96C5BC785937 info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_F96C5BC785937 info:eu-repo/semantics/submittedVersion info:eu-repo/semantics/openAccess Copying allowed only for non-profit organizations https://serval.unil.ch/disclaimer application/pdf oai:serval.unil.ch:BIB_F96CE8E414FB 2023-07-29T01:38:25Z <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_F96CE8E414FB La banque privée comme métaphore: «vieille banque» et « banque nouvelle» en Suisse (1800–1930) (première partie) info:doi:10.24894/2296-6013.00052 info:eu-repo/semantics/altIdentifier/doi/10.24894/2296-6013.00052 Mazbouri, Malik info:eu-repo/semantics/article article 2020 Schweizerische Zeitschrift für Geschichte info:eu-repo/semantics/altIdentifier/pissn/2296-6013 eng oai:serval.unil.ch:BIB_F9701EAA205A 2023-07-29T01:38:25Z openaire documents urnserval <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_F9701EAA205A Evolutionary aspects of population structure for molecular and quantitative traits in the freshwater snail Radix balthica. info:doi:10.1111/j.1420-9101.2006.01098.x info:eu-repo/semantics/altIdentifier/doi/10.1111/j.1420-9101.2006.01098.x info:eu-repo/semantics/altIdentifier/pmid/16780508 Evanno, G. Castella, E. Goudet, J. info:eu-repo/semantics/article article 2006 Journal of Evolutionary Biology, vol. 19, no. 4, pp. 1071-1082 info:eu-repo/semantics/altIdentifier/pissn/1010-061X[print], 1010-061X[linking] <![CDATA[Detecting the action of selection in natural populations can be achieved using the QST-FST comparison that relies on the estimation of FST with neutral markers, and QST using quantitative traits potentially under selection. QST higher than FST suggests the action of directional selection and thus potential local adaptation. In this article, we apply the QST-FST comparison to four populations of the hermaphroditic freshwater snail Radix balthica located in a floodplain habitat. In contrast to most studies published so far, we did not detect evidence of directional selection for local optima for any of the traits we measured: QST calculated using three different methods was never higher than FST. A strong inbreeding depression was also detected, indicating that outcrossing is probably predominant over selfing in the studied populations. Our results suggest that in this floodplain habitat, local adaptation of R. balthica populations may be hindered by genetic drift, and possibly altered by uneven gene flow linked to flood frequency