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Mensah-Gourmel J, Bourgain M, Kandalaft C, Chatelin A, Tissier O, Letellier G, Gorter JW, Brochard S, Pons C. Starting from the needs: what are the appropriate sources to co-create innovative solutions for persons with disabilities? Disabil Rehabil Assist Technol 2024; 19:623-632. [PMID: 36036377 DOI: 10.1080/17483107.2022.2114554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Revised: 08/03/2022] [Accepted: 08/12/2022] [Indexed: 10/15/2022]
Abstract
PURPOSE Technical solutions could facilitate activities and participation in individuals with disabilities. For the development of solutions, hackathons are a method of interdisciplinary collaboration. For hackathon, the definition of pain points that require solutions is crucial. We aimed to determine engineers' preferences and expectations regarding pain point qualities. METHODS We used a collaborative approach involving individuals with disability, families, and healthcare professionals to determine pain points for use by engineering students during a disability Hackathon. A pain point bank was built using 3 upstream sources: a survey (350 responses, 20 pain points selected), interviews (8 children, 13 pain points), and a multidisciplinary workshop based on design thinking methods (45 people, 32 pain points). A fourth source was 20 adults with disabilities present during the Hackathon. Engineering students rated pain point qualities from each source in a questionnaire that included closed questions relating to predefined criteria: achievability, specificity, relevance and attractiveness and open questions to collect non-predefined quality criteria. RESULTS Pain points from the workshop were most frequently used (48%); followed by on-site discussions with mentors (43%), the survey (38%), and interviews (31%). On-site discussions received the highest quality ratings followed by the workshop, survey, and interviews. Three quality criteria emerged from the responses to open questions: "representative", "empathy", and "real-need". CONCLUSIONS To be actionable by engineers, pain points must relate to real needs, be achievable, specific, relevant and attractive but also representative and arouse empathy. We devised a checklist of qualities along with a toolbox of methods to achieve each. Implications For RehabilitationThe first step of the development of technical solutions for children and individuals with disabilities is the identification of their needs and their adequate formulation to be submitted to technical solutions providers.Daily life needs of individuals with disability were gathered for an engineering hackathon and proposed as pain points to 400 engineering students.To facilitate the development of solutions by engineers, pain points must relate to real needs, be specific, relevant, achievable and attractive; be representative and arouse empathy; a toolbox of needs collection methods is proposed to achieve each of those qualities.Discussions with individuals with disability and health professionals should be provided.
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Affiliation(s)
- Johanne Mensah-Gourmel
- PMR Department, CHRU Brest, Brest, France
- Laboratoire de Traitement de l'information Médicale (LaTIM), Université Bretagne Occidentale, Brest, France
| | - Maxime Bourgain
- Institut de Biomécanique Humaine Georges Charpak, Arts et Métiers Institute of Technology, Université Sorbonne Paris Nord, Paris, France
- EPF Graduate School of Engineering, Cachan, France
| | | | | | | | - Guy Letellier
- Pediatric Rehabilitation Hospital, ESEAN-APF, Nantes, France
| | - Jan Willem Gorter
- CanChild Centre for Childhood Disability Research, Department of Pediatrics, McMaster University, Hamilton, Canada
- Department of Rehabilitation, Physical Therapy Science & Sports, University Medical Center Utrecht, Wilhelmina Children's Hospital, Utrecht, the Netherlands
- Center of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Center, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, the Netherlands
| | - Sylvain Brochard
- PMR Department, CHRU Brest, Brest, France
- Laboratoire de Traitement de l'information Médicale (LaTIM), Université Bretagne Occidentale, Brest, France
- Pediatric Rehabilitation Department, Fondation Ildys, Brest, France
| | - Christelle Pons
- PMR Department, CHRU Brest, Brest, France
- Laboratoire de Traitement de l'information Médicale (LaTIM), Université Bretagne Occidentale, Brest, France
- CanChild Centre for Childhood Disability Research, Department of Pediatrics, McMaster University, Hamilton, Canada
- Pediatric Rehabilitation Department, Fondation Ildys, Brest, France
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Pons C, Brochard S, Grigoriu A, Newman CJ, Monbaliu E, Mensah-Gourmel J, Gaudin-Drouelle D, Toumi A, Konings M, de la Cruz J. Digital technologies for motor rehabilitation in children: protocol for a cross-sectional European survey. BMJ Open 2023; 13:e069034. [PMID: 37185191 PMCID: PMC10151983 DOI: 10.1136/bmjopen-2022-069034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/17/2023] Open
Abstract
INTRODUCTION Digital technologies can be used as part of paediatric motor rehabilitation to remediate impairment, promote recovery and improve function. However, the uptake of digital technologies in this clinical field may be limited.The aim of this study is to describe and explain digital technology use for paediatric motor rehabilitation. The specific objectives will be: (1) to describe the access to, acceptance of and use of digital technologies as a function of individual factors related to professionals practicing motor rehabilitation with children, and of environmental factors related to paediatric rehabilitation practice and (2) to explain digital technology use with a causal model based on the 'unified theory of acceptance and use of technology'. METHODS AND ANALYSIS RehaTech4child (Rehabilitation Technologies For children) is a cross-sectional study involving an online survey, that is sponsored by the European Academy of Childhood Disability (EACD). The survey protocol follows the Strengthening the Reporting of Observational Studies in Epidemiology and CHERRIES (Checklist for Reporting Results of Internet E-Surveys) guidelines. The survey includes 43 questions about (1) respondents' individual and environmental characteristics; (2) the ease of access to digital technologies, and the frequency, type and purpose of use of those technologies and (3) acceptance of technologies and barriers to their use. The survey is intended for professionals involved in paediatric motor rehabilitation. It is disseminated across Europe by the EACD network in 20 languages. Participation is anonymous and voluntary. We aim to include 500 respondents to ensure sufficient precision for the description of study outcomes and to perform stratified analyses by the main determinants. ETHICS AND DISSEMINATION Ethics approval was waived by the Brest CHRU Institutional Review Board. The study is conducted according to current French legislation (loi Jardé (n°2012-300)) and the survey is GDPR compliant. Study findings will be presented at national and international meetings and submitted for publication in a peer-reviewed journal. TRIAL REGISTRATION NUMBER NCT05176522.
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Affiliation(s)
- Christelle Pons
- Laboratory of Medical Information Processing, INSERM UMR 1101, Brest, France
- Physical Medicine and Rehabilitation department, CHU Brest, Brest, France
- Pediatric rehabilitation department, Fondation Ildys, Brest, France
- Medicine Department, Western Brittany University, Brest, France
| | - Sylvain Brochard
- Laboratory of Medical Information Processing, INSERM UMR 1101, Brest, France
- Physical Medicine and Rehabilitation department, CHU Brest, Brest, France
- Pediatric rehabilitation department, Fondation Ildys, Brest, France
- Medicine Department, Western Brittany University, Brest, France
| | - Anca Grigoriu
- National Center of Neurorehabilitation for Children "Dr.N.Robanescu", Bucharest, Romania
| | - Christopher J Newman
- Paediatric Neurology and Neurorehabilitation Unit, University Hospital of Lausanne, Lausanne, Switzerland
| | - Elegast Monbaliu
- Neurorehabilitation Technology Lab, KU Leuven Bruges, Bruges, Belgium
| | - Johanne Mensah-Gourmel
- Laboratory of Medical Information Processing, INSERM UMR 1101, Brest, France
- Physical Medicine and Rehabilitation department, CHU Brest, Brest, France
- Pediatric rehabilitation department, Fondation Ildys, Brest, France
- Medicine Department, Western Brittany University, Brest, France
| | - Delphine Gaudin-Drouelle
- Laboratory of Medical Information Processing, INSERM UMR 1101, Brest, France
- Physical Medicine and Rehabilitation department, CHU Brest, Brest, France
| | - Anis Toumi
- Pediatric rehabilitation department, Fondation Ildys, Brest, France
| | - Marco Konings
- Neurorehabilitation Technology Lab, KU Leuven Bruges, Bruges, Belgium
| | - Javier de la Cruz
- Instituto de Investigación Sanitaria imas12, Hospital Universitario 12 de Octubre, Madrid, Spain
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Cacioppo M, Lucas C, Dai S, Bailly R, Pérennou D, Varengue R, Houx L, Lempereur M, Kandalaft C, Chatelin A, Vagnoni J, Vuillerot C, Gautheron V, Dinomais M, Dheilly E, Bouvier S, Brochard S, Pons C, Mensah-Gourmel J, Génot A, Ropars J, Toullet P, De Lattre C, Klinger E, Laffont I, Sitruk C, Van Boagert P, Tessiot C. Parent satisfaction with medical and rehabilitation services for children with physical disabilities during lockdown. Ann Phys Rehabil Med 2023; 66:101726. [PMID: 36565595 DOI: 10.1016/j.rehab.2022.101726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 11/01/2022] [Accepted: 11/04/2022] [Indexed: 12/24/2022]
Affiliation(s)
- Marine Cacioppo
- Service de Médecine Physique et de Réadaptation, CHRU Brest, Brest, France; Fondation Ildys, Brest, France; Laboratoire de Traitement de l'information Médicale (LaTIM), Inserm U1101, Université Bretagne Occidentale, Brest, France.
| | - Clémence Lucas
- Service de Médecine Physique et de Réadaptation, CHRU Brest, Brest, France
| | - Shenhao Dai
- Département de NeuroRéhabilitation Hôpital Sud, CHU Grenoble Alpes ; UMR CNRS 5105 Neuropsychologie et NeuroCognition,Université de Grenoble Alpes, Grenoble, France
| | - Rodolphe Bailly
- Fondation Ildys, Brest, France; Laboratoire de Traitement de l'information Médicale (LaTIM), Inserm U1101, Université Bretagne Occidentale, France
| | - Dominic Pérennou
- Département de NeuroRéhabilitation Hôpital Sud, CHU Grenoble Alpes ; UMR CNRS 5105 Neuropsychologie et NeuroCognition,Université de Grenoble Alpes, Grenoble, FranceDépartement de NeuroRéhabilitation Hôpital Sud, Université de Grenoble Alpes, UMR CNRS 5105 Neuropsychologie et NeuroCognition, CHU Grenoble Alpes, Cs 10217, Grenoble Cedex 9 38043, France
| | - Roxane Varengue
- Département de Neurologie Pédiatrique, CHU Angers, Angers, France
| | - Laetitia Houx
- Service de Médecine Physique et de Réadaptation, CHRU Brest, Brest, France; Fondation Ildys, Brest, France; Laboratoire de Traitement de l'information Médicale (LaTIM), Inserm U1101, Université Bretagne Occidentale, France
| | - Mathieu Lempereur
- Service de Médecine Physique et de Réadaptation, CHRU Brest, Brest, France; Laboratoire de Traitement de l'information Médicale (LaTIM), Inserm U1101, Université Bretagne Occidentale, France
| | | | | | - Jacky Vagnoni
- Fédération Française des Associations d'Infirmes Moteurs Cérébraux, France
| | - Carole Vuillerot
- Service de Médecine Physique et de Réadaptation Pédiatrique, Hôpital Mère-Enfant, Hospices Civils de Lyon, Bron 69500, France; Institut Neuromyogène CNRS UMR 5310 INSERM U1217, Université de Lyon, Lyon, France
| | - Vincent Gautheron
- Service de Médecine Physique et de Réadaptation Pédiatrique, CHU Saint-Etienne, Saint-Etienne, France; UJM Saint-Etienne, Laboratoire Interuniversitaire de Biologie de la Motricité, EA7424, Université de Lyon, Saint-Etienne, France
| | - Mickael Dinomais
- Service de Médecine Physique et de Réadaptation, CHU Angers -Les Capucins, Angers, France; Laboratoire Angevin de Recherche en Ingénierie des Systèmes (LARIS) EA7315, Université d'Angers, Angers, France
| | - Elea Dheilly
- Service de Médecine Physique et de Réadaptation, CHRU Brest, Brest, France; Fondation Ildys, Brest, France; Laboratoire de Traitement de l'information Médicale (LaTIM), Inserm U1101, Université Bretagne Occidentale, France
| | - Sandra Bouvier
- Service de Médecine Physique et de Réadaptation, CHRU Brest, Brest, France; Laboratoire de Traitement de l'information Médicale (LaTIM), Inserm U1101, Université Bretagne Occidentale, France
| | - Sylvain Brochard
- Service de Médecine Physique et de Réadaptation, CHRU Brest, Brest, France; Fondation Ildys, Brest, France; Laboratoire de Traitement de l'information Médicale (LaTIM), Inserm U1101, Université Bretagne Occidentale, France
| | - Christelle Pons
- Service de Médecine Physique et de Réadaptation, CHRU Brest, Brest, France; Fondation Ildys, Brest, France; Laboratoire de Traitement de l'information Médicale (LaTIM), Inserm U1101, Université Bretagne Occidentale, France
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- Service de Médecine Physique et de Réadaptation, CHRU Brest, Brest, France; Fondation Ildys, Brest, France; Laboratoire de Traitement de l'information Médicale (LaTIM), Inserm U1101, Université Bretagne Occidentale, France
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Mensah-Gourmel J, Thépot M, Gorter JW, Bourgain M, Kandalaft C, Chatelin A, Letellier G, Brochard S, Pons C. Assistive Products and Technology to Facilitate Activities and Participation for Children with Disabilities. Int J Environ Res Public Health 2023; 20:2086. [PMID: 36767453 PMCID: PMC9915405 DOI: 10.3390/ijerph20032086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Revised: 01/15/2023] [Accepted: 01/17/2023] [Indexed: 06/18/2023]
Abstract
We aimed to identify activity limitations and participation restrictions encountered by children and youth with disabilities for which assistive products and technology could be helpful. We used a convergent, parallel, mixed-methods design involving a nationwide, French survey composed of closed questions (quantitative) and open questions (qualitative) that enlightened the quantitative data. A total of 1055 responses were received, and 962 included: 92 from children and youth with disabilities, 493 from relatives and 377 from professionals. Difficulties frequently checked and described in detail were participation in recreational activities, leaving the house and traveling, participating in a group, and getting ready. Transversal explanations for difficulties were spontaneously provided (e.g., lack of accessibility and mobility). Solutions proposed included personal assistive devices to facilitate home life, high-tech devices, devices to compensate for impaired body functions, and adaptation of the familiar environment and daily activities. Few public solutions were proposed. The necessity of human assistance was emphasized. The mixed-methods design and involvement of different stakeholders identified common, macroscopic trends in difficulties encountered and desired solutions. Products and technology are required in the following domains: the familiar environment, accessibility and mobility, sports and leisure, high-technology, and family support. We provide suggestions to facilitate the development of innovative solutions.
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Affiliation(s)
- Johanne Mensah-Gourmel
- Physical Medecine and Rehabilitation Department, Centre Hospitalier Régional Universitaire Brest, 29200 Brest, France
- Laboratoire de Traitement de l’information Médicale (LaTIM), Inserm U1101, Université Bretagne Occidentale, 29200 Brest, France
- Pediatric Rehabilitation Department, Fondation Ildys, 29200 Brest, France
| | - Margot Thépot
- Physical Medecine and Rehabilitation Department, Assistance Publique-Hôpitaux de Marseille, 13005 Marseille, France
| | - Jan Willem Gorter
- CanChild Centre for Childhood Disability Research, Department of Pediatrics, McMaster University, Hamilton, ON L8S 1C7, Canada
- Department of Rehabilitation, Physical Therapy Science and Sports, University Medical Center Utrecht, Wilhelmina Children’s Hospital, 3584 EA Utrecht, The Netherlands
- Center of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Center, University Medical Center Utrecht and De Hoogstraat Rehabilitation, 3583 TM Utrecht, The Netherlands
| | - Maxime Bourgain
- Arts et Métiers Institute of Technology, Université Sorbonne Paris Nord, Institut de Biomécanique Humaine Georges Charpak, 75013 Paris, France
- EPF Graduate School of Engineering, 94230 Cachan, France
| | | | | | - Guy Letellier
- Pediatric Rehabilitation Hospital, Etablissement de Santé pour Enfants et Adolescents de la région Nantaise—APF France Handicap, 44200 Nantes, France
| | - Sylvain Brochard
- Physical Medecine and Rehabilitation Department, Centre Hospitalier Régional Universitaire Brest, 29200 Brest, France
- Laboratoire de Traitement de l’information Médicale (LaTIM), Inserm U1101, Université Bretagne Occidentale, 29200 Brest, France
- Pediatric Rehabilitation Department, Fondation Ildys, 29200 Brest, France
| | - Christelle Pons
- Physical Medecine and Rehabilitation Department, Centre Hospitalier Régional Universitaire Brest, 29200 Brest, France
- Laboratoire de Traitement de l’information Médicale (LaTIM), Inserm U1101, Université Bretagne Occidentale, 29200 Brest, France
- Pediatric Rehabilitation Department, Fondation Ildys, 29200 Brest, France
- CanChild Centre for Childhood Disability Research, Department of Pediatrics, McMaster University, Hamilton, ON L8S 1C7, Canada
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Cacioppo M, Bouvier S, Bailly R, Houx L, Lempereur M, Mensah-Gourmel J, Kandalaft C, Varengue R, Chatelin A, Vagnoni J, Vuillerot C, Gautheron V, Dinomais M, Dheilly E, Brochard S, Pons C. Emerging health challenges for children with physical disabilities and their parents during the COVID-19 pandemic: The ECHO French survey. Ann Phys Rehabil Med 2020; 64:101429. [PMID: 32818674 PMCID: PMC7434423 DOI: 10.1016/j.rehab.2020.08.001] [Citation(s) in RCA: 80] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 07/21/2020] [Accepted: 08/02/2020] [Indexed: 12/22/2022]
Abstract
BACKGROUND The daily lives of children with physical disabilities and their families have been significantly affected by the COVID-19 pandemic. The children face health risks, especially mental, behavioral, social and physical risks. OBJECTIVE This study aimed to identify potential healthcare issues relating to the wellbeing of disabled children, continuity of rehabilitation and medical care, and parental concerns during the COVID-19 lockdown. METHODS The Enfant Confinement Handicap besOins (ECHO [child lockdown disability needs]) national survey was developed by a multidisciplinary group and disseminated in France from April 6, 2020 via email and social networks. This online survey was addressed to the parents of children with physical disabilities aged 0 to 18 years. It explored the experiences of children and their families during the lockdown. Information regarding children's wellbeing, rehabilitation and family organization was collected. The first 1000 eligible surveys were analyzed. RESULTS The children (mean [SD] age 9.5 [4.8] years) mostly had cerebral palsy (42%) or neuromuscular diseases (11%). The lockdown had negative effects on morale (44% of children), behaviour (55% of children) and social interactions (55% no contact with other children). Overall, 44% of children stopped physical activities; 76% were educated at home; 22% maintained medical follow-up, and 48% and 27% continued physiotherapy and occupational therapy respectively. For more than 60% of children, parents performed the therapy. The main parental concern was rehabilitation (72%) and their main difficulty was the mental load (50%); parents complained of lack of help and support (60%). CONCLUSIONS This study highlighted substantial effects on the health of children with physical disabilities and loss of opportunity, with a massive interruption of medical follow-up and rehabilitation, during the lockdown. Regular assessment of the health benefit/risk is essential to support families and ensure continuity of care during a pandemic.
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Affiliation(s)
- Marine Cacioppo
- SSR pédiatrique, fondation Ildys, rue Alain-Colas, 29200 Brest, France; Service de médecine physique et de réadaptation, CHRU de Brest, Brest, France; Laboratoire de traitement de l'information médicale (LaTIM), inserm U1101, université Bretagne Occidentale, France.
| | - Sandra Bouvier
- Laboratoire de traitement de l'information médicale (LaTIM), inserm U1101, université Bretagne Occidentale, France; CHRU de Brest, Brest, France
| | - Rodolphe Bailly
- SSR pédiatrique, fondation Ildys, rue Alain-Colas, 29200 Brest, France; Laboratoire de traitement de l'information médicale (LaTIM), inserm U1101, université Bretagne Occidentale, France
| | - Laetitia Houx
- SSR pédiatrique, fondation Ildys, rue Alain-Colas, 29200 Brest, France; Service de médecine physique et de réadaptation, CHRU de Brest, Brest, France; Laboratoire de traitement de l'information médicale (LaTIM), inserm U1101, université Bretagne Occidentale, France
| | - Mathieu Lempereur
- Service de médecine physique et de réadaptation, CHRU de Brest, Brest, France; Laboratoire de traitement de l'information médicale (LaTIM), inserm U1101, université Bretagne Occidentale, France
| | | | | | - Roxane Varengue
- Département de neurologie pédiatrique, CHU d'Angers, Angers, France
| | | | - Jacky Vagnoni
- Fédération française des associations d'infirmes moteurs cérébraux, France
| | - Carole Vuillerot
- Service de médecine physique et de réadaptation pédiatrique, hôpital Mère-Enfant, hospices civils de Lyon, 69500 Bron, France; Institut neuromyogène CNRS UMR 5310 inserm U1217, Université de Lyon, Lyon, France
| | - Vincent Gautheron
- Service de médecine physique et de réadaptation pédiatrique, CHU de Saint-Étienne, Saint-Étienne, France; Université de Lyon, UJM Saint-Étienne, laboratoire interuniversitaire de biologie de la motricité, EA7424, 42023, Saint-Étienne, France
| | - Mickael Dinomais
- Service de médecine physique et de réadaptation, CHU d'Angers, Les-Capucins, Angers, France; Laboratoire Angevin de recherche en ingénierie des systèmes (LARIS) EA7315, université d'Angers, Angers, France
| | - Elea Dheilly
- SSR pédiatrique, fondation Ildys, rue Alain-Colas, 29200 Brest, France; Laboratoire de traitement de l'information médicale (LaTIM), inserm U1101, université Bretagne Occidentale, France
| | - Sylvain Brochard
- SSR pédiatrique, fondation Ildys, rue Alain-Colas, 29200 Brest, France; Service de médecine physique et de réadaptation, CHRU de Brest, Brest, France; Laboratoire de traitement de l'information médicale (LaTIM), inserm U1101, université Bretagne Occidentale, France
| | - Christelle Pons
- SSR pédiatrique, fondation Ildys, rue Alain-Colas, 29200 Brest, France; Service de médecine physique et de réadaptation, CHRU de Brest, Brest, France; Laboratoire de traitement de l'information médicale (LaTIM), inserm U1101, université Bretagne Occidentale, France
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Affiliation(s)
- Antoine Lafont
- Université Paris-Descartes, Paris, France; European Georges Pompidou Hospital, Cardiology Department, Assistance Publique-Hôpitaux de Paris, Paris, France; Hydrodynamics Laboratory (LadHyX), Ecole Polytechnique, Palaiseau, France.
| | - Johanne Mensah-Gourmel
- Université Paris-Descartes, Paris, France; European Georges Pompidou Hospital, Cardiology Department, Assistance Publique-Hôpitaux de Paris, Paris, France; Hydrodynamics Laboratory (LadHyX), Ecole Polytechnique, Palaiseau, France
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