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"description": "Comment diagnostiquer une maladie nécessitant une salpingo-ovariectomie ?\nQuels tests sont utilisés avant une salpingo-ovariectomie ?\nQuels symptômes indiquent une salpingo-ovariectomie ?\nLa biopsie est-elle nécessaire avant la chirurgie ?\nQuels signes cliniques peuvent nécessiter une intervention ?",
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"description": "Quels symptômes peuvent indiquer une pathologie ovarienne ?\nComment se manifestent les infections des trompes ?\nLes kystes ovariens causent-ils des symptômes ?\nQuels sont les signes d'une torsion ovarienne ?\nLes symptômes varient-ils selon l'âge ?",
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"description": "Quelle est la principale indication pour une salpingo-ovariectomie ?\nQuelles sont les alternatives à la salpingo-ovariectomie ?\nLa salpingo-ovariectomie est-elle toujours nécessaire ?\nQuels soins postopératoires sont nécessaires ?\nPeut-on conserver la fertilité après cette chirurgie ?",
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"description": "Quelles sont les complications possibles après une salpingo-ovariectomie ?\nComment gérer les douleurs postopératoires ?\nY a-t-il un risque de ménopause précoce ?\nLes cicatrices sont-elles une préoccupation ?\nComment prévenir les infections postopératoires ?",
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"description": "Quels sont les principaux facteurs de risque pour les maladies ovariennes ?\nLe tabagisme influence-t-il le risque ?\nL'obésité est-elle un facteur de risque ?\nLes troubles hormonaux augmentent-ils le risque ?\nLes antécédents de maladies gynécologiques sont-ils significatifs ?",
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"@type": "Question",
"name": "Comment diagnostiquer une maladie nécessitant une salpingo-ovariectomie ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un diagnostic peut être établi par échographie, IRM ou laparoscopie."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés avant une salpingo-ovariectomie ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analyses sanguines, des examens d'imagerie et une évaluation clinique sont effectués."
}
},
{
"@type": "Question",
"name": "Quels symptômes indiquent une salpingo-ovariectomie ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs pelviennes, des kystes ovariens ou des infections peuvent nécessiter cette chirurgie."
}
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{
"@type": "Question",
"name": "La biopsie est-elle nécessaire avant la chirurgie ?",
"position": 4,
"acceptedAnswer": {
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{
"@type": "Question",
"name": "Quels signes cliniques peuvent nécessiter une intervention ?",
"position": 5,
"acceptedAnswer": {
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"text": "Des masses abdominales, des saignements anormaux ou des douleurs persistantes peuvent alerter."
}
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{
"@type": "Question",
"name": "Quels symptômes peuvent indiquer une pathologie ovarienne ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Douleurs abdominales, ballonnements, irrégularités menstruelles et fatigue sont fréquents."
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"@type": "Question",
"name": "Comment se manifestent les infections des trompes ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les infections peuvent provoquer des douleurs pelviennes, des fièvres et des pertes vaginales."
}
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{
"@type": "Question",
"name": "Les kystes ovariens causent-ils des symptômes ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, ils peuvent provoquer des douleurs, des pressions pelviennes ou des saignements."
}
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{
"@type": "Question",
"name": "Quels sont les signes d'une torsion ovarienne ?",
"position": 9,
"acceptedAnswer": {
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"text": "Une douleur aiguë soudaine, des nausées et des vomissements peuvent indiquer une torsion."
}
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{
"@type": "Question",
"name": "Les symptômes varient-ils selon l'âge ?",
"position": 10,
"acceptedAnswer": {
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"text": "Oui, les symptômes peuvent différer entre les adolescentes et les femmes plus âgées."
}
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{
"@type": "Question",
"name": "Peut-on prévenir les maladies nécessitant une salpingo-ovariectomie ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines mesures comme le dépistage régulier et un mode de vie sain peuvent aider."
}
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{
"@type": "Question",
"name": "Les antécédents familiaux influencent-ils le risque ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux de cancers gynécologiques augmentent le risque."
}
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{
"@type": "Question",
"name": "Le contrôle des infections peut-il réduire le risque ?",
"position": 13,
"acceptedAnswer": {
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"text": "Oui, un bon contrôle des infections pelviennes peut diminuer le risque de complications."
}
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{
"@type": "Question",
"name": "Les examens réguliers sont-ils importants ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des examens gynécologiques réguliers permettent de détecter précocement des problèmes."
}
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{
"@type": "Question",
"name": "L'éducation sur la santé reproductive est-elle utile ?",
"position": 15,
"acceptedAnswer": {
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"text": "Oui, elle aide à reconnaître les symptômes et à consulter rapidement un professionnel."
}
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{
"@type": "Question",
"name": "Quelle est la principale indication pour une salpingo-ovariectomie ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle est souvent indiquée pour traiter des cancers, des kystes ou des infections sévères."
}
},
{
"@type": "Question",
"name": "Quelles sont les alternatives à la salpingo-ovariectomie ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements médicamenteux, la surveillance active ou d'autres interventions chirurgicales peuvent être envisagés."
}
},
{
"@type": "Question",
"name": "La salpingo-ovariectomie est-elle toujours nécessaire ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Pas toujours, une évaluation complète est nécessaire pour déterminer la meilleure approche."
}
},
{
"@type": "Question",
"name": "Quels soins postopératoires sont nécessaires ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le suivi inclut la gestion de la douleur, la surveillance des infections et des contrôles réguliers."
}
},
{
"@type": "Question",
"name": "Peut-on conserver la fertilité après cette chirurgie ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Cela dépend de l'étendue de la chirurgie; une salpingo-ovariectomie unilatérale peut préserver la fertilité."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles après une salpingo-ovariectomie ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications peuvent inclure des infections, des saignements ou des lésions organiques."
}
},
{
"@type": "Question",
"name": "Comment gérer les douleurs postopératoires ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analgésiques et des techniques de relaxation peuvent aider à gérer la douleur."
}
},
{
"@type": "Question",
"name": "Y a-t-il un risque de ménopause précoce ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, si les deux ovaires sont retirés, cela peut entraîner une ménopause précoce."
}
},
{
"@type": "Question",
"name": "Les cicatrices sont-elles une préoccupation ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des cicatrices peuvent se former, mais des techniques chirurgicales minimales peuvent réduire leur apparence."
}
},
{
"@type": "Question",
"name": "Comment prévenir les infections postopératoires ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Maintenir une bonne hygiène, suivre les instructions postopératoires et surveiller les signes d'infection."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque pour les maladies ovariennes ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'âge, les antécédents familiaux et certaines conditions médicales."
}
},
{
"@type": "Question",
"name": "Le tabagisme influence-t-il le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le tabagisme est associé à un risque accru de maladies gynécologiques."
}
},
{
"@type": "Question",
"name": "L'obésité est-elle un facteur de risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'obésité peut augmenter le risque de développer des kystes et des cancers ovariens."
}
},
{
"@type": "Question",
"name": "Les troubles hormonaux augmentent-ils le risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des déséquilibres hormonaux peuvent contribuer à des problèmes ovariens."
}
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{
"@type": "Question",
"name": "Les antécédents de maladies gynécologiques sont-ils significatifs ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents de maladies comme l'endométriose augmentent le risque de complications."
}
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In the United States, adolescent depression increased beginning in 2008-2010, coinciding with the Great Recession. We investigated whether this time of changing economic circumstances impacted adolesc...
We analyzed data for adolescents aged 12-17 years from the 2004-2019 National Survey on Drug Use and Health (N = 256,572). Adolescents' past-year major depressive episodes (MDEs) were measured by self...
The Great Recession was not associated with an immediate increase in MDE prevalence (β:-0.77 [i.e., quarter-year change in prevalence], 95% confidence interval (CI): -2.23, 0.69). However, the increas...
The Great Recession was not associated with increased adolescent depression prevalence, although there was an acceleration in the trend of adolescent MDE following the recession. The prevalence of MDE...
In many contexts, including fragile settings like Afghanistan, the coverage of basic health services is low. To address these challenges there has been considerable interest in working with NGOs and e...
We conducted an interrupted time series (ITS) analysis with a non-randomized comparison group that employed segmented regression models and used independently verified health management information sy...
Independent verification of the HMIS data found that consistency and accuracy was greater than 90% in the contracted provinces. The introduction of P4P increased the 10 P4P-compensated service deliver...
P4P contracts with NGOs led to a substantial improvement in service delivery at lower cost despite a very difficult security situation. The promising results from this large-scale experience warrant m...
At our centre, we introduced a continuous quality improvement (CQI) initiative during academic year 2018-19 targeting for repair multiple choice question (MCQ) items with discrimination index (...
The 2013 ACC/AHA Guideline was a paradigm shift in lipid management and identified the four statin-benefit groups. Many have studied the guideline's potential impact, but few have investigated its pot...
To evaluate the potential (long-term) impact of the 2013 ACC/AHA Guideline release in Nov 2013 in the U.S., we investigated the association of the 2013 ACC/AHA Guideline with the trend changes in 5-Ye...
197,021 patients were included (ASCVD: 19,060; High-LDL: 33,907; Diabetes: 138,159; High-ASCVD-Risk: 5,895). After the guideline release, the long-term trend (slope) of 5-Year MACE Survival for the Di...
The 2013 ACA/AHA Guideline release is associated with trend improvements in the long-term MACE Survival for Diabetes group and optimal statin use for ASCVD group. These significant associations might ...
In 2021, Brazil was responsible for more than 25% of malaria cases in the Americas. Although the country has shown a reduction of cases in the last decades, in 2021 it reported over 139,000 malaria ca...
An ecological time-series analysis was conducted to assess the "Malaria Supporters Project" effect. The study used data on Annual Parasitic Incidence (API) spanning the period from 2003 to 2020 across...
The intervention group registered 1,104,430 cases between 2012 and 2020, a 50.6% reduction compared to total cases between 2003 and 2011. In 2020 there were 95,621 cases, 50.4% fewer than in 2011. The...
The intervention is not a silver bullet to control malaria, but it has reduced API in locations with high malaria endemicity. Furthermore, the model has the potential to be replicated in other countri...
Access to healthcare services is important, especially for patients with chronic diseases. We evaluated the effect of the COVID-19 pandemic on outpatient visits and medication for patients with hypert...
Nationwide claims data were extracted for patients with hypertension and diabetes from January 2019 to July 2020. We used an interrupted time series (ITS) analysis to evaluate the pandemic's impact on...
The number of outpatient visits for diabetes significantly declined in February 2020, when community transmission began. However, when high-intensity social distancing was relaxed in April 2020, outpa...
Outpatient visits decreased immediately when COVID-19 spread to local communities. However, the number of days of medication supplied per visit increased to compensate for the longer intervals between...
The overload of health services because of the COVID-19 pandemic has reduced the population's access to treatment and prevention of other diseases. This study aimed to identify whether there was a cha...
This was an ecological time series study of mammograms and breast biopsies in women aged 30 years or older from an open-access data set of the Public Health System of Brazil from 2017 to July 2021....
In 2020, there was a reduction of -40.9% in mammograms and -7.9% in breast biopsies compared with the prepandemic period. From 2017 to 2020, there was an increase in the breast biopsies ratio per mamm...
The COVID-19 pandemic harmed the increasing trend of breast biopsies, their total direct costs, BI-RADS 0 to III and IV to V mammograms, observed in the prepandemic period. Furthermore, there was a te...
To study the use of a quasi-experimental design to assess the effects of scaling reimbursement policies on the incidence of chronic-periodontitis procedures....
Interrupted time series analysis was used to compare the effects before and after policy implementation using data on the number of periodontitis-related procedures from the Korean National Health Ins...
Following the policy implementation from July 2013, an immediate increase was observed in total and basic procedures. No significant changes were noted in intermediate and advanced procedures initiall...
Following the new policy implementation, the number of intermediate procedures decreased while the number of advanced procedures increased, especially among patients with comorbidities. These findings...
Prescription opioids were a major initial driver of the opioid crisis. States have attempted to reduce overprescribing by enacting policies that limit opioid prescriptions, but the impacts of such pol...
To examine the association of implementation of a state prescribing limits policy with opioid prescribing and transitions to long-term opioid use....
Interrupted time series analyses assessing trends in new opioid prescriptions and long-term use before and after policy implementation....
A total of 130,591 New Jersey Medicaid enrollees ages 18-64 who received an initial opioid prescription from January 2014 to December 2019....
New Jersey's opioid prescribing limit policy implemented in March 2017....
Total new opioid prescriptions, percentage of new prescriptions with >5 days' supply, and transition to long-term opioid use, defined as having opioid supply on day 90 after the initial prescription....
Policy implementation was associated with a significant monthly increase in new opioid prescriptions of 0.86 per 10,000 enrollees, halving the pre-policy decline in the prescribing rate. Among new opi...
The New Jersey policy was associated with a reduction in initial prescriptions with >5 days' supply, but not with an overall decline in new opioid prescriptions or in the rate at which initial prescri...
To assess emergency department (ED) presentation numbers in Queensland during the coronavirus disease 2019 (COVID-19) pandemic to mid-2021, a period of relatively low COVID-19 case numbers....
Interrupted time series analysis....
All 105 Queensland public hospital EDs....
Numbers of ED presentations during the COVID-19 lockdown period (11 March 2020 - 30 June 2020) and the period of easing restrictions (1 July 2020 - 30 June 2021), compared with pre-pandemic period (1 ...
During the lockdown period, the mean number of ED presentations was 19.4% lower (95% confidence interval, -20.9% to -17.9%) than during the pre-pandemic period (predicted mean number: 5935; actual num...
The COVID-19 pandemic and related public restrictions were associated with profound changes in health care use. Pandemic plans should include advice about continuing to seek care for serious health co...