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"description": "Quels facteurs augmentent le risque de comportements indésirables ?\nLe stress est-il un facteur de risque ?\nLes troubles mentaux prédisposent-ils à la thérapie aversive ?\nL'isolement social est-il un facteur de risque ?\nLes antécédents de traumatismes influencent-ils le risque ?",
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"@type": "Question",
"name": "Comment diagnostiquer un besoin de thérapie aversive ?",
"position": 1,
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"text": "Un professionnel évalue les comportements problématiques et leur impact sur la vie quotidienne."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour évaluer les comportements ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des questionnaires et des entretiens cliniques sont souvent utilisés pour l'évaluation."
}
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{
"@type": "Question",
"name": "Qui peut prescrire une thérapie aversive ?",
"position": 3,
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"text": "Un psychologue ou un psychiatre qualifié peut prescrire cette thérapie après évaluation."
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"@type": "Question",
"name": "Quels critères sont utilisés pour le diagnostic ?",
"position": 4,
"acceptedAnswer": {
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"text": "Les critères incluent la fréquence et l'intensité des comportements indésirables."
}
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{
"@type": "Question",
"name": "La thérapie aversive est-elle adaptée à tous ?",
"position": 5,
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"text": "Non, elle n'est pas recommandée pour tous les patients, surtout ceux avec des troubles graves."
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{
"@type": "Question",
"name": "Quels symptômes indiquent un besoin de thérapie aversive ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des comportements compulsifs ou des addictions peuvent nécessiter cette thérapie."
}
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{
"@type": "Question",
"name": "Comment se manifestent les comportements indésirables ?",
"position": 7,
"acceptedAnswer": {
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"text": "Ils peuvent se manifester par des actions répétitives nuisibles ou des dépendances."
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{
"@type": "Question",
"name": "Les symptômes varient-ils selon les individus ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les symptômes peuvent varier en fonction de l'individu et de la situation."
}
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{
"@type": "Question",
"name": "Quels effets émotionnels peuvent résulter de ces comportements ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les individus peuvent ressentir de la honte, de l'anxiété ou de la dépression."
}
},
{
"@type": "Question",
"name": "Les symptômes physiques sont-ils liés à la thérapie aversive ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes physiques peuvent apparaître en raison du stress lié aux comportements."
}
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{
"@type": "Question",
"name": "Comment prévenir les comportements indésirables ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'éducation et la sensibilisation aux conséquences des comportements peuvent aider à prévenir."
}
},
{
"@type": "Question",
"name": "Les interventions précoces sont-elles efficaces ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des interventions précoces peuvent réduire le développement de comportements problématiques."
}
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{
"@type": "Question",
"name": "Quel rôle joue le soutien social dans la prévention ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un bon soutien social peut aider à réduire les comportements indésirables en offrant des alternatives."
}
},
{
"@type": "Question",
"name": "Les programmes éducatifs sont-ils utiles ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, ils peuvent sensibiliser aux risques et aux conséquences des comportements indésirables."
}
},
{
"@type": "Question",
"name": "Comment la thérapie préventive est-elle mise en œuvre ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut inclure des séances de groupe ou des ateliers sur la gestion des comportements."
}
},
{
"@type": "Question",
"name": "Comment fonctionne la thérapie aversive ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle associe un comportement indésirable à un stimulus désagréable pour réduire ce comportement."
}
},
{
"@type": "Question",
"name": "Quels types de stimuli sont utilisés ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des stimuli tels que des sons désagréables ou des sensations physiques peuvent être utilisés."
}
},
{
"@type": "Question",
"name": "La thérapie aversive est-elle efficace ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut être efficace pour certains comportements, mais les résultats varient selon les individus."
}
},
{
"@type": "Question",
"name": "Combien de séances sont généralement nécessaires ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le nombre de séances varie, mais plusieurs semaines sont souvent nécessaires pour des résultats."
}
},
{
"@type": "Question",
"name": "Y a-t-il des alternatives à la thérapie aversive ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des approches comme la thérapie cognitivo-comportementale peuvent être envisagées."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir avec la thérapie aversive ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des complications émotionnelles comme l'anxiété ou la dépression peuvent survenir."
}
},
{
"@type": "Question",
"name": "La thérapie aversive peut-elle aggraver certains symptômes ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut aggraver des symptômes chez certains patients sensibles ou vulnérables."
}
},
{
"@type": "Question",
"name": "Quels sont les effets à long terme de cette thérapie ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les effets à long terme peuvent inclure une réduction des comportements, mais aussi des effets négatifs."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications éventuelles ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi régulier et un ajustement des techniques peuvent aider à gérer les complications."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles fréquentes ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elles ne sont pas systématiques, mais peuvent survenir selon la sensibilité du patient."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque de comportements indésirables ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antécédents familiaux de troubles mentaux et un environnement stressant peuvent augmenter le risque."
}
},
{
"@type": "Question",
"name": "Le stress est-il un facteur de risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le stress chronique peut contribuer au développement de comportements indésirables."
}
},
{
"@type": "Question",
"name": "Les troubles mentaux prédisposent-ils à la thérapie aversive ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains troubles mentaux peuvent rendre la thérapie aversive plus nécessaire."
}
},
{
"@type": "Question",
"name": "L'isolement social est-il un facteur de risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'isolement social peut exacerber les comportements indésirables et les addictions."
}
},
{
"@type": "Question",
"name": "Les antécédents de traumatismes influencent-ils le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les traumatismes passés peuvent augmenter la probabilité de comportements problématiques."
}
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Lateral column lengthening calcaneal osteotomy is a powerful procedure for correcting forefoot abduction in flatfoot deformity. However, it involves the risk of damaging articular facets of the subtal...
A total of 72 ft from 70 fresh frozen cadavers were obtained from the Department of Anatomy of Central South University. For each foot, soft tissues were surgically removed from the bones, and the cal...
Out of the 72 ft, 36.1% had separated anterior and middle facets in the calcaneus, and 63.8% had partly or completely fused anterior and middle facets. In the calcanei with discrete facets, the mean d...
The anatomy of the subtalar joint presents significant individual variations in the Chinese population. Calcanei with partly or completely fused anterior and middle facets were observed in nearly two ...
The purpose of this study was to find the factors influencing successful bone union for isolated subtalar arthrodesis in posttraumatic subtalar arthritis following calcaneal fracture....
We retrospectively analyzed the rate of successful bone union of 119 cases of isolated subtalar arthrodesis for posttraumatic subtalar arthritis performed at five university hospitals between January ...
There were 77 (64.7%) cases of successful bone union, 11 (9.2%) cases of delayed union, 8 (6.7%) cases of questionable union, and 23 (19.3%) cases of nonunion. Use of fully threaded screws was 5.90 ti...
Use of fully threaded screws, autograft, and two screws compared to a single screw were the factors associated with successful bone union within six postoperative months after subtalar arthrodesis for...
Although most commonly found in the knee, elbow, and talar dome, osteochondral lesions can also be found in the subtalar joint and can occur due to either high or low energy trauma. Diagnosis of these...
Open hindfoot surgery incurs certain complications: notably, infection and skin problems. Arthroscopic subtalar arthrodesis reduced the complications rate while ensuring >90% fusion. To date, arthrosc...
Humans have the remarkable ability to run over variable terrains. During locomotion, however, humans are unstable in the mediolateral direction and this instability must be controlled actively-a goal ...
Total knee arthroplasty (TKA) may provoke ankle symptoms. The aim of this study was to validate the impact of the preoperative mechanical tibiofemoral angle (mTFA), the talar tilt (TT) on ankle sympto...
Patients who underwent TKA from September 2020 to September 2021 were prospectively included. Inclusion criteria were primary end-stage osteoarthritis (Kellgren-Lawrence stage IV) of the knee. Exclusi...
A total of 69 patients (varus n = 45; valgus n = 24) underwent TKA and completed the postoperative follow-up visit. Of these, 16 patients (23.2%) reported the onset or progression of ankle symptoms. V...
Approximately one-quarter of the patients developed ankle pain after TKA. If patients complain about ankle symptoms after TKA, standing radiographs of the ankle and a gait analysis could help in detec...
The surgical treatment and management of postoperative soft tissue complications in diabetic patients with displaced calcaneal fractures are still controversial. We aimed to evaluate the short-term ef...
The clinical data of 52 diabetic patients diagnosed with Sanders II or III calcaneal fractures from March 2016 to August 2020 were followed up and analyzed. There were 23 patients of type II and 29 pa...
52 patients were followed up for 23.7 ± 3.2 months (range: 20-28 months) without incision-related complications. Calcaneal radiographic parameters (length, width, height, Böhler/Gissane angle) were im...
Preoperative ultrasonic locating LCB of the sural nerve and arthroscopic percutaneous minimally invasive screw fixation of Sanders II and III calcaneal fractures with the assistance of calcaneal-talar...
Despite coalition resection being the preferred treatment for talocalcaneal coalition (TCC), postoperative complications, suboptimal functional recovery, and recurrence risks remain challenges. Althou...
We conducted a retrospective study on 115 patients who underwent coalition resection surgery due to symptomatic TCC between November 2009 and February 2023. According to preoperative CT scan results, ...
69 patients meeting the inclusion criteria were included, with 30 patients in the P-type group and 39 in the MP-type group. There were no statistically significant differences between the two groups i...
Even with complete coalition resection during surgery and rehabilitation following standardized protocols, the surgical outcomes in MP-type TCC patients are still inferior to those in P-type patients....
The tibiotalar arthrodesis for end-stage ankle osteoarthritis is a surgical procedure that leads to a modification of the kinematics of the adjacent joints and may result in the development of seconda...
Between September 2010 and October 2021, 15 arthrodeses of the subtalar joint with screw fixation were performed in 14 patients, with a fusion of the ipsilateral tibiotalar joint. Fourteen of 15 cases...
Twelve of the 15 subtalar arthrodeses (80%) fused at the first attempt with an average fusion time of 4.7 months....
In this limited retrospective case series, compared to the fusion rate of isolated subtalar arthrodesis reported in the literature, the rate of subtalar fusion in the presence of an ipsilateral tibiot...
Level IV, retrospective case series....
Subtalar arthrodesis is the surgical procedure commonly performed to treat subtalar arthritis. Subtalar arthrodesis may have a higher nonunion rate if there is a preexisting adjacent joint arthrodesis...
A retrospective cohort study of consecutive patients that underwent a subtalar arthrodesis in a single center between 2010 and 2020. The primary outcome of union was determined based on bridging callu...
Eighteen patients had an adjacent ankle arthrodesis and 53 patients did not. The successful subtalar arthrodesis union rate in those with a preexisting ankle joint arthrodesis (44.4%) was approximatel...
In our study, we found that patients undergoing a subtalar arthrodesis with an adjacent ankle arthrodesis have a significantly increased risk of nonunion compared with those undergoing a subtalar arth...