Titre : Urgences

Urgences : Questions médicales fréquentes

Termes MeSH sélectionnés :

Observer Variation
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"Answer", "text": "Les signes incluent des convulsions, une perte de conscience et des mouvements involontaires." } }, { "@type": "Question", "name": "Quels symptômes d'une intoxication alimentaire ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Nausées, vomissements et diarrhée sont des symptômes courants d'intoxication alimentaire." } }, { "@type": "Question", "name": "Comment reconnaître un choc anaphylactique ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Un choc anaphylactique se manifeste par des difficultés respiratoires et un gonflement rapide." } }, { "@type": "Question", "name": "Quels signes d'une hémorragie interne ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Des douleurs abdominales, des vertiges et une pâleur peuvent indiquer une hémorragie interne." } }, { "@type": "Question", "name": "Comment prévenir les AVC ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Maintenir une pression artérielle 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des soins médicaux." } }, { "@type": "Question", "name": "Quel traitement pour une pneumonie ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "La pneumonie est traitée par des antibiotiques et des soins de soutien selon la gravité." } }, { "@type": "Question", "name": "Quelles complications d'une crise cardiaque ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent l'insuffisance cardiaque, les arythmies et le choc cardiogénique." } }, { "@type": "Question", "name": "Quelles complications d'une pneumonie ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Les complications peuvent être l'abcès pulmonaire, la septicémie et l'insuffisance respiratoire." } }, { "@type": "Question", "name": "Quelles complications d'une appendicite non traitée ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Une appendicite non traitée peut entraîner une péritonite et des infections graves." } }, { "@type": "Question", "name": "Quelles complications d'une brûlure grave ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent les infections, la déshydratation et les cicatrices permanentes." } }, { "@type": "Question", "name": "Quelles complications d'une fracture mal soignée ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Les complications peuvent être la déformation osseuse, l'arthrose et des douleurs chroniques." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque d'AVC ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "L'hypertension, le diabète et le tabagisme sont des facteurs de risque majeurs d'AVC." } }, { "@type": "Question", "name": "Quels facteurs de risque pour les crises cardiaques ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Le cholestérol élevé, le tabagisme et l'obésité augmentent le risque de crise cardiaque." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque d'intoxication alimentaire ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "La manipulation incorrecte des aliments et le manque d'hygiène augmentent le risque d'intoxication." } }, { "@type": "Question", "name": "Quels facteurs de risque pour les brûlures ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Les enfants et les personnes âgées sont plus à risque de brûlures, surtout à domicile." } }, { "@type": "Question", "name": "Quels facteurs de risque d'infections respiratoires ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Le tabagisme, l'immunodépression et la pollution augmentent le risque d'infections respiratoires." } } ] } ] }

Sources (10000 au total)

Considerable interobserver variation calls for unambiguous definitions of thyroid nodule ultrasound characteristics.

Thyroid nodule ultrasound characteristics are used as an indication for fine-needle aspiration cytology, usually as the basis for Thyroid Imaging Reporting and Data System (TIRADS) score calculation. ... After the blinded online evaluation of video recordings of the ultrasound examinations of 47 consecutive malignant and 76 consecutive benign thyroid lesions, 7 experts from 7 thyroid centers answered ... On a scale from 0.0 to 1.0, the Gwet's AC1 values were 0.34, 0.53, 0.72, and 0.79 for the four most important features in decision-making, i.e. irregular margins, microcalcifications, echogenicity, an... Examination of video recordings, closely simulating the real-world situation, revealed substantial interobserver variation in the interpretation of each of the four most important ultrasound character...

Skeletal age assessed by TW2 using 20-bone, carpal and RUS score systems: Intra-observer and inter-observer agreement among male pubertal soccer players.

The purpose of this study was to determine intra- and inter-observer agreement for the three skeletal ages derived from the TW2 method among male pubertal soccer players. The sample included 142 parti...

Inter- and intra-observer agreement in arthroscopic assessment of the long head of the biceps.

Long head of the biceps (LHB) pathology is frequent but can be difficult to diagnose. Arthroscopy is the current diagnostic gold-standard. The aim of the present study was to assess inter- and intra-o... Agreement in arthroscopic analysis of the LHB is good in the particular case of small rotator cuff tears.... This prospective study included 49 patients operated on between November 1 and November 30, 2017. Seven surgeons were asked to record videos of arthroscopic LHB analysis for Patte-1 small supraspinatu... Inter-observer agreement between the surgeons and intra-observer agreement for the junior surgeon were slight in describing the pathologic aspect of the LHB: respectively, κ=0.254, p<0.038; and κ=0.31... Isolated arthroscopic LHB assessment without clinical or paraclinical input or precise surgical exploration protocol showed slight inter-observer agreement. Analysis and interpretation of LHB aspect s... III....

Factors associated with interobserver variation amongst pathologists in the diagnosis of endometrial hyperplasia: A systematic review.

Reproducible diagnoses of endometrial hyperplasia (EH) remains challenging and has potential implications for patient management. This systematic review aimed to identify pathologist-specific factors ... Three electronic databases, namely MEDLINE, Embase and Web of Science, were searched from 1st January 2000 to 25th March 2023, using relevant key words and subject headings. Eligible studies reported ... Eight studies were identified. Interobserver variation was shown to be significant even amongst specialist gynaecological pathologists in most studies. Few studies investigated pathologist-specific ch... This review highlighted the impact of pathologist-specific factors and working practices in the accurate diagnosis of EH, although few studies have been conducted. Further research is warranted in the...

Inter- and intra-observer agreement in the measurement of macular holes by optical coherence tomography.

A full-thickness macular hole ("FTMH") is a foveal lesion caused by a defect in the full thickness of the neurosensory retina. Its diagnosis and the indication for surgical treatment take into account... Retrospective review of OCT b-scan images with a diagnosis of FTMH. Measurements of the minimum diameter of the FTMH were performed using the hand-held tool available on the DRI-Triton (Topcon, Japan)... Thirty-four images were analysed. For intra-observer variability, a correlation index higher than 0.98 was obtained in all cases. For inter-observer variability, the intra-class correlation coefficien... OCT-measured AMEC size values are reproducible between ophthalmic specialists and residents and are independent of the imaging scale at which the measurement is made....

The clinical impact of observer variability in lung nodule classification in children with Wilms tumour.

To investigate the extent to which observer variability of computed tomography (CT) lung nodule assessment may affect clinical treatment stratification in Wilms tumour (WT) patients, according to the ... I: CT thoraces of children with WT submitted for central review were used to estimate size distribution of lung metastases. II: Scans were selected for blinded review by five radiologists to determine... Lung nodules were found in 84 out of 360 (23%) children with WT. For 21 identified lung nodules, inter-observer limits of agreement (LOA) for the five readers were ±2.4 and ±1.4 mm (AP diameter), ±1.9... A significant intra-inter observer variation was found when measuring lung nodules on CT for patients with WT. This may have significant implications on treatment stratification, and thereby outcome, ...

A Novel Method to Improve Inter-Clinician Variation in the Diagnosis of Retinopathy of Prematurity Using Machine Learning.

Inter-clinician variation could cause uncertainty in disease management. This is reported to be high in Retinopathy of Prematurity (ROP), a potentially blinding retinal disease affecting premature inf... An anonymized survey of ROP images was administered to the expert(s) and the trainee(s) using a study-designed user interface. The results were analyzed for repeatability as well as to identify the le... Correlation and disagreement between the expert and the trainees were visualized using the Dipstick™ diagram. Intra-clinician repeatability and reclassification statistics were assessed for all. The r... This novel, automated algorithm quantifies the differences using machine learning techniques. This will help audit the training process by objectively measuring differences between experts and trainee... Training for image-based ROP diagnosis can be more objectively performed using this novel, machine learning-based automated image analyzer and classifier....