Titre : Troubles hémorragiques

Troubles hémorragiques : Questions médicales fréquentes

Termes MeSH sélectionnés :

Delphi Technique
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un trouble hémorragique ?\nQuels tests sont utilisés pour évaluer la coagulation ?\nLes antécédents familiaux sont-ils importants ?\nComment évaluer la gravité d'un saignement ?\nLes examens d'imagerie sont-ils nécessaires ?", "url": "https://questionsmedicales.fr/mesh/D006474?mesh_terms=Delphi+Technique&page=3#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Troubles hémorragiques", "description": "Quels sont les symptômes courants des troubles hémorragiques ?\nComment reconnaître une hémorragie interne ?\nLes saignements menstruels peuvent-ils indiquer un trouble ?\nQuelles sont les manifestations cutanées des troubles hémorragiques ?\nLes saignements de nez sont-ils fréquents ?", "url": "https://questionsmedicales.fr/mesh/D006474?mesh_terms=Delphi+Technique&page=3#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Troubles hémorragiques", "description": "Comment prévenir les troubles 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survenir ?\nLes troubles hémorragiques peuvent-ils être mortels ?\nComment les troubles hémorragiques affectent-ils la qualité de vie ?\nLes troubles hémorragiques augmentent-ils le risque d'infections ?\nLes complications peuvent-elles être évitées ?", "url": "https://questionsmedicales.fr/mesh/D006474?mesh_terms=Delphi+Technique&page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Troubles hémorragiques", "description": "Quels sont les facteurs de risque des troubles hémorragiques ?\nL'âge influence-t-il le risque ?\nLes femmes sont-elles plus à risque ?\nLes médicaments peuvent-ils augmenter le risque ?\nLes maladies auto-immunes sont-elles un facteur de risque ?", "url": "https://questionsmedicales.fr/mesh/D006474?mesh_terms=Delphi+Technique&page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer un trouble hémorragique ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic repose sur des antécédents médicaux, des tests de coagulation et des analyses sanguines." } }, { "@type": "Question", "name": "Quels tests sont utilisés pour évaluer la coagulation ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Les tests courants incluent le temps de prothrombine (TP) et le temps de thromboplastine partielle activée (TTPa)." } }, { "@type": "Question", "name": "Les antécédents familiaux sont-ils importants ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents familiaux de troubles hémorragiques peuvent indiquer une prédisposition génétique." } }, { "@type": "Question", "name": "Comment évaluer la gravité d'un saignement ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "La gravité est évaluée par la quantité de sang perdu et l'impact sur la santé générale du patient." } }, { "@type": "Question", "name": "Les examens d'imagerie sont-ils nécessaires ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Parfois, des examens d'imagerie comme l'échographie peuvent être nécessaires pour détecter des hématomes." } }, { "@type": "Question", "name": "Quels sont les symptômes courants des troubles hémorragiques ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent des saignements fréquents, des ecchymoses, et des saignements des gencives." } }, { "@type": "Question", "name": "Comment reconnaître une hémorragie interne ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent des douleurs abdominales, des vertiges, et des selles noires ou sanglantes." } }, { "@type": "Question", "name": "Les saignements menstruels peuvent-ils indiquer un trouble ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des menstruations excessives peuvent signaler un trouble hémorragique sous-jacent." } }, { "@type": "Question", "name": "Quelles sont les manifestations cutanées des troubles hémorragiques ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Des ecchymoses, des pétéchies et des saignements sous-cutanés peuvent apparaître." } }, { "@type": "Question", "name": "Les saignements de nez sont-ils fréquents ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les saignements de nez récurrents peuvent être un symptôme de troubles hémorragiques." } }, { "@type": "Question", "name": "Comment prévenir les troubles hémorragiques ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "La prévention inclut un diagnostic précoce, une gestion des facteurs de risque et des soins appropriés." } }, { "@type": "Question", "name": "Les vaccinations sont-elles importantes ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certaines vaccinations peuvent prévenir des infections qui aggravent les troubles hémorragiques." } }, { "@type": "Question", "name": "Le mode de vie influence-t-il ces troubles ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un mode de vie sain, incluant une alimentation équilibrée, peut réduire les risques." } }, { "@type": "Question", "name": "Les activités sportives doivent-elles être évitées ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Certaines activités à risque doivent être évitées pour prévenir les blessures et les saignements." } }, { "@type": "Question", "name": "Les consultations médicales régulières sont-elles nécessaires ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des consultations régulières aident à surveiller et à gérer les troubles hémorragiques." } }, { "@type": "Question", "name": "Quels traitements sont disponibles pour les troubles hémorragiques ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements incluent des transfusions sanguines, des médicaments et des thérapies géniques." } }, { "@type": "Question", "name": "Comment traiter l'hémophilie ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "L'hémophilie est traitée par des facteurs de coagulation administrés par voie intraveineuse." } }, { "@type": "Question", "name": "Les anticoagulants sont-ils utilisés dans ces troubles ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Non, les anticoagulants peuvent aggraver les saignements et ne sont pas recommandés." } }, { "@type": "Question", "name": "Quelles sont les options pour les saignements sévères ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Les options incluent des médicaments hémostatiques et, dans certains cas, une intervention chirurgicale." } }, { "@type": "Question", "name": "Les traitements varient-ils selon le type de trouble ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le traitement dépend du type spécifique de trouble hémorragique et de sa gravité." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des hémorragies internes, des chocs hypovolémiques et des infections." } }, { "@type": "Question", "name": "Les troubles hémorragiques peuvent-ils être mortels ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des saignements non contrôlés peuvent entraîner des complications graves et potentiellement mortelles." } }, { "@type": "Question", "name": "Comment les troubles hémorragiques affectent-ils la qualité de vie ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Ils peuvent limiter les activités quotidiennes et nécessiter des soins médicaux fréquents." } }, { "@type": "Question", "name": "Les troubles hémorragiques augmentent-ils le risque d'infections ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les traitements comme les transfusions peuvent augmenter le risque d'infections." } }, { "@type": "Question", "name": "Les complications peuvent-elles être évitées ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Certaines complications peuvent être évitées par une gestion proactive et un traitement approprié." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque des troubles hémorragiques ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent des antécédents familiaux, des maladies hépatiques et certains médicaments." } }, { "@type": "Question", "name": "L'âge influence-t-il le risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le risque de troubles hémorragiques augmente avec l'âge en raison de la dégradation des fonctions corporelles." } }, { "@type": "Question", "name": "Les femmes sont-elles plus à risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Certaines conditions, comme les troubles menstruels, peuvent augmenter le risque chez les femmes." } }, { "@type": "Question", "name": "Les médicaments peuvent-ils augmenter le risque ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certains médicaments, comme les anticoagulants, peuvent augmenter le risque de saignement." } }, { "@type": "Question", "name": "Les maladies auto-immunes sont-elles un facteur de risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certaines maladies auto-immunes peuvent affecter la coagulation et augmenter le risque de saignement." } } ] } ] }

Sources (10000 au total)

Using the Behaviour Change Wheel and modified Delphi method to identify behavioural change techniques for improving adherence to smoking cessation medications.

Medication adherence is a crucial component of the pharmacological treatment of smoking. Previous interventions targeted to improve adherence to smoking cessation medications (SCMs) were designed usin... Recommendations for the design of intervention strategies were based on the BCW guide and six studies conducted by the research team. Factors related to healthcare providers and consumers (person maki... Following a stepped approach, an adherence support wheel was designed to guide implementation strategies and programmes. Thirteen intervention strategies were selected. The selected interventions incl... The BCW guide and a modified Delphi were applied successfully to design interventions tailored to improve adherence to SCMs. Improving adherence to SCMs requires a comprehensive intervention approach ...

Development of a decision support tool to prevent community acquired pressure injuries for use in the spinal cord injury clinic using the delphi technique.

Delphi Technique.... Describe the development of a decision support tool to prevent community-acquired pressure injuries (CAPrIs) in individuals with spinal cord injury (SCI) for use in SCI clinics, called the Community-A... Veteran Health Administration Hospital, Chicago, Illinois, USA.... Concept mapping of current pressure injury (PrI) guidelines and qualitative research describing risks, actions, and resources needed to prevent CAPrIs associated with SCI were used to develop 40 veter... Panelists were 60% female, 62% White, 33% veterans with SCI or caregivers, 33% wound care certified with a mean age of 59 years. Two survey rounds were required for consensus for 41 Item and 38 Action... The CAPP-FIT could become a useful tool for Veterans living with SCI, caregivers, and SCI providers....

Delphi studies in social and health sciences-Recommendations for an interdisciplinary standardized reporting (DELPHISTAR). Results of a Delphi study.

While different proposals exist for a guideline on reporting Delphi studies, none of them has yet established itself in the health and social sciences and across the range of Delphi variants. This see... In an international Delphi procedure, Delphi experts were surveyed online in three rounds to find consensus on a reporting guideline for Delphi studies in the health and social sciences. The responden... 1,072 experts were invited to participate. A total of 91 experts completed the first Delphi round, 69 experts the second round, and 56 experts the third round. Of the 65 items in the first draft of th... We assume a high level of acceptance and interdisciplinary suitability regarding the reporting guideline presented here and referred to as the "Delphi studies in social and health sciences-recommendat...

Factors Associated with Non-Adherence to Self-Management Among Patients with Chronic Obstructive Pulmonary Disease: A Survey Using the Delphi Technique and Analytic Hierarchy Process.

The relevant factors and patterns of non-adherence to self-management among patients with chronic obstructive pulmonary disease (COPD) need to be elucidated to improve self-management.... This study was a survey to prioritize the relevance of factors associated with non-adherence to COPD self-management using the Delphi technique and analytic hierarchy process (AHP).... A total of 15 expert panels were established to determine the priority of relevant factors in a three-round Delphi survey and an AHP. To develop the preliminary conceptual framework for non-adherence ... In developing the preliminary conceptual framework, 8 factor categories and 53 factors were identified as relevant to non-adherence to COPD self-management. Of the 53 factors, 22 factors with a CVR of... Through consensus decision-making by experts, 14 factors were identified as relevant factors associated with non-adherence to COPD self-management. A hierarchical and systematic framework incorporatin...

Delphi method applicability in drug foresight.

The aim of the current study was to assess the accuracy of expert predictions, which were derived using a Delphi panel foresight study between 2009 and 2011, on a variety of drug-related topics in Fin... The material used to evaluate the accuracy of the predictions consists of published reports on statistics, survey results, official register data, wastewater analyses and official documents. Whenever ... Between 2009 and 2011, the majority - but not all - of the experts accurately predicted an increase in drug use. Indeed, more people experimented with or used drugs, and more drug residues were found ... It seems to have been easier for the experts to foresee the continuation of existing trends, e.g., increasing use of drugs or widening approval of drugs, than to predict possible changes in the popula...

Moral distress in midwifery practice: A Delphi study.

Moral distress is a psychological concept that describes the harm associated with actions or inactions that oppose an individuals' moral beliefs. Moral distress is linked to moral compromise in the wo... The aim of this study was to develop a list of situational and outcome statements associated with moral compromise and levels of moral distress in midwifery to inform the development of a tool to meas... This e-Delphi study was the third stage of a sequential exploratory mixed-methods study. Using an online strategy, three iterative rounds of e-Delphi were collected and analysed for consensus on situa... Twenty participants contributed across the three rounds. Consensus was met in 40 morally compromising situation statements. The highest level of consensus related to excessive workloads and the associ... This is the first study to use a consensus method to establish different levels of moral compromise, frustration, distress, and injury in midwifery practice. The findings of this study contribute to a...

Consensus on Nasal Irrigation in Infants: A Delphi Study.

Nasal irrigation is regularly used in infants to relieve upper airway symptoms. However, because there is no consensus on good practice, nasal irrigation in infants is described and applied heterogene... The aim of this study was to establish consensus regarding the use of nasal irrigation in infants.... A panel of Belgian physiotherapists and physicians experienced in performing nasal irrigation in infants were surveyed using the Delphi technique. Three survey rounds were used. Participants rated the... Thirty experts (12 physicians and 18 physiotherapists) completed all 3 questionnaires. Consensus was achieved for 47 of 75 statements (63%) distributed over the following domains: "contraindications,"... This study provides the first well-constructed consensus on good practice on nasal irrigation in infants. Consensus on several statements across different domains were established but require validati...

Paracetamol and ibuprofen fixed-dose combination for the management of acute mild-to-moderate pain in children: strengthening and enhancing of result of Nominal Group Technique through Delphi consensus.

Paracetamol and ibuprofen are the most commonly used drugs for pain treatment in children and their combination has shown improved analgesic effect compared to treatment with either drug alone. Curren... The survey, conducted with Delphi methodology, involved 75 hospital and outpatient pediatricians with clinical experience in the management of pain in children. Pediatricians involved were asked to va... The results confirm the importance of the fixed-dose paracetamol and ibuprofen combination for the control of mild-to-moderate acute pain in children. Particularly, this association seems to be approp... Both the NGT consensus and the broader Delphi consensus confirm the usefulness of the paracetamol-ibuprofen fixed-dose combination in pediatric pain. This is attributed to its superior effectiveness c...

International standardization and optimization group for intersphincteric resection (ISOG-ISR): modified Delphi consensus on anatomy, definition, indication, surgical technique, specimen description and functional outcome.

Intersphincteric resection (ISR) is an oncologically complex operation for very low-lying rectal cancers. Yet, definition, anatomical description, operative indications and operative approaches to ISR... A modified Delphi approach with three rounds of questionnaire was adopted. A total of 29 international experts from 11 countries were recruited for this study. Six domains with a total of 37 statement... Three rounds of questionnaire were performed (response rate 100%, 89.6%, 89.6%). Agreement (≥80%) reached standardization on 36 statements.... This study provides an international expert consensus-based definition and standardization of ISR. This is the first study standardizing terminology and definition of deep pelvis/anal canal anatomy fr...

Home exercises for neck pain: A Delphi survey.

The current context of the COVID-19 pandemic has demonstrated the need for home exercise strategies for the relief of neck pain, which, in recent times, has increased. However, there is a gap regardin... This was an observational study conducted in three stages: (1) Developing an online search of databases for articles on neck pain exercises. (2) Validating a panel of 12 physical therapists, using the... A protocol was developed with the principles of neck and scapular stabilization and upper limb movements, for a period of 4 weeks. Nine physical therapists completed two rounds online, and all items i... A 4-week home exercise protocol was created based on the best evidence in the literature, was validated by physical therapists and adapted for the population with neck pain. It proved to be an underst... GOV: (NCT04187001)....