L'alimentation joue-t-elle un rôle dans ces troubles ?
Une alimentation déséquilibrée peut contribuer à des troubles hormonaux et à l'obésité.
AlimentationTroubles hormonauxObésité
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"@type": "Question",
"name": "Quels tests évaluent l'axe hypophysosurrénalien ?",
"position": 1,
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"text": "Les tests de stimulation à l'ACTH et le test de suppression à la dexaméthasone sont courants."
}
},
{
"@type": "Question",
"name": "Comment interpréter un taux élevé de cortisol ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un taux élevé peut indiquer un syndrome de Cushing ou une hyperplasie surrénalienne."
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{
"@type": "Question",
"name": "Quel est le rôle du test de stimulation à l'ACTH ?",
"position": 3,
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"text": "Il évalue la capacité des glandes surrénales à produire du cortisol en réponse à l'ACTH."
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{
"@type": "Question",
"name": "Quand réaliser un test de suppression à la dexaméthasone ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il est effectué pour diagnostiquer le syndrome de Cushing en vérifiant la réponse au cortisol."
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},
{
"@type": "Question",
"name": "Quels symptômes justifient ces tests ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes comme fatigue, prise de poids ou hypertension peuvent nécessiter ces tests."
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{
"@type": "Question",
"name": "Quels symptômes indiquent un dysfonctionnement surrénalien ?",
"position": 6,
"acceptedAnswer": {
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{
"@type": "Question",
"name": "Comment reconnaître le syndrome de Cushing ?",
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{
"@type": "Question",
"name": "Quels signes d'insuffisance surrénalienne ?",
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{
"@type": "Question",
"name": "Quels symptômes d'un excès de cortisol ?",
"position": 9,
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"@type": "Answer",
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{
"@type": "Question",
"name": "Quels symptômes d'un déficit en cortisol ?",
"position": 10,
"acceptedAnswer": {
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{
"@type": "Question",
"name": "Peut-on prévenir les troubles surrénaliens ?",
"position": 11,
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"text": "Une détection précoce et un suivi médical régulier peuvent aider à prévenir des complications."
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{
"@type": "Question",
"name": "Comment réduire le stress pour protéger les surrénales ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des techniques comme la méditation, le yoga et l'exercice régulier peuvent être bénéfiques."
}
},
{
"@type": "Question",
"name": "L'alimentation influence-t-elle la santé surrénalienne ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une alimentation riche en nutriments et faible en sucre peut soutenir la santé surrénalienne."
}
},
{
"@type": "Question",
"name": "Quels examens préventifs sont recommandés ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des bilans hormonaux réguliers peuvent aider à détecter des anomalies précocement."
}
},
{
"@type": "Question",
"name": "Comment éviter les médicaments à risque pour les surrénales ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Évitez les corticostéroïdes non prescrits et consultez toujours un médecin avant tout traitement."
}
},
{
"@type": "Question",
"name": "Comment traiter le syndrome de Cushing ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement peut inclure la chirurgie, la radiothérapie ou des médicaments pour réduire le cortisol."
}
},
{
"@type": "Question",
"name": "Quel traitement pour l'insuffisance surrénalienne ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement principal est le remplacement hormonal avec des corticostéroïdes."
}
},
{
"@type": "Question",
"name": "Quels médicaments pour réguler le cortisol ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des médicaments comme le kétoconazole ou la mitotane peuvent être prescrits."
}
},
{
"@type": "Question",
"name": "Comment gérer les effets secondaires des traitements ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il est essentiel de surveiller régulièrement les effets secondaires et d'ajuster les doses."
}
},
{
"@type": "Question",
"name": "Y a-t-il des traitements naturels pour ces troubles ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines approches comme la gestion du stress et une alimentation équilibrée peuvent aider."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir avec le syndrome de Cushing ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent le diabète, l'hypertension et les maladies cardiovasculaires."
}
},
{
"@type": "Question",
"name": "Quels risques d'une insuffisance surrénalienne non traitée ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut entraîner une crise surrénalienne, potentiellement mortelle sans traitement."
}
},
{
"@type": "Question",
"name": "Comment les troubles surrénaliens affectent-ils la santé mentale ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Ils peuvent provoquer des troubles de l'humeur, de l'anxiété et des dépressions."
}
},
{
"@type": "Question",
"name": "Quelles complications liées aux traitements hormonaux ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements peuvent entraîner des effets secondaires comme l'ostéoporose et le diabète."
}
},
{
"@type": "Question",
"name": "Quels impacts sur la qualité de vie ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les troubles surrénaliens peuvent affecter l'énergie, l'humeur et les activités quotidiennes."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque de syndrome de Cushing ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'obésité, le stress chronique et certains médicaments comme les corticostéroïdes sont des facteurs de risque."
}
},
{
"@type": "Question",
"name": "Y a-t-il des prédispositions génétiques ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines conditions génétiques, comme le syndrome de Cushing familial, augmentent le risque."
}
},
{
"@type": "Question",
"name": "Comment le stress influence-t-il les troubles surrénaliens ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le stress chronique peut perturber la production hormonale et aggraver les troubles surrénaliens."
}
},
{
"@type": "Question",
"name": "Quels antécédents médicaux sont des facteurs de risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antécédents de maladies endocriniennes ou de traitements hormonaux augmentent le risque."
}
},
{
"@type": "Question",
"name": "L'alimentation joue-t-elle un rôle dans ces troubles ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une alimentation déséquilibrée peut contribuer à des troubles hormonaux et à l'obésité."
}
}
]
}
]
}
Section on Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA.
Publications dans "Tests fonctionnels de l'axe hypophysosurrénalien" :
Section on Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA.
Publications dans "Tests fonctionnels de l'axe hypophysosurrénalien" :
Centre for Affective Disorders, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. anthony.cleare@kcl.ac.uk.
National Institute for Health Research (NIHR) Mental Health Biomedical Research Centre, South London and Maudsley NHS Foundation Trust and King's College London, London, UK. anthony.cleare@kcl.ac.uk.
Affective Disorders Unit and Laboratory, South London and Maudsley NHS Foundation Trust, London, UK. anthony.cleare@kcl.ac.uk.
Publications dans "Tests fonctionnels de l'axe hypophysosurrénalien" :
Section for Translational Psychobiology in Child and Adolescent Psychiatry, Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, Heidelberg University, Heidelberg, Germany; University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.
Publications dans "Tests fonctionnels de l'axe hypophysosurrénalien" :
Section for Translational Psychobiology in Child and Adolescent Psychiatry, Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, Heidelberg University, Heidelberg, Germany; University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.
Publications dans "Tests fonctionnels de l'axe hypophysosurrénalien" :
People with a limb loss at the level of the hip or pelvis have the most difficulty returning to walking compared with those with a lower amputation. This is because their prosthesis must replace the h...
The purpose of this study was to investigate the clinical and radiographic outcomes and to determine the survivorship of a high-flexion design total knee arthroplasty (TKA) prosthesis, the LOSPA knee ...
The study included 386 patients (503 TKAs) who were treated with TKA from 2011 to 2013 (follow-up period 10-12 years).The patients were assessed clinically using range of motion (ROM) of the knee, the...
Mean ROM improved significantly from the preoperative baseline of 117.3° to 126.5° at the final follow-up (p < 0.001). The mean KSS and WOMAC scores also both showed significant improvement after surg...
The LOSPA knee system, a high-flexion design total knee prosthesis, showed excellent long-term survivorship and improvements in clinical outcomes at 10- to 12-year follow-up....
There is no consensus on the importance of the kinematics of the prosthetic joint for the clinical outcome after total knee arthroplasty. A 3-armed randomized controlled trial was done to determine an...
Thirty-nine patients with a well-functioning total knee arthroplasty one year postoperatively underwent kinematic analysis of a weight-bearing step-up movement under fluoroscopic recording. Model-base...
The cruciate-retaining and anterior-stabilized groups' medial and lateral contact-points displayed similar paradoxical posterior translations during step-up in the magnitude of 7 and 2 mm, respectivel...
The cruciate-retaining and anterior-stabilized designs displayed similar contact-point translation patterns during a step-up movement. Only the posterior-stabilized design showed a pattern comparable ...
The purpose of this historical review is to highlight the progression and development of prosthetic reconstruction with a focus on the modular distal femur with hinged total knee arthroplasty....
Scientific literature was searched for descriptions of endoprosthetic reconstruction of the extremities to provide a thorough overview of the subject, focusing the research on the evolution of limb sa...
After the first works of Gluck and Giordano, with ivory and metal and the pioneer shoulder prosthesis by Pean in the late 1890s, a great advancement was brought by reconstructions performed for injure...
Walldius in the 1950s developed a fully constrained hinge knee, offering for the first time a consistent and replicable method of substituting the joint. In 1953, Shiers' prosthesis allowed for good f...
The study of the materials and mechanical solutions that was brought to the modern distal femur resection prosthesis is a good example of a virtuous multidisciplinary teamwork between orthopaedic surg...
Voice prosthesis leakage significantly affects the quality of life of patients undergoing laryngectomy, causing insecurity and frequent unplanned hospital visits and costs. In this study, the concept ...
Retrospective cohort study....
Tertiary hospital....
This study included all patients who underwent laryngectomy between 2000 and 2012 in the Netherlands Cancer Institute. Device lifetimes and voice prosthesis replacements of a retrospective cohort were...
Patients used a median 3.4 voice prostheses per year (range, 0.1-48.1). We found high inter- and intrapatient variability in device lifetime. When prophylactic replacement is applied, this would becom...
Based on our simulations, prophylactic replacement of voice prostheses is not feasible due to high inter- and intrapatient variation in device lifetime....
Personalizing prosthesis control is often structured as human-in-the-loop optimization. However, gait performance is influenced by both human control and intelligent prosthesis control. Hence, we need...
A reinforcement learning algorithm was used to achieve prosthesis control to meet normative knee kinematics in walking. A visual FB system cued the user to control prosthesis-side stance time to facil...
(1) Human control of gait timing reduced the tuning duration in individuals without amputation, but not for individuals with TFA. (2) The change of prosthesis control did not influence users' ability ...
The study provides novel insights on human-prosthesis interaction when cooperating in walking, which may guide the future successful adoption of this paradigm in prosthesis control personalization or ...
Long-term prognosis of complicated traumatic injuries depends on precise treatment planning. Establishing a balance between a patient's age, prognosis, financial hurdles, and treatment needs is challe...
A novel powered ankle-foot prosthesis is designed. The effect of wearing the novel prosthesis and an energy-storage-and-return (ESAR) foot on lower-limb biomechanics is investigated to preliminarily e...
The literature comparing bone-anchored prosthesis (BAP) with socket prosthesis (SP) consistently reports improvement in physical health and quality of life using primarily patient-reported outcome mea...
To determine the differences in mobility and balance using performance-based outcome measures and PROMs in people with transfemoral amputations (TFAs) fitted with BAP vs. SP....
Causal comparative....
Two groups of people with TFAs were recruited: one using a BAP (N = 11; mean age ± standard deviation, 44 ± 14.9 years; mean residual limb length as a percentage of the intact femur, 68% ± 15.9) and a...
There were no statistically significant differences between the BAP and SP groups in temporal spatial gait parameters and prosthetic mobility as measured by the 10-meter walk test and component timed-...
This study found that people with TFA who use a BAP can demonstrate similar temporal spatial gait parameters and prosthetic mobility, as well as self-perceived balance confidence and prosthetic mobili...
Erectile dysfunction can cause self-withdrawal and decreased quality of life. Patients who do not respond to pharmacological therapy and other conservative treatments are urged to undergo penile prost...
This meta-analysis followed Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) protocols. Five eligible studies were included from Pubmed, Scopus, ScienceDirect, and SemanticSc...
In this study, patient and partner satisfaction are significantly better (OR 3.39, 95% CI 1.66-6.93, p = 0.0008) (OR 2.32, 95% CI 1.75-3.08, p < 0.00001). Mechanical failure is also significantly high...
This study concluded that inflatable penile prosthesis is better in terms of patient and partner satisfaction, but mechanical failures occur more frequently in this type of prosthesis....