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"description": "Quels sont les facteurs de risque du syndrome ?\nL'âge influence-t-il le risque ?\nLes hommes sont-ils plus à risque que les femmes ?\nLes maladies préexistantes augmentent-elles le risque ?\nLe type de chirurgie cardiaque influence-t-il le risque ?",
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"@type": "Question",
"name": "Comment diagnostique-t-on le syndrome post-péricardotomie ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le diagnostic repose sur les symptômes cliniques et des examens d'imagerie comme l'échocardiographie."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour confirmer le diagnostic ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analyses sanguines pour détecter des marqueurs inflammatoires et une échographie cardiaque."
}
},
{
"@type": "Question",
"name": "Quels symptômes sont typiques du syndrome ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Douleurs thoraciques, fièvre, fatigue et parfois essoufflement sont fréquents."
}
},
{
"@type": "Question",
"name": "Le syndrome peut-il être confondu avec d'autres maladies ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, il peut être confondu avec une péricardite ou une infection pulmonaire."
}
},
{
"@type": "Question",
"name": "Quelle est la période d'apparition des symptômes ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes apparaissent généralement entre 1 et 6 semaines après la chirurgie."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux symptômes du syndrome ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les principaux symptômes incluent douleur thoracique, fièvre et malaise général."
}
},
{
"@type": "Question",
"name": "La douleur thoracique est-elle constante ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, la douleur peut être intermittente et s'aggraver lors de la respiration profonde."
}
},
{
"@type": "Question",
"name": "Y a-t-il des symptômes respiratoires associés ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains patients peuvent ressentir un essoufflement ou une toux."
}
},
{
"@type": "Question",
"name": "Le syndrome provoque-t-il des symptômes digestifs ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes digestifs comme des nausées peuvent survenir, mais sont moins fréquents."
}
},
{
"@type": "Question",
"name": "Les symptômes varient-ils d'un patient à l'autre ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'intensité et la combinaison des symptômes peuvent varier considérablement."
}
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{
"@type": "Question",
"name": "Peut-on prévenir le syndrome post-péricardotomie ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il n'existe pas de méthode de prévention garantie, mais une surveillance post-opératoire attentive aide."
}
},
{
"@type": "Question",
"name": "Les médicaments préventifs sont-ils efficaces ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des AINS peuvent être administrés préventivement pour réduire le risque d'inflammation."
}
},
{
"@type": "Question",
"name": "Le suivi médical est-il important après la chirurgie ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un suivi médical régulier permet de détecter rapidement les symptômes du syndrome."
}
},
{
"@type": "Question",
"name": "Les patients à risque doivent-ils être surveillés de près ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les patients ayant des antécédents de péricardite doivent être surveillés attentivement."
}
},
{
"@type": "Question",
"name": "L'éducation des patients peut-elle aider ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, informer les patients sur les symptômes peut favoriser une détection précoce."
}
},
{
"@type": "Question",
"name": "Quel est le traitement principal du syndrome ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement principal inclut des anti-inflammatoires non stéroïdiens (AINS)."
}
},
{
"@type": "Question",
"name": "Des corticostéroïdes sont-ils utilisés ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les corticostéroïdes peuvent être prescrits en cas de symptômes sévères."
}
},
{
"@type": "Question",
"name": "Le repos est-il recommandé ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le repos est conseillé pour aider à la récupération et réduire l'inflammation."
}
},
{
"@type": "Question",
"name": "Des traitements alternatifs existent-ils ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des traitements alternatifs comme la physiothérapie peuvent être envisagés pour soulager la douleur."
}
},
{
"@type": "Question",
"name": "Quand faut-il envisager une intervention chirurgicale ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une intervention chirurgicale est rare et envisagée si les symptômes persistent malgré le traitement."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent la péricardite chronique et l'accumulation de liquide autour du cœur."
}
},
{
"@type": "Question",
"name": "Le syndrome peut-il entraîner des problèmes cardiaques ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des complications cardiaques comme l'insuffisance cardiaque peuvent survenir."
}
},
{
"@type": "Question",
"name": "Y a-t-il un risque de récidive ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains patients peuvent connaître des récidives du syndrome après un premier épisode."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles fréquentes ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications sont relativement rares, mais leur surveillance est essentielle."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications si elles surviennent ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "La gestion des complications nécessite souvent une approche multidisciplinaire et un suivi régulier."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque du syndrome ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent des antécédents de chirurgie cardiaque, d'infections ou de maladies auto-immunes."
}
},
{
"@type": "Question",
"name": "L'âge influence-t-il le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les patients plus âgés peuvent avoir un risque accru de développer le syndrome."
}
},
{
"@type": "Question",
"name": "Les hommes sont-ils plus à risque que les femmes ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des études montrent que les hommes peuvent être légèrement plus à risque que les femmes."
}
},
{
"@type": "Question",
"name": "Les maladies préexistantes augmentent-elles le risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des maladies comme le diabète ou l'hypertension peuvent augmenter le risque."
}
},
{
"@type": "Question",
"name": "Le type de chirurgie cardiaque influence-t-il le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines procédures chirurgicales peuvent être associées à un risque plus élevé de syndrome."
}
}
]
}
]
}
This study investigated the demand for and awareness of a primary healthcare pilot project for people with disabilities; it also sought to identify relevant determinants for demand and awareness using...
This study is a secondary analysis of data from the population-based survey conducted in Gyeonggi Regional Health & Medical Center for People with Disabilities. The data was designed with quota ra...
Awareness of the service (12.1%) was remarkably low, while the demand (80.5%) was high. The gap between respondents who needed the service but were unaware of it differed according to age, education, ...
Chronic disease and an unmet need for medical care were key determinants of service demand, while the severity of disability was not. Thus, there is a need to review the initiative that defines servic...
Communication and interprofessional collaboration with patients diagnosed with cancer is challenging. Structured communication training has not yet been integrated into postgraduate medical education....
A needs assessment was conducted using focus groups and individual interviews. Learning objectives were aligned with (inter)national learning objective catalogs. The ICT was developed using the six-st...
Physician participation rates in the workshops were 83.0% and nursing participation rates were 58.3%. Utilization of the workplace-based training was 97%. The physicians evaluated the ICT very positiv...
The implementation of an ICT with 80 teaching units is successfully feasible in a urological clinic and leads to a sustainable improvement of the communication culture, among other things through ment...
Analysis of psychiatric-psychotherapeutic crisis services in the Leipzig Psychiatry Network (LeiP#netz), assigning the services to the functional areas of the FBM according to Steinhart and Wienberg....
A standardized survey of crisis care was conducted using the functions "complex outpatient treatment", "access to acute psychotherapy in crisis", and "24 h complex, intensive treatment" by means of fa...
A total of 31 measures were recorded for the three functions. All crisis care services were highly utilized; in up to one-third of cases, no services could be provided when demand was requested. Servi...
Crisis care services for severely mentally ill people are available in various constellations in the study region. Low-threshold 24/7 crisis services need to be expanded....
Social determinants of health (SDOH) and stress during pregnancy may contribute to adverse pregnancy outcomes. The objective of this in the field pilot project was to develop a comprehensive screening...
Pregnant patients accessing prenatal care at a single site of an urban Federally Qualified Health Center were recruited during prenatal visits to complete a Social Determinants of Health in Pregnancy ...
Between April 2018 and March 2019, 135 pregnant participants completed SIPT. Ninety-one percent of patients scored positive on at least one screener, 54% to three or more screeners....
Despite guidelines to screen for SDOH during pregnancy there is no universal tool. Our pilot project demonstrated the concurrent use of adapted screening tools where participants reported at least one...
Colorectal cancer (CRC) is the third most common cancer in Iran, where there is no organised CRC-screening programme. This study aimed to evaluate feasibility of CRC screening using a qualitative feca...
In this feasibility study, 7039 individuals aged 50-75 years were invited by community health workers (CHWs) in southern Tehran and its suburban districts between April 2018 and November 2019. The CHW...
Acceptance rate at initial invitation was 71.7%. From 4974 average-risk adults (1600 males and 3374 females) who were offered FIT, 96.8% (n=4813) provided valid samples, of whom 471 (9.8%) tested posi...
Our results partially support the feasibility of scaling up organized CRC-screening through the existing healthcare system in Iran; it remains to be discussed carefully to ensure the capacity of healt...
Evidence synthesis organisations are trying to meet commissioners' needs for rapid responses to their evidence synthesis commissions. In this project we piloted an intensive process, working to comple...
In a pre-planning phase, an intensive work group was established, and two commissions were selected for this pilot project. The evidence synthesis process was divided into two phases: planning and int...
During the planning phase, teams identified significant uncertainties regarding scopes, research questions, and inclusion criteria. To address this, they engaged with commissioners earlier than origin...
Overall, the intensive process fostered focus and productivity, allowing teams to manage short-term deliverables effectively. The researchers preferred working intensively with one evidence synthesis ...
Families with one parent suffering from cancer are exposed to extraordinary emotional and organizational burdens, affecting underaged children. To help coordinated access to social and logistic suppor...
A cross-sectional observational study was conducted using a mixed-method approach. Semi-structured written expert surveys (n=10) and secondary analysis of routine data of the care model (n=171 familie...
Quantitative secondary analysis: The participating families had 1-7 children (median (m) 2, range (s) 6). In 66% of the cases, the mother was affected by cancer, in 20% the diseased parent was in a si...
The data collected indicate that in families, matching the German average in their socio-demographic characteristics, a great need for organizational support develops as soon as one parent becomes sic...
We initiate the Westlake BioBank for Chinese (WBBC) pilot project with 4,535 whole-genome sequencing (WGS) individuals and 5,841 high-density genotyping individuals, and identify 81.5 million SNPs and...
To report a pilot project of expert nurses for outpatient parenteral antimicrobial treatment (OPAT) follow-up....
Three nurses with specific training on antibiotics started a state-funded programme including: i) consultations for OPAT follow-up; ii) hotline for satellite hospitals; iii) peer training. Patients' d...
From December 2020 to December 2021, 118 patients (median age 66.5 years [52-75], male-to-female ratio 2.5) were enrolled, for a total of 621 consultations. Patients were mostly on OPAT for bone and j...
Nurses may be important actors for OPAT follow-up....
The Fellowship Council (FC) is transitioning to a competency-based medical education (CBME) model, including the introduction of Entrustable Professional Activities (EPAs) for training and assessment ...
The FC coordinated the development of EPAs in collaboration with the sponsoring societies for Advanced GI/MIS, Bariatrics, Foregut, Endoscopy and Hepatopancreaticobiliary (HPB) fellowships encompassin...
The 15 participating programs included 18 fellows and 106 faculty. A total of 655 assessments were initiated with 429 (65%) completed. The average (SD) number of EPAs completed for each fellow was 24(...
A competency-based assessment framework was developed by the FC and piloted in several programs. Participation was variable and required ongoing strategies to address barriers. The pilot project has p...