Service hospitalier de psychiatrie : Questions médicales fréquentes
Nom anglais: Psychiatric Department, Hospital
Descriptor UI:D011567
Tree Number:N04.452.442.452.422.641
Termes MeSH sélectionnés :
Lymph Node Excision
Questions fréquentes et termes MeSH associés
Diagnostic
5
#1
Comment un diagnostic psychiatrique est-il établi ?
Il repose sur des entretiens cliniques, des évaluations psychologiques et des critères DSM.
DiagnosticTroubles mentaux
#2
Quels outils sont utilisés pour le diagnostic ?
Des questionnaires, des échelles d'évaluation et des tests psychologiques sont utilisés.
Évaluation psychologiqueTests psychologiques
#3
Quelles sont les principales catégories de troubles ?
Les troubles de l'humeur, anxieux, psychotiques et de la personnalité sont principaux.
Troubles de l'humeurTroubles anxieux
#4
Le diagnostic peut-il changer avec le temps ?
Oui, il peut évoluer en fonction des symptômes et des réponses au traitement.
Évolution des symptômesSuivi clinique
#5
Qui peut poser un diagnostic psychiatrique ?
Un psychiatre ou un professionnel de la santé mentale qualifié peut établir un diagnostic.
PsychiatreProfessionnels de la santé mentale
Symptômes
5
#1
Quels sont les symptômes courants des troubles mentaux ?
Les symptômes incluent l'anxiété, la dépression, les hallucinations et les troubles de l'humeur.
Symptômes psychiatriquesTroubles de l'humeur
#2
Comment reconnaître une crise d'angoisse ?
Elle se manifeste par des palpitations, des sueurs, des tremblements et une peur intense.
Crise d'angoisseTroubles anxieux
#3
Les symptômes peuvent-ils varier d'une personne à l'autre ?
Oui, l'expression des symptômes peut être très individuelle selon les personnes.
Variabilité des symptômesTroubles mentaux
#4
Quels signes indiquent une dépression sévère ?
Une perte d'intérêt, des troubles du sommeil, de l'appétit et des pensées suicidaires.
DépressionPensées suicidaires
#5
Les symptômes physiques sont-ils fréquents ?
Oui, des douleurs corporelles et des troubles digestifs peuvent accompagner les troubles mentaux.
Symptômes physiquesTroubles psychosomatiques
Prévention
5
#1
Comment prévenir les troubles mentaux ?
La prévention passe par l'éducation, le soutien social et la gestion du stress.
PréventionGestion du stress
#2
Le soutien familial joue-t-il un rôle ?
Oui, un bon soutien familial peut réduire le risque de troubles mentaux.
Soutien familialFacteurs de risque
#3
Les programmes scolaires peuvent-ils aider ?
Oui, ils peuvent enseigner des compétences de vie et de gestion des émotions.
Programmes scolairesCompétences de vie
#4
L'activité physique aide-t-elle à prévenir les troubles ?
Oui, l'exercice régulier est bénéfique pour la santé mentale et le bien-être.
Activité physiqueSanté mentale
#5
Les techniques de relaxation sont-elles utiles ?
Oui, des techniques comme la méditation et le yoga peuvent réduire le stress.
Techniques de relaxationMéditation
Traitements
5
#1
Quels types de traitements sont disponibles en psychiatrie ?
Les traitements incluent la psychothérapie, la médication et les thérapies alternatives.
PsychothérapieMédicaments psychiatriques
#2
Comment fonctionne la psychothérapie ?
Elle aide à explorer les pensées et comportements pour améliorer le bien-être mental.
PsychothérapieThérapie comportementale
#3
Quels médicaments sont couramment prescrits ?
Les antidépresseurs, anxiolytiques et antipsychotiques sont fréquemment utilisés.
AntidépresseursAntipsychotiques
#4
La thérapie de groupe est-elle efficace ?
Oui, elle favorise le soutien social et l'échange d'expériences entre patients.
Thérapie de groupeSoutien social
#5
Qu'est-ce que la thérapie électroconvulsive ?
C'est un traitement pour les cas sévères de dépression, utilisant des impulsions électriques.
Thérapie électroconvulsiveDépression sévère
Complications
5
#1
Quelles complications peuvent survenir avec les troubles mentaux ?
Des complications incluent l'isolement social, les problèmes de santé physique et le suicide.
Isolement socialSuicide
#2
Les troubles mentaux augmentent-ils le risque de maladies physiques ?
Oui, ils peuvent augmenter le risque de maladies cardiovasculaires et métaboliques.
Maladies cardiovasculairesSanté physique
#3
Comment l'usage de substances affecte-t-il la santé mentale ?
L'abus de substances peut aggraver les troubles mentaux et compliquer le traitement.
Abus de substancesTroubles mentaux
#4
Les troubles mentaux peuvent-ils affecter la vie professionnelle ?
Oui, ils peuvent entraîner des absences, une baisse de productivité et des conflits.
Vie professionnelleProductivité
#5
Quelles sont les conséquences du suicide ?
Le suicide a des conséquences dévastatrices pour la famille, les amis et la communauté.
SuicideConséquences sociales
Facteurs de risque
5
#1
Quels sont les facteurs de risque des troubles mentaux ?
Les facteurs incluent l'hérédité, le stress, les traumatismes et l'isolement social.
Facteurs de risqueTraumatismes
#2
Le stress au travail peut-il être un facteur de risque ?
Oui, un environnement de travail stressant peut contribuer au développement de troubles mentaux.
Stress au travailSanté mentale
#3
Les antécédents familiaux influencent-ils le risque ?
Oui, un historique familial de troubles mentaux augmente le risque chez les individus.
Antécédents familiauxHérédité
#4
Les événements traumatiques augmentent-ils le risque ?
Oui, les traumatismes peuvent déclencher ou aggraver des troubles mentaux.
Événements traumatiquesTroubles mentaux
#5
L'isolement social est-il un facteur de risque ?
Oui, l'isolement social peut exacerber les symptômes et augmenter le risque de troubles.
Isolement socialFacteurs de risque
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},
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{
"@type": "Question",
"name": "L'isolement social est-il un facteur de risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'isolement social peut exacerber les symptômes et augmenter le risque de troubles."
}
}
]
}
]
}
Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston 02118, USA; Wellness and Recovery After Psychosis Research Program, Boston Medical Center, Boston, MA 02118, USA. Electronic address: Brittany.gouse@bmc.org.
Publications dans "Service hospitalier de psychiatrie" :
Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston 02118, USA; Wellness and Recovery After Psychosis Research Program, Boston Medical Center, Boston, MA 02118, USA.
Publications dans "Service hospitalier de psychiatrie" :
Dr. Dike is Associate Professor of Psychiatry, Yale University School of Medicine, New Haven, CT, and Medical Director, Office of the Commissioner, Connecticut Department of Mental Health and Addiction Services, Hartford, CT. Ms. Bugella is CEO, Bugella Behavioral Healthcare Consulting, LLC, Berlin, CT. Dr. Hillbrand is Assistant Clinical Professor of Psychiatry, Yale University School of Medicine, New Haven, CT. Charles.dike@yale.edu.
Publications dans "Service hospitalier de psychiatrie" :
Dr. Dike is Associate Professor of Psychiatry, Yale University School of Medicine, New Haven, CT, and Medical Director, Office of the Commissioner, Connecticut Department of Mental Health and Addiction Services, Hartford, CT. Ms. Bugella is CEO, Bugella Behavioral Healthcare Consulting, LLC, Berlin, CT. Dr. Hillbrand is Assistant Clinical Professor of Psychiatry, Yale University School of Medicine, New Haven, CT.
Publications dans "Service hospitalier de psychiatrie" :
Dr. Dike is Associate Professor of Psychiatry, Yale University School of Medicine, New Haven, CT, and Medical Director, Office of the Commissioner, Connecticut Department of Mental Health and Addiction Services, Hartford, CT. Ms. Bugella is CEO, Bugella Behavioral Healthcare Consulting, LLC, Berlin, CT. Dr. Hillbrand is Assistant Clinical Professor of Psychiatry, Yale University School of Medicine, New Haven, CT.
Publications dans "Service hospitalier de psychiatrie" :
Department of Mental Health Research (King, Joyce, Nash) and McLean Franciscan Department of Child and Adolescent Mental Health Programs (Buonopane, Sossong), Franciscan Children's, Brighton, Massachusetts; Division of Depression and Anxiety Disorders (King, Ressler) and Division of Child and Adolescent Psychiatry (Buonopane, Sossong), McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston (Ressler).
Publications dans "Service hospitalier de psychiatrie" :
Department of Mental Health Research (King, Joyce, Nash) and McLean Franciscan Department of Child and Adolescent Mental Health Programs (Buonopane, Sossong), Franciscan Children's, Brighton, Massachusetts; Division of Depression and Anxiety Disorders (King, Ressler) and Division of Child and Adolescent Psychiatry (Buonopane, Sossong), McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston (Ressler).
Publications dans "Service hospitalier de psychiatrie" :
Department of Mental Health Research (King, Joyce, Nash) and McLean Franciscan Department of Child and Adolescent Mental Health Programs (Buonopane, Sossong), Franciscan Children's, Brighton, Massachusetts; Division of Depression and Anxiety Disorders (King, Ressler) and Division of Child and Adolescent Psychiatry (Buonopane, Sossong), McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston (Ressler).
Publications dans "Service hospitalier de psychiatrie" :
Department of Mental Health Research (King, Joyce, Nash) and McLean Franciscan Department of Child and Adolescent Mental Health Programs (Buonopane, Sossong), Franciscan Children's, Brighton, Massachusetts; Division of Depression and Anxiety Disorders (King, Ressler) and Division of Child and Adolescent Psychiatry (Buonopane, Sossong), McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston (Ressler).
Publications dans "Service hospitalier de psychiatrie" :
Department of Mental Health Research (King, Joyce, Nash) and McLean Franciscan Department of Child and Adolescent Mental Health Programs (Buonopane, Sossong), Franciscan Children's, Brighton, Massachusetts; Division of Depression and Anxiety Disorders (King, Ressler) and Division of Child and Adolescent Psychiatry (Buonopane, Sossong), McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston (Ressler).
Publications dans "Service hospitalier de psychiatrie" :
Total mesoesophageal excision (TME) is a promising procedure. Prone position thoracoscopic-assisted TME might be a good choice, even without robust evidence yet. Therefore, it is necessary to explore ...
We retrospectively analyzed the short-term outcomes regarding intraoperative unplanned events, postoperative complications, and lymphadenectomy in 61 patients who underwent prone position thoracoscopi...
Of these sixty-one patients, there were 10, 24 and 27 cases of tumor in the upper, middle, and lower thoracic, respectively. Although there were five cases of unplanned events during surgery, no conve...
The prone position thoracoscopic-assisted TME is a safe procedure that is more conducive to thoracic lymph node dissection, especially for middle and lower mediastinum....
To study the efficacy of octreotide to reduce lymphorrhea and prevent lymphocele after pelvic lymph node excision in gynecological malignancies....
Patients with more than 200 mL of lymph drained per day until postoperative day 3 after pelvic lymph node excision were enrolled. Of the 75 patients, 36 were managed by conservative methods without th...
The total and mean daily amount of lymph produced per patient was significantly lower in the octreotide-treated group than in the untreated group. The duration of drain placement was shorter in the oc...
The injection of octreotide is effective to reduce lymphorrhea and prevent lymphocele after pelvic lymph node excision in gynecological malignancies....
Lymphatic drainage from subcostal nodes, along the costal groove, have not previously been characterized as sites for melanoma drainage and metastasis. This study reports a series of patients with sub...
Patients who presented to our institution between 2005 and 2020 with documented cutaneous melanoma and sentinel lymph node biopsy of a subcostal node (sentinel = S), or metastases to subcostal nodes l...
Six patients had subcostal sentinel nodes (SNs). Primary sites included the posterior trunk and lateral chest wall. Subcostal nodes were found under ribs 10-12. Subcostal SNs had at least one dimensio...
Melanoma can metastasize to subcostal lymph nodes and be found at the time of SN biopsy or identified at recurrence. These small nodes are fed by lymphatic channels that run in the neurovascular bundl...
Axillary reverse mapping (ARM) was introduced in 2007 to identify and selectively preserve upper-extremity lymphatics during axillary lymph node surgery to decrease the risk of lymphedema. The patient...
Patients undergoing ALND with or without immediate lymphatic reconstruction (ILR) were enrolled in a prospective trial at two institutional sites between April 2018 and Decemeber 2022. This report ana...
The inclusion criteria were met by 139 patients, who made up the study population (133 with breast cancer and 6 with other disease). Of the breast cancer patients, 99.2% were female, 35.3% (47/133) we...
In the contemporary patient population undergoing ALND, the positivity rate of the ARM LN was relatively high, suggesting that leaving ARM LNs in patients undergoing ALND may not be oncologically safe...
This study evaluated the efficacy of lymphosonography in the identification of sentinel lymph nodes (SLNs) in post neoadjuvant chemotherapy patients with breast cancer scheduled to undergo surgical ex...
Seventy-nine subjects scheduled for breast cancer surgery with SLN excision completed this IRB-approved study, out of which 18 (23%) underwent neoadjuvant chemotherapy before surgery. Subjects underwe...
Seventy-two SLNs were surgically excised from 18 subjects, 29 were positive for blue dye, 63 were positive for radioactive tracer and 57 were positive for Sonazoid. Comparison with blue dye showed tha...
Lymphosonography achieved similar accuracy as radioactive tracer and higher accuracy than blue dye for identifying SLNs. The 15 SLNs positive for malignancy were all identified by lymphosonography....
Metastasis in a nonsentinel lymph node (non-SLN) is an unfavorable independent prognostic factor in cutaneous melanoma (CM). Recent data did suggest potential value of completion lymph node dissection...
This retrospective study enrolled 656 cases of melanoma who underwent sentinel lymph node biopsy at Fudan University Shanghai Cancer Center from 2009 to 2017. We identified 81 SLN + AM patients who un...
Ulceration, Clark level, number of deposits in the SLN (NumDep) and maximum size of deposits (MaxSize) are independent risk factors associated with non-SLN metastases. We developed a scoring system th...
A scoring system that included ulceration, Clark level, MaxSize, and NumDep is reliable and effective for predicting non-SLN metastasis in SLN-positive AM....
To investigate thresholds for lymph node yield (LNY), lymph node density (LND), and pN in patients with oral squamous cell carcinoma in relation to previous findings in the literature....
Retrospective register-based study....
Copenhagen Oral Cavity Squamous Cell Carcinoma database....
Appropriate thresholds for LNY, LND, and pN were determined by areas under the curve and subsequently subjected to multivariate analysis. Five-year overall survival and 3-year recurrence-free survival...
In total, 413 patients diagnosed with oral squamous cell carcinoma were included. In the pN0 cohort, no superior/prognostic LNY cutoff values were detected. In the pN+ cohort, areas under the curve de...
Increased nodal yield, decreased LND, and decreasing number of pN were associated with significantly improved survival outcomes. LNY might serve as a prognosticator of survival as well as a surgical q...
The survival benefit of inguinal lymph node dissection (ILND) vs no ILND in patients with squamous cell carcinoma of the penis (SCCP) and the absence of lymph node invasion is unclear. We addressed th...
We identified lymph node negative SCCP patients who either underwent ILND (pN0) or clinical examination only (cN0). We tested for the effect of ILND vs no ILND on cancer-specific mortality (CSM) in Ka...
Of 2520 SCCP patients, 369 (15%) underwent ILND (pN0) vs 2151 (85%) did not (cN0). The pN0 vs cN0 distribution according to pT stages was as follows: 80 (7%) vs 1092 (93%) in pT1b, and 289 (21%) vs 10...
In pT2-3 stage SCCP, a significantly lower CSM was recorded in lymph node negative patients treated with ILND than in their clinical lymph node negative counterparts who did not undergo ILND....
Jugulo-omohyoid lymph nodes (JOHLN) metastasis has proven to be associated with lateral lymph node metastasis (LLNM). This study aimed to reveal the clinical features and evaluate the predictive value...
A total of 550 patients pathologically diagnosed with PTC between October 2015 and January 2020, all of whom underwent thyroidectomy and lateral lymph node dissection, were included in this study....
Thyroiditis, tumor location, tumor size, extra-thyroidal extension, extra-nodal extension, central lymph node metastasis (CLNM), and LLMM were associated with JOHLN. Male, upper lobe tumor, multifocal...
JOLHN metastasis could be a clinically sensitive predictor of further LLM. A high-performance nomogram was established, which can provide an individual risk assessment of LNM and guide treatment decis...